Penn State Health Lancaster Medical Center
Penn State Health Lancaster Medical Center in Lancaster, PA publishes cash prices for 63 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
2160 State Road Lancaster, PA 17601 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 74177 CT Enterography w/ Contrast Tech | $517.76 | $1,786.00 | 71% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABD & PELV W/CONTRAST Tech | $517.76 | $1,786.00 | 71% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN AND PELVIS W/ CONT Tech | $517.76 | $1,786.00 | 71% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABD & PELV W/CONTRAST Tech | $517.76 | $1,786.00 | 71% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT Enterography w/ Contrast Tech | $517.76 | $1,786.00 | 71% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN AND PELVIS W/ CONT Tech | $517.76 | $1,786.00 | 71% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT BRAIN/HEAD W/O CONTRAST Tech | $154.23 | $532.00 | 71% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 CT HEAD/BRAIN W/O DYE Tech | $154.23 | $532.00 | 71% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT BRAIN/HEAD W/O CONTRAST Tech | $154.23 | $532.00 | 71% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT HEAD/BRAIN W/O DYE Tech | $154.23 | $532.00 | 71% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT PELVIS W/DYE Tech | $258.01 | $890.00 | 71% |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT PELVIS W/ CONTRAST Tech | $258.01 | $890.00 | 71% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT PELVIS W/ CONTRAST Tech | $258.01 | $890.00 | 71% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT PELVIS W/DYE Tech | $258.01 | $890.00 | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 MG. Bilat Diag Mam Call Back Same day - Report Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 DX MAMMO INCL CAD BI Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 MG. Mammo Implant Digital Diag Bilateral - Report Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 MG. Mammo Digital Diagnostic Bilat - Report Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 MG. Mammo Implant Digital Diag Bilateral - Report Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 MG. Mammo Digital Diagnostic Bilat - Report Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 MG. Bilat Diag Mam Call Back Same day - Report Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 DX MAMMO INCL CAD BI Tech | $189.30 | $653.00 | 71% |
| Diagnostic mammogram, one breast CPT 77065 77065 DX MAMMO INCL CAD UNI Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Post Clip Placement Right - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Unilat Diag Right Call Back Same Day - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 DX MAMMO INCL CAD UNI RT Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Implant Digital Diag Right - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Post Clip Placement Left - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Digital Diagnostic Left Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Mammo Implant Digital Diag Left Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG. Unilat Diag Left Call Back Same Day - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient CPT 77065 77065 DX MAMMO INCL CAD UNI Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Implant Digital Diag Left Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Unilat Diag Right Call Back Same Day - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Unilat Diag Left Call Back Same Day - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Post Clip Placement Right - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Post Clip Placement Left - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Implant Digital Diag Right - Report Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 DX MAMMO INCL CAD UNI RT Tech | $148.72 | $513.00 | 71% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 MG. Mammo Digital Diagnostic Left Tech | $148.72 | $513.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Hip w/o Contrast Left Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Ankle w/o Contrast Left Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Knee w/o Contrast Right Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Knee w/o Contrast Left Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Ankle w/o Contrast Right Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 MRI Hip w/o Contrast Right Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Ankle w/o Contrast Left Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Knee w/o Contrast Right Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Hip w/o Contrast Left Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Ankle w/o Contrast Right Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Hip w/o Contrast Right Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 MRI Knee w/o Contrast Left Tech | $350.49 | $1,209.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 73723 MRI JOINT LWR EXTR W/O&W/DYE Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Right Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Left Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Right Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Left Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Right Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Left Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 73723 MRI JOINT LWR EXTR W/O&W/DYE Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Right Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Left Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Ankle w/ + w/o Contrast Right Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Left Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Hip w/ + w/o Contrast Right Tech | $517.76 | $1,786.00 | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 73723 MRI Knee w/ + w/o Contrast Left Tech | $517.76 | $1,786.00 | 71% |
