Hospital Durham-Chapel Hill, NC

DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DURHAM REGIONAL HOSPITAL

DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DURHAM REGIONAL HOSPITAL in Durham, NC publishes cash prices for 58 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

3643 North Roxboro Rd, Durham, NC 27704 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen & Pelvis W/Contrast Material $729.00 $1,458.00 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan,Abdoment and Pelvis,W Contrast $729.00 $1,458.00 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd&Pelvis W Cntrst $1,546.29 $5,727.00 73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd&Pelvis W Cntrst $1,546.29 $5,727.00 73%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis W/Contrast Material $729.00 $1,458.00 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Scan,Abdoment and Pelvis,W Contrast $729.00 $1,458.00 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd&Pelvis W Cntrst $1,546.29 $5,727.00 73%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd&Pelvis W Cntrst $1,546.29 $5,727.00 73%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cntrst $452.25 $1,675.00 73%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cntrst $452.25 $1,675.00 73%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain WO Cntrst $452.25 $1,675.00 73%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain WO Cntrst $452.25 $1,675.00 73%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cntrst $750.06 $2,778.00 73%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cntrst $750.06 $2,778.00 73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W Cntrst $750.06 $2,778.00 73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W Cntrst $750.06 $2,778.00 73%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi $130.14 $482.00 73%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi $130.14 $482.00 73%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi $130.14 $482.00 73%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi $130.14 $482.00 73%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Uni $102.33 $379.00 73%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Uni $102.33 $379.00 73%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Uni $102.33 $379.00 73%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Uni $102.33 $379.00 73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Ext Joint WO Cntrst $876.15 $3,245.00 73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lwr Ext Joint WO Cntrst $876.15 $3,245.00 73%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Ext Joint WO Cntrst $876.15 $3,245.00 73%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Lwr Ext Joint WO Cntrst $876.15 $3,245.00 73%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Joint Wow Cntrst $2,724.03 $10,089.00 73%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lwr Ext Joint Wow Cntrst $2,724.03 $10,089.00 73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Joint Wow Cntrst $2,724.03 $10,089.00 73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Lwr Ext Joint Wow Cntrst $2,724.03 $10,089.00 73%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cntrst $876.15 $3,245.00 73%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cntrst $876.15 $3,245.00 73%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Cntrst $876.15 $3,245.00 73%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Cntrst $876.15 $3,245.00 73%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Wow Cntrst $1,401.84 $5,192.00 73%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Wow Cntrst $1,401.84 $5,192.00 73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Wow Cntrst $1,401.84 $5,192.00 73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Wow Cntrst $1,401.84 $5,192.00 73%
MRI of the lower back, no contrast dye CPT 72148 MRI Lumb Spine WO Cntrst $876.15 $3,245.00 73%
MRI of the lower back, no contrast dye CPT 72148 MRI Lumb Spine WO Cntrst $876.15 $3,245.00 73%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumb Spine WO Cntrst $876.15 $3,245.00 73%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumb Spine WO Cntrst $876.15 $3,245.00 73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Over 14wks Sngl $221.13 $819.00 73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Over 14wks Sngl $221.13 $819.00 73%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Over 14wks Sngl $221.13 $819.00 73%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Over 14wks Sngl $221.13 $819.00 73%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad $107.73 $399.00 73%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad $107.73 $399.00 73%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad $107.73 $399.00 73%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad $107.73 $399.00 73%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $1,009.50 $2,019.00 50%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $1,009.50 $2,019.00 50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $1,009.50 $2,019.00 50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $1,009.50 $2,019.00 50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal $221.13 $819.00 73%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal $221.13 $819.00 73%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal $221.13 $819.00 73%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal $221.13 $819.00 73%
Ultrasound of the abdomen, complete CPT 76700 US Abd Complete $221.13 $819.00 73%
Ultrasound of the abdomen, complete CPT 76700 US Abd Complete $221.13 $819.00 73%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abd Complete $221.13 $819.00 73%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abd Complete $221.13 $819.00 73%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacral Min 4v $138.51 $513.00 73%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbosacral Min 4v $138.51 $513.00 73%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbosacral Min 4v $138.51 $513.00 73%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbosacral Min 4v $138.51 $513.00 73%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca $74.25 $275.00 73%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Total Ca $74.25 $275.00 73%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Total Ca $74.25 $275.00 73%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Total Ca $74.25 $275.00 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $59.94 $222.00 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $59.94 $222.00 73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $59.94 $222.00 73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $59.94 $222.00 73%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $34.02 $126.00 73%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $34.02 $126.00 73%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $34.02 $126.00 73%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $34.02 $126.00 73%
Complete blood count (CBC), no differential CPT 85027 Cbc Auto WO Diff $27.81 $103.00 73%
Complete blood count (CBC), no differential CPT 85027 Cbc Auto WO Diff $27.81 $103.00 73%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Auto WO Diff $27.81 $103.00 73%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Auto WO Diff $27.81 $103.00 73%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $108.00 $400.00 73%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $108.00 $400.00 73%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $108.00 $400.00 73%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $108.00 $400.00 73%
Kidney function blood test panel CPT 80069 Renal Function Panel $93.69 $347.00 73%
Kidney function blood test panel CPT 80069 Renal Function Panel $93.69 $347.00 73%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $93.69 $347.00 73%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $93.69 $347.00 73%
Liver function blood test panel CPT 80076 Hepatic Function Panel $70.74 $262.00 73%
Liver function blood test panel CPT 80076 Hepatic Function Panel $70.74 $262.00 73%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $70.74 $262.00 73%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $70.74 $262.00 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total $63.45 $235.00 73%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total $63.45 $235.00 73%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time (Aptt) $26.19 $97.00 73%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time (Aptt) $26.19 $97.00 73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time (Aptt) $26.19 $97.00 73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time (Aptt) $26.19 $97.00 73%
Prothrombin time (PT/INR) clotting test CPT 85610 Othrombin Time $12.50 $25.00 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.22 $86.00 73%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.22 $86.00 73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Othrombin Time $12.50 $25.00 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.22 $86.00 73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.22 $86.00 73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $54.54 $202.00 73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $54.54 $202.00 73%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $54.54 $202.00 73%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $54.54 $202.00 73%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro $23.76 $88.00 73%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro $23.76 $88.00 73%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W Micro $23.76 $88.00 73%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W Micro $23.76 $88.00 73%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro $18.63 $69.00 73%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto WO Micro $18.63 $69.00 73%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto WO Micro $18.63 $69.00 73%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto WO Micro $18.63 $69.00 73%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non-Auto WO Micro $14.04 $52.00 73%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $14.04 $52.00 73%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $14.04 $52.00 73%
Urinalysis without microscope exam, manual CPT 81002 Ph Urine by Dipstick $14.04 $52.00 73%
Urinalysis without microscope exam, manual CPT 81002 Ph Urine by Dipstick $14.04 $52.00 73%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non-Auto WO Micro $14.04 $52.00 73%
Urinalysis without microscope exam, manual CPT 81002 Reducing Substance Urine $49.68 $184.00 73%
Urinalysis without microscope exam, manual CPT 81002 Reducing Substance Urine $49.68 $184.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non-Auto WO Micro $14.04 $52.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non-Auto WO Micro $14.04 $52.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ph Urine by Dipstick $14.04 $52.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ph Urine by Dipstick $14.04 $52.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $14.04 $52.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $14.04 $52.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Reducing Substance Urine $49.68 $184.00 73%
Urinalysis without microscope exam, manual inpatient CPT 81002 Reducing Substance Urine $49.68 $184.00 73%

