Corewell Health Butterworth Hospital
Corewell Health Butterworth Hospital in Grand Rapids, MI publishes cash prices for 49 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
100 Michigan St Ne, Grand Rapids, MI 49503 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/Pelvis With Contrast | $1,938.00 | $1,938.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd/Pelvis With Contrast | $1,938.00 | $1,938.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd/Pelvis With Contrast | $1,938.00 | $1,938.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd/Pelvis With Contrast | $1,938.00 | $1,938.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Or Brain Wo Constrast | $592.00 | $592.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Or Brain Wo Constrast | $592.00 | $592.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Or Brain Wo Constrast | $592.00 | $592.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Or Brain Wo Constrast | $592.00 | $592.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis With Contrast | $1,313.00 | $1,313.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis With Contrast | $1,313.00 | $1,313.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis With Contrast | $1,313.00 | $1,313.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis With Contrast | $1,313.00 | $1,313.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Digital Diag Mammogram Bilateral | $522.00 | $522.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Digital Diag Mammogram Bilateral | $522.00 | $522.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Digital Diag Mammogram Bilateral | $522.00 | $522.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Digital Diag Mammogram Bilateral | $522.00 | $522.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Digital Diag Mammogram Unilateral | $378.00 | $378.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Digital Diag Mammogram Unilateral | $378.00 | $378.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Digital Diag Mammogram Unilateral | $378.00 | $378.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Digital Diag Mammogram Unilateral | $378.00 | $378.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Ext Joint Wo Contrast | $1,068.00 | $1,068.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Ext Joint Wo Contrast | $1,068.00 | $1,068.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Lower Ext Joint Wo Contrast | $1,068.00 | $1,068.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Lower Ext Joint Wo Contrast | $1,068.00 | $1,068.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Lower Ext Joint Wo & With Contrast | $1,975.00 | $1,975.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Lower Ext Joint Wo & With Contrast | $1,975.00 | $1,975.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Lower Ext Joint Wo & With Contrast | $1,975.00 | $1,975.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Lower Ext Joint Wo & With Contrast | $1,975.00 | $1,975.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Wo Contrast | $1,830.00 | $1,830.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Wo Contrast | $1,830.00 | $1,830.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Wo Contrast | $1,830.00 | $1,830.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Wo Contrast | $1,830.00 | $1,830.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Wo & With Contrast | $2,823.00 | $2,823.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Wo & With Contrast | $2,823.00 | $2,823.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain Wo & With Contrast | $2,823.00 | $2,823.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain Wo & With Contrast | $2,823.00 | $2,823.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine Wo Contrast | $1,526.00 | $1,526.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine Wo Contrast | $1,526.00 | $1,526.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine Wo Contrast | $1,526.00 | $1,526.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine Wo Contrast | $1,526.00 | $1,526.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Pregnancy Complete | $569.00 | $569.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Pregnancy Complete | $569.00 | $569.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Pregnancy Complete | $569.00 | $569.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Pregnancy Complete | $569.00 | $569.00 | — |
| Screening mammogram, both breasts CPT 77067 Hc Digital Screening Mammogram | $412.00 | $412.00 | — |
| Screening mammogram, both breasts CPT 77067 Hc Digital Screening Mammogram | $412.00 | $412.00 | — |
| Screening mammogram, both breasts inpatient CPT 77067 Hc Digital Screening Mammogram | $412.00 | $412.00 | — |
| Screening mammogram, both breasts inpatient CPT 77067 Hc Digital Screening Mammogram | $412.00 | $412.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6 Yrs Or Older 4 Addl Param Attnd | $4,740.00 | $4,740.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6 Yrs Or Older 4 Addl Param Attnd | $4,740.00 | $4,740.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysom 6 Yrs Or Older 4 Addl Param Attnd | $4,740.00 | $4,740.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysom 6 Yrs Or Older 4 Addl Param Attnd | $4,740.00 | $4,740.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Pelvis Transvaginal | $884.00 | $884.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Pelvis Transvaginal | $884.00 | $884.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Pelvis Transvaginal | $884.00 | $884.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Pelvis Transvaginal | $884.00 | $884.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdomen Complete | $1,300.00 | $1,300.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdomen Complete | $1,300.00 | $1,300.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdomen Complete | $1,300.00 | $1,300.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdomen Complete | $1,300.00 | $1,300.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Xray L Umbar Spine Min 4 Views | $365.00 | $365.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Xray L Umbar Spine Min 4 Views | $365.00 | $365.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Xray L Umbar Spine Min 4 Views | $365.00 | $365.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Xray L Umbar Spine Min 4 Views | $365.00 | $365.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Hc Poc Basic Metabolic Panel | $38.00 | $38.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Hc Poc Basic Metabolic Panel | $38.00 | $38.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel | $49.00 | $49.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel | $49.00 | $49.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Poc Basic Metabolic Panel | $38.00 | $38.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Poc Basic Metabolic Panel | $38.00 | $38.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel | $49.00 | $49.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel | $49.00 | $49.