Patient Price Information List

Disclaimer: Curry Health Network determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Curry Health Network has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/18. Curry Health Network charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Asante Three Rivers Medical Ctr

Grants Pass

OR

Ashland Community Hospital

Ashland

OR

Bay Area Hospital

Coos Bay

OR

Coquille Valley Hospital

Coquille

OR

Lake District Hosp & Lng Trm Cr

Lakeview

OR

Providence Medford Medical Ctr

Medford

OR

Rogue Regional Medical Center

Medford

OR

Southern Coos Hosp & Hlth Ctr

Bandon

OR

Sutter Coast Hospital

Crescent City

CA

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$2,095
$2,526

17% lower than market

Semi-Private Room

$2,095
$2,499

16% lower than market

Intensive Care Unit

$3,508
$4,675

25% lower than market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Critical Care, Each Additional 30 Minutes

$515
$617

17% lower than market

Emergency Critical Care, First 30 Minutes

$1,866
$2,159

14% lower than market

Emergency Department Visit - Level 1

$172
$276

38% lower than market

Emergency Department Visit - Level 2

$312
$395

21% lower than market

Emergency Department Visit - Level 3

$548
$680

19% lower than market

Emergency Department Visit - Level 4

$889
$1,114

20% lower than market

Emergency Department Visit - Level 5

$1,302
$1,941

33% lower than market

Established patient office or other outpatient visit, typically 10 minutes

$106
$81

31% higher than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Gait Training - 15 Minutes

$98
$92

7% higher than market

Physical Therapy, complex evaluation

$239
$272

12% lower than market

Physical Therapy, standard evaluation

$239
$243

2% lower than market

PT Evaluation - Moderate Complexity

$239
$255

6% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$114
$121

6% lower than market

Physical Therapy 1 or More Regions (15 min)

$93
$104

10% lower than market

Physical Therapy Exercise, 15 Minutes

$114
$105

9% higher than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy, complex evaluation

$225
$414

46% lower than market

Occupational Therapy, standard evaluation

$225
$298

25% lower than market

Occupational Therapy Evaluation - Moderate Complexity

$225
$321

30% lower than market

Self Care - Home Management Training - 15 Minutes

$126
$108

16% higher than market

Therapeutic Activities Involving Functional Activities (15 min)

$127
$109

17% higher than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Aerosol Treatment

$103
$150

31% lower than market

Holter Testing - 48-Hour EKG

$227
$853

73% lower than market

Routine EKG - Minimum 12 Leads

$156
$247

37% lower than market

Spirometry - medicated breathing procedure

$350
$617

43% lower than market

Stress Test

$508
$785

35% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production and Language Comprehenson

$191
$381

50% lower than market

Speech Therapy

$250
$393

36% lower than market

Swallow Evaluation

$158
$309

49% lower than market

Swallow Treatment

$165
$261

37% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Albumin Level

$50
$30

65% higher than market

Ammonia Level

$78
$195

60% lower than market

Amylase

$51
$52

2% lower than market

Bacterial Blood Culture

$127
$249

49% lower than market

Basic Metabolic Panel

$73
$45

62% higher than market

Bilirubin Level; Direct

$39
$30

32% higher than market

Blood Creatinine

$50
$32

55% higher than market

Blood Glucose Level Test

$38
$46

17% lower than market

Blood Potassium Level

$39
$73

46% lower than market

Blood Sodium Level

$50
$75

33% lower than market

Blood Typing, ABO

$33
$30

10% higher than market

Blood Typing, Rh (D)

