Mount Sinai Behavioral Health Center
Mount Sinai Behavioral Health Center in New York, NY publishes cash prices for 60 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.
45 Rivington Street, New York, NY 10002 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen Pelvis W Contrast | $3,960.00 | $4,400.00 | 10% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen Pelvis W Contrast | $3,960.00 | $4,400.00 | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT- Head W/O Contrast | $1,620.00 | $1,800.00 | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain WO Dye | $1,620.00 | $1,800.00 | 10% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain WO Dye | $1,620.00 | $1,800.00 | 10% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT- Head W/O Contrast | $1,620.00 | $1,800.00 | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $2,340.00 | $2,600.00 | 10% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast | $2,340.00 | $2,600.00 | 10% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bilateral | $855.00 | $950.00 | 10% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bilateral | $855.00 | $950.00 | 10% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Dx Mammo Incl Cad Unilateral | $652.50 | $725.00 | 10% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Dx Mammo Incl Cad Unilateral | $652.50 | $725.00 | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Any Joint Lower Extrem W/O Contrast | $3,159.00 | $3,510.00 | 10% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Any Joint Lower Extrem W/O Contrast | $3,159.00 | $3,510.00 | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Any Jt Lower Extrem W/O & W/Contrast | $4,140.00 | $4,600.00 | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Any Jt Lower Extrem W/O & W/Contrast | $4,140.00 | $4,600.00 | 10% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Brain Stem W/O Contrast | $4,860.00 | $5,400.00 | 10% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain Brain Stem W/O Contrast | $4,860.00 | $5,400.00 | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Brain Stem W/O W/Contrast | $8,176.50 | $9,085.00 | 10% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Brain Stem W/O W/Contrast | $8,176.50 | $9,085.00 | 10% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Spinal Canal Lumbar W/O Contrast | $3,523.50 | $3,915.00 | 10% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Spinal Canal Lumbar W/O Contrast | $3,523.50 | $3,915.00 | 10% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnt Uterus >14weeks Sng | $688.50 | $765.00 | 10% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pg Uter F&Mat After 1st Tri 1/1st Gestation - 76805 | $688.50 | $765.00 | 10% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Pregnt Uterus >14weeks Sng | $688.50 | $765.00 | 10% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pg Uter F&Mat After 1st Tri 1/1st Gestation - 76805 | $688.50 | $765.00 | 10% |
| Screening mammogram, both breasts both sides CPT 77067 HC Screen Mammo W Cad Bilateral | $720.00 | $800.00 | 10% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Screen Mammo W Cad Bilateral | $720.00 | $800.00 | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnogrphy,Slp W/4+Paramet Stg | $9,378.00 | $10,420.00 | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnogrphy,Slp W/4+Paramet Stg | $9,378.00 | $10,420.00 | 10% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Nonobstetric | $1,336.50 | $1,485.00 | 10% |
| Transvaginal pelvic ultrasound CPT 76830 US Trvg - 76830 | $1,336.50 | $1,485.00 | 10% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Trvg - 76830 | $1,336.50 | $1,485.00 | 10% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Nonobstetric | $1,336.50 | $1,485.00 | 10% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdl B-Scan&/R-T Img Compl - 76700 | $1,260.00 | $1,400.00 | 10% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Exam of Abdomen Complete | $1,260.00 | $1,400.00 | 10% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdl B-Scan&/R-T Img Compl - 76700 | $1,260.00 | $1,400.00 | 10% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Exam of Abdomen Complete | $1,260.00 | $1,400.00 | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xray Spine Lumbosc Min 4 View | $873.00 | $970.00 | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xray Spine Lumbosacral Min 4 Views | $873.00 | $970.00 | 10% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xray Spine Lumbosacral Min 4 Views | $873.00 | $970.00 | 10% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xray Spine Lumbosc Min 4 View | $873.00 | $970.00 | 10% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Total Ca | $117.00 | $130.00 | 10% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Total Ca POCT | $121.50 | $135.00 | 10% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Total Ca | $117.00 | $130.00 | 10% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Total Ca POCT | $121.50 | $135.00 | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Coronary Risk Profile | $103.50 | $115.00 | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel POCT | $117.00 | $130.00 | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $121.50 | $135.00 | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Coronary Risk Profile | $103.50 | $115.00 | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel POCT | $117.00 | $130.00 | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $121.50 | $135.00 | 10% |
| Complete blood count (CBC) with differential CPT 85025 HC Blood Count Complete Auto&Auto Difrntl Wbc | $83.70 | $93.00 | 10% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automat W Autom Diff | $83.70 | $93.00 | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automat W Autom Diff | $83.70 | $93.00 | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Blood Count Complete Auto&Auto Difrntl Wbc | $83.70 | $93.00 | 10% |