| MRI of the brain, no contrast dye CPT 70551 70551 MRI BRAIN STEM W/O DYE Tech | $350.49 | $1,209.00 | 71% |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 MRI BRAIN STEM W/O DYE Tech | $350.49 | $1,209.00 | 71% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 MRI BRAIN STEM W/O & W/DYE Tech | $517.76 | $1,786.00 | 71% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 MRI BRAIN STEM W/O & W/DYE Tech | $517.76 | $1,786.00 | 71% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI L SPINE W/WO CONTRAST Tech | $350.49 | $1,209.00 | 71% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MRI LUMBAR SPINE W/O DYE Tech | $350.49 | $1,209.00 | 71% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MRI L SPINE W/WO CONTRAST Tech | $350.49 | $1,209.00 | 71% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MRI LUMBAR SPINE W/O DYE Tech | $350.49 | $1,209.00 | 71% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 OB US >= 14 WKS SNGL FETUS Tech | $154.23 | $532.00 | 71% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 OB US >= 14 WKS SNGL FETUS Tech | $154.23 | $532.00 | 71% |
| Screening mammogram, both breasts both sides CPT 77067 77067 MG. Mammo Implant Digital Screen Bilat - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts both sides CPT 77067 77067 MG. Mammo Digital Screening Bilateral - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Implant Digital Screen Right - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Digital Screening Left Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Digital Screening Right - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG. Mammo Implant Digital Screen Left - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 MG. Mammo Digital Screening Bilateral - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 MG. Mammo Implant Digital Screen Bilat - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Digital Screening Right - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Implant Digital Screen Right - Report Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Digital Screening Left Tech | $156.55 | $540.00 | 71% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 MG. Mammo Implant Digital Screen Left - Report Tech | $156.55 | $540.00 | 71% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM Tech | $1,917.11 | $6,613.00 | 71% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM Tech | $1,917.11 | $6,613.00 | 71% |
| Transvaginal pelvic ultrasound CPT 76830 76830 TRANSVAGINAL US NON-OB Tech | $154.23 | $532.00 | 71% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 TRANSVAGINAL US NON-OB Tech | $154.23 | $532.00 | 71% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US EXAM ABDOM COMPLETE Tech | $154.23 | $532.00 | 71% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US EXAM ABDOM COMPLETE Tech | $154.23 | $532.00 | 71% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 X-RAY EXAM L-2 SPINE 4/>VWS Tech | $154.23 | $532.00 | 71% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 X-RAY EXAM L-2 SPINE 4/>VWS Tech | $154.23 | $532.00 | 71% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 .BO Ebola BMP Tech | $15.94 | $55.00 | 71% |
| Basic metabolic panel (blood test) CPT 80048 80048 METABOLIC PANEL TOTAL CA Tech | $15.94 | $55.00 | 71% |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 METABOLIC PANEL TOTAL CA Tech | $15.94 | $55.00 | 71% |
| Basic metabolic panel (blood test) inpatient CPT 80048 .BO Ebola BMP Tech | $15.94 | $55.00 | 71% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Panel. Tech | $25.22 | $87.00 | 71% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL Tech | $25.22 | $87.00 | 71% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL Tech | $25.22 | $87.00 | 71% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Panel. Tech | $25.22 | $87.00 | 71% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC Tech | $14.78 | $51.00 | 71% |
| Complete blood count (CBC) with differential CPT 85025 .BO Ebola CBC Diff Tech | $14.78 | $51.00 | 71% |
| Complete blood count (CBC) with differential CPT 85025 85025 LS CBC W/PLT/DIFF AUTO (SQ) Tech | $14.78 | $51.00 | 71% |
| Complete blood count (CBC) with differential inpatient CPT 85025 .BO Ebola CBC Diff Tech | $14.78 | $51.00 | 71% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 LS CBC W/PLT/DIFF AUTO (SQ) Tech | $14.78 | $51.00 | 71% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC Tech | $14.78 | $51.00 | 71% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC w/ Manual Differential. Tech | $12.18 | $42.00 | 71% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE CBC AUTOMATED Tech | $12.18 | $42.00 | 71% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC w/ Manual Differential. Tech | $12.18 | $42.00 | 71% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 COMPLETE CBC AUTOMATED Tech | $12.18 | $42.00 | 71% |
| Comprehensive metabolic panel (blood test) CPT 80053 80053 COMPREHEN METABOLIC PANEL Tech | $20.00 | $69.00 | 71% |
| Comprehensive metabolic panel (blood test) CPT 80053 80053 LS COMP METABOLIC PANEL (SQ) Tech | $20.00 | $69.00 | 71% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 LS COMP METABOLIC PANEL (SQ) Tech | $20.00 | $69.00 | 71% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 COMPREHEN METABOLIC PANEL Tech | $20.00 | $69.00 | 71% |
| Kidney function blood test panel CPT 80069 80069 RENAL FUNCTION PANEL Tech | $16.23 | $56.00 | 71% |
| Kidney function blood test panel inpatient CPT 80069 80069 RENAL FUNCTION PANEL Tech | $16.23 | $56.00 | 71% |
| Liver function blood test panel CPT 80076 .BO Ebola Hepatic Panel Tech | $15.36 | $53.00 | 71% |
| Liver function blood test panel CPT 80076 80076 HEPATIC FUNCTION PANEL Tech | $15.36 | $53.00 | 71% |
| Liver function blood test panel inpatient CPT 80076 .BO Ebola Hepatic Panel Tech | $15.36 | $53.00 | 71% |
| Liver function blood test panel inpatient CPT 80076 80076 HEPATIC FUNCTION PANEL Tech | $15.36 | $53.00 | 71% |
| Obstetric blood test panel CPT 80055 80055 OBSTETRIC PANEL Tech | $90.16 | $311.00 | 71% |
