Memorial Hospital for Cancer and Allied Diseases
Memorial Hospital for Cancer and Allied Diseases in Middletown, NJ publishes cash prices for 53 common procedures listed here, from its own machine-readable price file updated Dec 1, 2025. Click a procedure to compare it with other hospitals nearby.
480 Red Hill Road Middletown NJ 07748 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 Abdomen & Pelvis W/Contrast Material | $615.00 | $615.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen & Pelvis W/Contrast Material|PROFESSIONAL COMPONENT | $615.00 | $615.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $4,513.00 | $4,513.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis W/Contrast Material|PROFESSIONAL COMPONENT | $615.00 | $615.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis W/Contrast Material | $615.00 | $615.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material | $240.00 | $240.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material|PROFESSIONAL COMPONENT | $240.00 | $240.00 | — |
| 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 | $2,454.00 | $2,454.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material|PROFESSIONAL COMPONENT | $240.00 | $240.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material | $240.00 | $240.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast Material | $305.00 | $305.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast Material|PROFESSIONAL COMPONENT | $305.00 | $305.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast | $2,258.00 | $2,258.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast Material|PROFESSIONAL COMPONENT | $305.00 | $305.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast Material | $305.00 | $305.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi|PROFESSIONAL COMPONENT | $255.00 | $255.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi | $255.00 | $255.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $382.50 | $382.50 | — |
| Diagnostic mammogram, both breasts CPT 77066 HC Cesm Diag Mam Cad Bil | $1,405.00 | $1,405.00 | — |
| Diagnostic mammogram, both breasts CPT 77066 HC Diag Mammo W WO Cad Bil | $1,405.00 | $1,405.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi | $255.00 | $255.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi|PROFESSIONAL COMPONENT | $255.00 | $255.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $382.50 | $382.50 | — |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic Mammography Computer-Aided Detcj Uni | $210.00 | $210.00 | — |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic Mammography Computer-Aided Detcj Uni|PROFESSIONAL COMPONENT | $210.00 | $210.00 | — |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic | $795.00 | $795.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Cesm Diag Mam Cad Lt | $795.00 | $795.00 | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic Mammography Computer-Aided Detcj Uni | $210.00 | $210.00 | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic Mammography Computer-Aided Detcj Uni|PROFESSIONAL COMPONENT | $210.00 | $210.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $525.00 | $525.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl | $350.00 | $350.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl|PROFESSIONAL COMPONENT | $350.00 | $350.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jo Lower Ext W/O Cnt | $5,492.00 | $5,492.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $525.00 | $525.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl|PROFESSIONAL COMPONENT | $350.00 | $350.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl | $350.00 | $350.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $832.50 | $832.50 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $555.00 | $555.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl|PROFESSIONAL COMPONENT | $555.00 | $555.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR Jo Lowr Ex W&W/O Co | $7,589.00 | $7,589.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $832.50 | $832.50 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $555.00 | $555.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl|PROFESSIONAL COMPONENT | $555.00 | $555.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain Brain Stem W/O Contrast Material|PROFESSIONAL COMPONENT | $390.00 | $390.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain Brain Stem W/O Contrast Material | $390.00 | $390.00 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast | $6,467.00 | $6,467.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Brain Stem W/O Contrast Material | $390.00 | $390.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Brain Stem W/O Contrast Material|PROFESSIONAL COMPONENT | $390.00 | $390.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material|PROFESSIONAL COMPONENT | $600.00 | $600.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material | $600.00 | $600.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast | $7,589.00 | $7,589.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material|PROFESSIONAL COMPONENT | $600.00 | $600.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material | $600.00 | $600.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material|PROFESSIONAL COMPONENT | $415.00 | $415.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $415.00 | $415.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | $6,444.00 | $6,444.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material|PROFESSIONAL COMPONENT | $415.00 | $415.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $415.00 | $415.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad|PROFESSIONAL COMPONENT | $200.00 | $200.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad | $200.00 | $200.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $300.00 | $300.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening | $827.00 | $827.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Cesm Scr Mammo Bilat Incl Cad - Mammo Breast Screening | $827.00 | $827.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Crp Spn Prg Scr Mammo Bilat Incl Cad - Mammo Breast Screening | $827.00 | $827.00 | — |
