La Porte Hospital Company LLC
La Porte Hospital Company LLC in La Porte, IN publishes cash prices for 68 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.
1331 State Street, La Porte, IN 46350 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 Abdomen Pelvis W | $1,145.43 | $3,471.01 | 67% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis | $1,145.43 | $3,471.01 | 67% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis | $1,874.35 | $3,471.01 | 46% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $1,874.35 | $3,471.01 | 46% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $1,018.10 | $3,085.14 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $1,018.10 | $3,085.14 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $1,665.98 | $3,085.14 | 46% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $1,665.98 | $3,085.14 | 46% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,145.43 | $3,471.01 | 67% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $1,874.35 | $3,471.01 | 46% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $219.92 | $666.41 | 67% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $219.92 | $666.41 | 67% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $359.86 | $666.41 | 46% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $359.86 | $666.41 | 46% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $173.13 | $524.63 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $173.13 | $524.63 | 67% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT | $173.13 | $524.63 | 67% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $283.30 | $524.63 | 46% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $283.30 | $524.63 | 46% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT | $283.30 | $524.63 | 46% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $1,272.76 | $3,856.86 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $1,272.76 | $3,856.86 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $1,272.76 | $3,856.86 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $1,272.76 | $3,856.86 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $1,272.76 | $3,856.86 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $1,272.76 | $3,856.86 | 67% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $2,082.70 | $3,856.86 | 46% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $2,082.70 | $3,856.86 | 46% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $2,082.70 | $3,856.86 | 46% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $2,082.70 | $3,856.86 | 46% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $2,082.70 | $3,856.86 | 46% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $2,082.70 | $3,856.86 | 46% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $1,272.76 | $3,856.86 | 67% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $2,082.70 | $3,856.86 | 46% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $1,527.41 | $4,628.51 | 67% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $2,499.40 | $4,628.51 | 46% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $1,272.76 | $3,856.86 | 67% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $2,082.70 | $3,856.86 | 46% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 Preg Compl. >14 Wks | $123.09 | $373.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $123.09 | $373.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG | $578.74 | $1,753.75 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $578.74 | $1,753.75 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $201.42 | $373.00 | 46% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 Preg Compl. >14 Wks | $201.42 | $373.00 | 46% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG | $947.03 | $1,753.75 | 46% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $947.03 | $1,753.75 | 46% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $168.80 | $511.51 | 67% |
| Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $168.80 | $511.51 | 67% |
| Screening mammogram, both breasts CPT 77067 77067 BR-DIG MAMMO SCRN UN | $168.80 | $511.51 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD | $168.80 | $511.51 | 67% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD | $168.80 | $511.51 | 67% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $276.22 | $511.51 | 46% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $276.22 | $511.51 | 46% |
| Screening mammogram, both breasts inpatient CPT 77067 77067 BR-DIG MAMMO SCRN UN | $276.22 | $511.51 | 46% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD | $276.22 | $511.51 | 46% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD | $276.22 | $511.51 | 46% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $530.97 | $1,609.00 | 67% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $2,303.40 | $6,979.99 | 67% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $868.86 | $1,609.00 | 46% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $3,769.19 | $6,979.99 | 46% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal Non OB AMB | $105.27 | $319.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Vaginal, Non | $105.27 | $319.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL | $512.19 | $1,552.08 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $512.19 | $1,552.08 | 67% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Vaginal, Non | $172.26 | $319.00 | 46% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal Non OB AMB | $172.26 | $319.00 | 46% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL | $838.12 | $1,552.08 | 46% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $838.12 | $1,552.08 | 46% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US Abdomen Complete AMB | $105.60 | $320.00 | 67% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $654.94 | $1,984.68 | 67% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US Abdomen Complete AMB | $172.80 | $320.00 | 46% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,071.73 | $1,984.68 | 46% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $289.87 | $878.38 | 67% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $289.87 | $878.38 | 67% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $474.33 | $878.38 | 46% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $474.33 | $878.38 | 46% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $77.80 | $235.76 | 67% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $127.31 | $235.76 | 46% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile POC AMB | $16.83 | $51.