| Obstetric blood test panel inpatient CPT 80055 80055 OBSTETRIC PANEL Tech | $90.16 | $311.00 | 71% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA Free and Percent Free PSA. Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 ASSAY OF PSA FREE Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA Free and Percent Free PSA. Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 ASSAY OF PSA FREE Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 .PSA, Post-Prostatectomy w HAMA-Quest Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total (QST) Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PSA TOTAL Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA Diagnostic. Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total, Reflex PSA Free-Quest Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Screening PSA Tech | $36.53 | $126.00 | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultra Sensitive Tech | $36.53 | $126.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total, Reflex PSA Free-Quest Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 .PSA, Post-Prostatectomy w HAMA-Quest Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PSA TOTAL Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PSA Diagnostic. Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total (QST) Tech | $34.79 | $120.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultra Sensitive Tech | $36.53 | $126.00 | 71% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Screening PSA Tech | $36.53 | $126.00 | 71% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 APTT (QST) Tech | $11.31 | $39.00 | 71% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLASTIN TIME PARTIAL Tech | $11.31 | $39.00 | 71% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Partial Thromboplastin Time. Tech | $11.31 | $39.00 | 71% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Partial Thromboplastin Time. Tech | $11.31 | $39.00 | 71% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLASTIN TIME PARTIAL Tech | $11.31 | $39.00 | 71% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 APTT (QST) Tech | $11.31 | $39.00 | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin Time and INR. Tech | $8.12 | $28.00 | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME Tech | $8.12 | $28.00 | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time/INR by Istat Tech | $8.12 | $28.00 | 71% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin Time and INR. Tech | $8.12 | $28.00 | 71% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time/INR by Istat Tech | $8.12 | $28.00 | 71% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME Tech | $8.12 | $28.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH without HAMA Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 Thyroid Stimulating Hormone. Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH (NEWBORN Scrn) Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH Neonatal-Quest Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 TSH Ultra Sensitive Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH (NEWBORN Scrn) Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH Ultra Sensitive Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH Neonatal-Quest Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 Thyroid Stimulating Hormone. Tech | $31.60 | $109.00 | 71% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 TSH without HAMA Tech | $31.60 | $109.00 | 71% |
| Urinalysis with microscope exam, automated CPT 81001 81001 URINALYSIS AUTO W/SCOPE Tech | $6.09 | $21.00 | 71% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 URINALYSIS AUTO W/SCOPE Tech | $6.09 | $21.00 | 71% |
| Urinalysis with microscope exam, manual CPT 81000 81000 URINALYSIS NONAUTO W/SCOPE Tech | $7.54 | $26.00 | 71% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 URINALYSIS NONAUTO W/SCOPE Tech | $7.54 | $26.00 | 71% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Specific Gravity Urine. Tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated CPT 81003 81003 URINALYSIS AUTO W/O SCOPE Tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis auto without scope tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urine pH tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Specific Gravity Urine. Tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urine pH tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis auto without scope tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 URINALYSIS AUTO W/O SCOPE Tech | $4.35 | $15.00 | 71% |
| Urinalysis without microscope exam, manual CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE Tech | $6.67 | $23.00 | 71% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URINALYSIS NONAUTO W/O SCOPE Tech | $6.67 | $23.00 | 71% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984 XCAPSL CTRC RMVL W/O ECP Tech | $4,297.77 | $14,825.00 | 71% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 XCAPSL CTRC RMVL W/O ECP Tech | $4,297.77 | $14,825.00 | 71% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY Tech | $5,991.36 | $20,667.00 | 71% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY Tech | $5,991.36 | $20,667.00 | 71% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US Tech | $2,221.79 | $7,664.00 | 71% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US Tech | $2,221.79 | $7,664.00 | 71% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY W/LESION REMOVAL Tech | $2,221.79 | $7,664.00 | 71% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY W/LESION REMOVAL Tech | $2,221.79 | $7,664.00 | 71% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY Tech | $2,221.79 | $7,664.00 | 71% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY Tech | $2,221.79 | $7,664.00 | 71% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY Tech | $1,717.95 | $5,926.00 | 71% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY Tech | $1,717.95 | $5,926.00 | 71% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY Tech | $10,993.88 | $37,923.00 | 71% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY Tech | $10,993.88 | $37,923.00 | 71% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC >5 YR Tech | $6,650.02 | $22,939.00 | 71% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC >5 YR Tech | $6,650.02 | $22,939.00 | 71% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY Tech | $6,113.99 | $21,090.00 | 71% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY Tech | $6,113.99 | $21,090.00 | 71% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY Tech | $1,033.78 | $3,566.00 | 71% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY Tech | $1,033.78 | $3,566.00 | 71% |
