Fairview Health Services
Fairview Health Services in Minneapolis, MN publishes cash prices for 64 common procedures listed here, from its own machine-readable price file updated Feb 6, 2026. Click a procedure to compare it with other hospitals nearby.
2450 Riverside Avenue, Minneapolis, MN 55454-1400 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 Outpatient Services | $734.65 | $1,832.02 | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $734.65 | $1,832.02 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $734.64 | $1,832.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 AS CT HEAD WO CONTRAST | $113.09 | $180.35 | 37% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $477.51 | $1,190.79 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 Outpatient Services | $477.51 | $1,190.79 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 AS CT HEAD WO CONTRAST | $113.09 | $180.35 | 37% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $362.11 | $903.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 Outpatient Services | $650.03 | $1,621.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $650.03 | $1,621.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $650.03 | $1,621.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $231.00 | $576.03 | 60% |
| Diagnostic mammogram, both breasts CPT 77066 Outpatient Services | $231.00 | $576.03 | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $231.00 | $576.03 | 60% |
| Diagnostic mammogram, one breast CPT 77065 Outpatient Services | $178.85 | $446.00 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $178.85 | $446.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $178.85 | $446.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Outpatient Services | $1,206.13 | $3,007.78 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $1,206.13 | $3,007.78 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $781.09 | $1,947.83 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Outpatient Services | $1,148.48 | $2,864.03 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,148.48 | $2,864.03 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,719.69 | $4,288.50 | 60% |
| MRI of the brain, no contrast dye CPT 70551 Outpatient Services | $643.21 | $1,604.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $643.21 | $1,604.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $643.21 | $1,604.01 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 PR MRI BRAIN WO&W CONTRAST | $763.69 | $1,218.00 | 37% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO&W CONTRAST | $1,158.43 | $2,888.83 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 Outpatient Services | $1,158.43 | $2,888.83 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 PR MRI BRAIN WO&W CONTRAST | $763.69 | $1,218.00 | 37% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO&W CONTRAST | $1,145.79 | $2,857.31 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $759.90 | $1,895.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 Outpatient Services | $759.90 | $1,895.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $759.90 | $1,895.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $273.89 | $683.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Outpatient Services | $273.89 | $683.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $273.89 | $683.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts CPT 77067 Outpatient Services | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $188.07 | $469.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL, NON-OB | $223.36 | $557.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Outpatient Services | $223.36 | $557.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL, NON-OB | $223.38 | $557.04 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $278.30 | $694.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 Outpatient Services | $278.30 | $694.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $278.30 | $694.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $205.32 | $512.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 Outpatient Services | $205.32 | $512.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $205.32 | $512.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL | $15.66 | $24.97 | 37% |
| Basic metabolic panel (blood test) CPT 80048 PR BASIC METABOLIC PROFILE | $15.68 | $25.00 | 37% |
| Basic metabolic panel (blood test) CPT 80048 Outpatient Services | $75.39 | $188.00 | 60% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE | $75.39 | $188.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL | $15.66 | $24.97 | 37% |
| Basic metabolic panel (blood test) inpatient CPT 80048 PR BASIC METABOLIC PROFILE | $15.68 | $25.00 | 37% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE | $75.39 | $188.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 PR LIPID PANEL | $25.68 | $40.95 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Outpatient Services | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 PR LIPID PANEL | $25.68 | $40.95 | 37% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $39.04 | $97.33 | 60% |
| Complete blood count (CBC) with differential CPT 85025 PR CBC WITH PLATELETS, DIFF | $13.17 | $21.00 | 37% |
| Complete blood count (CBC) with differential CPT 85025 PR BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $14.29 | $22.79 | 37% |
| Complete blood count (CBC) with differential CPT 85025 Outpatient Services | $45.62 | $113.75 | 60% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH PLATELETS, DIFF | $45.62 | $113.75 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 PR CBC WITH PLATELETS, DIFF | $13.17 | $21.00 | 37% |
| Complete blood count (CBC) with differential inpatient CPT 85025 PR BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $14.29 | $22.79 | 37% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH PLATELETS, DIFF | $43.22 | $107.77 | 60% |
