Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
St Joseph Medical Center
1401 St. Joseph Parkway, Houston, TX 77002 · CCN 450035
Source: the hospital's standard-charges file dated 2026-09-01 (original file, csv_wide, 227 MB), checked by us on 2026-10-06. 261 of 300 common services found in it.
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Evaluation & Management
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Family Psychotherapy, Including Patient, 50 Min | CPT 90847 | $175.45 | $67.52 – $207.63 – $1,071.00 28 insurers | $583.23 |
| Family Psychotherapy, Not Including Patient, 50 Min | CPT 90846 | $175.45 | $45.06 – $185.72 – $1,071.00 28 insurers | $389.23 |
| Group Psychotherapy | CPT 90853 | $100.42 | $55.95 – $146.80 – $1,071.00 28 insurers | $483.18 |
| Initial New Patient Preventive Medicine Evaluation (18-39 Years) | CPT 99385 | not published | $19.61 – $109.42 – $226.94 18 insurers | $226.94 |
| New Patient Office Or Other Outpatient Visit, Typically 30 Min | CPT 99203 | not published | $57.16 – $290.61 – $721.11 19 insurers | $721.11 |
| New Patient Office Or Other Outpatient Visit, Typically 45 Min | CPT 99204 | not published | $94.28 – $479.34 – $1,189.42 19 insurers | $1,189.42 |
| New Patient Office Or Other Outpatient Visit, Typically 60 Min | CPT 99205 | not published | $45.68 – $338.34 – $1,826.62 19 insurers | $1,826.62 |
| Psychotherapy, 30 Min | CPT 90832 | $175.45 | $31.73 – $178.30 – $1,071.00 30 insurers | $367.26 |
| Psychotherapy, 45 Min | CPT 90834 | $175.45 | $42.27 – $180.71 – $1,071.00 30 insurers | $489.28 |
| Psychotherapy, 60 Min | CPT 90837 | $175.45 | $42.27 – $180.71 – $1,071.00 30 insurers | $489.28 |
Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81002 | $3.41 | $1.35 – $3.85 – $93.96 30 insurers | $93.96 |
| Automated Urinalysis Test | CPT 81003 | $2.20 | $1.18 – $2.60 – $173.27 30 insurers | $173.27 |
| Basic Metabolic Panel | CPT 80048 | $8.29 | $4.45 – $10.20 – $735.76 30 insurers | $735.76 |
| Blood Test, Clotting Time | CPT 85610 | $4.20 | $2.07 – $4.81 – $192.09 30 insurers | $192.09 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $10.35 | $5.56 – $12.75 – $968.80 30 insurers | $968.80 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $13.12 | $7.05 – $15.43 – $643.02 30 insurers | $643.02 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $16.46 | $8.83 – $19.90 – $56.58 30 insurers | $56.58 |
| Coagulation Assessment Blood Test | CPT 85730 | $5.89 | $3.15 – $6.95 – $253.28 30 insurers | $253.28 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $7.61 | $4.09 – $8.98 – $384.36 30 insurers | $384.36 |
| Complete Blood Count, Automated | CPT 85027 | $6.34 | $3.40 – $7.47 – $306.26 30 insurers | $306.26 |
| Kidney Function Panel Test | CPT 80069 | $8.51 | $4.56 – $10.48 – $659.32 30 insurers | $659.32 |
| Liver Function Blood Test Panel | CPT 80076 | $8.01 | $4.29 – $9.86 – $628.93 30 insurers | $628.93 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81000 | $3.94 | $1.67 – $4.52 – $12.30 30 insurers | $12.06 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $3.11 | $1.67 – $3.66 – $215.26 30 insurers | $215.26 |
| Obstetric Blood Test Panel | CPT 80055 | $46.85 | $21.16 – $53.07 – $428.66 30 insurers | $428.66 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $18.02 | $9.67 – $22.56 – $600.32 28 insurers | $600.32 |
| Psa (Prostate Specific Antigen) | CPT 84154 | $18.02 | $9.67 – $22.56 – $248.91 28 insurers | $248.91 |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Biopsy of Large Bowel Using An Endoscope | CPT 45380 | $1,182.86 | $451.58 – $1,202.09 – $5,097.60 25 insurers | — |
| Biopsy of Prostate Gland | CPT 55700 | not published | $686.75 – $2,063.86 – $50,000.00 13 insurers | — |
| Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43239 | $3,618.75 | $352.37 – $3,618.75 – $5,164.45 25 insurers | — |
| Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | MS-DRG 216 | $99,763.97 | $3,652.00 – $99,763.97 – $140,502.15 22 insurers | — |
| Cervical Spinal Fusion Without Cc Or Mcc | MS-DRG 473 | $36,829.46 | $1,750.00 – $36,829.46 – $52,072.74 22 insurers | — |
| Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43235 | $3,618.75 | $352.37 – $3,618.75 – $5,164.45 25 insurers | — |
