Mat-Su Valley Medical Center LLC
Mat-Su Valley Medical Center LLC in Woodworth Loop Palmer, AK publishes cash prices for 52 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 South Woodworth Loop Palmer, AK 99645 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $1,554.90 | $5,183.00 | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $1,554.90 | $5,183.00 | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis with Rectal W | $1,554.90 | $5,183.00 | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W | $1,554.90 | $5,183.00 | 70% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $2,591.50 | $5,183.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis with Rectal W | $2,591.50 | $5,183.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $2,591.50 | $5,183.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W | $2,591.50 | $5,183.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $1,246.20 | $4,154.00 | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $1,246.20 | $4,154.00 | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO | $1,246.20 | $4,154.00 | 70% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $2,077.00 | $4,154.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $2,077.00 | $4,154.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO | $2,077.00 | $4,154.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,526.10 | $5,087.00 | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W | $1,526.10 | $5,087.00 | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with Rectal W | $1,526.10 | $5,087.00 | 70% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with Rectal W | $2,543.50 | $5,087.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W | $2,543.50 | $5,087.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $2,543.50 | $5,087.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $93.00 | $310.00 | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $155.00 | $310.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $74.70 | $249.00 | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $74.70 | $249.00 | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $124.50 | $249.00 | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $124.50 | $249.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $1,893.90 | $6,313.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $1,893.90 | $6,313.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $1,893.90 | $6,313.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $1,893.90 | $6,313.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $1,893.90 | $6,313.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $1,893.90 | $6,313.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $3,156.50 | $6,313.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $3,156.50 | $6,313.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $3,156.50 | $6,313.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $3,156.50 | $6,313.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $3,156.50 | $6,313.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $3,156.50 | $6,313.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $2,074.80 | $6,916.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $2,074.80 | $6,916.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $2,074.80 | $6,916.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $2,074.80 | $6,916.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $2,074.80 | $6,916.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $2,074.80 | $6,916.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $3,458.00 | $6,916.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $3,458.00 | $6,916.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $3,458.00 | $6,916.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $3,458.00 | $6,916.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $3,458.00 | $6,916.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $3,458.00 | $6,916.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRV Brain WO | $1,540.50 | $5,135.00 | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $1,540.50 | $5,135.00 | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $1,540.50 | $5,135.00 | 70% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $2,567.50 | $5,135.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $2,567.50 | $5,135.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO | $2,567.50 | $5,135.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $2,398.80 | $7,996.00 | 70% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $3,998.00 | $7,996.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $2,009.70 | $6,699.00 | 70% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $3,349.50 | $6,699.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $580.80 | $1,936.00 | 70% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $968.00 | $1,936.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $81.00 | $270.00 | 70% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD | $81.00 | $270.00 | 70% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD | $81.00 | $270.00 | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $135.00 | $270.00 | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD | $135.00 | $270.00 | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD | $135.00 | $270.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $3,384.60 | $11,282.00 | 70% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $5,641.00 | $11,282.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $311.40 | $1,038.00 | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $519.00 | $1,038.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $482.70 | $1,609.00 | 70% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $804.50 | $1,609.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $365.40 | $1,218.00 | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $609.00 | $1,218.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $86.10 | $287.00 | 70% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $143.50 | $287.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LipidRfxLDLDM | $102.00 | $340.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L884247 LIPID PANEL | $102.00 | $340.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L884247 LIPID PANEL | $170.00 | $340.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LipidRfxLDLDM | $170.00 | $340.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto LNI (UC) | $101.40 | $338.00 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $101.40 | $338.00 | 70% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto | $101.40 | $338.00 | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto | $169.00 | $338.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto LNI (UC) | $169.00 | $338.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $169.00 | $338.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/o Diff | $80.70 | $269.00 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $80.70 | $269.00 | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/o Diff | $134.50 | $269.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $134.50 | $269.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $104.10 | $347.00 | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $173.50 | $347.00 | 50% |
| Kidney function blood test panel CPT 80069 RFP | $81.00 | $270.00 | 70% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $81.00 | $270.00 | 70% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $135.00 | $270.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $135.00 | $270.00 | 50% |
| Liver function blood test panel CPT 80076 HFP | $59.10 | $197.00 | 70% |
| Liver function blood test panel inpatient CPT 80076 HFP | $98.50 | $197.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $79.50 | $265.00 | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $132.50 | $265.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultrasensitive W/O Serial LC | $95.40 | $318.00 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $95.40 | $318.00 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $95.40 | $318.00 | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $159.00 | $318.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $159.00 | $318.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultrasensitive W/O Serial LC | $159.00 | $318.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $95.40 | $318.00 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117199 THROMBO TIME | $95.40 | $318.00 | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117199 THROMBO TIME | $159.00 | $318.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $159.00 | $318.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $23.70 | $79.00 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $39.50 | $79.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $88.50 | $295.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $88.50 | $295.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $88.50 | $295.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 L620 84443 TSH | $88.50 | $295.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $88.50 | $295.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 L620 TSH | $88.50 | $295.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 L620 TSH | $147.50 | $295.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 L620 84443 TSH | $147.50 | $295.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $147.50 | $295.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $147.50 | $295.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $147.50 | $295.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $147.50 | $295.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $63.30 | $211.00 | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $105.50 | $211.00 | 50% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual | $93.30 | $311.00 | 70% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $93.30 | $311.00 | 70% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $155.50 | $311.00 | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual | $155.50 | $311.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $43.80 | $146.00 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $43.80 | $146.00 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated | $43.80 | $146.00 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated | $73.00 | $146.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $73.00 | $146.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $73.00 | $146.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $18.00 | $60.00 | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $30.00 | $60.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $4,243.77 | $14,145.89 | 70% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $3,925.70 | $13,085.65 | 70% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,913.57 | $9,711.90 | 70% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $16,503.10 | $55,010.34 | 70% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $13,783.83 | $45,946.11 | 70% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $14,264.11 | $47,547.03 | 70% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $43,044.45 | $143,481.50 | 70% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $15,592.91 | $51,976.35 | 70% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $16,945.88 | $56,486.28 | 70% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $5,982.99 | $19,943.30 | 70% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $25,535.47 | $85,118.23 | 70% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $12,221.62 | $40,738.72 | 70% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $28,040.79 | $93,469.30 | 70% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $10,345.67 | $34,485.58 | 70% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $43,373.94 | $144,579.80 | 70% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $40,454.10 | $134,847.01 | 70% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $4,173.59 | $13,911.97 | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $3,560.33 | $11,867.78 | 70% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 60 minutes CPT 99205 99205 - Clinic New Level 5 | $118.50 | $395.00 | 70% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 - Clinic New Level 5 | $197.50 | $395.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $108.30 | $361.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $108.30 | $361.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $108.30 | $361.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $108.30 | $361.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $180.50 | $361.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $180.50 | $361.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $180.50 | $361.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $180.50 | $361.00 | 50% |