Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa in Missouri Valley, IA publishes cash prices for 60 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Click a procedure to compare it with other hospitals nearby.
631 North 8th Street, Missouri Valley, IA 51555 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $3,429.02 | $6,998.00 | 51% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $3,429.02 | $6,998.00 | 51% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $1,254.40 | $2,560.00 | 51% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $1,254.40 | $2,560.00 | 51% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,448.93 | $2,957.00 | 51% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,448.93 | $2,957.00 | 51% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIGITAL BILATERAL | $150.92 | $308.00 | 51% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIGITAL BILATERAL | $150.92 | $308.00 | 51% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $110.25 | $225.00 | 51% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $150.92 | $308.00 | 51% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $110.25 | $225.00 | 51% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $150.92 | $308.00 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,710.10 | $3,490.00 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,710.10 | $3,490.00 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR JNT LOWER EXT W WO CONT | $2,120.23 | $4,327.00 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR JNT LOWER EXT W WO CONT | $2,120.23 | $4,327.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST | $2,805.25 | $5,725.00 | 51% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST | $2,805.25 | $5,725.00 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $2,597.49 | $5,301.00 | 51% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $2,597.49 | $5,301.00 | 51% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR LUMBAR WO CONTRAST | $2,285.85 | $4,665.00 | 51% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR LUMBAR WO CONTRAST | $2,285.85 | $4,665.00 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >14 WKS | $491.47 | $1,003.00 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC ULTRASOUND COMPLETE | $497.84 | $1,016.00 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >14 WKS | $491.47 | $1,003.00 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC ULTRASOUND COMPLETE | $497.84 | $1,016.00 | 51% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $193.06 | $394.00 | 51% |
| Screening mammogram, both breasts CPT 77067 HC MAMMOGRAM DIGITAL SCREEN | $164.15 | $335.00 | 51% |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMOG DR UNILAT SCREEN M52 | $106.82 | $218.00 | 51% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $193.06 | $394.00 | 51% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMOGRAM DIGITAL SCREEN | $164.15 | $335.00 | 51% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMMOG DR UNILAT SCREEN M52 | $106.82 | $218.00 | 51% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $2,621.99 | $5,351.00 | 51% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $2,621.99 | $5,351.00 | 51% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $420.42 | $858.00 | 51% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $420.42 | $858.00 | 51% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN | $563.01 | $1,149.00 | 51% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN | $563.01 | $1,149.00 | 51% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RHC LUMB SAC SPINE 4 VWS | $49.00 | $100.00 | 51% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $356.23 | $727.00 | 51% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RHC LUMB SAC SPINE 4 VWS | $49.00 | $100.00 | 51% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $356.23 | $727.00 | 51% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC RHC BASIC METABOLIC PANL | $12.74 | $26.00 | 51% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $134.75 | $275.00 | 51% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC RHC BASIC METABOLIC PANL | $12.74 | $26.00 | 51% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $134.75 | $275.00 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC RHC LIPID PANEL | $20.09 | $41.00 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $147.98 | $302.00 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC RHC LIPID PANEL | $20.09 | $41.00 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $147.98 | $302.00 | 51% |
| Complete blood count (CBC) with differential CPT 85025 HC RHC CBC AUTOMATED W DIFF | $7.35 | $15.00 | 51% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF | $95.06 | $194.00 | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC RHC CBC AUTOMATED W DIFF | $7.35 | $15.00 | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF | $95.06 | $194.00 | 51% |
