Mercy Medical Center
Mercy Medical Center in Williston, ND publishes cash prices for 60 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Click a procedure to compare it with other hospitals nearby.
1301 15th Avenue West, Williston, ND 58801 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 ABDOMEN PELVIS W CONT | $2,481.24 | $4,278.00 | 42% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS W CONT | $2,481.24 | $4,278.00 | 42% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT | $888.56 | $1,532.00 | 42% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT | $888.56 | $1,532.00 | 42% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT | $1,219.74 | $2,103.00 | 42% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT | $1,219.74 | $2,103.00 | 42% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI PF | $102.66 | $177.00 | 42% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC DIGITAL BI | $470.38 | $811.00 | 42% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI PF | $102.66 | $177.00 | 42% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC DIGITAL BI | $470.38 | $811.00 | 42% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC DIGITAL LT PF | $82.36 | $142.00 | 42% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC DIGITAL LT | $385.70 | $665.00 | 42% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC DIGITAL LT PF | $82.36 | $142.00 | 42% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC DIGITAL LT | $385.70 | $665.00 | 42% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 ANKLE WO CONT BI PF | $259.84 | $448.00 | 42% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 ANKLE WO CONT BI | $2,326.38 | $4,011.00 | 42% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ACHILLES WO CONT LT | $1,615.30 | $2,785.00 | 42% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 ANKLE WO CONT BI PF | $259.84 | $448.00 | 42% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 ANKLE WO CONT BI | $2,326.38 | $4,011.00 | 42% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ACHILLES WO CONT LT | $1,615.30 | $2,785.00 | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 ANKLE W WO CONT BI PF | $407.74 | $703.00 | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 ANKLE W WO CONT BI | $4,975.24 | $8,578.00 | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ACHILLES W WO CONT LT | $3,295.56 | $5,682.00 | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 ANKLE W WO CONT BI PF | $407.74 | $703.00 | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 ANKLE W WO CONT BI | $4,975.24 | $8,578.00 | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ACHILLES W WO CONT LT | $3,295.56 | $5,682.00 | 42% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT PF | $171.68 | $296.00 | 42% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT | $1,675.04 | $2,888.00 | 42% |
| MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT PF | $171.68 | $296.00 | 42% |
| MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT | $1,675.04 | $2,888.00 | 42% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT PF | $272.60 | $470.00 | 42% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT | $3,284.54 | $5,663.00 | 42% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT PF | $272.60 | $470.00 | 42% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT | $3,284.54 | $5,663.00 | 42% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT PF | $171.68 | $296.00 | 42% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT | $1,643.72 | $2,834.00 | 42% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT PF | $171.68 | $296.00 | 42% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT | $1,643.72 | $2,834.00 | 42% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST PF | $115.42 | $199.00 | 42% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST | $389.18 | $671.00 | 42% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST PF | $115.42 | $199.00 | 42% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST | $389.18 | $671.00 | 42% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI PF | $82.36 | $142.00 | 42% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL BI | $339.88 | $586.00 | 42% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI PF | $82.36 | $142.00 | 42% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL BI | $339.88 | $586.00 | 42% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $2,029.42 | $3,499.00 | 42% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $2,029.42 | $3,499.00 | 42% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB PF | $81.78 | $141.00 | 42% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB | $389.18 | $671.00 | 42% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB PF | $81.78 | $141.00 | 42% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB | $389.18 | $671.00 | 42% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP PF | $95.12 | $164.00 | 42% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP | $509.82 | $879.00 | 42% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP PF | $95.12 | $164.00 | 42% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP | $509.82 | $879.00 | 42% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V | $262.74 | $453.00 | 42% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V | $262.74 | $453.00 | 42% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 TEST - FAC SPECIFIC CODE | $73.66 | $127.00 | 42% |
| Basic metabolic panel (blood test) CPT 80048 BMP | $75.40 | $130.00 | 42% |
