Cedars-Sinai Medical Center
Cedars-Sinai Medical Center in Los Angeles, CA publishes cash prices for 64 common procedures listed here, from its own machine-readable price file updated Nov 26, 2025. Click a procedure to compare it with other hospitals nearby.
8700 Beverly Blvd, Los Angeles, CA 90048 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 PET Scan | $11,087.64 | $17,057.90 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN | $11,087.64 | $17,057.90 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CAT Scan | $11,087.64 | $17,057.90 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABD & PELVIS W CONTRAST | $11,087.64 | $17,057.90 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST MATERIAL(S) | $11,087.64 | $17,057.90 | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABD & PELVIS W CONTRAST | $14,413.95 | $22,175.31 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD/BRAIN WO CONT | $4,336.56 | $6,671.63 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN | $4,336.56 | $6,671.63 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 COMPUTED TOMOGRAPHY, HEAD OR BRAIN; W/O CONTRAST MATERIAL | $4,336.56 | $6,671.63 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 PET Scan | $4,336.56 | $6,671.63 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 COMPUTERIZED AXIAL TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL | $4,336.56 | $6,671.63 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CAT Scan | $4,336.56 | $6,671.63 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD/BRAIN WO CONT | $5,637.51 | $8,673.09 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTRAST | $5,233.33 | $8,051.27 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 PET Scan | $5,233.33 | $8,051.27 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CAT Scan | $5,233.33 | $8,051.27 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 COMPUTERIZED AXIAL TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S) | $5,233.33 | $8,051.27 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN | $5,233.33 | $8,051.27 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTRAST | $6,803.36 | $10,466.70 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB MAMMO DIAG DIGITAL BILAT INCL CAD | $1,358.73 | $2,090.35 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $1,358.73 | $2,090.35 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 PET Scan | $1,358.73 | $2,090.35 | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB MAMMO DIAG DIGITAL BILAT INCL CAD | $1,766.36 | $2,717.47 | 35% |
| Diagnostic mammogram, one breast CPT 77065 PET Scan | $1,061.36 | $1,632.86 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG DIGITAL UNILAT INCL CAD | $1,061.36 | $1,632.86 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $1,061.36 | $1,632.86 | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG DIGITAL UNILAT INCL CAD | $1,379.77 | $2,122.73 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 PET Scan | $4,984.95 | $7,669.16 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL | $4,984.95 | $7,669.16 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI/MRA | $4,984.95 | $7,669.16 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI | $4,984.95 | $7,669.16 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIALS | $4,984.95 | $7,669.16 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI EXT LOW JT WO CONT UNI | $4,984.95 | $7,669.16 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI EXT LOW JT WO CONT UNI | $6,480.73 | $9,970.35 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI EXT LOW JT WO/W CNT UNI | $8,535.34 | $13,131.30 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $8,535.34 | $13,131.30 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MAGNETIC RESONANCE IMAGING, ANY JOINT OF LOWER EXTREMITY W/O CONTRAST, FOLLOWED CONTRAST AND FURTHER SEQUENCES | $8,535.34 | $13,131.30 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 PET Scan | $8,535.34 | $13,131.30 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI/MRA | $8,535.34 | $13,131.30 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI | $8,535.34 | $13,131.30 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI EXT LOW JT WO/W CNT UNI | $11,095.90 | $17,070.61 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI | $3,542.57 | $5,450.10 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL | $3,542.57 | $5,450.10 | 35% |
