TidalHealth Peninsula
TidalHealth Peninsula in Salisbury, MD publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
100 E Carrolll St Salisbury, MD 21801 Collected Sep 23, 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 ABD AND PELVIS W CONTRAST | $312.24 | $318.61 | 2% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD AND PELVIS W CONTRAST | $312.24 | $318.61 | 2% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC C/T-PELVIS SCAN W CONTRAST | $236.69 | $241.52 | 2% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC C/T-PELVIS SCAN W CONTRAST | $236.69 | $241.52 | 2% |
| Diagnostic mammogram, one breast one side CPT 77065 HC BD CAD MAMMOGRAM DIAG UNILATERAL | $60.18 | $61.41 | 2% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC BD CAD MAMMOGRAM DIAG UNILATERAL | $60.18 | $61.41 | 2% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JOINT WO CONT | $524.86 | $535.57 | 2% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREM JOINT WO CONT | $524.86 | $535.57 | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREM JOINT WWO CONT | $1,139.06 | $1,162.31 | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREM JOINT WWO CONT | $1,139.06 | $1,162.31 | 2% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $491.36 | $501.39 | 2% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST | $491.36 | $501.39 | 2% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST | $826.38 | $843.24 | 2% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST | $826.38 | $843.24 | 2% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-L-SPINE | $469.03 | $478.60 | 2% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-L-SPINE | $469.03 | $478.60 | 2% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB 2ND & 3RD TRIMESTER | $782.37 | $798.34 | 2% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB 2ND & 3RD TRIMESTER | $782.37 | $798.34 | 2% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM AGE 6>W/PARAM 4 OR> | $2,670.62 | $2,725.12 | 2% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM AGE 6>W/PARAM 4 OR> | $2,670.62 | $2,725.12 | 2% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL SONOGRAM | $752.28 | $767.63 | 2% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL SONOGRAM | $752.28 | $767.63 | 2% |
| Ultrasound of the abdomen, complete CPT 76700 HC ABDOMEN COMPLETE | $692.10 | $706.22 | 2% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC ABDOMEN COMPLETE | $692.10 | $706.22 | 2% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS | $270.82 | $276.35 | 2% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS | $270.82 | $276.35 | 2% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC CHEM8(BASIC METABOLIC) | $30.19 | $30.81 | 2% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC CHEM8(BASIC METABOLIC) | $30.19 | $30.81 | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE (LIPD) | $52.14 | $53.20 | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC FITNESS PLUS PROFILE (FPP) | $52.14 | $53.20 | 2% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE (LIPD) | $52.14 | $53.20 | 2% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC FITNESS PLUS PROFILE (FPP) | $52.14 | $53.20 | 2% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W/DIFF (CBCD) | $27.44 | $28.00 | 2% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W/DIFF (CBCD) | $27.44 | $28.00 | 2% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC (CBC) | $21.96 | $22.41 | 2% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC (CBC) | $21.96 | $22.41 | 2% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMP METABOLIC PANEL (CMP) | $41.17 | $42.01 | 2% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMP METABOLIC PANEL (CMP) | $41.17 | $42.01 | 2% |
| Kidney function blood test panel CPT 80069 HC RENAL PROFILE (RENAL) | $32.93 | $33.60 | 2% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE (RENAL) | $32.93 | $33.60 | 2% |
| Liver function blood test panel CPT 80076 HC HEPATIC PANEL (LIVR) | $30.19 | $30.81 | 2% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PANEL (LIVR) | $30.19 | $30.81 | 2% |
| Obstetric blood test panel CPT 80055 HC PRENATAL PROFILE (PNP) | $208.58 | $212.84 | 2% |
| Obstetric blood test panel inpatient CPT 80055 HC PRENATAL PROFILE (PNP) | $208.58 | $212.84 | 2% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA | $68.61 | $70.01 | 2% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA | $68.61 | $70.01 | 2% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $54.89 | $56.01 | 2% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $54.89 | $56.01 | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ANT-PHOSPHOLIPID ABS. (APSAB) | $21.96 | $22.41 | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT SCREENING | $21.96 | $22.41 | 2% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT SCREENING | $21.96 | $22.41 | 2% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ANT-PHOSPHOLIPID ABS. (APSAB) | $21.96 | $22.41 | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PROT)(PROS) | $21.96 | $22.41 | 2% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME (PROT)(PROS) | $21.96 | $22.41 | 2% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $41.17 | $42.01 | 2% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $41.17 | $42.01 | 2% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE W/MICROSCOPIC (UWM) | $24.70 | $25.20 | 2% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE W/MICROSCOPIC (UWM) | $24.70 | $25.20 | 2% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINE DIPSTICK TEST(URDIP) | $24.70 | $25.20 | 2% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINE DIPSTICK TEST(URDIP) | $24.70 | $25.20 | 2% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS ROUTINE | $10.98 | $11.20 | 2% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS ROUTINE | $10.98 | $11.20 | 2% |