| Diagnostic Examination of Large Bowel Using An Endoscope | CPT 45378 | $919.25 | $345.58 – $934.20 – $5,097.60 25 insurers | — |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62322 | $3,615.89 | $276.53 – $3,615.89 – $5,160.48 25 insurers | — |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62323 | $697.75 | $153.50 – $818.99 – $5,129.10 30 insurers | $1,776.59 |
| Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance | CPT 64483 | $874.28 | $74.19 – $858.69 – $5,160.48 30 insurers | $858.69 |
| Major Joint Replacement Or Reattachment of Lower Extremity Without Mcc | MS-DRG 470 | $32,436.92 | $1,750.00 – $32,436.92 – $45,900.78 22 insurers | — |
| Removal of 1 Or More Breast Growth, Open Procedure | CPT 19120 | $3,870.35 | $918.88 – $3,870.35 – $15,952.82 30 insurers | $15,952.82 |
| Removal of Cataract With Insertion of Lens | CPT 66984 | $2,281.25 | $894.14 – $2,318.34 – $5,097.60 25 insurers | — |
| Removal of Gallbladder Using An Endoscope | CPT 47562 | $5,975.91 | $1,987.07 – $5,975.91 – $8,502.31 25 insurers | — |
| Removal of One Knee Cartilage Using An Endoscope | CPT 29881 | $3,234.32 | $1,144.86 – $3,286.91 – $7,618.00 25 insurers | — |
| Removal of Polyps Or Growths of Large Bowel Using An Endoscope | CPT 45385 | $1,182.86 | $451.58 – $1,202.09 – $5,097.60 25 insurers | — |
| Removal of Recurring Cataract In Lens Capsule Using Laser | CPT 66821 | $543.66 | $219.16 – $1,096.09 – $5,101.68 30 insurers | $3,952.07 |
| Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12 | CPT 42820 | $5,851.66 | $1,200.00 – $5,851.66 – $8,325.53 25 insurers | — |
| Repair of Groin Hernia Patient Age 5 Years Or Older | CPT 49505 | $3,539.17 | $1,211.42 – $3,560.75 – $5,097.60 25 insurers | — |
| Routine Obstetric Care For Cesarean Delivery, Including Pre- and Post-Delivery Care | CPT 59510 | not published | $1,958.00 – $4,536.00 – $50,000.00 12 insurers | — |
| Routine Obstetric Care For Vaginal Delivery After Prior Cesarean Delivery Including Pre- and Post-Delivery Care | CPT 59610 | not published | $1,958.00 – $4,536.00 – $50,000.00 12 insurers | — |
| Routine Obstetric Care For Vaginal Delivery, Including Pre- and Post-Delivery Care | CPT 59400 | not published | $1,958.00 – $4,536.00 – $30,000.00 12 insurers | — |
| Shaving of Shoulder Bone Using An Endoscope | CPT 29826 | not published | $529.00 – $6,091.20 – $50,000.00 13 insurers | — |
| Sleep Study | CPT 95810 | $848.85 | $410.77 – $927.44 – $7,956.10 30 insurers | $7,956.10 |
| Spinal Fusion Except Cervical Without Mcc | MS-DRG 460 | $47,258.67 | $1,750.00 – $47,258.67 – $79,728.89 22 insurers | — |
| Surgical Removal of Prostate and Surrounding Lymph Nodes Using An Endoscope | CPT 55866 | $10,499.42 | $1,958.00 – $10,499.42 – $15,595.20 25 insurers | — |
| Ultrasound Examination of Lower Large Bowel Using An Endoscope | CPT 45391 | $1,182.86 | $451.58 – $1,202.09 – $5,097.60 25 insurers | — |
| Uterine and Adnexa Procedures For Non-Malignancy Without Cc Or Mcc | MS-DRG 743 | $26,537.38 | $1,750.00 – $26,537.38 – $37,611.33 22 insurers | — |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Abdominal Ultrasound of Pregnant Uterus (>= 14 Weeks 0 Days) Single Or First Fetus | CPT 76805 | $103.34 | $95.20 – $141.08 – $1,669.81 30 insurers | $1,669.81 |
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $103.34 | $99.72 – $135.83 – $6,122.72 30 insurers | $6,122.72 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $344.85 | $312.08 – $422.20 – $6,679.25 30 insurers | $6,679.25 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $173.38 | $167.31 – $227.42 – $5,765.22 30 insurers | $5,765.22 |
| Mammography of Both Breasts | CPT 77066 | $108.28 | $104.49 – $140.28 – $1,235.42 30 insurers | $1,235.42 |
| Mammography of One Breast | CPT 77065 | $84.33 | $52.39 – $96.90 – $606.41 30 insurers | $606.41 |
| Mammography, Screening, Bilateral | CPT 77067 | $44.43 | $42.87 – $92.42 – $599.10 30 insurers | $599.10 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $344.85 | $328.11 – $438.87 – $11,659.75 30 insurers | $11,659.75 |
| Mri Scan of Leg Joint | CPT 73721 | $235.85 | $208.84 – $520.39 – $15,076.18 30 insurers | $15,076.18 |
