Metrohealth System
Metrohealth System in Cleveland, OH publishes cash prices for 70 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.
2500 Metrohealth Drive, Cleveland, OH 44109 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/ | $1,160.25 | $3,315.00 | 65% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abdomen/Pelvis W/ | $1,160.25 | $3,315.00 | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 Cat Scan Of Head Or Brain. | $110.95 | $317.00 | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Wo/Contrast | $535.50 | $1,530.00 | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Cat Scan Of Head Or Brain. | $110.95 | $317.00 | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Wo/Contrast | $535.50 | $1,530.00 | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis W/Contrast | $635.95 | $1,817.00 | 65% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis W/Contrast | $635.95 | $1,817.00 | 65% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Hc Mg Digital Mammo Diagnos Bilat | $216.30 | $618.00 | 65% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Hc Mg Digital Mammo Diagnos Bilat | $216.30 | $618.00 | 65% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Hc Mg Digital Mammo Diagn Unilat | $172.20 | $492.00 | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Hc Mg Digital Mammo Diagn Unilat | $172.20 | $492.00 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri, Joint Of Leg. Combo | $353.85 | $1,011.00 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri, Joint Of Leg. Combo | $353.85 | $1,011.00 | 65% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain W/O Contr | $1,021.30 | $2,918.00 | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain W/O Contr | $1,021.30 | $2,918.00 | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W/O&W/Contr | $1,750.00 | $5,000.00 | 65% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W/O&W/Contr | $1,750.00 | $5,000.00 | 65% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine Wo/Contrast | $1,021.30 | $2,918.00 | 65% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine Wo/Contrast | $1,021.30 | $2,918.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Ultrasound- Complete (Li) | $79.80 | $228.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Gravid Uterus Comprehensive | $282.10 | $806.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Ultrasound- Complete (Li) | $79.80 | $228.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Gravid Uterus Comprehensive | $282.10 | $806.00 | 65% |
| Screening mammogram, both breasts both sides CPT 77067 Hc Mg Digital Mammo Screen Bilat | $183.05 | $523.00 | 65% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Mg Digital Mammo Screen Bilat | $183.05 | $523.00 | 65% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6/> Yrs 4/> Param | $2,772.81 | $7,922.31 | 65% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysom 6/> Yrs 4/> Param | $2,772.81 | $7,922.31 | 65% |
| Transvaginal pelvic ultrasound CPT 76830 Us Fdc Gyn Transvaginal | $273.70 | $782.00 | 65% |
| Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal | $273.70 | $782.00 | 65% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal | $273.70 | $782.00 | 65% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Fdc Gyn Transvaginal | $273.70 | $782.00 | 65% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdomen Complete | $480.20 | $1,372.00 | 65% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdomen Complete | $480.20 | $1,372.00 | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Xray Spine Lumbosacr 4+ Views | $224.00 | $640.00 | 65% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Xray Spine Lumbosacr 4+ Views | $224.00 | $640.00 | 65% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel | $44.80 | $128.00 | 65% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel | $44.80 | $128.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Full Lipid Panel | $47.60 | $136.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $47.60 | $136.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Full Lipid Panel | $47.60 | $136.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel | $47.60 | $136.00 | 65% |
| Complete blood count (CBC) with differential CPT 85025 Hc Cbc, Auto&Diff | $29.75 | $85.00 | 65% |
| Complete blood count (CBC) with differential CPT 85025 Hc Automated Hemogram | $29.75 | $85.00 | 65% |
| Complete blood count (CBC) with differential CPT 85025 Hc Blood Cnt Comp,Auto And Diff | $29.75 | $85.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc, Auto&Diff | $29.75 | $85.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Blood Cnt Comp,Auto And Diff | $29.75 | $85.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Automated Hemogram | $29.75 | $85.00 | 65% |
