Pitt County Memorial Hospital, Inc.
Pitt County Memorial Hospital, Inc. in Washington, NC publishes cash prices for 51 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
628 E. 12th St., Washington, NC 27889 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis W/ Contrast | $5,015.39 | $9,463.00 | 47% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis W/ Contrast | $5,015.39 | $9,463.00 | 47% |
| CT scan of the head or brain, no contrast dye CPT 70450 Head W/O Contrast | $928.56 | $1,752.00 | 47% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Head W/O Contrast | $928.56 | $1,752.00 | 47% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Contrast | $2,002.34 | $3,778.00 | 47% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/ Contrast | $2,002.34 | $3,778.00 | 47% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography Dx-Bil | $642.36 | $1,212.00 | 47% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Mammography Dx-Bil | $642.36 | $1,212.00 | 47% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammography Dx-Rt | $443.08 | $836.00 | 47% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammography Dx-Lt | $443.08 | $836.00 | 47% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammography Dx-Rt | $443.08 | $836.00 | 47% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammography Dx-Lt | $443.08 | $836.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Knee Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Ankle Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Toe Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hip Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hip Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Toe Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hip Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Toe Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hip Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Knee Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Ankle Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Toe Joint W/O Contrast-Bil | $4,956.03 | $9,351.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Toe Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hip Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Toe Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hip Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Joint W/O Contrast-Lt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Joint W/O Contrast-Rt | $2,200.56 | $4,152.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Toe Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Knee Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hip Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Ankle Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hip Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hip Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Toe Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Ankle Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Knee Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hip Joint W/O and W/ Contrast-Bil | $5,725.06 | $10,802.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hip Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hip Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Toe Joint W/O and W/ Contrast-Lt | $5,366.25 | $10,125.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Joint W/O and W/ Contrast-Rt | $5,366.25 | $10,125.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 Pituitary W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 Brain W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 MRI Posterior Fossa W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 Rapid MRI Brain | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 Iac W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Posterior Fossa W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Rapid MRI Brain | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Iac W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Brain W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Pituitary W/O Contrast | $2,503.72 | $4,724.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 Brain W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 Iac W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Posterior Fossa W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 Pituitary W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Brain W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Posterior Fossa W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Iac W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Pituitary W/O and W/ Contrast | $3,334.23 | $6,291.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine W/O Contrast | $2,227.59 | $4,203.00 | 47% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-Spine W/O Contrast | $2,227.59 | $4,203.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB Ultra > 14 Weeks 1st Fetus, Complete | $670.45 | $1,265.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB Ultra > 14 Weeks 1st Fetus, Complete | $670.45 | $1,265.00 | 47% |
| Screening mammogram, both breasts CPT 77067 Mammography Screening-Bil | $427.18 | $806.00 | 47% |
| Screening mammogram, both breasts one side CPT 77067 Mammography Screening-Rt | $382.13 | $721.00 | 47% |
| Screening mammogram, both breasts one side CPT 77067 Mammography Screening-Lt | $382.13 | $721.00 | 47% |
