SelfPayRates
Hospital El Paso, TX

University Medical Center Surgical Hospital

University Medical Center Surgical Hospital in Dieter El Paso, TX publishes cash prices for 54 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

1416 George Dieter El Paso, TX 79936 Collected Sep 22, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 WS ABDOMEN PELVIS W CONTR $261.40 $1,307.01 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 NE ABDOMEN PELVIS W CONTR $261.40 $1,307.01 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 SH ABDOMEN PELVIS W CONTR $272.21 $1,361.06 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 REN ABDOMEN PELVIS W CONTR $306.47 $1,532.35 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ES ABDOMEN PELVIS W CONTR $306.47 $1,532.35 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 SH CT ABD & PELVIS W/ ENTEROGRAPHY $944.34 $4,721.69 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ES RAD CT ABD & PELVIS W/ ENTEROGRAPHY $1,025.03 $5,125.13 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 NE CT ABD & PELVIS W/ ENTEROGRAPHY $1,065.69 $5,328.44 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST $1,148.56 $5,742.78 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/ CONT $1,231.28 $6,156.41 80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W ENTEROGRAPHY $1,415.97 $7,079.87 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 WS ABDOMEN PELVIS W CONTR $261.40 $1,307.01 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 NE ABDOMEN PELVIS W CONTR $261.40 $1,307.01 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 SH ABDOMEN PELVIS W CONTR $272.21 $1,361.06 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 REN ABDOMEN PELVIS W CONTR $306.47 $1,532.35 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ES ABDOMEN PELVIS W CONTR $306.47 $1,532.35 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 SH CT ABD & PELVIS W/ ENTEROGRAPHY $944.34 $4,721.69 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ES RAD CT ABD & PELVIS W/ ENTEROGRAPHY $1,025.03 $5,125.13 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 NE CT ABD & PELVIS W/ ENTEROGRAPHY $1,065.69 $5,328.44 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS WITH CONTRAST $1,148.56 $5,742.78 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/ CONT $1,231.28 $6,156.41 80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W ENTEROGRAPHY $1,415.97 $7,079.87 80%
CT scan of the head or brain, no contrast dye CPT 70450 MSU CT HEAD/BRAIN W/O CONTRAST $459.92 $2,299.60 80%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUTCONTRAST $629.74 $3,148.71 80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 MSU CT HEAD/BRAIN W/O CONTRAST $459.92 $2,299.60 80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUTCONTRAST $629.74 $3,148.71 80%
CT scan of the pelvis, with contrast dye CPT 72193 REN PELVIS W/IV CONT (ROUTINE) $153.49 $767.47 80%
CT scan of the pelvis, with contrast dye CPT 72193 ES PELVIS W/IV CONT (ROUTINE) $153.49 $767.47 80%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST $512.80 $2,564.02 80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 REN PELVIS W/IV CONT (ROUTINE) $153.49 $767.47 80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 ES PELVIS W/IV CONT (ROUTINE) $153.49 $767.47 80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST $512.80 $2,564.02 80%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BI $56.14 $280.70 80%
Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DX BI $116.31 $581.53 80%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO BILAT DIG IMAGE $116.31 $581.53 80%
Diagnostic mammogram, both breasts both sides CPT 77066 MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts both sides CPT 77066 ES MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts both sides CPT 77066 WS MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts both sides CPT 77066 NE MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BI $56.14 $280.70 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG MAMMO DX BI $116.31 $581.53 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO BILAT DIG IMAGE $116.31 $581.53 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 WS MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 NE MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 ES MA DIAG MG DIG BILAT $119.02 $595.12 80%
Diagnostic mammogram, one breast CPT 77065 MAMMO DX UNI $51.37 $256.85 80%
Diagnostic mammogram, one breast CPT 77065 MG MAMMO DX UNI $51.37 $256.85 80%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILAT DIG IMAGE RT $51.37 $256.85 80%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILAT DIG IMAGE LT $51.37 $256.85 80%
Diagnostic mammogram, one breast one side CPT 77065 WS MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 NE MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 ES MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 NE MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 ES MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast one side CPT 77065 WS MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient CPT 77065 MG MAMMO DX UNI $51.37 $256.85 80%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DX UNI $51.37 $256.85 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILAT DIG IMAGE LT $51.37 $256.85 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILAT DIG IMAGE RT $51.37 $256.85 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 WS MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 ES MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 ES MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 WS MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 NE MA DIAG MG DIG LT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 NE MA DIAG MG DIG RT $90.79 $453.94 80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAG MG DIG RT $90.79 $453.94 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 NE MRI KNEE UNI W/O CONT $189.93 $949.64 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 NE MRI EXT LOWER JT W/O CONT $189.93 $949.64 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT JT W/O $518.83 $2,594.13 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT JT WITHOUT $518.83 $2,594.13 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 WS MRI KNEE UNI W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 ES MRI EXT LOWER JT W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 WS MRI EXT LOWER JT W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 REN MRI KNEE UNI W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 ES MRI KNEE UNI W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 REN MRI EXT LOWER JT W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 NE MRI EXT LOWER JT W/O CONT $189.93 $949.64 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 NE MRI KNEE UNI W/O CONT $189.93 $949.64 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT JT WITHOUT $518.83 $2,594.13 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT JT W/O $518.83 $2,594.13 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 REN MRI KNEE UNI W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 ES MRI EXT LOWER JT W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 WS MRI KNEE UNI W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 WS MRI EXT LOWER JT W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 ES MRI KNEE UNI W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 REN MRI EXT LOWER JT W/O CONT $563.46 $2,817.31 80%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LWR EXT JT W&W/O BI $745.81 $3,729.06 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JT W&W/O $611.28 $3,056.42 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI MRA LWR EXT JT W&W/O $611.28 $3,056.42 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ES MRI KNEE UNI W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 WS MRI EXT LOWER JT W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 REN