Valley Regional Hospital
Valley Regional Hospital in Claremont, NH publishes cash prices for 64 common procedures listed here, from its own machine-readable price file updated Jun 6, 2026. Click a procedure to compare it with other hospitals nearby.
243 ELM STREET,CLAREMONT,NH,03743-2005 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 ABD & PELVIS W/CONTRAST | $2,435.95 | $4,429.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $2,435.95 | $4,429.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $2,435.95 | $4,429.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,435.95 | $4,429.00 | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $839.85 | $1,527.00 | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O | $839.85 | $1,527.00 | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O | $839.85 | $1,527.00 | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE | $839.85 | $1,527.00 | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $1,338.15 | $2,433.00 | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,338.15 | $2,433.00 | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C | $1,338.15 | $2,433.00 | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE | $1,338.15 | $2,433.00 | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $501.05 | $911.00 | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMO DX COMBO BILAT | $501.05 | $911.00 | 45% |
| Diagnostic mammogram, both breasts CPT 77066 MM BIL DIAGNOSTIC | $501.05 | $911.00 | 45% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $501.05 | $911.00 | 45% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM MAMMO DX COMBO BILAT | $501.05 | $911.00 | 45% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MM BIL DIAGNOSTIC | $501.05 | $911.00 | 45% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM UNILAT LT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM UNILAT RT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO DX COMBO RT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO DX COMBO LT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM UNILAT RT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM MAMMO DX COMBO LT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM MAMMO DX COMBO RT | $283.80 | $516.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM UNILAT LT | $283.80 | $516.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LWR EXT JOINT RED SERVICE | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LWR EXT JOINT RT W/O | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LWR EXT JOINT LT W/O | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LWR EXT JOINT RED SERVICE | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LWR EXT JOINT RT W/O | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LWR EXT JOINT LT W/O | $1,685.75 | $3,065.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $3,281.30 | $5,966.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LWR EXT JOINT RT W/O,W/C | $3,281.30 | $5,966.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LWR EXT JOINT LT W/O,W/C | $3,281.30 | $5,966.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $3,281.30 | $5,966.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LWR EXT JOINT LT W/O,W/C | $3,281.30 | $5,966.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LWR EXT JOINT RT W/O,W/C | $3,281.30 | $5,966.00 | 45% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O | $1,554.85 | $2,827.00 | 45% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN RED SERVICE W/O | $1,554.85 | $2,827.00 | 45% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,554.85 | $2,827.00 | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN RED SERVICE W/O | $1,554.85 | $2,827.00 | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O | $1,554.85 | $2,827.00 | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE | $1,554.85 | $2,827.00 | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/O, W/C | $3,051.40 | $5,548.00 | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,131.70 | $5,694.00 | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN LEVEL II W/O, W/C | $3,131.70 | $5,694.00 | 45% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/O, W/C | $3,051.40 | $5,548.00 | 45% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,131.70 | $5,694.00 | 45% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN LEVEL II W/O, W/C | $3,131.70 | $5,694.00 | 45% |
| MRI of the lower back, no contrast dye CPT 72148 MR SPINE LUMBAR W/O | $2,019.05 | $3,671.00 | 45% |
| MRI of the lower back, no contrast dye CPT 72148 MR SPINE LUMBAR RED SERVICE W/O | $2,019.05 | $3,671.00 | 45% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $2,019.05 | $3,671.00 | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O DYE | $2,019.05 | $3,671.00 | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR SPINE LUMBAR W/O | $2,019.05 | $3,671.00 | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR SPINE LUMBAR RED SERVICE W/O | $2,019.05 | $3,671.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBS PREG UTERUS > 14 WEEKS | $584.10 | $1,062.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS | $584.10 | $1,062.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS | $584.10 | $1,062.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBS PREG UTERUS > 14 WEEKS | $584.10 | $1,062.00 | 45% |
| Screening mammogram, both breasts both sides CPT 77067 MM MAMMO SCREEN COMBO BILAT | $405.90 | $738.00 | 45% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $405.90 | $738.00 | 45% |
| Screening mammogram, both breasts both sides CPT 77067 MM BILATERAL SCREENING | $405.90 | $738.00 | 45% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN LT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN COMBO LT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN COMBO RT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO SCREEN RT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MM MAMMO SCREEN COMBO BILAT | $405.90 | $738.00 | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MM BILATERAL SCREENING | $405.90 | $738.00 | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $405.90 | $738.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN LT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN RT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN COMBO RT | $203.50 | $370.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MM MAMMO SCREEN COMBO LT | $203.50 | $370.00 | 45% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US | $443.85 | $807.00 | 45% |
| Transvaginal pelvic ultrasound CPT 76830 PELVIC TRANSVAGINAL W OTHER STUDY | $528.55 | $961.00 | 45% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $528.55 | $961.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US | $443.85 | $807.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC TRANSVAGINAL W OTHER STUDY | $528.55 | $961.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB | $528.55 | $961.00 | 45% |
