Children's Healthcare of Atlanta
Children's Healthcare of Atlanta in Atlanta, GA publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
5445 Meridian Mark Rd, Atlanta, GA 30342 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis W/Contrast | $8,435.00 | $8,435.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis W/Contrast | $8,435.00 | $8,435.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis W/Contrast | $8,435.00 | $8,435.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis W/Contrast | $12,299.00 | $12,299.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd and Pelvis W Contrast | $12,818.00 | $12,818.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain W/O Contrast | $2,512.00 | $2,512.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain W/O Contrast | $2,512.00 | $2,512.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain W/O Contrast | $2,512.00 | $2,512.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Head Brain CT W O Dye Ect | $5,093.00 | $5,093.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain W/O Contrast | $5,728.00 | $5,728.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Scan Pelvis W/Contrast | $6,654.00 | $6,654.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Scan Pelvis W/Contrast | $6,654.00 | $6,654.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Scan Pelvis W/Contrast | $6,654.00 | $6,654.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Scan Pelvis W/Contrast | $6,825.00 | $6,825.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Pelvis CT W Dye Bct | $6,900.00 | $6,900.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Scan of Leg Joint W/O Contrast Bilateral | $8,241.00 | $8,241.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Scan of Leg Joint W/O Contrast Bilateral | $8,241.00 | $8,241.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Scan of Leg Joint W/O Contrast Bilateral | $8,241.00 | $8,241.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Low Ext Jnt W O Dye Bi MRI | $11,383.00 | $11,383.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint W/O Contrast | $4,121.00 | $4,121.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint W/O Contrast | $4,121.00 | $4,121.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint W/O Contrast | $4,121.00 | $4,121.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint W/O Contrast | $5,941.00 | $5,941.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Low Ext Jnt W O Dye Rt MRI | $5,692.00 | $5,692.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Low Ext Jnt W O Dye Lt MRI | $5,692.00 | $5,692.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast Bilateral | $17,571.00 | $17,571.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast Bilateral | $17,571.00 | $17,571.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast Bilateral | $17,571.00 | $17,571.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Low Ext Jnt W&WO Dye L MRI | $8,201.00 | $8,201.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Low Ext Jnt W&WO Dye R MRI | $8,201.00 | $8,201.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast | $8,560.00 | $8,560.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast | $8,785.00 | $8,785.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast | $8,785.00 | $8,785.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint W/O & W/Contrast | $8,785.00 | $8,785.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Low Ext Jnt W&WO Dye B MRI | $16,395.00 | $16,395.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast Limited | $3,782.00 | $3,782.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast Limited | $3,782.00 | $3,782.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast | $3,782.00 | $3,782.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast | $3,782.00 | $3,782.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast Limited | $3,782.00 | $3,782.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast | $3,782.00 | $3,782.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Stroke W O Dye Mra Protoco MRI | $6,797.00 | $6,797.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan Brain W/O Contrast | $7,094.00 | $7,094.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W O Dye | $7,179.00 | $7,179.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain W/O & W/Contrast | $6,374.00 | $6,374.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain W/O & W/Contrast | $6,374.00 | $6,374.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain W/O & W/Contrast | $6,374.00 | $6,374.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 Brain Lab Protocol MRI | $9,791.00 | $9,791.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain W/O & W/Contrast | $10,220.00 | $10,220.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&WO Dye | $10,342.00 | $10,342.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast Limited | $3,658.00 | $3,658.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast | $3,658.00 | $3,658.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast Limited | $3,658.00 | $3,658.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast | $3,658.00 | $3,658.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast Limited | $3,658.00 | $3,658.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast | $3,658.00 | $3,658.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine W O Dye | $5,906.00 | $5,906.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast | $6,164.00 | $6,164.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal W/O Contrast Limited | $6,164.00 | $6,164.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Limited Psg (Slp Stag) 4+ Param 6>Yrs | $5,321.00 | $5,321.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Sleep Staging W/ 4+ Parameters >6 Yrs | $5,321.00 | $5,321.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Sleep Staging W/ 4+ Parameters >6 Yrs | $5,321.00 | $5,321.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Limited Psg (Slp Stag) 4+ Param 6>Yrs | $5,321.00 | $5,321.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Sleep Staging W/ 4+ Parameters >6 Yrs | $5,321.00 | $5,321.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Limited Psg (Slp Stag) 4+ Param 6>Yrs | $5,321.00 | $5,321.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $815.00 | $815.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hchg US Transvaginal | $1,265.00 | $1,265.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hchg US Transvaginal | $1,265.00 | $1,265.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hchg US Transvaginal | $1,265.00 | $1,265.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hchg US Transvaginal | $1,281.00 | $1,281.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen | $1,337.00 | $1,337.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen | $1,337.00 | $1,337.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen | $1,337.00 | $1,337.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen, Contrast Enhanced | $2,128.00 | $2,128.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen, Contrast Enhanced | $2,128.00 | $2,128.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen, Contrast Enhanced | $2,128.00 | $2,128.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US of Abdomen | $2,493.00 | $2,493.00 | — |