| Complete blood count (CBC), no differential CPT 85027 HC Blood Count Complete Automated | $72.00 | $80.00 | 10% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Plus Platelet | $72.00 | $80.00 | 10% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Plus Platelet | $72.00 | $80.00 | 10% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Blood Count Complete Automated | $72.00 | $80.00 | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comp Metabolic Panel POCT | $171.00 | $190.00 | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $189.00 | $210.00 | 10% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comp Metabolic Panel POCT | $171.00 | $190.00 | 10% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $189.00 | $210.00 | 10% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $67.50 | $75.00 | 10% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $67.50 | $75.00 | 10% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $139.50 | $155.00 | 10% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $139.50 | $155.00 | 10% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $49.50 | $55.00 | 10% |
| Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel | $49.50 | $55.00 | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specf Ag Free | $153.00 | $170.00 | 10% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Prostate Specf Ag Free | $153.00 | $170.00 | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specf Antigen Total | $220.50 | $245.00 | 10% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specf Antigen Total | $220.50 | $245.00 | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt/ Aptt | $78.30 | $87.00 | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt Stat | $81.00 | $90.00 | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Plasma or Whole Blood | $99.00 | $110.00 | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Plasma or Whole Blood Timed | $108.00 | $120.00 | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt Actin F.S. | $108.00 | $120.00 | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Fingerstick Ptt POCT | $108.00 | $120.00 | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt/ Aptt | $78.30 | $87.00 | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Aptt Stat | $81.00 | $90.00 | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Plasma or Whole Blood | $99.00 | $110.00 | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Fingerstick Ptt POCT | $108.00 | $120.00 | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Plasma or Whole Blood Timed | $108.00 | $120.00 | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Aptt Actin F.S. | $108.00 | $120.00 | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time POCT | $76.50 | $85.00 | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $76.50 | $85.00 | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time POCT | $76.50 | $85.00 | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $76.50 | $85.00 | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stimulating Hormone Tsh | $193.50 | $215.00 | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $193.50 | $215.00 | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $193.50 | $215.00 | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Assay Thyroid Stimulating Hormone Tsh | $193.50 | $215.00 | 10% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W Scope | $54.00 | $60.00 | 10% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W Scope | $54.00 | $60.00 | 10% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Nonauto W Scope POCT | $49.50 | $55.00 | 10% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Nonauto W Scope | $49.50 | $55.00 | 10% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis Nonauto W Scope | $49.50 | $55.00 | 10% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis Nonauto W Scope POCT | $49.50 | $55.00 | 10% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Scope | $67.50 | $75.00 | 10% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Scope POCT | $67.50 | $75.00 | 10% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Rutt | $67.50 | $75.00 | 10% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro | $72.00 | $80.00 | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Rutt | $67.50 | $75.00 | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Scope POCT | $67.50 | $75.00 | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Scope | $67.50 | $75.00 | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Micro | $72.00 | $80.00 | 10% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urine-Dipstick (POCT) | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope POCT | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalys Nonauto W/O Scope | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual CPT 81002 Urine-Dipstick (POCT) | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Mic - 81002 | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Nonauto W/O Scope POCT | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Mic - 81002 | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalys Nonauto W/O Scope | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine-Dipstick (POCT) | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Nonauto W/O Scope | $36.00 | $40.00 | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urine-Dipstick (POCT) | $36.00 | $40.00 | 10% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy, Flexible; Diagnostic, Including Collection of Specimen(S) by Brushing or Washing, When Performed (Separate Procedure) | $3,060.00 | $3,400.00 | 10% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy, Flexible; Diagnostic, Including Collection of Specimen(S) by Brushing or Washing, When Performed (Separate Procedure) | $3,060.00 | $3,400.00 | 10% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC After Cataract Laser Surgery | $1,386.00 | $1,540.00 | 10% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC After Cataract Laser Surgery | $1,386.00 | $1,540.00 | 10% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Lt Heart Cath W/Inj Lt Ventr | $9,900.00 | $11,000.00 | 10% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Lt Heart Cath W/Inj Lt Ventr | $9,900.00 | $11,000.00 | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Dx/Ther Sbst Lmbr/Sac W/Img | $2,970.00 | $3,300.00 | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Dx/Ther Sbst Lmbr/Sac W/Img | $2,970.00 | $3,300.00 | 10% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj Dx/Ther Sbst Intrw/O Img | $2,700.00 | $3,000.00 | 10% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Inj Dx/Ther Sbst Intrw/O Img | $2,700.00 | $3,000.00 | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Foramen W CT/Fluoro Lumber/Sacral 1 Level | $2,610.00 | $2,900.00 | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj Foramen W CT/Fluoro Lumber/Sacral 1 Level | $2,610.00 | $2,900.00 | 10% |