MRI KNEE UNI W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 NE MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ES MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 WS MRI KNEE UNI W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 REN MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 WS MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ES MRI EXT LOWER JT W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 REN MRI EXT LOWER JT W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 SH MRI KNEE BILATW/WO CONT $710.30 $3,551.48 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LWR EXT JT W&W/O BI $745.81 $3,729.06 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXT JT W&W/O $611.28 $3,056.42 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI MRA LWR EXT JT W&W/O $611.28 $3,056.42 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 NE MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 ES MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 REN MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 REN MRI EXT LOWER JT W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 WS MRI EXT LOWER JT W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 WS MRI KNEE BILATW/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 ES MRI KNEE UNI W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 WS MRI KNEE UNI W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 REN MRI KNEE UNI W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 ES MRI EXT LOWER JT W/WO CONT $663.83 $3,319.14 80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 SH MRI KNEE BILATW/WO CONT $710.30 $3,551.48 80%
MRI of the brain, no contrast dye CPT 70551 ES MRI BRAIN WO CONT $338.98 $1,694.88 80%
MRI of the brain, no contrast dye CPT 70551 REN MRI BRAIN WO CONT $338.98 $1,694.88 80%
MRI of the brain, no contrast dye CPT 70551 WS MRI BRAIN WO CONT $338.98 $1,694.88 80%
MRI of the brain, no contrast dye CPT 70551 MRI LIMITED BRAIN W/O PORTABLE $684.73 $3,423.65 80%
MRI of the brain, no contrast dye inpatient CPT 70551 WS MRI BRAIN WO CONT $338.98 $1,694.88 80%
MRI of the brain, no contrast dye inpatient CPT 70551 ES MRI BRAIN WO CONT $338.98 $1,694.88 80%
MRI of the brain, no contrast dye inpatient CPT 70551 REN MRI BRAIN WO CONT $338.98 $1,694.88 80%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI LIMITED BRAIN W/O PORTABLE $684.73 $3,423.65 80%
MRI of the brain, with and without contrast dye CPT 70553 WS MRI BRAIN W/WO CONT $825.61 $4,128.06 80%
MRI of the brain, with and without contrast dye CPT 70553 ES MRI BRAIN W/WO CONT $825.61 $4,128.06 80%
MRI of the brain, with and without contrast dye CPT 70553 REN MRI BRAIN W/WO CONT $825.61 $4,128.06 80%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O $1,202.00 $6,009.98 80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 ES MRI BRAIN W/WO CONT $825.61 $4,128.06 80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 WS MRI BRAIN W/WO CONT $825.61 $4,128.06 80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 REN MRI BRAIN W/WO CONT $825.61 $4,128.06 80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&W/O $1,202.00 $6,009.98 80%
MRI of the lower back, no contrast dye CPT 72148 WS MRI LUMBAR SPINE W/O CONT $435.49 $2,177.45 80%
MRI of the lower back, no contrast dye CPT 72148 ES MRI LUMBAR SPINE W/O CONT $435.49 $2,177.45 80%
MRI of the lower back, no contrast dye CPT 72148 REN MRI LUMBAR SPIW/O CONT $435.49 $2,177.45 80%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O $461.08 $2,305.40 80%
MRI of the lower back, no contrast dye inpatient CPT 72148 ES MRI LUMBAR SPINE W/O CONT $435.49 $2,177.45 80%
MRI of the lower back, no contrast dye inpatient CPT 72148 WS MRI LUMBAR SPINE W/O CONT $435.49 $2,177.45 80%
MRI of the lower back, no contrast dye inpatient CPT 72148 REN MRI LUMBAR SPIW/O CONT $435.49 $2,177.45 80%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O $461.08 $2,305.40 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ZAT OB US >= 14 WK SNGL FTS $55.58 $277.92 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ZAR US >= 14 WK SNG FTS#PF# $74.14 $370.70 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 USD PREG >14W SINGLE $75.22 $376.12 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WK SNGL FTS $79.33 $396.65 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ESP US >= 14 WK SNG FTS#PF# $83.30 $416.49 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FAB US >= 14 WK SNG FTS#PF# $83.30 $416.49 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 WSP US >= 14 WK SNG FTS#PF# $83.30 $416.49 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 WST OB US >= 14 WK SNGL FTS $89.13 $445.64 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 EST OB US >= 14 WK SNGL FTS $89.13 $445.64 80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FAB OB US >= 14 WK SNGL FTS $89.13 $445.64 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ZAT OB US >= 14 WK SNGL FTS $55.58 $277.92 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ZAR US >= 14 WK SNG FTS#PF# $74.14 $370.70 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 USD PREG >14W SINGLE $75.22 $376.12 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >= 14 WK SNGL FTS $79.33 $396.65 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FAB US >= 14 WK SNG FTS#PF# $83.30 $416.49 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 WSP US >= 14 WK SNG FTS#PF# $83.30 $416.49 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ESP US >= 14 WK SNG FTS#PF# $83.30 $416.49 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FAB OB US >= 14 WK SNGL FTS $89.13 $445.64 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 EST OB US >= 14 WK SNGL FTS $89.13 $445.64 80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 WST OB US >= 14 WK SNGL FTS $89.13 $445.64 80%
Screening mammogram, both breasts both sides CPT 77067 ES MAMMO SCREEN BILAT W/CAD $32.67 $163.35 80%
Screening mammogram, both breasts both sides CPT 77067 WS MAMMO SCREEN BILAT W/CAD $32.67 $163.35 80%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN BI $35.10 $175.51 80%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT DIG IMAGE $50.16 $250.78 80%
Screening mammogram, both breasts both sides CPT 77067 MG MAMMO SCRN BI $72.55 $362.73 80%
Screening mammogram, both breasts CPT 77067 WS MAMMOGRAPHY SCRNING/PREPAY $31.24 $156.22 80%
Screening mammogram, both breasts CPT 77067 REN MAMMOGRAPHY SCREENING $31.24 $156.22 80%
Screening mammogram, both breasts CPT 77067 REN MAMMOGRAPHY SCRNING/PREPAY $31.24 $156.22 80%
Screening mammogram, both breasts CPT 77067 ES MAMMOGRAPHY SCRNING/PREPAY $31.24 $156.22 80%
Screening mammogram, both breasts CPT 77067 WS MAMMOGRAPHY SCREENING $32.67 $163.35 80%
Screening mammogram, both breasts CPT 77067 NE MAMMOGRAPHY SCREENING $32.67 $163.35 80%
Screening mammogram, both breasts CPT 77067 ES MAMMOGRAPHY SCREENING $32.67 $163.35 80%
Screening mammogram, both breasts CPT 77067 NE MAMMOGRAPHY SCRNING/PREPAY $50.16 $250.78 80%
Screening mammogram, both breasts CPT 77067 MA SCRN MG DIG $60.35 $301.73 80%
Screening mammogram, both breasts CPT 77067 NE MA SCREENING DIG TOMO BIL PROMO $87.89 $439.44 80%
Screening mammogram, both breasts CPT 77067 ES MA SCREENING DIG TOMO BIL PROMO $87.89 $439.44 80%
Screening mammogram, both breasts CPT 77067 WS MA SCREENNG DIGITAL BIL PROMO $87.89 $439.44 80%
Screening mammogram, both breasts CPT 77067 NE MA SCRN MG DIG $89.60 $448.00 80%
Screening mammogram, both breasts CPT 77067 ES MA SCRN MG DIG $89.60 $448.00 80%
Screening mammogram, both breasts CPT 77067 WS MA SCRN MG DIG $89.60 $448.00 80%
Screening mammogram, both breasts CPT 77067 RAD MA SCREENING DIG TOMO BIL PROMO $98.74 $493.71 80%
Screening mammogram, both breasts one side CPT 77067 NE MA SCRN MG DIG LT $89.60 $448.00 80%
Screening mammogram, both breasts one side CPT 77067 NE MA SCRN MG DIG RT $89.60 $448.00 80%
Screening mammogram, both breasts one side CPT 77067 ES MA SCRN MG DIG RT $89.60 $448.00 80%