| Complete blood count (CBC), no differential CPT 85027 Hc Cell Count-Blood Complete | $25.20 | $72.00 | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cell Count-Blood Complete | $25.20 | $72.00 | 65% |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $45.15 | $129.00 | 65% |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $45.15 | $129.00 | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Prostatic Specif Ag-Free | $44.45 | $127.00 | 65% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Prostatic Specif Ag-Free | $44.45 | $127.00 | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Specific Antign Total | $57.75 | $165.00 | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Specific Antign Total | $57.75 | $165.00 | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Ptt | $25.90 | $74.00 | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Ptt | $25.90 | $74.00 | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothromibin Time Cc | $19.95 | $57.00 | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $19.95 | $57.00 | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time Poct | $19.95 | $57.00 | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time Poct | $19.95 | $57.00 | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothromibin Time Cc | $19.95 | $57.00 | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time | $19.95 | $57.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh Thyroid Stim Hormone | $55.65 | $159.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Nbs- Tsh | $55.65 | $159.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Nbs- Tsh | $55.65 | $159.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh Thyroid Stim Hormone | $55.65 | $159.00 | 65% |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis With Micropsy | $5.25 | $15.00 | 65% |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis With Microscopy | $20.65 | $59.00 | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis With Micropsy | $5.25 | $15.00 | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis With Microscopy | $20.65 | $59.00 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urine Dipstick Auto Wo/Micro | $9.45 | $27.00 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urine Dip Clinitek-50 | $15.40 | $44.00 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Wo/Microscopy | $16.10 | $46.00 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urine Dipstick Auto Wo/Micro | $9.45 | $27.00 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urine Dip Clinitek-50 | $15.40 | $44.00 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Wo/Microscopy | $16.10 | $46.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Ictotest Bilirubin Test | $9.80 | $28.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Reducing Substance Urine | $10.15 | $29.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Dipstick Wo/Micro | $10.15 | $29.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Ictotest Bilirubin Test | $9.80 | $28.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Reducing Substance Urine | $10.15 | $29.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis Dipstick Wo/Micro | $10.15 | $29.00 | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Extracapsular Cataract Removal W/Insertion, Lens Prosthesis (1 Stage) | $2,012.06 | $5,748.73 | 65% |
| Cataract surgery with lens implant inpatient CPT 66984 Extracapsular Cataract Removal W/Insertion, Lens Prosthesis (1 Stage) | $2,012.06 | $5,748.73 | 65% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Routine Obstetric Care W/Antepartum Care, Cesarean Delivery, & Postpartum Care | $1,995.44 | $5,701.25 | 65% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Routine Obstetric Care W/Antepartum Care, Cesarean Delivery, & Postpartum Care | $1,995.44 | $5,701.25 | 65% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy, Flexible, Proximal To Splenic Flexure; W/Endoscopic Us Exam | $345.80 | $988.00 | 65% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Colonoscopy W/Endoscopic U/S | $966.70 | $2,762.00 | 65% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy, Flexible, Proximal To Splenic Flexure; W/Endoscopic Us Exam | $345.80 | $988.00 | 65% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hc Colonoscopy W/Endoscopic U/S | $966.70 | $2,762.00 | 65% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy, Flexible; W/Removal, Lesion, Snare | $663.25 | $1,895.00 | 65% |
| Colonoscopy with polyp removal CPT 45385 Polypectomy | $663.25 | $1,895.00 | 65% |
| Colonoscopy with polyp removal CPT 45385 Hc Lesion Removal Colonoscopy 2 | $1,518.65 | $4,339.00 | 65% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy, Flexible; W/Removal, Lesion, Snare | $663.25 | $1,895.00 | 65% |
| Colonoscopy with polyp removal inpatient CPT 45385 Polypectomy | $663.25 | $1,895.00 | 65% |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Lesion Removal Colonoscopy 2 | $1,518.65 | $4,339.00 | 65% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy For Biopsy | $543.55 | $1,553.00 | 65% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy, Flexible, Proximal To Splenic Flexure; W/Biopsy, Single/Multiple | $543.55 | $1,553.00 | 65% |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy And Biopsy | $1,518.65 | $4,339.00 | 65% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy For Biopsy | $543.55 | $1,553.00 | 65% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy, Flexible, Proximal To Splenic Flexure; W/Biopsy, Single/Multiple | $543.55 | $1,553.00 | 65% |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Colonoscopy And Biopsy | $1,518.65 | $4,339.00 | 65% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Diagnostic | $507.85 | $1,451.00 | 65% |