| Ultrasound of the abdomen, complete CPT 76700 UL ABDOMEN COMPLT | $692.45 | $1,259.00 | 45% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $692.45 | $1,259.00 | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE | $692.45 | $1,259.00 | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 UL ABDOMEN COMPLT | $692.45 | $1,259.00 | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $313.50 | $570.00 | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR W/OBL(4+ VWS) | $313.50 | $570.00 | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $313.50 | $570.00 | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR W/OBL(4+ VWS) | $313.50 | $570.00 | 45% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC | $64.90 | $118.00 | 45% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA | $64.90 | $118.00 | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL TOTAL CA | $64.90 | $118.00 | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC | $64.90 | $118.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $30.25 | $55.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOPRO PROFILE | $99.00 | $180.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $30.25 | $55.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPOPRO PROFILE | $99.00 | $180.00 | 45% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $57.75 | $105.00 | 45% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFFERENTIAL | $57.75 | $105.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFFERENTIAL | $57.75 | $105.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $57.75 | $105.00 | 45% |
| Complete blood count (CBC), no differential CPT 85027 CBCSO | $58.30 | $106.00 | 45% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $58.30 | $106.00 | 45% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL | $58.30 | $106.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL | $58.30 | $106.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $58.30 | $106.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBCSO | $58.30 | $106.00 | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC | $78.10 | $142.00 | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $78.10 | $142.00 | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $78.10 | $142.00 | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC | $78.10 | $142.00 | 45% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $47.30 | $86.00 | 45% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $47.30 | $86.00 | 45% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $61.60 | $112.00 | 45% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $61.60 | $112.00 | 45% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION DH | $118.80 | $216.00 | 45% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $61.60 | $112.00 | 45% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $61.60 | $112.00 | 45% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION DH | $118.80 | $216.00 | 45% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $352.00 | $640.00 | 45% |
| Obstetric blood test panel CPT 80055 PRENATAL PROFILE | $352.00 | $640.00 | 45% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $352.00 | $640.00 | 45% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE | $352.00 | $640.00 | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $36.85 | $67.00 | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL CPT#1 | $36.85 | $67.00 | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL CPT#1 | $36.85 | $67.00 | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE | $36.85 | $67.00 | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE AND TOTAL CPT#2 | $36.85 | $67.00 | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $107.80 | $196.00 | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $107.80 | $196.00 | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE | $122.10 | $222.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE AND TOTAL CPT#2 | $36.85 | $67.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $107.80 | $196.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $107.80 | $196.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE | $122.10 | $222.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME FOR DH PANEL | $4.95 | $9.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VONWILLEBRANDS FACTOR ASSAY #4 | $24.20 | $44.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT | $28.60 | $52.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APS 5 | $47.30 | $86.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $51.15 | $93.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $51.15 | $93.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME FOR DH PANEL | $4.95 | $9.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VONWILLEBRANDS FACTOR ASSAY #4 | $24.20 | $44.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT | $28.60 | $52.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APS 5 | $47.30 | $86.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $51.15 | $93.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL | $51.15 | $93.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME FOR DH PANEL | $4.95 | $9.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 1500 | $18.70 | $34.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME UB | $18.70 | $34.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHOMBIN TIME | $18.70 | $34.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $29.15 | $53.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 APS 2 | $33.55 | $61.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME FOR DH PANEL | $4.95 | $9.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME UB | $18.70 | $34.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME 1500 | $18.70 | $34.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHOMBIN TIME | $18.70 | $34.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $29.15 | $53.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 APS 2 | $33.55 | $61.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE | $51.15 | $93.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $91.30 | $166.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $91.30 | $166.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE | $51.15 | $93.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $91.30 | $166.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE | $91.30 | $166.00 | 45% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO WITH MICRO | $24.75 | $45.00 | 45% |
| Urinalysis with microscope exam, automated CPT 81001 URINE AUTOMATED WITH MICROSCOPE | $24.75 | $45.00 | 45% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $24.75 | $45.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO WITH MICRO | $24.75 | $45.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $24.75 | $45.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE AUTOMATED WITH MICROSCOPE | $24.75 | $45.00 | 45% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $19.25 | $35.00 | 45% |