Screening mammogram, both breasts one side CPT 77067 WS MA SCRN MG DIG LT $89.60 $448.00 80%
Screening mammogram, both breasts one side CPT 77067 ES MA SCRN MG DIG LT $89.60 $448.00 80%
Screening mammogram, both breasts one side CPT 77067 WS MA SCRN MG DIG RT $89.60 $448.00 80%
Screening mammogram, both breasts inpatient both sides CPT 77067 ES MAMMO SCREEN BILAT W/CAD $32.67 $163.35 80%
Screening mammogram, both breasts inpatient both sides CPT 77067 WS MAMMO SCREEN BILAT W/CAD $32.67 $163.35 80%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN BI $35.10 $175.51 80%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT DIG IMAGE $50.16 $250.78 80%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG MAMMO SCRN BI $72.55 $362.73 80%
Screening mammogram, both breasts inpatient CPT 77067 REN MAMMOGRAPHY SCRNING/PREPAY $31.24 $156.22 80%
Screening mammogram, both breasts inpatient CPT 77067 ES MAMMOGRAPHY SCRNING/PREPAY $31.24 $156.22 80%
Screening mammogram, both breasts inpatient CPT 77067 REN MAMMOGRAPHY SCREENING $31.24 $156.22 80%
Screening mammogram, both breasts inpatient CPT 77067 WS MAMMOGRAPHY SCRNING/PREPAY $31.24 $156.22 80%
Screening mammogram, both breasts inpatient CPT 77067 WS MAMMOGRAPHY SCREENING $32.67 $163.35 80%
Screening mammogram, both breasts inpatient CPT 77067 NE MAMMOGRAPHY SCREENING $32.67 $163.35 80%
Screening mammogram, both breasts inpatient CPT 77067 ES MAMMOGRAPHY SCREENING $32.67 $163.35 80%
Screening mammogram, both breasts inpatient CPT 77067 NE MAMMOGRAPHY SCRNING/PREPAY $50.16 $250.78 80%
Screening mammogram, both breasts inpatient CPT 77067 MA SCRN MG DIG $60.35 $301.73 80%
Screening mammogram, both breasts inpatient CPT 77067 NE MA SCREENING DIG TOMO BIL PROMO $87.89 $439.44 80%
Screening mammogram, both breasts inpatient CPT 77067 ES MA SCREENING DIG TOMO BIL PROMO $87.89 $439.44 80%
Screening mammogram, both breasts inpatient CPT 77067 WS MA SCREENNG DIGITAL BIL PROMO $87.89 $439.44 80%
Screening mammogram, both breasts inpatient CPT 77067 WS MA SCRN MG DIG $89.60 $448.00 80%
Screening mammogram, both breasts inpatient CPT 77067 ES MA SCRN MG DIG $89.60 $448.00 80%
Screening mammogram, both breasts inpatient CPT 77067 NE MA SCRN MG DIG $89.60 $448.00 80%
Screening mammogram, both breasts inpatient CPT 77067 RAD MA SCREENING DIG TOMO BIL PROMO $98.74 $493.71 80%
Screening mammogram, both breasts inpatient one side CPT 77067 NE MA SCRN MG DIG RT $89.60 $448.00 80%
Screening mammogram, both breasts inpatient one side CPT 77067 WS MA SCRN MG DIG RT $89.60 $448.00 80%
Screening mammogram, both breasts inpatient one side CPT 77067 NE MA SCRN MG DIG LT $89.60 $448.00 80%
Screening mammogram, both breasts inpatient one side CPT 77067 ES MA SCRN MG DIG LT $89.60 $448.00 80%
Screening mammogram, both breasts inpatient one side CPT 77067 WS MA SCRN MG DIG LT $89.60 $448.00 80%
Screening mammogram, both breasts inpatient one side CPT 77067 ES MA SCRN MG DIG RT $89.60 $448.00 80%
Transvaginal pelvic ultrasound CPT 76830 ERD US TRANSVAGINAL $48.33 $241.63 80%
Transvaginal pelvic ultrasound CPT 76830 NE PELVIC NON-OB TRANSVAGINAL $49.40 $247.02 80%
Transvaginal pelvic ultrasound CPT 76830 SH PELVIC NON-OB TRANSVAGINAL $52.86 $264.31 80%
Transvaginal pelvic ultrasound CPT 76830 EST US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound CPT 76830 ZAT US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound CPT 76830 EST US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound CPT 76830 WST US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound CPT 76830 NE US TRANSVAGINAL #PF# $83.89 $419.44 80%
Transvaginal pelvic ultrasound CPT 76830 WSP US TRANSVAGINAL #PF# $90.00 $450.00 80%
Transvaginal pelvic ultrasound CPT 76830 ZAR US TRANSVAGINAL #PF# $90.00 $450.00 80%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $98.56 $492.78 80%
Transvaginal pelvic ultrasound CPT 76830 FAB US TRANSVAGINAL #PF# $101.12 $505.58 80%
Transvaginal pelvic ultrasound CPT 76830 ESP US TRANSVAGINAL #PF# $101.12 $505.58 80%
Transvaginal pelvic ultrasound CPT 76830 FAB US TRANSVAGINAL $108.19 $540.97 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ERD US TRANSVAGINAL $48.33 $241.63 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 NE PELVIC NON-OB TRANSVAGINAL $49.40 $247.02 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 SH PELVIC NON-OB TRANSVAGINAL $52.86 $264.31 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ZAT US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 EST US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 EST US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 WST US TRANSVAGINAL $65.56 $327.81 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 NE US TRANSVAGINAL #PF# $83.89 $419.44 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ZAR US TRANSVAGINAL #PF# $90.00 $450.00 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 WSP US TRANSVAGINAL #PF# $90.00 $450.00 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $98.56 $492.78 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 FAB US TRANSVAGINAL #PF# $101.12 $505.58 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ESP US TRANSVAGINAL #PF# $101.12 $505.58 80%
Transvaginal pelvic ultrasound inpatient CPT 76830 FAB US TRANSVAGINAL $108.19 $540.97 80%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPL $148.54 $742.71 80%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMPL $148.54 $742.71 80%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4+VIEWS $107.93 $539.67 80%
X-ray of the lower back, 4 or more views CPT 72110 ED XR L-SPINE 4+V $107.93 $539.67 80%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE 4+VIEWS $107.93 $539.67 80%
X-ray of the lower back, 4 or more views inpatient CPT 72110 ED XR L-SPINE 4+V $107.93 $539.67 80%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 SH CHEM BASIC METABOLIC PANEL $20.64 $103.20 80%
Basic metabolic panel (blood test) CPT 80048 LEN BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) CPT 80048 CHEM BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) CPT 80048 LES BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) CPT 80048 NE BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) CPT 80048 LWS BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) CPT 80048 LEN CHM8 POC $31.81 $159.04 80%
Basic metabolic panel (blood test) inpatient CPT 80048 SH CHEM BASIC METABOLIC PANEL $20.64 $103.20 80%
Basic metabolic panel (blood test) inpatient CPT 80048 LES BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) inpatient CPT 80048 CHEM BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) inpatient CPT 80048 NE BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) inpatient CPT 80048 LWS BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) inpatient CPT 80048 LEN BASIC METABOLIC PANEL $27.09 $135.45 80%
Basic metabolic panel (blood test) inpatient CPT 80048 LEN CHM8 POC $31.81 $159.04 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NHC NE THSTEPS POLIOVIRUS,IPV,SC #PF# $22.40 $112.00 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SH SPC LIPID PANEL $26.08 $130.40 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SPC LIPID PANEL $27.38 $136.92 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SH LIPID PANEL $33.28 $166.40 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 YSL LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LEN LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LES LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LWS LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NHC NE THSTEPS POLIOVIRUS,IPV,SC #PF# $22.40 $112.00 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SH SPC LIPID PANEL $26.08 $130.40 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SPC LIPID PANEL $27.38 $136.92 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SH LIPID PANEL $33.28 $166.40 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 YSL LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LES LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LEN LIPID PANEL $34.94 $174.72 80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LWS LIPID PANEL $34.94 $174.72 80%
