Fairview Health Services
Fairview Health Services in Burnsville, MN publishes cash prices for 60 common procedures listed here, from its own machine-readable price file updated Feb 6, 2026. Click a procedure to compare it with other hospitals nearby.
201 E Nicollet Blvd, Burnsville, MN 55337-5714 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 SCAN, ABDOMEN AND PELVIS W CONTRAST | $643.03 | $1,513.00 | 57% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $778.60 | $1,832.00 | 58% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $509.51 | $1,198.83 | 57% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $506.24 | $1,191.15 | 57% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $688.93 | $1,621.00 | 57% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $688.93 | $1,621.00 | 57% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $244.82 | $576.03 | 57% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $244.82 | $576.03 | 57% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $189.55 | $446.00 | 58% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $189.55 | $446.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $1,281.38 | $3,015.00 | 57% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $1,281.38 | $3,015.00 | 57% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,217.16 | $2,863.89 | 57% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,822.62 | $4,288.50 | 57% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $681.71 | $1,604.01 | 57% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $681.55 | $1,603.64 | 57% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO&W CONTRAST | $1,214.36 | $2,857.31 | 57% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO&W CONTRAST | $1,231.77 | $2,898.26 | 57% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $805.38 | $1,895.00 | 57% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $805.38 | $1,895.00 | 57% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $290.28 | $683.00 | 57% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $290.28 | $683.00 | 57% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $199.33 | $469.00 | 57% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $199.33 | $469.00 | 57% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $199.33 | $469.00 | 57% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $199.33 | $469.00 | 57% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL, NON-OB | $207.83 | $489.00 | 57% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL, NON-OB | $236.73 | $557.00 | 57% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $294.97 | $694.04 | 57% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $294.97 | $694.04 | 57% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $217.60 | $512.00 | 58% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $217.60 | $512.00 | 58% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 PR BASIC METABOLIC PROFILE | $10.63 | $25.00 | 57% |
| Basic metabolic panel (blood test) CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL | $10.63 | $25.00 | 57% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE | $62.05 | $146.00 | 58% |
| Basic metabolic panel (blood test) inpatient CPT 80048 PR BASIC METABOLIC PROFILE | $10.63 | $25.00 | 57% |
| Basic metabolic panel (blood test) inpatient CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL | $10.63 | $25.00 | 57% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE | $79.91 | $188.00 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $40.21 | $94.60 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $40.80 | $96.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $43.46 | $102.25 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $40.80 | $96.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $40.80 | $96.00 | 58% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $43.46 | $102.25 | 57% |
| Complete blood count (CBC) with differential CPT 85025 PR CBC WITH PLATELETS, DIFF | $9.78 | $23.00 | 57% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH PLATELETS, DIFF | $45.81 | $107.77 | 57% |
| Complete blood count (CBC) with differential inpatient CPT 85025 PR CBC WITH PLATELETS, DIFF | $9.78 | $23.00 | 57% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH PLATELETS, DIFF | $45.58 | $107.23 | 57% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC WITH PLATELETS | $51.93 | $122.18 | 57% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITH PLATELETS | $62.92 | $148.04 | 57% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $93.84 | $220.80 | 58% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $88.37 | $207.91 | 57% |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL | $77.35 | $181.99 | 57% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL | $77.35 | $181.99 | 57% |
| Liver function blood test panel CPT 80076 HC HEPATIC PANEL | $51.02 | $120.03 | 57% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PANEL | $51.02 | $120.03 | 57% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA | $22.07 | $51.93 | 58% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA | $22.07 | $51.93 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE | $51.00 | $120.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $62.05 | $146.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, ULTRASENSITIVE | $51.00 | $120.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $59.08 | $139.00 | 57% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT AL | $60.52 | $142.40 | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $62.48 | $147.00 | 57% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC HEPZYMED PTT | $62.48 | $147.00 | 57% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $59.36 | $139.67 | 57% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT AL | $62.38 | $146.77 | 57% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC HEPZYMED PTT | $62.48 | $147.00 | 57% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR | $33.15 | $78.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR SP COAG | $33.15 | $78.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT MIXING STUDIES | $33.15 | $78.00 | 58% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT ISTAT | $33.16 | $78.01 | 57% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT | $33.20 | $78.12 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR SP COAG | $32.88 | $77.35 | 57% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR | $32.89 | $77.37 | 57% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT ISTAT | $32.94 | $77.50 | 57% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT MIXING STUDIES | $33.15 | $78.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT | $33.15 | $78.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC MISC TEST | $31.35 | $73.75 | 57% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FREE T4 REFLEX | $38.25 | $90.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $42.08 | $99.00 | 57% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC MISC TEST | $31.35 | $73.75 | 57% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $37.69 | $88.67 | 57% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FREE T4 REFLEX | $39.53 | $93.00 | 57% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $35.70 | $84.00 | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $35.71 | $84.01 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT | $15.73 | $37.