Lutheran Musculoskeletal Center LLC
Lutheran Musculoskeletal Center LLC in Fort Wayne, IN publishes cash prices for 66 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
7952 W Jefferson Blvd, Fort Wayne, IN 46804 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 CT Enterography Abdomen Pelvis | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis with Rectal W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT-ABD PELVIS W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT-ABD PELVIS W | $2,883.60 | $10,680.00 | 73% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis with Rectal W | $2,883.60 | $10,680.00 | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO | $887.76 | $3,288.00 | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $887.76 | $3,288.00 | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $887.76 | $3,288.00 | 73% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO | $887.76 | $3,288.00 | 73% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $887.76 | $3,288.00 | 73% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $887.76 | $3,288.00 | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,282.50 | $4,750.00 | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with Rectal W | $1,282.50 | $4,750.00 | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W | $1,282.50 | $4,750.00 | 73% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $1,282.50 | $4,750.00 | 73% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W | $1,282.50 | $4,750.00 | 73% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with Rectal W | $1,282.50 | $4,750.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle Bilateral WO | $933.93 | $3,459.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip Bilateral WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee Bilateral WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle Bilateral WO | $933.93 | $3,459.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee Bilateral WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip Bilateral WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $934.74 | $3,462.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $934.74 | $3,462.00 | 73% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $934.74 | $3,462.00 | 73% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $934.74 | $3,462.00 | 73% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $934.74 | $3,462.00 | 73% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $1,461.51 | $5,413.00 | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $935.01 | $3,463.00 | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar Limited WO | $935.01 | $3,463.00 | 73% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar Limited WO | $935.01 | $3,463.00 | 73% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $935.01 | $3,463.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 Preg Compl. >14 Wks AMB | $137.16 | $508.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $137.16 | $508.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $587.52 | $2,176.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG | $587.52 | $2,176.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 Preg Compl. >14 Wks AMB | $137.16 | $508.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $137.16 | $508.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $587.52 | $2,176.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG | $587.52 | $2,176.00 | 73% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $397.17 | $1,471.00 | 73% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $424.71 | $1,573.00 | 73% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Vaginal, Non AMB | $77.49 | $287.00 | 73% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal Non OB AMB | $77.49 | $287.00 | 73% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $328.59 | $1,217.00 | 73% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal Non OB AMB | $82.62 | $306.00 | 73% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Vaginal, Non AMB | $82.62 | $306.00 | 73% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $328.59 | $1,217.00 | 73% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US Abdomen Complete AMB | $92.88 | $344.00 | 73% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $785.70 | $2,910.00 | 73% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US Abdomen Complete AMB | $92.88 | $344.00 | 73% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $785.70 | $2,910.00 | 73% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $278.64 | $1,032.00 | 73% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $292.41 | $1,083.00 | 73% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $278.64 | $1,032.00 | 73% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $292.41 | $1,083.00 | 73% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 80048 METABOLIC PANEL TOTAL CA | $7.29 | $27.00 | 73% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel w/Total Calcium | $65.61 | $243.00 | 73% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (8) (RL) | $65.61 | $243.00 | 73% |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 METABOLIC PANEL TOTAL CA | $7.29 | $27.00 | 73% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel w/Total Calcium | $65.61 | $243.00 | 73% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (8) (RL) | $65.61 | $243.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Profile POC AMB -BCE | $19.98 | $74.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile POC AMB | $19.98 | $74.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L33886 LIPID PANEL 889 | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Reflex LDL Direct Health Fair | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel (RL) | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L235036 LIPID PANEL 889 | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with Reflex LDL Direct | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Profile POC AMB -BCE | $19.98 | $74.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile POC AMB | $19.98 | $74.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel (RL) | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L235036 LIPID PANEL 889 | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with Reflex LDL Direct | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L33886 LIPID PANEL 889 | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Reflex LDL Direct Health Fair | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $78.30 | $290.00 | 73% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $78.30 | $290.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $7.83 | $29.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW B | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 CBCWPLTA | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W-PLT AUTO COMPD | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $7.83 | $29.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW B | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W-PLT AUTO COMPD | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCWPLTA | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW | $39.42 | $146.00 | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto | $39.42 | $146.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE CBC AUTOMATED | $6.48 | $24.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Manual | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Auto | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential (LC) | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Diff Manual MW A | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/o Diff | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 COMPLETE CBC AUTOMATED | $6.48 | $24.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/o Diff | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Manual | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Auto | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential (LC) | $38.07 | $141.00 | 73% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Diff Manual MW A | $38.07 | $141.00 | 73% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $189.27 | $701.00 | 73% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $189.27 | $701.00 | 73% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $119.34 | $442.00 | 73% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $119.34 | $442.00 | 73% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $94.50 | $350.00 | 73% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $94.50 | $350.00 | 73% |