| Screening mammogram, both breasts CPT 77067 HC Crp Spn Prg Scr Mammo Uni Incl Cad - Mammo Breast Screening | $366.00 | $366.00 | — |
| Screening mammogram, both breasts CPT 77067 HC Scr Mammo Uni Incl Cad - Mammo Breast Screening | $414.00 | $414.00 | — |
| Screening mammogram, both breasts CPT 77067 HC Cesm Scr Mammo Uni Incl Cad - Mammo Breast Screening | $414.00 | $414.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad|PROFESSIONAL COMPONENT | $200.00 | $200.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad | $200.00 | $200.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad|BILATERAL PROCEDURE|PROFESSIONAL COMPONENT | $300.00 | $300.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $200.00 | $200.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal|PROFESSIONAL COMPONENT | $200.00 | $200.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal | $1,780.00 | $1,780.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $200.00 | $200.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal|PROFESSIONAL COMPONENT | $200.00 | $200.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation|PROFESSIONAL COMPONENT | $240.00 | $240.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $240.00 | $240.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC Ultrasound Complete Abdomen | $1,774.00 | $1,774.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation|PROFESSIONAL COMPONENT | $240.00 | $240.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $240.00 | $240.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views|PROFESSIONAL COMPONENT | $85.00 | $85.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $85.00 | $85.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $1,333.00 | $1,333.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $85.00 | $85.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views|PROFESSIONAL COMPONENT | $85.00 | $85.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Met Panel - Total Cal | $261.00 | $261.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $378.00 | $378.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc With Anc | $86.00 | $86.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/ Automated Differential | $158.00 | $158.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Blood Cnt W/O Diff | $111.00 | $111.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc | $111.00 | $111.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $381.00 | $381.00 | — |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $261.00 | $261.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa; Complexed; Free | $356.00 | $356.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa | $406.00 | $406.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Partial Thromboplastin Time | $136.00 | $136.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $95.00 | $95.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $404.00 | $404.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $98.00 | $98.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Ph Urine | $63.00 | $63.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Ph Urine. | $63.00 | $63.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Automated Urinalysis WO Micro | $69.00 | $69.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $2,205.00 | $2,205.00 | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $2,205.00 | $2,205.00 | — |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|MULTIPLE PROCEDURES | $2,355.00 | $2,355.00 | — |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $2,355.00 | $2,355.00 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $2,355.00 | $2,355.00 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|MULTIPLE PROCEDURES | $2,355.00 | $2,355.00 | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,805.00 | $1,805.00 | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple|MULTIPLE PROCEDURES | $1,805.00 | $1,805.00 | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $3,472.00 | $3,472.00 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple|MULTIPLE PROCEDURES | $1,805.00 | $1,805.00 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $1,805.00 | $1,805.00 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $1,635.00 | $1,635.00 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd|MULTIPLE PROCEDURES | $1,635.00 | $1,635.00 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd|MULTIPLE PROCEDURES | $1,635.00 | $1,635.00 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $1,635.00 | $1,635.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy|ASSISTANT AT SURGERY SERVICE | $912.00 | $912.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES | $912.00 | $5,700.00 | 84% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $5,700.00 | $5,700.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy|MULTIPLE PROCEDURES | $5,700.00 | $5,700.00 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES | $912.00 | $5,700.00 | 84% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy|ASSISTANT AT SURGERY SERVICE | $912.00 | $912.00 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy|MULTIPLE PROCEDURES | $5,700.00 | $5,700.00 | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $5,700.00 | $5,700.00 | — |
| Inguinal (groin) hernia repair, age 5 or older both sides CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|BILATERAL PROCEDURE | $5,497.50 | $5,497.50 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $3,665.00 | $3,665.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|MULTIPLE PROCEDURES | $3,665.00 | $3,665.00 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient both sides CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|BILATERAL PROCEDURE | $5,497.50 | $5,497.50 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|MULTIPLE PROCEDURES | $3,665.00 | $3,665.00 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $3,665.00 | $3,665.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,540.00 | $1,540.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Epi Steroid Inj Lumb/Sac | $11,218.00 | $11,218.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,540.00 | $1,540.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $690.00 | $690.