Bellin Memorial Health Inc
Bellin Memorial Health Inc in Green Bay, WI publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated Jun 27, 2026. Click a procedure to compare it with other hospitals nearby.
744 S Webster Ave, Green Bay, WI 54153 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 HCHG 74177 CT ABD&PELVIS;W/CONTRAST | $736.63 | $1,591.00 | 54% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST | $1,767.73 | $3,818.00 | 54% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST | $736.63 | $1,591.00 | 54% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG 74177 CT ABD&PELVIS;W/CONTRAST | $1,767.73 | $3,818.00 | 54% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG 70450 CT HEAD W/O IV CONT | $210.67 | $455.00 | 54% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG 70450 CT HEAD W/O IV CONT | $588.01 | $1,270.00 | 54% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG 70450 CT HEAD W/O IV CONT | $210.67 | $455.00 | 54% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG 70450 CT HEAD W/O IV CONT | $588.01 | $1,270.00 | 54% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG 72193 CT PELVIS W/IV CONT | $532.91 | $1,151.00 | 54% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG 72193 CT PELVIS W/IV CONT | $1,344.55 | $2,904.00 | 54% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG 72193 CT PELVIS W/IV CONT | $532.91 | $1,151.00 | 54% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG 72193 CT PELVIS W/IV CONT | $1,344.55 | $2,904.00 | 54% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, BILATERAL | $219.93 | $475.00 | 54% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, BILATERAL | $299.56 | $647.00 | 54% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, BILATERAL | $219.93 | $475.00 | 54% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, BILATERAL | $299.56 | $647.00 | 54% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHG 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, UNILATERAL | $173.16 | $374.00 | 54% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHG 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, UNILATERAL | $235.20 | $508.00 | 54% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, UNILATERAL | $173.16 | $374.00 | 54% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD, UNILATERAL | $235.20 | $508.00 | 54% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST | $513.00 | $1,108.00 | 54% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST | $1,359.37 | $2,936.00 | 54% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST | $513.00 | $1,108.00 | 54% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG 73721 MRI LOWER EXT;W/O CONTRAST | $1,359.37 | $2,936.00 | 54% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT | $975.08 | $2,106.00 | 54% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT | $2,819.21 | $6,089.00 | 54% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT | $975.08 | $2,106.00 | 54% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG 73723 MRI LOWER EXT;W/O,W/CONT | $2,819.21 | $6,089.00 | 54% |
| MRI of the brain, no contrast dye CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) | $477.35 | $1,031.00 | 54% |
| MRI of the brain, no contrast dye CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) | $1,259.82 | $2,721.00 | 54% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) | $477.35 | $1,031.00 | 54% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG 70551 MRI HEAD (3 SEQ) | $1,259.82 | $2,721.00 | 54% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI BRAIN WWO CONTRAST (RESEARCH, CREST-H STUDY) | $472.26 | $1,020.00 | 54% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST | $736.63 | $1,591.00 | 54% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI BRAIN WWO CONTRAST (RESEARCH, CREST-H STUDY) | $736.63 | $1,591.00 | 54% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST | $2,120.08 | $4,579.00 | 54% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI BRAIN WWO CONTRAST (RESEARCH, CREST-H STUDY) | $472.26 | $1,020.00 | 54% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI BRAIN WWO CONTRAST (RESEARCH, CREST-H STUDY) | $736.63 | $1,591.00 | 54% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST | $736.63 | $1,591.00 | 54% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG 70553 MRI HEAD W&WO CONTRAST | $2,120.08 | $4,579.00 | 54% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST | $607.92 | $1,313.00 | 54% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST | $1,207.97 | $2,609.00 | 54% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST | $607.92 | $1,313.00 | 54% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG 72148 MRI-LUMBAR SPINE W/O CONTRAST | $1,207.97 | $2,609.00 | 54% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER | $354.66 | $766.00 | 54% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER | $464.85 | $1,004.00 | 54% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER | $354.66 | $766.00 | 54% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG 76805 US OB-AFTER 1ST TRIMESTER | $464.85 | $1,004.00 | 54% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG 77067 SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD | $139.83 | $302.00 | 54% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG 77067 SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD | $235.20 | $508.00 | 54% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG 77067 SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD | $139.83 | $302.00 | 54% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG 77067 SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD | $235.20 | $508.00 | 54% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS | $2,002.01 | $4,324.00 | 54% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS | $2,515.48 | $5,433.00 | 54% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS | $2,002.01 | $4,324.00 | 54% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG 95810 POLYSOMNOGRAPHY 6/+ YRS | $2,515.48 | $5,433.00 | 54% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG 76830 US PELVIS TRANSVAG | $229.19 | $495.00 | 54% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG 76830 BASELINE MONITORING SONOGRAPHY | $441.70 | $954.00 | 54% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG 76830 US PELVIS TRANSVAG | $441.70 | $954.00 | 54% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG 76830 US PELVIS TRANSVAG | $229.19 | $495.00 | 54% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG 76830 US PELVIS TRANSVAG | $441.70 | $954.00 | 54% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG 76830 BASELINE MONITORING SONOGRAPHY | $441.70 | $954.00 | 54% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) | $248.17 | $536.00 | 54% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) | $405.13 | $875.00 | 54% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) | $248.17 | $536.00 | 54% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG 76700 US ABDOMEN (SPCFY) | $405.13 | $875.00 | 54% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) | $210.67 | $455.00 | 54% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) | $254.65 | $550.00 | 54% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) | $210.67 | $455.00 | 54% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG 72110 SPINE LUMBAR W/OBLIQ (4 VWS) | $254.65 | $550.00 | 54% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $24.54 | $53.00 | 54% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $24.54 | $53.00 | 54% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (NMR) | $38.89 | $84.00 | 54% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 METABALANCE-CHOLESTEROL | $38.89 | $84.00 | 54% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $38.89 | $84.00 | 54% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $38.89 | $84.00 | 54% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 METABALANCE-CHOLESTEROL | $38.89 | $84.00 | 54% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (NMR) | $38.89 | $84.00 | 54% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT; COMPLETE CBC | $22.69 | $49.00 | 54% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT; COMPLETE (CBC) | $22.69 | $49.00 | 54% |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT; COMPLETE CBC | $22.69 | $49.00 | 54% |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT; COMPLETE (CBC) | $22.69 | $49.00 | 54% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/O PLATELETS | $18.52 | $40.00 | 54% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT; COMPLETE (CBC) AUTOMATED | $18.52 | $40.00 | 54% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT; COMPLETE (CBC) AUTOMATED | $18.52 | $40.00 | 54% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/O PLATELETS | $18.52 | $40.00 | 54% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $30.56 | $66.00 | 54% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $30.56 | $66.00 | 54% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $25.00 | $54.00 | 54% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $25.00 | $54.00 | 54% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $23.61 | $51.00 | 54% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $23.61 | $51.00 | 54% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $138.44 | $299.00 | 54% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $138.44 | $299.00 | 54% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE HEALTH INDEX PSA FREE, SERUM MCLAB | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIFIC ANTIGEN (PSA); FREE | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATIC SPECIFIC ANTIGEN (PSA); FREE | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE HEALTH INDEX PSA FREE, SERUM MCLAB | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE HEALTH INDEX PSA TOTAL, SERUM MCLAB | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN (PSA); TOTAL | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN (PSA); TOTAL | $53.25 | $115.00 | 54% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE HEALTH INDEX PSA TOTAL, SERUM MCLAB | $53.25 | $115.00 | 54% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); HEPARIN ABSORBED | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT) | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT) | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); HEPARIN ABSORBED | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA | $17.59 | $38.00 | 54% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $17.59 | $38.00 | 54% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME, WHOLE BLOOD | $12.50 | $27.00 | 54% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $12.50 | $27.00 | 54% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $12.50 | $27.00 | 54% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, WHOLE BLOOD | $12.50 | $27.00 | 54% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) | $48.62 | $105.00 | 54% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) | $48.62 | $105.00 | 54% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS; AUTOMATED WITH MICROSCOPY | $9.26 | $20.00 | 54% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS; AUTOMATED W/MICROSCOPY | $9.26 | $20.00 | 54% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS; AUTOMATED W/MICROSCOPY | $9.26 | $20.00 | 54% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS; AUTOMATED WITH MICROSCOPY | $9.26 | $20.00 | 54% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS; NON-AUTOMATED W/MICROSCOPY | $11.58 | $25.00 | 54% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS; NON-AUTOMATED W/MICROSCOPY | $11.58 | $25.00 | 54% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY | $6.48 | $14.00 | 54% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (DIPSTICK ONLY) | $6.48 | $14.00 | 54% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (UA DIP ONLY) | $6.48 | $14.00 | 54% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (DIPSTICK ONLY) | $6.48 | $14.00 | 54% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY (UA DIP ONLY) | $6.48 | $14.00 | 54% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS; AUTOMATED WO MICROSCOPY | $6.48 | $14.00 | 54% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY | $10.19 | $22.00 | 54% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY (PH, UR) | $10.19 | $22.00 | 54% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY | $10.19 | $22.00 | 54% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS; NON-AUTOMATED WO MICROSCOPY (PH, UR) | $10.19 | $22.00 | 54% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HCHG 45391P COLONOSCOPY W/ENDOSCOPIC US EXAM | $1,357.05 | $2,931.00 | 54% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HCHG 45391P COLONOSCOPY W/ENDOSCOPIC US EXAM | $1,357.05 | $2,931.00 | 54% |
| Colonoscopy with polyp removal CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE | $1,459.38 | $3,152.00 | 54% |
| Colonoscopy with polyp removal CPT 45385 HCHG 45385 COLONOSCOPY BX W/REMOV-SNARE | $2,214.07 | $4,782.00 | 54% |
| Colonoscopy with polyp removal CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE | $2,214.07 | $4,782.00 | 54% |
| Colonoscopy with polyp removal CPT 45385 HCHG 45385 COLONOSCOPY BX W/REMOV-SNARE | $2,214.07 | $4,782.00 | 54% |
| Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE | $1,459.38 | $3,152.00 | 54% |
| Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385 COLONOSCOPY BX W/REMOV-SNARE | $2,214.07 | $4,782.00 | 54% |
| Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385P COLONOSCOPY W/REM POLYP,TUMOR,LESION-SNARE | $2,214.07 | $4,782.00 | 54% |
| Colonoscopy with polyp removal inpatient CPT 45385 HCHG 45385 COLONOSCOPY BX W/REMOV-SNARE | $2,214.07 | $4,782.00 | 54% |
| Colonoscopy with tissue sample CPT 45380 HCHG 45380P COLONOSCOPY W/BIOPSY, SGL OR MULT | $1,459.38 | $3,152.00 | 54% |
| Colonoscopy with tissue sample CPT 45380 HCHG 45380P COLONOSCOPY W/BIOPSY, SGL OR MULT | $2,259.90 | $4,881.00 | 54% |
| Colonoscopy with tissue sample CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY | $2,259.90 | $4,881.00 | 54% |
| Colonoscopy with tissue sample CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY | $2,259.90 | $4,881.00 | 54% |
| Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380P COLONOSCOPY W/BIOPSY, SGL OR MULT | $1,459.38 | $3,152.00 | 54% |
| Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY | $2,259.90 | $4,881.00 | 54% |
| Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380 COLONOSCOPY, FOR BIOPSY | $2,259.90 | $4,881.00 | 54% |
| Colonoscopy with tissue sample inpatient CPT 45380 HCHG 45380P COLONOSCOPY W/BIOPSY, SGL OR MULT | $2,259.90 | $4,881.00 | 54% |
| Colonoscopy, diagnostic CPT 45378 HCHG 45378 COLONOSCOPY FLEX DIAG | $891.28 | $1,925.00 | 54% |
| Colonoscopy, diagnostic CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC | $891.28 | $1,925.00 | 54% |
| Colonoscopy, diagnostic CPT 45378 HCHG 45378 COLONOSCOPY FLEX DIAG | $1,750.60 | $3,781.00 | 54% |
| Colonoscopy, diagnostic CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC | $1,750.60 | $3,781.00 | 54% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC | $891.28 | $1,925.00 | 54% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378 COLONOSCOPY FLEX DIAG | $891.28 | $1,925.00 | 54% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378P COLONOSCOPY; DIAGNOSTIC | $1,750.60 | $3,781.00 | 54% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG 45378 COLONOSCOPY FLEX DIAG | $1,750.60 | $3,781.00 | 54% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG 66821 YAG LASER SURGERY | $539.86 | $1,166.00 | 54% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG 66821 YAG LASER SURGERY | $539.86 | $1,166.00 | 54% |