| Basic metabolic panel (blood test) inpatient CPT 80048 TEST - FAC SPECIFIC CODE | $73.66 | $127.00 | 42% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP | $75.40 | $130.00 | 42% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL | $35.38 | $61.00 | 42% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID | $87.00 | $150.00 | 42% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $89.32 | $154.00 | 42% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL | $35.38 | $61.00 | 42% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID | $87.00 | $150.00 | 42% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $89.32 | $154.00 | 42% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $61.48 | $106.00 | 42% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF | $190.24 | $328.00 | 42% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $61.48 | $106.00 | 42% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF | $190.24 | $328.00 | 42% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $59.74 | $103.00 | 42% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITH MAN DIFF | $90.48 | $156.00 | 42% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF | $59.74 | $103.00 | 42% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITH MAN DIFF | $90.48 | $156.00 | 42% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $87.58 | $151.00 | 42% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $87.58 | $151.00 | 42% |
| Kidney function blood test panel CPT 80069 RENAL PROFILE | $61.48 | $106.00 | 42% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE | $61.48 | $106.00 | 42% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $47.56 | $82.00 | 42% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION | $78.30 | $135.00 | 42% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $47.56 | $82.00 | 42% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION | $78.30 | $135.00 | 42% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $32.00 | $55.17 | 42% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $77.72 | $134.00 | 42% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $32.00 | $55.17 | 42% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $77.72 | $134.00 | 42% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $32.00 | $55.17 | 42% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $104.40 | $180.00 | 42% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSITC | $110.20 | $190.00 | 42% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN SCRE | $117.74 | $203.00 | 42% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $32.00 | $55.17 | 42% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $104.40 | $180.00 | 42% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSITC | $110.20 | $190.00 | 42% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN SCRE | $117.74 | $203.00 | 42% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D) | $10.46 | $18.03 | 42% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $54.52 | $94.00 | 42% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D) | $10.46 | $18.03 | 42% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $54.52 | $94.00 | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $7.47 | $12.87 | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR IMC | $7.54 | $13.00 | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 APS - PT | $33.64 | $58.00 | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $35.38 | $61.00 | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR | $38.86 | $67.00 | 42% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $7.47 | $12.87 | 42% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR IMC | $7.54 | $13.00 | 42% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 APS - PT | $33.64 | $58.00 | 42% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $35.38 | $61.00 | 42% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR | $38.86 | $67.00 | 42% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $29.24 | $50.40 | 42% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM | $87.00 | $150.00 | 42% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE S | $110.20 | $190.00 | 42% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $116.00 | $200.00 | 42% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $29.24 | $50.40 | 42% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM | $87.00 | $150.00 | 42% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID FUNCTION CASCADE S | $110.20 | $190.00 | 42% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $116.00 | $200.00 | 42% |
| Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC | $25.52 | $44.00 | 42% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC | $33.06 | $57.00 | 42% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA MICROSCOPIC | $25.52 | $44.00 | 42% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC | $33.06 | $57.00 | 42% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS BY DIP STICK | $17.40 | $30.00 | 42% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS BY DIP STICK | $17.40 | $30.00 | 42% |
| Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC | $22.62 | $39.00 | 42% |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE | $39.44 | $68.00 | 42% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC | $22.62 | $39.00 | 42% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN URINE | $39.44 | $68.00 | 42% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W LESION REM SC PF | $737.18 | $1,271.00 | 42% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W LESION REM SC PF | $737.18 | $1,271.00 | 42% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY SC PF | $704.70 | $1,215.00 | 42% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY SC PF | $704.70 | $1,215.00 | 42% |