| Mri Scan of Lower Spinal Canal | CPT 72148 | $235.85 | $197.14 – $280.79 – $7,832.15 30 insurers | $7,832.15 |
| Ultrasound of Abdomen | CPT 76700 | $103.34 | $99.72 – $141.08 – $2,269.48 30 insurers | $2,269.48 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $103.34 | $91.83 – $128.65 – $1,428.80 30 insurers | $1,428.80 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $103.34 | $52.13 – $116.04 – $1,471.50 30 insurers | $1,471.50 |
Inpatient (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Acute Myocardial Infarction, Discharged Alive With Cc | MS-DRG 281 | $23,780.50 | $3,627.00 – $23,780.50 – $33,750.71 22 insurers | — |
| Acute Myocardial Infarction, Discharged Alive With Mcc | MS-DRG 280 | $29,652.61 | $3,627.00 – $29,652.61 – $41,988.55 22 insurers | — |
| Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | MS-DRG 897 | $23,469.30 | $1,100.00 – $1,926.00 – $32,126.92 22 insurers | — |
| Bronchitis and Asthma With Cc/Mcc | MS-DRG 202 | $24,227.10 | $1,750.00 – $24,227.10 – $34,365.14 22 insurers | — |
| Cardiac Arrhythmia and Conduction Disorders With Cc | MS-DRG 309 | $22,208.30 | $1,750.00 – $22,208.30 – $31,603.61 22 insurers | — |
| Cardiac Arrhythmia and Conduction Disorders With Mcc | MS-DRG 308 | $26,222.77 | $1,750.00 – $26,222.77 – $37,169.27 22 insurers | — |
| Cardiac Arrhythmia and Conduction Disorders Without Cc/Mcc | MS-DRG 310 | $20,754.41 | $1,750.00 – $20,754.41 – $29,618.09 22 insurers | — |
| Cellulitis With Mcc | MS-DRG 602 | $28,085.55 | $1,750.00 – $28,085.55 – $39,786.67 22 insurers | — |
| Cellulitis Without Mcc | MS-DRG 603 | $23,367.29 | $1,750.00 – $23,367.29 – $33,186.39 22 insurers | — |
| Chest Pain | MS-DRG 313 | $22,073.71 | $1,750.00 – $22,073.71 – $31,419.81 22 insurers | — |
| Chronic Obstructive Pulmonary Disease With Cc | MS-DRG 191 | $23,128.12 | $1,750.00 – $23,128.12 – $32,859.77 22 insurers | — |
| Chronic Obstructive Pulmonary Disease With Mcc | MS-DRG 190 | $25,397.25 | $1,750.00 – $25,397.25 – $36,009.32 22 insurers | — |
| Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | MS-DRG 286 | $34,870.65 | $3,652.00 – $34,870.65 – $49,320.42 22 insurers | — |
| Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | MS-DRG 287 | $25,074.91 | $3,652.00 – $25,074.91 – $35,556.40 22 insurers | — |
| Cirrhosis and Alcoholic Hepatitis With Mcc | MS-DRG 432 | $32,773.82 | $1,750.00 – $32,773.82 – $46,374.15 22 insurers | — |
| Combined Anterior and Posterior Spinal Fusion With Cc | MS-DRG 454 | $68,333.13 | $1,750.00 – $68,333.13 – $96,338.62 22 insurers | — |
| Craniotomy and Endovascular Intracranial Procedures With Mcc | MS-DRG 025 | $54,877.86 | $1,750.00 – $54,877.86 – $77,432.59 22 insurers | — |
| Degenerative Nervous System Disorders Without Mcc | MS-DRG 057 | $27,008.01 | $1,100.00 – $2,157.13 – $36,929.01 22 insurers | — |
| Diabetes With Cc | MS-DRG 638 | $23,584.17 | $1,750.00 – $23,584.17 – $33,482.58 22 insurers | — |
| Diabetes With Mcc | MS-DRG 637 | $28,217.57 | $1,750.00 – $28,217.57 – $39,972.16 22 insurers | — |
| Endovascular Cardiac Valve Replacement and Supplement Procedures With Mcc | MS-DRG 266 | $68,436.88 | $2,698.00 – $68,436.88 – $96,484.39 22 insurers | — |
| Endovascular Cardiac Valve Replacement and Supplement Procedures Without Mcc | MS-DRG 267 | $56,713.20 | $1,750.00 – $56,713.20 – $80,011.42 22 insurers | — |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders With Mcc | MS-DRG 391 | $26,773.97 | $1,750.00 – $26,773.97 – $37,943.76 22 insurers | — |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders Without Mcc | MS-DRG 392 | $22,584.62 | $1,750.00 – $22,584.62 – $32,117.53 22 insurers | — |
| Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | MS-DRG 981 | $56,121.70 | $1,750.00 – $56,121.70 – $79,180.31 22 insurers | — |
| Fractures of Hip and Pelvis Without Mcc | MS-DRG 536 | $22,824.66 | $1,750.00 – $22,824.66 – $32,445.35 22 insurers | — |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh Without Mcc | MS-DRG 563 | $23,578.16 | $1,750.00 – $23,578.16 – $33,474.38 22 insurers | — |
| Gastrointestinal Hemorrhage With Cc | MS-DRG 378 | $24,308.54 | $1,750.00 – $24,308.54 – $34,479.57 22 insurers | — |