| Obstetric blood test panel CPT 80055 Obstetrics Panel A CS | $80.46 | $298.00 | 73% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS INDH | $80.46 | $298.00 | 73% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS | $80.46 | $298.00 | 73% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS INDH | $80.46 | $298.00 | 73% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS | $80.46 | $298.00 | 73% |
| Obstetric blood test panel inpatient CPT 80055 Obstetrics Panel A CS | $80.46 | $298.00 | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480780 PSA, FREE 889 | $82.89 | $307.00 | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 %fPSA Reflex (LC) | $82.89 | $307.00 | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA, FREE | $82.89 | $307.00 | 73% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA, FREE | $82.89 | $307.00 | 73% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 %fPSA Reflex (LC) | $82.89 | $307.00 | 73% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480780 PSA, FREE 889 | $82.89 | $307.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PSA TOTAL | $18.09 | $67.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480780 PSA, TOTAL 889 | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) (LC) | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA, TOTAL | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Serum (Serial Monitor) LC | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PSA TOTAL | $18.09 | $67.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) (LC) | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PSA, TOTAL | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480780 PSA, TOTAL 889 | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Serum (Serial Monitor) LC | $63.99 | $237.00 | 73% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $63.99 | $237.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L500070 APTT 889 | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L503426 APTT 889 | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L500070 APTT 889 | $58.32 | $216.00 | 73% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L503426 APTT 889 | $58.32 | $216.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $4.05 | $15.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin and INR POC AMB | $5.94 | $22.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L503426 PT 889 | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L500070 PT 889 | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .ISTAT PT w/INR POC | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $4.05 | $15.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin and INR POC AMB | $5.94 | $22.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L500070 PT 889 | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L503426 PT 889 | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .ISTAT PT w/INR POC | $22.95 | $85.00 | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $22.95 | $85.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 ASSAY THYROID STIM HORMONE | $16.47 | $61.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIM TSH | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (RL) | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 ASSAY THYROID STIM HORMONE | $16.47 | $61.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (RL) | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIM TSH | $91.80 | $340.00 | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $91.80 | $340.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual Micro | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual Micro | $36.45 | $135.00 | 73% |
| Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dipstick POC AMB | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $71.28 | $264.00 | 73% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Dipstick POC AMB | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $4.59 | $17.00 | 73% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $71.28 | $264.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $3.24 | $12.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $3.24 | $12.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Bilirubin Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Indicated | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Blood Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 81003 L306266 UA AUTO WO S | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Protein Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Glucose Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $3.24 | $12.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $3.24 | $12.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Indicated | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 L306266 UA AUTO WO S | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Blood Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bilirubin Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Protein Urine Dipstick Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $31.32 | $116.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $3.78 | $14.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $3.78 | $14.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine Manual | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $3.78 | $14.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $3.78 | $14.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC | $61.02 | $226.00 | 73% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine Manual | $61.02 | $226.00 | 73% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $500.58 | $1,854.00 | 73% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $500.58 | $1,854.00 | 73% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY | $1,577.61 | $5,843.00 | 73% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY | $1,577.61 | $5,843.00 | 73% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $203.58 | $754.00 | 73% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $203.58 | $754.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY - SNARE | $235.17 | $871.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52 COLONOSCOPY - SNARE | $235.17 | $871.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY - SNARE | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY - SNARE | $235.17 | $871.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 COLONOSCOPY - SNARE | $247.86 | $918.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY - SNARE | $316.98 | $1,174.00 | 73% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $316.98 | $1,174.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $267.03 | $989.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $365.58 | $1,354.00 | 73% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $365.58 | $1,354.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $223.56 | $828.00 | 73% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $332.64 | $1,232.00 | 73% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $665.55 | $2,465.00 | 73% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $665.55 | $2,465.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $791.37 | $2,931.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $527.58 | $1,954.00 | 73% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $791.37 | $2,931.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $10,724.91 | $39,721.88 | 73% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $554.04 | $2,052.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $318.87 | $1,181.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY | $212.49 | $787.00 | 73% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $318.87 | $1,181.00 | 73% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $5,978.86 | $22,143.94 | 73% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 INJECTION INTERLAMINAR | $185.22 | $686.00 | 73% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $185.22 | $686.00 | 73% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 INJECTION INTERLAMINAR | $185.22 | $686.00 | 73% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $185.22 | $686.00 | 73% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $4,786.40 | $17,727.41 | 73% |
| Prostate biopsy CPT 55700 IR Biopsy Prostate Needle Single/Multi | $717.12 | $2,656.00 | 73% |
| Prostate biopsy CPT 55700 US Biopsy Prostate Needle Single/Multi | $717.12 | $2,656.00 | 73% |
| Prostate biopsy CPT 55700 S-PROSTATE NDL BX | $760.05 | $2,815.00 | 73% |
