Riverside University Medical Center
Riverside University Medical Center in Moreno Valley, CA publishes cash prices for 57 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
26520 CACTUS AVENUE MORENO VALLEY CA 92555-3911 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/Contrast | $13,968.79 | $13,968.79 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $13,968.79 | $13,968.79 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $13,968.79 | $13,968.79 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $13,968.79 | $13,968.79 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head No Contrast | $7,854.66 | $7,854.66 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head No Contrast | $7,854.66 | $7,854.66 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head No Contrast | $7,854.66 | $7,854.66 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head No Contrast | $7,854.66 | $7,854.66 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Bone Pelvis W Contrast | $7,531.55 | $7,531.55 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Bone Pelvis W Contrast | $7,531.55 | $7,531.55 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Bone Pelvis W Contrast | $7,531.55 | $7,531.55 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Bone Pelvis W Contrast | $7,531.55 | $7,531.55 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Digital Bilat | $1,203.20 | $1,203.20 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Digital Bilat | $1,203.20 | $1,203.20 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Digital Bilat | $1,203.20 | $1,203.20 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Digital Bilat | $1,203.20 | $1,203.20 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Digital Unilat All Views | $803.50 | $803.50 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Digital Unilat All Views | $803.50 | $803.50 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Digital Unilat All Views | $803.50 | $803.50 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Digital Unilat All Views | $803.50 | $803.50 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extrem Joint WO Cont | $8,650.52 | $8,650.52 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extrem Joint WO Cont | $8,650.52 | $8,650.52 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extrem Joint WO Cont | $8,650.52 | $8,650.52 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extrem Joint WO Cont | $8,650.52 | $8,650.52 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extrem Join W & WO Cont | $8,939.87 | $8,939.87 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extrem Join W & WO Cont | $8,939.87 | $8,939.87 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extrem Join W & WO Cont | $8,939.87 | $8,939.87 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extrem Join W & WO Cont | $8,939.87 | $8,939.87 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast | $10,808.53 | $10,808.53 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast | $10,808.53 | $10,808.53 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Contrast | $10,808.53 | $10,808.53 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Contrast | $10,808.53 | $10,808.53 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W WO Contrast | $13,801.70 | $13,801.70 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W WO Contrast | $13,801.70 | $13,801.70 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W WO Contrast | $13,801.70 | $13,801.70 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W WO Contrast | $13,801.70 | $13,801.70 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine WO Contr | $10,243.33 | $10,243.33 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine WO Contr | $10,243.33 | $10,243.33 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine WO Contr | $10,243.33 | $10,243.33 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine WO Contr | $10,243.33 | $10,243.33 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Ultrasound OB Gt 14 Wk Single Fetus | $2,877.05 | $2,877.05 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Ultrasound OB Gt 14 Wk Single Fetus | $2,877.05 | $2,877.05 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Ultrasound OB Gt 14 Wk Single Fetus | $2,877.05 | $2,877.05 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Ultrasound OB Gt 14 Wk Single Fetus | $2,877.05 | $2,877.05 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Digital-Screening Mammo, Bilat | $1,180.28 | $1,180.28 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Digital-Screening Mammo, Bilat | $1,180.28 | $1,180.28 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Digital-Screening Mammo, Bilat | $1,180.28 | $1,180.28 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Digital-Screening Mammo, Bilat | $1,180.28 | $1,180.28 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Ultrasound Transvaginal | $2,715.47 | $2,715.47 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Ultrasound Transvaginal | $2,715.47 | $2,715.47 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Ultrasound Transvaginal | $2,715.47 | $2,715.47 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Ultrasound Transvaginal | $2,715.47 | $2,715.47 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC Ultrasound Abdominal Complete | $3,130.19 | $3,130.19 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC Ultrasound Abdominal Complete | $3,130.19 | $3,130.19 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Ultrasound Abdominal Complete | $3,130.19 | $3,130.19 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Ultrasound