Beacon Allegan
Beacon Allegan in Allegan, MI publishes cash prices for 45 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
555 LINN ST ALLEGAN, MI 49010 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 | $1,573.68 | $3,211.60 | 51% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $1,573.68 | $3,211.60 | 51% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $1,573.68 | $3,211.60 | 51% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $587.22 | $1,198.40 | 51% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $587.22 | $1,198.40 | 51% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $587.22 | $1,198.40 | 51% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $1,123.13 | $2,292.10 | 51% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $1,123.13 | $2,292.10 | 51% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $1,123.13 | $2,292.10 | 51% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BILAT DIAGNOSTIC ADD VIEWS 2D3D | $330.31 | $674.10 | 51% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BILAT DIAGNOSTIC ADD VIEWS 2D3D | $330.31 | $674.10 | 51% |
| Diagnostic mammogram, both breasts CPT 77066 MAMM BIL DIAG DIGITAL | $330.31 | $674.10 | 51% |
| Diagnostic mammogram, both breasts CPT 77066 MAMM BIL DIAG DIGITAL | $330.31 | $674.10 | 51% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BILAT DIAGNOSTIC ADD VIEWS 2D3D | $330.31 | $674.10 | 51% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMM BIL DIAG DIGITAL | $330.31 | $674.10 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM UNI DIAG DIGITAL RT | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 UNI LAT ADD VIEWS LT 2D3D | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 UNI LAT ADD VIEWS LT 2D3D | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 UNI LAT ADD VIEWS RT 2D3D | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 UNI LAT ADD VIEWS RT 2D3D | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM UNI DIAG DIGITAL RT | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM UNI DIAG DIGITAL LT | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMM UNI DIAG DIGITAL LT | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM UNI DIAG DIGITAL RT | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 UNI LAT ADD VIEWS RT 2D3D | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 UNI LAT ADD VIEWS LT 2D3D | $262.40 | $535.50 | 51% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM UNI DIAG DIGITAL LT | $262.40 | $535.50 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JNT LT,W/O CONTR | $1,565.11 | $3,194.10 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JNT RT,W/O CONTR | $1,565.11 | $3,194.10 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JNT RT,W/O CONTR | $1,565.11 | $3,194.10 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JNT LT,W/O CONTR | $1,565.11 | $3,194.10 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY ANY JNT LT,W/O CONTR | $1,565.11 | $3,194.10 | 51% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY ANY JNT RT,W/O CONTR | $1,565.11 | $3,194.10 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT ANY JOINT LT W W/O | $2,567.16 | $5,239.10 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT ANY JOINT LT W W/O | $2,567.16 | $5,239.10 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT ANY JOINT RT W W/O | $2,567.16 | $5,239.10 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT ANY JOINT RT W W/O | $2,567.16 | $5,239.10 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXT ANY JOINT LT W W/O | $2,567.16 | $5,239.10 | 51% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXT ANY JOINT RT W W/O | $2,567.16 | $5,239.10 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WITHOUT CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 ACOUSTICS W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 ACOUSTICS W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN & PITUITARY W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN & PITUITARY W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN & ACOUSTICS W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN & ACOUSTICS W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WITHOUT CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WITHOUT CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN & ACOUSTICS W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN & PITUITARY W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, no contrast dye inpatient CPT 70551 ACOUSTICS W/O CONTRAST | $1,374.94 | $2,806.00 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN&ACCOUSTICS W/WO CONT | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN&ACCOUSTICS W/WO CONT | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W CONTRAST | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W CONTRAST | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 ACOUSTICS W & WO | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye CPT 70553 ACOUSTICS W & WO | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN&ACCOUSTICS W/WO CONT | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 ACOUSTICS W & WO | $2,071.99 | $4,228.55 | 51% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & W CONTRAST | $2,071.99 | $4,228.55 | 51% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,539.80 | $3,142.45 | 51% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,539.80 | $3,142.45 | 51% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,539.80 | $3,142.45 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE SURVEY MULT GESTATION | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE SURVEY MULT GESTATION | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRA OB COMPLETE | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2ND 3RD TRI | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2ND 3RD TRI | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRA OB COMPLETE | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2ND 3RD TRI | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRA OB COMPLETE | $328.86 | $671.15 | 51% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE SURVEY MULT GESTATION | $328.86 | $671.15 | 51% |
