Providence Health And Services - Washington
Providence Health And Services - Washington in Kodiak, AK publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1915 E Rezanof Dr, Kodiak, AK 99615 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 CONTRAST | $3,091.92 | $3,964.00 | 22% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $3,091.92 | $3,964.00 | 22% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $2,079.48 | $2,666.00 | 22% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $2,079.48 | $2,666.00 | 22% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $2,431.26 | $3,117.00 | 22% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $2,431.26 | $3,117.00 | 22% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $677.82 | $869.00 | 22% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $677.82 | $869.00 | 22% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $615.42 | $789.00 | 22% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $615.42 | $789.00 | 22% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $3,651.96 | $4,682.00 | 22% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $3,651.96 | $4,682.00 | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $5,782.14 | $7,413.00 | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $5,782.14 | $7,413.00 | 22% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $4,273.62 | $5,479.00 | 22% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $4,273.62 | $5,479.00 | 22% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $5,938.92 | $7,614.00 | 22% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $5,938.92 | $7,614.00 | 22% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $3,650.40 | $4,680.00 | 22% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $3,650.40 | $4,680.00 | 22% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $1,102.92 | $1,414.00 | 22% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $1,102.92 | $1,414.00 | 22% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $559.26 | $717.00 | 22% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $559.26 | $717.00 | 22% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $559.26 | $717.00 | 22% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $559.26 | $717.00 | 22% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $715.26 | $917.00 | 22% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $715.26 | $917.00 | 22% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,728.48 | $2,216.00 | 22% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,728.48 | $2,216.00 | 22% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $783.12 | $1,004.00 | 22% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $783.12 | $1,004.00 | 22% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $381.42 | $489.00 | 22% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $381.42 | $489.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $12.48 | $16.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $142.74 | $183.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $12.48 | $16.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $142.74 | $183.00 | 22% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $14.04 | $18.00 | 22% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $214.50 | $275.00 | 22% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $214.50 | $275.00 | 22% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $14.04 | $18.00 | 22% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $214.50 | $275.00 | 22% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $214.50 | $275.00 | 22% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $31.98 | $41.00 | 22% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $167.70 | $215.00 | 22% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $31.98 | $41.00 | 22% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $167.70 | $215.00 | 22% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $390.78 | $501.00 | 22% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $390.78 | $501.00 | 22% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $381.42 | $489.00 | 22% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $381.42 | $489.00 | 22% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL LAB | $14.04 | $18.00 | 22% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $289.38 | $371.00 | 22% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL LAB | $14.04 | $18.00 | 22% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $289.38 | $371.00 | 22% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $17.94 | $23.00 | 22% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB | $167.70 | $215.00 | 22% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $17.94 | $23.00 | 22% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB | $167.70 | $215.00 | 22% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $185.64 | $238.00 | 22% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $191.10 | $245.00 | 22% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $185.64 | $238.00 | 22% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $191.10 | $245.00 | 22% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $24.96 | $32.00 | 22% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $188.76 | $242.00 | 22% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $24.96 | $32.00 | 22% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $188.76 | $242.00 | 22% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $24.96 | $32.00 | 22% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $170.82 | $219.00 | 22% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $24.96 | $32.00 | 22% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $170.82 | $219.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $16.38 | $21.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $83.46 | $107.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $173.16 | $222.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $16.38 | $21.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $83.46 | $107.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $173.16 | $222.00 | 22% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $156.78 | $201.00 | 22% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $180.18 | $231.00 | 22% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $156.78 | $201.00 | 22% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $180.18 | $231.00 | 22% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $14.82 | $19.00 | 22% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $114.66 | $147.00 | 22% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $14.82 | $19.00 | 22% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $114.66 | $147.00 | 22% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM | $4,266.60 | $5,470.00 | 22% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM | $4,266.60 | $5,470.00 | 22% |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM | $3,343.86 | $4,287.00 | 22% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM | $3,343.86 | $4,287.00 | 22% |