| Colonoscopy, diagnostic CPT 45378 Colorectal Cancer Screening | $507.85 | $1,451.00 | 65% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy, Flexible, Proximal To Splenic Flexure; Dx, W/Wo Specimens/Colon Decomp (Sep Proc) | $507.85 | $1,451.00 | 65% |
| Colonoscopy, diagnostic CPT 45378 Hc Diagnostic Colonoscopy | $1,177.40 | $3,364.00 | 65% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy, Flexible, Proximal To Splenic Flexure; Dx, W/Wo Specimens/Colon Decomp (Sep Proc) | $507.85 | $1,451.00 | 65% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Diagnostic | $507.85 | $1,451.00 | 65% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colorectal Cancer Screening | $507.85 | $1,451.00 | 65% |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Diagnostic Colonoscopy | $1,177.40 | $3,364.00 | 65% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy, Surgical; Cholecystectomy | $1,222.55 | $3,493.00 | 65% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy, Surgical; Cholecystectomy | $1,222.55 | $3,493.00 | 65% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair, Initial Inguinal Hernia, Age 5+; Reducible | $864.94 | $2,471.26 | 65% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Repair, Initial Inguinal Hernia, Age 5+; Reducible | $864.94 | $2,471.26 | 65% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy, Knee, Surgical; W/Meniscectomy, Medial/Lateral, W/Shaving | $1,300.60 | $3,716.00 | 65% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthroscopy, Knee, Surgical; W/Meniscectomy, Medial/Lateral, W/Shaving | $1,300.60 | $3,716.00 | 65% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission, Secondary Membranous Cataract; Laser (1+ Stages) | $672.88 | $1,922.50 | 65% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc After Cataract Laser Surgery | $1,209.86 | $3,456.75 | 65% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Discission, Secondary Membranous Cataract; Laser (1+ Stages) | $672.88 | $1,922.50 | 65% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc After Cataract Laser Surgery | $1,209.86 | $3,456.75 | 65% |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Hrt Cath W/Ventrclgrphy | $4,002.25 | $11,435.00 | 65% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Left Hrt Cath W/Ventrclgrphy | $4,002.25 | $11,435.00 | 65% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Njx Interlaminar Lmbr/Sac W/ Imaging Guidance | $1,014.96 | $2,899.88 | 65% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Njx Interlaminar Lmbr/Sac W/ Imaging Guidance | $1,014.96 | $2,899.88 | 65% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hcnjx Interlaminar Lmbr/Sac W/O Imaging Guidance | $1,667.38 | $4,763.94 | 65% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hcnjx Interlaminar Lmbr/Sac W/O Imaging Guidance | $1,667.38 | $4,763.94 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection, Anesthetic/Steroid, Transforaminal Epidural; Lumbar/Sacral, Single Level | $228.54 | $652.98 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Su L-Spine Epidural Injection | $228.54 | $652.98 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Foramen Epidural Lumbar/Sacral, Single Level, Image Guided | $1,333.74 | $3,810.70 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Foramen Epidural L/S | $1,333.74 | $3,810.70 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Su L-Spine Epidural Injection | $228.54 | $652.98 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection, Anesthetic/Steroid, Transforaminal Epidural; Lumbar/Sacral, Single Level | $228.54 | $652.98 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Foramen Epidural Lumbar/Sacral, Single Level, Image Guided | $1,333.74 | $3,810.70 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Foramen Epidural L/S | $1,333.74 | $3,810.70 | 65% |
| Prostate biopsy CPT 55700 Su Prostate Needle Biopsy | $186.35 | $532.43 | 65% |
| Prostate biopsy CPT 55700 Biopsy, Prostate; Needle/Punch, Single/Multiple, Any Approach | $186.35 | $532.43 | 65% |
| Prostate biopsy CPT 55700 Hc Biopsy Of Prostate | $1,636.90 | $4,676.87 | 65% |
| Prostate biopsy inpatient CPT 55700 Biopsy, Prostate; Needle/Punch, Single/Multiple, Any Approach | $186.35 | $532.43 | 65% |
| Prostate biopsy inpatient CPT 55700 Su Prostate Needle Biopsy | $186.35 | $532.43 | 65% |
| Prostate biopsy inpatient CPT 55700 Hc Biopsy Of Prostate | $1,636.90 | $4,676.87 | 65% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparoscopy, Surgical Prostatectomy, Retropubic Radical, W/Nerve Sparing | $2,911.51 | $8,318.60 | 65% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laparoscopy, Surgical Prostatectomy, Retropubic Radical, W/Nerve Sparing | $2,911.51 | $8,318.60 | 65% |
| Removal of a breast lump, open surgery CPT 19120 Excision, Breast Lesion(S), Open, Male/Female; 1 Or More | $541.86 | $1,548.17 | 65% |