| Urinalysis with microscope exam, manual CPT 81000 NONAUTOMATED URINE W/MICROSCOPY | $19.25 | $35.00 | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/SCOPE | $19.25 | $35.00 | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 NONAUTOMATED URINE W/MICROSCOPY | $19.25 | $35.00 | 45% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY AUTO | $19.80 | $36.00 | 45% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $19.80 | $36.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $19.80 | $36.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK ONLY AUTO | $19.80 | $36.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $4.95 | $9.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINE HEMOGLOBIN | $4.95 | $9.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINE PH | $9.90 | $18.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINE SPECIFIC GRAVITY | $10.45 | $19.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK 1500 | $11.00 | $20.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK UB | $11.00 | $20.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK | $11.00 | $20.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE HEMOGLOBIN | $4.95 | $9.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $4.95 | $9.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE PH | $9.90 | $18.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SPECIFIC GRAVITY | $10.45 | $19.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK UB | $11.00 | $20.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK | $11.00 | $20.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK 1500 | $11.00 | $20.00 | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 C-SECTION TOTAL CARE IPA | $613.25 | $1,115.00 | 45% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 C-SECTION TOTAL CARE IP | $2,454.65 | $4,463.00 | 45% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $2,454.65 | $4,463.00 | 45% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 C-SECTION TOTAL CARE IPA | $613.25 | $1,115.00 | 45% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 C-SECTION TOTAL CARE IP | $2,454.65 | $4,463.00 | 45% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY | $2,454.65 | $4,463.00 | 45% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $663.30 | $1,206.00 | 45% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE IP | $663.30 | $1,206.00 | 45% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE OP | $663.30 | $1,206.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE OP | $663.30 | $1,206.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX W/REM LESIONS SNARE IP | $663.30 | $1,206.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL | $663.30 | $1,206.00 | 45% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX W/BIOPSY IP | $632.50 | $1,150.00 | 45% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX W/BIOPSY OP | $632.50 | $1,150.00 | 45% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $632.50 | $1,150.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY | $632.50 | $1,150.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX W/BIOPSY OP | $632.50 | $1,150.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX W/BIOPSY IP | $632.50 | $1,150.00 | 45% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC OP | $512.05 | $931.00 | 45% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC IP | $512.05 | $931.00 | 45% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $512.05 | $931.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC OP | $512.05 | $931.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC IP | $512.05 | $931.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $512.05 | $931.00 | 45% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $841.50 | $1,530.00 | 45% |
| Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAP IP | $841.50 | $1,530.00 | 45% |
| Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAP OP | $841.50 | $1,530.00 | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $841.50 | $1,530.00 | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAP OP | $841.50 | $1,530.00 | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAP IP | $841.50 | $1,530.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIA INIT INGUINAL 5+ YRS IP | $491.15 | $893.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $491.15 | $893.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIA INIT INGUINAL 5+ YRS OP | $491.15 | $893.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR | $491.15 | $893.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HERNIA INIT INGUINAL 5+ YRS IP | $491.15 | $893.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HERNIA INIT INGUINAL 5+ YRS OP | $491.15 | $893.00 | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY MENISCECT MED/LAT OP | $789.25 | $1,435.00 | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY MENISCECT MED/LAT IP | $789.25 | $1,435.00 | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $789.25 | $1,435.00 | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY MENISCECT MED/LAT OP | $789.25 | $1,435.00 | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY MENISCECT MED/LAT IP | $789.25 | $1,435.00 | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $789.25 | $1,435.00 | 45% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $611.05 | $1,111.00 | 45% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC | $611.05 | $1,111.00 | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL | $482.35 | $877.00 | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $482.35 | $877.00 | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL | $482.35 | $877.00 | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $482.35 | $877.00 | 45% |
| Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX PRO | $341.00 | $620.00 | 45% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX OP | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX MD | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery CPT 19120 BREAST EXCISIONAL BX IP | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX PRO | $341.00 | $620.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX MD | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX IP | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 BREAST EXCISIONAL BX OP | $523.60 | $952.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $523.60 | $952.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCP SHLDR SURG DECOM OPA | $205.70 | $374.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCP SHLDR SURG DECOMP IPA | $205.70 | $374.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA IP | $823.90 | $1,498.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA OP | $823.90 | $1,498.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $823.90 | $1,498.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCP SHLDR SURG DECOMP IPA | $205.70 | $374.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCP SHLDR SURG DECOM OPA | $205.70 | $374.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $823.90 | $1,498.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA IP | $823.90 | $1,498.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSC SHLDR DECOM SA SP W PA OP | $823.90 | $1,498.00 | 45% |
| Total hip replacement CPT 27130 TOTAL HIP JOINT REPLACE OP | $1,805.65 | $3,283.00 | 45% |
| Total hip replacement CPT 27130 TOTAL HIP JOINT REPLACE IP | $1,805.65 | $3,283.00 | 45% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $1,805.65 | $3,283.00 | 45% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY | $1,805.65 | $3,283.00 | 45% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP JOINT REPLACE OP | $1,805.65 | $3,283.00 | 45% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP JOINT REPLACE IP | $1,805.65 | $3,283.00 | 45% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT OP | $1,928.85 | $3,507.00 | 45% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT IP | $1,928.85 | $3,507.00 | 45% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $1,928.85 | $3,507.00 | 45% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT IP | $1,928.85 | $3,507.00 | 45% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY | $1,928.85 | $3,507.00 | 45% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE REPLACEMENT OP | $1,928.85 | $3,507.00 | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER ENDOSCOPY W/BX OP | $513.70 | $934.00 | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $513.70 | $934.00 | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER ENDOSCOPY W/BX IP | $513.70 | $934.