Hospital price profile
Southwest General Health Center
18697 Bagley Rd, Middleburg Heights, OH 44130 · 440-816-8000 · Map and directions
| Procedure | Context | Published cash | Comparison | Source |
|---|---|---|---|---|
| Hip replacementHCPCS 27130 · ARTHROPLASTY, ACETABULAR/PROXIMAL FEMORA | INPATIENT / FACILITY1 observed cash value(s) | $3,375.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Knee replacementHCPCS 27447 · ARTHROPLASTY, KNEE/CONDYLE/PLATEAU; MEDI | INPATIENT / FACILITY1 observed cash value(s) | $2,625.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Knee arthroscopyHCPCS 29881 · ARTHROSCOPY, KNEE, SURGICAL; W/ MENISCEC | INPATIENT / FACILITY1 observed cash value(s) | $1,350.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Blood drawCDM 36415 · COLLECTION OF VENOUS BLOOD BY VENIPUNCTU | INPATIENT / FACILITY1 observed cash value(s) | $11.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Blood drawHCPCS 36415 · BMC VENIPUNCTURE | OUTPATIENT / FACILITY2 observed cash value(s) | $30.75MRF range $30.75–$33.75 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| Upper GI endoscopyHCPCS 43235 · UPPER GI ENDOSCOPY; DX (SEP PROC) | INPATIENT / FACILITY1 observed cash value(s) | $337.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Upper GI endoscopy with biopsyCDM 43239 · UPPER GI ENDOSCOPY; W/ BX, SINGLE/MULTIP | INPATIENT / FACILITY1 observed cash value(s) | $337.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| ColonoscopyHCPCS 45378 · COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLEN | INPATIENT / FACILITY1 observed cash value(s) | $262.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Colonoscopy with biopsyHCPCS 45380 · COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLEN | INPATIENT / FACILITY1 observed cash value(s) | $487.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Colonoscopy with polyp removalCDM 45385 · COLONOSCOPY, FLEXIBLE; W/ REMOVAL, LESIO | INPATIENT / FACILITY1 observed cash value(s) | $543.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Gallbladder surgeryCDM 47562 · LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | INPATIENT / FACILITY1 observed cash value(s) | $937.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Inguinal hernia repairHCPCS 49505 · REPAIR, INITIAL INGUINAL HERNIA, AGE 5+; | INPATIENT / FACILITY1 observed cash value(s) | $738.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Carpal tunnel surgeryCDM 64721 · NEUROPLASTY &/OR TRANSPOSITION; MEDIAN N | INPATIENT / FACILITY1 observed cash value(s) | $750.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT headCDM 70450 · CT SCAN, HEAD/BRAIN; W/O CONTRAST MATL | INPATIENT / FACILITY1 observed cash value(s) | $56.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT headHCPCS 70450 · CT SCAN, HEAD/BRAIN; W/O CONTRAST MATL | OUTPATIENT / FACILITY1 observed cash value(s) | $1,287.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT head with contrastHCPCS 70460 · CT BRAIN HEAD W CONT | OUTPATIENT / FACILITY2 observed cash value(s) | $1,494.75MRF range $1,416.00–$1,573.50 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| CT head with/without contrastCDM 70470 · CT SCAN, HEAD/BRAIN; W/O CONTRAST, THEN | INPATIENT / FACILITY1 observed cash value(s) | $82.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT head with/without contrastHCPCS 70470 · CT SCAN, HEAD/BRAIN; W/O CONTRAST, THEN | OUTPATIENT / FACILITY1 observed cash value(s) | $1,571.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI brain without contrastHCPCS 70551 · MRI, BRAIN; W/O CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $93.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI brain without contrastHCPCS 70551 · MRI, BRAIN; W/O CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,136.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI brain with contrastCDM 70552 · MRI, BRAIN; W/ CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $112.