Hospital Providence-Warwick, RI-MA

Butler Hospital

Butler Hospital in Providence, RI publishes cash prices for 216 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Rhode Island median for 188 of 211 procedures and above it for 1. Click a procedure to compare it with other hospitals nearby.

345 Blackstone Blvd, Providence, RI 02906 Collected Sep 27, 2026 Source price file (401) 455-6270

Psychiatric hospital No emergency department CCN 414000 · CMS hospital register NPI 1104801349

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Butler Hospital in Providence, RI:

  • Feb 9, 2026 Warning notice
  • May 13, 2026 Corrective action plan requested
  • May 27, 2026 Corrective action plan requested
  • Jun 12, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs Rhode IslandOff list
Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus $186.20 $532.00 $27.55–$484.12 21% below 65%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views $89.60 $256.00 $30.38–$349.44 42% below 65%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast $415.10 $1,186.00 $385.85–$1,079.26 49% below 65%
CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast $545.65 $1,559.00 $196.24–$1,418.69 13% below 65%
CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast $545.65 $1,559.00 $196.24–$1,418.69 29% below 65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont $415.10 $1,186.00 $196.24–$1,079.26 41% below 65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast $1,309.35 $3,741.00 $243.39–$3,404.31 12% below 65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast $1,700.30 $4,858.00 $385.85–$4,420.78 at median 65%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast $277.20 $792.00 $116.97–$720.72 76% below 65%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast $646.80 $1,848.00 $116.97–$1,681.68 38% below 65%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast $493.15 $1,409.00 $116.97–$1,282.19 55% below 65%
CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast $425.25 $1,215.00 $196.24–$1,105.65 64% below 65%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast $303.80 $868.00 $116.97–$789.88 75% below 65%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast $566.65 $1,619.00 $116.97–$1,473.29 53% below 65%
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views $97.30 $278.00 $97.37–$252.98 42% below 65%
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Lateral Decubitus $97.30 $278.00 $97.37–$252.98 40% below 65%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle - Xr Clavicle $89.60 $256.00 $25.78–$232.96 42% below 65%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Renal Complete $277.90 $794.00 $116.97–$722.54 24% below 65%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest Pulmonary Embolism W IV Cont $739.90 $2,114.00 $196.24–$1,923.74 33% below 65%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Venous Reflux Duplex $221.90 $634.00 $21.46–$576.94 — 65%
Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views $91.00 $260.00 $22.60–$236.60 43% below 65%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral $91.00 $260.00 $25.78–$236.60 — 65%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views $171.85 $491.00 $36.75–$446.81 25% below 65%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left $91.00 $260.00 $22.95–$236.60 41% below 65%
Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views $171.85 $491.00 $24.72–$446.81 21% below 65%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views $91.00 $260.00 $22.24–$236.60 41% below 65%
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views $89.60 $256.00 $33.56–$349.44 42% below 65%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views $189.70 $542.00 $37.81–$739.83 at median 65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited $183.05 $523.00 $116.97–$475.93 43% below 65%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Lmtd Jt/Nonvasc Xtr Strux - US Knee Limited $252.35 $721.00 $9.86–$656.11 at median 65%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views $89.60 $256.00 $25.43–$349.44 43% below 65%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint WO IV Cont $567.00 $1,620.00 $266.95–$1,474.20 57% below 65%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MRI WO Cont $567.00 $1,620.00 $266.95–$1,474.20 57% below 65%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MRI Ankle WO Cont $567.00 $1,620.00 $266.95–$1,474.20 57% below 65%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint W IV Cont $567.00 $1,620.00 $266.95–$1,474.20 57% below 65%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MR Pituitary WO IV Contrast $1,184.05 $3,383.00 $266.95–$3,078.53 29% below 65%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast $1,554.00 $4,440.00 $390.32–$4,040.40 35% below 65%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast $675.50 $1,930.00 $266.95–$1,756.30 51% below 65%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4-5 Views $176.75 $505.00 $42.76–$459.55 26% below 65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest $277.90 $794.00 $116.97–$722.54 24% below 65%
Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views $93.80 $268.00 $27.90–$243.88 39% below 65%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws W/ Chest Anteroposterior $176.75 $505.00 $31.44–$459.55 24% below 65%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views $179.20 $512.00 $27.20–$698.88 9% below 65%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views $94.15 $269.00 $28.96–$244.79 40% below 65%
Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views $176.75 $505.00 $28.96–$459.55 19% below 65%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Bilat $89.60 $256.00 $28.61–$232.96 — 65%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Contrast $180.25 $515.00 $116.97–$468.65 85% below 65%
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views $91.00 $260.00 $24.36–$236.60 41% below 65%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal $302.05 $863.00 $60.81–$785.33 20% below 65%
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete $277.90 $794.00 $116.97–$856.84 24% below 65%
Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum $176.75 $505.00 $75.31–$459.55 43% below 65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue $229.60 $656.00 $89.82–$596.96 30% below 65%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus $91.00 $260.00 $25.78–$236.60 41% below 65%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous,Uni or Ltd $185.50 $530.00 $21.46–$482.30 54% below 65%
Wrist X-ray, 2 views both sides CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Bilateral $91.00 $260.00 $27.55–$236.60 — 65%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Pbb X-Ray Wrist 3+ Vw $89.60 $256.00 $34.63–$232.96 42% below 65%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Pbb Radex Hip Unilateral With Pelvis 2-3 Views $93.80 $268.00 $38.52–$243.88 40% below 65%
X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View $97.30 $278.00 $22.60–$252.98 39% below 65%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views $91.00 $260.00 $26.14–$236.60 41% below 65%
X-ray of the finger(s), 2 or more views CPT 73140 HC Pbb X-Ray Exam of Finger(S) $89.60 $256.00 $33.21–$232.96 44% below 65%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views $89.60 $256.00 $22.24–$232.96 42% below 65%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views $89.60 $256.00 $27.91–$349.44 42% below 65%
X-ray of the hand, 3 or more views CPT 73130 HC Pbb X-Ray Hand 3+ Vw $89.60 $256.00 $30.38–$349.44 42% below 65%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views $89.60 $256.00 $27.90–$349.44 42% below 65%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views $176.75 $505.00 $31.09–$459.55 22% below 65%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones $93.80 $268.00 $31.80–$243.88 39% below 65%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views $93.80 $268.00 $30.74–$243.88 42% below 65%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views $176.75 $505.00 $20.83–$459.55 19% below 65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views $93.80 $268.00 $25.78–$243.88 39% below 65%