Surgery and procedures

ProcedureCash price List priceOff list
Colonoscopy with polyp removal CPT 45385 Colonoscopy W Rmvl Snare $1,082.97 $4,011.00 73%
Colonoscopy with polyp removal CPT 45385 Colonoscopy W Rmvl Snare $1,082.97 $4,011.00 73%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W Rmvl Snare $1,082.97 $4,011.00 73%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W Rmvl Snare $1,082.97 $4,011.00 73%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple $805.50 $1,611.00 50%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple $805.50 $1,611.00 50%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W Biopsy $1,082.97 $4,011.00 73%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W Biopsy $1,082.97 $4,011.00 73%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple $805.50 $1,611.00 50%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple $834.00 $1,668.00 50%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W Biopsy $1,082.97 $4,011.00 73%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W Biopsy $1,082.97 $4,011.00 73%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $737.00 $1,474.00 50%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $737.00 $1,474.00 50%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Diagnostic $838.89 $3,107.00 73%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Diagnostic $838.89 $3,107.00 73%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $737.00 $1,474.00 50%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd $737.00 $1,474.00 50%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Diagnostic $838.89 $3,107.00 73%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Diagnostic $838.89 $3,107.00 73%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy $1,650.00 $3,300.00 50%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy $1,265.50 $2,531.00 50%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy $1,650.00 $3,300.00 50%
Left heart catheterization, diagnostic CPT 93452 Lt Hrt Cath S&I $3,227.31 $11,953.00 73%
Left heart catheterization, diagnostic CPT 93452 Lt Hrt Cath S&I $3,227.31 $11,953.00 73%
Left heart catheterization, diagnostic inpatient CPT 93452 Lt Hrt Cath S&I $3,227.31 $11,953.00 73%
Left heart catheterization, diagnostic inpatient CPT 93452 Lt Hrt Cath S&I $3,227.31 $11,953.00 73%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac W/ Img $1,056.24 $3,912.00 73%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac W/ Img $1,056.24 $3,912.00 73%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac W/ Img $1,056.24 $3,912.00 73%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac W/ Img $1,056.24 $3,912.00 73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Anes Foramen Epi Lumb Sngl $912.87 $3,381.00 73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Anes Foramen Epi Lumb Sngl $1,369.31 $5,071.50 73%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Anes Foramen Epi Lumb Sngl $912.87 $3,381.00 73%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Anes Foramen Epi Lumb Sngl $1,369.31 $5,071.50 73%
Removal of a breast lump, open surgery CPT 19120 Excisn Breast Lesn 1 or More $663.12 $2,456.00 73%
Removal of a breast lump, open surgery CPT 19120 Excisn Breast Lesn 1 or More $663.12 $2,456.00 73%
Removal of a breast lump, open surgery inpatient CPT 19120 Excisn Breast Lesn 1 or More $663.12 $2,456.00 73%
Removal of a breast lump, open surgery inpatient CPT 19120 Excisn Breast Lesn 1 or More $663.12 $2,456.00 73%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $3,391.00 $6,782.00 50%
Total hip replacement CPT 27130 Total Hip Arthroplasty $3,391.00 $6,782.00 50%
Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $3,391.00 $6,782.00 50%
Total hip replacement inpatient CPT 27130 Total Hip Arthroplasty $3,391.00 $6,782.00 50%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $3,270.00 $6,540.00 50%
Total knee replacement CPT 27447 Total Knee Arthroplasty $3,270.00 $6,540.00 50%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $3,270.00 $6,540.00 50%
Total knee replacement inpatient CPT 27447 Total Knee Arthroplasty $3,270.00 $6,540.00 50%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple $687.50 $1,375.00 50%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple $687.50 $1,375.00 50%
Upper endoscopy (EGD) with biopsy CPT 43239 Endo Ugi W Biopsy $812.70 $3,010.00 73%
Upper endoscopy (EGD) with biopsy CPT 43239 Endo Ugi W Biopsy $812.70 $3,010.00 73%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple $687.50 $1,375.00 50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple $723.00 $1,446.00 50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Endo Ugi W Biopsy $812.70 $3,010.00 73%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Endo Ugi W Biopsy $812.70 $3,010.00 73%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $550.50 $1,101.00 50%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $550.50 $1,101.00 50%
Upper endoscopy (EGD), diagnostic CPT 43235 Endo Ugi Dx $812.70 $3,010.00 73%
Upper endoscopy (EGD), diagnostic CPT 43235 Endo Ugi Dx $812.70 $3,010.00 73%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $550.50 $1,101.00 50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $553.00 $1,106.00 50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Endo Ugi Dx $812.70 $3,010.00 73%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Endo Ugi Dx $812.70 $3,010.00 73%

