Whittier Rehabilitation Hospital
Listed in its price file as “Metro West Rehab Corp”.
Whittier Rehabilitation Hospital in Westborough, MA publishes cash prices for 127 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Massachusetts median for 16 of 26 procedures and above it for 8. Click a procedure to compare it with other hospitals nearby.
150 Flanders Road Westborough MA 01581 Collected Sep 29, 2026 Source price file
The price file shows no self-pay discount
For 297 of the 297 prices listed here, the cash price in Whittier Rehabilitation Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray ankle complete | $150.00 | $150.00 | $99.18–$209.12 | 46% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray ankle complete | $200.00 | $200.00 | $200.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Noninv Physiologic Stud UE | $273.00 | $273.00 | $273.00 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Unilateral Limited | $80.00 | $80.00 | $80.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Scan Carotid Artery | $583.00 | $583.00 | $583.00 | — | — |
| Chest X-ray, 2 views CPT 71046 X-ray chest 2 views | $150.00 | $150.00 | $22.17–$104.56 | 40% below | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-ray chest 2 views | $200.00 | $200.00 | $200.00 | — | — |
| Chest X-ray, single view CPT 71045 X-ray chest 1 view | $150.00 | $150.00 | $99.18–$104.56 | 40% below | — |
| Chest X-ray, single view inpatient CPT 71045 X-ray chest 1 view | $200.00 | $200.00 | $200.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us abdominal back wall study | $280.00 | $280.00 | $280.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study | $583.00 | $583.00 | $583.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 BILATERAL ULTRA OF LEG | $583.00 | $583.00 | $583.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY | $1,204.00 | $1,204.00 | $1,204.00 | — | — |
| Knee X-ray, 3 views CPT 73562 X-ray knee 3 | $270.00 | $270.00 | $0.01–$297.00 | 9% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 X-ray knee 3 | $270.00 | $270.00 | $270.00 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Echography, Pregnant Uterus, B | $280.00 | $280.00 | $280.00 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pg Uter Img F&Mat 14 Wk Tab | $112.00 | $112.00 | $112.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray shoulder | $150.00 | $150.00 | $35.26–$104.56 | 44% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray shoulder | $200.00 | $200.00 | $200.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MBS -Swallowing Function, Phar | $456.00 | $456.00 | $64.83–$455.55 | 12% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MBS -Swallowing Function, Phar | $456.00 | $456.00 | $456.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ST X-ray xm swlng funcj c+ | $670.00 | $670.00 | $670.00 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete | $280.00 | $280.00 | $280.00 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum & cnts | $280.00 | $280.00 | $280.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study | $280.00 | $280.00 | $280.00 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray wrist | $150.00 | $150.00 | $103.78 | 49% below | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray wrist | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray hip uni 2-3 views | $150.00 | $150.00 | $32.46–$203.40 | 44% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray hip uni 2-3 views | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray abdomen/KUB 1V AP | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-ray ankle 2 films left | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-ray ankle 2 views right | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray finger(s) | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray foot 2 views | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray foot | $270.00 | $270.00 | $103.78–$209.12 | at median | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray foot | $270.00 | $270.00 | $270.00 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray hand min 3 views | $150.00 | $150.00 | $103.78–$104.56 | 46% below | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray hand min 3 views | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray knee 1 or 2 | $150.00 | $150.00 | $26.35–$150.00 | 50% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray knee 1 or 2 | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray l-s spine 2/3 vws | $150.00 | $150.00 | $11.91–$150.00 | 59% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray l-s spine 2/3 vws | $375.00 | $375.00 | $375.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray thorac spine 2vws | $150.00 | $150.00 | $33.21–$124.68 | 57% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray thorac spine 2vws | $307.00 | $307.00 | $307.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray neck spine 2-3 vw | $150.00 | $150.00 | $31.28–$150.00 | 51% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray neck spine 2-3 vw | $200.00 | $200.00 | $200.00 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray pelvis | $150.00 | $150.00 | $29.35–$124.68 | 45% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray pelvis | $224.00 | $224.00 | $224.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray sacrum tailbone | $200.00 | $200.00 | $200.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $19.00 | $19.00 | $19.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt) | $19.00 | $19.00 | $19.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot) | $19.00 | $19.00 | $19.