Stanford Health Care
Stanford Health Care in Stanford, CA publishes cash prices for 66 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.
300 Pasteur Drive, Stanford, CA 94305 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 Abdomen-Pelvis W Contrast | $6,878.80 | $17,197.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen-Pelvis W Contrast | $6,878.80 | $17,197.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head WO Contrast | $3,110.80 | $7,777.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head WO Contrast | $3,110.80 | $7,777.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Contrast | $5,255.60 | $13,139.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W Contrast | $5,255.60 | $13,139.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Digital Diag Mammography Bilat Incl Cad | $616.40 | $1,541.00 | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digital Diag Mammography Bilat Incl Cad | $616.40 | $1,541.00 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Digital Diag Mammography Unilat Incl Cad | $478.00 | $1,195.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Digital Diag Mammography Unilat Incl Cad | $478.00 | $1,195.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Ext Jnt WO Contrast | $4,156.00 | $10,390.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Ext Jnt WO Contrast | $4,156.00 | $10,390.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Jnt WO/W Contrast | $8,134.40 | $20,336.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Jnt WO/W Contrast | $8,134.40 | $20,336.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Contrast | $4,697.60 | $11,744.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Contrast | $4,697.60 | $11,744.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WO/W Contrst | $6,788.00 | $16,970.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WO/W Contrst | $6,788.00 | $16,970.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine WO Contrast | $4,407.60 | $11,019.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-Spine WO Contrast | $4,407.60 | $11,019.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Utrs W/Eval,>1tri | $878.80 | $2,197.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus W/Eval >1tri | $878.80 | $2,197.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus W/Eval >1tri | $878.80 | $2,197.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Utrs W/Eval,>1tri | $878.80 | $2,197.00 | 60% |
| Screening mammogram, both breasts CPT 77067 Digital Screening Mammogram | $286.80 | $717.00 | 60% |
| Screening mammogram, both breasts inpatient CPT 77067 Digital Screening Mammogram | $286.80 | $717.00 | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 Psg 4+ Parameters Age 6+ | $4,319.60 | $10,799.00 | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Psg 4+ Parameters Age 6+ | $4,319.60 | $10,799.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US Trvg | $265.00 | $530.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $956.00 | $2,390.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvag, Non OB | $956.00 | $2,390.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Trvg | $265.00 | $530.00 | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvag, Non OB | $956.00 | $2,390.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $956.00 | $2,390.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen | $1,308.80 | $3,272.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen | $1,308.80 | $3,272.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine Min 4v | $1,018.00 | $2,545.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr L-Spine Min 4v | $1,018.00 | $2,545.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Metabolic Pnl Basic | $414.00 | $1,035.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Metabolic Pnl Basic | $414.00 | $1,035.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Calculated Ld | $264.80 | $662.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Calculated Ld | $264.80 | $662.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 Bld# Compl Auto Hhrwp&Auto Diffial | $18.50 | $37.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Auto Diff | $178.00 | $445.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Bld# Compl Auto Hhrwp&Auto Diffial | $18.50 | $37.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/Auto Diff | $178.00 | $445.00 | 60% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Blood Count | $177.60 | $444.00 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Blood Count | $177.60 | $444.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Pnl Comp | $497.20 | $1,243.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Metabolic Pnl Comp | $497.20 | $1,243.00 | 60% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $402.40 | $1,006.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $402.40 | $1,006.00 | 60% |
| Liver function blood test panel CPT 80076 HC Hepatic Fxn Panel | $344.40 | $861.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Fxn Panel | $344.40 | $861.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Tfpsa Psa Free | $192.00 | $480.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa, Free | $192.00 | $480.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa, Free | $192.00 | $480.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Tfpsa Psa Free | $192.00 | $480.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Ultrasensitive | $233.60 | $584.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Tfpsa Psa Total | $233.60 | $584.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $233.60 | $584.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Ultrasensitive | $233.60 | $584.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $233.60 | $584.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Tfpsa Psa Total | $233.60 | $584.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromplas Ptt | $225.60 | $564.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Labaclptt Thromboplastin Ptt | $225.60 | $564.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Pttinh 5 Min Norm Plasma | $225.60 | $564.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Labaclptt Thromboplastin Ptt | $225.60 | $564.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Pttinh 5 Min Norm Plasma | $225.60 | $564.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromplas Ptt | $225.60 | $564.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Labaclpt Prothrombin Time | $164.00 | $410.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Protime | $164.00 | $410.