Complete blood count (CBC) with differential CPT 85025 CBC BASELINE $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 YSL CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 LES CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 CHEM CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 LEN CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 LWS CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 NE CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential CPT 85025 SH CBC BASELINE $8.69 $43.44 80%
Complete blood count (CBC) with differential CPT 85025 SH CHEM CBC AUTO W/AUTO DIFF $8.69 $43.44 80%
Complete blood count (CBC) with differential inpatient CPT 85025 LES CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 LEN CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 YSL CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 CHEM CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 NE CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC BASELINE $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 LWS CBC AUTO W/AUTO DIFF $8.65 $43.24 80%
Complete blood count (CBC) with differential inpatient CPT 85025 SH CHEM CBC AUTO W/AUTO DIFF $8.69 $43.44 80%
Complete blood count (CBC) with differential inpatient CPT 85025 SH CBC BASELINE $8.69 $43.44 80%
Complete blood count (CBC), no differential CPT 85027 SH CHEM HEMOGRAM AUTO $6.20 $31.00 80%
Complete blood count (CBC), no differential CPT 85027 LEN CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential CPT 85027 LES CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential CPT 85027 CHEM HEMOGRAM AUTO $6.50 $32.49 80%
Complete blood count (CBC), no differential CPT 85027 YSL CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential CPT 85027 LWS CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential inpatient CPT 85027 SH CHEM HEMOGRAM AUTO $6.20 $31.00 80%
Complete blood count (CBC), no differential inpatient CPT 85027 LEN CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential inpatient CPT 85027 YSL CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential inpatient CPT 85027 LES CBC AUTO W/O DIFF $6.50 $32.49 80%
Complete blood count (CBC), no differential inpatient CPT 85027 CHEM HEMOGRAM AUTO $6.50 $32.49 80%
Complete blood count (CBC), no differential inpatient CPT 85027 LWS CBC AUTO W/O DIFF $6.50 $32.49 80%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL ADJUSTED CALCIUM $15.52 $77.60 80%
Comprehensive metabolic panel (blood test) CPT 80053 SH CHEM CMPRH METAB PANEL $32.80 $164.00 80%
Comprehensive metabolic panel (blood test) CPT 80053 LEN CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) CPT 80053 CHEM CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) CPT 80053 YSL CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) CPT 80053 NE CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) CPT 80053 LWS CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) CPT 80053 LES CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) CPT 80053 LEN CHM14 POC $36.29 $181.44 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL ADJUSTED CALCIUM $15.52 $77.60 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SH CHEM CMPRH METAB PANEL $32.80 $164.00 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LEN CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 YSL CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LWS CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHEM CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LES CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 NE CMPRH METAB PANEL $34.44 $172.20 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LEN CHM14 POC $36.29 $181.44 80%
Kidney function blood test panel CPT 80069 SH LAB RENAL FUNCTION PANEL $19.52 $97.60 80%
Kidney function blood test panel CPT 80069 LAB RENAL FUNCTION PANEL $20.50 $102.48 80%
Kidney function blood test panel CPT 80069 LEN RENAL FUNCTION PANEL $27.22 $136.08 80%
Kidney function blood test panel CPT 80069 LWS RENAL FUNCTION PANEL $27.22 $136.08 80%
Kidney function blood test panel CPT 80069 LES RENAL FUNCTION PANEL $27.22 $136.08 80%
Kidney function blood test panel CPT 80069 LEN RENAL FUNCTION PANEL POC $27.38 $136.92 80%
Kidney function blood test panel inpatient CPT 80069 SH LAB RENAL FUNCTION PANEL $19.52 $97.60 80%
Kidney function blood test panel inpatient CPT 80069 LAB RENAL FUNCTION PANEL $20.50 $102.48 80%
Kidney function blood test panel inpatient CPT 80069 LES RENAL FUNCTION PANEL $27.22 $136.08 80%
Kidney function blood test panel inpatient CPT 80069 LEN RENAL FUNCTION PANEL $27.22 $136.08 80%
Kidney function blood test panel inpatient CPT 80069 LWS RENAL FUNCTION PANEL $27.22 $136.08 80%
Kidney function blood test panel inpatient CPT 80069 LEN RENAL FUNCTION PANEL POC $27.38 $136.92 80%
Liver function blood test panel CPT 80076 NE HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel CPT 80076 CHEM HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel CPT 80076 LEN HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel CPT 80076 LES HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel CPT 80076 LWS HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel CPT 80076 YSL HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel CPT 80076 SH CHEM HEPATIC FUNCTION PANEL $9.14 $45.71 80%
Liver function blood test panel inpatient CPT 80076 LEN HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel inpatient CPT 80076 LES HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel inpatient CPT 80076 CHEM HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel inpatient CPT 80076 LWS HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel inpatient CPT 80076 NE HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel inpatient CPT 80076 YSL HEPATIC FUNCTION PANEL $9.13 $45.66 80%
Liver function blood test panel inpatient CPT 80076 SH CHEM HEPATIC FUNCTION PANEL $9.14 $45.71 80%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $19.49 $97.44 80%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $19.49 $97.44 80%
PSA (prostate-specific antigen) blood test, free CPT 84154 SH CHEM PSA FREE $43.00 $215.00 80%
PSA (prostate-specific antigen) blood test, free CPT 84154 CHEM PSA FREE $45.15 $225.75 80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 SH CHEM PSA FREE $43.00 $215.00 80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHEM PSA FREE $45.15 $225.75 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 SH CHEM PSA TOTAL $16.64 $83.20 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 YSL YSL PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 LEN PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 LES PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 SPC PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 CHEM PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 LWS PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total CPT 84153 SPC PSA TOTAL ULTRASENSITIVE $19.82 $99.12 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SH CHEM PSA TOTAL $16.64 $83.20 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LEN PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SPC PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 YSL YSL PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LWS PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LES PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHEM PSA TOTAL $17.47 $87.36 80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SPC PSA TOTAL ULTRASENSITIVE $19.82 $99.12 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SPC PRT THROMBO TM (PTT) $6.89 $34.46 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SH PARTIAL THROMBOPLAS TIME $16.08 $80.40 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME $16.88 $84.42 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SH CHEM PRT THROMBO TM (PTT) $18.08 $90.40 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) $18.82 $94.08 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 CHEM PRT THROMBO TM (PTT) $18.98 $94.92 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SH CLIN CHEM PRT THROMBO TM (PTT) $19.68 $98.40 80%
