Black Hills Surgical Hospital
Black Hills Surgical Hospital in Rapid City, SD publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
216 Anamaria Drive, Rapid City, SD, 57701 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 PC CT ABDOMEN/PELVIS W/ CONTRAST | $271.76 | $452.94 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $1,087.06 | $1,811.76 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 PC CT ABDOMEN/PELVIS W/ CONTRAST | $271.76 | $452.94 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $1,087.06 | $1,811.76 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRAST | $524.52 | $874.20 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONTRAST | $524.52 | $874.20 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 PC CT PELVIS W CONTRAST | $142.26 | $237.10 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $736.92 | $1,228.20 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PC CT PELVIS W CONTRAST | $142.26 | $237.10 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST | $736.92 | $1,228.20 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LEFT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LEFT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RIGHT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LEFT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RIGHT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RIGHT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LEFT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE RIGHT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE RIGHT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP RIGHT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE LEFT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE LEFT W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $1,121.40 | $1,869.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $1,121.40 | $1,869.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $713.40 | $1,189.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM | $2,568.00 | $4,280.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM | $2,568.00 | $4,280.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMP with Reflex- | $62.33 | $103.88 | 40% |
| Basic metabolic panel (blood test) CPT 80048 BMP- | $62.33 | $103.88 | 40% |
| Basic metabolic panel (blood test) CPT 80048 BMP (Send Out)- | $62.33 | $103.88 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP (Send Out)- | $62.33 | $103.88 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP with Reflex- | $62.33 | $103.88 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP- | $62.33 | $103.88 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL- | $62.33 | $103.88 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (Send Out)- | $62.33 | $103.88 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (Send Out)- | $62.33 | $103.88 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL- | $62.33 | $103.88 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFFERENTIAL (co)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFFERENTIAL (Send Out)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFFERENTIAL (confirmation)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFFERENTIAL (confirmation)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFFERENTIAL (Send Out)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFFERENTIAL (co)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL (confirmation)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL (co)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL (Send Out)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL (Send Out)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL (co)- | $32.88 | $54.80 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL (confirmation)- | $32.88 | $54.80 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL (SendOut)- | $62.33 | $103.88 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL- | $62.33 | $103.88 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL w/ Reflex- | $62.33 | $103.88 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL- | $62.33 | $103.88 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL w/ Reflex- | $62.33 | $103.88 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL (SendOut)- | $62.33 | $103.88 | 40% |
| Kidney function blood test panel CPT 80069 Renal Function Panel- | $60.46 | $100.76 | 40% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel- | $60.46 | $100.76 | 40% |
| Liver function blood test panel CPT 80076 LIVER PANEL (Send Out)- | $62.33 | $103.88 | 40% |
| Liver function blood test panel CPT 80076 LIVER PANEL- | $62.33 | $103.88 | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL (Send Out)- | $62.33 | $103.88 | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL- | $62.33 | $103.88 | 40% |
| Obstetric blood test panel CPT 80055 OB Panel 1- | $60.46 | $100.76 | 40% |
| Obstetric blood test panel inpatient CPT 80055 OB Panel 1- | $60.46 | $100.76 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Total- | $35.34 | $58.90 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Total- | $35.34 | $58.90 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA- | $35.34 | $58.90 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA- | $35.34 | $58.90 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (Send Out)- | $24.54 | $40.90 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT- | $24.54 | $40.90 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (Send Out)- | $24.54 | $40.90 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT- | $24.54 | $40.90 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN / INR (Send Out)- | $24.54 | $40.90 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN / INR- | $24.54 | $40.90 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN / INR (confirmation)- | $24.54 | $40.90 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN / INR- | $24.54 | $40.90 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN / INR (confirmation)- | $24.54 | $40.90 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN / INR (Send Out)- | $24.54 | $40.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (Send Out)- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE w/ Reflex- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE with Reflex- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE with Reflex- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (Send Out)- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE- | $46.14 | $76.90 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE w/ Reflex- | $46.14 | $76.90 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/ REFLEX TO CULTURE (Send)- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE (co)- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/ REFLEX TO CULTURE- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE (co)- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/ REFLEX TO CULTURE (Send)- | $24.05 | $40.08 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/ REFLEX TO CULTURE- | $24.05 | $40.08 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO- | $19.63 | $32.72 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO (co)- | $19.63 | $32.72 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO- | $19.63 | $32.72 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO (co)- | $19.63 | $32.72 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 CATARACT REMOVAL INSERTION OF IOL LE | $2,758.00 | $4,596.66 | 40% |