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $138.41 | $419.42 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile POC AMB | $27.54 | $51.00 | 46% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $226.49 | $419.42 | 46% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $14.85 | $45.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $88.26 | $267.44 | 67% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $24.30 | $45.00 | 46% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $144.42 | $267.44 | 46% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $47.75 | $144.71 | 67% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $47.75 | $144.71 | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $78.14 | $144.71 | 46% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $78.14 | $144.71 | 46% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $131.18 | $397.51 | 67% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $214.66 | $397.51 | 46% |
| Kidney function blood test panel CPT 80069 RFP | $101.28 | $306.92 | 67% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $165.74 | $306.92 | 46% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $176.52 | $534.92 | 67% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $288.86 | $534.92 | 46% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS | $426.34 | $1,291.93 | 67% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS | $697.64 | $1,291.93 | 46% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $66.87 | $202.65 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $109.43 | $202.65 | 46% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $60.05 | $181.97 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $60.05 | $181.97 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $98.26 | $181.97 | 46% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $98.26 | $181.97 | 46% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117199 THROMBO TIME | $42.72 | $129.45 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $44.85 | $135.92 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated (LC) | $44.85 | $135.92 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 - L117079 APTT | $44.85 | $135.92 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117199 THROMBO TIME | $69.90 | $129.45 | 46% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 - L117079 APTT | $73.40 | $135.92 | 46% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated (LC) | $73.40 | $135.92 | 46% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $73.40 | $135.92 | 46% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin and INR POC AMB | $4.95 | $15.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $35.69 | $108.16 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L117028 PROTHROMBIN | $35.69 | $108.16 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $35.69 | $108.16 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 - L117079 PT | $35.69 | $108.16 | 67% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin and INR POC AMB | $8.10 | $15.00 | 46% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $58.41 | $108.16 | 46% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L117028 PROTHROMBIN | $58.41 | $108.16 | 46% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 - L117079 PT | $58.41 | $108.16 | 46% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $58.41 | $108.16 | 46% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total | $33.28 | $100.86 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $33.28 | $100.86 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH reflex to T4F (LC) | $33.28 | $100.86 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $33.28 | $100.86 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH | $33.28 | $100.86 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $54.46 | $100.86 | 46% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total | $54.46 | $100.86 | 46% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH | $54.46 | $100.86 | 46% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH reflex to T4F (LC) | $54.46 | $100.86 | 46% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $54.46 | $100.86 | 46% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Dipstick POC AMB | $3.63 | $11.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated | $55.95 | $169.54 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $55.95 | $169.54 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes | $55.95 | $169.54 | 67% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Dipstick POC AMB | $5.94 | $11.00 | 46% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes | $91.55 | $169.54 | 46% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated | $91.55 | $169.54 | 46% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $91.55 | $169.54 | 46% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $21.38 | $64.79 | 67% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $34.99 | $64.79 | 46% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Microsc POC 81003 | $9.90 | $30.