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI brain with contrastHCPCS 70552 · MRI, BRAIN; W/ CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,351.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI brainCDM 70553 · MRI, BRAIN; W/O CONTRAST, THEN W/ CONTRA | INPATIENT / FACILITY1 observed cash value(s) | $142.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI brainHCPCS 70553 · MRI, BRAIN; W/O CONTRAST, THEN W/ CONTRA | OUTPATIENT / FACILITY1 observed cash value(s) | $3,366.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Chest X-rayCDM 71046 · IMAGING, CHEST 2 VIEWS | INPATIENT / FACILITY1 observed cash value(s) | $15.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Chest X-rayHCPCS 71046 · IMAGING, CHEST 2 VIEWS | OUTPATIENT / FACILITY1 observed cash value(s) | $273.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT chest without contrastHCPCS 71250 · CT SCAN, THORAX; W/O CONTRAST MATL | INPATIENT / FACILITY1 observed cash value(s) | $75.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT chest without contrastHCPCS 71250 · CT SCAN, THORAX; W/O CONTRAST MATL | OUTPATIENT / FACILITY1 observed cash value(s) | $1,683.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT chestCDM 71260 · CT SCAN, THORAX; W/ CONTRAST MATL(S) | INPATIENT / FACILITY1 observed cash value(s) | $75.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT chestHCPCS 71260 · CT SCAN, THORAX; W/ CONTRAST MATL(S) | OUTPATIENT / FACILITY1 observed cash value(s) | $1,964.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT angiography chestHCPCS 71275 · CT ANGIO CHEST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,196.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI cervical spineHCPCS 72141 · MRI, CERVICAL SPINE; W/O CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $86.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI cervical spineHCPCS 72141 · MRI, CERVICAL SPINE; W/O CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,583.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI thoracic spineCDM 72146 · MRI, THORACIC SPINE; W/O CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $93.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI thoracic spineHCPCS 72146 · MRI, THORACIC SPINE; W/O CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,391.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI lumbar spineHCPCS 72148 · MRI, LUMBAR SPINE; W/O CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $93.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI lumbar spineHCPCS 72148 · MRI, LUMBAR SPINE; W/O CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,152.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Shoulder X-rayHCPCS 73030 · RADIOLOGIC EXAM, SHOULDER; COMPLETE, 2+ | INPATIENT / FACILITY1 observed cash value(s) | $87.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Shoulder X-rayHCPCS 73030 · RADIOLOGIC EXAM, SHOULDER; COMPLETE, 2+ | OUTPATIENT / FACILITY1 observed cash value(s) | $288.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI shoulder / upper jointHCPCS 73221 · MRI JOINT UPR EXT WO CON | OUTPATIENT / FACILITY1 observed cash value(s) | $2,457.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Knee X-rayCDM 73562 · RADIOLOGIC EXAM, KNEE; 3 VIEWS | INPATIENT / FACILITY1 observed cash value(s) | $89.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Knee X-rayHCPCS 73562 · RADIOLOGIC EXAM, KNEE; 3 VIEWS | OUTPATIENT / FACILITY1 observed cash value(s) | $353.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Ankle X-rayHCPCS 73610 · RADIOLOGIC EXAM, ANKLE; COMPLETE, 3+ VIE | INPATIENT / FACILITY1 observed cash value(s) | $48.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Ankle X-rayHCPCS 73610 · RADIOLOGIC EXAM, ANKLE; COMPLETE, 3+ VIE | OUTPATIENT / FACILITY1 observed cash value(s) | $360.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| MRI knee / lower jointHCPCS 73721 · MRI JOINT LWR EXT WO CON | OUTPATIENT / FACILITY1 observed cash value(s) | $2,499.