Partial thromboplastin time (PTT) clotting test CPT 85730 CLIN CHEM PRT THROMBO TM (PTT) $20.66 $103.32 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SPC PRT THROMBO TM (PTT) $6.89 $34.46 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SH PARTIAL THROMBOPLAS TIME $16.08 $80.40 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME $16.88 $84.42 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SH CHEM PRT THROMBO TM (PTT) $18.08 $90.40 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) $18.82 $94.08 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHEM PRT THROMBO TM (PTT) $18.98 $94.92 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SH CLIN CHEM PRT THROMBO TM (PTT) $19.68 $98.40 80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CLIN CHEM PRT THROMBO TM (PTT) $20.66 $103.32 80%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) $3.35 $16.76 80%
Prothrombin time (PT/INR) clotting test CPT 85610 LES PROTHROMBIN TIME POC $9.92 $49.60 80%
Prothrombin time (PT/INR) clotting test CPT 85610 LEN PROTHROMBIN TIME (PT) POC $10.75 $53.76 80%
Prothrombin time (PT/INR) clotting test CPT 85610 SH CHEM PROTHROMBIN TIME (PT) $13.76 $68.80 80%
Prothrombin time (PT/INR) clotting test CPT 85610 SH SPEC_CHEM PROTHROMBIN TIME (PT) $13.76 $68.80 80%
Prothrombin time (PT/INR) clotting test CPT 85610 SPEC_CHEM PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test CPT 85610 CHEM PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test CPT 85610 YSL PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test CPT 85610 LWS PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test CPT 85610 LES PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test CPT 85610 LEN PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT) $3.35 $16.76 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LES PROTHROMBIN TIME POC $9.92 $49.60 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LEN PROTHROMBIN TIME (PT) POC $10.75 $53.76 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SH SPEC_CHEM PROTHROMBIN TIME (PT) $13.76 $68.80 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SH CHEM PROTHROMBIN TIME (PT) $13.76 $68.80 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LWS PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LES PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LEN PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SPEC_CHEM PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHEM PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 YSL PROTHROMBIN TIME (PT) $14.45 $72.24 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 YSL THYROID STIMULATING HORMONE $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LEN THYROID STIMULATING HORMON $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LES THYROID STIMULATING HORMONE $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LWS THYROID STIMULATING HORMONE $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SH CLIN_CHEM TSH $21.60 $108.00 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CLIN_CHEM TSH $22.68 $113.40 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SPC THYROID STIMULATING HORMONE $26.80 $133.98 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SH CHEM TSH $35.84 $179.20 80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHEM TSH $37.63 $188.16 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LWS THYROID STIMULATING HORMONE $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 YSL THYROID STIMULATING HORMONE $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LEN THYROID STIMULATING HORMON $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LES THYROID STIMULATING HORMONE $15.12 $75.60 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SH CLIN_CHEM TSH $21.60 $108.00 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CLIN_CHEM TSH $22.68 $113.40 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SPC THYROID STIMULATING HORMONE $26.80 $133.98 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SH CHEM TSH $35.84 $179.20 80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHEM TSH $37.63 $188.16 80%
Urinalysis with microscope exam, automated CPT 81001 SH CHEM UA AUTO W/MICRO $6.40 $32.00 80%
Urinalysis with microscope exam, automated CPT 81001 LEN UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated CPT 81001 FAB ORDER COMMUNICATION ONLY $6.72 $33.60 80%
Urinalysis with microscope exam, automated CPT 81001 CHEM UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated CPT 81001 YSL UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated CPT 81001 LES UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated CPT 81001 NE UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated CPT 81001 LWS UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 SH CHEM UA AUTO W/MICRO $6.40 $32.00 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHEM UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 LEN UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 LWS UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 YSL UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 LES UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 NE UA AUTO W/MICRO $6.72 $33.60 80%
Urinalysis with microscope exam, automated inpatient CPT 81001 FAB ORDER COMMUNICATION ONLY $6.72 $33.60 80%
Urinalysis with microscope exam, manual CPT 81000 CET UA DIPSTICKNONAUTO W/MICRO $4.75 $23.76 80%
Urinalysis with microscope exam, manual CPT 81000 EST DIPSTICK NONAUTO W/MICRO $7.39 $36.96 80%
Urinalysis with microscope exam, manual inpatient CPT 81000 CET UA DIPSTICKNONAUTO W/MICRO $4.75 $23.76 80%
Urinalysis with microscope exam, manual inpatient CPT 81000 EST DIPSTICK NONAUTO W/MICRO $7.39 $36.96 80%
Urinalysis without microscope exam, automated CPT 81003 CHEM UA AUTO W/O MICRO $2.51 $12.55 80%
Urinalysis without microscope exam, automated CPT 81003 CHEM UA AUTO GLUCOSE $2.51 $12.55 80%
Urinalysis without microscope exam, automated CPT 81003 CLIN_CHEM UA AUTO W/O MICRO $2.51 $12.55 80%
Urinalysis without microscope exam, automated CPT 81003 NE UA AUTO W/O MICRO $2.51 $12.55 80%
Urinalysis without microscope exam, automated CPT 81003 UCC ESLK URINALYSIS DIPSTICK $2.67 $13.37 80%
Urinalysis without microscope exam, automated CPT 81003 DPT UADIPSTICK NON-AUTO W/O M $2.67 $13.37 80%
Urinalysis without microscope exam, automated CPT 81003 LES UA BIOCHEM SCREEN $3.36 $16.80 80%
Urinalysis without microscope exam, automated CPT 81003 LEN UA BIOCHEM SCREEN $3.36 $16.80 80%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MCRO $6.22 $31.08 80%
Urinalysis without microscope exam, automated CPT 81003 UCC ESLK URINALYSIS AUTO W/O MCRO $6.22 $31.08 80%
Urinalysis without microscope exam, automated CPT 81003 SH LAB URINALYSIS AUTO W/O MICRO $6.59 $32.93 80%
Urinalysis without microscope exam, automated CPT 81003 SH URINALYSIS AUTO W/O MCRO $6.59 $32.93 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHEM UA AUTO W/O MICRO $2.51 $12.55 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 NE UA AUTO W/O MICRO $2.51 $12.55 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 CLIN_CHEM UA AUTO W/O MICRO $2.51 $12.55 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHEM UA AUTO GLUCOSE $2.51 $12.55 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 UCC ESLK URINALYSIS DIPSTICK $2.67 $13.37 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 DPT UADIPSTICK NON-AUTO W/O M $2.67 $13.37 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 LEN UA BIOCHEM SCREEN $3.36 $16.80 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 LES UA BIOCHEM SCREEN $3.36 $16.80 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MCRO $6.22 $31.08 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 UCC ESLK URINALYSIS AUTO W/O MCRO $6.22 $31.08 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 SH LAB URINALYSIS AUTO W/O MICRO $6.59 $32.93 80%