| Prostate biopsy CPT 55700 HC Prostatic Needle Biopsy | $4,050.00 | $4,500.00 | 10% |
| Prostate biopsy inpatient CPT 55700 HC Prostatic Needle Biopsy | $4,050.00 | $4,500.00 | 10% |
| Removal of a breast lump, open surgery CPT 19120 HC Removal Breast Lesion | $5,467.50 | $6,075.00 | 10% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Removal Breast Lesion | $5,467.50 | $6,075.00 | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple | $2,187.00 | $2,430.00 | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple - 43239 | $2,673.00 | $2,970.00 | 10% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Transoral Biopsy Single/Multiple | $2,187.00 | $2,430.00 | 10% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple - 43239 | $2,673.00 | $2,970.00 | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Flex Transoral Dx W Colle | $2,187.00 | $2,430.00 | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic - 43235 | $2,187.00 | $2,430.00 | 10% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic - 43235 | $2,187.00 | $2,430.00 | 10% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Flex Transoral Dx W Colle | $2,187.00 | $2,430.00 | 10% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC Routine Obstetric Care W/Deliv | $3,150.00 | $3,500.00 | 10% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC Routine Obstetric Care W/Deliv | $3,150.00 | $3,500.00 | 10% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Fam Psyctx W/Pt Present - 90847 | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psy W/ Pat Crisis | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psytx W/Patient 50min | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psy W/ Pat Collateral | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psytx W/Patient 30min | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Fam Psyctx W/Pt Present - 90847 | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psytx W/Patient 50min | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psy W/ Pat Collateral | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psy W/ Pat Crisis | $517.50 | $575.00 | 10% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psytx W/Patient 30min | $517.50 | $575.00 | 10% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psytx WO Patient 50min | $270.00 | $300.00 | 10% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Fam/Collat Ser W/O Pat 30min | $486.00 | $540.00 | 10% |
| Family therapy without the patient, 50 minutes CPT 90846 Fam Psyctx W/O Pt Present - 90846 | $486.00 | $540.00 | 10% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Fam/Collat Serv W/O Pat 30min | $486.00 | $540.00 | 10% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Psytx WO Patient 50min | $270.00 | $300.00 | 10% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Fam Psyctx W/O Pt Present - 90846 | $486.00 | $540.00 | 10% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Fam/Collat Serv W/O Pat 30min | $486.00 | $540.00 | 10% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Fam/Collat Ser W/O Pat 30min | $486.00 | $540.00 | 10% |
| Group psychotherapy session CPT 90853 HC Alcohol/Drug Group Counseling | $198.00 | $220.00 | 10% |
| Group psychotherapy session CPT 90853 HC Group Psychotx- CRS | $270.00 | $300.00 | 10% |
| Group psychotherapy session CPT 90853 Grp Psyctx - 90853 | $270.00 | $300.00 | 10% |
| Group psychotherapy session CPT 90853 HC Group Counseling 60 Min | $270.00 | $300.00 | 10% |
| Group psychotherapy session CPT 90853 HC Group Psychotx | $270.00 | $300.00 | 10% |
| Group psychotherapy session CPT 90853 HC Sbhc Group Psychotx< 60min | $270.00 | $300.00 | 10% |
| Group psychotherapy session inpatient CPT 90853 HC Alcohol/Drug Group Counseling | $198.00 | $220.00 | 10% |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotx | $270.00 | $300.00 | 10% |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotx- CRS | $270.00 | $300.00 | 10% |
| Group psychotherapy session inpatient CPT 90853 HC Sbhc Group Psychotx< 60min | $270.00 | $300.00 | 10% |
| Group psychotherapy session inpatient CPT 90853 HC Group Counseling 60 Min | $270.00 | $300.00 | 10% |
| Group psychotherapy session inpatient CPT 90853 Grp Psyctx - 90853 | $270.00 | $300.00 | 10% |
| New patient office visit, about 30 minutes CPT 99203 HC Cosmetic Surgery Consult | $205.24 | $228.04 | 10% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Visit New Detailed Low | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes CPT 99203 HC New Patient E/M Visit Lvl 3 | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes CPT 99203 HC Psych Assess New Pt. Lvl 3 | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Visit New Pat- Detailed Exam- Lvl3 | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Cosmetic Surgery Consult | $205.24 | $228.04 | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Psych Assess New Pt. Lvl 3 | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Office Visit New Pat- Detailed Exam- Lvl3 | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Patient E/M Visit Lvl 3 | $531.00 | $590.00 | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Office Visit New Detailed Low | $531.00 | $590.00 | 10% |