Doctor visits and therapy

ProcedureCash price List priceOff list
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR Ekg 12 Lead W I&R $72.50 $145.00 50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $72.50 $145.00 50%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR Ekg 12 Lead W I&R $72.50 $145.00 50%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $72.50 $145.00 50%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $170.50 $341.00 50%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $170.50 $341.00 50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $170.50 $341.00 50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $170.50 $341.00 50%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $165.00 $330.00 50%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $165.00 $330.00 50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $165.00 $330.00 50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $165.00 $330.00 50%
Group psychotherapy session CPT 90853 Group Psychotherapy $37.50 $75.00 50%
Group psychotherapy session CPT 90853 PR Group Psychothrapy $46.50 $93.00 50%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $37.50 $75.00 50%
Group psychotherapy session inpatient CPT 90853 PR Group Psychothrapy $46.50 $93.00 50%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $165.00 $330.00 50%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $165.00 $330.00 50%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $165.00 $330.00 50%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $165.00 $330.00 50%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $263.50 $527.00 50%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $263.50 $527.00 50%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $263.50 $527.00 50%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $263.50 $527.00 50%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $340.50 $681.00 50%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $340.50 $681.00 50%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $340.50 $681.00 50%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $340.50 $681.00 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Thrpy Exer Proc Dirct Ea 15min $43.74 $162.00 73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Thrpy Exer Proc Dirct Ea 15min $43.74 $162.00 73%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Thrpy Exer Proc Dirct Ea 15min $43.74 $162.00 73%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Thrpy Exer Proc Dirct Ea 15min $43.74 $162.00 73%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $130.00 $260.00 50%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $130.00 $260.00 50%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $130.00 $260.00 50%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $130.00 $260.00 50%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $172.00 $344.00 50%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $172.00 $344.00 50%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $172.00 $344.00 50%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $172.00 $344.00 50%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $253.00 $506.00 50%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $253.00 $506.00 50%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $253.00 $506.00 50%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $253.00 $506.00 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $147.50 $295.00 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $147.50 $295.00 50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $147.50 $295.00 50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $187.50 $375.00 50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $219.00 $438.00 50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $219.00 $438.00 50%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $219.00 $438.00 50%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $278.50 $557.00 50%

Dental

ProcedureCash price List priceOff list
Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant $1,125.00 $2,250.00 50%
Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant $1,125.00 $2,250.00 50%
Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant $1,125.00 $2,250.00 50%
Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant $1,125.00 $2,250.00 50%
Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs $592.50 $1,185.00 50%
Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs $592.50 $1,185.00 50%
Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs $592.50 $1,185.00 50%
Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs $592.50 $1,185.00 50%

Source file: https://rca.elevatepfs.com/ptapp/api/cdm/export/oneclick?recno=6218eb9ff7c607c1b86fc33c62f39d2663e9f7a51d87144995dfaa26b0ab9984