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $37.00 | $37.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $37.00 | $37.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel | $37.00 | $37.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel | $37.00 | $37.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Hc Cbc Auto Complete Differential | $41.00 | $41.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Hc Cbc Auto Complete Differential | $41.00 | $41.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc Auto Complete Differential | $41.00 | $41.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc Auto Complete Differential | $41.00 | $41.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Hc Cbc Platelet No Differential | $19.00 | $19.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Hc Cbc Platelet No Differential | $19.00 | $19.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc Platelet No Differential | $19.00 | $19.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc Platelet No Differential | $19.00 | $19.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel | $52.00 | $52.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel | $52.00 | $52.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel | $52.00 | $52.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel | $52.00 | $52.00 | — |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $39.00 | $39.00 | — |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $39.00 | $39.00 | — |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel | $39.00 | $39.00 | — |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel | $39.00 | $39.00 | — |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $20.00 | $20.00 | — |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $20.00 | $20.00 | — |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $20.00 | $20.00 | — |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $20.00 | $20.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Free | $70.00 | $70.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Free | $70.00 | $70.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Free | $70.00 | $70.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Free | $70.00 | $70.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Screening | $37.00 | $37.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Screening | $37.00 | $37.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total | $74.00 | $74.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total | $74.00 | $74.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Screening | $37.00 | $37.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Screening | $37.00 | $37.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total | $74.00 | $74.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total | $74.00 | $74.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Ptt | $21.00 | $21.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Ptt | $21.00 | $21.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Ptt | $21.00 | $21.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Ptt | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Poc Coaguchek Inr | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Split Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Split Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Poc Coaguchek Inr | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Poc Coaguchek Inr | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Split Protime | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Poc Coaguchek Inr | $21.00 | $21.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Split Protime | $21.00 | $21.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh | $58.00 | $58.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh | $58.00 | $58.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh | $58.00 | $58.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh | $58.00 | $58.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Automated W Microscopy | $17.00 | $17.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Automated W Microscopy | $17.00 | $17.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Automated W Microscopy | $17.00 | $17.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Automated W Microscopy | $17.00 | $17.00 | — |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis Dip With Microscopy | $18.00 | $18.00 | — |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis Dip With Microscopy | $18.00 | $18.00 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc Urinalysis Dip With Microscopy | $18.00 | $18.00 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc Urinalysis Dip With Microscopy | $18.00 | $18.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Adulteration Urine | $10.00 | $10.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Adulteration Urine | $10.00 | $10.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Automated Wo Microscopy | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Poc�Urinalysis Auto W/O Scope | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Automated Wo Microscopy | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Poc�Urinalysis Auto W/O Scope | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Specific Gravity Urine Random | $13.00 | $13.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Specific Gravity Urine Random | $13.00 | $13.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Adulteration Urine | $10.00 | $10.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Adulteration Urine | $10.00 | $10.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Automated Wo Microscopy | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Poc�Urinalysis Auto W/O Scope | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Automated Wo Microscopy | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Poc�Urinalysis Auto W/O Scope | $11.00 | $11.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Specific Gravity Urine Random | $13.00 | $13.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Specific Gravity Urine Random | $13.00 | $13.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Hc Poc Urinalysis Non Auto Wo Microscopy | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Specific Gravity | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Hc Poc Urinalysis Non Auto Wo Microscopy | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Specific Gravity | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Poc Urinalysis Non Auto Wo Microscopy | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis Specific Gravity | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis Specific Gravity | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Poc Urinalysis Non Auto Wo Microscopy | $25.00 | $25.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 Hc Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq [45385] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with polyp removal CPT 45385 Hc Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq [45385] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq [45385] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq [45385] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with tissue sample CPT 45380 Hc Pr Colonoscopy W/Biopsy Single/Multiple [45380] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with tissue sample CPT 45380 Hc Pr Colonoscopy W/Biopsy Single/Multiple [45380] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Pr Colonoscopy W/Biopsy Single/Multiple [45380] | $1,137.06 | $1,137.06 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Pr Colonoscopy W/Biopsy Single/Multiple [45380] | $1,137.06 | $1,137.06 | — |
