Hospital price profile

UH Rainbow Babies & Children's Hospital

2101 Adelbert Rd, Cleveland, OH 44106 · 216-844-5437 · Map and directions

110Published rows
Children's hospitalFacility type
University HospitalsHealth system
2026-10-11Oldest source date
2026-10-17Serving refresh
ProcedureContextPublished cashComparisonSource
Blood drawCPT 36415 · HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGEINPATIENT / FACILITY1 observed cash value(s)$22.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Blood drawCPT 36415 · HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGEOUTPATIENT / FACILITY1 observed cash value(s)$22.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Upper GI endoscopyCPT 43235 · HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTICINPATIENT / FACILITY1 observed cash value(s)$2,624.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Upper GI endoscopyCPT 43235 · HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTICOUTPATIENT / FACILITY1 observed cash value(s)$2,624.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Upper GI endoscopy with biopsyCPT 43239 · HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGDINPATIENT / FACILITY1 observed cash value(s)$2,846.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Upper GI endoscopy with biopsyCPT 43239 · HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGDOUTPATIENT / FACILITY1 observed cash value(s)$2,846.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
ColonoscopyCPT 45378 · HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPYINPATIENT / FACILITY1 observed cash value(s)$2,602.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
ColonoscopyCPT 45378 · HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPYOUTPATIENT / FACILITY1 observed cash value(s)$2,602.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Colonoscopy with biopsyCPT 45380 · HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPYINPATIENT / FACILITY1 observed cash value(s)$2,640.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Colonoscopy with biopsyCPT 45380 · HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPYOUTPATIENT / FACILITY1 observed cash value(s)$2,640.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Colonoscopy with polyp removalCPT 45385 · HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPYINPATIENT / FACILITY1 observed cash value(s)$2,571.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Colonoscopy with polyp removalCPT 45385 · HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPYOUTPATIENT / FACILITY1 observed cash value(s)$2,571.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT headCPT 70450 · HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$1,233.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT headCPT 70450 · HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$1,233.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT head with contrastCPT 70460 · HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRASTINPATIENT / FACILITY1 observed cash value(s)$1,467.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT head with contrastCPT 70460 · HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$1,467.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT head with/without contrastCPT 70470 · HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$1,599.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT head with/without contrastCPT 70470 · HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$1,599.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI brain without contrastCPT 70551 · MRI BRAIN BRAIN STEM W/O CONTRAST MATERIALINPATIENT / FACILITY1 observed cash value(s)$2,243.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI brain without contrastCPT 70551 · MRI BRAIN BRAIN STEM W/O CONTRAST MATERIALOUTPATIENT / FACILITY1 observed cash value(s)$2,243.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI brain with contrastCPT 70552 · HC MRI BRAIN CONTRAST - MR PITUITARY W IV CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,466.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI brain with contrastCPT 70552 · HC MRI BRAIN CONTRAST - MR PITUITARY W IV CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,466.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI brainCPT 70553 · MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIALINPATIENT / FACILITY1 observed cash value(s)$2,614.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI brainCPT 70553 · MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIALOUTPATIENT / FACILITY1 observed cash value(s)$2,614.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Chest X-rayCPT 71046 · HC RADIOLOGIC EXAM CHEST 2 VIEWSINPATIENT / FACILITY1 observed cash value(s)$293.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Chest X-rayCPT 71046 · HC RADIOLOGIC EXAM CHEST 2 VIEWSOUTPATIENT / FACILITY1 observed cash value(s)$293.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT chest without contrastCPT 71250 · HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$1,692.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT chest without contrastCPT 71250 · HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$1,692.