Boone Hospital Center
Boone Hospital Center in Columbia, MO publishes cash prices for 54 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.
1600 E Broadway, Columbia, MO 65201 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 ABD & PELVIS W/CON | $1,240.80 | $2,068.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CON | $1,240.80 | $2,068.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $830.40 | $1,384.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONT | $830.40 | $1,384.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $1,140.00 | $1,900.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $1,140.00 | $1,900.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMM BI POST SCREEN | $202.20 | $337.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMM BI W CAD | $271.20 | $452.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMM BI POST SCREEN | $202.20 | $337.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMM BI W CAD | $271.20 | $452.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMM UNI W CAD RT | $135.60 | $226.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMM UNI W CAD LT | $135.60 | $226.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMM UNI POST SCREEN LT | $165.60 | $276.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMM UNI POST SCREEN RT | $165.60 | $276.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMM UNI W CAD LT | $135.60 | $226.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMM UNI W CAD RT | $135.60 | $226.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMM UNI POST SCREEN RT | $165.60 | $276.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMM UNI POST SCREEN LT | $165.60 | $276.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MR LO EXT ANY JNT WO CON-BI | $1,744.80 | $2,908.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LO EXT ANY JNT WO CON-LT | $872.40 | $1,454.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LO EXT ANY JNT WO CON-RT | $872.40 | $1,454.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MR LO EXT ANY JNT WO CON-BI | $1,744.80 | $2,908.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LO EXT ANY JNT WO CON-LT | $872.40 | $1,454.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LO EXT ANY JNT WO CON-RT | $872.40 | $1,454.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR LO EXT ANYJNT W WO-BI | $2,292.00 | $3,820.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LO EXT ANYJNT W WO-LT | $1,146.00 | $1,910.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LO EXT ANYJNT W WO-RT | $1,146.00 | $1,910.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR LO EXT ANYJNT W WO-BI | $2,292.00 | $3,820.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LO EXT ANYJNT W WO-RT | $1,146.00 | $1,910.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LO EXT ANYJNT W WO-LT | $1,146.00 | $1,910.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE-CF | $278.40 | $464.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W STEM WO CONT | $900.00 | $1,500.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE-CF | $278.40 | $464.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W STEM WO CONT | $900.00 | $1,500.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN COMBO-CF | $453.00 | $755.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/STEM W/WO CONT | $1,980.00 | $3,300.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN COMBO-CF | $453.00 | $755.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN/STEM W/WO CONT | $1,980.00 | $3,300.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE-CF | $275.40 | $459.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPN W/O CONT | $1,038.60 | $1,731.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE-CF | $275.40 | $459.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPN W/O CONT | $1,038.60 | $1,731.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14 WKS ABDOMINAL 1GEST | $604.20 | $1,007.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14 WKS ABDOMINAL 1GEST | $604.20 | $1,007.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMM W CAD BI | $193.20 | $322.00 | 40% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMM W CAD 52 MOD | $102.60 | $171.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMM W CAD BI | $193.20 | $322.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 SCREENING MAMM W CAD 52 MOD | $102.60 | $171.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM-CF | $787.80 | $1,313.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG BASELINE 95810 | $1,837.20 | $3,062.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG BASELINE <6 HRS 95810 | $1,837.20 | $3,062.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> PARAM-CF | $787.80 | $1,313.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG BASELINE <6 HRS 95810 | $1,837.20 | $3,062.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG BASELINE 95810 | $1,837.20 | $3,062.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $645.60 | $1,076.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $645.60 | $1,076.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $853.80 | $1,423.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $853.80 | $1,423.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4 VIEWS | $390.00 | $650.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4 VIEWS | $390.00 | $650.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $83.40 | $139.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $83.40 | $139.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $44.40 | $74.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $44.40 | $74.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO W AUTO DIFF | $36.00 | $60.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W AUTO DIFF | $36.00 | $60.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO WO AUTO DIFF | $26.40 | $44.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO WO AUTO DIFF | $26.40 | $44.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $109.80 | $183.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $109.80 | $183.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $31.80 | $53.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $31.80 | $53.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $32.40 | $54.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $32.40 | $54.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $142.80 | $238.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $142.80 | $238.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTAT SPECIFIC AG FREE | $54.38 | $90.64 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTAT SPECIFIC AG FREE | $54.38 | $90.64 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTAT SPEC AG TOT DIAG | $65.51 | $109.18 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTAT SPEC AG TOT DIAG | $65.51 | $109.18 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPLASTIN TIME PRTL | $30.07 | $50.11 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPLASTIN TIME PRTL | $30.07 | $50.11 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $15.99 | $26.65 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $15.99 | $26.65 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE NBS | $25.96 | $43.26 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE | $51.91 | $86.52 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE NBS | $25.96 | $43.26 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE | $51.91 | $86.52 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICRO | $20.39 | $33.99 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W MICRO | $20.39 | $33.99 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICRO | $13.80 | $23.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICRO | $13.80 | $23.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUT WO MCR | $16.80 | $28.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUT WO MCR | $16.80 | $28.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US-CF | $447.60 | $746.00 | 40% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPIC US | $1,602.00 | $2,670.00 | 40% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPE US-CF | $447.60 | $746.00 | 40% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPIC US | $1,602.00 | $2,670.00 | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION RMOVE-CF | $630.60 | $1,051.00 | 40% |