| Removal of a breast lump, open surgery CPT 19120 Hc Removal Of Breast Lesion | $3,710.97 | $10,602.77 | 65% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Excision, Breast Lesion(S), Open, Male/Female; 1 Or More | $541.86 | $1,548.17 | 65% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Removal Of Breast Lesion | $3,710.97 | $10,602.77 | 65% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Arthroscopy, Shoulder, Surgical; Decompression, Subacromial Space W/Partial Acromioplasty | $1,103.55 | $3,153.00 | 65% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Arthroscopy, Shoulder, Surgical; Decompression, Subacromial Space W/Partial Acromioplasty | $1,103.55 | $3,153.00 | 65% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy; < Age 12 | $727.25 | $2,077.86 | 65% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy; < Age 12 | $727.25 | $2,077.86 | 65% |
| Total hip replacement CPT 27130 Arthroplasty, Acetabular/Proximal Femoral Prosthetic Replacement, W/Wo Autograft/Allograft | $3,825.49 | $10,929.98 | 65% |
| Total hip replacement inpatient CPT 27130 Arthroplasty, Acetabular/Proximal Femoral Prosthetic Replacement, W/Wo Autograft/Allograft | $3,825.49 | $10,929.98 | 65% |
| Total knee replacement CPT 27447 Arthroplasty, Knee, Condyle & Plateau; Medial & Lateral Compartments, W/Wo Patella Resurfacing | $3,270.32 | $9,343.78 | 65% |
| Total knee replacement inpatient CPT 27447 Arthroplasty, Knee, Condyle & Plateau; Medial & Lateral Compartments, W/Wo Patella Resurfacing | $3,270.32 | $9,343.78 | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper Gi Endoscopy; W/Biopsy, Single/Multiple | $379.07 | $1,083.07 | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper For Biopsy | $379.07 | $1,083.07 | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Upper Gi Endoscopy Biopsy | $1,184.11 | $3,383.18 | 65% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper For Biopsy | $379.07 | $1,083.07 | 65% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Gi Endoscopy; W/Biopsy, Single/Multiple | $379.07 | $1,083.07 | 65% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Upper Gi Endoscopy Biopsy | $1,184.11 | $3,383.18 | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Upper Gi Endoscopy; Dx, W/Wo Specimen Collection, Brushing/Washing (Sep Proc) | $329.68 | $941.93 | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Upper Endoscopy | $329.68 | $941.93 | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Uppr Gi Endoscopy Diagnosis | $1,184.11 | $3,383.18 | 65% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper Endoscopy | $329.68 | $941.93 | 65% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper Gi Endoscopy; Dx, W/Wo Specimen Collection, Brushing/Washing (Sep Proc) | $329.68 | $941.93 | 65% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Uppr Gi Endoscopy Diagnosis | $1,184.11 | $3,383.18 | 65% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine Obstetric Care, Vaginal Delivery, W/Antepartum, Postpartum Care, Previous C-Section | $1,899.98 | $5,428.51 | 65% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine Obstetric Care, Vaginal Delivery, W/Antepartum, Postpartum Care, Previous C-Section | $1,899.98 | $5,428.51 | 65% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Routine Obstetric Care, Antepartum Care, Vaginal Delivery, & Postpartum Care | $1,576.75 | $4,505.01 | 65% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Routine Obstetric Care, Antepartum Care, Vaginal Delivery, & Postpartum Care | $1,576.75 | $4,505.01 | 65% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg-Tracing&Interpretation | $51.10 | $146.00 | 65% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg-Tracing&Interpretation | $51.10 | $146.00 | 65% |
| Family therapy with the patient, 50 minutes CPT 90847 Special Family Therapy W/Pt | $105.00 | $300.00 | 65% |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Therapy W Patient | $204.40 | $584.00 | 65% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Special Family Therapy W/Pt | $105.00 | $300.00 | 65% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Therapy W Patient | $204.40 | $584.00 | 65% |
| Family therapy without the patient, 50 minutes CPT 90846 Special Family Therapy Wo/Pt | $91.70 | $262.00 | 65% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Therapy Wo Patient | $204.40 | $584.00 | 65% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Special Family Therapy Wo/Pt | $91.70 | $262.00 | 65% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Therapy Wo Patient | $204.40 | $584.00 | 65% |
| Group psychotherapy session CPT 90853 Special Group Therapy 1 Hr | $33.60 | $96.00 | 65% |
| Group psychotherapy session CPT 90853 Hc Group Therapy | $136.15 | $389.00 | 65% |
| Group psychotherapy session inpatient CPT 90853 Special Group Therapy 1 Hr | $33.60 | $96.00 | 65% |
| Group psychotherapy session inpatient CPT 90853 Hc Group Therapy | $136.15 | $389.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 Lvl 3 New Pt, Low Mdm, Minimum Of 30 Minutes | $68.60 | $196.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 Provider-New Lvl 3 Pro Only | $68.60 | $196.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Provider-New Lvl 3 Pro Only | $68.60 | $196.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Lvl 3 New Pt, Low Mdm, Minimum Of 30 Minutes | $68.60 | $196.00 | 65% |