Urinalysis without microscope exam, automated inpatient CPT 81003 SH URINALYSIS AUTO W/O MCRO $6.59 $32.93 80%
Urinalysis without microscope exam, manual CPT 81002 LES UA BIOCHEM SCREEN $3.86 $19.32 80%
Urinalysis without microscope exam, manual CPT 81002 LWS UA BIOCHEM SCREEN NONAUTO $3.86 $19.32 80%
Urinalysis without microscope exam, manual CPT 81002 CEC UA DIP NONAUTO W/O MICRO $4.70 $23.52 80%
Urinalysis without microscope exam, manual CPT 81002 EST UA DIP NON AUTO W/O MICRO $4.70 $23.52 80%
Urinalysis without microscope exam, manual CPT 81002 FAB UA DIP NON-AUTO W/O MICRO $5.54 $27.72 80%
Urinalysis without microscope exam, manual CPT 81002 ZAT UA DIP NON-AUTO W/O MICRO $5.54 $27.72 80%
Urinalysis without microscope exam, manual CPT 81002 DPT UA DIP NON-AUTO W/O MICRO $5.54 $27.72 80%
Urinalysis without microscope exam, manual CPT 81002 SH CHEM UA NONAUTO PROTEIN $6.44 $32.20 80%
Urinalysis without microscope exam, manual CPT 81002 SH CHEM UA NONAUTO SP GRAV $6.44 $32.20 80%
Urinalysis without microscope exam, manual CPT 81002 SH CHEM UA RED SUBS $6.44 $32.20 80%
Urinalysis without microscope exam, manual CPT 81002 CHEM UA NONAUTO SP GRAV $7.35 $36.75 80%
Urinalysis without microscope exam, manual CPT 81002 CHEM UA RED SUBS $7.35 $36.75 80%
Urinalysis without microscope exam, manual CPT 81002 CHEM UA NONAUTO PROTEIN $7.35 $36.75 80%
Urinalysis without microscope exam, manual CPT 81002 UA DIP NONAUTO W/O MICRO $7.56 $37.81 80%
Urinalysis without microscope exam, manual CPT 81002 WST UA DIP NONAUTO W/O MICRO $7.94 $39.71 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 LWS UA BIOCHEM SCREEN NONAUTO $3.86 $19.32 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 LES UA BIOCHEM SCREEN $3.86 $19.32 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 EST UA DIP NON AUTO W/O MICRO $4.70 $23.52 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CEC UA DIP NONAUTO W/O MICRO $4.70 $23.52 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 DPT UA DIP NON-AUTO W/O MICRO $5.54 $27.72 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 FAB UA DIP NON-AUTO W/O MICRO $5.54 $27.72 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 ZAT UA DIP NON-AUTO W/O MICRO $5.54 $27.72 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 SH CHEM UA NONAUTO SP GRAV $6.44 $32.20 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 SH CHEM UA RED SUBS $6.44 $32.20 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 SH CHEM UA NONAUTO PROTEIN $6.44 $32.20 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEM UA NONAUTO SP GRAV $7.35 $36.75 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEM UA RED SUBS $7.35 $36.75 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEM UA NONAUTO PROTEIN $7.35 $36.75 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA DIP NONAUTO W/O MICRO $7.56 $37.81 80%
Urinalysis without microscope exam, manual inpatient CPT 81002 WST UA DIP NONAUTO W/O MICRO $7.94 $39.71 80%

Surgery and procedures

ProcedureCash price List priceOff list
Cesarean delivery, including prenatal and postpartum care CPT 59510 DPT DEL C-SECT W/ANTE/POST CARE $514.61 $2,573.05 80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 DEL C-SECT W/ANTE/POST CARE $578.22 $2,891.08 80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 ZAT DEL C-SECT W/ANTE/POST CARE $607.13 $3,035.63 80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 WST DEL C-SECT W/ANTE/POST CARE $607.13 $3,035.63 80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 EST DEL C-SECT W/ANTE/POST CARE $607.13 $3,035.63 80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 FAB DEL C-SECT W/ANTE/POST CARE $607.13 $3,035.63 80%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 ZAT DEL C-SECT W/ANTE/POST CARE $607.13 $3,035.63 80%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY FLEX W/US $334.64 $1,673.20 80%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY FLEX W/US $334.64 $1,673.20 80%
Colonoscopy with polyp removal CPT 45385 ERD COLONOSCPY FLEX W/REM SNAR $931.25 $4,656.26 80%
Colonoscopy with polyp removal inpatient CPT 45385 ERD COLONOSCPY FLEX W/REM SNAR $931.25 $4,656.26 80%
Colonoscopy with tissue sample CPT 45380 ERD COLONOSCPY FLEX W/BIOPSY $677.07 $3,385.37 80%
Colonoscopy with tissue sample inpatient CPT 45380 ERD COLONOSCPY FLEX W/BIOPSY $677.07 $3,385.37 80%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART W/ VENTRCLGRPH $1,332.18 $6,660.91 80%
Left heart catheterization, diagnostic one side CPT 93452 SH CATH LEFT HEART W/ VENTRCLGRPH $1,332.18 $6,660.91 80%
Left heart catheterization, diagnostic inpatient one side CPT 93452 SH CATH LEFT HEART W/ VENTRCLGRPH $1,332.18 $6,660.91 80%
Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LEFT HEART W/ VENTRCLGRPH $1,332.18 $6,660.91 80%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPIDRL SUBARAC L/S W/IMG $131.83 $659.17 80%
Lower-back epidural injection, with imaging guidance CPT 62323 ERD INJ EPIDRL SUBARAC L/S W/IM $283.56 $1,417.79 80%
Lower-back epidural injection, with imaging guidance CPT 62323 RAD INJ EPIDRL SUBARAC L/S W/IMG $322.44 $1,612.22 80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPIDRL SUBARAC L/S W/IMG $131.83 $659.17 80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 ERD INJ EPIDRL SUBARAC L/S W/IM $283.56 $1,417.79 80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 RAD INJ EPIDRL SUBARAC L/S W/IMG $322.44 $1,612.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 SH TEL INJ EPIDURAL SUBARACH L/S SGL $191.28 $956.40 80%
Lower-back epidural injection, without imaging guidance CPT 62322 NM INJ SUBARC EPID L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 TRA INJ EPID SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 ICU INJ EPIDURAL SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 EMU INJ EPI SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 MSICU INJ EPID SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 MED INJ EPIDURAL SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 TEL INJ EPIDURAL SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 NSICU INJ EPI SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 TR INJ EPIDURAL SUBARACH SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 OBSU INJ EPIDURAL SUBARACH L/S $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance CPT 62322 RAD ARTHRO ASP/INJ JT MAJOR $233.77 $1,168.87 80%
Lower-back epidural injection, without imaging guidance CPT 62322 SH CCI INJ SUBARC EPID L/S SGL $233.77 $1,168.87 80%
Lower-back epidural injection, without imaging guidance CPT 62322 XR INJ EPIDURAL SUBARACH L/S SGL $233.77 $1,168.87 80%
Lower-back epidural injection, without imaging guidance CPT 62322 ZAR INJ EPIDURAL SUB L/S SGL #PF# $246.22 $1,231.08 80%