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj WO Neuro Sub W/WO Cnt S/L | $1,979.00 | $1,979.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $690.00 | $690.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $840.00 | $840.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Anes/Ster Trans Epi Lum 1 | $5,928.00 | $5,928.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $840.00 | $840.00 | — |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach | $1,295.00 | $1,295.00 | — |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach|MULTIPLE PROCEDURES | $1,295.00 | $1,295.00 | — |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate,Needle/Punch | $4,543.00 | $4,543.00 | — |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach|MULTIPLE PROCEDURES | $1,295.00 | $1,295.00 | — |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach | $1,295.00 | $1,295.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot|ASSISTANT AT SURGERY SERVICE | $2,383.20 | $2,383.20 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES | $2,383.20 | $14,895.00 | 84% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $14,895.00 | $14,895.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot|MULTIPLE PROCEDURES | $14,895.00 | $14,895.00 | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES | $2,383.20 | $14,895.00 | 84% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot|ASSISTANT AT SURGERY SERVICE | $2,383.20 | $2,383.20 | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot|MULTIPLE PROCEDURES | $14,895.00 | $14,895.00 | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $14,895.00 | $14,895.00 | — |
| Removal of a breast lump, open surgery both sides CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|BILATERAL PROCEDURE | $4,500.00 | $4,500.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $3,000.00 | $3,000.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|MULTIPLE PROCEDURES | $3,000.00 | $3,000.00 | — |
| Removal of a breast lump, open surgery CPT 19120 HC Excsn Cyst M/F 1 or Gtr Uni | $6,903.00 | $6,903.00 | — |
| Removal of a breast lump, open surgery inpatient both sides CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|BILATERAL PROCEDURE | $4,500.00 | $4,500.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|MULTIPLE PROCEDURES | $3,000.00 | $3,000.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $3,000.00 | $3,000.00 | — |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|ASSISTANT AT SURGERY SERVICE | $2,072.00 | $2,072.00 | — |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|MULTIPLE PROCEDURES | $12,950.00 | $12,950.00 | — |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $12,950.00 | $12,950.00 | — |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|ASSISTANT AT SURGERY SERVICE | $2,072.00 | $2,072.00 | — |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $12,950.00 | $12,950.00 | — |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|MULTIPLE PROCEDURES | $12,950.00 | $12,950.00 | — |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $11,645.00 | $11,645.00 | — |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments|MULTIPLE PROCEDURES | $11,645.00 | $11,645.00 | — |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $11,645.00 | $11,645.00 | — |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments|MULTIPLE PROCEDURES | $11,645.00 | $11,645.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $1,295.00 | $1,295.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple|MULTIPLE PROCEDURES | $1,295.00 | $1,295.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd | $3,152.00 | $3,152.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $1,295.00 | $1,295.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple|MULTIPLE PROCEDURES | $1,295.00 | $1,295.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic|MULTIPLE PROCEDURES | $1,305.00 | $1,305.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $1,305.00 | $1,305.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenscopy(Egd) | $1,645.00 | $1,645.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic|MULTIPLE PROCEDURES | $1,305.00 | $1,305.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $1,305.00 | $1,305.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy (With Patient Present), 50 Minutes | $254.00 | $254.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy (WO the Patient Present), 50 Minutes | $254.00 | $254.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $555.00 | $555.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $555.00 | $555.00 | — |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $150.00 | $150.00 | — |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $202.00 | $202.00 | — |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $150.00 | $150.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $655.00 | $655.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $655.00 | $655.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $1,000.00 | $1,000.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $1,000.00 | $1,000.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $1,260.00 | $1,260.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $1,260.00 | $1,260.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therap Exercise Each 15m | $395.00 | $395.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Ex 15m | $395.00 | $395.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy, 30 Minutes With Patient | $254.00 | $254.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $345.00 | $345.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $345.00 | $345.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy, 45 Minutes With Patient | $254.00 | $254.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $460.00 | $460.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $460.00 | $460.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy, 60 Minutes With Patient | $254.00 | $254.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $635.00 | $635.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $635.00 | $635.00 | — |
Source file: https://www.mskcc.org/hpt/11/131924236_memorial-hospital-for-cancer-and-allied-monmouth-nj_standardcharges.json