| Colonoscopy, diagnostic CPT 45378 Hc Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd [45378] | $872.59 | $872.59 | — |
| Colonoscopy, diagnostic CPT 45378 Hc Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd [45378] | $872.59 | $872.59 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd [45378] | $872.59 | $872.59 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd [45378] | $872.59 | $872.59 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Post-Cataract Laser Surgery | $1,687.00 | $1,687.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Post-Cataract Laser Surgery | $1,687.00 | $1,687.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Post-Cataract Laser Surgery | $1,687.00 | $1,687.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Post-Cataract Laser Surgery | $1,687.00 | $1,687.00 | — |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath | $9,682.00 | $9,682.00 | — |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath | $9,682.00 | $9,682.00 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Left Heart Cath | $9,682.00 | $9,682.00 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Left Heart Cath | $9,682.00 | $9,682.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Ir Inj Epi Sub Ea Lumbarsacral | $585.00 | $585.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Ir Inj Epi Sub Ea Lumbarsacral | $585.00 | $585.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Ir Inj Epi Sub Ea Lumbarsacral | $585.00 | $585.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Ir Inj Epi Sub Ea Lumbarsacral | $585.00 | $585.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $1,012.00 | $1,012.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $1,012.00 | $1,012.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $1,012.00 | $1,012.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $1,012.00 | $1,012.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Transfor Lumb Sacr Single | $955.00 | $955.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Transfor Lumb Sacr Single | $955.00 | $955.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,114.00 | $1,114.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,114.00 | $1,114.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Transfor Lumb Sacr Single | $955.00 | $955.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Transfor Lumb Sacr Single | $955.00 | $955.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,114.00 | $1,114.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $1,114.00 | $1,114.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Hc Excision Of Cyst Breast | $8,622.00 | $8,622.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Hc Excision Of Cyst Breast | $8,622.00 | $8,622.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Excision Of Cyst Breast | $8,622.00 | $8,622.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Excision Of Cyst Breast | $8,622.00 | $8,622.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Pr Edg Transoral Biopsy Single/Multiple [43239] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Pr Edg Transoral Biopsy Single/Multiple [43239] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Pr Edg Transoral Biopsy Single/Multiple [43239] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Pr Edg Transoral Biopsy Single/Multiple [43239] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Pr Esophagogastroduodenoscopy Transoral Diagnostic [43235] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Pr Esophagogastroduodenoscopy Transoral Diagnostic [43235] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Pr Esophagogastroduodenoscopy Transoral Diagnostic [43235] | $866.79 | $866.79 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Pr Esophagogastroduodenoscopy Transoral Diagnostic [43235] | $866.79 | $866.79 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Ot Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Ot Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Pt Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Pt Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Ot Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Pt Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Ot Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Pt Therapeutic Proc Per 15 Min | $63.00 | $63.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Initial Preventive Medicine New Pt Age 18-39Yrs | $311.00 | $311.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Initial Preventive Medicine New Pt Age 18-39Yrs | $311.00 | $311.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Initial Preventive Medicine New Pt Age 18-39Yrs | $311.00 | $311.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Initial Preventive Medicine New Pt Age 18-39Yrs | $311.00 | $311.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Hc Initial Preventive Medicine New Patient 40-64Yrs | $248.00 | $248.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Hc Initial Preventive Medicine New Patient 40-64Yrs | $248.00 | $248.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hc Initial Preventive Medicine New Patient 40-64Yrs | $248.00 | $248.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hc Initial Preventive Medicine New Patient 40-64Yrs | $248.00 | $248.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psychotherapy Patient &/ Family 30 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psychotherapy Patient &/ Family 30 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Psychotherapy Patient &/ Family 30 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Psychotherapy Patient &/ Family 30 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psyotherapy Patient &/ Family 45 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psyotherapy Patient &/ Family 45 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psyotherapy Patient &/ Family 45 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psyotherapy Patient &/ Family 45 Minutes | $224.00 | $224.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy Patient &/ Family 60 Minutes | $235.00 | $235.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy Patient &/ Family 60 Minutes | $235.00 | $235.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Psychotherapy Patient &/ Family 60 Minutes | $235.00 | $235.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Psychotherapy Patient &/ Family 60 Minutes | $235.00 | $235.00 | — |