Lower-back epidural injection, without imaging guidance CPT 62322 ER INJ EPIDL SUBAR L/S W/O IMG $608.00 $3,040.00 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SH TEL INJ EPIDURAL SUBARACH L/S SGL $191.28 $956.40 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NSICU INJ EPI SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 MSICU INJ EPID SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 MED INJ EPIDURAL SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TEL INJ EPIDURAL SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EMU INJ EPI SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TR INJ EPIDURAL SUBARACH SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TRA INJ EPID SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ICU INJ EPIDURAL SUBARACH L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NM INJ SUBARC EPID L/S SGL $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 OBSU INJ EPIDURAL SUBARACH L/S $200.84 $1,004.22 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SH CCI INJ SUBARC EPID L/S SGL $233.77 $1,168.87 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR INJ EPIDURAL SUBARACH L/S SGL $233.77 $1,168.87 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 RAD ARTHRO ASP/INJ JT MAJOR $233.77 $1,168.87 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ZAR INJ EPIDURAL SUB L/S SGL #PF# $246.22 $1,231.08 80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ER INJ EPIDL SUBAR L/S W/O IMG $608.00 $3,040.00 80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ EPIDURAL LUMBAR/SACRAL SGL $338.41 $1,692.06 80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SH INJ EPIDURAL LUMBAR/SACRAL SGL $338.41 $1,692.06 80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 RAD INJ EPIDURAL LUMBAR/SACRAL SGL $348.52 $1,742.59 80%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ EPIDURAL LUMBAR/SACRAL SGL $338.41 $1,692.06 80%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SH INJ EPIDURAL LUMBAR/SACRAL SGL $338.41 $1,692.06 80%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 RAD INJ EPIDURAL LUMBAR/SACRAL SGL $348.52 $1,742.59 80%
Prostate biopsy CPT 55700 BX PROSTATE NDL/PUNCH $210.91 $1,054.55 80%
Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PUNCH $210.91 $1,054.55 80%
Upper endoscopy (EGD), diagnostic CPT 43235 ERD DX W/BRUSHING/WASHING $242.33 $1,211.64 80%
Upper endoscopy (EGD), diagnostic CPT 43235 SH EGD GI UPPER $326.30 $1,631.52 80%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ERD DX W/BRUSHING/WASHING $242.33 $1,211.64 80%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 SH EGD GI UPPER $326.30 $1,631.52 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 DEL VAG W/ANTE/POST S/P C-SECT $1,293.65 $6,468.26 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 DPT DEL VAG W/ANTE/POST S/P C-SECT $1,358.33 $6,791.67 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 ZAT DEL VAG W/ANTE/POST S/P C-SECT $1,358.33 $6,791.67 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 FAB DEL VAG W/ANTE/POST S/P C-SECT $1,358.33 $6,791.67 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 WST DEL VAG W/ANTE/POST S/P C-SECT $1,358.33 $6,791.67 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 EST DEL VAG W/ANTE/POST S/P C-SECT $1,358.33 $6,791.67 80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 ZAT DEL VAG W/ANTE/POST S/P C-SECT $1,358.33 $6,791.67 80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 DEL VAGINAL W/ANTE/POST CARE $512.76 $2,563.81 80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 ZAT DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 FAB DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 DPT DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 EST DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 WST DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 WST DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 ZAT DEL VAGINAL W/ANTE/POST CARE $538.40 $2,692.00 80%

Doctor visits and therapy

ProcedureCash price List priceOff list
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 NE EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HPC EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ESP EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 WSP EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 DPP EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 FAB PF EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ZAR EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 UTP EKG ROUTINE #PF# $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 UCC ESLK EKG ROUTINE PRO $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 CEP EKG ROUTINE $9.41 $47.04 80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 SH DUP PF EKG ROUTINE W/PF $53.60 $268.00 80%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 UTP EKG ROUTINE #PF# $9.41 $47.04 80%
Family therapy without the patient, 50 minutes CPT 90846 ZAR PSYCH THRPY FAMILY W/O PT #PF# $42.75 $213.74 80%
New patient office visit, about 30 minutes CPT 99203 RWC OFFICE VST NEW 99203 #PF# $38.43 $192.15 80%
New patient office visit, about 30 minutes CPT 99203 OV INTERMEDIATE, NEW $38.48 $192.40 80%
New patient office visit, about 30 minutes CPT 99203 EST OV INTERMEDIATE, NEW $38.79 $193.94 80%
New patient office visit, about 30 minutes CPT 99203 NEW COMP CLINIC VISIT L3 $40.40 $202.02 80%
New patient office visit, about 30 minutes CPT 99203 YSL INITIAL EXAM PRE-NATAL $40.40 $202.02 80%
New patient office visit, about 30 minutes CPT 99203 WST OV INTERMEDIATE, NEW $40.40 $202.02 80%
New patient office visit, about 30 minutes CPT 99203 CET OV INTERMEDIATE NEW $40.40 $202.02 80%
New patient office visit, about 30 minutes CPT 99203 YSL OV INTERMEDIATE NEW #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 O/V INTERMEDIATE NEW #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 CEP NON DOT PHYSICAL #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 SISD OV INTERMEDIATE, NEW $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 CEP O/V INTERMEDIATE NEW #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 UTP VISIT NEW LEVEL III #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 NHC NE OV INTERMEDIATE, NEW #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 UCC ESLK E&M NEW 30-44 $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 FAB OV INTERMEDIATE NEW #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 CEP DOT PHYSICAL #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 OV INTERMEDIATE NEW DPP #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 WSP OV INTERMEDIATE, NEW #PF# $74.06 $370.30 80%
New patient office visit, about 30 minutes CPT 99203 ESP OV INTERMEDIATE NEW #PF# $74.06 $370.30 80%
New patient office visit, about 45 minutes CPT 99204 RWC OFFICE VST NEW 99204 #PF# $45.78 $228.90 80%
New patient office visit, about 45 minutes CPT 99204 EST OV EXTENDED, NEW $48.10 $240.51 80%
New patient office visit, about 45 minutes CPT 99204 YSL O/V EXTENDED NEW $48.72 $243.60 80%
New patient office visit, about 45 minutes CPT 99204 CET OV EXTENDED NEW $48.72 $243.60 80%
New patient office visit, about 45 minutes CPT 99204 WST OV EXTENDED, NEW $48.72 $243.60 80%
New patient office visit, about 45 minutes CPT 99204 OV EXTENDED, NEW $69.60 $348.00 80%
New patient office visit, about 45 minutes CPT 99204 UCC ESLK E&M NEW 45-59 $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 UTP VISIT NEW LEVEL IV #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 WSP OV EXTENDED, NEW #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 ESP OV EXTENDED NEW #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 YSL OV EXTENDED NEW #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 EMP O/V EXTENDED NEW #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 CEP O/V EXTENDED NEW #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 SISD OV EXTENDED, NEW $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 FAB OV NEW MODERATE #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 NHC NE OV EXTENDED, NEW #PF# $111.24 $556.19 80%
New patient office visit, about 45 minutes CPT 99204 OV EXTENDED NEW DPP #PF# $111.24 $556.19 80%
New patient office visit, about 60 minutes CPT 99205 EST OV COMPREHENSIVE NEW $27.59 $137.95 80%
New patient office visit, about 60 minutes CPT 99205 WST OV COMPREHENSIVE NEW $27.59 $137.95 80%
New patient office visit, about 60 minutes CPT 99205 FAB OV COMPREHENSIVE NEW $27.59 $137.95 80%
New patient office visit, about 60 minutes CPT 99205 OV COMPREHENSIVE NEW DPT $32.24 $161.18 80%
New patient office visit, about 60 minutes CPT 99205 CET OV COMPREHENSIVE NEW $35.33 $176.65 80%
New patient office visit, about 60 minutes CPT 99205 OV COMPREHENSIVE NEW $41.06 $205.28 80%
New patient office visit, about 60 minutes CPT 99205 YSL O/V COMPREHENSIVE NEW $43.11 $215.54 80%
New patient office visit, about 60 minutes CPT 99205 RWC OFFICE VST NEW 99205 #PF# $75.60 $378.00 80%