| Ultrasound of the abdomen, complete one side CPT 76700 US Abd Rt W Image | $2,037.00 | $2,037.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $799.00 | $799.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $799.00 | $799.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $799.00 | $799.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $2,019.00 | $2,019.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel,Minilab | $384.00 | $384.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $384.00 | $384.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel,Minilab | $384.00 | $384.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $384.00 | $384.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel,Minilab | $384.00 | $384.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $384.00 | $384.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $389.00 | $389.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $457.00 | $457.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $457.00 | $457.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $457.00 | $457.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $464.00 | $464.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential, Scid | $131.00 | $131.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential, Scid | $131.00 | $131.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential, Scid | $131.00 | $131.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential | $282.00 | $282.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Partial Differential | $345.00 | $345.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Partial Differential | $345.00 | $345.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Partial Differential | $345.00 | $345.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential | $357.00 | $357.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential | $357.00 | $357.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc Auto W/Automated Differential | $357.00 | $357.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Auto W/O Differential | $234.00 | $234.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Auto W/O Differential | $345.00 | $345.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Auto W/O Differential | $345.00 | $345.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc Auto W/O Differential | $345.00 | $345.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $574.00 | $574.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel- Minilab | $574.00 | $574.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $574.00 | $574.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel- Minilab | $574.00 | $574.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel- Minilab | $574.00 | $574.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $574.00 | $574.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $582.00 | $582.00 | — |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $292.00 | $292.00 | — |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $392.00 | $392.00 | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel With Egfr | $392.00 | $392.00 | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel With Egfr | $392.00 | $392.00 | — |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $392.00 | $392.00 | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel With Egfr | $392.00 | $392.00 | — |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $392.00 | $392.00 | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $422.00 | $422.00 | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $457.00 | $457.00 | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $457.00 | $457.00 | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $457.00 | $457.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time , Lupus Sensitive | $99.00 | $99.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Lupus | $99.00 | $99.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time , Lupus Sensitive | $99.00 | $99.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Lupus | $99.00 | $99.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time , Lupus Sensitive | $99.00 | $99.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Lupus | $99.00 | $99.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $223.00 | $223.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $223.00 | $223.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $223.00 | $223.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $249.00 | $249.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Prothrombin Time With Mixing Studies | $429.00 | $429.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Prothrombin Time With Mixing Studies | $429.00 | $429.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Prothrombin Time With Mixing Studies | $429.00 | $429.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time With Mixing Studies | $482.00 | $482.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time With Mixing Studies | $482.00 | $482.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time With Mixing Studies | $482.00 | $482.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Study | $130.00 | $130.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Study | $130.00 | $130.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Study | $130.00 | $130.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (Pt) | $186.00 | $186.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time W/Inr | $197.00 | $197.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time W/Inr | $197.00 | $197.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time W/Inr | $197.00 | $197.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (Pt) | $220.00 | $220.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (Pt) | $220.00 | $220.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (Pt) | $220.00 | $220.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (Tsh) | $349.00 | $349.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (Tsh) | $495.00 | $495.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (Tsh) | $495.00 | $495.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (Tsh) | $495.00 | $495.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Microscopy | $256.00 | $256.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Microscopy | $256.00 | $256.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Microscopy | $256.00 | $256.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Microscopy | $260.00 | $260.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microscopy | $137.00 | $137.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microscopy | $137.00 | $137.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microscopy | $137.00 | $137.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microscopy | $193.00 | $193.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Micro Clinic | $203.00 | $203.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope | $203.00 | $203.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Reducing Subs | $61.00 | $61.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Reducing Subs | $61.00 | $61.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Reducing Subs | $61.00 | $61.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Ph | $65.00 | $65.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Ph | $65.00 | $65.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Ph | $65.00 | $65.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, Manual | $89.00 | $89.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, Manual | $89.00 | $89.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, Manual | $89.00 | $89.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Blood | $99.00 | $99.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Blood | $99.00 | $99.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Ketones | $99.00 | $99.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Ketones | $99.00 | $99.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Ketones | $99.00 | $99.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Blood | $99.00 | $99.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity, Urinalysis | $105.00 | $105.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity, Urinalysis | $105.00 | $105.