NorthShore University HealthSystems Glenbrook Hospital
NorthShore University HealthSystems Glenbrook Hospital in Glenview, IL publishes cash prices for 50 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
2100 Pfington Road, Glenview, IL 60025 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 HB CT Abd & Pelvis; W/Contrast | $3,049.80 | $4,692.00 | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT Abd & Pelvis; W/Contrast | $3,049.80 | $4,692.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast | $1,340.95 | $2,063.00 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head W/O Contrast | $1,340.95 | $2,063.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast | $1,779.05 | $2,737.00 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast | $1,779.05 | $2,737.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mam Diagnostic Bilat Digital | $352.30 | $542.00 | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mam Diagnostic Bilat Digital | $352.30 | $542.00 | 35% |
| Diagnostic mammogram, one breast CPT 77065 Mam Diagnostic Digital | $267.15 | $411.00 | 35% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mam Diagnostic Digital | $267.15 | $411.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Extr Jt W/O Cont | $2,384.85 | $3,669.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Extr Jt W/O Cont | $2,384.85 | $3,669.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Jt W/O&W Con | $2,739.75 | $4,215.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Jt W/O&W Con | $2,739.75 | $4,215.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $2,187.90 | $3,366.00 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain W/O Contrast | $2,187.90 | $3,366.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W&W/O Contrast | $3,243.50 | $4,990.00 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain W&W/O Contrast | $3,243.50 | $4,990.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar W/O Contrast | $2,540.20 | $3,908.00 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar W/O Contrast | $2,540.20 | $3,908.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Exam Pg Uterus Compl | $167.05 | $257.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Complete 1st Fetus | $473.85 | $729.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Exam Pg Uterus Compl | $167.05 | $257.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Complete 1st Fetus | $473.85 | $729.00 | 35% |
| Screening mammogram, both breasts CPT 77067 Mam Screening Digital | $274.30 | $422.00 | 35% |
| Screening mammogram, both breasts inpatient CPT 77067 Mam Screening Digital | $274.30 | $422.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram - Incomplete | $2,845.70 | $4,378.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep-Polysomnography W/ 4+ Addl Parameters | $2,845.70 | $4,378.00 | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram - Incomplete | $2,845.70 | $4,378.00 | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep-Polysomnography W/ 4+ Addl Parameters | $2,845.70 | $4,378.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal | $186.55 | $287.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $379.60 | $584.00 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal | $186.55 | $287.00 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $379.60 | $584.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $829.40 | $1,276.00 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $829.40 | $1,276.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Spine L/S Min 4 Views | $451.10 | $694.00 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine L/S Min 4 Views | $451.10 | $694.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel* (P) | $105.30 | $162.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel* (P) | $105.30 | $162.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $27.95 | $43.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel* | $91.65 | $141.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $27.95 | $43.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel* | $91.65 | $141.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Hemogram/Auto Diff* | $68.90 | $106.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hemogram/Auto Diff* | $68.90 | $106.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc/Platelet* (P) | $41.60 | $64.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc/Platelet* (P) | $41.60 | $64.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Cardio Office Performed/Resulted Cmp Lab Test | $29.25 | $45.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel* | $123.50 | $190.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cardio Office Performed/Resulted Cmp Lab Test | $29.25 | $45.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel* | $123.50 | $190.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel* | $154.70 | $238.00 | 35% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel* | $154.70 | $238.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel* | $111.80 | $172.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel* | $111.80 | $172.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel* | $210.60 | $324.00 | 35% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel* | $210.60 | $324.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free (P) | $102.70 | $158.00 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free (P) | $102.70 | $158.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Screening* | $55.25 | $85.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Diagnostic* (P) | $154.70 | $238.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Screening* | $55.25 | $85.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Diagnostic* (P) | $154.70 | $238.