Edward Hospital
Edward Hospital in Naperville, IL publishes cash prices for 43 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
801 South Washington, Naperville, IL 60540,24600 W. 127th St, Plainfield, IL 60585 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $8,609.00 | $8,609.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $8,609.00 | $8,609.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WITHOUT CONTRAST | $2,592.00 | $2,592.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WITHOUT CONTRAST | $2,592.00 | $2,592.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH CONTRAST | $4,501.00 | $4,501.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS WITH CONTRAST | $4,501.00 | $4,501.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAG INCL CAD BILAT CONVERT SAME DAY | $828.00 | $828.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD BILATERAL | $1,226.00 | $1,226.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAG INCL CAD BILAT CONVERT SAME DAY | $828.00 | $828.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD BILATERAL | $1,226.00 | $1,226.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC INCL CAD UNILAT CONVERT SAME DAY | $710.00 | $710.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD UNILATERAL | $710.00 | $710.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC INCL CAD UNILAT CONVERT SAME DAY | $710.00 | $710.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAPHY DIAGNOSTIC INCL CAD UNILATERAL | $710.00 | $710.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI ANY JOINT LOWER EXTREMITY WO CONTRAST BILATERAL | $8,084.00 | $8,084.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST | $4,766.00 | $4,766.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI HIP LIMITED FX 2 SEQUENCES | $4,766.00 | $4,766.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI ANY JOINT LOWER EXTREMITY WO CONTRAST BILATERAL | $8,084.00 | $8,084.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST | $4,766.00 | $4,766.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI HIP LIMITED FX 2 SEQUENCES | $4,766.00 | $4,766.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST | $6,934.00 | $6,934.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST | $6,934.00 | $6,934.00 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST | $4,028.00 | $4,028.00 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN ACUTE 3 SEQUENCE | $4,028.00 | $4,028.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN ACUTE 3 SEQUENCE | $4,028.00 | $4,028.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST | $4,028.00 | $4,028.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT AND WITH CONTRAST FURTH SEQ | $7,315.00 | $7,315.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN INCLUDING BRAIN STEM WITHOUT AND WITH CONTRAST FURTH SEQ | $7,315.00 | $7,315.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $4,705.00 | $4,705.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINAL CANAL AND CONTENTS WITHOUT CONTRAST | $4,705.00 | $4,705.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANT UTERUS FTL MATERN EVAL AFTER FST TRIM SGL FST GESTATION | $1,720.00 | $1,720.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANT UTERUS FTL MATERN EVAL AFTER FST TRIM SGL FST GESTATION | $1,720.00 | $1,720.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN INCL CAD DIGITAL (COSMETIC) BILATERAL | $404.00 | $404.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD BILAT SELF REQUEST | $986.00 | $986.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAPHY SCREENING INCL CAD BILATERAL | $986.00 | $986.00 | — |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMO SCREEN INCL CAD (COSMETIC) UNILATERAL | $323.00 | $323.00 | — |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMOGRAPHY SCREEN INCL CAD UNILATERAL | $521.00 | $521.00 | — |
| Screening mammogram, both breasts one side CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD UNILAT SELF REQUEST | $521.00 | $521.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN INCL CAD DIGITAL (COSMETIC) BILATERAL | $404.00 | $404.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAPHY SCREENING INCL CAD BILATERAL | $986.00 | $986.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD BILAT SELF REQUEST | $986.00 | $986.00 | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMMO SCREEN INCL CAD (COSMETIC) UNILATERAL | $323.00 | $323.00 | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMM SCREEN DIGITAL INCL CAD UNILAT SELF REQUEST | $521.00 | $521.00 | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMMOGRAPHY SCREEN INCL CAD UNILATERAL | $521.00 | $521.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY ATTENDED < 6 HRS 6 YRS OR OLDER | $7,100.00 | $7,100.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY ATTENDED 6YRS OR OLDER | $7,854.00 | $7,854.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY ATTENDED < 6 HRS 6 YRS OR OLDER | $7,100.00 | $7,100.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY ATTENDED 6YRS OR OLDER | $7,854.00 | $7,854.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $1,679.00 | $1,679.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $1,679.00 | $1,679.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE REAL TIME W IMAGE DOCUMENTATION | $2,072.00 | $2,072.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE REAL TIME W IMAGE DOCUMENTATION | $2,072.00 | $2,072.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC RAD CORP LUMBOSACRAL FOUR VIEWS TECH | $76.00 | $76.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 PR SPINE LUMBOSACRAL XRAY MINIMUM FOUR VIEWS | $245.00 | $245.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC RAD SPINE LUMBOSACRAL MINIMUM FOUR VIEWS | $1,321.00 | $1,321.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RAD CORP LUMBOSACRAL FOUR VIEWS TECH | $76.00 | $76.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 PR SPINE LUMBOSACRAL XRAY MINIMUM FOUR VIEWS | $245.00 | $245.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RAD SPINE LUMBOSACRAL MINIMUM FOUR VIEWS | $1,321.00 | $1,321.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $217.00 | $217.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $217.00 | $217.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $251.00 | $251.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $251.00 | $251.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $251.00 | $251.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $251.00 | $251.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFFERENTIAL | $115.00 | $115.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFFERENTIAL | $115.00 | $115.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTOMATED | $135.00 | $135.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTOMATED | $135.00 | $135.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $244.00 | $244.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $244.00 | $244.00 | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $166.00 | $166.00 | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $166.00 | $166.00 | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $217.00 | $217.00 | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $217.00 | $217.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE | $267.00 | $267.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE | $267.00 | $267.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) | $235.00 | $235.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $256.00 | $256.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) | $235.00 | $235.