| Urinalysis without microscope exam, manual CPT 81002 HC REFRACTOMETER SPECIFIC GRAVITY | $10.98 | $11.20 | 2% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC REFRACTOMETER SPECIFIC GRAVITY | $10.98 | $11.20 | 2% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC MC BH FAMILY PSYCHOTHERAPY W/ PATIENT | $138.25 | $141.07 | 2% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY | $701.87 | $716.19 | 2% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC MC BH FAMILY PSYCHOTHERAPY W/ PATIENT | $138.25 | $141.07 | 2% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY | $701.87 | $716.19 | 2% |
| Family therapy without the patient, 50 minutes CPT 90846 HC MC BH FAMILY PSYCHOTHERAPY W/O PATIENT | $138.25 | $141.07 | 2% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC MC BH FAMILY PSYCHOTHERAPY W/O PATIENT | $138.25 | $141.07 | 2% |
| Group psychotherapy session CPT 90853 HC MC BH GROUP THERAPY | $69.13 | $70.54 | 2% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY HALF DAY | $350.94 | $358.10 | 2% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY ENTIRE DAY | $701.87 | $716.19 | 2% |
| Group psychotherapy session inpatient CPT 90853 HC MC BH GROUP THERAPY | $69.13 | $70.54 | 2% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY HALF DAY | $350.94 | $358.10 | 2% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY ENTIRE DAY | $701.87 | $716.19 | 2% |
| New patient office visit, about 30 minutes CPT 99203 HC OP VISIT NEW 26-45 MIN | $138.25 | $141.07 | 2% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OP VISIT NEW 26-45 MIN | $138.25 | $141.07 | 2% |
| New patient office visit, about 45 minutes CPT 99204 HC OP VISIT NEW 46-90 MIN | $172.81 | $176.34 | 2% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OP VISIT NEW 46-90 MIN | $172.81 | $176.34 | 2% |
| New patient office visit, about 60 minutes CPT 99205 HC OP VISIT NEW 90 MIN OR > | $207.38 | $211.61 | 2% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OP VISIT NEW 90 MIN OR > | $207.38 | $211.61 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC ST ORAL MOTOR EXERC 15 MIN TPR | $44.80 | $45.71 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN TH | $47.05 | $48.01 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES TH | $91.42 | $93.29 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC ST ORAL MOTOR EXERC 15 MIN TPR | $44.80 | $45.71 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN TH | $47.05 | $48.01 | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES TH | $91.42 | $93.29 | 2% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC MC NEW PREVENTIVE VISIT 18-39 0-10 MIN | $69.13 | $70.54 | 2% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 11-25 MIN | $103.68 | $105.80 | 2% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 26-45 MIN | $138.25 | $141.07 | 2% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 46-90 MIN | $172.81 | $176.34 | 2% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 90 MIN OR GREATER | $207.38 | $211.61 | 2% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC MC NEW PREVENTIVE VISIT 18-39 0-10 MIN | $69.13 | $70.54 | 2% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 11-25 MIN | $103.68 | $105.80 | 2% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 26-45 MIN | $138.25 | $141.07 | 2% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 46-90 MIN | $172.81 | $176.34 | 2% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC MC NEW PREVENTATIVE VISIT 18-39 90 MIN OR GREATER | $207.38 | $211.61 | 2% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC MC NEW PREVENTIVE VISIT 40-64 0-10 MIN | $69.13 | $70.54 | 2% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 11-25 MIN | $103.68 | $105.80 | 2% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 26-45 MIN | $138.25 | $141.07 | 2% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 46-90 MIN | $172.81 | $176.34 | 2% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 90 MIN OR GREATER | $207.38 | $211.61 | 2% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC MC NEW PREVENTIVE VISIT 40-64 0-10 MIN | $69.13 | $70.54 | 2% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 11-25 MIN | $103.68 | $105.80 | 2% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 26-45 MIN | $138.25 | $141.07 | 2% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 46-90 MIN | $172.81 | $176.34 | 2% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC MC NEW PREVENTATIVE VISIT 40-64 90 MIN OR GREATER | $207.38 | $211.61 | 2% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MINUTES | $116.97 | $119.36 | 2% |
| Psychotherapy session, 30 minutes CPT 90832 HC MC BH THERAPY 30 MIN IND | $172.81 | $176.34 | 2% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MINUTES | $116.97 | $119.36 | 2% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC MC BH THERAPY 30 MIN IND | $172.81 | $176.34 | 2% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MINUTES | $116.97 | $119.36 | 2% |
| Psychotherapy session, 45 minutes CPT 90834 HC MC BH THERAPY 45 MIN IND | $207.38 | $211.61 | 2% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45 MINUTES | $116.97 | $119.36 | 2% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC MC BH THERAPY 45 MIN IND | $207.38 | $211.61 | 2% |
| Psychotherapy session, 60 minutes CPT 90837 HC MC BH THERAPY 60 MIN IND | $311.05 | $317.40 | 2% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC MC BH THERAPY 60 MIN IND | $311.05 | $317.40 | 2% |