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT abdomen & pelvis without contrastCDM 74176 · CT ABDOMEN PELVIS W/OUT CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $108.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT abdomen & pelvis without contrastHCPCS 74176 · CT ABDOMEN PELVIS W/OUT CONTRAST | OUTPATIENT / FACILITY2 observed cash value(s) | $1,822.12MRF range $1,727.25–$1,917.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| CT abdomen & pelvisCDM 74177 · CT SCAN ABDOMEN AND PELVIS | INPATIENT / FACILITY1 observed cash value(s) | $112.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT abdomen & pelvisHCPCS 74177 · CT SCAN ABDOMEN AND PELVIS | OUTPATIENT / FACILITY2 observed cash value(s) | $2,204.25MRF range $2,204.25–$2,532.75 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| CT abdomen & pelvis with/without contrastCDM 74178 · CT ABDOMEN AND PELVIS. WOUT CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $123.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| CT abdomen & pelvis with/without contrastHCPCS 74178 · CT ABDOMEN AND PELVIS. WOUT CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $2,886.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Breast ultrasoundHCPCS 76641 · US BREAST (R)COMPLETE | OUTPATIENT / FACILITY2 observed cash value(s) | $273.75MRF range $273.75–$479.25 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| Transvaginal ultrasoundCDM 76830 · ECHOGRAPHY, TRANSVAGINAL | INPATIENT / FACILITY1 observed cash value(s) | $165.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Transvaginal ultrasoundHCPCS 76830 · ECHOGRAPHY, TRANSVAGINAL | OUTPATIENT / FACILITY1 observed cash value(s) | $548.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Pelvic ultrasoundCDM 76856 · ECHOGRAPHY, PELVIC, REAL TIME W IMAGE DO | INPATIENT / FACILITY1 observed cash value(s) | $120.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Pelvic ultrasoundHCPCS 76856 · ECHOGRAPHY, PELVIC, REAL TIME W IMAGE DO | OUTPATIENT / FACILITY1 observed cash value(s) | $719.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Diagnostic mammogramHCPCS 77065 · DIGITAL MAMM DIAG UNILAT | OUTPATIENT / FACILITY1 observed cash value(s) | $465.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Screening mammogramHCPCS 77067 · DIGITAL MAMM SCRN BILAT | OUTPATIENT / FACILITY2 observed cash value(s) | $379.87MRF range $291.75–$468.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| Nuclear stress imagingHCPCS 78452 · STRESS TEST MULT VIS SPC | INPATIENT / FACILITY1 observed cash value(s) | $551.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Nuclear stress imagingHCPCS 78452 · STRESS TEST MULT VIS SPC | OUTPATIENT / FACILITY1 observed cash value(s) | $3,345.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Comprehensive metabolic panelCDM 80053 · COMPREHENSIVE METABOLIC PANEL (DO NOT US | INPATIENT / FACILITY1 observed cash value(s) | $48.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Comprehensive metabolic panelHCPCS 80053 · COMPREHENSIVE METABOLIC PANEL (DO NOT US | OUTPATIENT / FACILITY1 observed cash value(s) | $175.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Lipid panelCDM 80061 · LIPID PANEL | INPATIENT / FACILITY1 observed cash value(s) | $45.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Lipid panelHCPCS 80061 · LIPID PANEL | OUTPATIENT / FACILITY1 observed cash value(s) | $114.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| UrinalysisHCPCS 81001 · URINALYSIS AUTO W/SCOPE | OUTPATIENT / FACILITY1 observed cash value(s) | $60.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Vitamin D testHCPCS 82306 · ASSAY OF CALCIFEDIOL (25-OH VITAMIN D-3) | INPATIENT / FACILITY1 observed cash value(s) | $54.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Vitamin D testHCPCS 82306 · ASSAY OF CALCIFEDIOL (25-OH VITAMIN D-3) | OUTPATIENT / FACILITY2 observed cash value(s) | $108.00MRF range $42.75–$173.25 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| Ferritin testHCPCS 82728 · FERRITIN | OUTPATIENT / FACILITY1 observed cash value(s) | $88.