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $45.01 | $136.40 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated | $47.26 | $143.22 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $47.26 | $143.22 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $47.26 | $143.22 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 81003 L306266 UA, AUTO, W-O SCOPE | $47.26 | $143.22 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $47.26 | $143.22 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No | $47.26 | $143.22 | 67% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Microsc POC 81003 | $16.20 | $30.00 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $73.66 | $136.40 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 L306266 UA, AUTO, W-O SCOPE | $77.34 | $143.22 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated | $77.34 | $143.22 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No | $77.34 | $143.22 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $77.34 | $143.22 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $77.34 | $143.22 | 46% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $77.34 | $143.22 | 46% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual w/o MicroSc POC | $2.97 | $9.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC | $21.38 | $64.79 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql | $21.38 | $64.79 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis w/o Microscopic Manual | $21.38 | $64.79 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $21.38 | $64.79 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Manual w/o MicroSc POC | $4.86 | $9.00 | 46% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql | $34.99 | $64.79 | 46% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC | $34.99 | $64.79 | 46% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $34.99 | $64.79 | 46% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis w/o Microscopic Manual | $34.99 | $64.79 | 46% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $557.37 | $1,689.00 | 67% |
| Cataract surgery with lens implant CPT 66984 66984 22 CATARACT SURG W/IOL 1 STAGE | $696.96 | $2,112.00 | 67% |
| Cataract surgery with lens implant CPT 66984 66984 50 CATARACT SURG W/IOL 1 STAGE66984 50 CATAR | $836.22 | $2,534.00 | 67% |
| Cataract surgery with lens implant CPT 66984 REMOVE CATARACT/INSERT LENS | $8,777.19 | $26,597.55 | 67% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $912.06 | $1,689.00 | 46% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 22 CATARACT SURG W/IOL 1 STAGE | $1,140.48 | $2,112.00 | 46% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 50 CATARACT SURG W/IOL 1 STAGE66984 50 CATAR | $1,368.36 | $2,534.00 | 46% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY | $1,973.40 | $5,980.00 | 67% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 22 CESAREAN DELIVERY | $2,466.75 | $7,475.00 | 67% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY | $3,229.20 | $5,980.00 | 46% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 22 CESAREAN DELIVERY | $4,036.50 | $7,475.00 | 46% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $231.00 | $700.00 | 67% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 22 COLONOSCOPY W/ENDOSCOPE US | $288.75 | $875.00 | 67% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $378.00 | $700.00 | 46% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 22 COLONOSCOPY W/ENDOSCOPE US | $472.50 | $875.00 | 46% |
| Colonoscopy with polyp removal CPT 45385 45385 LESION REMOVAL COLONOSCOPY | $227.70 | $690.00 | 67% |
| Colonoscopy with polyp removal CPT 45385 45385 22 LESION REMOVAL COLONOSCOPY | $284.79 | $863.00 | 67% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $7,598.39 | $23,025.41 | 67% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 LESION REMOVAL COLONOSCOPY | $598.32 | $1,108.00 | 46% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 22 LESION REMOVAL COLONOSCOPY | $747.90 | $1,385.00 | 46% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY | $179.52 | $544.00 | 67% |
| Colonoscopy with tissue sample CPT 45380 45380 22 COLONOSCOPY AND BIOPSY | $224.40 | $680.00 | 67% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $6,200.24 | $18,788.60 | 67% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY | $568.08 | $1,052.00 | 46% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 22 COLONOSCOPY AND BIOPSY | $710.10 | $1,315.00 | 46% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $165.00 | $500.00 | 67% |
| Colonoscopy, diagnostic CPT 45378 45378 22 DIAGNOSTIC COLONOSCOPY | $206.25 | $625.00 | 67% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $4,265.45 | $12,925.62 | 67% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $443.88 | $822.00 | 46% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 22 DIAGNOSTIC COLONOSCOPY | $555.12 | $1,028.00 | 46% |
| Gallbladder removal, laparoscopic CPT 47562 47562 - Laparoscopy, surgical; cholecystectomy | $556.05 | $1,685.00 | 67% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $563.64 | $1,708.00 | 67% |
| Gallbladder removal, laparoscopic CPT 47562 47562 22 LAPAROSCOPIC CHOLECYSTECTOMY | $704.55 | $2,135.00 | 67% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $24,761.33 | $75,034.32 | 67% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 - Laparoscopy, surgical; cholecystectomy | $909.90 | $1,685.00 | 46% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $922.32 | $1,708.00 | 46% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 22 LAPAROSCOPIC CHOLECYSTECTOMY | $1,152.90 | $2,135.00 | 46% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $445.83 | $1,351.00 | 67% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 22 PRP I/HERN INIT REDUC>5 YR | $557.37 | $1,689.00 | 67% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $668.91 | $2,027.00 | 67% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $18,253.51 | $55,313.67 | 67% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $729.54 | $1,351.00 | 46% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 22 PRP I/HERN INIT REDUC>5 YR | $912.06 | $1,689.00 | 46% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $1,094.58 | $2,027.00 | 46% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $465.63 | $1,411.00 | 67% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 22 KNEE ARTHROSCOPY/SURGERY | $582.12 | $1,764.00 | 67% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 50 KNEE ARTHROSCOPY/SURGERY | $698.61 | $2,117.00 | 67% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $17,217.96 | $52,175.63 | 67% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $761.94 | $1,411.00 | 46% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 22 KNEE ARTHROSCOPY/SURGERY | $952.56 | $1,764.00 | 46% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 50 KNEE ARTHROSCOPY/SURGERY | $1,143.18 | $2,117.00 | 46% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY | $269.61 | $817.00 | 67% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 22 AFTER CATARACT LASER SURGERY | $337.26 | $1,022.00 | 67% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $404.58 | $1,226.00 | 67% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY | $466.56 | $864.00 | 46% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 22 AFTER CATARACT LASER SURGERY | $583.20 | $1,080.00 | 46% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $699.84 | $1,296.00 | 46% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - Mac Lab 106 | $5,333.83 | $16,163.11 | 67% |
| Left heart catheterization, diagnostic CPT 93452 93452 - LHC Only | $5,333.83 | $16,163.11 | 67% |
| Left heart catheterization, diagnostic inpatient CPT 93452 93452 - LHC Only | $8,728.08 | $16,163.11 | 46% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - Mac Lab 106 | $8,728.08 | $16,163.11 | 46% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,870.94 | $5,669.50 | 67% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $219.78 | $407.00 | 46% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 22 NJX INTERLAMINAR LMBR/SAC | $274.86 | $509.00 | 46% |
| Prostate biopsy CPT 55700 55700 BIOPSY OF PROSTATE | $214.17 | $649.00 | 67% |
| Prostate biopsy CPT 55700 55700 22 BIOPSY OF PROSTATE | $267.96 | $812.00 | 67% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $13,639.46 | $41,331.71 | 67% |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY OF PROSTATE | $350.46 | $649.00 | 46% |
| Prostate biopsy inpatient CPT 55700 55700 22 BIOPSY OF PROSTATE | $438.48 | $812.00 | 46% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION | $352.44 | $1,068.00 | 67% |
| Removal of a breast lump, open surgery CPT 19120 19120 22 REMOVAL OF BREAST LESION | $440.55 | $1,335.00 | 67% |
| Removal of a breast lump, open surgery CPT 19120 19120 50 REMOVAL OF BREAST LESION | $528.66 | $1,602.00 | 67% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $12,953.95 | $39,254.40 | 67% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION | $684.72 | $1,268.00 | 46% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 22 REMOVAL OF BREAST LESION | $855.90 | $1,585.00 | 46% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 50 REMOVAL OF BREAST LESION | $1,027.08 | $1,902.00 | 46% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 50 SHOULDER ARTHROSCOPY/SURGERY | $228.69 | $693.00 | 67% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $21,981.52 | $66,610.68 | 67% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY | $249.48 | $462.00 | 46% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 22 SHOULDER ARTHROSCOPY/SURGERY | $312.12 | $578.00 | 46% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 50 SHOULDER ARTHROSCOPY/SURGERY | $374.22 | $693.00 | 46% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $13,126.30 | $39,776.67 | 67% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 22 REMOVE TONSILS AND ADENOIDS | $515.70 | $955.00 | 46% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,170.51 | $3,547.00 | 67% |
| Total hip replacement CPT 27130 27130 22 TOTAL HIP ARTHROPLASTY | $1,463.22 | $4,434.00 | 67% |
| Total hip replacement CPT 27130 27130 50 TOTAL HIP ARTHROPLASTY | $1,755.93 | $5,321.00 | 67% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $43,167.63 | $130,811.00 | 67% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,915.38 | $3,547.00 | 46% |
| Total hip replacement inpatient CPT 27130 27130 22 TOTAL HIP ARTHROPLASTY | $2,394.36 | $4,434.00 | 46% |
| Total hip replacement inpatient CPT 27130 27130 50 TOTAL HIP ARTHROPLASTY | $2,873.34 | $5,321.00 | 46% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $1,169.85 | $3,545.00 | 67% |
| Total knee replacement CPT 27447 27447 22 TOTAL KNEE ARTHROPLASTY | $1,462.56 | $4,432.00 | 67% |
| Total knee replacement CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $1,754.94 | $5,318.00 | 67% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $41,561.84 | $125,944.96 | 67% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $1,914.30 | $3,545.00 | 46% |
| Total knee replacement inpatient CPT 27447 27447 22 TOTAL KNEE ARTHROPLASTY | $2,393.28 | $4,432.00 | 46% |
| Total knee replacement inpatient CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $2,871.72 | $5,318.00 | 46% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 22 EGD BIOPSY SINGLE/MULTIPLE | $155.10 | $470.00 | 67% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $5,975.26 | $18,106.86 | 67% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $480.06 | $889.00 | 46% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 22 EGD BIOPSY SINGLE/MULTIPLE | $600.48 | $1,112.00 | 46% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $4,071.72 | $12,338.54 | 67% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $359.10 | $665.00 | 46% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 22 EGD DIAGNOSTIC BRUSH WASH | $449.28 | $832.00 | 46% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 OBSTETRICAL CARE | $1,784.31 | $5,407.00 | 67% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Obstetric Care Routine | $1,784.31 | $5,407.00 | 67% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 22 OBSTETRICAL CARE | $2,230.47 | $6,759.00 | 67% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 Obstetric Care Routine | $2,919.78 | $5,407.00 | 46% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 OBSTETRICAL CARE | $2,919.78 | $5,407.00 | 46% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 22 OBSTETRICAL CARE | $3,649.86 | $6,759.00 | 46% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG POC 93000 | $14.52 | $44.00 | 67% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 ELECTROCARDIOGRAM COMPLETE | $14.52 | $44.00 | 67% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG POC 93000 | $23.76 | $44.00 | 46% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 ELECTROCARDIOGRAM COMPLETE | $23.76 | $44.00 | 46% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy w/Patient Present 908477 | $94.71 | $287.