$22
$31

28% lower than market

Blood Unit Compatibility Test; Immediate Spin Technique

$130
$147

11% lower than market

Blood gases measurement

$127
$494

74% lower than market

Calcium Level

$36
$26

37% higher than market

Chemical analysis of stone

$54
$138

61% lower than market

Cholesterol Level

$40
$41

3% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$127
$235

46% lower than market

Complete Blood Count

$52
$35

49% higher than market

Complete Blood Count/Differential

$61
$49

24% higher than market

Comprehensive Metabolic Panel

$100
$69

45% higher than market

Creatine Kinase

$58
$50

17% higher than market

Creatine Kinase Level

$107
$111

4% lower than market

Creatinine Level to Test for Kidney Function

$39
$28

39% higher than market

Detection test for clostridium difficile

$229
$158

45% higher than market

Detection test for giardia; immunoassay technique

$93
$52

78% higher than market

Digoxin Level

$80
$73

10% higher than market

Drug Test(s) by Chemistry Analyzer

$200
$230

13% lower than market

Electrolyte Panel

$56
$44

28% higher than market

Ferritin

$74
$63

18% higher than market

Glutamyltransferase Level

$52
$43

20% higher than market

Gonadotropin Analysis

$50
$129

61% lower than market

Hemoglobin A1c

$69
$52

32% higher than market

Hemoglobin Measurement

$22
$34

35% lower than market

Iron Binding Capacity

$52
$46

13% higher than market

Iron Level

$39
$38

2% higher than market

Ketone bodies analysis, qualtitative

$53
$40

32% higher than market

Kidney Function Blood Test Panel

$86
$55

57% higher than market

LDL cholesterol level

$48
$46

5% higher than market

Lactate Dehydrogenase

$40
$44

9% lower than market

Lactic Acid

$116
$163

29% lower than market

Lipase

$42
$149

72% lower than market

Lipid Panel

$84
$61

39% higher than market

Liver Enzyme (SGOT) Level

$43
$34

25% higher than market

Liver Enzyme (SGPT) Level

$43
$38

14% higher than market

Liver Panel

$86
$49

74% higher than market

Magnesium Level

$58
$77

25% lower than market

Measurement C-reactive protein

$40
$37

7% higher than market

Natriuretic Peptide

$189
$245

23% lower than market

Partial Thromblostatin Time, Activated

$68
$113

40% lower than market

Phenytoin Level

$78
$119

34% lower than market

Platelet count, automated test

$36
$22

62% higher than market

Prothrombin Time

$35
$35

1% lower than market

Red blood cells, irradiated, each unit

$321
$307

5% higher than market

Screening Test for Red Blood Cell Antibodies

$60
$63

4% lower than market

Screening test for Pathogenic Organisms

$75
$79

5% lower than market

Screening test for mononucleosis (mono)

$37
$25

50% higher than market

Smear for infectious agents

$44
$51

15% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$51
$30

72% higher than market

Special stained specimen slides to examine tissue

$154
$190

19% lower than market

Special stained specimen slides to identify organisms including interpretation and report

$116
$173

33% lower than market

Stool analysis for blood

$45
$52

13% lower than market

Stool analysis for blood to screen for colon tumors

$29
$33

13% lower than market

Surgical Pathology, Intermediate Complexity

$155
$226

31% lower than market

Surgical Pathology, Moderate Complexity

$172
$387

56% lower than market

Thyroglobulin (thyroid protein) antibody measurement

$122
$79

55% higher than market

Thyroid Stimulating Hormone (TSH)

$102
$83

22% higher than market

Thyroxine

$59
$49

20% higher than market

Tissue or Cell Analysis by Immunologic Technique

$162
$218

26% lower than market

Total Protein Level, Body Fluid

$42
$90

54% lower than market

Total Protein Level, Urine

$43
$32

34% higher than market

Triglycerides Level

$39
$43

10% lower than market

Troponin

$153
$175

12% lower than market

Tuberculosis Test

$353
$241

46% higher than market

Urea Nitrogren

$39
$30

29% higher than market

Uric Acid Level, Blood

$49
$35

40% higher than market

Urinalysis with Examination, using Microscope

$50
$44

13% higher than market

Urinalysis, Automated Test

$50
$33

52% higher than market

Urine Pregnancy Test

$60
$87

31% lower than market

Urine Volume Measurement

$19
$17

14% higher than market

Urine microalbumin (protein) analysis

$49
$47

5% higher than market

Vancomycin Level

$106
$146

27% lower than market

Vitamin D-3 Level

$102
$89

15% higher than market

White blood cell measure, stool specimen

$35
$26

31% higher than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Heart rhythm symptom-related tracing of 24-hour EKG monitoring up to 30 days