| Left heart catheterization, diagnostic one side CPT 93452 HCHG 93452 LEFT HEART CATH W/VENTRICULOGRAPHY | $4,726.77 | $10,209.00 | 54% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG 93452 LEFT HEART CATH W/VENTRICULOGRAPHY | $4,726.77 | $10,209.00 | 54% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG 62323 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, | $547.27 | $1,182.00 | 54% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG 62323 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, | $1,257.97 | $2,717.00 | 54% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG 62323 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, | $547.27 | $1,182.00 | 54% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG 62323 PR INJ DIAG/THER SUBSTANCE W/CATH PLC, EPID/SUBARACH, | $1,257.97 | $2,717.00 | 54% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG 62322 PR INJ DIAG/THER SUBSTANCE W/CATH PLC | $545.41 | $1,178.00 | 54% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG 62322 PR INJ DIAG/THER SUBSTANCE W/CATH PLC | $1,649.21 | $3,562.00 | 54% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG 62322 PR INJ DIAG/THER SUBSTANCE W/CATH PLC | $545.41 | $1,178.00 | 54% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG 62322 PR INJ DIAG/THER SUBSTANCE W/CATH PLC | $1,649.21 | $3,562.00 | 54% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG 64483 INJ ANES AGNT-LUMB/SACR SINGLE | $777.84 | $1,680.00 | 54% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG 64483 INJ ANES AGNT-LUMB/SACR SINGLE | $1,503.82 | $3,248.00 | 54% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG 64483 INJ ANES AGNT-LUMB/SACR SINGLE | $777.84 | $1,680.00 | 54% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG 64483 INJ ANES AGNT-LUMB/SACR SINGLE | $1,503.82 | $3,248.00 | 54% |
| Removal of a breast lump, open surgery CPT 19120 HCHG 19120 EXCISION CYST BREAST | $2,645.12 | $5,713.00 | 54% |
| Removal of a breast lump, open surgery CPT 19120 HCHG 19120 EXCISION CYST BREAST | $6,183.83 | $13,356.00 | 54% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HCHG 19120 EXCISION CYST BREAST | $2,645.12 | $5,713.00 | 54% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HCHG 19120 EXCISION CYST BREAST | $6,183.83 | $13,356.00 | 54% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239 UPPER GI ENDOSCOPY W/BIOPSY | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT | $1,580.68 | $3,414.00 | 54% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG 43239 UPPER GI ENDOSCOPY W/BIOPSY | $1,580.68 | $3,414.00 | 54% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239 UPPER GI ENDOSCOPY W/BIOPSY | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239P EGD W/BIOPSY, SGL OR MULT | $1,580.68 | $3,414.00 | 54% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG 43239 UPPER GI ENDOSCOPY W/BIOPSY | $1,580.68 | $3,414.00 | 54% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235P EGD; DIAGNOSTIC | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235P EGD; DIAGNOSTIC | $1,735.79 | $3,749.00 | 54% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG | $1,735.79 | $3,749.00 | 54% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235P EGD; DIAGNOSTIC | $1,360.76 | $2,939.00 | 54% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235 UPPER GI ENDOSCOPY DIAG | $1,735.79 | $3,749.00 | 54% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG 43235P EGD; DIAGNOSTIC | $1,735.79 | $3,749.00 | 54% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PATIENT, DRUG, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, PHP, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 DAY TRMT/FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN | $260.67 | $563.00 | 54% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PATIENT, DRUG, 50 MIN | $297.71 | $643.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 DAY TRMT/FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, PHP, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, ALCH, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PATIENT, DRUG, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PRESENT, 50 MIN | $260.67 | $563.00 | 54% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG 90847 FAMILY PSYCHOTHERAPY W/PT PATIENT, DRUG, 50 MIN | $297.71 | $643.00 | 54% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN | $260.67 | $563.00 | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN | $196.31 | $424.00 | 54% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHG 90846 FAM PSYCHOTHERAPY W/O PATIENT, 50 MIN | $260.67 | $563.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 AODA DAY TMT-GRUP THER-ALC 60 | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 AODA DAY TMT-GROUP THER-DRUG 60 | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY IOP | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG GROUP PSYCHOTHERAPY PHP/IOP | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-ALC | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-DRUG | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY | $108.81 | $235.00 | 54% |
| Group psychotherapy session CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY | $127.79 | $276.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY IOP | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 AODA DAY TMT-GROUP THER-DRUG 60 | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 AODA DAY TMT-GRUP THER-ALC 60 | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-DRUG | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY-ALC | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG GROUP PSYCHOTHERAPY PHP/IOP | $108.81 | $235.00 | 54% |
| Group psychotherapy session inpatient CPT 90853 HCHG 90853 GROUP PSYCHOTHERAPY | $127.79 | $276.00 | 54% |