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $2,143.44 | $2,748.00 | 22% |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $2,917.98 | $3,741.00 | 22% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $2,143.44 | $2,748.00 | 22% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $2,917.98 | $3,741.00 | 22% |
| Gallbladder removal, laparoscopic CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,117.34 | $14,253.00 | 22% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,117.34 | $14,253.00 | 22% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE | $6,191.64 | $7,938.00 | 22% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $6,906.90 | $8,855.00 | 22% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE | $6,191.64 | $7,938.00 | 22% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $6,906.90 | $8,855.00 | 22% |
| Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 KNEE ARTHROSCOPY/SURGERY MENISECTOMY | $6,913.92 | $8,864.00 | 22% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC PR 29881 KNEE ARTHROSCOPY/SURGERY MENISECTOMY | $6,913.92 | $8,864.00 | 22% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,256.58 | $1,611.00 | 22% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PR 62323 INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,893.84 | $2,428.00 | 22% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,256.58 | $1,611.00 | 22% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC PR 62323 INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,893.84 | $2,428.00 | 22% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC PR 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG | $780.00 | $1,000.00 | 22% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,661.40 | $2,130.00 | 22% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC PR 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG | $780.00 | $1,000.00 | 22% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,661.40 | $2,130.00 | 22% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PR 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $2,262.00 | $2,900.00 | 22% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PR 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $2,262.00 | $2,900.00 | 22% |
| Prostate biopsy CPT 55700 HC PR 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH CDM | $1,255.80 | $1,610.00 | 22% |
| Prostate biopsy CPT 55700 HC PR 55700 BIOPSY OF PROSTATE | $1,750.32 | $2,244.00 | 22% |
| Prostate biopsy inpatient CPT 55700 HC PR 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH CDM | $1,255.80 | $1,610.00 | 22% |
| Prostate biopsy inpatient CPT 55700 HC PR 55700 BIOPSY OF PROSTATE | $1,750.32 | $2,244.00 | 22% |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 REMOVAL OF BREAST LESION 1 OR MORE LESIONS | $5,701.80 | $7,310.00 | 22% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC PR 19120 REMOVAL OF BREAST LESION 1 OR MORE LESIONS | $5,701.80 | $7,310.00 | 22% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 SHOULDER ARTHROSCOPY/SURGERY SUBACRMIAL DCMP | $5,486.52 | $7,034.00 | 22% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC PR 29826 SHOULDER ARTHROSCOPY/SURGERY SUBACRMIAL DCMP | $5,486.52 | $7,034.00 | 22% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $2,341.56 | $3,002.00 | 22% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $3,115.32 | $3,994.00 | 22% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $2,341.56 | $3,002.00 | 22% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $3,115.32 | $3,994.00 | 22% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $2,129.40 | $2,730.00 | 22% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $2,577.90 | $3,305.00 | 22% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $2,129.40 | $2,730.00 | 22% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $2,577.90 | $3,305.00 | 22% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $745.68 | $956.00 | 22% |
| New patient office visit, about 30 minutes CPT 99203 HC L&D TRIAGE NEW PATIENT LVL 3 CDM | $1,408.68 | $1,806.00 | 22% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $745.68 | $956.00 | 22% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC L&D TRIAGE NEW PATIENT LVL 3 CDM | $1,408.68 | $1,806.00 | 22% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $1,010.10 | $1,295.00 | 22% |
| New patient office visit, about 45 minutes CPT 99204 HC L&D TRIAGE NEW PATIENT LVL 4 CDM | $2,633.28 | $3,376.00 | 22% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $1,010.10 | $1,295.00 | 22% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC L&D TRIAGE NEW PATIENT LVL 4 CDM | $2,633.28 | $3,376.00 | 22% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $1,081.86 | $1,387.00 | 22% |
| New patient office visit, about 60 minutes CPT 99205 HC L&D TRIAGE NEW PATIENT LVL 5 CDM | $4,422.60 | $5,670.00 | 22% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $1,081.86 | $1,387.00 | 22% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC L&D TRIAGE NEW PATIENT LVL 5 CDM | $4,422.60 | $5,670.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $199.68 | $256.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $199.68 | $256.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $199.68 | $256.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $199.68 | $256.00 | 22% |