| MRI of the brain, no contrast dye CPT 70551 PET Scan | $3,542.57 | $5,450.10 | 35% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI HEAD/BRAIN WO CONT | $3,542.57 | $5,450.10 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI/MRA | $3,542.57 | $5,450.10 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI HEAD/BRAIN WO CONT | $8,592.17 | $13,218.73 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI/MRA | $10,021.11 | $15,417.10 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MAGNETIC RESONANCE (EG, PROTON) IMAGING BRAIN;W/O CONTRAST MATERIAL,FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQ | $10,021.11 | $15,417.10 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI HEAD/PITUITARY WO/W CNT | $10,021.11 | $15,417.10 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 PET Scan | $10,021.11 | $15,417.10 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $10,021.11 | $15,417.10 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI | $10,021.11 | $15,417.10 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI HEAD/PITUITARY WO/W CNT | $13,028.30 | $20,043.54 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI | $5,143.15 | $7,912.54 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI/MRA | $5,143.15 | $7,912.54 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI L-SPINE WO CONTRAST | $5,143.15 | $7,912.54 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL | $5,143.15 | $7,912.54 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 PET Scan | $5,143.15 | $7,912.54 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI L-SPINE WO CONTRAST | $6,686.08 | $10,286.28 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB ULTRASOUND OB >14 WEEKS | $1,893.78 | $2,913.50 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHOGRAPHY, PREGNANT UTERUS, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE (COMPLETE FETAL AND MATERNAL EVALUATION) | $1,893.78 | $2,913.50 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND, PREGNANT UTERUS, REAL TIME W/IMAGE DOC, FETAL & MATERNAL EVAL, AFTER 1ST TRIMESTER, SINGLE/FIRST GESTATION | $1,893.78 | $2,913.50 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PET Scan | $1,893.78 | $2,913.50 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB ULTRASOUND OB >14 WEEKS | $2,461.90 | $3,787.54 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $1,178.21 | $1,812.63 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 HB MAMMO SCREENING BILATERAL INCL CAD | $1,178.21 | $1,812.63 | 35% |
| Screening mammogram, both breasts CPT 77067 PET Scan | $1,178.21 | $1,812.63 | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HB MAMMO SCREENING BILATERAL INCL CAD | $1,531.67 | $2,356.42 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Studies - Attended | $9,466.27 | $14,563.50 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HB US PELVIS TRANSVAGINAL | $1,263.19 | $1,943.37 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 ECHOGRAPHY, TRANSVAGINAL | $1,263.19 | $1,943.37 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 PET Scan | $1,263.19 | $1,943.37 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB US PELVIS TRANSVAGINAL | $1,642.14 | $2,526.37 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE | $2,345.91 | $3,609.09 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION, COMPLETE | $2,345.91 | $3,609.09 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 ECHOGRAPHY, ABDOMINAL, B-SCAN AND/OR REAL TIME WITH IMAGE DOCUMENTATION;COMPLETE | $2,345.91 | $3,609.09 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 PET Scan | $2,345.91 | $3,609.09 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMPLETE | $3,049.66 | $4,691.79 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 PET Scan | $1,373.33 | $2,112.81 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; COMPLETE, WITH OBLIQUE VIEWS | $1,373.33 | $2,112.81 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 HB XR L-SPINE 4-5VW | $1,373.33 | $2,112.81 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF FOUR VIEWS | $1,373.33 | $2,112.81 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB XR L-SPINE 4-5VW | $1,785.34 | $2,746.67 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $624.60 | $960.93 | 35% |
| Basic metabolic panel (blood test) CPT 80048 Laboratory Services | $624.60 | $960.93 | 35% |
| Basic metabolic panel (blood test) CPT 80048 HB LAB BASIC METABOLIC PANEL | $624.60 | $960.93 | 35% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM (82310) CARBON DIOXIDE (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520) | $624.60 | $960.93 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB LAB BASIC METABOLIC PANEL | $624.60 | $960.93 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LAB LIPID PANEL | $10.73 | $16.52 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CHOLESTEROL, SERUM, TOTAL (82465) LIPOPROTEIN, DIRECT MEASUREMENT, HIGH DENSITY CHOLESTEROL (HDL CHOLESTEROL) (83718) TRIGLYCERIDES (84478) | $10.73 | $16.52 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $10.73 | $16.52 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Laboratory Services | $10.73 | $16.52 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB MISC LAB SPECIAL TEST | $10.73 | $16.52 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LAB LIPID PANEL | $10.73 | $16.52 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC WITH AUTO DIFF | $591.29 | $909.68 | 35% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT | $591.29 | $909.68 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Laboratory