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER ENDOSCOPY W/BX OP | $513.70 | $934.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER ENDOSCOPY W/BX IP | $513.70 | $934.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $513.70 | $934.00 | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER ENDOSCOPY OP | $402.60 | $732.00 | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER ENDOSCOPY IP | $402.60 | $732.00 | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $402.60 | $732.00 | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER ENDOSCOPY IP | $402.60 | $732.00 | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER ENDOSCOPY OP | $402.60 | $732.00 | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $402.60 | $732.00 | 45% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC TOTAL CARE IP | $2,244.00 | $4,080.00 | 45% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $2,244.00 | $4,080.00 | 45% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC DELIVERY | $2,244.00 | $4,080.00 | 45% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC TOTAL CARE IP | $2,244.00 | $4,080.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $2,104.30 | $3,826.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL DELIVERY TOTAL CARE IP | $2,104.30 | $3,826.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL DELIVERY TOTAL CARE OP | $2,104.30 | $3,826.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL DELIVERY TOTAL CARE IP | $2,104.30 | $3,826.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL DELIVERY TOTAL CARE OP | $2,104.30 | $3,826.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBSTETRICAL CARE | $2,104.30 | $3,826.00 | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PRIORITY CARE EKG | $73.15 | $133.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $73.15 | $133.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE 1500 ONLY | $83.60 | $152.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE UB ONLY | $83.60 | $152.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE MD | $83.60 | $152.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $73.15 | $133.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PRIORITY CARE EKG | $73.15 | $133.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE MD | $83.60 | $152.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE 1500 ONLY | $83.60 | $152.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE UB ONLY | $83.60 | $152.00 | 45% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/PT 50 MINS | $141.35 | $257.00 | 45% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $141.35 | $257.00 | 45% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W/PT 50 MINS | $141.35 | $257.00 | 45% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $141.35 | $257.00 | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN FAC | $47.30 | $86.00 | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN PRO | $88.00 | $160.00 | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $135.30 | $246.00 | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN MD | $135.30 | $246.00 | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN FAC | $47.30 | $86.00 | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN PRO | $88.00 | $160.00 | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN MD | $135.30 | $246.00 | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $135.30 | $246.00 | 45% |
| Group psychotherapy session CPT 90853 GROUP THERAPY PROCESS NON-FAMILY | $33.55 | $61.00 | 45% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $33.55 | $61.00 | 45% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY PROCESS NON-FAMILY | $33.55 | $61.00 | 45% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $33.55 | $61.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 FAC | $39.05 | $71.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 UB FAC | $39.05 | $71.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 FAC | $39.05 | $71.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 IND PREP INTERMEDIATE EXAM | $52.25 | $95.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 PRO | $72.60 | $132.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 PRO | $72.60 | $132.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 PRO | $72.60 | $132.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 MD | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 IP | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 1500 ONLY | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW LEV 3 | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 UB ONLY | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW INTERMEDIATE EVALUATION | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 OP | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DET/LOW 30 MD | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 FAC | $39.05 | $71.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 FAC | $39.05 | $71.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 UB FAC | $39.05 | $71.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 IND PREP INTERMEDIATE EXAM | $52.25 | $95.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 PRO | $72.60 | $132.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 PRO | $72.60 | $132.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 PRO | $72.60 | $132.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 IP | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 1500 ONLY | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 MD | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 MD | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT, NEW LEV 3 | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW INTERMEDIATE EVALUATION | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 UB ONLY | $111.65 | $203.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT DET/LOW 30 OP | $111.65 | $203.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 UB FAC | $57.20 | $104.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 FAC | $57.20 | $104.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 FAC | $57.20 | $104.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 DOT-PHYSICAL EXAM | $82.50 | $150.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 PRO | $106.15 | $193.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 PRO | $106.15 | $193.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 OP | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 IP | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 MD | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW LEV 4 | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW EXTENDED EVALUATION | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 UB ONLY | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COM/MOD 45 1500 ONLY | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 UB FAC | $57.20 | $104.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 FAC | $57.20 | $104.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 FAC | $57.20 | $104.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 DOT-PHYSICAL EXAM | $82.50 | $150.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 PRO | $106.15 | $193.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 PRO | $106.15 | $193.