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Hospital

Nemours Children's Hospital

Nemours Children's Hospital publishes cash prices for 30 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

6535 Nemours Parkway Collected Sep 22, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Ab & Pelvis With Contrast $3,357.00 $3,357.00 —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Ab & Pelvis With Contrast $3,357.00 $3,357.00 —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Ab & Pelvis With Contrast $3,357.00 $3,357.00 —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Ab & Pelvis With Contrast $3,357.00 $3,357.00 —
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Cont $3,710.00 $3,710.00 —
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Cont $3,710.00 $3,710.00 —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Cont $3,710.00 $3,710.00 —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Cont $3,710.00 $3,710.00 —
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Cont $4,024.00 $4,024.00 —
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/ Cont $4,024.00 $4,024.00 —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/ Cont $4,024.00 $4,024.00 —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/ Cont $4,024.00 $4,024.00 —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Lower Ext Joint W/O Cont $3,928.00 $3,928.00 —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Lower Ext Joint W/O Cont $3,928.00 $3,928.00 —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Lower Ext Joint W/O Cont $3,928.00 $3,928.00 —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Lower Ext Joint W/O Cont $3,928.00 $3,928.00 —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Ext Join W/&W/O $5,106.00 $5,106.00 —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Ext Join W/&W/O $5,106.00 $5,106.00 —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lower Ext Join W/&W/O $5,106.00 $5,106.00 —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lower Ext Join W/&W/O $5,106.00 $5,106.00 —
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast $4,817.00 $4,817.00 —
MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast $4,817.00 $4,817.00 —
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast $4,817.00 $4,817.00 —
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast $4,817.00 $4,817.00 —
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/ W/O Cont $6,261.00 $6,261.00 —
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/ W/O Cont $6,261.00 $6,261.00 —
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/ W/O Cont $6,261.00 $6,261.00 —
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W/ W/O Cont $6,261.00 $6,261.00 —
MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar W/O Cont $5,260.00 $5,260.00 —
MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar W/O Cont $5,260.00 $5,260.00 —
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar W/O Cont $5,260.00 $5,260.00 —
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar W/O Cont $5,260.00 $5,260.00 —
Sleep study in a lab (polysomnography) CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score $7,974.00 $7,974.00 —
Sleep study in a lab (polysomnography) CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score $7,974.00 $7,974.00 —
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score $7,974.00 $7,974.00 —
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom > 6 Y/O With Sleep Stage /8+Param/Initiate Study/Score $7,974.00 $7,974.00 —
Transvaginal pelvic ultrasound CPT 76830 Uls Transvaginal $1,160.00 $1,160.00 —
Transvaginal pelvic ultrasound CPT 76830 Uls Transvaginal $1,160.00 $1,160.00 —
Transvaginal pelvic ultrasound inpatient CPT 76830 Uls Transvaginal $1,160.00 $1,160.00 —
Transvaginal pelvic ultrasound inpatient CPT 76830 Uls Transvaginal $1,160.00 $1,160.00 —
Ultrasound of the abdomen, complete CPT 76700 Uls Abdominal Complete $1,082.00 $1,082.00 —
Ultrasound of the abdomen, complete CPT 76700 Uls Abdominal Complete $1,082.00 $1,082.00 —
Ultrasound of the abdomen, complete inpatient CPT 76700 Uls Abdominal Complete $1,082.00 $1,082.00 —
Ultrasound of the abdomen, complete inpatient CPT 76700 Uls Abdominal Complete $1,082.00 $1,082.00 —
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4 Vw $645.00 $645.00 —
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4 Vw $645.00 $645.00 —
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4 Vw $645.00 $645.00 —
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4 Vw $645.00 $645.00 —