| Left heart catheterization, diagnostic one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY Tech | $6,060.94 | $20,907.00 | 71% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY Tech | $6,060.94 | $20,907.00 | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTRLM LMB/SAC W/IMAG Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 XR Inj Lumbar/Sacral Epidural Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 PM* INJ EPI STER LUM/SAC Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 NJX INTERLAMINAR LMBR/SAC Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PM Epi Steroid Inj Lumb Or Sacral Spine Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ INTRLM LMB/SAC W/IMAG Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 NJX INTERLAMINAR LMBR/SAC Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PM Epi Steroid Inj Lumb Or Sacral Spine Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 XR Inj Lumbar/Sacral Epidural Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 PM* INJ EPI STER LUM/SAC Tech | $1,304.84 | $4,501.00 | 71% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ INTRLM LMB/SAC W/O Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ INTRLM LMB/SAC W/O Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 PM EPI STEROID INJ TRANSFORAM LUMB WKC TECH | $1,677.65 | $5,787.00 | 71% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJ FORAMEN EPIDURAL L/S Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 PM Epi Steroid Inj Transforam Lumb-Sacr Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 INJ FORAMEN EPIDURAL L/S Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 PM Epi Steroid Inj Transforam Lumb-Sacr Tech | $1,677.65 | $5,787.00 | 71% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 PM EPI STEROID INJ TRANSFORAM LUMB WKC TECH | $1,677.65 | $5,787.00 | 71% |
| Prostate biopsy CPT 55700 55700 US Biopsy Prostate Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy CPT 55700 55700 CT Biopsy Prostate Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy CPT 55700 55700 US* BIOPSY PROSTATE Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy CPT 55700 55700 BIOPSY OF PROSTATE Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY OF PROSTATE Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy inpatient CPT 55700 55700 US* BIOPSY PROSTATE Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy inpatient CPT 55700 55700 US Biopsy Prostate Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate biopsy inpatient CPT 55700 55700 CT Biopsy Prostate Tech | $3,860.02 | $13,315.00 | 71% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY Tech | $19,618.40 | $67,673.00 | 71% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY Tech | $19,618.40 | $67,673.00 | 71% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION Tech | $7,215.61 | $24,890.00 | 71% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION Tech | $7,215.61 | $24,890.00 | 71% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY Tech | $1,119.88 | $3,863.00 | 71% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY Tech | $1,119.88 | $3,863.00 | 71% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 REMOVE TONSILS AND ADENOIDS Tech | $11,147.23 | $38,452.00 | 71% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 REMOVE TONSILS AND ADENOIDS Tech | $11,147.23 | $38,452.00 | 71% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY Tech | $24,245.50 | $83,634.00 | 71% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY Tech | $24,245.50 | $83,634.00 | 71% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY Tech | $24,245.50 | $83,634.00 | 71% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY Tech | $24,245.50 | $83,634.00 | 71% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE Tech | $1,766.65 | $6,094.00 | 71% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE Tech | $1,766.65 | $6,094.00 | 71% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH Tech | $1,766.65 | $6,094.00 | 71% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH Tech | $1,766.65 | $6,094.00 | 71% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 VBAC DELIVERY Tech | $7,950.80 | $27,426.00 | 71% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 VBAC DELIVERY Tech | $7,950.80 | $27,426.00 | 71% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 OBSTETRICAL CARE Tech | $5,991.36 | $20,667.00 | 71% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 OBSTETRICAL CARE Tech | $5,991.36 | $20,667.00 | 71% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYTX W/PT 50 MIN Tech | $302.66 | $1,044.00 | 71% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY PSYTX W/PT 50 MIN Tech | $302.66 | $1,044.00 | 71% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY Tech | $174.23 | $601.00 | 71% |
| Group psychotherapy session inpatient CPT 90853 90853 GROUP PSYCHOTHERAPY Tech | $174.23 | $601.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES Tech OT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech OT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PTA Therapeutic Exercises (15 Min) Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES Tech PT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech PT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech OT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES Tech OT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES Tech PT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 TELE THERAPEUTIC EXERCISES Tech PT Tech | $51.89 | $179.00 | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PTA Therapeutic Exercises (15 Min) Tech | $51.89 | $179.00 | 71% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX W PT 30 MINUTES Tech | $302.66 | $1,044.00 | 71% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX W PT 30 MINUTES Tech | $302.66 | $1,044.00 | 71% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX W PT 45 MINUTES Tech | $302.66 | $1,044.00 | 71% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX W PT 45 MINUTES Tech | $302.66 | $1,044.00 | 71% |