Lab tests

ProcedureCash price List priceInsurers payvs Rhode IslandOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) $13.30 $38.00 $3.24–$33.06 58% below 65%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) $13.30 $38.00 $3.17–$33.06 61% below 65%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge $122.50 $350.00 $28.85–$304.50 64% below 65%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin $12.60 $36.00 $2.12–$31.32 46% below 65%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase $12.60 $36.00 $3.17–$31.32 62% below 65%
Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia $33.95 $97.00 $8.92–$84.39 71% below 65%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase $19.25 $55.00 $3.97–$47.85 73% below 65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy $33.25 $95.00 $7.93–$82.65 71% below 65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies) $29.75 $85.00 $7.40–$73.95 69% below 65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) $91.00 $260.00 $20.79–$226.20 55% below 65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture-Othr Src $19.95 $57.00 $5.27–$49.59 71% below 65%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge $34.65 $99.00 $5.18–$86.13 at median 65%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Body Fluid $13.65 $39.00 $3.07–$33.93 56% below 65%
Blood culture for bacteria CPT 87040 HC Aerob Bacterial Blood Culture $25.20 $72.00 $6.32–$62.64 70% below 65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge $8.40 $24.00 $2.55–$21.84 37% below 65%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting $12.60 $36.00 $2.40–$31.32 53% below 65%
Blood lead test CPT 83655 HC Assay of Lead - Lead 24hr Urine $28.00 $80.00 $3.06–$69.60 49% below 65%
Blood lead test CPT 83655 HC Assay of Lead - Lead Blood $28.00 $80.00 $3.06–$69.60 49% below 65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Urine $27.65 $79.00 $4.60–$68.73 40% below 65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen $38.85 $111.00 $1.83–$106.86 74% below 65%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Urea Nitrogen, Body Fluid $17.15 $49.00 $2.42–$42.63 28% below 65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein $37.10 $106.00 $3.17–$92.22 11% below 65%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe $81.55 $233.00 $21.49–$202.71 22% below 65%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125 $48.30 $138.00 $12.74–$120.06 71% below 65%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr $86.80 $248.00 $38.43–$215.76 42% below 65%
Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - POCT Calcium, Total $12.95 $37.00 $3.16–$32.19 63% below 65%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) $48.30 $138.00 $11.61–$120.06 68% below 65%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igm $34.65 $99.00 $7.89–$86.13 70% below 65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr $81.55 $233.00 $21.49–$202.71 18% below 65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge $37.45 $107.00 $8.20–$93.09 66% below 65%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge $27.30 $78.00 $4.76–$67.86 31% below 65%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc $16.10 $46.00 $3.96–$40.02 66% below 65%
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge $43.40 $124.00 $6.47–$107.88 at median 65%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol $41.65 $119.00 $9.99–$103.53 71% below 65%
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK $15.05 $43.00 $3.99–$37.41 67% below 65%
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Fluid $12.95 $37.00 $3.14–$32.19 66% below 65%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative $40.25 $115.00 $6.23–$100.05 51% below 65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 1, Serum $135.10 $386.00 $35.91–$335.82 80% above 65%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge $27.65 $79.00 $4.30–$68.73 at median 65%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igm $42.00 $120.00 $11.11–$104.40 63% below 65%
Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol $74.90 $214.00 $17.11–$186.18 67% below 65%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh $43.05 $123.00 $11.38–$107.01 71% below 65%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin $31.50 $90.00 $8.34–$78.30 66% below 65%
Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative $19.60 $56.00 $5.20–$48.72 66% below 65%
Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate $33.95 $97.00 $6.54–$84.39 59% below 65%
Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free $60.55 $173.00 $3.41–$150.51 17% below 65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free $30.80 $88.00 $5.52–$76.56 57% below 65%
Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free $85.05 $243.00 $15.59–$211.41 58% below 65%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt $16.80 $48.00 $4.41–$41.76 71% below 65%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge $39.55 $113.00 $31.63–$102.83 at median 65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr $81.55 $233.00 $21.49–$202.71 18% below 65%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga $33.60 $96.00 $8.88–$83.52 58% below 65%
H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool $45.50 $130.00 $8.42–$113.10 54% below 65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr $197.40 $564.00 $52.11–$490.68 41% below 65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Lab-Hiv Ag/Ab $56.00 $160.00 $14.75–$139.20 26% below 65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c $39.20 $112.00 $5.36–$97.44 37% below 65%
