Greater Baltimore Medical Center
Greater Baltimore Medical Center in Towson, MD publishes cash prices for 62 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
6701 N. Charles St, Towson, MD 21204 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 HC CT Abdomen/Pelvis W IV Contr | $283.07 | $288.85 | 2% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen/Pelvis W Contrast | $283.07 | $288.85 | 2% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen/Pelvis W IV Contr | $283.07 | $288.85 | 2% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen/Pelvis W Contrast | $283.07 | $288.85 | 2% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis - E | $214.59 | $218.97 | 2% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis - E | $214.59 | $218.97 | 2% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammography Bil | $493.63 | $503.70 | 2% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammography Bil | $493.63 | $503.70 | 2% |
| Diagnostic mammogram, one breast CPT 77065 HC Mammography Uni | $377.48 | $385.18 | 2% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Mammography Uni | $377.48 | $385.18 | 2% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI-Hip/Knee/Ankle | $608.81 | $621.23 | 2% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI-Hip/Knee/Ankle | $608.81 | $621.23 | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI-Hip/Knee/Ankle Pre/Post | $1,321.24 | $1,348.20 | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI-Hip/Knee/Ankle Pre/Post | $1,321.24 | $1,348.20 | 2% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-Head | $569.95 | $581.58 | 2% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-Head | $569.95 | $581.58 | 2% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-Head Pre/Post | $958.55 | $978.11 | 2% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-Head Pre/Post | $958.55 | $978.11 | 2% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-Lumbar Spine | $544.04 | $555.14 | 2% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-Lumbar Spine | $544.04 | $555.14 | 2% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US, OB >/= 14 Wks, Sngl Fetus | $289.00 | $289.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US, OB >/= 14 Wks, Sngl Fetus | $289.00 | $289.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB Sonogram - Complete | $377.48 | $385.18 | 2% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US, OB >/= 14 Wks, Sngl Fetus | $289.00 | $289.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US, OB >/= 14 Wks, Sngl Fetus | $289.00 | $289.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB Sonogram - Complete | $377.48 | $385.18 | 2% |
| Screening mammogram, both breasts CPT 77067 HC Mammography-Screening | $406.51 | $414.81 | 2% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammography-Screening | $406.51 | $414.81 | 2% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,441.00 | $1,441.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC Psg, Incomplete Study | $2,384.87 | $2,433.54 | 2% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Psg-Baseline | $2,384.87 | $2,433.54 | 2% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,441.00 | $1,441.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Psg-Baseline | $2,384.87 | $2,433.54 | 2% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Psg, Incomplete Study | $2,384.87 | $2,433.54 | 2% |
| Transvaginal pelvic ultrasound CPT 76830 Echography,Transvaginal | $251.00 | $251.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Echography,Transvaginal | $251.00 | $251.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography, Transvaginal | $362.96 | $370.37 | 2% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Echography,Transvaginal | $251.00 | $251.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Echography, Transvaginal | $362.96 | $370.37 | 2% |
| Ultrasound of the abdomen, complete CPT 76700 HC Abdominal Sonogram-Complet | $333.93 | $340.74 | 2% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Abdominal Sonogram-Complet | $333.93 | $340.74 | 2% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray Lumbar Spine 4 Vw | $115.00 | $115.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray Lumbar Spine 4 Vw | $115.00 | $115.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Lumbar Spine 5 Views | $130.66 | $133.33 | 2% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Lumbar Spine 4 Vw | $115.00 | $115.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Lumbar Spine 4 Vw | $115.00 | $115.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lumbar Spine 5 Views | $130.66 | $133.33 | 2% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $20.46 | $20.88 | 2% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $20.46 | $20.88 | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $32.40 | $33.06 | 2% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $32.40 | $33.06 | 2% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Auto Diff, Plt | $18.80 | $19.18 | 2% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/Auto Diff, Plt | $18.80 | $19.18 | 2% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc / Platelets | $15.64 | $15.96 | 2% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc / Platelets | $15.64 | $15.96 | 2% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Pan | $25.56 | $26.08 | 2% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Pan | $25.56 | $26.08 | 2% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $21.01 | $21.44 | 2% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $21.01 | $21.44 | 2% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $19.78 | $20.18 | 2% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $19.78 | $20.18 | 2% |
| Obstetric blood test panel CPT 80055 HC OB Panel | $115.68 | $118.04 | 2% |