| Gastrointestinal Hemorrhage With Mcc | MS-DRG 377 | $31,571.97 | $1,750.00 – $31,571.97 – $44,685.44 22 insurers | — |
| Gastrointestinal Obstruction With Cc | MS-DRG 389 | $22,672.07 | $1,750.00 – $22,672.07 – $32,236.97 22 insurers | — |
| Gastrointestinal Obstruction With Mcc | MS-DRG 388 | $28,561.31 | $1,750.00 – $28,561.31 – $40,455.16 22 insurers | — |
| Gastrointestinal Obstruction Without Cc/Mcc | MS-DRG 390 | $20,564.97 | $1,750.00 – $20,564.97 – $29,359.37 22 insurers | — |
| Heart Failure and Shock With Mcc | MS-DRG 291 | $26,906.85 | $1,750.00 – $26,906.85 – $38,130.47 22 insurers | — |
| Hip and Femur Procedures Except Major Joint With Cc | MS-DRG 481 | $33,856.52 | $1,750.00 – $33,856.52 – $47,895.46 22 insurers | — |
| Hip and Femur Procedures Except Major Joint With Mcc | MS-DRG 480 | $40,867.06 | $1,750.00 – $40,867.06 – $57,745.98 22 insurers | — |
| Hip Replacement With Principal Diagnosis of Hip Fracture Without Mcc | MS-DRG 522 | $34,055.39 | $1,750.00 – $34,055.39 – $48,174.90 22 insurers | — |
| Hypertension Without Mcc | MS-DRG 305 | $22,374.61 | $1,750.00 – $22,374.61 – $31,830.74 22 insurers | — |
| Infectious and Parasitic Diseases With O.R. Procedures With Cc | MS-DRG 854 | $33,030.14 | $1,750.00 – $33,030.14 – $46,734.32 22 insurers | — |
| Infectious and Parasitic Diseases With O.R. Procedures With Mcc | MS-DRG 853 | $58,237.39 | $1,750.00 – $58,237.39 – $82,153.07 22 insurers | — |
| Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | MS-DRG 065 | $24,562.30 | $1,750.00 – $24,562.30 – $34,836.13 22 insurers | — |
| Intracranial Hemorrhage Or Cerebral Infarction With Mcc | MS-DRG 064 | $33,140.73 | $1,750.00 – $33,140.73 – $46,889.70 22 insurers | — |
| Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | MS-DRG 066 | $21,768.52 | $1,750.00 – $21,768.52 – $31,003.02 22 insurers | — |
| Kidney and Ureter Procedures For Non-Neoplasm With Cc | MS-DRG 660 | $27,231.74 | $1,750.00 – $27,231.74 – $38,586.97 22 insurers | — |
| Kidney and Urinary Tract Infections With Mcc | MS-DRG 689 | $25,848.15 | $1,750.00 – $25,848.15 – $36,642.88 22 insurers | — |
| Kidney and Urinary Tract Infections Without Mcc | MS-DRG 690 | $22,840.94 | $1,750.00 – $22,840.94 – $32,467.58 22 insurers | — |
| Laparoscopic Cholecystectomy Without C.D.E. With Cc | MS-DRG 418 | $30,402.68 | $1,750.00 – $30,402.68 – $43,042.46 22 insurers | — |
| Major Gastrointestinal Disorders and Peritoneal Infections With Cc | MS-DRG 372 | $24,654.03 | $1,750.00 – $24,654.03 – $34,965.02 22 insurers | — |
| Major Small and Large Bowel Procedures With Cc | MS-DRG 330 | $36,451.39 | $1,750.00 – $36,451.39 – $51,541.53 22 insurers | — |
| Major Small and Large Bowel Procedures With Mcc | MS-DRG 329 | $55,304.77 | $1,750.00 – $55,304.77 – $78,032.44 22 insurers | — |
| Major Small and Large Bowel Procedures Without Cc/Mcc | MS-DRG 331 | $30,328.11 | $1,750.00 – $30,328.11 – $42,937.68 22 insurers | — |
| Medical Back Problems Without Mcc | MS-DRG 552 | $24,142.24 | $1,750.00 – $24,142.24 – $34,245.91 22 insurers | — |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes With Mcc | MS-DRG 640 | $27,350.89 | $1,750.00 – $27,350.89 – $38,754.39 22 insurers | — |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes Without Mcc | MS-DRG 641 | $22,572.62 | $1,750.00 – $22,572.62 – $32,101.15 22 insurers | — |
| Organic Disturbances and Intellectual Disability | MS-DRG 884 | $29,693.74 | $1,100.00 – $1,926.00 – $40,573.58 22 insurers | — |
| Other Cerebrovascular Disorders With Cc | MS-DRG 071 | $24,696.86 | $1,750.00 – $24,696.86 – $35,025.21 22 insurers | — |
| Other Cerebrovascular Disorders With Mcc | MS-DRG 070 | $30,172.94 | $1,750.00 – $30,172.94 – $42,719.67 22 insurers | — |
| Other Circulatory System Diagnoses With Mcc | MS-DRG 314 | $33,776.81 | $1,750.00 – $33,776.81 – $47,783.46 22 insurers | — |
| Other Digestive System Diagnoses With Cc | MS-DRG 394 | $23,922.78 | $1,750.00 – $23,922.78 – $33,945.01 22 insurers | — |
| Other Digestive System Diagnoses With Mcc | MS-DRG 393 | $29,611.45 | $1,750.00 – $29,611.45 – $41,930.71 22 insurers | — |
| Other Disorders of Nervous System With Cc | MS-DRG 092 | $24,671.17 | $1,750.00 – $24,671.17 – $34,989.11 22 insurers | — |