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS OB SCREEN | $15.73 | $37.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $15.73 | $37.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, MACROSCPOIC | $17.82 | $41.92 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $18.67 | $43.91 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE QUAL | $19.13 | $45.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY UR | $20.40 | $48.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUAL URINE | $21.25 | $50.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUAL | $21.26 | $50.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE QUAL | $22.53 | $53.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC KETONES URINE QUAL | $29.75 | $70.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS OB SCREEN | $15.73 | $37.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT | $15.73 | $37.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $15.73 | $37.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, MACROSCPOIC | $17.86 | $42.01 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $18.67 | $43.91 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE QUAL | $19.13 | $45.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY UR | $20.40 | $48.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE QUAL | $21.25 | $50.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE QUAL URINE | $21.25 | $50.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE QUAL | $22.53 | $53.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONES URINE QUAL | $29.75 | $70.00 | 58% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $4,272.35 | $10,052.57 | 57% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $4,272.35 | $10,052.57 | 57% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM | $1,253.75 | $2,950.00 | 58% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM | $1,253.75 | $2,950.00 | 58% |
| Colonoscopy with polyp removal CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $796.88 | $1,875.00 | 57% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,249.08 | $2,939.00 | 57% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $796.88 | $1,875.00 | 57% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,248.26 | $2,937.07 | 57% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W BIOPSY | $765.87 | $1,802.03 | 57% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY | $1,264.72 | $2,975.80 | 57% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W BIOPSY | $765.87 | $1,802.03 | 57% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY | $1,147.22 | $2,699.33 | 57% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $596.28 | $1,403.00 | 57% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,114.79 | $2,623.01 | 57% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $596.28 | $1,403.00 | 57% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,280.10 | $3,012.00 | 58% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,077.20 | $2,534.58 | 57% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,077.20 | $2,534.58 | 57% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $861.48 | $2,027.00 | 57% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $861.48 | $2,027.00 | 57% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC YAG LASER CAPSULOTOMY | $1,898.90 | $4,468.00 | 58% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC YAG LASER CAPSULOTOMY | $1,898.90 | $4,468.00 | 58% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $3,760.40 | $8,848.00 | 58% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $3,760.40 | $8,848.00 | 58% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $1,195.32 | $2,812.50 | 57% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $796.88 | $1,875.00 | 57% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $1,231.94 | $2,898.68 | 57% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $1,234.63 | $2,905.00 | 57% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,069.30 | $2,516.00 | 58% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,071.33 | $2,520.77 | 57% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $2,274.18 | $5,351.00 | 57% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $2,274.18 | $5,351.00 | 57% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, W/NERVE SPARING | $2,136.48 | $5,027.00 | 57% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, W/NERVE SPARING | $2,136.48 | $5,027.00 | 57% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $671.93 | $1,581.00 | 57% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $826.63 | $1,945.00 | 57% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM) | $885.28 | $2,083.00 | 57% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $671.93 | $1,581.00 | 57% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM) | $863.60 | $2,032.00 | 58% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $885.28 | $2,083.00 | 57% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $499.38 | $1,175.00 | 57% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $867.64 | $2,041.49 | 57% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $499.38 | $1,175.00 | 57% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $869.64 | $2,046.19 | 57% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $4,045.58 | $9,519.00 | 57% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $4,045.58 | $9,519.00 | 57% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $3,902.01 | $9,181.18 | 57% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $3,902.01 | $9,181.18 | 57% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ELECTROCARDIOGRAM, COMP W/READ | $23.12 | $54.38 | 57% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ELECTROCARDIOGRAM, COMP W/READ | $23.12 | $54.38 | 57% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $194.52 | $457.68 | 57% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $215.75 | $507.63 | 57% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $303.03 | $713.00 | 57% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $305.79 | $719.50 | 57% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $249.05 | $586.00 | 58% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $249.05 | $586.00 | 58% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $303.03 | $713.00 | 57% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $305.79 | $719.50 | 57% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN | $241.83 | $569.00 | 57% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP | $249.05 | $586.00 | 58% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP | $241.60 | $568.45 | 57% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN | $241.83 | $569.00 | 57% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS | $49.30 | $116.00 | 58% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG) | $49.49 | $116.44 | 57% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD | $53.98 | $127.00 | 57% |