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Absorbed Aptt* | $74.75 | $115.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt(Part Throm Time)* (P) | $79.95 | $123.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Absorbed Aptt* | $74.75 | $115.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt(Part Throm Time)* (P) | $79.95 | $123.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $7.80 | $12.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Inr - Rx | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr-Tau | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt(Prothrombin Time)* (P) | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC - Inr | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $7.80 | $12.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC - Inr | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt(Prothrombin Time)* (P) | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Inr - Rx | $34.45 | $53.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr-Tau | $34.45 | $53.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone/* | $131.30 | $202.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone/* | $131.30 | $202.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Ua Auto W/Microscopic* | $59.80 | $92.00 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Ua Auto W/Microscopic* | $59.80 | $92.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Uadip Stk/Tblt Rgt;Nonauto/Micro | $5.85 | $9.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Ua Macro (Non-Auto) W/Mircroscopic* | $33.80 | $52.00 | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Uadip Stk/Tblt Rgt;Nonauto/Micro | $5.85 | $9.00 | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Ua Macro (Non-Auto) W/Mircroscopic* | $33.80 | $52.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope | $5.85 | $9.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Ua Auto Macro Only* | $44.20 | $68.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Auto | $44.20 | $68.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope | $5.85 | $9.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ua Auto Macro Only* | $44.20 | $68.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Auto | $44.20 | $68.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $5.85 | $9.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Ua Macro Scrn Non-Auto | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine* | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Ua Non-Auto Macro Only | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $5.85 | $9.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ua Non-Auto Macro Only | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine* | $27.30 | $42.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ua Macro Scrn Non-Auto | $27.30 | $42.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag-Laser Capsulotomy 1+Stg | $343.85 | $529.00 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag-Capsulotomy | $1,703.00 | $2,620.00 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag-Laser Capsulotomy 1+Stg | $343.85 | $529.00 | 35% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag-Capsulotomy | $1,703.00 | $2,620.00 | 35% |
| Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath W/Injs Lt Ventriclgraphy | $8,070.40 | $12,416.00 | 35% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Lt Heart Cath W/Injs Lt Ventriclgraphy | $8,070.40 | $12,416.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Epidural Lumbr/Sac W/Image Guide | $1,894.75 | $2,915.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Epidural Lumbr/Sac W/ Image Guide | $1,894.75 | $2,915.00 | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Epidural Lumbr/Sac W/ Image Guide | $1,894.75 | $2,915.00 | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Epidural Lumbr/Sac W/Image Guide | $1,894.75 | $2,915.00 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB Inject Spine L/S (Cd) W/O Image Guide | $1,448.20 | $2,228.00 | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB Inject Spine L/S (Cd) W/O Image Guide | $1,448.20 | $2,228.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforamin Epidural; Lumb/Sacral 1 Lvl | $1,402.05 | $2,157.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Foramen Epidural L/S | $1,402.05 | $2,157.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Transforamin Epidural; Lumb/Sacral 1 Lvl | $1,402.05 | $2,157.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inject Foramen Epidural L/S | $1,402.05 | $2,157.00 | 35% |
| Prostate biopsy CPT 55700 Biopsy of Prostate Needle/Punch | $1,224.60 | $1,884.00 | 35% |
| Prostate biopsy CPT 55700 Prostate Biopsy Needle/Punch | $2,098.85 | $3,229.00 | 35% |
| Prostate biopsy inpatient CPT 55700 Biopsy of Prostate Needle/Punch | $1,224.60 | $1,884.00 | 35% |
| Prostate biopsy inpatient CPT 55700 Prostate Biopsy Needle/Punch | $2,098.85 | $3,229.00 | 35% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Dr/or/Ldr Vaginal-1st Hr | $4,574.70 | $7,038.00 | 35% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Dr/or/Ldr Vaginal-1st Hr | $4,574.70 | $7,038.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Spec Family Therapy W Phys | $111.80 | $172.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Psychotherapy Family W/Pt | $178.10 | $274.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 HB Psychotherapy Family W/Pt - MC | $178.10 | $274.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Pt 50+ Mins | $190.45 | $293.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Spec Family Therapy W Phys | $111.80 | $172.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB Psychotherapy Family W/Pt - MC | $178.10 | $274.