| Complete blood count (CBC), no differential CPT 85027 HC RHC HEMOGRAM CBC W O DIFF | $9.80 | $20.00 | 51% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $69.09 | $141.00 | 51% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC RHC HEMOGRAM CBC W O DIFF | $9.80 | $20.00 | 51% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $69.09 | $141.00 | 51% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC RHC COMP METABOLIC PANEL | $15.68 | $32.00 | 51% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE PANEL | $171.99 | $351.00 | 51% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC RHC COMP METABOLIC PANEL | $15.68 | $32.00 | 51% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE PANEL | $171.99 | $351.00 | 51% |
| Kidney function blood test panel CPT 80069 HC RHC RENAL FUNC PANEL | $13.23 | $27.00 | 51% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $178.36 | $364.00 | 51% |
| Kidney function blood test panel inpatient CPT 80069 HC RHC RENAL FUNC PANEL | $13.23 | $27.00 | 51% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $178.36 | $364.00 | 51% |
| Liver function blood test panel CPT 80076 HC RHC HEPAT FUNCTN PANEL | $12.25 | $25.00 | 51% |
| Liver function blood test panel CPT 80076 HC HEPATIC PROFILE | $148.96 | $304.00 | 51% |
| Liver function blood test panel inpatient CPT 80076 HC RHC HEPAT FUNCTN PANEL | $12.25 | $25.00 | 51% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PROFILE | $148.96 | $304.00 | 51% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $64.19 | $131.00 | 51% |
| Obstetric blood test panel CPT 80055 HC RHC OBSTETRIC PANEL | $71.05 | $145.00 | 51% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $64.19 | $131.00 | 51% |
| Obstetric blood test panel inpatient CPT 80055 HC RHC OBSTETRIC PANEL | $71.05 | $145.00 | 51% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC RHC PSA FREE | $27.44 | $56.00 | 51% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $195.02 | $398.00 | 51% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC RHC PSA FREE | $27.44 | $56.00 | 51% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $195.02 | $398.00 | 51% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC RHC PROST SPEC ANTIGN | $27.44 | $56.00 | 51% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA | $108.29 | $221.00 | 51% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC RHC PROST SPEC ANTIGN | $27.44 | $56.00 | 51% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA | $108.29 | $221.00 | 51% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC RCH THROMBOPLSTN TIME | $12.25 | $25.00 | 51% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $63.70 | $130.00 | 51% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC RCH THROMBOPLSTN TIME | $12.25 | $25.00 | 51% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $63.70 | $130.00 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC RHC PROTIME | $5.88 | $12.00 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT PT | $42.63 | $87.00 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT | $44.59 | $91.00 | 51% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC RHC PROTIME | $5.88 | $12.00 | 51% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT PT | $42.63 | $87.00 | 51% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT | $44.59 | $91.00 | 51% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC RHC TSH | $24.99 | $51.00 | 51% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $86.24 | $176.00 | 51% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC RHC TSH | $24.99 | $51.00 | 51% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $86.24 | $176.00 | 51% |
| Urinalysis with microscope exam, automated CPT 81001 HC RHC COMPL UA W MICRO | $4.90 | $10.00 | 51% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTOMATD W MICRO | $36.26 | $74.00 | 51% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS | $49.98 | $102.00 | 51% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC RHC COMPL UA W MICRO | $4.90 | $10.00 | 51% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTOMATD W MICRO | $36.26 | $74.00 | 51% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS | $49.98 | $102.00 | 51% |
| Urinalysis with microscope exam, manual CPT 81000 HC RHC URINALYSIS W MICRO | $4.90 | $10.00 | 51% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS DIPSTICK W MICRO | $35.28 | $72.00 | 51% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC RHC URINALYSIS W MICRO | $4.90 | $10.00 | 51% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS DIPSTICK W MICRO | $35.28 | $72.00 | 51% |
| Urinalysis without microscope exam, automated CPT 81003 HC RHC UA WO MICRO AUTO | $3.43 | $7.00 | 51% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICRO | $31.36 | $64.00 | 51% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC RHC UA WO MICRO AUTO | $3.43 | $7.00 | 51% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICRO | $31.36 | $64.00 | 51% |