| Other Kidney and Urinary Tract Diagnoses With Cc | MS-DRG 699 | $24,602.58 | $1,750.00 – $24,602.58 – $34,892.73 22 insurers | — |
| Other Kidney and Urinary Tract Diagnoses With Mcc | MS-DRG 698 | $30,083.78 | $1,750.00 – $30,083.78 – $42,594.39 22 insurers | — |
| Other Vascular Procedures With Mcc | MS-DRG 252 | $45,804.79 | $1,750.00 – $45,804.79 – $64,684.00 22 insurers | — |
| Percutaneous and Other Intracardiac Procedures Without Mcc | MS-DRG 274 | $44,119.44 | $3,652.00 – $44,119.44 – $62,315.91 22 insurers | — |
| Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/ | MS-DRG 321 | $39,225.45 | $1,750.00 – $39,225.45 – $55,439.36 22 insurers | — |
| Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | MS-DRG 322 | $31,014.76 | $1,750.00 – $31,014.76 – $43,902.51 22 insurers | — |
| Peripheral Vascular Disorders With Cc | MS-DRG 300 | $25,052.64 | $1,750.00 – $25,052.64 – $35,525.11 22 insurers | — |
| Permanent Cardiac Pacemaker Implant With Cc | MS-DRG 243 | $34,168.55 | $1,750.00 – $34,168.55 – $48,333.90 22 insurers | — |
| Poisoning and Toxic Effects of Drugs With Mcc | MS-DRG 917 | $29,346.57 | $1,685.29 – $2,443.49 – $40,102.46 22 insurers | — |
| Psychoses | MS-DRG 885 | $27,875.53 | $1,100.00 – $1,926.00 – $38,106.24 22 insurers | — |
| Pulmonary Edema and Respiratory Failure | MS-DRG 189 | $26,491.95 | $1,750.00 – $26,491.95 – $37,547.49 22 insurers | — |
| Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | MS-DRG 175 | $27,676.66 | $1,750.00 – $27,676.66 – $39,212.13 22 insurers | — |
| Pulmonary Embolism Without Mcc | MS-DRG 176 | $22,802.36 | $1,750.00 – $22,802.36 – $32,414.90 22 insurers | — |
| Red Blood Cell Disorders With Mcc | MS-DRG 811 | $27,939.82 | $1,750.00 – $27,939.82 – $39,581.89 22 insurers | — |
| Red Blood Cell Disorders Without Mcc | MS-DRG 812 | $23,772.76 | $1,750.00 – $23,772.76 – $33,740.14 22 insurers | — |
| Renal Failure With Cc | MS-DRG 683 | $23,409.30 | $1,750.00 – $23,409.30 – $33,243.77 22 insurers | — |
| Renal Failure With Mcc | MS-DRG 682 | $28,597.34 | $1,750.00 – $28,597.34 – $40,505.78 22 insurers | — |
| Respiratory Infections and Inflammations With Cc | MS-DRG 178 | $24,268.25 | $1,750.00 – $24,268.25 – $34,422.97 22 insurers | — |
| Respiratory Infections and Inflammations With Mcc | MS-DRG 177 | $29,297.70 | $1,750.00 – $29,297.70 – $41,489.85 22 insurers | — |
| Respiratory System Diagnosis With Ventilator Support <=96 Hours | MS-DRG 208 | $39,464.61 | $1,750.00 – $39,464.61 – $55,775.40 22 insurers | — |
| Revision of Hip Or Knee Replacement With Cc | MS-DRG 467 | $46,133.09 | $1,750.00 – $46,133.09 – $65,145.29 22 insurers | — |
| Seizures With Mcc | MS-DRG 100 | $32,504.64 | $1,750.00 – $32,504.64 – $45,995.93 22 insurers | — |
| Seizures Without Mcc | MS-DRG 101 | $23,639.05 | $1,750.00 – $23,639.05 – $33,557.53 22 insurers | — |
| Septicemia Or Severe Sepsis With Mv >96 Hours | MS-DRG 870 | $75,152.50 | $1,750.00 – $75,152.50 – $105,920.53 22 insurers | — |
| Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | MS-DRG 871 | $32,553.51 | $1,750.00 – $32,553.51 – $46,064.60 22 insurers | — |
| Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | MS-DRG 872 | $24,673.72 | $1,750.00 – $24,673.72 – $34,992.70 22 insurers | — |
| Signs and Symptoms Without Mcc | MS-DRG 948 | $22,763.80 | $1,571.04 – $2,279.23 – $31,169.55 22 insurers | — |
| Simple Pneumonia and Pleurisy With Cc | MS-DRG 194 | $22,810.08 | $1,750.00 – $22,810.08 – $32,425.43 22 insurers | — |
| Simple Pneumonia and Pleurisy With Mcc | MS-DRG 193 | $27,169.17 | $1,750.00 – $27,169.17 – $38,499.05 22 insurers | — |
| Syncope and Collapse | MS-DRG 312 | $23,373.30 | $1,750.00 – $23,373.30 – $33,194.61 22 insurers | — |
| Transient Ischemia Without Thrombolytic | MS-DRG 069 | $22,749.22 | $1,750.00 – $22,749.22 – $32,342.32 22 insurers | — |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| 3d Radiographic Procedure | CPT 76376 | not published | $13.86 – $609.51 – $1,512.44 18 insurers | $1,512.44 |
| Annual Wellness Visit, Includes A Personalized Prevention Plan of Service (Pps), Subsequent Visit | HCPCS G0439 | $136.48 | $21.05 – $136.48 – $194.98 28 insurers | $191.82 |
| Aspiration and/Or Injection of Fluid From Large Joint | CPT 20610 | $303.42 | $29.41 – $416.27 – $5,097.60 30 insurers | $1,782.63 |