| New patient office visit, about 45 minutes CPT 99204 HC Psych Assess New Pt. Lvl 4 | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Visit New Comprh Mod | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes CPT 99204 HC New Patient E/M Visit Lvl 4 | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Visit New Pat- Mod Complexity-Lvl4 | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes CPT 99204 HC Post-OP Office Visit | $810.00 | $900.00 | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Office Visit New Comprh Mod | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Psych Assess New Pt. Lvl 4 | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Office Visit New Pat- Mod Complexity-Lvl4 | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Patient E/M Visit Lvl 4 | $558.00 | $620.00 | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Post-OP Office Visit | $810.00 | $900.00 | 10% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Visit New Pat- Comprehensive-Lvl5 | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes CPT 99205 HC New Patient E/M Visit Lvl 5 | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes CPT 99205 HC Psych Assess New Pt. Lvl 5 | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Visit New Comprh High | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Office Visit New Pat- Comprehensive-Lvl5 | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Psych Assess New Pt. Lvl 5 | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Patient E/M Visit Lvl 5 | $585.00 | $650.00 | 10% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Office Visit New Comprh High | $585.00 | $650.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises - 97110 | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises Each 15 Min 1 or More Area | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises 15 Min 1 or More Area | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ther Px 1+ Areas Ea 15 Min Ther Xerss - 97110 | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises 15 Min - 97110 | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises - 97110 | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises 15 Min - 97110 | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercises 15 Min 1 or More Area | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercises Each 15 Min 1 or More Area | $252.00 | $280.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ther Px 1+ Areas Ea 15 Min Ther Xerss - 97110 | $252.00 | $280.00 | 10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Physical Exam New 19-39 Yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Preventive Visit New 18-39 Y | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Initial Preventive Medicine New Pt Age 18-39yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Physical Exam New 19-39 Yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Initial Preventive Medicine New Pt Age 18-39yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Preventive Visit New 18-39 Y | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Physical Exam New 40-64 Yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Initial Preventive Medicine New Patient 40-64yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Preventive Visit New 40-64 Y | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Physical Exam New 40-64 Yrs | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Preventive Visit New 40-64 Y | $391.50 | $435.00 | 10% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Initial Preventive Medicine New Patient 40-64yrs | $391.50 | $435.00 | 10% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy W/Patient 30 Min | $198.00 | $220.00 | 10% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychoterapy W/Patient 30min | $198.00 | $220.00 | 10% |
| Psychotherapy session, 30 minutes CPT 90832 HC Individ Therapy Brief 25 Min | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes CPT 90832 HC Procedure Music Thrpy 30 Mins | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30min - 90832 | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy W/Patient 30min | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy W/Patient 30 Min | $198.00 | $220.00 | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychoterapy W/Patient 30min | $198.00 | $220.00 | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30min - 90832 | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy W/Patient 30min | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Individ Therapy Brief 25 Min | $360.00 | $400.00 | 10% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Procedure Music Thrpy 30 Mins | $360.00 | $400.00 | 10% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy 45min W/Patient | $387.00 | $430.00 | 10% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45min W/Patient - 90834 | $486.00 | $540.00 | 10% |
| Psychotherapy session, 45 minutes CPT 90834 HC Indiv Therapy Normative 45min | $486.00 | $540.00 | 10% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psychotherapy 45min W/Patient | $387.00 | $430.00 | 10% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Indiv Therapy Normative 45min | $486.00 | $540.00 | 10% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45min W/Patient - 90834 | $486.00 | $540.00 | 10% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy 60 Min W/Pat | $562.50 | $625.00 | 10% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min W/Pat - 90837 | $562.50 | $625.00 | 10% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Min W/Pat - 90837 | $562.50 | $625.00 | 10% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy 60 Min W/Pat | $562.50 | $625.00 | 10% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consult | $472.50 | $525.00 | 10% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consultation Detailed L | $472.50 | $525.00 | 10% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Office Consult | $472.50 | $525.00 | 10% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Office Consultation Detailed L | $472.50 | $525.00 | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consult | $517.50 | $575.00 | 10% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC Office Consult | $517.50 | $575.00 | 10% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 HC Odontics Endosteal Implant | $1,215.00 | $1,350.00 | 10% |
| Dental implant, surgical placement inpatient CDT D6010 HC Odontics Endosteal Implant | $1,215.00 | $1,350.00 | 10% |
| Porcelain crown CDT D2740 HC Crown Porcelain Ceramic | $1,080.00 | $1,200.00 | 10% |
| Porcelain crown inpatient CDT D2740 HC Crown Porcelain Ceramic | $1,080.00 | $1,200.00 | 10% |
Source file: https://www.mountsinai.org/files/mrf/135564934_mount-sinai-behavioral-health-center_standardcharges.json