| Urinalysis without microscope exam, manual CPT 81002 HC RHC URINALY WO MICRO | $3.92 | $8.00 | 51% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALY NON AUTO WO SCOPE | $20.58 | $42.00 | 51% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS MANUAL | $44.10 | $90.00 | 51% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC RHC URINALY WO MICRO | $3.92 | $8.00 | 51% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALY NON AUTO WO SCOPE | $20.58 | $42.00 | 51% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS MANUAL | $44.10 | $90.00 | 51% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 PC COLONOSCOPY W ENDO US | $352.31 | $719.00 | 51% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PC COLONOSCOPY W ENDO US | $352.31 | $719.00 | 51% |
| Colonoscopy with polyp removal CPT 45385 PC LESION REM COLONOSCPY SNARE | $641.90 | $1,310.00 | 51% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY FLEX W BIOPSY | $1,117.69 | $2,281.00 | 51% |
| Colonoscopy with polyp removal inpatient CPT 45385 PC LESION REM COLONOSCPY SNARE | $641.90 | $1,310.00 | 51% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY FLEX W BIOPSY | $1,117.69 | $2,281.00 | 51% |
| Colonoscopy with tissue sample CPT 45380 PC COLONOSCOPY W BX | $616.91 | $1,259.00 | 51% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY | $1,549.87 | $3,163.00 | 51% |
| Colonoscopy with tissue sample inpatient CPT 45380 PC COLONOSCOPY W BX | $616.91 | $1,259.00 | 51% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY | $1,549.87 | $3,163.00 | 51% |
| Colonoscopy, diagnostic CPT 45378 PC COLONOSCOPY DX | $367.50 | $750.00 | 51% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DX SCRN | $1,150.03 | $2,347.00 | 51% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLEX DIAGNOSTIC | $1,152.48 | $2,352.00 | 51% |
| Colonoscopy, diagnostic inpatient CPT 45378 PC COLONOSCOPY DX | $367.50 | $750.00 | 51% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DX SCRN | $1,150.03 | $2,347.00 | 51% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLEX DIAGNOSTIC | $1,152.48 | $2,352.00 | 51% |
| Gallbladder removal, laparoscopic CPT 47562 PC LAPAROSCOPY CHOLECYSTECTOMY | $872.20 | $1,780.00 | 51% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PC LAPAROSCOPY CHOLECYSTECTOMY | $872.20 | $1,780.00 | 51% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PC RPR INGUINL HERN AGE 5 OR> | $692.86 | $1,414.00 | 51% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PC RPR INGUINL HERN AGE 5 OR> | $692.86 | $1,414.00 | 51% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC AFTER CATARACT LASER SURGERY | $337.12 | $688.00 | 51% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC POST CATARACT LASER SURGERY | $505.68 | $1,032.00 | 51% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC AFTER CATARACT LASER SURGERY | $337.12 | $688.00 | 51% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC POST CATARACT LASER SURGERY | $505.68 | $1,032.00 | 51% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PC CRNA INJ LMBR SAC W IMG GDN | $238.14 | $486.00 | 51% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PC INJ LMBR SAC W IMG GDN | $362.60 | $740.00 | 51% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ ANE DRG LUM SAC W IMG GDN | $882.98 | $1,802.00 | 51% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PC CRNA INJ LMBR SAC W IMG GDN | $238.14 | $486.00 | 51% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PC INJ LMBR SAC W IMG GDN | $362.60 | $740.00 | 51% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ ANE DRG LUM SAC W IMG GDN | $882.98 | $1,802.00 | 51% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PC CRNA INJ ANE DRG LUM SAC W O IMG GDN | $171.01 | $349.00 | 51% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR SAC WO IMG GDN | $485.59 | $991.00 | 51% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ ANE DRG LUM SAC W O IMG GDN | $609.56 | $1,244.00 | 51% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PC CRNA INJ ANE DRG LUM SAC W O IMG GDN | $171.01 | $349.00 | 51% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX INTERLAMINAR LMBR SAC WO IMG GDN | $485.59 | $991.00 | 51% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ ANE DRG LUM SAC W O IMG GDN | $609.56 | $1,244.00 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PC CRNA INJ TRNSFRM LUM SNGL W IMG | $345.94 | $706.00 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRNSFRM LUM SNGL W IMAG | $809.48 | $1,652.00 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PC CRNA INJ TRNSFRM LUM SNGL W IMG | $345.94 | $706.00 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRNSFRM LUM SNGL W IMAG | $809.48 | $1,652.00 | 51% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE | $453.74 | $926.00 | 51% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE | $453.74 | $926.00 | 51% |
| Removal of a breast lump, open surgery CPT 19120 PC OPEN EXCISION BREAST LESION | $696.78 | $1,422.00 | 51% |
| Removal of a breast lump, open surgery CPT 19120 HC EXCN CYST TUMOR FIBRO OPEN | $1,518.51 | $3,099.00 | 51% |