| Cataract surgery with lens implant inpatient CPT 66984 CATARACT REMOVAL INSERTION OF IOL LE | $2,758.00 | $4,596.66 | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY WITH REMOVAL OF POLYPS | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with polyp removal CPT 45385 GI Colonoscopy flexible with removal | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONSCOPY WITH REMOVAL OF POLYPS | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 GI Colonoscopy flexible with removal | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with tissue sample CPT 45380 GI Colonoscopy and biopsy | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPYFLEXIBLEWITH BIOPSY | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPYFLEXIBLEWITH BIOPSY | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 GI Colonoscopy and biopsy | $1,472.04 | $2,453.40 | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY, DIAGNOSTIC | $1,278.93 | $2,131.55 | 40% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy Diagnostic | $1,356.53 | $2,260.88 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONSCOPY, DIAGNOSTIC | $1,278.93 | $2,131.55 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 GI Colonoscopy Diagnostic | $1,356.53 | $2,260.88 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY | $5,892.34 | $9,820.57 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY | $5,892.34 | $9,820.57 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA | $3,031.53 | $5,052.55 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INITIAL INGUINAL HERNIA | $3,031.53 | $5,052.55 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY KNEE MED OR LAT MENISEC | $4,551.55 | $7,585.92 | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY KNEE MED OR LAT MENISEC | $4,551.55 | $7,585.92 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 ASA CAUDAL EPIDURAL W/IMAGING GUIDANCE | $684.00 | $1,140.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 CAUDAL EPIDURAL W/US GUIDANCE | $1,083.95 | $1,806.58 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 CAUDAL EPIDURAL W/FLUOROSCOPY | $1,497.35 | $2,495.58 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 ASA CAUDAL EPIDURAL W/IMAGING GUIDANCE | $684.00 | $1,140.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CAUDAL EPIDURAL W/US GUIDANCE | $1,083.95 | $1,806.58 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CAUDAL EPIDURAL W/FLUOROSCOPY | $1,497.35 | $2,495.58 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 ASA INJECTION LUMBAR SACRAL(CAUDAL) | $659.07 | $1,098.45 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION LUMBAR SACRAL(CAUDAL) | $969.95 | $1,616.58 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ASA INJECTION LUMBAR SACRAL(CAUDAL) | $659.07 | $1,098.45 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION LUMBAR SACRAL(CAUDAL) | $969.95 | $1,616.58 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION ANESTHETIC AND OR STER LUM | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAM LUMB/SAC BIL | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ TRANSFORAM LUMB/SAC RT | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ TRANSFORAM LUMB/SAC LT | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORAM LUMB/SAC BIL | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECTION ANESTHETIC AND OR STER LUM | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ TRANSFORAM LUMB/SAC LT | $1,980.79 | $3,301.31 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ TRANSFORAM LUMB/SAC RT | $1,980.79 | $3,301.31 | 40% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE | $1,355.68 | $2,259.46 | 40% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE | $1,355.68 | $2,259.46 | 40% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF BREAST TISSUELESION | $2,324.74 | $3,874.56 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF BREAST TISSUELESION | $2,324.74 | $3,874.56 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER | $2,196.50 | $3,660.84 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPY SHOULDER | $2,196.50 | $3,660.84 | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 T&A UNDER AGE 12 | $4,577.45 | $7,629.08 | 40% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 T&A UNDER AGE 12 | $4,577.45 | $7,629.08 | 40% |
| Total hip replacement CPT 27130 HIP JOINT ARTHROPLASTY TOTAL | $13,732.15 | $22,886.91 | 40% |
| Total hip replacement inpatient CPT 27130 HIP JOINT ARTHROPLASTY TOTAL | $13,732.15 | $22,886.91 | 40% |
| Total knee replacement CPT 27447 TOTAL KNEE | $12,279.76 | $20,466.27 | 40% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE | $12,279.76 | $20,466.27 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GASTROINTESTINAL ENDOSCOPY INC | $1,356.53 | $2,260.88 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI EGD biopsy single/multiple | $1,356.53 | $2,260.88 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GASTROINTESTINAL ENDOSCOPY INC | $1,356.53 | $2,260.88 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 GI EGD biopsy single/multiple | $1,356.53 | $2,260.88 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI EGD | $1,145.88 | $1,909.80 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GASTROINTESTINAL ENDOSCOPY INC | $1,145.88 | $1,909.80 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GASTROINTESTINAL ENDOSCOPY INC | $1,145.88 | $1,909.80 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 GI EGD | $1,145.88 | $1,909.80 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG - TRAC & INT | $36.00 | $60.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PC EKG - TRAC & INT | $36.00 | $60.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG - TRAC & INT | $36.00 | $60.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PC EKG - TRAC & INT | $36.00 | $60.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 New Pt Low 30-44min | $103.80 | $173.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 PC New Pt Low 30-44min | $143.37 | $238.95 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Low 30-44min | $103.80 | $173.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PC New Pt Low 30-44min | $143.37 | $238.95 | 40% |
| New patient office visit, about 45 minutes CPT 99204 New Pt Moderate 45-59min | $157.80 | $263.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 PC New Pt Moderate 45-59min | $217.88 | $363.13 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Moderate 45-59min | $157.80 | $263.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PC New Pt Moderate 45-59min | $217.88 | $363.13 | 40% |
| New patient office visit, about 60 minutes CPT 99205 New Pt High 60-73min | $210.00 | $350.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 PC New Pt High 60-73min | $273.95 | $456.59 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt High 60-73min | $210.00 | $350.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PC New Pt High 60-73min | $273.95 | $456.59 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PROMOTION THERAPEUTIC EXERCISE | $58.78 | $97.97 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BHO THERAPEUTIC EXERCISE | $73.14 | $121.90 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PROMOTION THERAPEUTIC EXERCISE | $58.78 | $97.97 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BHO THERAPEUTIC EXERCISE | $73.14 | $121.90 | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION DETAIL | $78.60 | $131.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PC CONSULTATION DETAIL | $163.93 | $273.22 | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION DETAIL | $78.60 | $131.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PC CONSULTATION DETAIL | $163.93 | $273.22 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULTATION COMP/M | $103.80 | $173.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PC CONSULTATION COMP/M | $244.73 | $407.88 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULTATION COMP/M | $103.80 | $173.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PC CONSULTATION COMP/M | $244.73 | $407.88 | 40% |