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $164.00 | $410.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $164.00 | $410.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Labaclpt Prothrombin Time | $164.00 | $410.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Protime | $164.00 | $410.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 7055 12580r Tsh | $10.83 | $27.07 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Lab12580r Chronic Urticaria | $32.50 | $81.25 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tshft4 Tsh | $264.40 | $661.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Highly Sensitiv Tsh | $264.40 | $661.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC 7055 12580r Tsh | $10.83 | $27.07 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Lab12580r Chronic Urticaria | $32.50 | $81.25 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tshft4 Tsh | $264.40 | $661.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Highly Sensitiv Tsh | $264.40 | $661.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urine Routine-Micro | $170.40 | $426.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urine Routine-Micro | $170.40 | $426.00 | 60% |
| Urinalysis with microscope exam, manual CPT 81000 Urine Micro Nonauto | $4.80 | $12.00 | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urine Micro Nonauto | $4.80 | $12.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Mic | $5.50 | $11.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urn Screen POC | $146.40 | $366.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto | $146.40 | $366.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Mic | $5.50 | $11.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto | $146.40 | $366.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urn Screen POC | $146.40 | $366.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Mic | $6.50 | $13.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Specific Gravity | $29.60 | $74.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick | $29.60 | $74.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Mic | $22.50 | $45.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Specific Gravity | $29.60 | $74.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Dipstick | $29.60 | $74.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonscopy Ultrasound | $4,054.00 | $10,135.00 | 60% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonscopy Ultrasound | $4,054.00 | $10,135.00 | 60% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq | $3,668.40 | $9,171.00 | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq | $3,668.40 | $9,171.00 | 60% |
| Colonoscopy with tissue sample CPT 45380 Scope of Colon With Biopsy | $4,798.00 | $11,995.00 | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 Scope of Colon With Biopsy | $4,798.00 | $11,995.00 | 60% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Diagnostic | $3,432.40 | $8,581.00 | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Diagnostic | $3,432.40 | $8,581.00 | 60% |
| Gallbladder removal, laparoscopic CPT 47562 Laps Surg Cholecstc | $1,039.78 | $2,079.55 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 Laps Surg Cholecstc | $1,890.50 | $3,781.00 | 50% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laps Surg Cholecstc | $1,039.78 | $2,079.55 | 50% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laps Surg Cholecstc | $1,609.00 | $3,218.00 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,142.50 | $2,285.00 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,142.50 | $2,285.00 | 50% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,142.50 | $2,285.00 | 50% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,142.50 | $2,285.00 | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Incise 2ndary Cataract Stab | $2,787.60 | $6,969.00 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Incise 2ndary Cataract Stab | $2,787.60 | $6,969.00 | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath | $5,887.20 | $14,718.00 | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Heart Cath | $5,887.20 | $14,718.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Epid/Subrach Lumb/Sacr W/Img | $4,110.00 | $10,275.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac W/Img Guidance | $5,732.50 | $11,465.00 | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Epid/Subrach Lumb/Sacr W/Img | $4,110.00 | $10,275.00 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac W/Img Guidance | $5,732.50 | $11,465.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac | $388.00 | $776.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Epidural/Subarach Lumb/Sacral | $2,884.80 | $7,212.00 | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar Lmbr/Sac | $388.00 | $776.00 | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Dx/Ther Sbst Epidural/Subarach Lumb/Sacral | $2,884.80 | $7,212.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epid Lumb/Sac Sng Lvl w imaging | $3,047.60 | $7,619.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Foramen Epid Lumb/Sac Sng Lvl w imaging | $3,047.60 | $7,619.00 | 60% |
| Prostate biopsy CPT 55700 Biopsy of Prostate | $5,496.40 | $13,741.00 | 60% |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy, Any Approach | $7,430.00 | $14,860.00 | 50% |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy, Any Approach | $7,430.00 | $14,860.00 | 50% |
| Prostate biopsy inpatient CPT 55700 Biopsy of Prostate | $5,496.40 | $13,741.00 | 60% |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy, Any Approach | $7,430.00 | $14,860.00 | 50% |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy, Any Approach | $7,430.00 | $14,860.00 | 50% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparo Radical Prostatectomy | $5,423.50 | $10,847.00 | 50% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparo Radical Prostatectomy | $5,423.50 | $10,847.00 | 50% |