| Removal of a breast lump, open surgery inpatient CPT 19120 PC OPEN EXCISION BREAST LESION | $696.78 | $1,422.00 | 51% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCN CYST TUMOR FIBRO OPEN | $1,518.51 | $3,099.00 | 51% |
| Total knee replacement CPT 27447 PC TOTAL KNEE ARTHROPLASTY | $1,709.12 | $3,488.00 | 51% |
| Total knee replacement inpatient CPT 27447 PC TOTAL KNEE ARTHROPLASTY | $1,709.12 | $3,488.00 | 51% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PC EGD BIOPSY SINGLE MULTIPLE | $539.00 | $1,100.00 | 51% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE MULTIPLE | $1,215.20 | $2,480.00 | 51% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PC EGD BIOPSY SINGLE MULTIPLE | $539.00 | $1,100.00 | 51% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE MULTIPLE | $1,215.20 | $2,480.00 | 51% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PC EGD DIAGNOSTIC BRUSH WASH | $420.91 | $859.00 | 51% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,192.17 | $2,433.00 | 51% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PC EGD DIAGNOSTIC BRUSH WASH | $420.91 | $859.00 | 51% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,192.17 | $2,433.00 | 51% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC SP PSY FAMILY THERAPY W PT 50 MIN | $170.03 | $347.00 | 51% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC SP PSY FAMILY THERAPY W PT 50 MIN | $170.03 | $347.00 | 51% |
| Family therapy without the patient, 50 minutes CPT 90846 HC SP PSY FAMILY THERAPY WO PT 50 MIN | $170.03 | $347.00 | 51% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC SP PSY FAMILY THERAPY WO PT 50 MIN | $170.03 | $347.00 | 51% |
| Group psychotherapy session CPT 90853 HC THERAPIST GRP PSYCHOTHERAPY | $170.03 | $347.00 | 51% |
| Group psychotherapy session inpatient CPT 90853 HC THERAPIST GRP PSYCHOTHERAPY | $170.03 | $347.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 PC OFFICE VISIT NEW PRO 30-44 MINS | $153.86 | $314.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW 30-44 MINS | $178.36 | $364.00 | 51% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PC OFFICE VISIT NEW PRO 30-44 MINS | $153.86 | $314.00 | 51% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW 30-44 MINS | $178.36 | $364.00 | 51% |
| New patient office visit, about 45 minutes CPT 99204 PC OFFICE VISIT NEW PRO 45-59 MINS | $230.30 | $470.00 | 51% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW 45-59 MINS | $270.97 | $553.00 | 51% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PC OFFICE VISIT NEW PRO 45-59 MINS | $230.30 | $470.00 | 51% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW 45-59 MINS | $270.97 | $553.00 | 51% |
| New patient office visit, about 60 minutes CPT 99205 PC OFFICE VISIT NEW PRO 60-74 MINS | $304.78 | $622.00 | 51% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW 60-74 MINS | $335.65 | $685.00 | 51% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PC OFFICE VISIT NEW PRO 60-74 MINS | $304.78 | $622.00 | 51% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW 60-74 MINS | $335.65 | $685.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $43.12 | $88.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15M M59 | $44.10 | $90.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EXERCISE 15M M59 | $45.57 | $93.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $49.49 | $101.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT LYMPHEDEMA THER EXERCISE | $77.42 | $158.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC PROCEDURE | $860.93 | $1,757.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $43.12 | $88.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15M M59 | $44.10 | $90.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EXERCISE 15M M59 | $45.57 | $93.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $49.49 | $101.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT LYMPHEDEMA THER EXERCISE | $77.42 | $158.00 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC PROCEDURE | $860.93 | $1,757.00 | 51% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 30 MINUTES | $170.03 | $347.00 | 51% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 30 MINUTES | $170.03 | $347.00 | 51% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 45 MINUTES | $170.03 | $347.00 | 51% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 45 MINUTES | $170.03 | $347.00 | 51% |
| Psychotherapy session, 60 minutes CPT 90837 HC SP NEUPSY 60 MIN PSYCHOTHERAPY | $170.03 | $347.00 | 51% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC SP NEUPSY 60 MIN PSYCHOTHERAPY | $170.03 | $347.00 | 51% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PC OFFICE CONSULTATION LVL III | $128.87 | $263.00 | 51% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PC OFFICE CONSULTATION LVL III | $128.87 | $263.00 | 51% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PC OFFICE CONSULTATION LVL IV | $193.06 | $394.00 | 51% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PC OFFICE CONSULTATION LVL IV | $193.06 | $394.00 | 51% |