| Calculation of Radiation Therapy Dose | CPT 77300 | $132.93 | $28.33 – $139.58 – $1,172.40 30 insurers | $1,172.40 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique | CPT 88112 | $51.51 | $12.44 – $52.35 – $168.31 30 insurers | $168.31 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $103.34 | $99.72 – $141.08 – $1,848.54 30 insurers | $1,848.54 |
| Critical Care, Each Additional 30 Minutes | CPT 99292 | not published | $93.09 – $555.15 – $5,600.00 19 insurers | $1,377.55 |
| Critical Care, First 30-74 Minutes | CPT 99291 | $816.51 | $295.99 – $857.34 – $8,453.00 30 insurers | $3,425.78 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $344.85 | $332.78 – $430.96 – $7,808.57 30 insurers | $7,808.57 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $235.85 | $188.11 – $267.60 – $5,642.64 30 insurers | $5,642.64 |
| Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast | CPT 74174 | $344.85 | $265.43 – $435.23 – $2,292.56 30 insurers | $2,292.56 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $173.38 | $167.31 – $227.42 – $5,406.32 30 insurers | $5,406.32 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $173.38 | $167.31 – $227.42 – $3,850.11 30 insurers | $3,850.11 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $173.38 | $167.31 – $227.42 – $7,466.10 30 insurers | $7,466.10 |
| Ct Scan of Chest With Contrast | CPT 71260 | $173.38 | $167.31 – $225.19 – $6,184.94 30 insurers | $6,184.94 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $103.34 | $99.72 – $135.83 – $5,676.13 30 insurers | $5,676.13 |
| Ct Scan of Face Without Contrast | CPT 70486 | $103.34 | $99.72 – $135.83 – $5,050.61 30 insurers | $5,050.61 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $103.34 | $99.72 – $218.73 – $7,864.48 30 insurers | $7,864.48 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $103.34 | $99.72 – $135.83 – $6,116.61 30 insurers | $6,116.61 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $103.34 | $99.72 – $135.83 – $6,583.93 30 insurers | $6,583.93 |
| Design and Construction of Complex Radiation Treatment Device | CPT 77334 | $370.12 | $56.74 – $377.52 – $3,074.61 30 insurers | $3,074.61 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint | CPT 64635 | $1,930.23 | $694.26 – $1,961.62 – $5,097.60 25 insurers | — |
| Destruction of Precancer Skin Growth, 2-14 Growths | CPT 17003 | not published | $529.00 – $5,788.80 – $50,000.00 11 insurers | — |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (List Separately In Addition To 77065 Or 77066) | HCPCS G0279 | not published | $12.61 – $169.46 – $1,070.99 18 insurers | $1,070.99 |
| Diagnostic Exam of Bladder and Urethra Using An Endoscope | CPT 52000 | $3,592.11 | $250.53 – $3,592.11 – $7,873.00 25 insurers | — |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine | CPT 77080 | $102.92 | $31.86 – $111.74 – $1,100.86 30 insurers | $1,100.86 |
| Emergency Department Visit With High Level of Medical Decision Making | CPT 99285 | $588.67 | $281.81 – $652.80 – $5,600.00 30 insurers | $3,261.73 |
| Emergency Department Visit With Low Level of Medical Decision Making | CPT 99283 | $269.83 | $51.36 – $285.63 – $1,653.46 30 insurers | $1,653.46 |
| Emergency Department Visit With Moderate Level of Medical Decision Making | CPT 99284 | $412.45 | $207.60 – $466.23 – $2,402.74 30 insurers | $2,402.74 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More | CPT 99215 | not published | $65.35 – $398.07 – $1,435.30 19 insurers | $1,435.30 |
| Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More | CPT 99213 | not published | $10.36 – $119.90 – $744.03 19 insurers | $744.03 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More | CPT 99214 | not published | $65.61 – $374.01 – $981.00 19 insurers | $981.00 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More | CPT 99212 | not published | $21.28 – $192.29 – $495.59 19 insurers | $495.59 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report | CPT 88173 | $51.51 | $12.44 – $52.35 – $183.87 30 insurers | $183.87 |
| Exercise Or Drug-Induced Heart Stress Test With Electrocardiogram (Ecg) With Review By Physician | CPT 93018 | not published | $6.69 – $31.19 – $485.00 18 insurers | $77.39 |