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Psychotherapy Family W/Pt | $178.10 | $274.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Pt 50+ Mins | $190.45 | $293.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Spec Family Therapy No Pt | $111.80 | $172.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt 1-50 Mins | $174.85 | $269.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotx W/O Pt | $234.65 | $361.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt 50+ Mins | $328.25 | $505.00 | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Spec Family Therapy No Pt | $111.80 | $172.00 | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Pt 1-50 Mins | $174.85 | $269.00 | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotx W/O Pt | $234.65 | $361.00 | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Pt 50+ Mins | $328.25 | $505.00 | 35% |
| Group psychotherapy session CPT 90853 Spec Group Therapy | $52.65 | $81.00 | 35% |
| Group psychotherapy session CPT 90853 Aftercare Group Psychotherapy | $126.75 | $195.00 | 35% |
| Group psychotherapy session CPT 90853 HB Group Psychotherapy - MC | $152.75 | $235.00 | 35% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $153.40 | $236.00 | 35% |
| Group psychotherapy session CPT 90853 Adol Day Hosp-Half Day | $247.00 | $380.00 | 35% |
| Group psychotherapy session CPT 90853 Group Psychtherapy - Iop | $271.70 | $418.00 | 35% |
| Group psychotherapy session CPT 90853 Adolescent Day School Only | $283.40 | $436.00 | 35% |
| Group psychotherapy session CPT 90853 Adol Day Hospital-Full Day | $317.20 | $488.00 | 35% |
| Group psychotherapy session CPT 90853 Partial Day Pg | $317.20 | $488.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Spec Group Therapy | $52.65 | $81.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Aftercare Group Psychotherapy | $126.75 | $195.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 HB Group Psychotherapy - MC | $152.75 | $235.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $153.40 | $236.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Adol Day Hosp-Half Day | $247.00 | $380.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Group Psychtherapy - Iop | $271.70 | $418.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Adolescent Day School Only | $283.40 | $436.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Adol Day Hospital-Full Day | $317.20 | $488.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 Partial Day Pg | $317.20 | $488.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Ex-15 Min | $82.55 | $127.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Ex-15 Min | $82.55 | $127.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt Ther Ex-15 Min | $82.55 | $127.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot Ther Ex-15 Min | $82.55 | $127.00 | 35% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prev.Med New Pt 18-39 Yrs | $180.05 | $277.00 | 35% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev.Med New Pt 18-39 Yrs | $180.05 | $277.00 | 35% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Visit New 40-64 | $222.30 | $342.00 | 35% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Preventive Visit New 40-64 | $222.30 | $342.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy Pt &/or Family 30 Min | $91.65 | $141.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Pt &/or Family 30 Mins | $136.50 | $210.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy W/Pt &/or Family 30 Mins - MC | $136.50 | $210.00 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy Pt &/or Family 30 Min | $91.65 | $141.00 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB Psychotherapy W/Pt &/or Family 30 Mins - MC | $136.50 | $210.00 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Pt &/or Family 30 Mins | $136.50 | $210.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy Pt &/or Family 45 Minutes | $91.65 | $141.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins - MC | $219.05 | $337.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins | $219.05 | $337.00 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy Pt &/or Family 45 Minutes | $91.65 | $141.00 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins | $219.05 | $337.00 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB Psychotherapy W/Pt &/or Family 45 Mins - MC | $219.05 | $337.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy Pt &/or Family 60 Minutes | $91.65 | $141.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins - MC | $264.55 | $407.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins | $264.55 | $407.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Daily Iop Bundled-Chapman Ctr | $331.50 | $510.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Daily Php Bundled-Chapman Ctr | $409.50 | $630.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 Daily Detox Php Bundled-Chap C | $569.40 | $876.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy Pt &/or Family 60 Minutes | $91.65 | $141.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins - MC | $264.55 | $407.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB Psychotherapy W/Pt &/or Family 60 Mins | $264.55 | $407.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Daily Iop Bundled-Chapman Ctr | $331.50 | $510.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Daily Php Bundled-Chapman Ctr | $409.50 | $630.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Daily Detox Php Bundled-Chap C | $569.40 | $876.00 | 35% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Porcelain crown CDT D2740 All Ceramic Crown-per Visit | $516.75 | $795.00 | 35% |
| Porcelain crown inpatient CDT D2740 All Ceramic Crown-per Visit | $516.75 | $795.00 | 35% |