Abdominal Complete | $3,130.19 | $3,130.19 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Lum Spine W/Obliques | $1,912.80 | $1,912.80 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Lum Spine W/Obliques | $1,912.80 | $1,912.80 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lum Spine W/Obliques | $1,912.80 | $1,912.80 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lum Spine W/Obliques | $1,912.80 | $1,912.80 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) CPT 80048 HC POCT Chemstat Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) CPT 80048 HC POCT Chemstat Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC POCT Chemstat Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $855.94 | $855.94 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC POCT Chemstat Panel | $855.94 | $855.94 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $749.84 | $749.84 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $749.84 | $749.84 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $749.84 | $749.84 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $749.84 | $749.84 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Auto Hemogram Plate Diff (Cbc) | $231.74 | $231.74 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Auto Hemogram Plate Diff (Cbc) | $231.74 | $231.74 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Auto Hemogram Plate Diff (Cbc) | $231.74 | $231.74 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Auto Hemogram Plate Diff (Cbc) | $231.74 | $231.74 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Auto Hemogram & Platelet | $249.31 | $249.31 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Auto Hemogram & Platelet | $249.31 | $249.31 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Auto Hemogram & Platelet | $249.31 | $249.31 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Auto Hemogram & Platelet | $249.31 | $249.31 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comp Metabolic Panel | $951.09 | $951.09 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comp Metabolic Panel | $951.09 | $951.09 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comp Metabolic Panel | $951.09 | $951.09 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comp Metabolic Panel | $951.09 | $951.09 | — |
| Kidney function blood test panel CPT 80069 HC Renal Panel | $1,030.06 | $1,030.06 | — |
| Kidney function blood test panel CPT 80069 HC Renal Panel | $1,030.06 | $1,030.06 | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Panel | $1,030.06 | $1,030.06 | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Panel | $1,030.06 | $1,030.06 | — |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $900.44 | $900.44 | — |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $900.44 | $900.44 | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $900.44 | $900.44 | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $900.44 | $900.44 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Prostate Specific Ag | $480.75 | $480.75 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Prostate Specific Ag | $480.75 | $480.75 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Prostate Specific Ag | $480.75 | $480.75 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Prostate Specific Ag | $480.75 | $480.75 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Plasma or Whole Blood | $447.34 | $447.34 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Plasma or Whole Blood | $447.34 | $447.34 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Plasma or Whole Blood | $447.34 | $447.34 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Plasma or Whole Blood | $447.34 | $447.34 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Inr | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Inr | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $297.75 | $297.75 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $297.75 | $297.75 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Inr | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Inr | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time | $9.66 | $9.66 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $297.75 | $297.75 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $297.75 | $297.75 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Qu Tsh Hama Treated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Qu Tsh Untreated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Qu Tsh Untreated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Qu Tsh Hama Treated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $209.13 | $209.13 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $209.13 | $209.13 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Qu Tsh Untreated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Qu Tsh Hama Treated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Qu Tsh Hama Treated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Qu Tsh Untreated Ppnl | $65.70 | $65.70 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $209.13 | $209.13 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $209.13 | $209.13 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Ua Auto Dipstick W Microscopy | $71.80 | $71.80 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Ua Auto Dipstick W Microscopy | $71.80 | $71.80 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Ua Auto Dipstick W Microscopy | $71.80 | $71.80 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Ua Auto Dipstick W Microscopy | $71.80 | $71.80 | — |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis by Dipstick | $89.99 | $89.99 | — |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis by Dipstick | $89.99 | $89.99 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis by Dipstick | $89.99 | $89.99 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis by Dipstick | $89.99 | $89.99 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Lab348a-Urinalysis Tiger Top | $89.99 | $89.99 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urine Ketones | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urine Ketones | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urine Chem Screen POC | $115.44 | $115.44 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urine Chem Screen POC | $115.44 | $115.44 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Dipstick Automated | $128.25 | $128.25 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Dipstick Automated | $128.25 | $128.25 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Random Glucose, Urine | $131.39 | $131.39 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Random Glucose, Urine | $131.39 | $131.39 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Lab348a-Urinalysis Tiger Top | $89.99 | $89.99 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urine Ketones | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urine Ketones | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urine Chem Screen POC | $115.44 | $115.44 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urine Chem Screen POC | $115.44 | $115.44 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Dipstick Automated | $128.25 | $128.25 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Dipstick Automated | $128.25 | $128.25 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Random Glucose, Urine | $131.39 | $131.39 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Random Glucose, Urine | $131.39 | $131.39 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Specific Gravity Urine Only | $99.10 | $99.10 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Specific Gravity Urine Only | $99.10 | $99.10 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Automated WO Microscopy | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Ph Stool | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Ph Stool | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Automated WO Microscopy | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Myoglobin Screen | $147.88 | $147.88 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Myoglobin Screen | $147.88 | $147.88 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Specific Gravity Urine Only | $99.10 | $99.10 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Specific Gravity Urine Only | $99.10 | $99.10 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Non Automated WO Microscopy | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Non Automated WO Microscopy | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Ph Stool | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Ph Stool | $110.00 | $110.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Myoglobin Screen | $147.88 | $147.88 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Myoglobin Screen | $147.88 | $147.88 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 HC Extracap Cataract Rmvl W Insert Intraoc Lens | $6,080.42 | $6,080.42 | — |
| Cataract surgery with lens implant CPT 66984 HC Extracap Cataract Rmvl W Insert Intraoc Lens | $6,080.42 | $6,080.42 | — |
| Cataract surgery with lens implant inpatient CPT 66984 HC Extracap Cataract Rmvl W Insert Intraoc Lens | $6,080.42 | $6,080.42 | — |
| Cataract surgery with lens implant inpatient CPT 66984 HC Extracap Cataract Rmvl W Insert Intraoc Lens | $6,080.42 | $6,080.42 | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC Colonoscopy W Endos US Exam | $3,401.30 | $3,401.30 | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC Colonoscopy W Endos US Exam | $3,401.30 | $3,401.30 | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colonoscopy W Endos US Exam | $3,401.30 | $3,401.30 | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colonoscopy W Endos US Exam | $3,401.30 | $3,401.30 | — |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy W/Tumor Snare Rmvl | $4,209.50 | $4,209.50 | — |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy W/Tumor Snare Rmvl | $4,209.50 | $4,209.50 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC Colonoscopy W/Tumor Snare Rmvl | $4,209.50 | $4,209.50 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC Colonoscopy W/Tumor Snare Rmvl | $4,209.50 | $4,209.50 | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W Bx | $4,209.50 | $4,209.50 | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W Bx | $4,209.50 | $4,209.50 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W Bx | $4,209.50 | $4,209.50 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy W Bx | $4,209.50 | $4,209.50 | — |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Dx W WO Collect | $5,349.82 | $5,349.82 | — |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Dx W WO Collect | $5,349.82 | $5,349.82 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Dx W WO Collect | $5,349.82 | $5,349.82 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Dx W WO Collect | $5,349.82 | $5,349.82 | — |
| Gallbladder removal, laparoscopic CPT 47562 HC Laparoscopy Cholestectomy | $12,937.80 | $12,937.80 | — |