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy w/Patient Present 908477 | $154.98 | $287.00 | 46% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $90.75 | $275.00 | 67% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $149.58 | $277.00 | 46% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $93.06 | $282.00 | 67% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $152.28 | $282.00 | 46% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $141.90 | $430.00 | 67% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $232.20 | $430.00 | 46% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $178.86 | $542.00 | 67% |
| New patient office visit, about 60 minutes CPT 99205 CHRG - WOUND CARE LEVEL 5 NEW PT | $566.20 | $1,715.77 | 67% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $292.68 | $542.00 | 46% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CHRG - WOUND CARE LEVEL 5 NEW PT | $926.52 | $1,715.77 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 181 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 175 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 258 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 182 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 189 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 183 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 186 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 184 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 185 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 257 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH THEREXRS-15MIN PT - REDOC 179 | $51.24 | $155.28 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 189 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 189 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 258 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 257 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 179 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 175 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 257 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 258 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 184 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 183 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 175 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA - REDOC 257 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 257 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 184 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 179 | $81.51 | $247.00 | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 179 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 185 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 257 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 186 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 184 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 189 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 183 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 258 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 182 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 181 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH THEREXRS-15MIN PT - REDOC 175 | $83.85 | $155.28 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 257 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 258 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 189 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 179 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 175 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 257 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 258 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 189 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 179 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 184 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 183 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 175 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA - REDOC 257 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 257 | $133.38 | $247.00 | 46% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 184 | $133.38 | $247.00 | 46% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $124.08 | $376.00 | 67% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $203.04 | $376.00 | 46% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $144.54 | $438.00 | 67% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $236.52 | $438.00 | 46% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $56.10 | $170.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $92.88 | $172.00 | 46% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $74.91 | $227.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $123.66 | $229.00 | 46% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $112.53 | $341.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $185.22 | $343.00 | 46% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULTATION | $116.16 | $352.00 | 67% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 OFFICE CONSULTATION | $190.08 | $352.00 | 46% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULTATION | $175.23 | $531.00 | 67% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 OFFICE CONSULTATION | $286.74 | $531.00 | 46% |