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity, Urinalysis | $105.00 | $105.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens | $25,847.00 | $25,847.00 | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps/large bowel,endoscope w/mech snare | $24,905.00 | $24,905.00 | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $24,726.00 | $24,726.00 | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using flexible endoscope | $18,332.00 | $18,332.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $41,070.00 | $41,070.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $7,996.00 | $7,996.00 | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $16,453.00 | $16,453.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Spinal Canal of Lower Back or Sacrum Using Imaging Guidance | $3,667.00 | $3,667.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Spinal Canal of Lower Back or Sacrum Using Imaging Guidance | $3,667.00 | $3,667.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Spinal Canal of Lower Back or Sacrum Using Imaging Guidance | $3,667.00 | $3,667.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of Anesthetic Agent/Steroid, Transforaminal Epidural, With Imaging Guidance Lumbar or Sacral, Single Level | $1,682.00 | $1,682.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of Anesthetic Agent/Steroid, Transforaminal Epidural, With Imaging Guidance Lumbar or Sacral, Single Level | $1,682.00 | $1,682.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of Anesthetic Agent/Steroid, Transforaminal Epidural, With Imaging Guidance Lumbar or Sacral, Single Level | $1,682.00 | $1,682.00 | — |
| Prostate biopsy CPT 55700 Biopsy Prostate Needle Punch | $6,163.00 | $6,163.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $12,283.00 | $12,283.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands (<12 years) | $6,254.00 | $6,254.00 | — |
| Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis | $94,626.00 | $94,626.00 | — |
| Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee | $56,764.00 | $56,764.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Drainage of Cyst of the Esophagus, Stomach, and/or Upper Small Bowel Using an Endoscope | $5,632.00 | $5,632.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Drainage of Cyst of the Esophagus, Stomach, and/or Upper Small Bowel Using an Endoscope | $5,632.00 | $5,632.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Drainage of Cyst of the Esophagus, Stomach, and/or Upper Small Bowel Using an Endoscope | $5,632.00 | $5,632.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Examination of Esophagus, Stomach, Upper Small Bowel W/Endoscope | $5,665.00 | $5,665.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Examination of Esophagus, Stomach, Upper Small Bowel W/Endoscope | $5,665.00 | $5,665.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Examination of Esophagus, Stomach, Upper Small Bowel W/Endoscope | $5,665.00 | $5,665.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Level 3 | $287.00 | $287.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, Multispecialty, New Patient, Level 3 | $287.00 | $287.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Level 3 | $287.00 | $287.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, Multispecialty, New Patient, Level 3 | $287.00 | $287.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Level 3 | $287.00 | $287.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, Multispecialty, New Patient, Level 3 | $287.00 | $287.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Hemonc | $696.00 | $696.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Hemonc | $696.00 | $696.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Hemonc | $696.00 | $696.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Cv Forensic Me-Mod | $713.00 | $713.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Clinic Visit, New Patient, Level 3 | $952.00 | $952.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Cv Forensic Me-Mod | $713.00 | $713.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, New Patient, Level 4 | $697.00 | $697.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, Multispecialty, New Patient, Level 4 | $697.00 | $697.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, New Patient, Level 4 | $697.00 | $697.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, New Patient, Level 4 | $697.00 | $697.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, Multispecialty, New Patient, Level 4 | $697.00 | $697.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, Multispecialty, New Patient, Level 4 | $697.00 | $697.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Cv Forensic Me-Mod to High | $1,060.00 | $1,060.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Clinic Visit, New Patient, Level 4 | $1,197.00 | $1,197.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Cv Forensic Me-Mod to High | $1,060.00 | $1,060.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, Multispecialty, New Patient, Level 5 | $697.00 | $697.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, New Patient, Level 5 | $697.00 | $697.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, Multispecialty, New Patient, Level 5 | $697.00 | $697.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, New Patient, Level 5 | $697.00 | $697.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, New Patient, Level 5 | $697.00 | $697.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, Multispecialty, New Patient, Level 5 | $697.00 | $697.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Clinic Visit, New Patient, Level 5 | $1,485.00 | $1,485.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Cord Blood Donor Information Session, Mud | $4,677.00 | $4,677.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Cord Blood Donor Information Session, Mud | $4,677.00 | $4,677.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Cord Blood Donor Information Session, Mud | $4,677.00 | $4,677.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Cord Blood Donor Physical Exam, Mud | $15,855.00 | $15,855.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Cord Blood Donor Physical Exam, Mud | $15,855.00 | $15,855.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Cord Blood Donor Physical Exam, Mud | $15,855.00 | $15,855.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes | $160.00 | $160.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes Sports Medicine | $160.00 | $160.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes | $160.00 | $160.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes Sports Medicine | $160.00 | $160.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes Sports Medicine | $160.00 | $160.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes | $160.00 | $160.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes | $419.00 | $419.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Each 15 Minutes Sports Medicine | $419.00 | $419.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consult, Detailed | $558.00 | $558.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consult, Detailed | $558.00 | $558.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consult, Detailed | $558.00 | $558.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consult, Detailed | $1,003.00 | $1,003.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consult, Comprehensive | $768.00 | $768.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consult, Comprehensive | $768.00 | $768.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consult, Comprehensive | $768.00 | $768.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consult, Comprehensive | $1,453.00 | $1,453.00 | — |