Range Regional Health Services
Range Regional Health Services in Hibbing, MN publishes cash prices for 58 common procedures listed here, from its own machine-readable price file updated Jan 29, 2026. Click a procedure to compare it with other hospitals nearby.
750 E 34th St., Hibbing, MN 55746-4600 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $778.54 | $1,831.85 | 57% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $778.54 | $1,831.85 | 57% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $488.75 | $1,149.98 | 57% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $507.09 | $1,193.14 | 57% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $688.93 | $1,621.00 | 57% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $688.93 | $1,621.00 | 57% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $244.80 | $576.00 | 58% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $125.80 | $296.00 | 58% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $168.30 | $396.00 | 58% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $189.55 | $446.00 | 58% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $1,247.41 | $2,935.07 | 57% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $1,247.41 | $2,935.07 | 57% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,215.08 | $2,859.00 | 57% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,822.62 | $4,288.50 | 57% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $681.70 | $1,604.00 | 58% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $681.70 | $1,604.00 | 58% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO&W CONTRAST | $678.30 | $1,596.00 | 58% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO&W CONTRAST | $678.30 | $1,596.00 | 58% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $805.38 | $1,895.00 | 57% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $805.38 | $1,895.00 | 57% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $171.70 | $404.00 | 58% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $171.70 | $404.00 | 58% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $178.05 | $418.93 | 57% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $199.33 | $469.00 | 57% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $173.83 | $409.00 | 57% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $178.08 | $419.00 | 57% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM SLEEP STAGE >=4 PARAM, AGE 6+, ATTENDED | $2,088.45 | $4,914.00 | 58% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM SLEEP STAGE >=4 PARAM, AGE 6+, ATTENDED | $2,084.23 | $4,904.06 | 57% |
| Transvaginal pelvic ultrasound CPT 76830 PR US TRANSVAGINAL, NON-OB | $232.48 | $547.00 | 57% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL, NON-OB | $236.73 | $557.00 | 57% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PR US TRANSVAGINAL, NON-OB | $232.48 | $547.00 | 57% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL, NON-OB | $236.73 | $557.00 | 57% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $295.00 | $694.11 | 57% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $294.95 | $693.99 | 57% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $75.65 | $178.00 | 58% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $217.60 | $512.00 | 58% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE | $79.90 | $187.98 | 57% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE | $79.90 | $187.98 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $17.23 | $40.53 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $17.34 | $40.78 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 PR LIPID PANEL | $17.43 | $41.00 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $17.43 | $41.00 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $17.23 | $40.53 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $17.34 | $40.78 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $17.37 | $40.85 | 57% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 PR LIPID PANEL | $17.43 | $41.00 | 57% |
| Complete blood count (CBC) with differential CPT 85025 PR BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $11.90 | $28.00 | 58% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH PLATELETS, DIFF | $46.39 | $109.14 | 57% |
| Complete blood count (CBC) with differential inpatient CPT 85025 PR BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $11.90 | $28.00 | 58% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH PLATELETS, DIFF | $46.39 | $109.14 | 57% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC WITH PLATELETS | $32.73 | $77.00 | 57% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITH PLATELETS | $62.32 | $146.63 | 57% |
| Comprehensive metabolic panel (blood test) CPT 80053 PR COMPREHENSIVE METABOLIC PANEL | $14.03 | $33.00 | 57% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $88.87 | $209.09 | 57% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $14.03 | $33.00 | 57% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 PR COMPREHENSIVE METABOLIC PANEL | $14.03 | $33.00 | 57% |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL | $11.48 | $27.00 | 57% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL | $11.48 | $27.00 | 57% |
| Liver function blood test panel CPT 80076 HC HEPATIC PANEL | $51.00 | $120.00 | 58% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PANEL | $51.00 | $120.00 | 58% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA | $23.49 | $55.25 | 57% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA | $23.80 | $56.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE | $51.00 | $120.00 | 58% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $61.99 | $145.84 | 57% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, TOTAL | $70.98 | $167.00 | 57% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC MISC TEST | $625.60 | $1,472.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, ULTRASENSITIVE | $51.00 | $120.00 | 58% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $61.99 | $145.84 | 57% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, TOTAL | $70.98 | $167.00 | 57% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC MISC TEST | $625.60 | $1,472.00 | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT AL | $8.93 | $21.00 | 57% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $61.95 | $145.74 | 57% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT AL | $8.94 | $21.03 | 57% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $62.48 | $147.00 | 57% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT | $6.24 | $14.67 | 57% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT MIXING STUDIES | $6.38 | $15.00 | 57% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR | $32.38 | $76.17 | 57% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR SP COAG | $33.15 | $78.00 | 58% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT | $6.24 | $14.67 | 57% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR SP COAG | $6.38 | $15.00 | 57% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR | $32.53 | $76.53 | 57% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT MIXING STUDIES | $33.15 | $78.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FREE T4 REFLEX | $22.53 | $53.00 | 57% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $38.25 | $90.00 | 58% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $22.51 | $52.96 | 57% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FREE T4 REFLEX | $38.25 | $90.00 | 58% |