| Gallbladder removal, laparoscopic CPT 47562 HC Laparoscopy Cholestectomy | $12,937.80 | $12,937.80 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC Laparoscopy Cholestectomy | $12,937.80 | $12,937.80 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC Laparoscopy Cholestectomy | $12,937.80 | $12,937.80 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repair Initial Inguinal Hernia 5 Yrs or Older | $9,385.26 | $9,385.26 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repair Initial Inguinal Hernia 5 Yrs or Older | $9,385.26 | $9,385.26 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC Repair Initial Inguinal Hernia 5 Yrs or Older | $9,385.26 | $9,385.26 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC Repair Initial Inguinal Hernia 5 Yrs or Older | $9,385.26 | $9,385.26 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Capsulotomy by Laser | $3,818.47 | $3,818.47 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Capsulotomy by Laser | $3,818.47 | $3,818.47 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Capsulotomy by Laser | $3,818.47 | $3,818.47 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Capsulotomy by Laser | $3,818.47 | $3,818.47 | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC Left Heart Cath W/WO Lv | $10,866.58 | $10,866.58 | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC Left Heart Cath W/WO Lv | $10,866.58 | $10,866.58 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Left Heart Cath W/WO Lv | $10,866.58 | $10,866.58 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Left Heart Cath W/WO Lv | $10,866.58 | $10,866.58 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Inter Lmbr/Sac W Guid | $2,872.08 | $2,872.08 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Inter Lmbr/Sac W Guid | $2,872.08 | $2,872.08 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Inter Lmbr/Sac W Guid | $2,872.08 | $2,872.08 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Inter Lmbr/Sac W Guid | $2,872.08 | $2,872.08 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj Inter Lmbr/Sac WO Guid | $2,129.04 | $2,129.04 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj Inter Lmbr/Sac WO Guid | $2,129.04 | $2,129.04 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Inj Inter Lmbr/Sac WO Guid | $2,129.04 | $2,129.04 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Inj Inter Lmbr/Sac WO Guid | $2,129.04 | $2,129.04 | — |
| Prostate biopsy CPT 55700 HC Prostate Biopsy | $8,007.26 | $8,007.26 | — |
| Prostate biopsy CPT 55700 HC Prostate Biopsy | $8,007.26 | $8,007.26 | — |
| Prostate biopsy inpatient CPT 55700 HC Prostate Biopsy | $8,007.26 | $8,007.26 | — |
| Prostate biopsy inpatient CPT 55700 HC Prostate Biopsy | $8,007.26 | $8,007.26 | — |
| Removal of a breast lump, open surgery CPT 19120 HC Exc of cyst or tumor | $9,044.17 | $9,044.17 | — |
| Removal of a breast lump, open surgery CPT 19120 HC Exc of cyst or tumor | $9,044.17 | $9,044.17 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc of cyst or tumor | $9,044.17 | $9,044.17 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc of cyst or tumor | $9,044.17 | $9,044.17 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC Arthroscopy Shldr Surg Decompress | $5,738.70 | $5,738.70 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC Arthroscopy Shldr Surg Decompress | $5,738.70 | $5,738.70 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC Arthroscopy Shldr Surg Decompress | $5,738.70 | $5,738.70 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC Arthroscopy Shldr Surg Decompress | $5,738.70 | $5,738.70 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC Tonsillectomy Under 12 Yo | $6,749.08 | $6,749.08 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC Tonsillectomy Under 12 Yo | $6,749.08 | $6,749.08 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC Tonsillectomy Under 12 Yo | $6,749.08 | $6,749.08 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC Tonsillectomy Under 12 Yo | $6,749.08 | $6,749.08 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd W Bx Sngl or Multi | $5,627.60 | $5,627.60 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd W Bx Sngl or Multi | $5,627.60 | $5,627.60 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd W Bx Sngl or Multi | $5,627.60 | $5,627.60 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd W Bx Sngl or Multi | $5,627.60 | $5,627.60 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diag W/ or W/O Collection | $4,691.67 | $4,691.67 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diag W/ or W/O Collection | $4,691.67 | $4,691.67 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Diag W/ or W/O Collection | $4,691.67 | $4,691.67 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Diag W/ or W/O Collection | $4,691.67 | $4,691.67 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC Vag Del Plus Ante/Post Partum | $4,305.22 | $4,305.22 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC Vag Del Plus Ante/Post Partum | $4,305.22 | $4,305.22 | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC Vag Del Plus Ante/Post Partum | $4,305.22 | $4,305.22 | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC Vag Del Plus Ante/Post Partum | $4,305.22 | $4,305.22 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy With Patient | $262.75 | $262.75 | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy With Patient | $262.75 | $262.75 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Therapy With Patient | $262.75 | $262.75 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Therapy With Patient | $262.75 | $262.75 | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psych WO Pt 50 Min | $443.63 | $443.63 | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psych WO Pt 50 Min | $443.63 | $443.63 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psych WO Pt 50 Min | $443.63 | $443.63 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psych WO Pt 50 Min | $443.63 | $443.63 | — |