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT chestCPT 71260 · HC CAT SCAN OF CHEST CONTRAST - DIAGNOSTIC CT THORAX W/CONTRASTINPATIENT / FACILITY1 observed cash value(s)$1,714.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT chestCPT 71260 · HC CAT SCAN OF CHEST CONTRAST - DIAGNOSTIC CT THORAX W/CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$1,714.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT angiography chestCPT 71275 · HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONTINPATIENT / FACILITY1 observed cash value(s)$2,397.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT angiography chestCPT 71275 · HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONTOUTPATIENT / FACILITY1 observed cash value(s)$2,397.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI cervical spineCPT 72141 · HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,152.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI cervical spineCPT 72141 · HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,152.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI thoracic spineCPT 72146 · HC MRI, DORSAL SPINE - MRI COMPLETE SPINE WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,265.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI thoracic spineCPT 72146 · HC MRI, DORSAL SPINE - MRI COMPLETE SPINE WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,265.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI lumbar spineCPT 72148 · HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,244.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI lumbar spineCPT 72148 · HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,244.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Shoulder X-rayCPT 73030 · HC X-RAY SHOULDER COMPLETE MINIMUM 2 VIEWSINPATIENT / FACILITY1 observed cash value(s)$394.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Shoulder X-rayCPT 73030 · HC X-RAY SHOULDER COMPLETE MINIMUM 2 VIEWSOUTPATIENT / FACILITY1 observed cash value(s)$394.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI shoulder / upper jointCPT 73221 · HC MRI, JOINT UPPER EXTREM - MR BRACHIAL PLEXUS WO IV CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,370.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI shoulder / upper jointCPT 73221 · HC MRI, JOINT UPPER EXTREM - MR BRACHIAL PLEXUS WO IV CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,370.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Knee X-rayCPT 73562 · HC X-RAY KNEE 3 VIEWSINPATIENT / FACILITY1 observed cash value(s)$332.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Knee X-rayCPT 73562 · HC X-RAY KNEE 3 VIEWSOUTPATIENT / FACILITY1 observed cash value(s)$332.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Ankle X-rayCPT 73610 · HC X-RAY ANKLE COMPLETE MINIMUM 3 VIEWSINPATIENT / FACILITY1 observed cash value(s)$393.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Ankle X-rayCPT 73610 · HC X-RAY ANKLE COMPLETE MINIMUM 3 VIEWSOUTPATIENT / FACILITY1 observed cash value(s)$393.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI knee / lower jointCPT 73721 · HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRLINPATIENT / FACILITY1 observed cash value(s)$2,577.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
MRI knee / lower jointCPT 73721 · HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRLOUTPATIENT / FACILITY1 observed cash value(s)$2,577.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT abdomen & pelvis without contrastCPT 74176 · HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,412.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT abdomen & pelvis without contrastCPT 74176 · HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,412.75ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT abdomen & pelvisCPT 74177 · HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,446.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT abdomen & pelvisCPT 74177 · HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,446.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT abdomen & pelvis with/without contrastCPT 74178 · HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRASTINPATIENT / FACILITY1 observed cash value(s)$2,555.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CT abdomen & pelvis with/without contrastCPT 74178 · HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$2,555.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Breast ultrasoundCPT 76641 · HC US BREAST UNI REAL TIME WITH IMAGE COMPLETEOUTPATIENT / FACILITY1 observed cash value(s)$734.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Breast ultrasoundCPT 76641 · HC US BREAST UNI REAL TIME WITH IMAGE COMPLETEINPATIENT / FACILITY1 observed cash value(s)$734.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Transvaginal ultrasoundCPT 76830 · HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINALINPATIENT / FACILITY1 observed cash value(s)$921.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Transvaginal ultrasoundCPT 76830 · HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINALOUTPATIENT / FACILITY1 observed cash value(s)$921.