| Obstetric blood test panel inpatient CPT 80055 HC OB Panel | $115.68 | $118.04 | 2% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa, Free | $44.51 | $45.42 | 2% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa, Free | $44.51 | $45.42 | 2% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prost. Spec. Antigen | $44.51 | $45.42 | 2% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prost. Spec. Antigen | $44.51 | $45.42 | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Partial Thromboplast | $14.54 | $14.84 | 2% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Partial Thromboplast | $14.54 | $14.84 | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothombin Time | $9.51 | $9.70 | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $10.00 | $10.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothombin Time | $9.51 | $9.70 | 2% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $10.00 | $10.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $34.16 | $34.86 | 2% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $34.16 | $34.86 | 2% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Complete | $7.68 | $7.84 | 2% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Complete | $7.68 | $7.84 | 2% |
| Urinalysis with microscope exam, manual CPT 81000 HC POC Urinalysis Complete | $7.88 | $8.04 | 2% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC POC Urinalysis Complete | $7.88 | $8.04 | 2% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Macroscopic | $5.43 | $5.54 | 2% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Macroscopic | $5.43 | $5.54 | 2% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis WO Microscopy | $6.82 | $6.96 | 2% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $7.00 | $7.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $7.00 | $7.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis WO Microscopy | $6.82 | $6.96 | 2% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $7.00 | $7.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $7.00 | $7.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $973.00 | $973.00 | — |
| Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $973.00 | $973.00 | — |
| Cataract surgery with lens implant inpatient CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $973.00 | $973.00 | — |
| Cataract surgery with lens implant inpatient CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp | $973.00 | $973.00 | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Full Rout Obste Care,Cesarean Deliv | $5,295.00 | $5,295.00 | — |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Full Rout Obste Care,Cesarean Deliv | $5,295.00 | $5,295.00 | — |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,063.00 | $1,063.00 | — |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,063.00 | $1,063.00 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,063.00 | $1,063.00 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $1,063.00 | $1,063.00 | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,023.00 | $1,023.00 | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,023.00 | $1,023.00 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,023.00 | $1,023.00 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,023.00 | $1,023.00 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $804.00 | $804.00 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $804.00 | $804.00 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $804.00 | $804.00 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $804.00 | $804.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy | $1,346.00 | $1,346.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy | $1,346.00 | $1,346.00 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Lap,Cholecystectomy | $1,346.00 | $1,346.00 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Lap,Cholecystectomy | $1,346.00 | $1,346.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair Ing Hernia,5+Y/O,Reducibl | $1,083.00 | $1,083.00 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Repair Ing Hernia,5+Y/O,Reducibl | $1,083.00 | $1,083.00 | — |
| Knee arthroscopy with meniscus trim CPT 29881 Knee Scope,Med/Lat Menisectomy | $1,097.00 | $1,097.00 | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee Scope,Med/Lat Menisectomy | $1,097.00 | $1,097.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission,2nd Cataract,Laser | $710.00 | $710.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission,2nd Cataract,Laser | $710.00 | $710.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Yag Cap 1st Visit | $918.21 | $936.95 | 2% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Discission,2nd Cataract,Laser | $710.00 | $710.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Discission,2nd Cataract,Laser | $710.00 | $710.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Yag Cap 1st Visit | $918.21 | $936.95 | 2% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $582.00 | $582.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $582.00 | $582.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $564.00 | $564.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $564.00 | $564.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic | $2,269.00 | $2,269.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic | $2,269.00 | $2,269.00 | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic | $2,269.00 | $2,269.00 | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic | $2,269.00 | $2,269.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Excise Breast Cyst | $1,224.00 | $1,224.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Excise Breast Cyst | $1,224.00 | $1,224.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shldr Arthroscop,Part Acromioplas | $313.00 | $313.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shldr Arthroscop,Part Acromioplas | $313.00 | $313.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shldr Arthroscop,Part Acromioplas | $313.00 | $313.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shldr Arthroscop,Part Acromioplas | $313.00 | $313.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove Tonsils/Adenoids,<12 Y/O | $551.00 | $551.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove Tonsils/Adenoids,<12 Y/O | $551.00 | $551.00 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove Tonsils/Adenoids,<12 Y/O | $551.00 | $551.00 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Remove Tonsils/Adenoids,<12 Y/O | $551.00 | $551.00 | — |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $2,465.00 | $2,465.00 | — |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $2,465.00 | $2,465.00 | — |