Services | $591.29 | $909.68 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC WITH AUTO DIFF | $591.29 | $909.68 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Laboratory Services | $322.94 | $496.83 | 35% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) | $322.94 | $496.83 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB LAB CBC HEMOGRAM W/PLT | $322.94 | $496.83 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB LAB CBC HEMOGRAM W/PLT | $322.94 | $496.83 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) CALCIUM (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) PHOSPHATASE, ALKALINE (84075) POTASSIUM (84132) PROTEIN, TOTAL (84155) SODIUM (84295) | $628.87 | $967.49 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Laboratory Services | $628.87 | $967.49 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB LAB COMP METABOLIC PANEL | $628.87 | $967.49 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $628.87 | $967.49 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB LAB COMP METABOLIC PANEL | $628.87 | $967.49 | 35% |
| Kidney function blood test panel CPT 80069 HB LAB RENAL FUNCTION PANEL | $942.14 | $1,449.45 | 35% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) CALCIUM (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) PHOSPHORUS INORGANIC (PHOSPHATE) (84100) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520) | $942.14 | $1,449.45 | 35% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $942.14 | $1,449.45 | 35% |
| Kidney function blood test panel CPT 80069 Laboratory Services | $942.14 | $1,449.45 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HB LAB RENAL FUNCTION PANEL | $942.14 | $1,449.45 | 35% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $624.60 | $960.93 | 35% |
| Liver function blood test panel CPT 80076 HB LAB HEPATIC FUNCTION PANEL | $624.60 | $960.93 | 35% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE AMINO (AST) (SGOT) (84450) | $624.60 | $960.93 | 35% |
| Liver function blood test panel CPT 80076 Laboratory Services | $624.60 | $960.93 | 35% |
| Liver function blood test panel inpatient CPT 80076 HB LAB HEPATIC FUNCTION PANEL | $624.60 | $960.93 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN (PSA); FREE | $327.01 | $503.09 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN(PSA);FREE | $327.01 | $503.09 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB LAB PSA, FREE | $327.01 | $503.09 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Laboratory Services | $327.01 | $503.09 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB LAB PSA, FREE | $327.01 | $503.09 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL | $14.76 | $22.71 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $14.76 | $22.71 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB LAB PSA, POST-PROSTATECTOMY | $14.76 | $22.71 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB LAB PROSTATE SPECIFIC ANTGN | $14.76 | $22.71 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Laboratory Services | $14.76 | $22.71 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB LAB PROSTATE SPECIFIC ANTGN | $14.76 | $22.71 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $158.78 | $244.27 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB LAB PTT ER | $158.78 | $244.27 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB MISC LAB SPECIAL TEST | $158.78 | $244.27 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Laboratory Services | $158.78 | $244.27 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB LAB PTT ER | $158.78 | $244.27 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME; | $152.59 | $234.76 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Laboratory Services | $152.59 | $234.76 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB MISC LAB SPECIAL TEST | $152.59 | $234.76 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB LAB PRO TIME ER | $152.59 | $234.76 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB LAB PRO TIME ER | $152.59 | $234.76 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB LAB THYRO TSH SE RI | $13.49 | $20.75 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB MISC LAB SPECIAL TEST | $13.49 | $20.75 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Laboratory Services | $13.49 | $20.75 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) | $13.49 | $20.75 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH), RIA OR EIA | $13.49 | $20.75 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB LAB THYRO TSH SE RI | $13.49 | $20.75 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HB LAB URINALYSIS W/ MICROSCOPY | $288.26 | $443.47 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Laboratory Services | $288.26 | $443.47 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY | $288.26 | $443.47 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN GLUCOSE ETC; AUTOMATED WITH MICROSCOPY | $288.26 | $443.47 