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST and Platelets with APRI | $19.00 | $19.00 | $19.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $19.00 | $19.00 | $19.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis | $171.00 | $171.00 | $171.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel | $171.00 | $171.00 | $171.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bovine Serum Albumin IgE | $19.00 | $19.00 | $19.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus flavus IgE | $19.00 | $19.00 | $19.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M207-IgE Aspergillus niger | $19.00 | $19.00 | $19.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatus | $19.00 | $19.00 | $19.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen specific IgE; quantit | $19.00 | $19.00 | $19.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA | $47.00 | $47.00 | $47.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody | $47.00 | $47.00 | $47.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive | $44.00 | $44.00 | $44.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Direct | $44.00 | $44.00 | $44.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Uric A+ANA+RA Qn+CRP+ASO | $44.00 | $44.00 | $44.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies | $44.00 | $44.00 | $44.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $44.00 | $44.00 | $44.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex | $44.00 | $44.00 | $44.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA | $44.00 | $44.00 | $44.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide | $141.00 | $141.00 | $141.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Galectin-3 with BNP | $141.00 | $141.00 | $141.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $141.00 | $141.00 | $141.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP | $141.00 | $141.00 | $141.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (8) | $30.00 | $30.00 | $30.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca | $30.00 | $30.00 | $30.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Chem 8 - In House | $30.00 | $30.00 | $30.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology | $269.00 | $269.00 | $269.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture, Routine | $37.00 | $37.00 | $37.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria | $37.00 | $37.00 | $37.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $11.00 | $11.00 | $11.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant | $14.00 | $14.00 | $14.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose (InHse) | $14.00 | $14.00 | $14.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glu+Hb A1c | $14.00 | $14.00 | $14.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose | $14.00 | $14.00 | $14.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo | $11.00 | $11.00 | $11.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein, Quant | $19.00 | $19.00 | $19.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein | $19.00 | $19.00 | $19.00 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe | $134.00 | $134.00 | $134.00 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile toxin gene NAA,Rfx | $134.00 | $134.00 | $134.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9 | $75.00 | $75.00 | $75.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $75.00 | $75.00 | $75.00 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125 | $75.00 | $75.00 | $75.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Abbott ID Now | $246.00 | $246.00 | $246.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Rapid Covid Test (In House) | $246.00 | $246.00 | $246.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INFECTIOUS AGENT DETECTION BY | $246.00 | $246.00 | $246.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel | $48.00 | $48.00 | $48.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $48.00 | $48.00 | $48.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio | $48.00 | $48.00 | $48.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/ Chol/HDL Ratio | $48.00 | $48.00 | $48.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc | $28.00 | $28.00 | $28.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC With Differential/Platelet | $28.00 | $28.00 | $28.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential | $23.00 | $23.00 | $23.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated | $23.00 | $23.00 | $23.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC - no platelets, no diff | $23.00 | $23.00 | $23.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp. Metabolic Panel (14) | $38.00 | $38.00 | $38.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel | $38.00 | $38.00 | $38.00 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $37.00 | $37.00 | $37.00 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant | $37.00 | $37.00 | $37.00 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone | $80.00 | $80.00 | $80.00 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate | $80.00 | $80.00 | $80.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH and LH | $67.00 | $67.00 | $67.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh) | $67.00 | $67.00 | $67.00 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal | $71.00 | $71.00 | $71.00 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal | $71.00 | $71.00 | $71.00 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin | $49.00 | $49.00 | $49.00 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum | $49.00 | $49.00 | $49.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid), Serum | $53.00 | $53.00 | $53.