| Prostate biopsy CPT 55700 55700 - Biopsy, prostate; needle or punch, single | $760.05 | $2,815.00 | 73% |
| Prostate biopsy inpatient CPT 55700 US Biopsy Prostate Needle Single/Multi | $717.12 | $2,656.00 | 73% |
| Prostate biopsy inpatient CPT 55700 IR Biopsy Prostate Needle Single/Multi | $717.12 | $2,656.00 | 73% |
| Prostate biopsy inpatient CPT 55700 55700 - Biopsy, prostate; needle or punch, single | $760.05 | $2,815.00 | 73% |
| Prostate biopsy inpatient CPT 55700 S-PROSTATE NDL BX | $760.05 | $2,815.00 | 73% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY | $946.08 | $3,504.00 | 73% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY | $946.08 | $3,504.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120,RT REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120,LT REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery CPT 19120 19120 50 REMOVAL OF BREAST LESION | $470.34 | $1,742.00 | 73% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,RT REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,LT REMOVAL OF BREAST LESION | $417.96 | $1,548.00 | 73% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 50 REMOVAL OF BREAST LESION | $470.34 | $1,742.00 | 73% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $18,546.59 | $68,691.07 | 73% |
| Total hip replacement CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $44,420.71 | $164,521.13 | 73% |
| Total hip replacement inpatient CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement inpatient CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,462.59 | $5,417.00 | 73% |
| Total knee replacement CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $878.04 | $3,252.00 | 73% |
| Total knee replacement CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $878.04 | $3,252.00 | 73% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $878.04 | $3,252.00 | 73% |
| Total knee replacement CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $1,317.06 | $4,878.00 | 73% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $39,667.28 | $146,915.85 | 73% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $1,036.80 | $3,840.00 | 73% |
| Total knee replacement inpatient CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $1,036.80 | $3,840.00 | 73% |
| Total knee replacement inpatient CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $1,036.80 | $3,840.00 | 73% |
| Total knee replacement inpatient CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $1,317.06 | $4,878.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $177.39 | $657.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $150.12 | $556.00 | 73% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $150.12 | $556.00 | 73% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 VBAC DELIVERY | $1,495.26 | $5,538.00 | 73% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 VBAC DELIVERY | $1,495.26 | $5,538.00 | 73% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Obstetric Care Routine | $1,429.38 | $5,294.00 | 73% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 Obstetric Care Routine | $1,429.38 | $5,294.00 | 73% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG POC AMB -BCE | $18.63 | $69.00 | 73% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG POC AMB | $18.63 | $69.00 | 73% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 EKG POC AMB -BCE | $18.63 | $69.00 | 73% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG POC AMB | $18.63 | $69.00 | 73% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $71.55 | $265.00 | 73% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $71.55 | $265.00 | 73% |
| New patient office visit, about 30 minutes CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $42.93 | $159.00 | 73% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $42.93 | $159.00 | 73% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $42.93 | $159.00 | 73% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $42.93 | $159.00 | 73% |
| New patient office visit, about 45 minutes CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $72.36 | $268.00 | 73% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $72.36 | $268.00 | 73% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $72.36 | $268.00 | 73% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $72.36 | $268.00 | 73% |
| New patient office visit, about 60 minutes CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $93.15 | $345.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES | $22.41 | $83.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MN COTA - REDOC 175 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 179 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA - REDOC 179 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT - REDOC 175 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 189 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 175 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 179 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 189 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 179 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 184 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 183 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 175 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA- REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MN COTA - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MN COTA - REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT - REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES | $22.41 | $83.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MN COTA - REDOC 175 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA - REDOC 179 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 179 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT - REDOC 175 | $78.03 | $289.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 189 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 179 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 184 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 183 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 175 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA- REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MN COTA - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MN COTA - REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT - REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 257 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 258 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 189 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 179 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 175 | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $82.89 | $307.00 | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $82.89 | $307.00 | 73% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $51.84 | $192.00 | 73% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $51.84 | $192.00 | 73% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $51.84 | $192.00 | 73% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $51.84 | $192.00 | 73% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $62.91 | $233.00 | 73% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $62.91 | $233.00 | 73% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $62.91 | $233.00 | 73% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $62.91 | $233.00 | 73% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $24.03 | $89.00 | 73% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $44.55 | $165.00 | 73% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $35.91 | $133.00 | 73% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $59.13 | $219.00 | 73% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $54.27 | $201.00 | 73% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $88.83 | $329.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,25 OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,RT OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,RT OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,25 OFFICE CONSULTATION | $67.23 | $249.00 | 73% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULTATION | $100.98 | $374.00 | 73% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244,25 OFFICE CONSULTATION | $100.98 | $374.00 | 73% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 OFFICE CONSULTATION | $100.98 | $374.00 | 73% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244,25 OFFICE CONSULTATION | $100.98 | $374.00 | 73% |