Strong Memorial Hospital
Strong Memorial Hospital in Rochester, NY publishes cash prices for 73 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
601 Elmwood Ave, Rochester, NY 14642 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelvis w/contrast | $414.11 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $750.00 | $1,500.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abdomen & Pelvis W/Contrast Material | $2,680.05 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $750.00 | $1,500.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye | $124.09 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $265.00 | $530.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head/Brain W/O Contrast Material | $793.90 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $265.00 | $530.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye | $208.20 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W/Contrast Material | $1,301.35 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $387.50 | $775.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB Diagnostic Mammography Computer-Aided Detcj Bi | $586.50 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $387.50 | $775.00 | 50% |
| Diagnostic mammogram, one breast CPT 77065 HB Diagnostic Mammography Computer-Aided Detcj Uni | $441.15 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye | $283.22 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Any Jt Lower Extrem W/O Contrast Matrl | $1,675.35 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye | $414.11 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $2,680.05 | — | — |
| MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye | $283.22 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HB MRI Brain Brain Stem W/O Contrast Material | $1,675.35 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye | $414.11 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $792.50 | $1,585.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Brain Stem W/O W/Contrast Material | $2,680.05 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $792.50 | $1,585.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye | $283.22 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI Spinal Canal Lumbar W/O Contrast Material | $1,675.35 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >/= 14 wks sngl fetus | $124.09 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $330.00 | $660.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US Preg Uterus After 1st Trimest 1/1st Gestation | $501.50 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $330.00 | $660.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $315.00 | $630.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HB Screening Mammography Bi 2-View Breast Inc Cad | $586.50 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $315.00 | $630.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param | $1,019.31 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,535.00 | $3,070.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HB Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $3,728.95 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,535.00 | $3,070.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob | $124.09 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $290.00 | $580.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HB Ultrasound Transvaginal | $501.50 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL | $290.00 | $580.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete | $124.09 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $282.50 | $565.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HB US Abdominal Real Time W/Image Documentation | $631.55 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $282.50 | $565.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $55.00 | $110.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws | $124.09 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HB Radex Spine Lumbosacral Minimum 4 Views | $501.50 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $55.00 | $110.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HB Basic Metabolic Panel Calcium Total | $39.10 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel | $62.90 | — | — |
| Complete blood count (CBC) with differential CPT 85025 HB Blood Count Complete Auto&Auto Difrntl Wbc | $38.25 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HB Blood Count Complete Automated | $32.30 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HB Comprehensive Metabolic Panel | $51.00 | — | — |
| Kidney function blood test panel CPT 80069 HB Renal Function Panel | $41.65 | — | — |
| Liver function blood test panel CPT 80076 HB Hepatic Function Panel | $39.10 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB Prostate Specific Antigen Free | $59.50 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB Assay of Prostate Specific Antigen Free | $89.25 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Health Index | $20.40 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB Assay of Prostate Specific Antigen Total | $89.25 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB Thromboplastin Time Partial Plasma/Whole Blood | $30.60 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $7.50 | $15.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $25.50 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $7.50 | $15.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Assay of Thyroid Stimulating Hormone Tsh | $81.60 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HB Urnls Dip Stick/Tablet Reagent Auto Microscopy | $12.75 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 HB Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $5.10 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $7.50 | $15.00 | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $7.50 | $15.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $5.00 | $10.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HB Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $7.65 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $5.00 | $10.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $2.50 | $5.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HB Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $11.90 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $2.50 | $5.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp | $2,739.35 | — | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $6,595.00 | $13,190.00 | 50% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $6,595.00 | $13,190.00 | 50% |
| Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $622.50 | $1,245.00 | 50% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope us | $1,420.39 | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx Prox Splenic Flxr Ndsc US Xm | $4,973.35 | — | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $622.50 | $1,245.00 | 50% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,097.50 | $2,195.00 | 50% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $1,420.39 | — | — |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq | $4,973.35 | — | — |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,097.50 | $2,195.00 | 50% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,045.00 | $2,090.00 | 50% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,420.39 | — | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $4,973.35 | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,045.00 | $2,090.00 | 50% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $827.50 | $1,655.00 | 50% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $1,103.85 | — | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/WO Collj Specimens | $3,819.90 | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $827.50 | $1,655.00 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $1,635.00 | $3,270.00 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $7,175.95 | — | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $1,635.00 | $3,270.00 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $1,300.00 | $2,600.00 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $4,249.88 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $1,300.00 | $2,600.00 | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs kne srg mnisectmy m/l | $3,883.81 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery | $652.84 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY | $807.50 | $1,615.00 | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB Post-Cataract Laser Surgery | $2,425.05 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY | $807.50 | $1,615.00 | 50% |