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Vitamin B12 and Folate | $53.00 | $53.00 | $53.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum | $53.00 | $53.00 | $53.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3), Free | $61.00 | $61.00 | $61.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3) | $61.00 | $61.00 | $61.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4,Free(Direct) | $32.00 | $32.00 | $32.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine | $32.00 | $32.00 | $32.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S | $32.00 | $32.00 | $32.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 TSH+Free T4 | $32.00 | $32.00 | $32.00 | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone,Free and Total | $92.00 | $92.00 | $92.00 | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone, Free+Total LC/MS | $92.00 | $92.00 | $92.00 | — | — |
| Free testosterone test inpatient CPT 84402 Assay of free testosterone | $92.00 | $92.00 | $92.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori antibody | $61.00 | $61.00 | $61.00 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ia | $52.00 | $52.00 | $52.00 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA | $52.00 | $52.00 | $52.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Infect Agent Detect by Nucleic | $306.00 | $306.00 | $306.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA,PCR(Graph) rfx/Trofile(R) | $306.00 | $306.00 | $306.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab with Reflex | $87.00 | $87.00 | $87.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab | $87.00 | $87.00 | $87.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $35.00 | $35.00 | $35.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1c with eAG Estimation | $35.00 | $35.00 | $35.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test | $35.00 | $35.00 | $35.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab | $39.00 | $39.00 | $39.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody | $39.00 | $39.00 | $39.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen | $37.00 | $37.00 | $37.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia | $37.00 | $37.00 | $37.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody | $51.00 | $51.00 | $51.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test | $51.00 | $51.00 | $51.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR | $52.00 | $52.00 | $52.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR, Qn Rfx Geno | $154.00 | $154.00 | $154.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj | $154.00 | $154.00 | $154.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RealTime Abbott | $154.00 | $154.00 | $154.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) | $154.00 | $154.00 | $154.00 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Graph) | $154.00 | $154.00 | $154.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test | $48.00 | $48.00 | $48.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 and 2 Ab, IgG | $117.00 | $117.00 | $117.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2 IgM Abs, Indirect | $70.00 | $70.00 | $70.00 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac | $47.00 | $47.00 | $47.00 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs | $47.00 | $47.00 | $47.00 | — | — |
| Homocysteine blood test inpatient CPT 83090 Assay of homocystine | $65.00 | $65.00 | $65.00 | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine | $65.00 | $65.00 | $65.00 | — | — |
| Insulin blood test inpatient CPT 83525 Insulin | $41.00 | $41.00 | $41.00 | — | — |
| Insulin blood test inpatient CPT 83525 Assay of insulin | $41.00 | $41.00 | $41.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $23.00 | $23.00 | $23.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Assay of iron | $23.00 | $23.00 | $23.00 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron and TIBC | $31.00 | $31.00 | $31.00 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test | $31.00 | $31.00 | $31.00 | — | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel (10) | $31.00 | $31.00 | $31.00 | — | — |
| Kidney function blood test panel inpatient CPT 80069 Renal function panel | $31.00 | $31.00 | $31.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh) | $67.00 | $67.00 | $67.00 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase | $25.00 | $25.00 | $25.00 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $25.00 | $25.00 | $25.00 | — | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel (7) | $29.00 | $29.00 | $29.00 | — | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic function panel | $29.00 | $29.00 | $29.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology w/Reflex | $61.00 | $61.00 | $61.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody | $61.00 | $61.00 | $61.00 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $24.00 | $24.00 | $24.00 | — | — |
| Magnesium blood test inpatient CPT 83735 Assay of magnesium | $24.00 | $24.00 | $24.00 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen | $19.00 | $19.00 | $19.00 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Test, Qual | $19.00 | $19.00 | $19.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum | $66.00 | $66.00 | $66.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total | $66.00 | $66.00 | $66.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free | $66.00 | $66.00 | $66.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Serum (Serial Monitor) | $66.00 | $66.00 | $66.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) | $66.00 | $66.00 | $66.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone | $149.00 | $149.00 | $149.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact | $149.00 | $149.00 | $149.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PT and PTT | $22.00 | $22.00 | $22.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated | $22.00 | $22.00 | $22.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial | $22.00 | $22.00 | $22.00 | — | — |