| Group psychotherapy session CPT 90853 HC Group Therapy 60 Min | $168.88 | $168.88 | — |
| Group psychotherapy session CPT 90853 HC Group Therapy 60 Min | $168.88 | $168.88 | — |
| Group psychotherapy session CPT 90853 HC Indiv Therapy | $255.11 | $255.11 | — |
| Group psychotherapy session CPT 90853 HC Indiv Therapy | $255.11 | $255.11 | — |
| Group psychotherapy session inpatient CPT 90853 HC Group Therapy 60 Min | $168.88 | $168.88 | — |
| Group psychotherapy session inpatient CPT 90853 HC Group Therapy 60 Min | $168.88 | $168.88 | — |
| Group psychotherapy session inpatient CPT 90853 HC Indiv Therapy | $255.11 | $255.11 | — |
| Group psychotherapy session inpatient CPT 90853 HC Indiv Therapy | $255.11 | $255.11 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Early Entry <16 Wks Cnm | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Early Entry <16 Wks Cnm | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Initial Antepartum Visit | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Initial Antepartum Visit | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Early Entry <16wks Pa | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Early Entry <16wks Pa | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Early Entry <16wks | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Cpsp Early Entry <16wks | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Early Entry <16wks Pa | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Early Entry <16wks Pa | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Early Entry <16 Wks Cnm | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Early Entry <16 Wks Cnm | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Initial Antepartum Visit | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Initial Antepartum Visit | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Early Entry <16wks | $544.50 | $544.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cpsp Early Entry <16wks | $544.50 | $544.50 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Procedure 15 Min Pt | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Procedure 15 Min Pt | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Procedure 15min Ot | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Procedure 15min Ot | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC C-Therapeutic Exercis-Addl 15m | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC C-Therapeutic Exercis-Addl 15m | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise/15mn | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise/15mn | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise/15 Min | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise/15 Min | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC C-Therapeutic Exercis-1st 30m | $379.16 | $379.16 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC C-Therapeutic Exercis-1st 30m | $379.16 | $379.16 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Procedure 15min Ot | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Procedure 15min Ot | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Procedure 15 Min Pt | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Procedure 15 Min Pt | $210.69 | $210.69 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise/15mn | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise/15 Min | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise/15 Min | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC C-Therapeutic Exercis-Addl 15m | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC C-Therapeutic Exercis-Addl 15m | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise/15mn | $367.40 | $367.40 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC C-Therapeutic Exercis-1st 30m | $379.16 | $379.16 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC C-Therapeutic Exercis-1st 30m | $379.16 | $379.16 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC Indiv Brief Therapy | $186.17 | $186.17 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC Indiv Brief Therapy | $186.17 | $186.17 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Indiv Brief Therapy | $186.17 | $186.17 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Indiv Brief Therapy | $186.17 | $186.17 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy 60 Min W Pt | $443.63 | $443.63 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy 60 Min W Pt | $443.63 | $443.63 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy 60 Min W Pt | $443.63 | $443.63 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy 60 Min W Pt | $443.63 | $443.63 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consult Lvl 3 | $726.00 | $726.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consult Lvl 3 | $726.00 | $726.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Office Consult Lvl 3 | $726.00 | $726.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Office Consult Lvl 3 | $726.00 | $726.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consult Lvl 4 | $1,064.80 | $1,064.80 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consult Lvl 4 | $1,064.80 | $1,064.80 | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC Office Consult Lvl 4 | $1,064.80 | $1,064.80 | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC Office Consult Lvl 4 | $1,064.80 | $1,064.80 | — |
Source file: https://www.ruhealth.org/956000930_riverside-university-health-system_standardcharges.csv