$201
$369

46% lower than market

Hydration Infusion into a Vein

$59
$216

73% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$238
$476

50% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$103
$200

49% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$385
$527

27% lower than market

Infusion of chemotherapy into a vein

$101
$285

65% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$57
$117

51% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$45
$150

70% lower than market

Irrigation of implanted venous access drug delivery device

$112
$136

18% lower than market

Overnight measurement of oxygen saturation in blood using ear or finger device

$244
$294

17% lower than market

Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session

$235
$210

12% higher than market

Therapeutic removal of whole blood to correct blood level imbalance

$121
$233

48% lower than market

Ventilation assist and management; hospital inpatient/observation, initial day

$1,587
$3,185

50% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Colonoscopy on High Cancer Risk Patient

$2,867
$2,264

27% higher than market

Crushing of stone in urinary duct (ureter) with stent using an endoscope

$12,368
$12,034

3% higher than market

Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder can

$4,386
$9,915

56% lower than market

Destruction and/or removal of large growths of the bladder using an endoscope

$13,719
$11,680

17% higher than market

Destruction of lower or sacral spinal facet joint nerves using imaging guidance

$1,279
$2,069

38% lower than market

Destruction of lower or sacral spinal facet joint nerves with imaging guidance

$193
$650

70% lower than market

Destruction of upper or middle spinal facet joint nerves using imaging guidance

$1,279
$1,409

9% lower than market

Destruction of upper or middle spinal facet joint nerves with imaging guidance

$219
$494

56% lower than market

Hospital Observation per Hour

$88
$122

28% lower than market

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

$281
$269

4% higher than market

Injection of anesthetic agent, other peripheral nerve or branch

$244
$595

59% lower than market

Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg

$90
$56

62% higher than market

Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level

$1,043
$1,490

30% lower than market

Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level

$201
$479

58% lower than market

Injection(s) of joint with fluoroscopy or CT; lumbar or sacral; single level

$1,043
$1,624

36% lower than market

Injection(s) of joint with fluoroscopy or CT; lumbar or sacral; second level

$166
$541

69% lower than market

Injection(s) of joint with fluoroscopy or CT; lumbar or sacral; third and additional levels

$166
$500

67% lower than market

Injection(s) of joint with fluoroscopy or CT, cervical or thoracic; single level

$1,043
$1,328

21% lower than market

Injection(s) of joint with fluoroscopy or CT, cervical or thoracic; second level

$193
$370

48% lower than market

Injection(s) of joint with fluoroscopy or CT, cervical or thoracic; third or additional levels

$290
$413

30% lower than market

Low Osmolar Contrast Material, 300-399 mg/ml Iodine Concentration

$1
$1

7% lower than market

Prostate Cancer Screening Test

$97
$81

19% higher than market

Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day

$212
$260

19% lower than market

Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries

$405
$450

10% lower than market

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

$100
$96

4% higher than market

Technetium tc-99m sestamibi, diagnostic, per study dose

$303
$366

17% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$81
$76

7% higher than market

Chemotherapy Infustion - Up to 1 Hour

$434
$655

34% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$201
$230

13% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$58
$194

70% lower than market

Tetanus Vaccine

$187
$174

8% higher than market

Administration of Influenza Virus Vaccine

$22
$62

65% lower than market

Administration of Pneumococcal Vaccine

$26
$57

55% lower than market

Atezolizumab - 1200 mg

$6
$7

16% lower than market

Injection, Cefazolin Sodium, 500 mg

$14
$39

64% lower than market

Injection, Ceftriaxone Sodium, per 250 mg

$7
$19

62% lower than market

Injection, Enoxaparin Sodium, 10 mg

$9
$29

70% lower than market

Injection, Hydromorphone, Up to 4 mg

$28
$57

51% lower than market

Injection, Ketorolac Tromethamine, per 15 mg

$14
$46

69% lower than market

Injection, Lorazepam, 2 mg

$28
$52

46% lower than market

Injection, Midazolam Hydrochloride, per 1 mg

$14
$31

55% lower than market

Injection, Morphine Sulfate, up to 10 mg

$28
$59

52% lower than market

Injection, Ondansetron Hydrochloride, per 1 mg

$7
$14

49% lower than market

Injection, Piperacillin Sodium/Tazobactam (1.125 grams)