| Prolactin blood test inpatient CPT 84146 Assay of prolactin | $70.00 | $70.00 | $70.00 | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $70.00 | $70.00 | $70.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (PT)/INR | $15.00 | $15.00 | $15.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time | $15.00 | $15.00 | $15.00 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic | $60.00 | $60.00 | $60.00 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A+B Ag, EIA | $60.00 | $60.00 | $60.00 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Flu A&B Antigen(InHouse) | $60.00 | $60.00 | $60.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF, IgA by EIA (RDL) | $20.00 | $20.00 | $20.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor | $20.00 | $20.00 | $20.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF, IgM by EIA (RDL) | $20.00 | $20.00 | $20.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant | $20.00 | $20.00 | $20.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated | $10.00 | $10.00 | $10.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate-Westergren | $10.00 | $10.00 | $10.00 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Giardia, EIA, Ova/Parasite | $32.00 | $32.00 | $32.00 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 O+P Exam, Formalin Only | $32.00 | $32.00 | $32.00 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam | $32.00 | $32.00 | $32.00 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears | $32.00 | $32.00 | $32.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fecal, IA | $57.00 | $57.00 | $57.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal | $57.00 | $57.00 | $57.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual | $15.00 | $15.00 | $15.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $15.00 | $15.00 | $15.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure | $223.00 | $223.00 | $223.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus | $223.00 | $223.00 | $223.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Serum | $93.00 | $93.00 | $93.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone | $93.00 | $93.00 | $93.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab | $52.00 | $52.00 | $52.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each | $52.00 | $52.00 | $52.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab | $52.00 | $52.00 | $52.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibodies | $52.00 | $52.00 | $52.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile | $61.00 | $61.00 | $61.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone | $61.00 | $61.00 | $61.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $61.00 | $61.00 | $61.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 T4 and TSH | $61.00 | $61.00 | $61.00 | — | — |
| Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid | $16.00 | $16.00 | $16.00 | — | — |
| Uric acid blood test inpatient CPT 84550 Uric A+RA Qn+CRP+ASO | $16.00 | $16.00 | $16.00 | — | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $16.00 | $16.00 | $16.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA/M w/rflx Culture, Comp | $11.00 | $11.00 | $11.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope | $11.00 | $11.00 | $11.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Complete | $11.00 | $11.00 | $11.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA/M w/rflx Culture, Routine | $11.00 | $11.00 | $11.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope | $8.00 | $8.00 | $8.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, Routine | $8.00 | $8.00 | $8.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture, Routine | $29.00 | $29.00 | $29.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count | $29.00 | $29.00 | $29.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture,Comprehensive | $29.00 | $29.00 | $29.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test | $31.00 | $31.00 | $31.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test, Urine | $31.00 | $31.00 | $31.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12 | $54.00 | $54.00 | $54.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $54.00 | $54.00 | $54.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy | $107.00 | $107.00 | $107.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy | $107.00 | $107.00 | $107.00 | — | — |
| Zinc blood test inpatient CPT 84630 Assay of zinc | $41.00 | $41.00 | $41.00 | — | — |
