Cedars-Sinai Marina Hospital
Cedars-Sinai Marina Hospital in Marina del Rey, CA publishes cash prices for 59 common procedures listed here, from its own machine-readable price file updated Nov 26, 2025. Click a procedure to compare it with other hospitals nearby.
4650 Lincoln Blvd, Marina Del Rey, CA 90292 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 HB CT ABD & PELVIS W CONTRAST | $6,798.16 | $10,458.70 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CAT Scan | $6,798.16 | $10,458.70 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Radiology Services not otherwise listed herein | $6,798.16 | $10,458.70 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 PET Scan | $6,798.16 | $10,458.70 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Outpatient Global Laboratory, Radiology and Diagnostic Services | $6,798.16 | $10,458.70 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT/CTA Scan(s) includes contrast materials and other radiologic supplies. | $6,798.16 | $10,458.70 | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABD & PELVIS W CONTRAST | $8,837.56 | $13,596.25 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 Radiology Services not otherwise listed herein | $3,436.43 | $5,286.82 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 PET Scan | $3,436.43 | $5,286.82 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD/BRAIN WO CONT | $3,436.43 | $5,286.82 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CAT Scan | $3,436.43 | $5,286.82 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT/CTA Scan(s) includes contrast materials and other radiologic supplies. | $3,436.43 | $5,286.82 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 Outpatient Global Laboratory, Radiology and Diagnostic Services | $3,436.43 | $5,286.82 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD/BRAIN WO CONT | $4,467.36 | $6,872.86 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CAT Scan | $3,399.07 | $5,229.34 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT/CTA Scan(s) includes contrast materials and other radiologic supplies. | $3,399.07 | $5,229.34 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTRAST | $3,399.07 | $5,229.34 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 Outpatient Global Laboratory, Radiology and Diagnostic Services | $3,399.07 | $5,229.34 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 PET Scan | $3,399.07 | $5,229.34 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 Radiology Services not otherwise listed herein | $3,399.07 | $5,229.34 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTRAST | $4,418.79 | $6,798.14 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB MAMMO DIAG DIGITAL BILAT INCL CAD | $714.86 | $1,099.78 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 Outpatient Global Laboratory, Radiology and Diagnostic Services | $714.86 | $1,099.78 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 CAT Scan | $714.86 | $1,099.78 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 Radiology Services not otherwise listed herein | $714.86 | $1,099.78 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 PET Scan | $714.86 | $1,099.78 | 35% |
| Diagnostic mammogram, one breast CPT 77065 Radiology Services not otherwise listed herein | $572.46 | $880.71 | 35% |
| Diagnostic mammogram, one breast CPT 77065 Outpatient Global Laboratory, Radiology and Diagnostic Services | $572.46 | $880.71 | 35% |
| Diagnostic mammogram, one breast CPT 77065 CAT Scan | $572.46 | $880.71 | 35% |
| Diagnostic mammogram, one breast CPT 77065 PET Scan | $572.46 | $880.71 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG DIGITAL UNILAT INCL CAD | $572.46 | $880.71 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Radiology Services not otherwise listed herein | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI EXT LOW JT WO CONT UNI | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI/MRA Scan(s) includes contrast materials and other radiologic supplies. | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI/MRA | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Outpatient Global Laboratory, Radiology and Diagnostic Services | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 PET Scan | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CAT Scan | $3,195.97 | $4,916.87 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI EXT LOW JT WO CONT UNI | $4,154.75 | $6,391.93 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Outpatient Global Laboratory, Radiology and Diagnostic Services | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Radiology Services not otherwise listed herein | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 PET Scan | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI/MRA | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI/MRA Scan(s) includes contrast materials and other radiologic supplies. | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI EXT LOW JT WO/W CNT UNI | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CAT Scan | $3,953.40 | $6,082.16 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI EXT LOW JT WO/W CNT UNI | $5,139.43 | $7,906.81 | 35% |