| Colonoscopy with polyp removal CPT 45385 ADD ON COLON REM SNARE 45385 | $900.00 | $1,500.00 | 40% |
| Colonoscopy with polyp removal CPT 45385 COLON REM SNARE 45385 | $1,672.20 | $2,787.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION RMOVE-CF | $630.60 | $1,051.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 ADD ON COLON REM SNARE 45385 | $900.00 | $1,500.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLON REM SNARE 45385 | $1,672.20 | $2,787.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY-CF | $598.20 | $997.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 ADD ON COLON BIOPSY 45380 | $900.00 | $1,500.00 | 40% |
| Colonoscopy with tissue sample CPT 45380 COLON BIOPSY 45380 | $1,665.60 | $2,776.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY-CF | $598.20 | $997.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 ADD ON COLON BIOPSY 45380 | $900.00 | $1,500.00 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLON BIOPSY 45380 | $1,665.60 | $2,776.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY-CF | $471.00 | $785.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY 45378 | $1,278.60 | $2,131.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 COLON DECOMPRESSION 45378 | $1,278.60 | $2,131.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY-CF | $471.00 | $785.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLON DECOMPRESSION 45378 | $1,278.60 | $2,131.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY 45378 | $1,278.60 | $2,131.00 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY | $1,292.40 | $2,154.00 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY | $1,292.40 | $2,154.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR-CF | $936.60 | $1,561.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDC >5 YR BIL | $1,405.20 | $2,342.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR-CF | $936.60 | $1,561.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDC >5 YR BIL | $1,405.20 | $2,342.00 | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH W/VENT 93452 | $6,088.80 | $10,148.00 | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH W/VENT 93452 | $6,088.80 | $10,148.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC-CF | $341.40 | $569.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMB/CAUD W/ IMAGING 62323 | $1,282.20 | $2,137.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,282.20 | $2,137.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC-CF | $341.40 | $569.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMB/CAUD W/ IMAGING 62323 | $1,282.20 | $2,137.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,282.20 | $2,137.00 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTRL EPI LUMB/SAC W/O GUI | $1,335.60 | $2,226.00 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTRL EPI LUMB/SAC W/O GUI | $1,335.60 | $2,226.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 EPI INJ LUM/SAC W IMG PN BI | $10,777.20 | $17,962.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 EPI INJ LUM/SAC W IMG BI 64483 | $10,777.20 | $17,962.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S-CF | $336.60 | $561.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 EPI INJ LUM/SAC W IMG 64483 | $5,388.60 | $8,981.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 EPI INJ LUM/SAC W IMG BI 64483 | $10,777.20 | $17,962.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 EPI INJ LUM/SAC W IMG PN BI | $10,777.20 | $17,962.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S-CF | $336.60 | $561.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 EPI INJ LUM/SAC W IMG 64483 | $5,388.60 | $8,981.00 | 40% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE NEED/PUN 55700 | $2,365.20 | $3,942.00 | 40% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEED/PUN 55700 | $2,365.20 | $3,942.00 | 40% |
| Removal of a breast lump, open surgery both sides CPT 19120 EXCISE BREAST CYST- BI -CF | $930.00 | $1,550.00 | 40% |
| Removal of a breast lump, open surgery CPT 19120 EXCISE BREAST CYST-CF | $730.20 | $1,217.00 | 40% |
| Removal of a breast lump, open surgery inpatient both sides CPT 19120 EXCISE BREAST CYST- BI -CF | $930.00 | $1,550.00 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISE BREAST CYST-CF | $730.20 | $1,217.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE-CF | $514.80 | $858.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ADD ON EGD BIOPSY 43239 | $900.00 | $1,500.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY 43239 | $1,275.00 | $2,125.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE-CF | $514.80 | $858.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ADD ON EGD BIOPSY 43239 | $900.00 | $1,500.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY 43239 | $1,275.00 | $2,125.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH-CF | $394.80 | $658.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD ENDOSCOPY 43235 | $1,275.00 | $2,125.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH-CF | $394.80 | $658.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD ENDOSCOPY 43235 | $1,275.00 | $2,125.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW VISIT LEVEL 3 | $141.00 | $235.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL 3 - TC | $141.00 | $235.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW | $141.00 | $235.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT NEW | $141.00 | $235.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW VISIT LEVEL 3 | $141.00 | $235.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL 3 - TC | $141.00 | $235.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW VISIT LEVEL 4 | $127.80 | $213.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT, NEW, LVL 4 | $169.80 | $283.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFI/OTPT VISIT, NEW, LVL 4 TC | $169.80 | $283.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW VISIT LEVEL 4 | $127.80 | $213.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFI/OTPT VISIT, NEW, LVL 4 TC | $169.80 | $283.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT VISIT, NEW, LVL 4 | $169.80 | $283.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFF OTPT NEW 60 MIN LVL 5-CF | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW VISIT LEVEL 5 | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT, NEW, LVL 5 | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFI/OTPT VISIT, NEW, LVL 5 TC | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF OTPT NEW 60 MIN LVL 5-CF | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFI/OTPT VISIT, NEW, LVL 5 TC | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT VISIT, NEW, LVL 5 | $255.00 | $425.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW VISIT LEVEL 5 | $255.00 | $425.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC PROC-EA 15MN | $54.00 | $90.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPTC PROC-EA 15MN | $54.00 | $90.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPTC PROC-EA 15MN | $54.00 | $90.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPTC PROC-EA 15MN | $54.00 | $90.00 | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $136.80 | $228.00 | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39 | $136.80 | $228.00 | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $158.40 | $264.00 | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 | $158.40 | $264.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION | $138.60 | $231.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULTATION | $138.60 | $231.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION | $219.60 | $366.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULTATION | $219.60 | $366.00 | 40% |
Source file: https://hospitalpricedisclosure.com/download.aspx?ci=ZwX4h2zH3S*_*Sa7onYBZVMQ*-*