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Pelvic ultrasoundCPT 76856 · HC ECHO,PELVIC (NONOBSTETRIC) - US PELVISINPATIENT / FACILITY1 observed cash value(s)$777.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Pelvic ultrasoundCPT 76856 · HC ECHO,PELVIC (NONOBSTETRIC) - US PELVISOUTPATIENT / FACILITY1 observed cash value(s)$777.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Diagnostic mammogramCPT 77065 · HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNIINPATIENT / FACILITY1 observed cash value(s)$371.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Diagnostic mammogramCPT 77065 · HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNIOUTPATIENT / FACILITY1 observed cash value(s)$371.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Screening mammogramCPT 77067 · HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERALINPATIENT / FACILITY1 observed cash value(s)$377.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Screening mammogramCPT 77067 · HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERALOUTPATIENT / FACILITY1 observed cash value(s)$377.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Nuclear stress imagingCPT 78452 · HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & RESTINPATIENT / FACILITY1 observed cash value(s)$5,776.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Nuclear stress imagingCPT 78452 · HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & RESTOUTPATIENT / FACILITY1 observed cash value(s)$5,776.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Comprehensive metabolic panelCPT 80053 · HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGEINPATIENT / FACILITY1 observed cash value(s)$198.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Comprehensive metabolic panelCPT 80053 · HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGEOUTPATIENT / FACILITY1 observed cash value(s)$198.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Lipid panelCPT 80061 · HC LIPID PANEL - BUNDLED CHARGEINPATIENT / FACILITY2 observed cash value(s)$94.50MRF range $45.75–$143.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Lipid panelCPT 80061 · HC LIPID PANEL - BUNDLED CHARGEOUTPATIENT / FACILITY2 observed cash value(s)$94.50MRF range $45.75–$143.25Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
UrinalysisCPT 81001 · HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGEINPATIENT / FACILITY1 observed cash value(s)$93.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
UrinalysisCPT 81001 · HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGEOUTPATIENT / FACILITY1 observed cash value(s)$93.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Vitamin D testCPT 82306 · HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25INPATIENT / FACILITY2 observed cash value(s)$228.37MRF range $174.75–$282.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Vitamin D testCPT 82306 · HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25OUTPATIENT / FACILITY2 observed cash value(s)$228.37MRF range $174.75–$282.00Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Ferritin testCPT 82728 · HC ASSAY OF FERRITIN - FERRITININPATIENT / FACILITY2 observed cash value(s)$199.50MRF range $156.75–$242.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Ferritin testCPT 82728 · HC ASSAY OF FERRITIN - FERRITINOUTPATIENT / FACILITY2 observed cash value(s)$199.50MRF range $156.75–$242.25Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Hemoglobin A1cCPT 83036 · HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1CINPATIENT / FACILITY2 observed cash value(s)$106.87MRF range $99.00–$114.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Hemoglobin A1cCPT 83036 · HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1COUTPATIENT / FACILITY2 observed cash value(s)$106.87MRF range $99.00–$114.75Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Iron testCPT 83540 · HC ASSAY OF IRON - IRON, LIVER TISSUEINPATIENT / FACILITY2 observed cash value(s)$255.37MRF range $59.25–$451.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Iron testCPT 83540 · HC ASSAY OF IRON - IRON, LIVER TISSUEOUTPATIENT / FACILITY2 observed cash value(s)$255.37MRF range $59.25–$451.50Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
TIBC testCPT 83550 · HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PLINPATIENT / FACILITY1 observed cash value(s)$89.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
TIBC testCPT 83550 · HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PLOUTPATIENT / FACILITY1 observed cash value(s)$89.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
PSA testCPT 84153 · HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSAINPATIENT / FACILITY1 observed cash value(s)$139.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
PSA testCPT 84153 · HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSAOUTPATIENT / FACILITY1 observed cash value(s)$139.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
TSH testCPT 84443 · HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONEINPATIENT / FACILITY1 observed cash value(s)$184.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