| Exercise Or Drug-Induced Heart Stress Test With Electrocardiogram (Ecg) With Supervision By Physician | CPT 93016 | not published | $8.34 – $38.88 – $485.00 18 insurers | $96.47 |
| Hemodialysis Procedure With Physician Evaluation | CPT 90935 | $678.41 | $322.93 – $861.80 – $2,789.26 28 insurers | $2,789.26 |
| Imaging For Evaluation of Swallowing Function | CPT 74230 | $173.38 | $91.06 – $199.51 – $1,387.32 30 insurers | $1,387.32 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $21.89 | $11.74 – $25.81 – $477.08 30 insurers | $477.08 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, At Least 75 Minutes | CPT 99223 | not published | $15.02 – $86.92 – $173.84 18 insurers | $173.84 |
| Injection, Bupivacaine Liposome, 1 Mg | HCPCS C9290 | not published | $94.82 – $578.22 – $1,638.00 13 insurers | $1,638.00 |
| Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve) | CPT 64447 | $3,593.20 | $41.93 – $3,593.20 – $5,129.10 25 insurers | — |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level | CPT 64493 | $3,615.89 | $358.49 – $3,615.89 – $5,160.48 25 insurers | — |
| Insertion of Artery Tube For Blood Sampling Or Infusion Through Skin | CPT 36620 | not published | $92.40 – $748.61 – $50,000.00 19 insurers | $1,069.44 |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $3,121.12 | $200.00 – $3,121.12 – $5,097.60 30 insurers | $4,702.63 |
| Insertion of Tube In Left Lower Heart Chamber and Coronary Artery For Diagnosis With Review By Radiologist | CPT 93458 | $3,208.55 | $2,057.71 – $3,555.89 – $23,816.12 30 insurers | $23,816.12 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $86.02 | $32.21 – $104.90 – $532.60 30 insurers | $532.60 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $103.34 | $87.21 – $128.65 – $1,696.01 30 insurers | $1,696.01 |
| Low Dose Ct Scan of Chest For Lung Cancer Screening | CPT 71271 | $102.92 | $99.32 – $138.45 – $5,676.13 30 insurers | $5,676.13 |
| Microscopic Genetic Analysis of Tumor, Manual | CPT 88360 | $168.41 | $12.44 – $171.47 – $906.59 30 insurers | $906.59 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $344.85 | $332.78 – $452.53 – $11,934.30 30 insurers | $11,934.30 |
| Mri Scan of Brain Without Contrast | CPT 70551 | $235.85 | $202.15 – $287.74 – $7,628.38 30 insurers | $7,628.38 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $235.85 | $196.48 – $279.86 – $7,860.22 30 insurers | $7,860.22 |
| Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect | CPT 78452 | $1,279.74 | $422.34 – $1,314.10 – $8,486.14 30 insurers | $8,486.14 |
| Nuclear Medicine Study From Skull Base To Mid-Thigh With Ct Scan | CPT 78815 | $1,413.48 | $1,094.09 – $1,722.45 – $12,905.53 30 insurers | $12,905.53 |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $51.51 | $12.44 – $68.06 – $1,210.39 30 insurers | $1,210.39 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $354.32 | $19.56 – $360.08 – $1,069.26 30 insurers | $1,069.26 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $51.51 | $12.44 – $57.13 – $507.86 30 insurers | $507.86 |
| Phenylephrine 10.16 Mg/Ml and Ketorolac 2.88 Mg/Ml Ophthalmic Irrigation Solution, 1 Ml | HCPCS J1097 | not published | $284.16 – $1,374.46 – $2,454.40 14 insurers | $2,454.40 |
| Preparation of Tissue For Examination By Removing Any Calcium Present | CPT 88311 | not published | $3.62 – $43.18 – $138.39 18 insurers | $138.39 |
| Protein Measurement, Serum | CPT 84165 | $10.53 | $5.64 – $12.41 – $313.58 30 insurers | $313.58 |
| Removal of Fingernails Or Toenails, 6 Or More Nails | CPT 11721 | $58.31 | $44.17 – $293.22 – $15,595.20 30 insurers | $511.24 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $401.84 | $96.73 – $457.37 – $5,097.60 30 insurers | $3,412.76 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less | CPT 11045 | not published | $161.19 – $1,455.18 – $50,000.00 18 insurers | $1,865.61 |
| Replacement of Knee Joint, Both Sides of Knee | CPT 27447 | $12,673.97 | $1,958.00 – $12,673.97 – $50,000.00 25 insurers | — |
| Replacement of Thigh Bone and Hip Joint With Prosthesis | CPT 27130 | $12,673.97 | $1,958.00 – $12,673.97 – $50,000.00 25 insurers | — |