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 MD | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW EXTENDED EVALUATION | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT, NEW LEV 4 | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 OP | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 UB ONLY | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 IP | $163.35 | $297.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT COM/MOD 45 1500 ONLY | $163.35 | $297.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 FAC | $73.15 | $133.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 FAC | $73.15 | $133.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 UB FAC | $73.15 | $133.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 IND PREMP COMP EXAM | $88.00 | $160.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 PRO | $135.85 | $247.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 PRO | $135.85 | $247.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 PRO | $135.85 | $247.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 MD | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 OP | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 IP | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 1500 ONLY | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 UB ONLY | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COM/HIGH 60 OP | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW LEV 5 | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 FAC | $73.15 | $133.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 UB FAC | $73.15 | $133.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 FAC | $73.15 | $133.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 IND PREMP COMP EXAM | $88.00 | $160.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 PRO | $135.85 | $247.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 PRO | $135.85 | $247.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 PRO | $135.85 | $247.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 UB ONLY | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 1500 ONLY | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 MD | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 OP | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT, NEW LEV 5 | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 IP | $209.00 | $380.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COM/HIGH 60 OP | $209.00 | $380.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HH THER EX 15 | $63.80 | $116.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15 MINUTES | $78.10 | $142.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN | $78.10 | $142.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $78.10 | $142.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HH THER EX 15 | $63.80 | $116.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15 MINUTES | $78.10 | $142.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN | $78.10 | $142.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $78.10 | $142.00 | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $150.70 | $274.00 | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE NEW 18-39 YRS | $150.70 | $274.00 | 45% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE NEW 18-39 YRS | $150.70 | $274.00 | 45% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39 | $150.70 | $274.00 | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $173.80 | $316.00 | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE NEW 40-64 YRS | $173.80 | $316.00 | 45% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE NEW 40-64 YRS | $173.80 | $316.00 | 45% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 | $173.80 | $316.00 | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX 30 MIN W/ PT FAC | $33.00 | $60.00 | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX 30 MIN W/ PT PRO | $62.15 | $113.00 | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX 30 MIN W/ PT MD | $95.15 | $173.00 | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $95.15 | $173.00 | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX 30 MIN W/ PT FAC | $33.00 | $60.00 | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX 30 MIN W/ PT PRO | $62.15 | $113.00 | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX 30 MIN W/ PT MD | $95.15 | $173.00 | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES | $95.15 | $173.00 | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX 45 MINS W/PT FAC | $43.45 | $79.00 | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX 45 MINS W/PT PRO | $81.95 | $149.00 | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $125.40 | $228.00 | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX 45 MINS W/PT MD | $125.40 | $228.00 | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX 45 MINS W/PT FAC | $43.45 | $79.00 | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX 45 MINS W/PT PRO | $81.95 | $149.00 | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX 45 MINS W/PT MD | $125.40 | $228.00 | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $125.40 | $228.00 | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES FAC | $64.35 | $117.00 | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES PRO | $121.00 | $220.00 | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $185.35 | $337.00 | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES MD | $185.35 | $337.00 | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES FAC | $64.35 | $117.00 | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES PRO | $121.00 | $220.00 | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES MD | $185.35 | $337.00 | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $185.35 | $337.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 FAC | $50.60 | $92.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DETLOW 40 PRO | $94.60 | $172.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 OP | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 MD | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DEL/LOW 40 IP | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT DET/LOW 40 | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT OUTPATIENT 99243 | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 FAC | $50.60 | $92.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DETLOW 40 PRO | $94.60 | $172.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT OUTPATIENT 99243 | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DEL/LOW 40 IP | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 OP | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $145.20 | $264.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT DET/LOW 40 MD | $145.20 | $264.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 FAC | $71.50 | $130.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 PRO | $133.10 | $242.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT OUTPATIENT 99244 | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 MD | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 IP | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT COM/MOD 60 OP | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 FAC | $71.50 | $130.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 PRO | $133.10 | $242.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT OUTPATIENT 99244 | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 MD | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 IP | $204.60 | $372.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT COM/MOD 60 OP | $204.60 | $372.00 | 45% |