| New patient office visit, about 30 minutes CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 30 minutes CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG 99203 OFFICE OUTPATIENT NEW 30 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 45 minutes CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 45 minutes CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 45 minutes CPT 99204 HCHG 99204 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT | $407.90 | $881.00 | 54% |
| New patient office visit, about 45 minutes CPT 99204 HCHG 99204 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT | $407.90 | $881.00 | 54% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 OFFICE OUTPATIENT NEW 45 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT | $407.90 | $881.00 | 54% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG 99204 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT | $407.90 | $881.00 | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 UC E/M NEW PATIENT, 60-74 MINS | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 UC E/M NEW PATIENT, 60-74 MINS | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT | $229.65 | $496.00 | 54% |
| New patient office visit, about 60 minutes CPT 99205 HCHG 99205 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT | $229.65 | $496.00 | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 UC E/M NEW PATIENT, 60-74 MINS | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 OFFICE OUTPATIENT NEW 60 MINUTES | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 UC E/M NEW PATIENT, 60-74 MINS | $185.20 | $400.00 | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 SANE W/NO EVIDENCE COLLECTED, PEDS/UC, NEW PT | $229.65 | $496.00 | 54% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG 99205 SANE W/EVIDENCE COLLECTED, PEDS/UC, NEW PT | $229.65 | $496.00 | 54% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG 97110 THERAPUTIC PROCEDURE, EACH 15 MIN; THERAPUTIC EXERCIS | $47.69 | $103.00 | 54% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG 97110 THERAPUTIC PROCEDURE, 15 MIN; THERAPUTIC EXERCISE, 1: | $91.21 | $197.00 | 54% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG 97110 THERAPUTIC PROCEDURE, EACH 15 MIN; THERAPUTIC EXERCIS | $91.21 | $197.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DAY/PHP | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN (INPT NEUROPSYCH) | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DRUG | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN IOP | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN ALC | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL | $260.67 | $563.00 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN (INPT NEUROPSYCH) | $297.71 | $643.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DRUG | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN ALC | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN DAY/PHP | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN (INPT NEUROPSYCH) | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN IOP | $93.99 | $203.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN MNTL | $260.67 | $563.00 | 54% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG 90832 PSYCHOTHERAPY 30 MIN (INPT NEUROPSYCH) | $297.71 | $643.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN ALC | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN MNTL | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN PHP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN (INPT NEUROPSYCH) | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN IOP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN DRUG | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN IOP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN DRUG | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN (INPT NEUROPSYCH) | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN ALC | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN MNTL | $196.31 | $424.00 | 54% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG 90834 PSYCHOTHERAPY 45 MIN PHP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN IOP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN DRUG | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN MNTL | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN ALC | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN (INPT NEUROPSYCH) | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN PHP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN DRUG | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN IOP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN (INPT NEUROPSYCH) | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN PHP | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN ALC | $196.31 | $424.00 | 54% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG 90837 PSYCHOTHERAPY 60 MIN MNTL | $196.31 | $424.00 | 54% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HCHG 99244 OFFICE CONSULT NEW OR ESTAB PT | $185.20 | $400.00 | 54% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HCHG 99244 OFFICE CONSULT NEW OR ESTAB PT | $185.20 | $400.00 | 54% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HCHG 99244 OFFICE CONSULT NEW OR ESTAB PT | $185.20 | $400.00 | 54% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HCHG 99244 OFFICE CONSULT NEW OR ESTAB PT | $185.20 | $400.00 | 54% |
Source file: https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-psychiatric