| Colonoscopy, diagnostic CPT 45378 SCREEN COLON-HI RISK SC PF | $554.48 | $956.00 | 42% |
| Colonoscopy, diagnostic CPT 45378 SCREEN COLON-NON HI RISK SC PF | $555.06 | $957.00 | 42% |
| Colonoscopy, diagnostic inpatient CPT 45378 SCREEN COLON-HI RISK SC PF | $554.48 | $956.00 | 42% |
| Colonoscopy, diagnostic inpatient CPT 45378 SCREEN COLON-NON HI RISK SC PF | $555.06 | $957.00 | 42% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLE ASSIST SC OR PF | $1,045.16 | $1,802.00 | 42% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLE ASSIST SC OR PF | $1,045.16 | $1,802.00 | 42% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR HERNIA INITIAL 5+YR ER PF | $822.44 | $1,418.00 | 42% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR HERNIA INITIAL 5+YR SC OR | $833.46 | $1,437.00 | 42% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR HERNIA INITIAL 5+YR ER PF | $822.44 | $1,418.00 | 42% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR HERNIA INITIAL 5+YR SC OR | $833.46 | $1,437.00 | 42% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY SURG ORT OR | $890.30 | $1,535.00 | 42% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY SURG ORT OR | $890.30 | $1,535.00 | 42% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL STEROID INJ W GUID PF | $143.84 | $248.00 | 42% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTRLM LMBR/SAC WIMG PM OR | $589.86 | $1,017.00 | 42% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR EPIDURAL WO GUIDE | $1,172.76 | $2,022.00 | 42% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL STEROID INJ W GUID PF | $143.84 | $248.00 | 42% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTRLM LMBR/SAC WIMG PM OR | $589.86 | $1,017.00 | 42% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR EPIDURAL WO GUIDE | $1,172.76 | $2,022.00 | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL STEROID INJ WO GUI PF | $143.84 | $248.00 | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 CRNA EPIDURAL/SINGLE | $194.88 | $336.00 | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR EPIDU WO GUIDE CRNA | $200.68 | $346.00 | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR EPIDURL WO GUIDE PF | $200.68 | $346.00 | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMB EPIDURAL WO GUIDE PF | $304.50 | $525.00 | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL STEROID INJ WO GUIDE | $1,172.76 | $2,022.00 | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL STEROID INJ WO GUI PF | $143.84 | $248.00 | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 CRNA EPIDURAL/SINGLE | $194.88 | $336.00 | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR EPIDU WO GUIDE CRNA | $200.68 | $346.00 | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR EPIDURL WO GUIDE PF | $200.68 | $346.00 | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMB EPIDURAL WO GUIDE PF | $304.50 | $525.00 | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL STEROID INJ WO GUIDE | $1,172.76 | $2,022.00 | 42% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 INJ FORAM EPI LUM SAC BI PM PF | $1,187.84 | $2,048.00 | 42% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPI LUM SAC PM PF | $593.92 | $1,024.00 | 42% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 INJ FORAM EPI LUM SAC BI PM PF | $1,187.84 | $2,048.00 | 42% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPI LUM SAC PM PF | $593.92 | $1,024.00 | 42% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE URC PF | $248.82 | $429.00 | 42% |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE URC PF | $248.82 | $429.00 | 42% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL BREAST LESION SC OR | $841.58 | $1,451.00 | 42% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL BREAST LESION SC OR | $841.58 | $1,451.00 | 42% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMP ORT OR | $270.28 | $466.00 | 42% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHO ARTHRS SRG DECOMP ORT OR | $270.28 | $466.00 | 42% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY ORT PF | $2,059.58 | $3,551.00 | 42% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY ORT PF | $2,059.58 | $3,551.00 | 42% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHOPLAS ORT OR PF | $2,056.68 | $3,546.00 | 42% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHOPLAS ORT OR PF | $2,056.68 | $3,546.00 | 42% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD FLEX W BIOPSY SUR PF | $610.74 | $1,053.00 | 42% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD FLEX W BIOPSY SUR PF | $610.74 | $1,053.00 | 42% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY DIAG SC OR | $450.66 | $777.00 | 42% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPR GI ENDOSCOPY DIAG SC OR | $450.66 | $777.00 | 42% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG ROUT 12+ LEADS I&R IM (P) | $23.20 | $40.00 | 42% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG ROUT 12+ LEADS I&R IM (P) | $23.20 | $40.00 | 42% |
| Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN SLS | $490.10 | $845.00 | 42% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN SLS | $490.10 | $845.00 | 42% |
| Family therapy without the patient, 50 minutes CPT 90846 FAM PSYTX W/O PT 50 MIN SLS | $466.90 | $805.00 | 42% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYTX W/O PT 50 MIN SLS | $466.90 | $805.00 | 42% |