TSH testCPT 84443 · HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONEOUTPATIENT / FACILITY1 observed cash value(s)$184.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Pregnancy blood testCPT 84702 · HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOODINPATIENT / FACILITY2 observed cash value(s)$79.12MRF range $69.75–$88.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Pregnancy blood testCPT 84702 · HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOODOUTPATIENT / FACILITY2 observed cash value(s)$79.12MRF range $69.75–$88.50Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
CBC with differentialCPT 85025 · HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGEINPATIENT / FACILITY1 observed cash value(s)$98.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
CBC with differentialCPT 85025 · HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGEOUTPATIENT / FACILITY1 observed cash value(s)$98.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Urine cultureCPT 87086 · HC CULTURE, URINEINPATIENT / FACILITY1 observed cash value(s)$126.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Urine cultureCPT 87086 · HC CULTURE, URINEOUTPATIENT / FACILITY1 observed cash value(s)$126.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
EchocardiogramCPT 93306 · HC TTE W/DOPPLER COMPLETE - TTE COMPLETEINPATIENT / FACILITY1 observed cash value(s)$1,899.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
EchocardiogramCPT 93306 · HC TTE W/DOPPLER COMPLETE - TTE COMPLETEOUTPATIENT / FACILITY1 observed cash value(s)$1,899.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
SpirometryCPT 94010 · HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATORINPATIENT / FACILITY1 observed cash value(s)$420.00InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
SpirometryCPT 94010 · HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOROUTPATIENT / FACILITY1 observed cash value(s)$420.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Lung diffusion testCPT 94729 · HC DIFFUSING CAPACITY - CARBON MONOXIDE DIFFUSING CAPACITYINPATIENT / FACILITY1 observed cash value(s)$529.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Lung diffusion testCPT 94729 · HC DIFFUSING CAPACITY - CARBON MONOXIDE DIFFUSING CAPACITYOUTPATIENT / FACILITY1 observed cash value(s)$529.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Sleep studyCPT 95810 · HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTNDINPATIENT / FACILITY1 observed cash value(s)$6,070.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Sleep studyCPT 95810 · HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTNDOUTPATIENT / FACILITY1 observed cash value(s)$6,070.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Physical therapy exerciseCPT 97110 · HC PT THERAPEUTIC EXERCISESINPATIENT / FACILITY1 observed cash value(s)$134.25InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Physical therapy exerciseCPT 97110 · HC PT THERAPEUTIC EXERCISESOUTPATIENT / FACILITY1 observed cash value(s)$134.25ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Manual therapyCPT 97140 · HC PT MANUAL THER TECH,1+REGIONS,EA 15 MININPATIENT / FACILITY2 observed cash value(s)$131.25MRF range $131.25–$138.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Manual therapyCPT 97140 · HC PT MANUAL THER TECH,1+REGIONS,EA 15 MINOUTPATIENT / FACILITY2 observed cash value(s)$131.25MRF range $131.25–$138.75Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…
PT evaluation, low complexityCPT 97161 · HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINSINPATIENT / FACILITY1 observed cash value(s)$238.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
PT evaluation, low complexityCPT 97161 · HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINSOUTPATIENT / FACILITY1 observed cash value(s)$238.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
PT evaluation, moderate complexityCPT 97162 · HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINSINPATIENT / FACILITY1 observed cash value(s)$238.50InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 100/100 · ingestion e8d7087b…
PT evaluation, moderate complexityCPT 97162 · HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINSOUTPATIENT / FACILITY1 observed cash value(s)$238.50ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-10-11Confidence 100/100 · ingestion e8d7087b…
Therapeutic activitiesCPT 97530 · HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MININPATIENT / FACILITY2 observed cash value(s)$132.75MRF range $132.75–$243.75InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices.2026-10-11Confidence 90/100 · ingestion e8d7087b…
Therapeutic activitiesCPT 97530 · HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MINOUTPATIENT / FACILITY2 observed cash value(s)$132.75MRF range $132.75–$243.75Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked.2026-10-11Confidence 90/100 · ingestion e8d7087b…

About these prices

Every amount on this page comes from the hospital’s machine-readable file and remains tied to its exact billing code, care setting, and billing class. Rows with multiple published amounts show the source range and are not ranked as a single comparable price.