| Urinalysis with microscope exam, automated CPT 81001 PR URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $5.10 | $12.00 | 58% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $35.45 | $83.40 | 57% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $5.10 | $12.00 | 58% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 PR URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $5.10 | $12.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $3.83 | $9.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, MACROSCPOIC | $3.83 | $9.00 | 57% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY UR | $20.40 | $48.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUAL | $21.25 | $50.00 | 58% |
| Urinalysis without microscope exam, automated CPT 81003 HC KETONES URINE QUAL | $29.75 | $70.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $3.83 | $9.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE QUAL | $3.83 | $9.00 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, MACROSCPOIC | $17.86 | $42.02 | 57% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY UR | $20.40 | $48.00 | 58% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONES URINE QUAL | $29.75 | $70.00 | 58% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $5,103.83 | $12,009.00 | 57% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $5,103.83 | $12,009.00 | 57% |
| Colonoscopy with polyp removal CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $870.60 | $2,048.47 | 57% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,241.50 | $2,921.17 | 57% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $870.60 | $2,048.47 | 57% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,241.50 | $2,921.17 | 57% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W BIOPSY | $836.83 | $1,969.00 | 57% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY | $1,182.58 | $2,782.52 | 57% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W BIOPSY | $836.83 | $1,969.00 | 57% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY | $1,182.58 | $2,782.52 | 57% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $654.50 | $1,540.00 | 58% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,085.74 | $2,554.68 | 57% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $654.50 | $1,540.00 | 58% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,122.00 | $2,640.00 | 58% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,267.72 | $2,982.87 | 57% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,267.72 | $2,982.87 | 57% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $1,007.68 | $2,371.00 | 57% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $1,007.68 | $2,371.00 | 57% |
| Knee arthroscopy with meniscus trim CPT 29881 PR KNEE SCOPE,MED/LAT MENISECTOMY | $1,048.48 | $2,467.00 | 57% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR KNEE SCOPE,MED/LAT MENISECTOMY | $1,048.48 | $2,467.00 | 57% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $473.03 | $1,113.00 | 57% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $796.88 | $1,875.00 | 57% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $473.03 | $1,113.00 | 57% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $796.88 | $1,875.00 | 57% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $231.20 | $544.00 | 58% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $231.20 | $544.00 | 58% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $450.08 | $1,059.00 | 57% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,066.67 | $2,509.80 | 57% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $450.08 | $1,059.00 | 57% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,071.73 | $2,521.71 | 57% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $413.53 | $973.00 | 57% |
| Prostate biopsy CPT 55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $463.25 | $1,090.00 | 58% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $413.53 | $973.00 | 57% |
| Prostate biopsy inpatient CPT 55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $463.25 | $1,090.00 | 58% |
| Removal of a breast lump, open surgery CPT 19120 HC EXCISION BREAST LESION, OPEN >=1 | $882.73 | $2,077.00 | 57% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISION BREAST LESION, OPEN >=1 | $882.73 | $2,077.00 | 57% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SHLDR ARTHROSCOP,PART ACROMIOPLAS | $328.10 | $772.00 | 58% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SHLDR ARTHROSCOP,PART ACROMIOPLAS | $328.10 | $772.00 | 58% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR REMOVE TONSILS/ADENOIDS,<12 Y/O | $561.66 | $1,321.53 | 57% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 PR REMOVE TONSILS/ADENOIDS,<12 Y/O | $561.66 | $1,321.53 | 57% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $726.89 | $1,710.32 | 57% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $885.28 | $2,083.00 | 57% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $726.89 | $1,710.32 | 57% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $906.95 | $2,134.00 | 58% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $554.10 | $1,303.75 | 57% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $866.18 | $2,038.05 | 57% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $554.10 | $1,303.75 | 57% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $866.18 | $2,038.05 | 57% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $4,977.18 | $11,711.00 | 57% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $4,977.18 | $11,711.00 | 57% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $4,606.58 | $10,839.00 | 57% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $4,606.58 | $10,839.00 | 57% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $114.33 | $269.00 | 57% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $194.65 | $458.00 | 58% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $114.33 | $269.00 | 57% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $194.65 | $458.00 | 58% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY (30+ MIN) | $39.04 | $91.85 | 57% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY (30+ MIN) | $39.04 | $91.85 | 57% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $214.20 | $504.00 | 58% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $214.20 | $504.00 | 58% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $317.48 | $747.00 | 57% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $317.48 | $747.00 | 57% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $418.45 | $984.58 | 57% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $418.45 | $984.58 | 57% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $73.89 | $173.84 | 57% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $73.95 | $174.00 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $73.89 | $173.84 | 57% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $73.95 | $174.00 | 58% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $95.63 | $225.00 | 57% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $95.63 | $225.00 | 57% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $113.91 | $268.02 | 57% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $113.90 | $268.00 | 58% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $308.13 | $725.00 | 57% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $308.13 | $725.00 | 57% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $309.83 | $729.00 | 57% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $309.83 | $729.00 | 57% |
Source file: https://requiredlearning.fairview.org/price_transparency/411293970_range-regional-health-services_standardcharges.csv