| Complete blood count (CBC), no differential CPT 85027 PR BLOOD COUNT COMPLETE AUTOMATED | $10.04 | $16.00 | 37% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC WITH PLATELETS | $59.37 | $148.04 | 60% |
| Complete blood count (CBC), no differential CPT 85027 Outpatient Services | $59.37 | $148.04 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 PR BLOOD COUNT COMPLETE AUTOMATED | $10.04 | $16.00 | 37% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITH PLATELETS | $59.37 | $148.04 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 PR COMPREHENSIVE METABOLIC PANEL | $19.02 | $30.33 | 37% |
| Comprehensive metabolic panel (blood test) CPT 80053 PR COMPREHENSIVE METABOLIC PANEL 2 | $19.17 | $30.56 | 37% |
| Comprehensive metabolic panel (blood test) CPT 80053 Outpatient Services | $85.96 | $214.36 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $85.96 | $214.36 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 PR COMPREHENSIVE METABOLIC PANEL | $19.02 | $30.33 | 37% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 PR COMPREHENSIVE METABOLIC PANEL 2 | $19.17 | $30.56 | 37% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $87.29 | $217.67 | 60% |
| Kidney function blood test panel CPT 80069 PR RENAL FUNCTION PANEL | $16.29 | $25.97 | 37% |
| Kidney function blood test panel CPT 80069 PR RENAL PANEL | $16.31 | $26.00 | 37% |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL | $78.60 | $196.00 | 60% |
| Kidney function blood test panel CPT 80069 Outpatient Services | $78.60 | $196.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 PR RENAL FUNCTION PANEL | $16.29 | $25.97 | 37% |
| Kidney function blood test panel inpatient CPT 80069 PR RENAL PANEL | $16.31 | $26.00 | 37% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL | $72.99 | $182.00 | 60% |
| Liver function blood test panel CPT 80076 PR HEPATIC FUNCTION PANEL | $15.03 | $23.96 | 37% |
| Liver function blood test panel CPT 80076 HC HEPATIC PANEL | $48.12 | $120.00 | 60% |
| Liver function blood test panel CPT 80076 Outpatient Services | $48.12 | $120.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 PR HEPATIC FUNCTION PANEL | $15.03 | $23.96 | 37% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PANEL | $48.14 | $120.03 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Outpatient Services | $20.83 | $51.93 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA | $20.83 | $51.93 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PR ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $33.05 | $52.71 | 37% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA | $22.46 | $56.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PR ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $33.05 | $52.71 | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PR PSA, DIAGNOSTIC (TUMOR MARKER) | $31.35 | $50.00 | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PR ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $32.30 | $51.50 | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE | $48.12 | $120.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Outpatient Services | $58.55 | $146.01 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $58.55 | $146.01 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PR PSA, DIAGNOSTIC (TUMOR MARKER) | $31.35 | $50.00 | 37% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PR ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $32.30 | $51.50 | 37% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, ULTRASENSITIVE | $48.12 | $120.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $55.74 | $139.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PR THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $11.26 | $17.96 | 37% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $56.01 | $139.67 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Outpatient Services | $56.01 | $139.67 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT AL | $58.95 | $147.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC HEPZYMED PTT | $58.95 | $147.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PR THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $11.26 | $17.96 | 37% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT AL | $57.11 | $142.40 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $58.95 | $147.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC HEPZYMED PTT | $58.95 | $147.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PR PROTHROMBIN TIME POCT | $8.16 | $13.00 | 37% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PR PROTHROMBIN TIME/INR | $8.76 | $13.97 | 37% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PR INR SP COAG | $8.78 | $14.00 | 37% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR SP COAG | $22.78 | $56.79 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Outpatient Services | $31.03 | $77.37 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR | $31.03 | $77.37 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT ISTAT | $31.08 | $77.50 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT MIXING STUDIES | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PR PROTHROMBIN TIME POCT | $8.16 | $13.00 | 37% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PR PROTHROMBIN TIME/INR | $8.76 | $13.97 | 37% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PR INR SP COAG | $8.78 | $14.00 | 37% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT ISTAT | $31.08 | $77.50 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR SP COAG | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT MIXING STUDIES | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT | $31.28 | $78.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC MISC TEST | $29.58 | $73.75 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $35.56 | $88.67 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Outpatient Services | $35.56 | $88.67 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FREE T4 REFLEX | $36.09 | $90.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 PR ASSAY OF THYROID STIMULATING HORMONE TSH | $39.51 | $63.00 | 37% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC MISC TEST | $29.58 | $73.75 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FREE T4 REFLEX | $36.09 | $90.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $36.09 | $90.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 PR ASSAY OF THYROID STIMULATING HORMONE TSH | $39.51 | $63.00 | 37% |