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $256.00 | $256.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (PTT) | $100.00 | $100.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (PTT) | $100.00 | $100.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $66.00 | $66.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $66.00 | $66.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMINE (TSH) | $230.00 | $230.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMINE (TSH) | $230.00 | $230.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS DIP STICK AUTOMATED W MICROSCOPY | $119.00 | $119.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS DIP STICK AUTOMATED W MICROSCOPY | $119.00 | $119.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIP STICK AUTOMATED WO MICROSCOPY | $116.00 | $116.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIP STICK AUTOMATED WO MICROSCOPY | $116.00 | $116.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIP STICK NON AUTO WO MICROSCOPY | $98.00 | $98.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS DIP STICK NON AUTO WO MICROSCOPY | $98.00 | $98.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W INJECTION AND S&I | $13,382.00 | $13,382.00 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W INJECTION AND S&I | $13,382.00 | $13,382.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W IMG GUIDANCE | $3,176.00 | $3,176.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W IMG GUIDANCE | $3,176.00 | $3,176.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W/O IMAGE | $3,503.00 | $3,503.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL STEROID LUMBAR OR SACRAL W/O IMAGE | $3,503.00 | $3,503.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC TRANSFORAM EPID INJECT W IMAGING LUMB OR SACRAL SNGL | $2,792.00 | $2,792.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC TRANSFORAM EPID INJECT W IMAGING LUMB OR SACRAL SNGL | $2,792.00 | $2,792.00 | — |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNCH SINGLE OR MULTIPLE | $7,255.00 | $7,255.00 | — |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNCH SINGLE OR MULTIPLE | $7,255.00 | $7,255.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EH PR EKG 12 LEADS | $42.00 | $42.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EH PR EKG 12 LEADS | $42.00 | $42.00 | — |
| New patient office visit, about 30 minutes CPT 99203 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 3 W PROCED | $297.00 | $297.00 | — |
| New patient office visit, about 30 minutes CPT 99203 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 3 | $297.00 | $297.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC PHYSICAL EXAMINATION BASIC | $536.00 | $536.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC PHYSICAL EXAM BASIS WITH PT COMP | $541.00 | $541.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 | $668.00 | $668.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 W PROCED | $668.00 | $668.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 3 W PROCED | $297.00 | $297.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 3 | $297.00 | $297.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PHYSICAL EXAMINATION BASIC | $536.00 | $536.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PHYSICAL EXAM BASIS WITH PT COMP | $541.00 | $541.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 | $668.00 | $668.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OUTPT EVAL AND MGNT NEW PT LEVEL 3 W PROCED | $668.00 | $668.00 | — |
| New patient office visit, about 45 minutes CPT 99204 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 4 | $437.00 | $437.00 | — |
| New patient office visit, about 45 minutes CPT 99204 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 4 W PROCED | $437.00 | $437.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC PHYSICAL EXAM INTERMEDIATE | $584.00 | $584.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC NFPA ANNUAL EXAM | $584.00 | $584.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC PHYSICAL EXAM - DOT | $811.00 | $811.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 W PROCED | $1,010.00 | $1,010.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 | $1,010.00 | $1,010.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 4 | $437.00 | $437.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 4 W PROCED | $437.00 | $437.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NFPA ANNUAL EXAM | $584.00 | $584.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PHYSICAL EXAM INTERMEDIATE | $584.00 | $584.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PHYSICAL EXAM - DOT | $811.00 | $811.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 W PROCED | $1,010.00 | $1,010.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OUTPT EVAL AND MGNT NEW PT LEVEL 4 | $1,010.00 | $1,010.00 | — |
| New patient office visit, about 60 minutes CPT 99205 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 5 W PROCED | $564.00 | $564.00 | — |
| New patient office visit, about 60 minutes CPT 99205 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 5 | $564.00 | $564.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC EXECUTIVE PHYSICAL | $668.00 | $668.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC HEALTH DYNAMICS EXAM | $668.00 | $668.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC PHYSICAL EXAMINATION COMPREHENSIVE | $1,018.00 | $1,018.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC PREMIER EXECUTIVE EXAM | $1,018.00 | $1,018.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 | $1,267.00 | $1,267.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 W PROCED | $1,267.00 | $1,267.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 5 W PROCED | $564.00 | $564.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 EH PR OUTPT EVAL AND MGNT NEW PT LEVEL 5 | $564.00 | $564.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC EXECUTIVE PHYSICAL | $668.00 | $668.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC HEALTH DYNAMICS EXAM | $668.00 | $668.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PREMIER EXECUTIVE EXAM | $1,018.00 | $1,018.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PHYSICAL EXAMINATION COMPREHENSIVE | $1,018.00 | $1,018.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 | $1,267.00 | $1,267.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OUTPT EVAL AND MGNT NEW PT LEVEL 5 W PROCED | $1,267.00 | $1,267.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE 1 OR MORE AREA EA 15 MIN | $276.00 | $276.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EXERCISE STRENGTH AND ENDURANCE EA 15 MIN | $281.00 | $281.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE 1 OR MORE AREA EA 15 MIN | $276.00 | $276.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EXERCISE STRENGTH AND ENDURANCE EA 15 MIN | $281.00 | $281.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 EH PR INITIAL PREVENT MEDICINE NEW PT 18 TO 39 YRS | $38.00 | $38.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENT MEDICINE NEW PT 18 TO 39 YRS | $301.00 | $301.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 EH PR INITIAL PREVENT MEDICINE NEW PT 18 TO 39 YRS | $38.00 | $38.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENT MEDICINE NEW PT 18 TO 39 YRS | $301.00 | $301.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $216.00 | $216.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $216.00 | $216.00 | — |
Source file: https://www.endeavorhealth.org/363297173_1427069632_edward-hospital_standardcharges.json