| Group psychotherapy session CPT 90853 GROUP PSYTX SLS | $426.30 | $735.00 | 42% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYTX SLS | $426.30 | $735.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 URC FAC | $45.82 | $79.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 ONC | $59.74 | $103.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 MD OP VISIT LIMITED/NEW PATIEN | $102.08 | $176.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 URC PF | $137.46 | $237.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 BH PF | $137.46 | $237.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VIS NEW LVL 3 MEDONC PF | $183.28 | $316.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP NEW LVL3 TELEMED URC PF | $183.28 | $316.00 | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3 BH (P) | $183.28 | $316.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 URC FAC | $45.82 | $79.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 ONC | $59.74 | $103.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 MD OP VISIT LIMITED/NEW PATIEN | $102.08 | $176.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 BH PF | $137.46 | $237.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 URC PF | $137.46 | $237.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3 BH (P) | $183.28 | $316.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VIS NEW LVL 3 MEDONC PF | $183.28 | $316.00 | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP NEW LVL3 TELEMED URC PF | $183.28 | $316.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 URC FAC | $68.44 | $118.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 ONC | $89.90 | $155.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 MD OUTPT/NEW PATIENT INTERM/EX | $149.64 | $258.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 URC PF | $205.90 | $355.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 BH PF | $205.90 | $355.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4 BH (P) | $274.34 | $473.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VIS NEW LVL 4 MEDONC PF | $274.34 | $473.00 | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP NEW LVL4 TELEMED URC PF | $274.34 | $473.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 URC FAC | $68.44 | $118.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 ONC | $89.90 | $155.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 MD OUTPT/NEW PATIENT INTERM/EX | $149.64 | $258.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 URC PF | $205.90 | $355.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 BH PF | $205.90 | $355.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4 BH (P) | $274.34 | $473.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VIS NEW LVL 4 MEDONC PF | $274.34 | $473.00 | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP NEW LVL4 TELEMED URC PF | $274.34 | $473.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 URC FAC | $90.48 | $156.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 ONC | $112.52 | $194.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 MD OP NEW PATIENT/COMPREHEN | $197.78 | $341.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 BH PF | $271.44 | $468.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 URC PF | $271.44 | $468.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP NEW LVL5 TELEMED URC PF | $361.92 | $624.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VIS NEW LVL 5 MEDONC PF | $361.92 | $624.00 | 42% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5 BH (P) | $361.92 | $624.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 URC FAC | $90.48 | $156.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 ONC | $112.52 | $194.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 MD OP NEW PATIENT/COMPREHEN | $197.78 | $341.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 BH PF | $271.44 | $468.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 URC PF | $271.44 | $468.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VIS NEW LVL 5 MEDONC PF | $361.92 | $624.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP NEW LVL5 TELEMED URC PF | $361.92 | $624.00 | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5 BH (P) | $361.92 | $624.00 | 42% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE PROCEDURE/15 MIN. | $94.54 | $163.00 | 42% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT EXERCISE EA 15 MIN | $94.54 | $163.00 | 42% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE PROCEDURE/15 MIN. | $94.54 | $163.00 | 42% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE EA 15 MIN | $94.54 | $163.00 | 42% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW 18-39 WHCFAC | $54.52 | $94.00 | 42% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW 18-39 WHCPF | $164.72 | $284.00 | 42% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW 18-39 WHCFAC | $54.52 | $94.00 | 42% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW 18-39 WHCPF | $164.72 | $284.00 | 42% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW 40-64 OB FAC | $63.22 | $109.00 | 42% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW 40-64 OB PF | $189.66 | $327.00 | 42% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW 40-64 OB FAC | $63.22 | $109.00 | 42% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW 40-64 OB PF | $189.66 | $327.00 | 42% |
| Psychotherapy session, 30 minutes CPT 90832 BH THERAPY 30 MIN SLS | $353.80 | $610.00 | 42% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 BH THERAPY 30 MIN SLS | $353.80 | $610.00 | 42% |
| Psychotherapy session, 45 minutes CPT 90834 BH THERAPY 45 MIN SLS | $437.90 | $755.00 | 42% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 BH THERAPY 45 MIN SLS | $437.90 | $755.00 | 42% |
| Psychotherapy session, 60 minutes CPT 90837 BH THERAPY 60 MIN SLS | $446.60 | $770.00 | 42% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 BH THERAPY 60 MIN SLS | $446.60 | $770.00 | 42% |