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin $20.30 $58.00 $1.45–$50.46 2% below 65%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total $66.50 $190.00 $7.38–$165.30 37% below 65%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody $42.70 $122.00 $6.58–$106.14 49% below 65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen $41.30 $118.00 $6.33–$102.66 55% below 65%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody $56.70 $162.00 $8.42–$140.94 43% below 65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr $114.45 $327.00 $26.23–$284.49 56% below 65%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody $31.50 $90.00 $8.08–$78.30 29% below 65%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody $44.80 $128.00 $11.85–$111.36 at median 65%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp $30.10 $86.00 $7.93–$74.82 71% below 65%
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine $69.65 $199.00 $10.33–$173.13 48% below 65%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron $17.50 $50.00 $3.96–$43.50 60% below 65%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr or Pl $25.20 $72.00 $5.36–$62.64 62% below 65%
Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge $34.30 $98.00 $5.32–$85.26 at median 65%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone $65.45 $187.00 $11.34–$162.69 56% below 65%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate $43.75 $125.00 $6.54–$108.75 48% below 65%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase $15.05 $43.00 $3.69–$37.41 69% below 65%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase $18.55 $53.00 $4.22–$46.11 65% below 65%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge $33.60 $96.00 $5.00–$83.52 at median 65%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies $39.55 $113.00 $10.30–$98.31 40% below 65%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium $15.40 $44.00 $4.10–$38.28 71% below 65%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen $17.15 $49.00 $3.17–$42.63 63% below 65%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa $49.35 $141.00 $11.23–$122.67 57% below 65%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact $95.90 $274.00 $25.28–$238.38 71% below 65%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Ptt Crrt System $21.70 $62.00 $3.68–$53.94 54% below 65%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus $12.95 $37.00 $2.90–$32.19 67% below 65%
Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium $13.65 $39.00 $2.82–$33.93 54% below 65%
Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin $51.10 $146.00 $11.87–$127.02 67% below 65%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr, Fingerstick $19.25 $55.00 $2.41–$47.85 16% below 65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen, Urine $22.75 $65.00 $6.73–$59.15 31% below 65%
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) - Cord Blood Type $24.15 $69.00 $1.83–$60.03 62% below 65%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor $35.00 $100.00 $3.47–$87.00 22% below 65%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated $19.95 $57.00 $1.66–$49.59 at median 65%
Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium $12.60 $36.00 $2.95–$31.32 61% below 65%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination $25.55 $73.00 $4.21–$63.51 64% below 65%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm $30.80 $88.00 $8.11–$76.56 71% below 65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl $16.80 $48.00 $2.61–$41.76 55% below 65%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone $59.85 $171.00 $15.81–$148.77 71% below 65%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab $40.60 $116.00 $8.91–$100.92 68% below 65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone $38.85 $111.00 $10.29–$96.57 64% below 65%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone) $26.25 $75.00 $4.21–$65.25 44% below 65%
Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) $33.60 $96.00 $8.68–$83.52 66% below 65%
Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin $29.75 $85.00 $7.82–$73.95 71% below 65%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif $81.55 $233.00 $21.49–$202.71 at median 65%
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin T $40.95 $117.00 $3.93–$101.79 40% below 65%
Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid $12.60 $36.00 $2.77–$31.32 66% below 65%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic $10.85 $31.00 $1.94–$26.97 57% below 65%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only $12.60 $36.00 $1.17–$31.32 53% below 65%
Urine culture for bacteria, with colony count CPT 87086 HC Bact Culture Urine Quan Count $18.90 $54.00 $3.20–$46.98 63% below 65%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine $29.05 $83.00 $3.54–$72.21 48% below 65%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine $27.65 $79.00 $3.87–$68.73 14% below 65%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12 $35.00 $100.00 $9.23–$87.00 71% below 65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25 $119.00 $340.00 $18.13–$295.80 18% below 65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood $40.95 $117.00 $9.22–$101.79 69% below 65%