| MRI of the brain, no contrast dye CPT 70551 Outpatient Global Laboratory, Radiology and Diagnostic Services | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye CPT 70551 CAT Scan | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI HEAD/BRAIN WO CONT | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI/MRA | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye CPT 70551 PET Scan | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI/MRA Scan(s) includes contrast materials and other radiologic supplies. | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye CPT 70551 Radiology Services not otherwise listed herein | $3,966.21 | $6,101.86 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI HEAD/BRAIN WO CONT | $5,156.09 | $7,932.44 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI/MRA Scan(s) includes contrast materials and other radiologic supplies. | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 PET Scan | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 Radiology Services not otherwise listed herein | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI HEAD/PITUITARY WO/W CNT | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 CAT Scan | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 Outpatient Global Laboratory, Radiology and Diagnostic Services | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI/MRA | $4,406.90 | $6,779.85 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI HEAD/PITUITARY WO/W CNT | $5,728.98 | $8,813.82 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI/MRA | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 Radiology Services not otherwise listed herein | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 PET Scan | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 Outpatient Global Laboratory, Radiology and Diagnostic Services | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI/MRA Scan(s) includes contrast materials and other radiologic supplies. | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI L-SPINE WO CONTRAST | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 CAT Scan | $3,195.97 | $4,916.87 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI L-SPINE WO CONTRAST | $4,154.75 | $6,391.93 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB ULTRASOUND OB >14 WEEKS | $1,701.45 | $2,617.61 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CAT Scan | $1,701.45 | $2,617.61 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PET Scan | $1,701.45 | $2,617.61 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Radiology Services not otherwise listed herein | $1,701.45 | $2,617.61 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Outpatient Global Laboratory, Radiology and Diagnostic Services | $1,701.45 | $2,617.61 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB ULTRASOUND OB >14 WEEKS | $2,211.89 | $3,402.90 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 HB MAMMO SCREENING BILATERAL INCL CAD | $390.35 | $600.55 | 35% |
| Screening mammogram, both breasts CPT 77067 Radiology Services not otherwise listed herein | $390.35 | $600.55 | 35% |
| Screening mammogram, both breasts CPT 77067 PET Scan | $390.35 | $600.55 | 35% |
| Screening mammogram, both breasts CPT 77067 CAT Scan | $390.35 | $600.55 | 35% |
| Screening mammogram, both breasts CPT 77067 Outpatient Global Laboratory, Radiology and Diagnostic Services | $390.35 | $600.55 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 Outpatient Global Laboratory, Radiology and Diagnostic Services | $758.73 | $1,167.28 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 Radiology Services not otherwise listed herein | $758.73 | $1,167.28 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 CAT Scan | $758.73 | $1,167.28 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HB US PELVIS TRANSVAGINAL | $758.73 | $1,167.28 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 PET Scan | $758.73 | $1,167.28 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB US PELVIS TRANSVAGINAL | $986.38 | $1,517.51 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 CAT Scan | $1,709.12 | $2,629.41 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 PET Scan | $1,709.12 | $2,629.41 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 Outpatient Global Laboratory, Radiology and Diagnostic Services | $1,709.12 | $2,629.41 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 Radiology Services not otherwise listed herein | $1,709.12 | $2,629.41 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMPLETE | $1,709.12 | $2,629.41 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMPLETE | $2,221.85 | $3,418.23 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 HB XR L-SPINE 4-5VW | $1,238.72 | $1,905.73 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Radiology Services not otherwise listed herein | $1,238.72 | $1,905.73 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Outpatient Global Laboratory, Radiology and Diagnostic Services | $1,238.72 | $1,905.73 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 PET Scan | $1,238.72 | $1,905.73 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 CAT Scan | $1,238.72 | $1,905.73 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB XR L-SPINE 4-5VW | $1,610.34 | $2,477.45 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Outpatient Global Laboratory, Radiology and Diagnostic Services | $206.41 | $317.55 | 35% |
