St Francis Hospital INC
St Francis Hospital INC in Greenville, SC publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
125 Commonwealth Dr.,Greenville,SC 29615 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 Abd/Pel W Cont | $2,175.60 | $3,626.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont | $2,175.60 | $3,626.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont | $2,175.60 | $3,626.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont | $2,175.60 | $3,626.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast | $1,282.20 | $2,137.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast | $1,282.20 | $2,137.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast | $1,282.20 | $2,137.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast | $1,282.20 | $2,137.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $1,247.40 | $2,079.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $1,247.40 | $2,079.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast | $1,247.40 | $2,079.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast | $1,247.40 | $2,079.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf | $257.40 | $429.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf | $257.40 | $429.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf | $237.00 | $395.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf | $237.00 | $395.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jnt W/O Cont | $2,169.60 | $3,616.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jnt W/O Cont | $2,169.60 | $3,616.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Jnt W/O Cont | $2,169.60 | $3,616.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Jnt W/O Cont | $2,169.60 | $3,616.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont | $2,684.40 | $4,474.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont | $2,684.40 | $4,474.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont | $2,684.40 | $4,474.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont | $2,684.40 | $4,474.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Ctrst | $1,261.80 | $2,103.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Ctrst | $1,261.80 | $2,103.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Ctrst | $1,261.80 | $2,103.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Ctrst | $1,261.80 | $2,103.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-Brain WO & W Contrast | $2,263.20 | $3,772.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-Brain WO & W Contrast | $2,263.20 | $3,772.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-Brain WO & W Contrast | $2,263.20 | $3,772.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-Brain WO & W Contrast | $2,263.20 | $3,772.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-Spine Lumbar WO Contrast | $1,342.80 | $2,238.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-Spine Lumbar WO Contrast | $1,342.80 | $2,238.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-Spine Lumbar WO Contrast | $1,342.80 | $2,238.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-Spine Lumbar WO Contrast | $1,342.80 | $2,238.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $862.20 | $1,437.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $862.20 | $1,437.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $862.20 | $1,437.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $862.20 | $1,437.00 | 40% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screening Incl Cad if Perf | $315.00 | $525.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Screening Incl Cad if Perf | $315.00 | $525.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Adult Sleep Study (Polysomnogram) | $3,885.00 | $6,475.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Adult Sleep Study (Polysomnogram) | $3,885.00 | $6,475.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB | $728.40 | $1,214.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB | $728.40 | $1,214.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB | $728.40 | $1,214.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB | $728.40 | $1,214.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $1,092.00 | $1,820.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $1,092.00 | $1,820.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $1,092.00 | $1,820.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $1,092.00 | $1,820.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views | $658.20 | $1,097.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views | $658.20 | $1,097.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views | $658.20 | $1,097.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views | $658.20 | $1,097.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $216.00 | $360.00 | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $216.00 | $360.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total | $216.00 | $360.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total | $216.00 | $360.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Panel | $70.80 | $118.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $216.00 | $360.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $216.00 | $360.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Panel | $70.80 | $118.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $216.00 | $360.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $216.00 | $360.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc | $153.00 | $255.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc | $153.00 | $255.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc | $153.00 | $255.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc | $153.00 | $255.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram) | $85.80 | $143.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram) | $85.80 | $143.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram) | $85.80 | $143.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram) | $85.80 | $143.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC So Comp Metabolic Panel | $31.80 | $53.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC So Comp Metabolic Panel | $31.80 | $53.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $539.40 | $899.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $539.40 | $899.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC So Comp Metabolic Panel | $31.80 | $53.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC So Comp Metabolic Panel | $31.80 | $53.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $539.40 | $899.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $539.40 | $899.00 | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $164.40 | $274.00 | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $164.40 | $274.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $164.40 | $274.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $164.40 | $274.00 | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $210.00 | $350.00 | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $210.00 | $350.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $210.00 | $350.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $210.00 | $350.00 | 40% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $141.00 | $235.00 | 40% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $141.00 | $235.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel | $141.00 | $235.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel | $141.00 | $235.