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB LAB URINALYSIS W/ MICROSCOPY | $288.26 | $443.47 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITH MICROSCOPY | $2.61 | $4.02 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS, BY REAGENT STRIPS, ANY NUMBER OF COMPONENTS;WITHMICROSCOPY | $2.61 | $4.02 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Laboratory Services | $2.61 | $4.02 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Laboratory Services | $240.42 | $369.88 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, BY DIP SICK OR TABLET REAGENT FOR BILIRUBIN,ETC W/O MICROSCOPY, AUTOMATED | $240.42 | $369.88 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY | $240.42 | $369.88 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB LAB SPECIFIC GRAV UR | $240.42 | $369.88 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB LAB SPECIFIC GRAV UR | $240.42 | $369.88 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY | $120.45 | $185.32 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Laboratory Services | $120.45 | $185.32 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HB LAB URINALYSIS | $120.45 | $185.32 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, BY REAGENT STRIPS, ANY NUMBER OF COMPONENTS; WITHOUT MICROSCOPY | $120.45 | $185.32 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB LAB URINALYSIS | $120.45 | $185.32 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Outpatient Surgical Group 8 | $936.62 | $1,440.95 | 35% |
| Cataract surgery with lens implant CPT 66984 Outpatient Grouper - 3 | $5,642.80 | $8,681.23 | 35% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Outpatient Surgical Group 3 | $5,642.80 | $8,681.23 | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Outpatient Surgical Group 1 | $936.62 | $1,440.95 | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Outpatient Grouper - 2 | $3,964.84 | $6,099.75 | 35% |
| Colonoscopy with polyp removal CPT 45385 Outpatient Surgical Group 2 | $936.62 | $1,440.95 | 35% |
| Colonoscopy with polyp removal CPT 45385 Outpatient Grouper - 2 | $5,642.80 | $8,681.23 | 35% |
| Colonoscopy with tissue sample CPT 45380 Outpatient Surgical Group 2 | $936.62 | $1,440.95 | 35% |
| Colonoscopy with tissue sample CPT 45380 Outpatient Grouper - 2 | $5,642.80 | $8,681.23 | 35% |
| Colonoscopy, diagnostic CPT 45378 Outpatient Surgical Group 2 | $3,964.84 | $6,099.75 | 35% |
| Colonoscopy, diagnostic CPT 45378 Outpatient Grouper - 2 | $5,642.80 | $8,681.23 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Outpatient Surgical Group 7 | $936.62 | $1,440.95 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Outpatient Grouper - 6 | $3,964.84 | $6,099.75 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Outpatient Surgical Group 4 | $6,651.91 | $10,233.70 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Outpatient Grouper - 4 | $6,651.91 | $10,233.70 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Outpatient Surgery Group 4 Global Rate | $6,651.91 | $10,233.70 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Outpatient Grouper - 4 | $3,964.84 | $6,099.75 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Outpatient Surgical Group 4 | $24,184.55 | $37,207.00 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Outpatient Grouper - 1 | $3,539.72 | $5,445.73 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Outpatient Surgical Group 2 | $3,539.72 | $5,445.73 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB YAG DISCISSION A-CATARACT MEM | $3,539.72 | $5,445.73 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Outpatient Surgery Group 2 Global Rate | $3,539.72 | $5,445.73 | 35% |
| Left heart catheterization, diagnostic CPT 93452 Outpatient Grouper - 5 | $24,025.37 | $36,962.10 | 35% |
| Left heart catheterization, diagnostic CPT 93452 Outpatient Surgery Group 8 Global Rate | $24,025.37 | $36,962.10 | 35% |
| Left heart catheterization, diagnostic CPT 93452 Outpatient Surgical Group 7 | $24,025.37 | $36,962.10 | 35% |
| Left heart catheterization, diagnostic CPT 93452 HB LHC +/- LV GRAM | $24,025.37 | $36,962.10 | 35% |
| Left heart catheterization, diagnostic CPT 93452 Outpatient Catheter Lab | $24,025.37 | $36,962.10 | 35% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HB LHC +/- LV GRAM | $24,025.37 | $36,962.10 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ INTERLAMINAR LUMBAR/SACRAL | $8,174.08 | $12,575.50 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Outpatient Grouper - 1 | $8,174.08 | $12,575.50 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 OUTPATIENT SURGERY CPT GROUP 1 | $8,174.08 | $12,575.50 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Outpatient Surgical Group 1 | $8,174.08 | $12,575.50 | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJ INTERLAMINAR LUMBAR/SACRAL | $8,174.08 | $12,575.50 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Outpatient Surgical Group 1 | $4,288.49 | $6,597.67 