Children's National Rehabilitation and Specialized Care
Children's National Rehabilitation and Specialized Care in Washington, DC publishes cash prices for 103 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 above the District of Columbia median for 46 of 103 procedures and below it for 39. By typical cash price it ranks #4 of 6 District of Columbia hospitals and #9 of 19 hospitals in the Washington, DC area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1731 Bunker Hill Rd NE, Washington, DC 20017 Collected Sep 29, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs District of Columbia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $563.00 | $1,126.00 | $42.26–$1,069.70 | 59% above | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $563.00 | $1,126.00 | $765.68–$1,069.70 | — | 50% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAMINATION CHEST; 2 VIEWS | $281.50 | $563.00 | $38.13–$534.85 | 1% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 RADIOLOGIC EXAMINATION CHEST; 2 VIEWS | $281.50 | $563.00 | $382.84–$534.85 | — | 50% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAMINATION CHEST; SINGLE VIEW | $241.50 | $483.00 | $29.39–$458.85 | 1% below | 50% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $241.50 | $483.00 | $29.39–$458.85 | 1% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $241.50 | $483.00 | $328.44–$458.85 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAMINATION CHEST; SINGLE VIEW | $241.50 | $483.00 | $328.44–$458.85 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $685.50 | $1,371.00 | $152.00–$1,302.45 | 62% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $685.50 | $1,371.00 | $932.28–$1,302.45 | — | 50% |
| Knee X-ray, 3 views CPT 73562 RADIOLOGIC EXAMINATION KNEE; THREE VIEWS | $549.50 | $1,099.00 | $46.48–$1,044.05 | 70% above | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 RADIOLOGIC EXAMINATION KNEE; THREE VIEWS | $549.50 | $1,099.00 | $747.32–$1,044.05 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $695.00 | $1,390.00 | $39.49–$1,320.50 | 118% above | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $695.00 | $1,390.00 | $945.20–$1,320.50 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $146.00 | $292.00 | $104.58–$277.40 | 74% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC | $146.00 | $292.00 | $198.56–$277.40 | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $546.50 | $1,093.00 | $46.92–$1,038.35 | 63% above | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $546.50 | $1,093.00 | $743.24–$1,038.35 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $538.00 | $1,076.00 | $34.05–$1,022.20 | 69% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAMINATION ABDOMEN; 1 VIEW | $538.00 | $1,076.00 | $34.05–$1,022.20 | 69% above | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $538.00 | $1,076.00 | $731.68–$1,022.20 | — | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAMINATION ABDOMEN; 1 VIEW | $538.00 | $1,076.00 | $731.68–$1,022.20 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 RADIOLOGIC EXAMINATION FINGER(S) MINIMUM OF TWO VIEWS | $335.00 | $670.00 | $43.62–$636.50 | 32% above | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 RADIOLOGIC EXAMINATION FINGER(S) MINIMUM OF TWO VIEWS | $335.00 | $670.00 | $455.60–$636.50 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $650.50 | $1,301.00 | $39.15–$1,235.95 | 97% above | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $650.50 | $1,301.00 | $884.68–$1,235.95 | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 RADIOLOGIC EXAMINATION HAND; MINIMUM OF THREE VIEWS | $503.50 | $1,007.00 | $42.26–$956.65 | 53% above | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 RADIOLOGIC EXAMINATION HAND; MINIMUM OF THREE VIEWS | $503.50 | $1,007.00 | $684.76–$956.65 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADIOLOGIC EXAMINATION SPINE CERVICAL; TWO OR THREE VIEWS | $1,011.00 | $2,022.00 | $45.11–$1,920.90 | 196% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RADIOLOGIC EXAMINATION SPINE CERVICAL; TWO OR THREE VIEWS | $1,011.00 | $2,022.00 | $1,374.96–$1,920.90 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RADIOLOGIC EXAMINATION PELVIS; ONE OR TWO VIEWS | $848.50 | $1,697.00 | $31.78–$1,612.15 | 194% above | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RADIOLOGIC EXAMINATION PELVIS; ONE OR TWO VIEWS | $848.50 | $1,697.00 | $1,153.96–$1,612.15 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs District of Columbia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $61.50 | $123.00 | $4.70–$270.00 | 2% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE | $61.50 | $123.00 | $83.64–$116.85 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST ASPARTATE AMINOTRANSFERASE | $61.50 | $123.00 | $4.59–$270.00 | 5% above | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST ASPARTATE AMINOTRANSFERASE | $61.50 | $123.00 | $83.64–$116.85 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N TERMINAL BRAIN NATRIURETIC PEPTIDE | $177.50 | $355.00 | $34.75–$337.25 | 32% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N TERMINAL BRAIN NATRIURETIC PEPTIDE | $177.50 | $355.00 | $241.40–$337.25 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $236.50 | $473.00 | $7.49–$449.35 | 7% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $236.50 | $473.00 | $321.64–$449.35 | — | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE ANAEROBIC | $196.50 | $393.00 | $9.13–$373.35 | 105% above | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE AEROBIC | $196.50 | $393.00 | $9.13–$373.35 | 105% above | 50% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE ANAEROBIC | $196.50 | $393.00 | $267.24–$373.35 | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE AEROBIC | $196.50 | $393.00 | $267.24–$373.35 | — | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL QNT BLD | $37.00 | $74.00 | $3.48–$270.00 | 17% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE LEVEL QNT BLD | $37.00 | $74.00 | $50.32–$70.30 | — | 50% |
| Blood lead test CPT 83655 LEAD BLOOD | $100.00 | $200.00 | $10.71–$270.00 | at median | 50% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $100.00 | $200.00 | $136.00–$190.00 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH BLOOD TYPING SEROLOGIC | $161.50 | $323.00 | $2.64–$306.85 | at median | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH BLOOD TYPING SEROLOGIC | $161.50 | $323.00 | $219.64–$306.85 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $133.00 | $266.00 | $4.59–$270.00 | 38% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $133.00 | $266.00 | $180.88–$252.70 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $85.00 | $170.00 | $32.98–$270.00 | 57% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $85.00 | $170.00 | $115.60–$161.50 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 PCR NASAL | $358.50 | $717.00 | $60.55–$681.15 | 719% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 PCR NP | $358.50 | $717.00 | $60.55–$681.15 | 719% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 PCR ENDOTRACH | $358.50 | $717.00 | $60.55–$681.15 | 719% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 PCR THROAT | $358.50 | $717.00 | $60.55–$681.15 | 719% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 PCR ENDOTRACH | $358.50 | $717.00 | $487.56–$681.15 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 PCR NASAL | $358.50 | $717.00 | $487.56–$681.15 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 PCR THROAT | $358.50 | $717.00 | $487.56–$681.15 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 PCR NP | $358.50 | $717.00 | $487.56–$681.15 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE TOTAL CHOLESTEROL | $86.50 | $173.00 | $11.85–$270.00 | 9% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE TOTAL CHOLESTEROL | $86.50 | $173.00 | $117.64–$164.35 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC COMPLETE BLD CNT AUTO DIFF | $54.50 | $109.00 | $6.88–$270.00 | 41% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC COMPLETE BLD CNT AUTO DIFF | $54.50 | $109.00 | $74.12–$103.55 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 MANUAL DIFFERENTIAL COMPLETE CBC | $85.50 | $171.00 | $5.72–$270.00 | 15% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 MANUAL DIFFERENTIAL COMPLETE CBC | $85.50 | $171.00 | $116.28–$162.45 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $424.50 | $849.00 | $9.35–$806.55 | 45% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $424.50 | $849.00 | $577.32–$806.55 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $105.50 | $211.00 | $9.02–$270.00 | at median | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER | $105.50 | $211.00 | $143.48–$200.45 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS | $245.50 | $491.00 | $19.67–$466.45 | 15% above | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS | $245.50 | $491.00 | $333.88–$466.45 | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL BC X00696 | $242.50 | $485.00 | $24.73–$460.75 | 12% above | 50% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL BCX00872 | $242.50 | $485.00 | $24.73–$460.75 | 12% above | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL BC X00696 | $242.50 | $485.00 | $329.80–$460.75 | — | 50% |
| Estradiol blood test inpatient CPT 82670 ASSAY OF ESTRADIOL BCX00872 | $242.50 | $485.00 | $329.80–$460.75 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $179.50 | $359.00 | $16.45–$341.05 | 16% above | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $179.50 | $359.00 | $244.12–$341.05 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN LVL STL FECAL | $349.50 | $699.00 | $17.37–$664.05 | 33% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN LVL STL FECAL | $349.50 | $699.00 | $475.32–$664.05 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL | $125.00 | $250.00 | $12.06–$270.00 | 3% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL | $125.00 | $250.00 | $170.00–$237.50 | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE LEVEL SERUM | $167.50 | $335.00 | $13.02–$318.25 | 40% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL SERUM | $167.50 | $335.00 | $227.80–$318.25 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 ASSAY | $88.50 | $177.00 | $7.99–$270.00 | 14% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 CONFRMATION | $88.50 | $177.00 | $7.99–$270.00 | 14% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 CONFRMATION | $88.50 | $177.00 | $120.36–$168.15 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 ASSAY | $88.50 | $177.00 | $120.36–$168.15 | — | 50% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL EIA | $103.50 | $207.00 | $12.73–$270.00 | 26% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL EIA | $103.50 | $207.00 | $140.76–$196.65 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 VIRAL LOAD BC X00685 | $353.00 | $706.00 | $75.32–$670.70 | at median | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 VIRAL LOAD BC X00685 | $353.00 | $706.00 | $480.08–$670.70 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AG AB SCRN 4TH GEN SNGL | $111.50 | $223.00 | $12.13–$270.00 | 13% above | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AG AB SCRN 4TH GEN SNGL | $111.50 | $223.00 | $151.64–$211.85 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $80.50 | $161.00 | $8.59–$270.00 | 14% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $80.50 | $161.00 | $109.48–$152.95 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B - SURFACE ANTIBODY | $76.50 | $153.00 | $9.51–$270.00 | 13% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B - SURFACE ANTIBODY | $76.50 | $153.00 | $104.04–$145.35 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B - SURFACE ANTIGEN | $83.50 | $167.00 | $9.14–$270.00 | at median | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B - SURFACE ANTIGEN | $83.50 | $167.00 | $113.56–$158.65 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY TOTAL | $87.50 | $175.00 | $12.63–$270.00 | 11% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY TOTAL | $87.50 | $175.00 | $119.00–$166.25 | — | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $171.00 | $342.00 | $5.72–$324.90 | 75% above | 50% |
| Iron blood test (serum iron) CPT 83540 TOTAL IRON BINDING CAPACITY W IRON (IRON) | $171.00 | $342.00 | $5.72–$324.90 | 75% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 TOTAL IRON BINDING CAPACITY W IRON (IRON) | $171.00 | $342.00 | $232.56–$324.90 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $171.00 | $342.00 | $232.56–$324.90 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY W IRON | $123.50 | $247.00 | $7.74–$270.00 | at median | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY W IRON | $123.50 | $247.00 | $167.96–$234.65 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE (LH) | $183.00 | $366.00 | $16.39–$347.70 | 18% above | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LEUTINIZING HORMONE (LH) | $183.00 | $366.00 | $248.88–$347.70 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $61.50 | $123.00 | $6.10–$270.00 | 18% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $61.50 | $123.00 | $83.64–$116.85 | — | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL | $44.00 | $88.00 | $7.23–$270.00 | 81% below | 50% |
| Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION PANEL | $44.00 | $88.00 | $59.84–$83.60 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUMRANDOM URINE | $71.50 | $143.00 | $5.94–$270.00 | at median | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $71.50 | $143.00 | $5.94–$270.00 | at median | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL | $71.50 | $143.00 | $97.24–$135.85 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUMRANDOM URINE | $71.50 | $143.00 | $97.24–$135.85 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONONUCLEOSIS | $92.00 | $184.00 | $4.59–$270.00 | 73% above | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONONUCLEOSIS | $92.00 | $184.00 | $125.12–$174.80 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH | $254.00 | $508.00 | $36.53–$482.60 | 21% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PTH | $254.00 | $508.00 | $345.44–$482.60 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PT/PTT THROMBOPLASTIN TIME PARTIAL | $71.00 | $142.00 | $5.32–$270.00 | at median | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PT/PTT THROMBOPLASTIN TIME PARTIAL | $71.00 | $142.00 | $96.56–$134.90 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME BATTERY | $54.50 | $109.00 | $3.80–$270.00 | 40% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/PTT PROTHROMBIN TIME | $54.50 | $109.00 | $3.80–$270.00 | 40% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME BATTERY | $54.50 | $109.00 | $74.12–$103.55 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/PTT PROTHROMBIN TIME | $54.50 | $109.00 | $74.12–$103.55 | — | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARA DIR SMEAR ID (X00070 | $69.50 | $139.00 | $7.88–$270.00 | 6% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARA DIR SMEAR ID (X00070 | $69.50 | $139.00 | $94.52–$132.05 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $104.00 | $208.00 | $54.86–$270.00 | at median | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $104.00 | $208.00 | $141.44–$197.60 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE STEROID | $220.00 | $440.00 | $22.84–$418.00 | 10% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE STEROID | $220.00 | $440.00 | $299.20–$418.00 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS MICROSOMAL AB | $133.00 | $266.00 | $12.87–$270.00 | at median | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID AB GRP ANTI TPO | $133.00 | $266.00 | $12.87–$270.00 | at median | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS MICROSOMAL AB | $133.00 | $266.00 | $180.88–$252.70 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID AB GRP ANTI TPO | $133.00 | $266.00 | $180.88–$252.70 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - THYROID STIMULATING HORMONE | $125.00 | $250.00 | $14.87–$270.00 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWBORN SCREEN THYROID STIM HORMONE | $125.00 | $250.00 | $14.87–$270.00 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - THYROID STIMULATING HORMONE | $125.00 | $250.00 | $170.00–$237.50 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NEWBORN SCREEN THYROID STIM HORMONE | $125.00 | $250.00 | $170.00–$237.50 | — | 50% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL BLOOD | $37.50 | $75.00 | $4.00–$270.00 | 22% below | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID LEVEL BLOOD | $37.50 | $75.00 | $51.00–$71.25 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE | $40.00 | $80.00 | $2.81–$270.00 | at median | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE | $40.00 | $80.00 | $54.40–$76.00 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE QUANT COLONY COUNT | $99.00 | $198.00 | $7.14–$270.00 | 38% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE REFLEX | $99.00 | $198.00 | $7.14–$270.00 | 38% above | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE REFLEX | $99.00 | $198.00 | $134.64–$188.10 | — | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE QUANT COLONY COUNT | $99.00 | $198.00 | $134.64–$188.10 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 BETA HCG URINE PREGNANCY QUAL | $72.00 | $144.00 | $7.62–$270.00 | 2% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG URINE PREGNANCY QUAL | $72.00 | $144.00 | $97.92–$136.80 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAM B12 ASSAY | $278.00 | $556.00 | $13.35–$528.20 | 127% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAM B12 ASSAY | $278.00 | $556.00 | $378.08–$528.20 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VITAMIN D TOTAL | $357.00 | $714.00 | $26.20–$678.30 | 48% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXY VITAMIN D TOTAL | $357.00 | $714.00 | $485.52–$678.30 | — | 50% |
| Zinc blood test CPT 84630 ZINC PLASMA | $105.00 | $210.00 | $10.08–$270.00 | at median | 50% |
| Zinc blood test inpatient CPT 84630 ZINC PLASMA | $105.00 | $210.00 | $142.80–$199.50 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs District of Columbia | Off list |
|---|---|---|---|---|---|
| Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) | $332.00 | $664.00 | $77.86–$630.80 | 18% below | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) | $332.00 | $664.00 | $451.52–$630.80 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $263.00 | $526.00 | $50.08–$499.70 | 2% above | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $263.00 | $526.00 | $357.68–$499.70 | — | 50% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); | $407.50 | $815.00 | $71.54–$774.25 | 1% above | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); | $407.50 | $815.00 | $554.20–$774.25 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) | $251.50 | $503.00 | $60.14–$477.85 | 7% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) | $251.50 | $503.00 | $342.04–$477.85 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $866.00 | $1,732.00 | $73.64–$1,645.40 | 12% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $866.00 | $1,732.00 | $1,177.76–$1,645.40 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs District of Columbia | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $264.50 | $529.00 | $11.02–$502.55 | 1% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $264.50 | $529.00 | $359.72–$502.55 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $1,098.00 | $2,196.00 | $152.00–$2,086.20 | 52% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $1,098.00 | $2,196.00 | $1,493.28–$2,086.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $271.50 | $543.00 | $7.75–$515.85 | at median | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $271.50 | $543.00 | $369.24–$515.85 | — | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $201.00 | $402.00 | $106.25–$381.90 | 11% below | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $201.00 | $402.00 | $273.36–$381.90 | — | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) | $237.00 | $474.00 | $101.88–$450.30 | 4% above | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) | $237.00 | $474.00 | $322.32–$450.30 | — | 50% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $225.50 | $451.00 | $25.02–$428.45 | 7% below | 50% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $225.50 | $451.00 | $306.68–$428.45 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $246.50 | $493.00 | $152.00–$468.35 | at median | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $246.50 | $493.00 | $335.24–$468.35 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCLE RE-EDUC EA 15 MIN | $93.50 | $187.00 | $30.41–$270.00 | 14% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCLE RE-EDUC EA 15 MIN | $93.50 | $187.00 | $127.16–$177.65 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $516.50 | $1,033.00 | $92.59–$981.35 | 159% above | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $516.50 | $1,033.00 | $702.44–$981.35 | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $773.50 | $1,547.00 | $152.00–$1,469.65 | 207% above | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $773.50 | $1,547.00 | $1,051.96–$1,469.65 | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $996.50 | $1,993.00 | $152.00–$1,893.35 | 232% above | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $996.50 | $1,993.00 | $1,355.24–$1,893.35 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $344.50 | $689.00 | $53.64–$654.55 | 82% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $344.50 | $689.00 | $468.52–$654.55 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $141.00 | $282.00 | $48.46–$267.90 | 99% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN | $141.00 | $282.00 | $191.76–$267.90 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $194.50 | $389.00 | $92.43–$369.55 | 2% above | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $194.50 | $389.00 | $264.52–$369.55 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $207.50 | $415.00 | $92.43–$394.25 | 54% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $207.50 | $415.00 | $282.20–$394.25 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $203.00 | $406.00 | $92.43–$385.70 | 36% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $203.00 | $406.00 | $276.08–$385.70 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $209.00 | $418.00 | $92.43–$397.10 | 53% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $209.00 | $418.00 | $284.24–$397.10 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINS | $97.00 | $194.00 | $24.27–$270.00 | 18% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINS | $97.00 | $194.00 | $131.92–$184.30 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCISE - ROM EA 15M | $91.50 | $183.00 | $27.12–$270.00 | 17% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCISE - ROM EA 15M | $91.50 | $183.00 | $124.44–$173.85 | — | 50% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES | $273.50 | $547.00 | $152.00–$519.65 | at median | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES | $273.50 | $547.00 | $371.96–$519.65 | — | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $389.50 | $779.00 | $117.36–$740.05 | at median | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $389.50 | $779.00 | $529.72–$740.05 | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $219.50 | $439.00 | $70.92–$417.05 | at median | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $219.50 | $439.00 | $298.52–$417.05 | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $201.00 | $402.00 | $94.16–$381.90 | 5% below | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $201.00 | $402.00 | $273.36–$381.90 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $248.50 | $497.00 | $138.25–$472.15 | at median | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $248.50 | $497.00 | $337.96–$472.15 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $694.00 | $1,388.00 | $133.33–$1,318.60 | 172% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $694.00 | $1,388.00 | $943.84–$1,318.60 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $316.00 | $632.00 | $61.43–$600.40 | 72% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $316.00 | $632.00 | $429.76–$600.40 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $434.50 | $869.00 | $94.55–$825.55 | 94% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $434.50 | $869.00 | $590.92–$825.55 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $217.50 | $435.00 | $39.60–$413.25 | 47% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $217.50 | $435.00 | $295.80–$413.25 | — | 50% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $168.00 | $336.00 | $152.00–$319.20 | 55% below | 50% |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $168.00 | $336.00 | $228.48–$319.20 | — | 50% |
| Speech therapy session, individual CPT 92507 TX SPEECH LANG VOICE COMMJ and /AUDITORY PROC IND | $268.00 | $536.00 | $66.93–$509.20 | 1% above | 50% |
| Speech therapy session, individual inpatient CPT 92507 TX SPEECH LANG VOICE COMMJ and /AUDITORY PROC IND | $268.00 | $536.00 | $364.48–$509.20 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVI DIR EA15M | $98.00 | $196.00 | $33.87–$270.00 | 8% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVI DIR EA15M | $98.00 | $196.00 | $133.28–$186.20 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC (SEPARATE PROCEDURE) | $190.50 | $381.00 | $118.28–$361.95 | 16% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC (SEPARATE PROCEDURE) | $190.50 | $381.00 | $259.08–$361.95 | — | 50% |