$9
$29

68% lower than market

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

$84
$123

32% lower than market

Injection, alteplase recombinant, 1 mg

$147
$359

59% lower than market

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

$15
$32

54% lower than market

Injection, daptomycin, 1 mg

$4
$4

Approximately equal to market

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

$22
$28

23% lower than market

Injection, denosumab, 1 mg

$49
$60

18% lower than market

Injection, epoetin alfa, (for non-esrd use), 1000 units

$54
$61

11% lower than market

Injection, garamycin, gentamicin, up to 80 mg

$28
$56

50% lower than market

Injection, haloperidol, up to 5 mg

$28
$59

52% lower than market

Injection, infliximab, excludes biosimilar, 10 mg

$283
$322

12% lower than market

Injection, octreotide, depot form for intramuscular injection, 1 mg

$499
$568

12% lower than market

Injection, pegfilgrastim, 6 mg

$12,885
$17,166

25% lower than market

Injection, propofol, 10 mg

$1
$9

85% lower than market

Injection, regadenoson, 0.1 mg

$227
$322

30% lower than market

Leuprolide acetate (for depot suspension), 7.5 mg

$635
$1,810

65% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Arterial Puncture

$44
$108

59% lower than market

CO Diffusion Capacity

$219
$312

30% lower than market

Nebulizer Treatment

$98
$225

56% lower than market

Thoracic Gas Volume

$175
$254

31% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Colorectal Cancer Screening; Colonoscopy on Non-High Risk Patient

$1,260
$2,466

49% lower than market

Application of long arm splint (shoulder to hand)

$243
$306

21% lower than market

Aspiration and/or injection: intermediate joint/bursa

$138
$454

70% lower than market

Aspiration and/or injection: large joint/bursa

$156
$247

37% lower than market

Biopsy and/or removal of polyp of the uterus using an endoscope

$3,289
$6,809

52% lower than market

Biopsy of Large Bowel, Using an Endoscope

$1,260
$2,178

42% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$451
$2,387

81% lower than market

Colonscopy

$2,867
$1,984

44% higher than market

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope

$341
$847

60% lower than market

Dilation of bladder canal (urethra) using an endoscope

$3,289
$7,343

55% lower than market

Drainage of Abscess

$335
$347

4% lower than market

Drainage of blood or fluid accumulation

$258
$3,279

92% lower than market

Gallbladder Removal Using an Endoscope

$7,677
$11,611

34% lower than market

Incision of tendon covering

$2,192
$2,938

25% lower than market

Injection of radioactive dye for X-ray identification of lymph node

$205
$792

74% lower than market

Injection(s) of diagnostic or therapeutic substance(s)

$1,043
$2,002

48% lower than market

Injections of large bowel using an endoscope

$695
$1,162

40% lower than market

Injections of trigger points in 1 or 2 muscles

$145
$180

20% lower than market

Insertion of Breathing Tube Using an Endoscope

$363
$638

43% lower than market

Insertion of Indwelling Bladder Catheter

$126
$400

69% lower than market

Insertion of Needle into Vein to Collect Blood

$30
$21

45% higher than market

Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older

$455
$1,414

68% lower than market

Insertion of stent in urinary duct (ureter) using an endoscope

$468
$5,245

91% lower than market

Insertion of temporary bladder catheter

$126
$166

24% lower than market

Partial removal of collar bone at shoulder using an endoscope

$1,452
$7,084

80% lower than market

Release and/or relocation of median nerve of hand

$3,289
$4,966

34% lower than market

Removal impacted cerumen using irrigation/lavage, unilateral

$30
$49

39% lower than market

Removal of Polyps in Large Bowel, Using an Endoscope

$829
$1,941

57% lower than market

Removal of both knee cartilages using an endoscope

$4,386
$6,548

33% lower than market

Extracapsular cataract removal with insertion of intraocular lens prosthesis; complex

$2,250
$4,542

50% lower than market

Extracapsular cataract removal with insertion of intraocular lens prosthesis

$1,750
$3,654

52% lower than market

Removal of deep bone implant

$3,289
$9,703

66% lower than market

Removal of growth (4.0 centimeters) of the trunk, arms, or legs

$281
$739

62% lower than market

Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs

$1,610
$3,970

59% lower than market

Removal of one knee cartilage using an endoscope

$3,289
$6,396

49% lower than market

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope; with hot biopsy forceps; snare technique