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Outpatient Grouper - 1 | $4,288.49 | $6,597.67 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJ EPIDURAL L/S-SPINE | $4,288.49 | $6,597.67 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 OUTPATIENT SURGERY CPT GROUP 1 | $4,288.49 | $6,597.67 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB INJ L/S-SPINE TRNSFORAM INI-IMG GUIDE INCL | $4,468.61 | $6,874.78 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 OUTPATIENT SURGERY CPT GROUP 1 | $4,468.61 | $6,874.78 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Outpatient Grouper - 1 | $4,468.61 | $6,874.78 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Outpatient Surgical Group 1 | $4,468.61 | $6,874.78 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB INJ L/S-SPINE TRNSFORAM INI-IMG GUIDE INCL | $5,809.17 | $8,937.19 | 35% |
| Prostate biopsy CPT 55700 Outpatient Surgery Group 2 Global Rate | $8,355.75 | $12,855.00 | 35% |
| Prostate biopsy CPT 55700 Outpatient Surgical Group 2 | $8,355.75 | $12,855.00 | 35% |
| Prostate biopsy CPT 55700 HB BIOPSY PROSTATE | $8,355.75 | $12,855.00 | 35% |
| Prostate biopsy CPT 55700 Outpatient Grouper - 2 | $8,355.75 | $12,855.00 | 35% |
| Prostate biopsy inpatient CPT 55700 HB BIOPSY PROSTATE | $10,862.49 | $16,711.52 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Outpatient Surgical Group 1 | $936.62 | $1,440.95 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Outpatient Grouper - 7 | $5,642.80 | $8,681.23 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Outpatient Grouper - 3 | $5,642.80 | $8,681.23 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Outpatient Surgical Group 3 | $5,642.80 | $8,681.23 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Outpatient Surgical Group 3 | $936.62 | $1,440.95 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Outpatient Grouper - 0 | $3,964.84 | $6,099.75 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Outpatient Grouper - 3 | $3,964.84 | $6,099.75 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Outpatient Surgical Group 3 | $4,877.53 | $7,503.89 | 35% |
| Total hip replacement CPT 27130 Outpatient Surgical Group 3 | $936.62 | $1,440.95 | 35% |
| Total hip replacement CPT 27130 Outpatient Grouper - 7 | $5,642.80 | $8,681.23 | 35% |
| Total knee replacement CPT 27447 Outpatient Surgical Group 3 | $936.62 | $1,440.95 | 35% |
| Total knee replacement CPT 27447 Outpatient Grouper - 7 | $5,642.80 | $8,681.23 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Outpatient Surgery claim including any of the Digestive System CPT or HCPCS Codes 43191- 43278 and 45300 û 45392, G0104-G0106 and G0120- G0121 | $3,397.48 | $5,226.90 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Outpatient Surgery Group 2 Global Rate | $3,397.48 | $5,226.90 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Outpatient Grouper - 2 | $3,397.48 | $5,226.90 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Outpatient Surgical Group 2 | $3,397.48 | $5,226.90 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Outpatient Grouper - 2 | $3,964.84 | $6,099.75 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Outpatient Surgical Group 1 | $4,877.53 | $7,503.89 | 35% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB CATH UNLISTED PROCEDURES | $2,134.09 | $3,283.21 | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Outpatient Surgical Group 2 | $936.62 | $1,440.95 | 35% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Outpatient Surgical Group 2 | $936.62 | $1,440.95 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 Pediatric and Neonatal Services: Clinic Fee | $382.13 | $587.89 | 35% |
| New patient office visit, about 30 minutes CPT 99203 HB NEW PATIENT, LEVEL 3 | $382.13 | $587.89 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB NEW PATIENT, LEVEL 3 | $382.13 | $587.89 | 35% |
| New patient office visit, about 45 minutes CPT 99204 HB NEW PATIENT, LEVEL 4 | $623.29 | $958.91 | 35% |
| New patient office visit, about 45 minutes CPT 99204 Pediatric and Neonatal Services: Clinic Fee | $623.29 | $958.91 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB NEW PATIENT, LEVEL 4 | $623.29 | $958.91 | 35% |
| New patient office visit, about 60 minutes CPT 99205 HB NEW PATIENT, LEVEL 5 | $1,589.36 | $2,445.17 | 35% |
| New patient office visit, about 60 minutes CPT 99205 Pediatric and Neonatal Services: Clinic Fee | $1,589.36 | $2,445.17 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB NEW PATIENT, LEVEL 5 | $1,589.36 | $2,445.17 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THER EXERCISE EA 15M | $345.33 | $531.28 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THER EXERCISE EA 15M | $447.64 | $688.67 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY 30 MINUTES | $681.13 | $1,047.89 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY 45 MINUTES | $794.65 | $1,222.54 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY 60 MINUTES | $908.17 | $1,397.19 | 35% |