| Left heart catheterization, diagnostic CPT 93452 Lt Heart Cath/Inj/Vntrclgrm/S&I | $12,353.05 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 Left hrt cath w/ventrclgrphy | $3,848.12 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $242.50 | $485.00 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $837.87 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB Plc Cath Interlaminar Lmbr/Sac W/Img | $3,048.95 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $242.50 | $485.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $377.50 | $755.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac | $1,049.86 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB Plc Cath Interlaminar Lmbr/Sac W/O Img | $3,048.95 | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $377.50 | $755.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $272.50 | $545.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1 | $1,049.86 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $3,951.65 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $272.50 | $545.00 | 50% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps surg prst8ect rpbic rad | $12,617.45 | — | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $4,647.56 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $420.00 | $840.00 | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $420.00 | $840.00 | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $725.00 | $1,450.00 | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $7,026.75 | — | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $725.00 | $1,450.00 | 50% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $15,239.31 | — | — |
| Total knee replacement CPT 27447 Total knee arthroplasty | $15,239.31 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $335.00 | $670.00 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $1,076.58 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Edg Transoral Biopsy Single/Multiple | $3,818.20 | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $335.00 | $670.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $297.50 | $595.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $1,076.58 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $3,818.20 | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $297.50 | $595.00 | 50% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $6,217.50 | $12,435.00 | 50% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $6,217.50 | $12,435.00 | 50% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $5,935.00 | $11,870.00 | 50% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $5,935.00 | $11,870.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $17.50 | $35.00 | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HB Ecg Routine Ecg W/Least 12 Lds W/I&R | $42.50 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $17.50 | $35.00 | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psytx w/pt 50 min | $210.68 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $262.50 | $525.00 | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 HB Family Psychotherapy W/Patient Present | $343.40 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $262.50 | $525.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psytx w/o pt 50 min | $210.68 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $252.50 | $505.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 HB Family Psychotherapy W/O Patient Present | $330.65 | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $252.50 | $505.00 | 50% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $20.00 | $40.00 | 50% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $120.59 | — | — |
| Group psychotherapy session CPT 90853 HB Group Psychotherapy | $169.15 | — | — |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $20.00 | $40.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $200.00 | $400.00 | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $200.00 | $400.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $247.50 | $495.00 | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $247.50 | $495.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $230.00 | $460.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 HB Initial Comp Evaluation | $848.30 | — | — |
| New patient office visit, about 60 minutes CPT 99205 HB Renal Recipient Evaluation | $2,969.05 | — | — |
| New patient office visit, about 60 minutes CPT 99205 HB Renal Donor Evaluation | $2,969.05 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $230.00 | $460.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Ot Therapeutic Px 1/> Areas Ea 15 Min Exercises | $84.15 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Px 1/> Areas Each 15 Min Exercises | $84.15 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $320.00 | $640.00 | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HB Initial Preventive Medicine New Pt Age 18-39yrs | $323.85 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HB Ped New Wcc, 18-39 Years | $323.85 | — | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $320.00 | $640.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $147.00 | $294.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HB Initial Preventive Medicine New Patient 40-64yrs | $374.85 | — | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $147.00 | $294.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $202.50 | $405.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes | $210.68 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HB Postadmit Brief Tx Ea 16min | $221.85 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy Patient 30 Minutes | $221.85 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $202.50 | $405.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $153.00 | $306.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes | $210.68 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy Patient 45 Minutes | $299.20 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy Patient 60 Minutes | $448.80 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HB Ph Crisis Visit (1 Hr) | $454.75 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $153.00 | $306.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx w pt 60 minutes | $210.68 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $345.00 | $690.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy Patient 60 Minutes | $448.80 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (2 Hr) | $454.75 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (3 Hr) | $506.60 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (4 Hr) | $633.25 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (5 Hr) | $1,584.40 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (6 Hr) | $1,745.05 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (7 Hr) | $1,903.15 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $345.00 | $690.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $277.50 | $555.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HB Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $332.35 | — | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $277.50 | $555.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $152.50 | $305.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HB Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $498.10 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $152.50 | $305.00 | 50% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 HB Endosseous Implant | $942.65 | — | — |
| Porcelain crown CDT D2740 Crown porcelain/ceramic | $767.37 | — | — |
| Porcelain crown CDT D2740 HB Labial Veneer(Porcelain) Crown | $879.75 | — | — |