| Screening mammogram, both breasts CPT 77067 MAMM BIL SCREENING DIGITAL | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts CPT 77067 MAMM BIL SCREENING DIGITAL | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts one side CPT 77067 MAMM UNI SCREENING DIGITAL RT | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts one side CPT 77067 MAMM UNI SCREENING DIGITAL RT | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts one side CPT 77067 MAMM UNI SCREENING DIGITAL LT | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts one side CPT 77067 MAMM UNI SCREENING DIGITAL LT | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMM BIL SCREENING DIGITAL | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMM UNI SCREENING DIGITAL RT | $229.05 | $467.45 | 51% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMM UNI SCREENING DIGITAL LT | $229.05 | $467.45 | 51% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ 2/TECH | $2,529.80 | $5,162.85 | 51% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ 2/TECH | $2,529.80 | $5,162.85 | 51% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4+ 2/TECH | $2,529.80 | $5,162.85 | 51% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL | $360.57 | $735.85 | 51% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL | $360.57 | $735.85 | 51% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL | $360.57 | $735.85 | 51% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRA ABD COMP | $400.70 | $817.75 | 51% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRA ABD COMP | $400.70 | $817.75 | 51% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRA ABD COMP | $400.70 | $817.75 | 51% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBOSACRALCMPLW/OBLQ,MIN4VIEW | $63.23 | $129.05 | 51% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBOSACRALCMPLW/OBLQ,MIN4VIEW | $63.23 | $129.05 | 51% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRALCMPLW/OBLQ,MIN4VIEW | $63.23 | $129.05 | 51% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $37.51 | $76.55 | 51% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $37.51 | $76.55 | 51% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $37.51 | $76.55 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $64.39 | $131.40 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $64.39 | $131.40 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $64.39 | $131.40 | 51% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $64.39 | $131.40 | 51% |
| Complete blood count (CBC) with differential CPT 85025 CBC/DIFF/PLATELETS | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential CPT 85025 CBC/TECH DIFF | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential CPT 85025 CBC/TECH DIFF | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential CPT 85025 CBC/DIFF/PLATELETS | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/DIFF/PLATELETS | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/DIFF/PLATELETS | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/TECH DIFF | $37.51 | $76.55 | 51% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/TECH DIFF | $37.51 | $76.55 | 51% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $30.80 | $62.85 | 51% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $30.80 | $62.85 | 51% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $30.80 | $62.85 | 51% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $30.80 | $62.85 | 51% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $49.27 | $100.55 | 51% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $49.27 | $100.55 | 51% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $49.27 | $100.55 | 51% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $49.27 | $100.55 | 51% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $43.10 | $87.95 | 51% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $43.10 | $87.95 | 51% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $43.10 | $87.95 | 51% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $53.19 | $108.55 | 51% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $53.19 | $108.55 | 51% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $53.19 | $108.55 | 51% |
| Obstetric blood test panel CPT 80055 PRENATAL PROFILE | $71.66 | $146.25 | 51% |
| Obstetric blood test panel CPT 80055 PRENATAL PROFILE | $71.66 | $146.25 | 51% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE | $71.66 | $146.25 | 51% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $91.58 | $186.90 | 51% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $91.58 | $186.90 | 51% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $91.58 | $186.90 | 51% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $91.58 | $186.90 | 51% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA REFERENCE | $63.80 | $130.20 | 51% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA REFERENCE | $63.80 | $130.20 | 51% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $71.66 | $146.25 | 51% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $71.66 | $146.25 | 51% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA REFERENCE | $63.80 | $130.20 | 51% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA REFERENCE | $63.80 | $130.20 | 51% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $71.66 | $146.25 | 51% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT REFERENCE | $22.12 | $45.15 | 51% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT REFERENCE | $22.12 | $45.15 | 51% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $23.52 | $48.00 | 51% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $23.52 | $48.00 | 51% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT REFERENCE | $22.12 | $45.15 | 51% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT REFERENCE | $22.12 | $45.15 | 51% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $23.52 | $48.00 | 51% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $23.52 | $48.00 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME REFERENCE | $20.07 | $40.95 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME REFERENCE | $20.07 | $40.95 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $20.70 | $42.25 | 51% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $20.70 | $42.25 | 51% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME REFERENCE | $20.07 | $40.95 | 51% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $20.70 | $42.25 | 51% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $20.70 | $42.25 | 51% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $64.39 | $131.40 | 51% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $64.39 | $131.40 | 51% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $64.39 | $131.40 | 51% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $64.39 | $131.40 | 51% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $22.39 | $45.70 | 51% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $22.39 | $45.70 | 51% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $22.39 | $45.70 | 51% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS W/MICRO NON AUTOMATED | $9.26 | $18.90 | 51% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS W/MICRO NON AUTOMATED | $9.26 | $18.90 | 51% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS W/MICRO NON AUTOMATED | $9.26 | $18.90 | 51% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS W/MICRO NON AUTOMATED | $9.26 | $18.90 | 51% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $11.20 | $22.85 | 51% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $11.20 | $22.85 | 51% |