| Screening 3d Breast Mammography | CPT 77063 | $11.38 | $10.98 – $53.77 – $898.64 30 insurers | $898.64 |
| Special Stained Specimen Slides To Examine Tissue, Each Additional Procedure | CPT 88341 | not published | $16.37 – $381.58 – $946.84 18 insurers | $946.84 |
| Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report | CPT 88313 | $131.51 | $5.94 – $133.65 – $331.61 30 insurers | $331.61 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $168.41 | $12.44 – $171.47 – $946.84 30 insurers | $946.84 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $51.51 | $5.94 – $53.58 – $305.49 30 insurers | $305.49 |
| Test To Determine Lung Volumes Using Sensors | CPT 94726 | $368.86 | $24.58 – $227.59 – $524.80 30 insurers | $284.49 |
| Test To Examine How Well The Lungs Exchange Gases | CPT 94729 | not published | $38.42 – $236.41 – $591.03 18 insurers | $591.03 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $368.86 | $38.71 – $374.86 – $1,436.13 30 insurers | $1,436.13 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | not published | $17.11 – $592.15 – $1,898.55 18 insurers | $1,898.55 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | not published | $26.24 – $665.06 – $2,257.28 19 insurers | $2,257.28 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $235.85 | $88.29 – $255.56 – $3,413.99 30 insurers | $3,413.99 |
| Ultrasound of Heart Blood Flow, Valves and Chambers | CPT 93320 | not published | $29.26 – $706.71 – $1,766.78 18 insurers | $1,766.78 |
| Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up | CPT 93321 | not published | $16.25 – $201.34 – $499.60 18 insurers | $499.60 |
| Ultrasound of Heart, Follow-Up | CPT 93308 | $235.85 | $60.58 – $239.69 – $562.17 30 insurers | $562.17 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $540.12 | $111.12 – $567.73 – $4,903.75 30 insurers | $4,903.75 |
| Ultrasound of Heart With Probe In Esophagus, With Report | CPT 93312 | $540.12 | $114.07 – $550.92 – $8,453.00 30 insurers | $5,124.64 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $103.34 | $99.72 – $141.08 – $1,572.78 30 insurers | $1,572.78 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $235.85 | $134.17 – $261.55 – $3,060.13 30 insurers | $3,060.13 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $103.34 | $82.16 – $121.55 – $1,980.15 30 insurers | $1,980.15 |
| Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes | CPT 99152 | not published | $10.34 – $148.22 – $367.80 18 insurers | $367.80 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $86.02 | $30.40 – $94.80 – $666.20 30 insurers | $666.20 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $86.02 | $34.03 – $94.80 – $2,452.51 30 insurers | $2,452.51 |
| X-Ray of Chest, 1 View | CPT 71045 | $86.02 | $25.73 – $91.06 – $633.75 30 insurers | $633.75 |
| X-Ray of Chest, 2 Views | CPT 71046 | $86.02 | $33.75 – $100.43 – $893.16 30 insurers | $893.16 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $86.02 | $31.92 – $94.80 – $2,470.83 30 insurers | $2,470.83 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $86.02 | $32.98 – $94.80 – $2,452.51 30 insurers | $2,452.51 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $86.02 | $47.78 – $95.57 – $818.73 30 insurers | $818.73 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $86.02 | $31.58 – $94.80 – $1,983.97 30 insurers | $1,983.97 |
| X-Ray of Knee, 3 Views | CPT 73562 | $86.02 | $38.25 – $94.80 – $1,622.35 30 insurers | $1,622.35 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $103.34 | $44.21 – $116.04 – $2,576.97 30 insurers | $2,576.97 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $103.34 | $40.10 – $114.97 – $988.32 30 insurers | $988.32 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $86.02 | $27.72 – $94.80 – $2,448.85 30 insurers | $2,448.85 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $103.34 | $27.36 – $105.93 – $747.96 30 insurers | $747.96 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $86.02 | $31.58 – $94.80 – $1,350.71 30 insurers | $1,350.71 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $86.02 | $35.75 – $97.91 – $1,300.34 30 insurers | $1,300.34 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $86.02 | $37.89 – $95.75 – $2,470.83 30 insurers | $2,470.83 |