| Urinalysis with microscope exam, automated CPT 81001 PR URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $7.50 | $11.95 | 37% |
| Urinalysis with microscope exam, automated CPT 81001 Outpatient Services | $33.54 | $83.63 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $33.54 | $83.63 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 PR URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $7.50 | $11.95 | 37% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $33.69 | $84.01 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 PR URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $5.65 | $9.00 | 37% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS OB SCREEN | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Outpatient Services | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, MACROSCPOIC | $16.85 | $42.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $17.65 | $44.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE QUAL | $18.05 | $45.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY UR | $19.25 | $48.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUAL URINE | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUAL | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE QUAL | $21.26 | $53.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC KETONES URINE QUAL | $28.07 | $70.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PR URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $5.65 | $9.00 | 37% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS OB SCREEN | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, MACROSCPOIC | $16.85 | $42.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $17.66 | $44.02 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE QUAL | $18.05 | $45.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY UR | $19.25 | $48.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE QUAL | $20.03 | $49.94 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE QUAL URINE | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE QUAL | $21.26 | $53.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONES URINE QUAL | $28.07 | $70.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Outpatient Services | $3,577.93 | $8,922.50 | 60% |
| Cataract surgery with lens implant CPT 66984 HC REMV CATARACT EXTRACAP,INSERT LENS | $3,577.93 | $8,922.50 | 60% |
| Cataract surgery with lens implant inpatient CPT 66984 HC REMV CATARACT EXTRACAP,INSERT LENS | $2,717.98 | $6,778.00 | 60% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $6,293.41 | $10,037.33 | 37% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $6,293.41 | $10,037.33 | 37% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM | $1,182.95 | $2,950.00 | 60% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Outpatient Services | $1,182.95 | $2,950.00 | 60% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM | $1,182.95 | $2,950.00 | 60% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,121.33 | $2,796.33 | 60% |
| Colonoscopy with polyp removal CPT 45385 Outpatient Services | $1,121.33 | $2,796.33 | 60% |
| Colonoscopy with polyp removal CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,156.82 | $1,845.00 | 37% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,156.82 | $1,845.00 | 37% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,177.77 | $2,937.07 | 60% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W BIOPSY | $1,131.74 | $1,805.00 | 37% |
| Colonoscopy with tissue sample CPT 45380 Outpatient Services | $1,133.15 | $2,825.80 | 60% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY | $1,133.15 | $2,825.80 | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W BIOPSY | $1,131.74 | $1,805.00 | 37% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY | $1,132.83 | $2,825.00 | 60% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $879.69 | $1,403.00 | 37% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,051.83 | $2,623.01 | 60% |
| Colonoscopy, diagnostic CPT 45378 Outpatient Services | $1,051.83 | $2,623.01 | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $879.69 | $1,403.00 | 37% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,315.28 | $3,280.00 | 60% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,591.96 | $2,539.00 | 37% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $6,588.84 | $16,431.00 | 60% |
| Gallbladder removal, laparoscopic CPT 47562 Outpatient Services | $6,588.84 | $16,431.00 | 60% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,591.96 | $2,539.00 | 37% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $6,588.84 | $16,431.00 | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPAIR ING HERNIA,5+Y/O,REDUCIBL | $3,950.66 | $9,852.00 | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Outpatient Services | $3,950.66 | $9,852.00 | 60% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC REPAIR ING HERNIA,5+Y/O,REDUCIBL | $3,950.66 | $9,852.00 | 60% |
| Knee arthroscopy with meniscus trim CPT 29881 Outpatient Services | $3,674.09 | $9,162.30 | 60% |
| Knee arthroscopy with meniscus trim CPT 29881 HC KNEE ARTHROSCOPY, MED/LAT MENISECTOMY | $3,674.09 | $9,162.30 | 60% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC KNEE ARTHROSCOPY, MED/LAT MENISECTOMY | $3,674.09 | $9,162.30 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Outpatient Services | $1,791.67 | $4,468.00 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC YAG LASER CAPSULOTOMY | $1,791.67 | $4,468.00 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC YAG LASER CAPSULOTOMY | $1,791.67 | $4,468.00 | 60% |