| Urinalysis without microscope exam, automated CPT 81003 URINE CHEMICAL-DIP | $11.20 | $22.85 | 51% |
| Urinalysis without microscope exam, automated CPT 81003 URINE CHEMICAL-DIP | $11.20 | $22.85 | 51% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $10.29 | $21.00 | 51% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE CHEMICAL-DIP | $11.20 | $22.85 | 51% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $11.20 | $22.85 | 51% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O MICRO NON AUTOMATED | $7.20 | $14.70 | 51% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O MICRO NON AUTOMATED | $7.20 | $14.70 | 51% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W/O MICRO NON AUTOMATED | $7.20 | $14.70 | 51% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W/O MICRO NON AUTOMATED | $7.20 | $14.70 | 51% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 TOTAL COLON POLYPECTOMY W SNARE TECHNQ | $1,650.00 | $3,367.35 | 51% |
| Colonoscopy with polyp removal CPT 45385 TOTAL COLON POLYPECTOMY W SNARE TECHNQ | $1,650.00 | $3,367.35 | 51% |
| Colonoscopy with polyp removal inpatient CPT 45385 TOTAL COLON POLYPECTOMY W SNARE TECHNQ | $1,650.00 | $3,367.35 | 51% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/ COLD BIOPSY | $760.95 | $1,552.95 | 51% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/ COLD BIOPSY | $760.95 | $1,552.95 | 51% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/ COLD BIOPSY | $760.95 | $1,552.95 | 51% |
| Colonoscopy, diagnostic CPT 45378 SCREENING COLONOSCOPY IN SS | $1,221.94 | $2,493.75 | 51% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY IN SS | $1,221.94 | $2,493.75 | 51% |
| Colonoscopy, diagnostic CPT 45378 SCREENING COLONOSCOPY IN SS | $1,221.94 | $2,493.75 | 51% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY IN SS | $1,221.94 | $2,493.75 | 51% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY IN SS | $1,221.94 | $2,493.75 | 51% |
| Colonoscopy, diagnostic inpatient CPT 45378 SCREENING COLONOSCOPY IN SS | $1,221.94 | $2,493.75 | 51% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC, W GUIDANCE | $834.00 | $1,702.05 | 51% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC, W GUIDANCE | $834.00 | $1,702.05 | 51% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC, W GUIDANCE | $834.00 | $1,702.05 | 51% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC, WO GUIDANCE | $834.00 | $1,702.05 | 51% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC, WO GUIDANCE | $834.00 | $1,702.05 | 51% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC, WO GUIDANCE | $834.00 | $1,702.05 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 FORAMEN EPIDURAL INJ L/S | $1,081.48 | $2,207.10 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 FORAMEN EPIDURAL INJ L/S | $1,081.48 | $2,207.10 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XA FACET BLOCK LUMBAR | $1,081.48 | $2,207.10 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XA FACET BLOCK LUMBAR | $1,081.48 | $2,207.10 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XA FACET BLOCK LUMBAR | $1,081.48 | $2,207.10 | 51% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 FORAMEN EPIDURAL INJ L/S | $1,081.48 | $2,207.10 | 51% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/ BIOPSY | $1,221.94 | $2,493.75 | 51% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/ BIOPSY | $1,221.94 | $2,493.75 | 51% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/ BIOPSY | $1,221.94 | $2,493.75 | 51% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $1,221.94 | $2,493.75 | 51% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $1,221.94 | $2,493.75 | 51% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD | $1,221.94 | $2,493.75 | 51% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 CLINIC | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 W/MOD | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 W/MOD | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 CLINIC | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT NEW PATIENT LEVEL 3 | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT NEW PATIENT LEVEL 3 | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP VISIT NEW PATIENT LEVEL 3 | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 W/MOD | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 CLINIC | $153.37 | $313.00 | 51% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $153.37 | $313.00 | 51% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 CLINIC | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 W/MOD | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 W/MOD | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 CLINIC | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW PATIENT LEVEL 4 | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW PATIENT LEVEL 4 | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP VISIT NEW PATIENT LEVEL 4 | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 CLINIC | $233.68 | $476.90 | 51% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 W/MOD | $233.68 | $476.90 | 51% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW PATIENT LEVEL 5 | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW PATIENT LEVEL 5 | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 CLINIC | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 CLINIC | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 W/MOD | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 W/MOD | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP VISIT NEW PATIENT LEVEL 5 | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 W/MOD | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5 CLINIC | $276.53 | $564.35 | 51% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 | $276.53 | $564.35 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY EXERCISE PER 15 MINUTES | $93.49 | $190.80 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY EXERCISE PER 15 MINUTES | $93.49 | $190.80 | 51% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPY EXERCISE PER 15 MINUTES | $93.49 | $190.80 | 51% |