| Screening mammogram, both breasts inpatient CPT 77067 Mammography Screening-Bil | $427.18 | $806.00 | 47% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Mammography Screening-Lt | $382.13 | $721.00 | 47% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Mammography Screening-Rt | $382.13 | $721.00 | 47% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram Attended, 4 + Parameters, 6 Yo and Up | $5,044.54 | $9,518.00 | 47% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram Attended, 4 + Parameters, 6 Yo and Up | $5,044.54 | $9,518.00 | 47% |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non OB | $787.58 | $1,486.00 | 47% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal US Non OB | $787.58 | $1,486.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,449.02 | $2,734.00 | 47% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,449.02 | $2,734.00 | 47% |
| X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbosacral Min 4 Views | $624.87 | $1,179.00 | 47% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine Lumbosacral Min 4 Views | $624.87 | $1,179.00 | 47% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $152.11 | $287.00 | 47% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $152.11 | $287.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 94220 Lipid Panel-Ref-Qu | $42.93 | $81.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel-Ref | $134.62 | $254.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile | $155.82 | $294.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 94220 Lipid Panel-Ref-Qu | $42.93 | $81.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel-Ref | $134.62 | $254.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile | $155.82 | $294.00 | 47% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W/Pit and Diff | $119.25 | $225.00 | 47% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/Pit and Diff | $119.25 | $225.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 Cbc W'pit W/O Diff | $34.98 | $66.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 Complete Cbc Automated-Ref | $92.75 | $175.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc W'pit W/O Diff | $34.98 | $66.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Cbc Automated-Ref | $92.75 | $175.00 | 47% |
| Comprehensive metabolic panel (blood test) CPT 80053 10231 Quest Chantilly Only Comp Metabolic Panel-Ref-Qu | $19.08 | $36.00 | 47% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp Metabolic Panel | $312.17 | $589.00 | 47% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 10231 Quest Chantilly Only Comp Metabolic Panel-Ref-Qu | $19.08 | $36.00 | 47% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp Metabolic Panel | $312.17 | $589.00 | 47% |
| Kidney function blood test panel CPT 80069 Renal Panel | $152.11 | $287.00 | 47% |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel | $152.11 | $287.00 | 47% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $223.13 | $421.00 | 47% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $223.13 | $421.00 | 47% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 31348 Assay of Psa Free-Ref-Qu | $33.39 | $63.00 | 47% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 31348 Assay of Psa Free-Ref-Qu | $33.39 | $63.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 31348 Assay of Psa Total-Ref-Qu | $33.39 | $63.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Psa Total | $104.94 | $198.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Antigen Screening | $104.94 | $198.00 | 47% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 31348 Assay of Psa Total-Ref-Qu | $33.39 | $63.00 | 47% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Psa Total | $104.94 | $198.00 | 47% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Antigen Screening | $104.94 | $198.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 763 Ptt-Ref-Qu | $11.13 | $21.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 7079 Thromboplastin Time Partial-Ref-Qu | $14.31 | $27.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial | $63.07 | $119.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial-Ref | $63.07 | $119.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 763 Ptt-Ref-Qu | $11.13 | $21.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 7079 Thromboplastin Time Partial-Ref-Qu | $14.31 | $27.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial | $63.07 | $119.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial-Ref | $63.07 | $119.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-Ref | $43.46 | $82.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr-POC | $50.88 | $96.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $50.88 | $96.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time-Ref | $43.46 | $82.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $50.88 | $96.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr-POC | $50.88 | $96.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 16440 Assay Thyroid Stim Hormone-Ref-Qu | $25.97 | $49.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay Thyroid Stim Hormone-Ref | $144.69 | $273.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $152.11 | $287.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 16440 Assay Thyroid Stim Hormone-Ref-Qu | $25.97 | $49.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay Thyroid Stim Hormone-Ref | $144.69 | $273.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $152.11 | $287.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis | $67.84 | $128.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis | $67.84 | $128.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Macroscopic | $51.41 | $97.00 | 47% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Macroscopic | $51.41 | $97.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope-Ref | $30.21 | $57.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope-POC | $85.86 | $162.