Surgery and procedures

ProcedureCash price List priceInsurers payvs Rhode IslandOff list
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Injection Eye Drug $261.45 $747.00 $264.12–$679.77 at median 65%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abcess, Simple/Single $220.15 $629.00 $115.40–$572.39 15% below 65%
Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate $220.15 $629.00 $46.81–$572.39 1% below 65%
Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint,Static $170.45 $487.00 $35.71–$443.17 3% below 65%
Short leg splint (calf to foot) CPT 29515 HC Applicatn Lower Leg Splint $222.60 $636.00 $118.86–$578.76 at median 65%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Lesion $159.25 $455.00 $195.34–$668.59 35% below 65%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic $1,091.65 $3,119.00 $535.56–$2,838.29 at median 65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm $220.15 $629.00 $51.11–$572.39 10% below 65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Resuperf Wnd Face <2.5 Cm $431.55 $1,233.00 $47.93–$1,122.03 at median 65%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs Rhode IslandOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service $726.60 $2,076.00 $298.71–$1,889.16 16% below 65%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment $79.45 $227.00 $8.08–$360.15 57% below 65%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care, E/M 30-74 Minutes $1,746.15 $4,989.00 $268.06–$4,539.99 at median 65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing - Ecg 12-Lead $99.05 $283.00 $6.68–$257.53 37% below 65%
Electroconvulsive therapy (ECT), one session CPT 90870 HC Electroconvulsive Therapy,1 Seiz $342.30 $978.00 $264.12–$1,412.35 at median 65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Visit Level 3 $517.30 $1,478.00 $68.59–$1,344.98 29% below 65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Visit Level 4 $875.70 $2,502.00 $116.47–$2,276.82 12% below 65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Visit Level 5 $1,060.15 $3,029.00 $169.88–$2,756.39 14% below 65%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W Phys $176.05 $503.00 $38.03–$457.73 11% below 65%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy,No Pt $176.05 $503.00 $38.03–$457.73 6% below 65%
Group psychotherapy session CPT 90853 HC Group Psychotherapy $84.00 $240.00 $19.24–$218.40 1% below 65%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min $172.55 $493.00 $93.90–$448.63 39% below 65%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour $173.95 $497.00 $174.13–$452.27 38% below 65%
IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug $123.90 $354.00 $49.19–$349.83 42% below 65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut $99.40 $284.00 $12.49–$258.44 at median 65%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation $151.20 $432.00 $34.25–$429.00 24% below 65%
New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Minutes $128.10 $366.00 $28.62–$333.06 43% below 65%
New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Minutes $155.40 $444.00 $28.62–$404.04 51% below 65%
New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Minutes $175.35 $501.00 $28.62–$455.91 61% below 65%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New 20 Minutes $100.45 $287.00 $28.62–$261.17 50% below 65%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Physical Therapy Evaluation High Complex 45 Mins $139.65 $399.00 $89.13–$363.09 at median 65%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Physical Therapy Evaluation Low Complex 20 Mins $106.05 $303.00 $89.13–$275.73 at median 65%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services $183.75 $525.00 $34.25–$477.75 36% below 65%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st $225.75 $645.00 $63.85–$586.95 at median 65%
Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Patient &/ Family 30 Minutes $114.45 $327.00 $27.03–$297.57 20% below 65%
Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy Patient &/ Family 45 Minutes $151.20 $432.00 $34.25–$393.12 11% below 65%
Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy Patient &/ Family 60 Minutes $151.20 $432.00 $34.25–$393.12 13% below 65%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Minutes $146.30 $418.00 $28.62–$380.38 64% below 65%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes $91.35 $261.00 $28.62–$238.85 59% below 65%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 25 Minutes $119.00 $340.00 $28.62–$309.40 60% below 65%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes $94.85 $271.00 $28.62–$280.15 53% below 65%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Transcranial Magnetic Stimulation Treatment,Planning $217.70 $622.00 $160.85–$566.02 — 65%

Vaccines

ProcedureCash price List priceInsurers payvs Rhode IslandOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid $99.40 $284.00 $17.90–$258.44 31% below 65%

Source file: https://www.carenewengland.org/hubfs/050258812_Butler-Hospital_standardcharges.csv?hsLang=en