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel $407.00 $407.00 —
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel $407.00 $407.00 —
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel $407.00 $407.00 —
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel $407.00 $407.00 —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Fractionation $290.00 $290.00 —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Fractionation $290.00 $290.00 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Fractionation $290.00 $290.00 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Fractionation $290.00 $290.00 —
Complete blood count (CBC) with differential CPT 85025 Cbc With Differential $255.00 $255.00 —
Complete blood count (CBC) with differential CPT 85025 Cbc With Differential $255.00 $255.00 —
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Differential $255.00 $255.00 —
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Differential $255.00 $255.00 —
Complete blood count (CBC), no differential CPT 85027 Cbc Complete $186.00 $186.00 —
Complete blood count (CBC), no differential CPT 85027 Cbc Complete $186.00 $186.00 —
Complete blood count (CBC), no differential CPT 85027 Cbc Complete (D-Hemogram) $190.00 $190.00 —
Complete blood count (CBC), no differential CPT 85027 Cbc Complete (D-Hemogram) $190.00 $190.00 —
Complete blood count (CBC), no differential CPT 85027 Hemoglobinopathy Cbc Component Referred $345.00 $345.00 —
Complete blood count (CBC), no differential CPT 85027 Hemoglobinopathy Cbc Component Referred $345.00 $345.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete $186.00 $186.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete $186.00 $186.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete (D-Hemogram) $190.00 $190.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Complete (D-Hemogram) $190.00 $190.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 Hemoglobinopathy Cbc Component Referred $345.00 $345.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 Hemoglobinopathy Cbc Component Referred $345.00 $345.00 —
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $571.00 $571.00 —
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $571.00 $571.00 —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $571.00 $571.00 —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $571.00 $571.00 —
Kidney function blood test panel CPT 80069 Renal Function Panel $466.00 $466.00 —
Kidney function blood test panel CPT 80069 Renal Function Panel $466.00 $466.00 —
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $466.00 $466.00 —
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $466.00 $466.00 —
Liver function blood test panel CPT 80076 Hepatic Function Panel $296.00 $296.00 —
Liver function blood test panel CPT 80076 Hepatic Function Panel $296.00 $296.00 —
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $296.00 $296.00 —
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $296.00 $296.00 —
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Referred $14.00 $14.00 —
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Referred $14.00 $14.00 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Referred $14.00 $14.00 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Referred $14.00 $14.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin Time Referred $13.00 $13.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin Time Referred $13.00 $13.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred $17.00 $17.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred $17.00 $17.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Profile Component 3 $42.00 $42.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Profile Component 3 $42.00 $42.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred $48.00 $48.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred $48.00 $48.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Thrombo Time, Partial (Ptt) $86.00 $86.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Thrombo Time, Partial (Ptt) $86.00 $86.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Extracted Ptt $194.00 $194.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Extracted Ptt $194.00 $194.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin $198.00 $198.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Prothrombin $198.00 $198.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin Time Referred $13.00 $13.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin Time Referred $13.00 $13.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred $17.00 $17.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#5 Referred $17.00 $17.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Profile Component 3 $42.00 $42.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Profile Component 3 $42.00 $42.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred $48.00 $48.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Factor VIII Inhibitor Compr Comp 2 Referred $48.00 $48.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thrombo Time, Partial (Ptt) $86.00 $86.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thrombo Time, Partial (Ptt) $86.00 $86.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Extracted Ptt $194.00 $194.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Extracted Ptt $194.00 $194.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin $198.00 $198.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Prothrombin $198.00 $198.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Component 1 Referred $13.00 $13.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Component 1 Referred $13.00 $13.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred $24.00 $24.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred $24.00 $24.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoagulant Profile Component 1 $42.00 $42.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoagulant Profile Component 1 $42.00 $42.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $198.00 $198.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $198.00 $198.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Component 1 Referred $13.00 $13.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Component 1 Referred $13.00 $13.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred $24.00 $24.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Ena+Complement+Ptt+Pt+Tt+Drvvt+Dna/Na/Ds+Hexphos+Abs Comp#7 Referred $24.00 $24.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoagulant Profile Component 1 $42.00 $42.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoagulant Profile Component 1 $42.00 $42.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $198.00 $198.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $198.00 $198.00 —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum $74.00 $74.00 —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum $74.00 $74.00 —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $367.00 $367.00 —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $367.00 $367.00 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum $74.00 $74.00 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid-Stimulating Hormone-Sensitive (S-Tsh) Serum $74.00 $74.00 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $367.00 $367.00 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $367.00 $367.00 —
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Automated W/ Micro $181.00 $181.00 —
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Automated W/ Micro $181.00 $181.00 —
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Automated W/ Micro $181.00 $181.00 —
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Automated W/ Micro $181.00 $181.00 —
Urinalysis without microscope exam, automated CPT 81003 Point of Care, Urinalysis $29.00 $29.00 —
Urinalysis without microscope exam, automated CPT 81003 Point of Care, Urinalysis $29.00 $29.00 —
Urinalysis without microscope exam, automated CPT 81003 Glucose - Urine $84.00 $84.00 —
Urinalysis without microscope exam, automated CPT 81003 Glucose - Urine $84.00 $84.00 —
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro $166.00 $166.00 —
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro $166.00 $166.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Point of Care, Urinalysis $29.00 $29.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Point of Care, Urinalysis $29.00 $29.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose - Urine $84.00 $84.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose - Urine $84.00 $84.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro $166.00 $166.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro $166.00 $166.00 —

Surgery and procedures

ProcedureCash price List priceOff list
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclogrphy $19,823.00 $19,823.00 —
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclogrphy $19,823.00 $19,823.00 —
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclogrphy $19,823.00 $19,823.00 —
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclogrphy $19,823.00 $19,823.00 —
Lower-back epidural injection, with imaging guidance CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image $2,696.00 $2,696.00 —
Lower-back epidural injection, with imaging guidance CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image $2,696.00 $2,696.00 —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image $2,696.00 $2,696.00 —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbar/Sacral W/Image $2,696.00 $2,696.00 —
Lower-back epidural injection, without imaging guidance CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image $2,696.00 $2,696.00 —
Lower-back epidural injection, without imaging guidance CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image $2,696.00 $2,696.00 —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image $2,696.00 $2,696.00 —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inject Dx/Ther Not Incl Neuro W/ Ndl/Cath Plcmt Lumbr/Sacr W/Out Image $2,696.00 $2,696.00 —
Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple $4,166.00 $4,166.00 —
Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple $4,166.00 $4,166.00 —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple $4,166.00 $4,166.00 —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Flex Transoral W/Biopsy Single/Multiple $4,166.00 $4,166.00 —

Doctor visits and therapy

ProcedureCash price List priceOff list
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Ther Exercise $318.00 $318.00 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Exercise $318.00 $318.00 —

Source file: https://www.nemours.org/content/dam/nemours/nemours-org/en/documents/590634433-1245520386_Nemours-Childrens-Hospital_standardcharges.csv