$563
$563

Approximately equal to market

Repair of Wound (2.6 to 7.5 centimeters)

$238
$412

42% lower than market

Repair of shoulder rotator cuff using an endoscope

$6,580
$6,496

1% higher than market

Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs

$202
$610

67% lower than market

Shock wave crushing of kidney stones

$5,786
$8,078

28% lower than market

Transfusion of Blood or Blood Products

$692
$836

17% lower than market

Ultrasound measurement of bladder capacity after voiding

$114
$158

28% lower than market

Simple wound repair of face, including ears; 2.5 cm or less

$346
$337

3% higher than market

Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less

$372
$420

11% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

Ultrasound Blood Flow Outside the Brain

$1,168
$1,225

5% lower than market

Ultrasound Heart

$1,801
$1,990

10% lower than market

Ultrasound Veins of Both Arms or Legs

$1,226
$1,268

3% lower than market

Ultrasound Veins of One Arm or Leg

$887
$874

1% higher than market

Ultrasound of Arteries of Both Legs

$1,385
$1,086

28% higher than market

Ultrasound of Arteries of One Leg

$844
$685

23% higher than market

Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow

$1,058
$1,247

15% lower than market

Physical Therapy, ultrasound therapy

$93
$62

49% higher than market

3 Phase Bone Scan

$1,680
$1,841

9% lower than market

Bone Density Scan (DEXA Scan)