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $85.86 | $162.00 | 47% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope-Ref | $30.21 | $57.00 | 47% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope-POC | $85.86 | $162.00 | 47% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $85.86 | $162.00 | 47% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $994.81 | $1,877.00 | 47% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $994.81 | $1,877.00 | 47% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy, Flexible W/ Rem Snare | $2,609.19 | $4,923.00 | 47% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy, Flexible W/ Rem Snare | $2,609.19 | $4,923.00 | 47% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy, Flexible W/ Bx Single or Multi | $2,609.19 | $4,923.00 | 47% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy, Flexible W/ Bx Single or Multi | $2,609.19 | $4,923.00 | 47% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy, Flexible Dx W/ Spec Brush, W/ or W/O Washing | $2,444.89 | $4,613.00 | 47% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy, Flexible Dx W/ Spec Brush, W/ or W/O Washing | $2,444.89 | $4,613.00 | 47% |
| Left heart catheterization, diagnostic CPT 93452 Lhc W/WO Lv/La Gram Only | $16,374.88 | $30,896.00 | 47% |
| Left heart catheterization, diagnostic inpatient CPT 93452 Lhc W/WO Lv/La Gram Only | $16,374.88 | $30,896.00 | 47% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Lumb/Caud Epidural Steroid W/ Image | $1,159.64 | $2,188.00 | 47% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Lumb/Caud Epidural Steroid W/ Image | $1,159.64 | $2,188.00 | 47% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Lumb/Caud Epidural Steroid W/O Image | $1,031.38 | $1,946.00 | 47% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Lumb/Caud Epidural Steroid W/O Image | $1,031.38 | $1,946.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Bil | $2,650.53 | $5,001.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Rt | $1,717.20 | $3,240.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Lt | $1,717.20 | $3,240.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Bil | $2,650.53 | $5,001.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Lt | $1,717.20 | $3,240.00 | 47% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj Trnfrm Epid Lumb/Sacr Init-Rt | $1,717.20 | $3,240.00 | 47% |
| Removal of a breast lump, open surgery CPT 19120 Removal of Breast Lesion | $7,233.44 | $13,648.00 | 47% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Removal of Breast Lesion | $7,233.44 | $13,648.00 | 47% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd W/ Biopsy Single or Multiple | $2,221.23 | $4,191.00 | 47% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd W/ Biopsy Single or Multiple | $2,221.23 | $4,191.00 | 47% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Dx W/ Spec by Brush/Wash When Done | $2,444.36 | $4,612.00 | 47% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Dx W/ Spec by Brush/Wash When Done | $2,444.36 | $4,612.00 | 47% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W/ Pt Present 50 Mins | $141.51 | $267.00 | 47% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W/ Pt Present 50 Mins | $141.51 | $267.00 | 47% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Therapy W/O Pt Present 50 Mins | $88.51 | $167.00 | 47% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therapy W/O Pt Present 50 Mins | $88.51 | $167.00 | 47% |
| Group psychotherapy session CPT 90853 Group Therapy | $50.35 | $95.00 | 47% |
| Group psychotherapy session inpatient CPT 90853 Group Therapy | $50.35 | $95.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Ot | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Cont Pass Motion Ther 1 to 1 per 15 Min/Pt | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Cont Pass Motion Ther 1 to 1 per 15 Min/Ot | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Pt | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Int Setup Cont Pass Motion 1 to 1 per 15 Min/Ot | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Int Setup Cont Pass Motion 1 to 1 per 15 Min/Pt | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Ot | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Cont Pass Motion Ther 1 to 1 per 15 Min/Ot | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Int Setup Cont Pass Motion 1 to 1 per 15 Min/Pt | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises 1 to 1 per 15 Min/Pt | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Int Setup Cont Pass Motion 1 to 1 per 15 Min/Ot | $134.09 | $253.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Cont Pass Motion Ther 1 to 1 per 15 Min/Pt | $134.09 | $253.00 | 47% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prev Visit Int Eval New Pt 18-39 Yo | $254.40 | $480.00 | 47% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Visit Int Eval New Pt 18-39 Yo | $254.40 | $480.00 | 47% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Prev Visit Int Eval New Pt 40-64 Yo | $267.65 | $505.00 | 47% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Visit Int Eval New Pt 40-64 Yo | $267.65 | $505.00 | 47% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/ Pt 30 Mins | $182.32 | $344.00 | 47% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/ Pt 30 Mins | $182.32 | $344.00 | 47% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/ Pt 45 Mins | $267.12 | $504.00 | 47% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/ Pt 45 Mins | $267.12 | $504.00 | 47% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/ Pt 60 Mins | $285.14 | $538.00 | 47% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/ Pt 60 Mins | $285.14 | $538.00 | 47% |
Source file: https://www.ecuhealth.org/mrf-files/560585243_ecu-health-medical-center-beaufort_standardcharges.zip