| Zinc blood test inpatient CPT 84630 Zinc, Plasma or Serum | $41.00 | $41.00 | $41.00 | — | — |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood | $41.00 | $41.00 | $41.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test | $54.00 | $54.00 | $54.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG,Beta Subunit, Qnt, Serum | $54.00 | $54.00 | $54.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/imaging | $443.00 | $443.00 | $443.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment | $230.00 | $230.00 | $230.00 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care < 74 min | $531.00 | $531.00 | $531.00 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram complete | $45.00 | $45.00 | $45.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing | $138.00 | $138.00 | $138.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing | $138.00 | $138.00 | $138.00 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA Neuromuscular reeducation | $150.00 | $150.00 | $6.74–$330.70 | 24% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular reeducation | $150.00 | $150.00 | $6.74–$330.70 | 24% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 LPT Neuromuscular reeducation | $150.00 | $150.00 | $6.74–$330.70 | 24% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular reeducation | $150.00 | $150.00 | $6.74–$330.70 | 24% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 COTA Neuromuscular reeducation | $94.00 | $94.00 | $94.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular reeducation | $94.00 | $94.00 | $94.00 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular reeducation | $94.00 | $94.00 | $94.00 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT Ot eval low complex 30 min | $388.00 | $388.00 | $58.92–$172.20 | 16% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Ot eval low complex 30 min | $243.00 | $243.00 | $243.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Pt eval high complex 45 min | $365.00 | $365.00 | $60.61–$365.32 | at median | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Pt eval high complex 45 min | $228.00 | $228.00 | $228.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Pt eval low complex 20 min | $365.00 | $365.00 | $60.95–$365.32 | 5% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Pt eval low complex 20 min | $228.00 | $228.00 | $228.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Pt eval mod complex 30 min | $365.00 | $365.00 | $60.61–$365.32 | 3% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Pt eval mod complex 30 min | $228.00 | $228.00 | $228.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual therapy 1/> regions | $120.00 | $120.00 | $0.85–$120.00 | at median | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 LPT Manual therapy 1/> regions | $120.00 | $120.00 | $0.85–$120.00 | at median | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA Manual therapy 1/> region | $120.00 | $120.00 | $0.85–$120.00 | at median | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual therapy 1/> regions | $120.00 | $120.00 | $0.85–$120.00 | at median | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual therapy 1/> regions | $75.00 | $75.00 | $75.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual therapy 1/> regions | $75.00 | $75.00 | $75.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 COTA Manual therapy 1/> region | $75.00 | $75.00 | $75.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 LPT Therapeutic exercises | $82.00 | $82.00 | $0.01–$261.28 | 27% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ST Therapeutic exercises | $131.00 | $131.00 | $0.01–$261.28 | 17% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic exercises | $131.00 | $131.00 | $0.01–$261.28 | 17% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA Therapeutic exercises | $131.00 | $131.00 | $0.01–$261.28 | 17% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic exercises | $131.00 | $131.00 | $0.01–$261.28 | 17% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic exercises | $82.00 | $82.00 | $82.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 LPT Therapeutic exercises | $82.00 | $82.00 | $82.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA Therapeutic exercises | $82.00 | $82.00 | $82.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ST Therapeutic exercises | $82.00 | $82.00 | $82.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic exercises | $82.00 | $82.00 | $82.00 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 min | $41.00 | $41.00 | $41.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PSYCH - EST PT VISIT - LVL 3 | $550.00 | $550.00 | $149.98 | 185% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHB - EST PT VISIT - LVL 3 | $550.00 | $550.00 | $149.98 | 185% above | — |
| Speech and language evaluation CPT 92523 ST Speech sound lang comp Eval | $609.00 | $609.00 | $95.00–$335.08 | 4% above | — |
| Speech and language evaluation inpatient CPT 92523 ST Speech sound lang comp Eval | $516.00 | $516.00 | $516.00 | — | — |
| Speech therapy session, individual CPT 92507 ST Speech/hearing Indiv therpy | $337.00 | $337.00 | $37.94–$185.39 | 12% above | — |
| Speech therapy session, individual inpatient CPT 92507 ST Speech/hearing Indiv therpy | $211.00 | $211.00 | $211.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA Therapeutic activities | $169.00 | $169.00 | $0.01–$312.45 | 18% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ST Therapeutic activities | $169.00 | $169.00 | $0.01–$312.45 | 18% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic activities | $169.00 | $169.00 | $0.01–$312.45 | 18% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic activities | $169.00 | $169.00 | $0.01–$312.45 | 18% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 LPT Therapeutic activities | $169.00 | $169.00 | $0.01–$312.45 | 18% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic activities | $106.00 | $106.00 | $106.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ST Therapeutic activities | $106.00 | $106.00 | $106.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic activities | $106.00 | $106.00 | $106.00 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA Therapeutic activities | $106.00 | $106.00 | $106.00 | — | — |
Source file: https://www.whittierhealth.com/wp-content/uploads/2026/03/043158154_metro-west-rehab-corp_standardcharges.csv