| Basic metabolic panel (blood test) CPT 80048 HB LAB BASIC METABOLIC PANEL | $206.41 | $317.55 | 35% |
| Basic metabolic panel (blood test) CPT 80048 Clinical and Anatomical Laboratory Services | $206.41 | $317.55 | 35% |
| Basic metabolic panel (blood test) CPT 80048 Laboratory Services | $206.41 | $317.55 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB LAB BASIC METABOLIC PANEL | $206.41 | $317.55 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LAB LIPID PANEL | $195.85 | $301.31 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Laboratory Services | $195.85 | $301.31 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Clinical and Anatomical Laboratory Services | $195.85 | $301.31 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB MISC LAB SPECIAL TEST | $195.85 | $301.31 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Outpatient Global Laboratory, Radiology and Diagnostic Services | $195.85 | $301.31 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LAB LIPID PANEL | $195.85 | $301.31 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Clinical and Anatomical Laboratory Services | $318.69 | $490.30 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC WITH AUTO DIFF | $318.69 | $490.30 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Laboratory Services | $318.69 | $490.30 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Outpatient Global Laboratory, Radiology and Diagnostic Services | $318.69 | $490.30 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC WITH AUTO DIFF | $318.69 | $490.30 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Outpatient Global Laboratory, Radiology and Diagnostic Services | $134.43 | $206.81 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Clinical and Anatomical Laboratory Services | $134.43 | $206.81 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Laboratory Services | $134.43 | $206.81 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB LAB CBC HEMOGRAM W/PLT | $134.43 | $206.81 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB LAB CBC HEMOGRAM W/PLT | $134.43 | $206.81 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB LAB COMP METABOLIC PANEL | $411.29 | $632.75 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Outpatient Global Laboratory, Radiology and Diagnostic Services | $411.29 | $632.75 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Laboratory Services | $411.29 | $632.75 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Clinical and Anatomical Laboratory Services | $411.29 | $632.75 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB LAB COMP METABOLIC PANEL | $411.29 | $632.75 | 35% |
| Kidney function blood test panel CPT 80069 Outpatient Global Laboratory, Radiology and Diagnostic Services | $839.14 | $1,290.99 | 35% |
| Kidney function blood test panel CPT 80069 HB LAB RENAL FUNCTION PANEL | $839.14 | $1,290.99 | 35% |
| Kidney function blood test panel CPT 80069 Clinical and Anatomical Laboratory Services | $839.14 | $1,290.99 | 35% |
| Kidney function blood test panel CPT 80069 Laboratory Services | $839.14 | $1,290.99 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HB LAB RENAL FUNCTION PANEL | $839.14 | $1,290.99 | 35% |
| Liver function blood test panel CPT 80076 Laboratory Services | $206.41 | $317.55 | 35% |
| Liver function blood test panel CPT 80076 Outpatient Global Laboratory, Radiology and Diagnostic Services | $206.41 | $317.55 | 35% |
| Liver function blood test panel CPT 80076 Clinical and Anatomical Laboratory Services | $206.41 | $317.55 | 35% |
| Liver function blood test panel CPT 80076 HB LAB HEPATIC FUNCTION PANEL | $206.41 | $317.55 | 35% |
| Liver function blood test panel inpatient CPT 80076 HB LAB HEPATIC FUNCTION PANEL | $206.41 | $317.55 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Laboratory Services | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Outpatient Global Laboratory, Radiology and Diagnostic Services | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Clinical and Anatomical Laboratory Services | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB LAB PROSTATE SPECIFIC ANTGN | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Laboratory Services | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Clinical and Anatomical Laboratory Services | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Outpatient Global Laboratory, Radiology and Diagnostic Services | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB LAB PROSTATE SPECIFIC ANTGN | $45.08 | $69.36 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL | $45.08 | $69.36 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Clinical and Anatomical Laboratory Services | $6.59 | $10.14 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB MISC LAB SPECIAL TEST | $6.59 | $10.14 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Outpatient Global Laboratory, Radiology and Diagnostic Services | $6.59 | $10.14 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB LAB PTT ER | $6.59 | $10.14 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Laboratory Services | $6.59 | $10.14 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB LAB PTT ER | $6.59 | $10.14 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB MISC LAB SPECIAL TEST | $6.59 | $10.14 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB MISC LAB SPECIAL TEST | $64.51 | $99.25 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB LAB WHOLE BLOOD PROTIME | $64.51 | $99.25 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Laboratory Services | $64.51 | $99.25 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Clinical and Anatomical Laboratory Services | $64.51 | $99.25 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Outpatient Global Laboratory, Radiology and Diagnostic Services | $64.51 | $99.25 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB MISC LAB SPECIAL TEST | $64.51 | $99.25 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB LAB WHOLE BLOOD PROTIME | $64.51 | $99.25 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Clinical and Anatomical Laboratory Services | $323.30 | $497.38 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB LAB THYRO TSH SE RI | $323.30 | $497.38 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Laboratory Services | $323.30 | $497.38 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Outpatient Global Laboratory, Radiology and Diagnostic Services | $323.30 | $497.38 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB LAB THYRO TSH SE RI | $323.30 | $497.38 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HB LAB URINALYSIS W/ MICROSCOPY | $256.10 | $394.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Outpatient Global Laboratory, Radiology and Diagnostic Services | $256.10 | $394.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Laboratory Services | $256.10 | $394.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Clinical and Anatomical Laboratory Services | $256.10 | $394.00 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB LAB URINALYSIS W/ MICROSCOPY | $256.10 | $394.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Laboratory Services | $56.50 | $86.92 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Clinical and Anatomical Laboratory Services | $56.50 | $86.92 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O MICRO | $56.50 | $86.92 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Outpatient Global Laboratory, Radiology and Diagnostic Services | $56.50 | $86.92 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS AUTO W/O MICRO | $56.50 | $86.92 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HB LAB URINALYSIS | $44.02 | $67.73 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Outpatient Global Laboratory, Radiology and Diagnostic Services | $44.02 | $67.73 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Laboratory Services | $44.02 | $67.73 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Clinical and Anatomical Laboratory Services | $44.02 | $67.73 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB LAB URINALYSIS | $44.02 | $67.73 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 8 | $991.47 | $1,525.34 | 35% |
| Cataract surgery with lens implant CPT 66984 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Cataract surgery with lens implant CPT 66984 OPG - 3 | $18,447.52 | $28,380.80 | 35% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 OPG - 2 | $991.47 | $1,525.34 | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $1,807.31 | $2,780.47 | 35% |
| Colonoscopy with polyp removal CPT 45385 Outpatient Surgical Services | $655.63 | $1,008.66 | 35% |
| Colonoscopy with polyp removal CPT 45385 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy with polyp removal CPT 45385 OPG - 2 | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy with tissue sample CPT 45380 Outpatient Surgical Services | $655.63 | $1,008.66 | 35% |
| Colonoscopy with tissue sample CPT 45380 OPG - 2 | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy with tissue sample CPT 45380 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy, diagnostic CPT 45378 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy, diagnostic CPT 45378 OPG - 2 | $1,550.64 | $2,385.60 | 35% |