| Removal of a breast lump, open surgery CPT 19120 Excision Breast Lesion(s) | $5,501.20 | $13,753.00 | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Excision Breast Lesion(s) | $5,501.20 | $13,753.00 | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder Scope, Bone Shaving | $1,319.00 | $2,638.00 | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder Scope, Bone Shaving | $1,319.00 | $2,638.00 | 50% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $3,461.00 | $6,922.00 | 50% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $4,722.00 | $9,444.00 | 50% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $3,461.00 | $6,922.00 | 50% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $4,722.00 | $9,444.00 | 50% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Cmprts | $3,744.50 | $7,489.00 | 50% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Cmprts | $4,535.50 | $9,071.00 | 50% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Cmprts | $3,744.50 | $7,489.00 | 50% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Cmprts | $4,535.50 | $9,071.00 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper Stomach-Intestine Scope for Biopsy | $4,006.80 | $10,017.00 | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Stomach-Intestine Scope for Biopsy | $4,006.80 | $10,017.00 | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $626.00 | $1,252.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $803.50 | $1,607.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Upper Stomach-Intestine Scope for Diagnosis | $3,788.40 | $9,471.00 | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash | $803.50 | $1,607.00 | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash | $803.50 | $1,607.00 | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper Stomach-Intestine Scope for Diagnosis | $3,788.40 | $9,471.00 | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $62.00 | $124.00 | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $62.00 | $124.00 | 50% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $62.00 | $124.00 | 50% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $62.00 | $124.00 | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 Fam Psychotx Pro Disc Pt Presnt | $166.00 | $415.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Fam Psychotx Pro Disc Pt Presnt | $166.00 | $415.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 Psychotherapy Fam Phd W/Out Patient Present | $98.80 | $247.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Psychotherapy Fam Phd W/Out Patient Present | $98.80 | $247.00 | 60% |
| Group psychotherapy session CPT 90853 Special Group Therapy | $159.20 | $398.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 Special Group Therapy | $159.20 | $398.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 Eval/Mgmt of New Patient | $258.50 | $517.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 Eval/Mgmt of New Patient | $258.50 | $517.00 | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Eval/Mgmt of New Patient | $258.50 | $517.00 | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Eval/Mgmt of New Patient | $407.50 | $815.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 Eval/Mgmt of New Patient | $370.50 | $741.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 Eval/Mgmt of New Patient | $467.50 | $935.00 | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Eval/Mgmt of New Patient | $467.50 | $935.00 | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Eval/Mgmt of New Patient | $467.50 | $935.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 Eval/Mgmt of New Patient | $432.50 | $865.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 Eval/Mgmt of New Patient | $432.50 | $865.00 | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Eval/Mgmt of New Patient | $432.50 | $865.00 | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Eval/Mgmt of New Patient | $553.50 | $1,107.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Tx Proc (Rom) Ea 15" | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ncpt Exer/Str/Rom Ea 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Sp Tx Exer/Str/Rom/Flex 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Strength/Rom Tx Ea 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Exer/Str/Rom Ea 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Strength/Rom Tx Ea 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ncpt Exer/Str/Rom Ea 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Exer/Str/Rom Ea 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Sp Tx Exer/Str/Rom/Flex 15 | $268.40 | $671.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Tx Proc (Rom) Ea 15" | $268.40 | $671.00 | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prev Eval/Mgmt/New Pt Age 18-39 | $314.00 | $628.00 | 50% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Eval/Mgmt/New Pt Age 18-39 | $314.00 | $628.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Prev Eval/Mgmt/New Pt Age 40-64 | $300.00 | $600.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Prev Eval/Mgmt/New Pt Age 40-64 | $362.50 | $725.00 | 50% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Eval/Mgmt/New Pt Age 40-64 | $300.00 | $600.00 | 50% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Eval/Mgmt/New Pt Age 40-64 | $300.00 | $600.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Min | $112.80 | $282.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx 30 Minutes | $246.50 | $493.00 | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 Min | $112.80 | $282.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx 30 Minutes | $246.50 | $493.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45min | $198.80 | $497.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx 45 Minutes | $383.00 | $766.00 | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45min | $198.80 | $497.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx 45 Minutes | $383.00 | $766.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60min | $278.80 | $697.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx 60 Minutes | $450.50 | $901.00 | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60min | $278.80 | $697.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx 60 Minutes | $450.50 | $901.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Off/OP Cnsltj New/Est Low Mdm/ 30 Min | $257.50 | $515.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Off/OP Cnsltj New/Est Low Mdm/ 30 Min | $257.50 | $515.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Off/OP Cnsltj New/Est Low Mdm/ 30 Min | $257.50 | $515.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Off/OP Cnsltj New/Est Low Mdm/ 30 Min | $257.50 | $515.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Off/OP Cnsltj New/Est Mod/Mdm/ 40 Min | $374.00 | $748.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Off/OP Cnsltj New/Est Mod/Mdm/ 40 Min | $374.00 | $748.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Off/OP Cnsltj New/Est Mod/Mdm/ 40 Min | $374.00 | $748.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Off/OP Cnsltj New/Est Mod/Mdm/ 40 Min | $374.00 | $748.00 | 50% |