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC So Prostate Specific Antigen/Free | $133.20 | $222.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC So Prostate Specific Antigen/Free | $133.20 | $222.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC So Prostate Specific Antigen/Free | $133.20 | $222.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC So Prostate Specific Antigen/Free | $133.20 | $222.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC So1 Assay of Psa Total | $231.00 | $385.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC So1 Assay of Psa Total | $231.00 | $385.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $79.20 | $132.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So1 Assay of Psa Total | $231.00 | $385.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So1 Assay of Psa Total | $231.00 | $385.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $117.00 | $195.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $117.00 | $195.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $117.00 | $195.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $117.00 | $195.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time | $71.40 | $119.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time | $71.40 | $119.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $75.00 | $125.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $75.00 | $125.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time | $71.40 | $119.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time | $71.40 | $119.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $75.00 | $125.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $75.00 | $125.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation | $50.40 | $84.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation | $50.40 | $84.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $172.20 | $287.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $172.20 | $287.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation | $50.40 | $84.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation | $50.40 | $84.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $172.20 | $287.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $172.20 | $287.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy | $63.60 | $106.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy | $63.60 | $106.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC So Urinalysis W/Micro | $76.20 | $127.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC So Urinalysis W/Micro | $76.20 | $127.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy | $12,544.37 | $20,907.28 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy | $63.60 | $106.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy | $63.60 | $106.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC So Urinalysis W/Micro | $76.20 | $127.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC So Urinalysis W/Micro | $76.20 | $127.00 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $13.20 | $22.00 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $13.20 | $22.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC So Urinalysis Routine | $7.20 | $12.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC So Urinalysis Routine | $7.20 | $12.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope | $55.20 | $92.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope | $55.20 | $92.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC So Urinalysis Routine | $7.20 | $12.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC So Urinalysis Routine | $7.20 | $12.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope | $55.20 | $92.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope | $55.20 | $92.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC Non-Auto,Urine W/O Microscopy | $37.20 | $62.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC Non-Auto,Urine W/O Microscopy | $37.20 | $62.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Non-Auto,Urine W/O Microscopy | $37.20 | $62.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Non-Auto,Urine W/O Microscopy | $37.20 | $62.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $10,416.25 | $17,360.42 | 40% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $11,057.03 | $18,428.38 | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $11,024.86 | $18,374.77 | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $11,511.24 | $19,185.40 | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $12,126.00 | $20,210.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $12,626.01 | $21,043.35 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $18,971.11 | $31,618.52 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $19,360.25 | $32,267.08 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,007.60 | $3,346.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,007.60 | $3,346.00 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Interlaminar Lmbr/Sac | $1,977.00 | $3,295.00 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Interlaminar Lmbr/Sac | $1,977.00 | $3,295.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj a/S Transforam Lumbar | $1,884.00 | $3,140.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj a/S Transforam Lumbar | $1,884.00 | $3,140.00 | 40% |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle or Punc | $8,580.29 | $14,300.48 | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $30,078.52 | $50,130.87 | 40% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $36,537.85 | $60,896.42 | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $9,722.22 | $16,203.70 | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $11,027.17 | $18,378.62 | 40% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $46,863.02 | $78,105.03 | 40% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $44,641.04 | $74,401.73 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $11,024.86 | $18,374.77 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $11,521.72 | $19,202.87 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $2,082.00 | $3,470.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $5,995.00 | $9,991.67 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $9,290.25 | $15,483.75 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Diagnostic Brush Wash | $2,082.00 | $3,470.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC New Pt, Outpt Visit Level 3 | $305.40 | $509.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt, Outpt Visit Level 3 | $305.40 | $509.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC New Pt, Outpt Visit Level 4 | $345.60 | $576.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt, Outpt Visit Level 4 | $345.60 | $576.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC New Pt, Outpt Visit Level 5 | $442.80 | $738.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt, Outpt Visit Level 5 | $442.80 | $738.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min | $111.00 | $185.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min | $111.00 | $185.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $118.80 | $198.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $118.80 | $198.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min | $111.00 | $185.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min | $111.00 | $185.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $118.80 | $198.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $118.80 | $198.00 | 40% |