| Left heart catheterization, diagnostic CPT 93452 Outpatient Services | $3,548.05 | $8,848.00 | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $3,548.05 | $8,848.00 | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $3,548.05 | $8,848.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Outpatient Services | $751.88 | $1,875.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $751.88 | $1,875.00 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $751.88 | $1,875.00 | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $357.39 | $570.00 | 37% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $1,162.38 | $2,898.68 | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Outpatient Services | $1,162.38 | $2,898.68 | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $357.39 | $570.00 | 37% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $1,162.38 | $2,898.68 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,008.92 | $2,516.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Outpatient Services | $1,008.92 | $2,516.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,008.92 | $2,516.00 | 60% |
| Prostate biopsy CPT 55700 Outpatient Services | $2,604.50 | $6,495.00 | 60% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $2,604.50 | $6,495.00 | 60% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $2,604.50 | $6,495.00 | 60% |
| Removal of a breast lump, open surgery CPT 19120 HC EXCISION BREAST LESION, OPEN >=1 | $4,120.33 | $10,275.13 | 60% |
| Removal of a breast lump, open surgery CPT 19120 Outpatient Services | $4,120.33 | $10,275.13 | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISION BREAST LESION, OPEN >=1 | $4,120.33 | $10,275.13 | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC SHOULDER ARTHROSCOPY,PART ACROMIOPLASTY | $2,717.58 | $6,777.00 | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC SHOULDER ARTHROSCOPY,PART ACROMIOPLASTY | $2,717.58 | $6,777.00 | 60% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR REMOVE TONSILS/ADENOIDS,<12 Y/O | $740.49 | $1,181.00 | 37% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR REMOVE TONSILS/ADENOIDS,<12 Y/O | $740.49 | $1,181.00 | 37% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM) | $814.84 | $2,032.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Outpatient Services | $835.29 | $2,083.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $835.29 | $2,083.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $989.93 | $1,578.83 | 37% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM) | $814.84 | $2,032.00 | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $989.93 | $1,578.83 | 37% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $1,311.29 | $3,270.05 | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $754.91 | $1,204.00 | 37% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Outpatient Services | $818.64 | $2,041.49 | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $818.64 | $2,041.49 | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $754.91 | $1,204.00 | 37% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $818.45 | $2,041.00 | 60% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,968.42 | $9,519.00 | 37% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,968.42 | $9,519.00 | 37% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $5,756.06 | $9,180.32 | 37% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $5,756.06 | $9,180.32 | 37% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ELECTROCARDIOGRAM, COMP W/READ | $36.22 | $57.76 | 37% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ELECTROCARDIOGRAM, COMP W/READ | $36.22 | $57.76 | 37% |
| Family therapy with the patient, 50 minutes CPT 90847 Outpatient Services | $182.93 | $456.17 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $182.93 | $456.17 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $234.99 | $586.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $285.92 | $713.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $288.52 | $719.50 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $182.93 | $456.17 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $183.54 | $457.68 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $285.92 | $713.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $288.52 | $719.50 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY,W/O PT, 50 MINS | $215.69 | $344.00 | 37% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN | $228.17 | $569.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 Outpatient Services | $234.99 | $586.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP | $234.99 | $586.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY,W/O PT, 50 MINS | $215.69 | $344.00 | 37% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN | $228.17 | $569.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP | $228.17 | $569.00 | 60% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS | $46.52 | $116.00 | 60% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG) | $46.70 | $116.44 | 60% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD | $50.93 | $127.00 | 60% |
| Group psychotherapy session CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL | $77.50 | $193.25 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP | $86.22 | $215.00 | 60% |
| Group psychotherapy session CPT 90853 Outpatient Services | $138.75 | $346.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY (30+ MIN) | $138.75 | $346.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP | $138.75 | $346.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR, IOP | $138.75 | $346.00 | 60% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD/IOP | $148.78 | $371.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD | $148.78 | $371.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1HR (DRUG) | $155.19 | $386.99 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5HR CD | $156.39 | $390.00 | 60% |
| Group psychotherapy session CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD | $159.90 | $398.73 | 60% |
| Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD | $165.36 | $412.36 | 60% |
| Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR | $166.50 | $415.20 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR | $169.63 | $423.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR | $178.45 | $445.00 | 60% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $266.27 | $664.00 | 60% |
| Group psychotherapy session CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $272.28 | $679.00 | 60% |
| Group psychotherapy session CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR | $285.92 | $713.00 | 60% |
| Group psychotherapy session CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $292.73 | $730.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS | $46.52 | $116.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG) | $46.70 | $116.44 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD | $50.93 | $127.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL | $77.50 | $193.25 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP | $86.22 | $215.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR, IOP | $137.84 | $343.74 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY (30+ MIN) | $138.75 | $346.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR | $138.79 | $346.09 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD | $148.78 | $371.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD/IOP | $148.78 | $371.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR | $153.99 | $384.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1HR (DRUG) | $155.19 | $386.99 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5HR CD | $156.39 | $390.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD | $159.90 | $398.73 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD | $165.36 | $412.36 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR | $166.50 | $415.20 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP | $188.07 | $469.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $266.27 | $664.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $272.28 | $679.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR | $285.92 | $713.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $292.73 | $730.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $284.13 | $453.15 | 37% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $284.13 | $453.15 | 37% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $422.40 | $673.68 | 37% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $422.40 | $673.68 | 37% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $556.89 | $888.18 | 37% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $556.89 | $888.18 | 37% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Outpatient Services | $69.78 | $174.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $69.78 | $174.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $69.78 | $174.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $69.38 | $173.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $69.56 | $173.46 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $125.92 | $314.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 Outpatient Services | $131.73 | $328.50 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP | $131.73 | $328.50 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $158.80 | $396.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES | $171.18 | $273.00 | 37% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $218.55 | $545.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP | $128.21 | $319.71 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $158.80 | $396.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $160.81 | $401.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES | $171.18 | $273.00 | 37% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $218.55 | $545.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $151.18 | $377.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $206.12 | $514.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG) | $210.13 | $524.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $218.55 | $545.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $224.97 | $561.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 Outpatient Services | $224.97 | $561.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $226.58 | $361.36 | 37% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $151.18 | $377.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $178.88 | $446.08 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $206.12 | $514.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG) | $210.13 | $524.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $218.55 | $545.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $226.58 | $361.36 | 37% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG) | $283.51 | $707.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 Outpatient Services | $283.51 | $707.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $286.43 | $714.27 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $291.13 | $726.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP | $291.13 | $726.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG) | $317.20 | $791.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W PATIENT 53 OR > MINUTES | $333.57 | $532.00 | 37% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $267.87 | $668.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG) | $279.90 | $698.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP | $290.69 | $724.89 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $291.13 | $726.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG) | $317.20 | $791.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W PATIENT 53 OR > MINUTES | $333.57 | $532.00 | 37% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN | $257.70 | $411.00 | 37% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN | $257.70 | $411.00 | 37% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $369.65 | $589.54 | 37% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $369.65 | $589.54 | 37% |