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Hemoglobin A1cCDM 83036 · GLYCOSYLATED(A1C) | INPATIENT / FACILITY1 observed cash value(s) | $18.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Hemoglobin A1cHCPCS 83036 · GLYCOSYLATED(A1C) | OUTPATIENT / FACILITY2 observed cash value(s) | $54.37MRF range $22.50–$86.25 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| Iron testHCPCS 83540 · ASSAY OF IRON | INPATIENT / FACILITY1 observed cash value(s) | $9.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Iron testHCPCS 83540 · ASSAY OF IRON | OUTPATIENT / FACILITY1 observed cash value(s) | $60.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| TIBC testHCPCS 83550 · TOTAL IRON BINDING CAPAC | OUTPATIENT / FACILITY1 observed cash value(s) | $63.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| PSA testHCPCS 84153 · PSA TOTAL (ARUP-REF LAB) | OUTPATIENT / FACILITY2 observed cash value(s) | $119.62MRF range $108.00–$131.25 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| TSH testHCPCS 84443 · ASSAY THYROID STIM HORMONE | OUTPATIENT / FACILITY1 observed cash value(s) | $100.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Pregnancy blood testHCPCS 84702 · BETA-HCG QN TUMOR MARKER | OUTPATIENT / FACILITY3 observed cash value(s) | $138.00MRF range $51.00–$180.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| CBC with differentialHCPCS 85025 · COMPLETE CBC W/AUTO DIFF WBC | OUTPATIENT / FACILITY1 observed cash value(s) | $63.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Urine cultureHCPCS 87086 · CULTURE URINE | OUTPATIENT / FACILITY1 observed cash value(s) | $78.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| EKGCDM 93000 · EKG; COMPLETE INT & REPORT | INPATIENT / FACILITY1 observed cash value(s) | $37.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Cardiac stress testHCPCS 93015 · STRESS TEST W/ ECG S&I OFFICE | INPATIENT / FACILITY1 observed cash value(s) | $97.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| EchocardiogramHCPCS 93306 · M-MODE/2D ECHO | INPATIENT / FACILITY2 observed cash value(s) | $300.00MRF range $93.75–$300.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| EchocardiogramHCPCS 93306 · M-MODE/2D ECHO | OUTPATIENT / FACILITY2 observed cash value(s) | $2,190.00MRF range $2,190.00–$2,226.75 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| SpirometryCDM 94010 · SPIROMETRY W/ GRAPHIC RECORD/VITAL CAPAC | INPATIENT / FACILITY1 observed cash value(s) | $41.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| SpirometryHCPCS 94010 · SPIROMETRY W/ GRAPHIC RECORD/VITAL CAPAC | OUTPATIENT / FACILITY1 observed cash value(s) | $321.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Lung diffusion testHCPCS 94729 · DIFFUSION CAPACITY | OUTPATIENT / FACILITY1 observed cash value(s) | $394.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Physical therapy exerciseHCPCS 97110 · THERAPEUTIC EXER EA 15 M | OUTPATIENT / FACILITY1 observed cash value(s) | $145.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
| Manual therapyHCPCS 97140 · SOFT TIS MOBILITY EA 15M | OUTPATIENT / FACILITY3 observed cash value(s) | $147.00MRF range $123.75–$147.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| PT evaluation, low complexityHCPCS 97161 · EVAL LOW COMPLEXITY | OUTPATIENT / FACILITY3 observed cash value(s) | $185.25MRF range $167.25–$185.25 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| PT evaluation, moderate complexityHCPCS 97162 · EVAL MOD COMPLEXITY | OUTPATIENT / FACILITY2 observed cash value(s) | $237.00MRF range $213.75–$237.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-12Confidence 90/100 · ingestion 64cea19e… |
| Therapeutic activitiesHCPCS 97530 · FUNCTIONL ACTIVITY EA15M | OUTPATIENT / FACILITY1 observed cash value(s) | $168.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-12Confidence 100/100 · ingestion 64cea19e… |
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.