New patient office visit, about 60 minutes CPT 99205 ESP VISIT NEW LEVEL V #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 DPP VISIT NEW LEVEL V #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 SISD OV COMPREHENSIVE NEW $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 UCC ESLK E&M NEW 60-74 $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 NHC NE VISIT NEW LEVEL V #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 UTP VISIT NEW LEVEL V #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 CEP O/V COMPREHENSIVE NEW #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 EMP O/V COMPREHENSIVE NEW #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 YSL OV COMPREHENSIVE NEW #PF# $146.99 $734.97 80%
New patient office visit, about 60 minutes CPT 99205 WSP VISIT NEW LEVEL V #PF# $146.99 $734.97 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH CPM SET UP EACH 15 MIN PT $29.58 $147.90 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH IP CPM SET UP EACH 15 MIN PT $29.58 $147.90 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH CPM SET UP EACH 15 MIN OT $29.58 $147.90 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 RWC THER EXER EA 15 MIN OT $31.06 $155.30 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH IP THERAPEUTIC EXER EACH 15MIN PT $39.27 $196.36 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH THERAPEUTIC EXER EA 15 MIN OT $39.27 $196.36 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 IP THERAPEUTIC EXER EA 15 MIN OT $41.24 $206.18 80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OP THERAPEUTIC EXER EA 15 MIN OT $41.24 $206.18 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH CPM SET UP EACH 15 MIN PT $29.58 $147.90 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH IP CPM SET UP EACH 15 MIN PT $29.58 $147.90 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH CPM SET UP EACH 15 MIN OT $29.58 $147.90 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 RWC THER EXER EA 15 MIN OT $31.06 $155.30 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH THERAPEUTIC EXER EA 15 MIN OT $39.27 $196.36 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH IP THERAPEUTIC EXER EACH 15MIN PT $39.27 $196.36 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OP THERAPEUTIC EXER EA 15 MIN OT $41.24 $206.18 80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 IP THERAPEUTIC EXER EA 15 MIN OT $41.24 $206.18 80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE VIST NEW 18-39 #PF# $15.29 $76.44 80%
Preventive checkup, new patient aged 18–39 CPT 99385 CEP PREVENTIVE VIST NEW 18-39 #PF# $15.29 $76.44 80%
Preventive checkup, new patient aged 18–39 CPT 99385 FAB THSTEPS NEW 18-20 YRS #PF# $15.34 $76.70 80%
Preventive checkup, new patient aged 18–39 CPT 99385 NHC NE PREV VISIT, NEW AGE 18-39 #PF# $16.60 $83.00 80%
Preventive checkup, new patient aged 18–39 CPT 99385 UTP PREVENT MED NEW 18-39 YRS #PF# $16.60 $83.00 80%
Preventive checkup, new patient aged 18–39 CPT 99385 NHC NE THSTEPS NEW, 18-20 YRS #PF# $17.26 $86.32 80%
Preventive checkup, new patient aged 18–39 CPT 99385 WSP PREV VISIT, NEW AGE 18-39 #PF# $17.43 $87.15 80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 DPP #PF# $17.43 $87.15 80%
Preventive checkup, new patient aged 18–39 CPT 99385 WSP THSTEPS NEW, 18-20 YRS #PF# $17.43 $87.15 80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED NEW 18-39 YRS $17.92 $89.60 80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW 18-39 #PF# $22.30 $111.50 80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 #PF# $22.30 $111.50 80%
Preventive checkup, new patient aged 18–39 CPT 99385 WST PREV MED NEW 18-39 YRS $24.46 $122.30 80%
Preventive checkup, new patient aged 18–39 CPT 99385 ZAT PREV MED NEW 18-39 YRS $24.46 $122.30 80%
Preventive checkup, new patient aged 18–39 CPT 99385 CET PREV MED NEW 18-39 YRS $24.46 $122.30 80%
Preventive checkup, new patient aged 18–39 CPT 99385 EST PREV MED NEW 18-39 YRS $24.46 $122.30 80%
Preventive checkup, new patient aged 18–39 CPT 99385 DPT PREV MED NEW 18-39 YRS $29.12 $145.60 80%
Preventive checkup, new patient aged 18–39 CPT 99385 ESP NEW PREV VISIT AGE 18-39 #PF# $39.68 $198.42 80%
Preventive checkup, new patient aged 18–39 CPT 99385 SISD PREV MED NEW 18-39 YRS $43.48 $217.39 80%
Preventive checkup, new patient aged 40–64 CPT 99386 NHC NE PREV VISIT, NEW AGE 40-64 #PF# $32.00 $160.00 80%
Preventive checkup, new patient aged 40–64 CPT 99386 UTP PREVENT MED NEW 40-64 YRS #PF# $32.00 $160.00 80%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 DPP #PF# $32.00 $160.00 80%
Preventive checkup, new patient aged 40–64 CPT 99386 WSP PREV VISIT, NEW AGE 40-64 #PF# $33.60 $168.00 80%
Preventive checkup, new patient aged 40–64 CPT 99386 ESP PREV VISIT, NEW AGE 40-64 #PF# $33.60 $168.00 80%
Preventive checkup, new patient aged 40–64 CPT 99386 CEP PREVENTIVE VISIT NEW 40-64 #PF# $44.35 $221.76 80%
Preventive checkup, new patient aged 40–64 CPT 99386 YSL PREVENTIVE VISIT NEW 40-64 #PF# $44.35 $221.76 80%
Preventive checkup, new patient aged 40–64 CPT 99386 EMP PREVENTIVE VISIT NEW 40-64 #PF# $44.35 $221.76 80%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV MED NEW 40-64 YRS $50.69 $253.43 80%
Preventive checkup, new patient aged 40–64 CPT 99386 SISD PREV MED NEW 40-64 YRS $52.76 $263.80 80%
Preventive checkup, new patient aged 40–64 CPT 99386 EST PREV MED NEW 40-64 YRS $53.22 $266.10 80%
Preventive checkup, new patient aged 40–64 CPT 99386 CET PREV MED NEW 40-64 YRS $53.22 $266.10 80%
Preventive checkup, new patient aged 40–64 CPT 99386 DPT PREV MED NEW 40-64 YRS $53.22 $266.10 80%
Preventive checkup, new patient aged 40–64 CPT 99386 WST PREV MED NEW 40-64 YRS $53.22 $266.10 80%
Preventive checkup, new patient aged 40–64 CPT 99386 ZAT PREV MED NEW 40-64 YRS $58.38 $291.88 80%
Preventive checkup, new patient aged 40–64 CPT 99386 FAB PREVENT NEW 40-64 #PF# $69.50 $347.48 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NHC NE OV CONSULT INTER & PX #PF# $36.48 $182.40 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 ESP OV CONSULT INTER & PX #PF# $38.30 $191.52 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OV CONSULT INERMEDIATE #PF# $38.30 $191.52 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 YSL OV CONSULT INTERMEDIATE #PF# $38.30 $191.52 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OV CONSULT INTER & PX DPP #PF# $38.30 $191.52 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 SISD OV CONSULT INTER & PX $40.75 $203.77 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CEP OV CONSULT INERMEDIATE #PF# $45.60 $228.00 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 FAB OV CONSULT INTERMEDIATE $45.99 $229.95 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CET OV CONSULT INTER W PX $45.99 $229.95 80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 WSP OV CONSULT INTER & PX #PF# $47.88 $239.40 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NHC NE OV CONSULT EXTENDED & PX #PF# $37.28 $186.40 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 FAB OV CONSULT EXTENDED $37.60 $187.99 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CET OV CONSULT EXTENDED & PX $37.60 $187.99 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OV CONSULT EXTENDED & PX DPP #PF# $39.14 $195.72 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OV CONULT EXTENDED #PF# $39.14 $195.72 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 YSL OV CONSULT EXTENDED #PF# $39.14 $195.72 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ESP OV CONSULT EXTENDED & PX #PF# $39.14 $195.72 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CEP OV CONULT EXTENDED #PF# $46.60 $233.00 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 WSP OV CONSULT EXTENDED & PX #PF# $46.60 $233.00 80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 SISD OV CONSULT EXTENDED & PX $60.91 $304.54 80%

Source file: https://umcelpaso.org/files/74-6000756_University-Medical-Center-Surgical-Hospital_standardcharges-3-23-2026.csv