| Group psychotherapy session CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL | $82.14 | $193.25 | 57% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP | $91.38 | $215.00 | 57% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD/IOP | $142.80 | $336.00 | 58% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP | $147.05 | $346.00 | 58% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY (30+ MIN) | $147.05 | $346.00 | 58% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $148.75 | $350.00 | 58% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD | $157.68 | $371.00 | 57% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1HR (DRUG) | $164.47 | $386.99 | 58% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5HR CD | $165.75 | $390.00 | 58% |
| Group psychotherapy session CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD | $169.47 | $398.73 | 57% |
| Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD | $175.26 | $412.36 | 57% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR | $176.46 | $415.20 | 58% |
| Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR | $176.46 | $415.20 | 58% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR, IOP | $189.13 | $445.00 | 57% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR | $189.13 | $445.00 | 57% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $212.08 | $499.00 | 57% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $282.20 | $664.00 | 58% |
| Group psychotherapy session CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $288.58 | $679.00 | 57% |
| Group psychotherapy session CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR | $303.03 | $713.00 | 57% |
| Group psychotherapy session CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $310.25 | $730.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS | $49.30 | $116.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG) | $49.49 | $116.44 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD | $53.98 | $127.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL | $82.14 | $193.25 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP | $91.38 | $215.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR, IOP | $133.88 | $315.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY (30+ MIN) | $147.05 | $346.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP | $147.05 | $346.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD/IOP | $147.55 | $347.17 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $148.75 | $350.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD | $157.68 | $371.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1HR (DRUG) | $164.47 | $386.99 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5HR CD | $165.75 | $390.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD | $169.47 | $398.73 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD | $175.26 | $412.36 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR | $176.46 | $415.20 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR | $176.46 | $415.20 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR | $189.13 | $445.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $212.08 | $499.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $282.20 | $664.00 | 58% |
| Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $288.58 | $679.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR | $303.03 | $713.00 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $310.25 | $730.00 | 58% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $192.91 | $453.89 | 57% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $192.91 | $453.89 | 57% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $286.73 | $674.65 | 57% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $286.73 | $674.65 | 57% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $378.25 | $890.00 | 58% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $378.25 | $890.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $73.54 | $173.03 | 57% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $73.95 | $174.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $70.13 | $165.00 | 57% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $73.95 | $174.00 | 58% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES | $116.03 | $273.00 | 57% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $133.49 | $314.09 | 57% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP | $135.88 | $319.71 | 57% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $148.75 | $350.00 | 58% |
| Psychotherapy session, 30 minutes CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $168.30 | $396.00 | 58% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $231.63 | $545.00 | 57% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES | $116.03 | $273.00 | 57% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP | $133.45 | $314.00 | 58% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $133.49 | $314.09 | 57% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $148.75 | $350.00 | 58% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $168.30 | $396.00 | 58% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $231.63 | $545.00 | 57% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $160.23 | $377.00 | 57% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $186.31 | $438.36 | 57% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $190.17 | $447.44 | 57% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $218.45 | $514.00 | 58% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG) | $222.70 | $524.00 | 58% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $160.23 | $377.00 | 57% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $177.06 | $416.60 | 57% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $186.31 | $438.36 | 57% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $218.45 | $514.00 | 58% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG) | $222.70 | $524.00 | 58% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $212.08 | $499.00 | 57% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG) | $296.65 | $698.00 | 58% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $303.57 | $714.27 | 57% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $308.13 | $725.00 | 57% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP | $308.16 | $725.07 | 57% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG) | $336.18 | $791.00 | 57% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $212.08 | $499.00 | 57% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $283.90 | $668.00 | 58% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG) | $300.48 | $707.00 | 57% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP | $308.13 | $725.00 | 57% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $308.55 | $726.00 | 58% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG) | $336.18 | $791.00 | 57% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN | $174.68 | $411.00 | 57% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN | $174.68 | $411.00 | 57% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $252.14 | $593.25 | 57% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $252.14 | $593.25 | 57% |