| Total hip replacement inpatient CPT 27130 Total Hip Arthroplasty | $2,465.00 | $2,465.00 | — |
| Total hip replacement inpatient CPT 27130 Total Hip Arthroplasty | $2,465.00 | $2,465.00 | — |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $2,460.00 | $2,460.00 | — |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $2,460.00 | $2,460.00 | — |
| Total knee replacement inpatient CPT 27447 Total Knee Arthroplasty | $2,460.00 | $2,460.00 | — |
| Total knee replacement inpatient CPT 27447 Total Knee Arthroplasty | $2,460.00 | $2,460.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $893.00 | $893.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $893.00 | $893.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $893.00 | $893.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $893.00 | $893.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $688.00 | $688.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $688.00 | $688.00 | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Rout OB Care,Vag Deliv,Prev C-Sec | $4,991.00 | $4,991.00 | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Rout OB Care,Vag Deliv,Prev C-Sec | $4,991.00 | $4,991.00 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Full Rout Obste Care,Vaginal Deliv | $4,727.00 | $4,727.00 | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Full Rout Obste Care,Vaginal Deliv | $4,727.00 | $4,727.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Complete | $33.00 | $33.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Complete | $33.00 | $33.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Complete | $33.00 | $33.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Complete | $33.00 | $33.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC New Visit, Level 3 - 26-45 Min | $213.66 | $218.02 | 2% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $248.00 | $248.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $248.00 | $248.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC New Pt Office Visit-30min | $587.56 | $599.55 | 2% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Visit, Level 3 - 26-45 Min | $213.66 | $218.02 | 2% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $248.00 | $248.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $248.00 | $248.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt Office Visit-30min | $587.56 | $599.55 | 2% |
| New patient office visit, about 45 minutes CPT 99204 HC New Visit, Level 4, 46-90 Min | $267.07 | $272.52 | 2% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $374.00 | $374.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $374.00 | $374.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Visit, Level 4, 46-90 Min | $267.07 | $272.52 | 2% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $374.00 | $374.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $374.00 | $374.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC New Visit, Level 5, > 90 Min | $320.49 | $327.03 | 2% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $499.00 | $499.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $499.00 | $499.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Visit, Level 5, > 90 Min | $320.49 | $327.03 | 2% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $499.00 | $499.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $499.00 | $499.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises | $61.00 | $61.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercise Ea 15 Min | $75.38 | $76.92 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise Ea 15 Min | $85.27 | $87.01 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Mandibilar Rom | $97.19 | $99.17 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Mandibular Rom | $97.19 | $99.17 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises | $61.00 | $61.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercise Ea 15 Min | $75.38 | $76.92 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise Ea 15 Min | $85.27 | $87.01 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Mandibular Rom | $97.19 | $99.17 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Mandibilar Rom | $97.19 | $99.17 | 2% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Preventive Visit,New,18-39 | $384.00 | $384.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Preventive Visit,New,18-39 | $384.00 | $384.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive Visit,New,18-39 | $384.00 | $384.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive Visit,New,18-39 | $384.00 | $384.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit,New,40-64 | $331.00 | $331.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit,New,40-64 | $331.00 | $331.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit,New,40-64 | $331.00 | $331.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit,New,40-64 | $331.00 | $331.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $265.00 | $265.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $265.00 | $265.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $265.00 | $265.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $395.00 | $395.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $395.00 | $395.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $395.00 | $395.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $395.00 | $395.00 | — |
Source file: https://www.gbmc.org/sites/default/files/documents/52-6049658_gbmc_standardcharges.csv