| Colonoscopy, diagnostic CPT 45378 Outpatient Surgical Services | $1,807.31 | $2,780.47 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Outpatient Surgical Services | $991.47 | $1,525.34 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 OPG - 6 | $1,550.64 | $2,385.60 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Outpatient Surgical Services | $5,203.65 | $8,005.61 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 4 | $5,203.65 | $8,005.61 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 OPG - 4 | $5,203.65 | $8,005.61 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Outpatient Surgery Group 4 Global Rate | $5,203.65 | $8,005.61 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 OPG - 4 | $655.63 | $1,008.66 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Outpatient Surgical Services | $1,807.31 | $2,780.47 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 4 | $1,807.31 | $2,780.47 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 OPG - 1 | $1,550.64 | $2,385.60 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $1,807.31 | $2,780.47 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Outpatient Surgical Services | $18,447.52 | $28,380.80 | 35% |
| Left heart catheterization, diagnostic CPT 93452 OPG - 5 | $1,807.31 | $2,780.47 | 35% |
| Left heart catheterization, diagnostic CPT 93452 Outpatient Surgical Services | $18,447.52 | $28,380.80 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Outpatient Surgical Services | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Outpatient Surgery Group 1 Global Rate | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 OPG - 1 | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Outpatient Surgery Group 1 Global Rate | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJ EPIDURAL L/S-SPINE | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Outpatient Surgical Services | $1,941.81 | $2,987.40 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 OPG - 1 | $1,941.81 | $2,987.40 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 | $2,446.57 | $3,763.96 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 OPG - 1 | $2,446.57 | $3,763.96 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Outpatient Surgery Group 1 Global Rate | $2,446.57 | $3,763.96 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Outpatient Surgical Services | $2,446.57 | $3,763.96 | 35% |
| Prostate biopsy CPT 55700 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $2,454.78 | $3,776.59 | 35% |
| Prostate biopsy CPT 55700 Outpatient Surgical Services | $2,454.78 | $3,776.59 | 35% |
| Prostate biopsy CPT 55700 Outpatient Surgery Group 2 Global Rate | $2,454.78 | $3,776.59 | 35% |
| Prostate biopsy CPT 55700 OPG - 2 | $2,454.78 | $3,776.59 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 OPG - 7 | $18,447.52 | $28,380.80 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 | $991.47 | $1,525.34 | 35% |
| Removal of a breast lump, open surgery CPT 19120 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Removal of a breast lump, open surgery CPT 19120 OPG - 3 | $1,807.31 | $2,780.47 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 OPG - 0 | $1,550.64 | $2,385.60 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 | $1,550.64 | $2,385.60 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 3 | $991.47 | $1,525.34 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 OPG - 3 | $1,807.31 | $2,780.47 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Outpatient Surgical Services | $1,807.31 | $2,780.47 | 35% |
| Total hip replacement CPT 27130 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Total hip replacement CPT 27130 OPG - 7 | $1,807.31 | $2,780.47 | 35% |
| Total knee replacement CPT 27447 OPG - 7 | $1,807.31 | $2,780.47 | 35% |
| Total knee replacement CPT 27447 Outpatient Surgical Services | $1,807.31 | $2,780.47 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 OPG - 2 | $1,550.64 | $2,385.60 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 2 | $1,550.64 | $2,385.60 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Outpatient Surgical Services | $1,807.31 | $2,780.47 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Ambulatory Surgery û Cigna Grouper Schedule* Grouper 1 | $1,550.64 | $2,385.60 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 OPG - 2 | $1,807.31 | $2,780.47 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Outpatient Surgical Services | $1,807.31 | $2,780.47 | 35% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Outpatient Surgical Services | $1,550.64 | $2,385.60 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HB NEW PATIENT, LEVEL 3 | $232.71 | $358.02 | 35% |
| New patient office visit, about 45 minutes CPT 99204 HB NEW PATIENT, LEVEL 4 | $276.33 | $425.13 | 35% |
| New patient office visit, about 60 minutes CPT 99205 HB NEW PATIENT, LEVEL 5 | $349.06 | $537.02 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THER EXERCISE EA 15M | $146.03 | $224.66 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THER EXERCISE EA 15M | $189.84 | $292.06 | 35% |
Source file: https://www.marinahospital.com/administration/media/files/201645949_CEDARS-SINAI-MARINA-HOSPITAL_standardcharges.csv