| New patient office visit, about 45 minutes CPT 99204 Lvl 4 New Pt, Moderate Mdm, Minimum Of 45 Minutes | $85.40 | $244.00 | 65% |
| New patient office visit, about 45 minutes CPT 99204 Provider-New Lvl 4 Pro Only | $85.40 | $244.00 | 65% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Lvl 4 New Pt, Moderate Mdm, Minimum Of 45 Minutes | $85.40 | $244.00 | 65% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Provider-New Lvl 4 Pro Only | $85.40 | $244.00 | 65% |
| New patient office visit, about 60 minutes CPT 99205 Provider-New Lvl 5 Pro Only | $108.85 | $311.00 | 65% |
| New patient office visit, about 60 minutes CPT 99205 Lvl 5 New Pt, High Mdm , 60-74 Minutes | $108.85 | $311.00 | 65% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Provider-New Lvl 5 Pro Only | $108.85 | $311.00 | 65% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Lvl 5 New Pt, High Mdm , 60-74 Minutes | $108.85 | $311.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises | $16.45 | $47.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise | $32.90 | $94.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise | $80.50 | $230.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises | $16.45 | $47.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise | $32.90 | $94.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise | $80.50 | $230.00 | 65% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Preventive, Age 18-39 Yrs, New | $60.90 | $174.00 | 65% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prevent E/M, New Pat 18-39 Yrs | $119.00 | $340.00 | 65% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Preventive, Age 18-39 Yrs, New | $60.90 | $174.00 | 65% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prevent E/M, New Pat 18-39 Yrs | $119.00 | $340.00 | 65% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Preventive, Age 40-64 Yrs, New | $66.15 | $189.00 | 65% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Prevent E/M, New Pat 40-64 Yrs | $119.00 | $340.00 | 65% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive, Age 40-64 Yrs, New | $66.15 | $189.00 | 65% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prevent E/M, New Pat 40-64 Yrs | $119.00 | $340.00 | 65% |
| Psychotherapy session, 30 minutes CPT 90832 Individual Psychotherapy 16-37 Minutes | $59.50 | $170.00 | 65% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Individual Psychotherapy 16-37 Minutes | $204.40 | $584.00 | 65% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Individual Psychotherapy 16-37 Minutes | $59.50 | $170.00 | 65% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Individual Psychotherapy 16-37 Minutes | $204.40 | $584.00 | 65% |
| Psychotherapy session, 45 minutes CPT 90834 Individual Psychotherapy 38-52 Minutes | $91.00 | $260.00 | 65% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Individual Psychotherapy 38-52 Minutes | $204.40 | $584.00 | 65% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Individual Psychotherapy 38-52 Minutes | $91.00 | $260.00 | 65% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Individual Psychotherapy 38-52 Minutes | $204.40 | $584.00 | 65% |
| Psychotherapy session, 60 minutes CPT 90837 Individual Psychotherapy 53 Or More Minutes | $96.95 | $277.00 | 65% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Individual Psychotherapy 53 Or More Minutes | $204.40 | $584.00 | 65% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Individual Psychotherapy 53 Or More Minutes | $96.95 | $277.00 | 65% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Individual Psychotherapy 53 Or More Minutes | $204.40 | $584.00 | 65% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consult Lvl 3 Pro Only | $115.85 | $331.00 | 65% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Or Other Outpatient, Consult, Low Mdm, 30-39 Minutes | $115.85 | $331.00 | 65% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Consult Lvl 3 Pro Only | $115.85 | $331.00 | 65% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Or Other Outpatient, Consult, Low Mdm, 30-39 Minutes | $115.85 | $331.00 | 65% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Or Other Outpatient, Consult, Moderate Mdm, 40-54 Minutes | $162.05 | $463.00 | 65% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consult Lvl 4 Pro Only | $162.05 | $463.00 | 65% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Or Other Outpatient, Consult, Moderate Mdm, 40-54 Minutes | $162.05 | $463.00 | 65% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Consult Lvl 4 Pro Only | $162.05 | $463.00 | 65% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 Surg Placement Of Implant Body | $720.30 | $2,058.00 | 65% |
| Dental implant, surgical placement inpatient CDT D6010 Surg Placement Of Implant Body | $720.30 | $2,058.00 | 65% |
| Porcelain crown CDT D2740 Crown - Porcelain/Ceramic Sub* | $455.00 | $1,300.00 | 65% |
| Porcelain crown CDT D2740 Hc Crown - Porcelain/Ceramic | $458.85 | $1,311.00 | 65% |
| Porcelain crown inpatient CDT D2740 Crown - Porcelain/Ceramic Sub* | $455.00 | $1,300.00 | 65% |
| Porcelain crown inpatient CDT D2740 Hc Crown - Porcelain/Ceramic | $458.85 | $1,311.00 | 65% |