$598
$481

24% higher than market

Breast Ultrasound - Complete

$331
$366

9% lower than market

Breast Ultrasound - Limited

$277
$304

9% lower than market

CT Abdomen & Pelvis with Contrast

$3,609
$3,583

1% higher than market

CT Abdomen & Pelvis with and without Contrast

$4,403
$4,375

1% higher than market

CT Abdomen & Pelvis without Contrast

$3,078
$2,724

13% higher than market

CT Abdomen with Contrast

$1,834
$1,996

8% lower than market

CT Abdomen with and without Contrast

$2,225
$2,281

2% lower than market

CT Abdomen without Contrast

$1,512
$1,483

2% higher than market

CT Angiogram Chest with and without Contrast

$2,995
$3,029

1% lower than market

CT Angiogram Head with and without Contrast

$2,671
$2,877

7% lower than market

CT Angiogram Neck with and without Contrast

$2,446
$2,829

14% lower than market

CT Chest with Contrast

$1,831
$2,125

14% lower than market

CT Chest without Contrast

$1,544
$1,672

8% lower than market

CT Face with Contrast

$1,515
$1,841

18% lower than market

CT Face without Contrast

$1,213
$1,339

9% lower than market

CT Head Brain with and without Contrast

$1,859
$2,517

26% lower than market

CT Head Brain without Contrast

$1,300
$1,534

15% lower than market

CT Leg without Contrast

$1,338
$1,685

21% lower than market

CT Neck with Contrast

$1,515
$2,224

32% lower than market

CT Neck with and without Contrast

$2,812
$2,989

6% lower than market

CT Neck without Contrast

$1,298
$1,878

31% lower than market

CT Pelvis without Contrast

$1,566
$1,691

7% lower than market

CT Scan of Abdominal Aorta and Both Leg Arteries with Contrast

$3,758
$3,329

13% higher than market

CT Spine Cervical without Contrast

$1,568
$2,031

23% lower than market

CT Spine Lumbar without Contrast

$1,570
$1,927

19% lower than market

CT Spine Thoracic without Contrast

$1,532
$1,956

22% lower than market

Cardiac Nuclear Stress Testing

$2,406
$3,795

37% lower than market

Chest X-Ray; 2 Views

$210
$282

26% lower than market

Chest X-Ray; Single View

$165
$223

26% lower than market

Diagnostic mammography, bilateral

$508
$435

17% higher than market

Diagnostic mammography, unilateral

$435
$315

38% higher than market

Imaging for Evaluation of Swalling Function

$319
$536

41% lower than market

Imaging guidance for procedure, up to 1 hour

$362
$560

35% lower than market

Imaging of Abdomen and Chest

$261
$421

38% lower than market

Imaging of Abdomen; 2 Views

$206
$323

36% lower than market

Imaging of Abdomen; Single View

$212
$236

10% lower than market

Imaging of urinary tract

$730
$667

9% higher than market

MRI Abdomen with and without Contrast

$5,399
$3,970

36% higher than market

MRI Abdomen without Contrast

$2,671
$2,482

8% higher than market

MRI Arm Joint without Contrast

$2,350
$2,322

1% higher than market

MRI Arm without Contrast

$2,469
$2,542

3% lower than market

MRI Brain with and without Conrast

$5,432
$4,119

32% higher than market

MRI Brain without Contrast

$2,389
$2,429

2% lower than market

MRI Leg Joint without Contrast

$1,883
$2,094

10% lower than market

MRI Leg with and without Contrast

$5,193
$4,085

27% higher than market

MRI Leg without Contrast

$2,469
$2,215

11% higher than market

MRI Orbit, Face, Neck with and without Contrast

$2,309
$3,672

37% lower than market

MRI Pelvis with and without Contrast

$5,067
$4,152

22% higher than market

MRI Pelvis without Contrast

$2,400
$2,566

6% lower than market

MRI Spine Cervical with and without Contrast

$5,194
$4,023

29% higher than market

MRI Spine Cervical without Contrast

$2,285
$2,468

7% lower than market

MRI Spine Lumbar without Contrast

$2,578
$2,500

3% higher than market

MRI Spine Thoracic without Contrast

$2,334
$2,543

8% lower than market

Nuclear Medicine Study of Heart Wall Motion at Rest or with Stress

$1,128
$1,683

33% lower than market

Radiologic examination, abdomen; 3 or more views

$225
$219

3% higher than market

Screening Mammography, Bilateral

$391
$340

15% higher than market

Stomach emptying study

$1,388
$1,786

22% lower than market

Ultrasound Abdomen - Complete

$699
$874

20% lower than market

Ultrasound Abdomen - Limited

$439
$545

19% lower than market

Ultrasound Behind Abdominal Cavity - Complete

$558
$783

29% lower than market

Ultrasound Behind Abdominal Cavity - Limited

$416
$490

15% lower than market

Ultrasound Guidance for Insertion of Needle

$135
$642

79% lower than market

Ultrasound Head Neck

$433
$594

27% lower than market

Ultrasound Joint Soft Tissue - Limited

$418
$332

26% higher than market

Ultrasound Pelvis

$467
$650

28% lower than market

Ultrasound Pelvis through Vagina

$490
$452

8% higher than market

Ultrasound Scrotum

$451
$535

16% lower than market

Ultrasound of pelvis

$166
$419

60% lower than market

Ultrasound, abdominal aorta, real time with image documenation, screening study for abdominal aortic aneurysm (AAA)

$525
$371

42% higher than market

Whole Body Bone Scan

$1,207
$1,683

28% lower than market

X-Ray Ankle, 2 Views

$166
$249

33% lower than market

X-Ray Ankle, 3 Views

$212
$307

31% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$322
$387

17% lower than market

X-Ray Both Hips and Pelvis, 3-4 Views

$322
$392

18% lower than market

X-Ray Collar Bone

$170
$282

40% lower than market

X-Ray Elbow, 3 Views

$185
$312

41% lower than market

X-Ray Esophagus

$341
$420

19% lower than market

X-Ray Femus, 2 Views

$269
$283

5% lower than market

X-Ray Fingers, 2 Views

$187
$219

14% lower than market

X-Ray Foot, 2 Views

$164
$233

30% lower than market

X-Ray Foot, 3 Views

$212
$288

26% lower than market

X-Ray Forearm, 2 Views

$179
$268

33% lower than market

X-Ray Hand, 2 Views

$173
$271

36% lower than market

X-Ray Hand, 3 Views

$212
$285

26% lower than market

X-Ray Heel, 2 Views

$164
$281

42% lower than market

X-Ray Hip and Pelvis, 1 View

$173
$319

46% lower than market

X-Ray Hip and Pelvis, 2 Views

$269
$257

5% higher than market

X-Ray Knee, 1-2 Views

$173
$240

28% lower than market

X-Ray Knee, 3 Views

$230
$266

13% lower than market

X-Ray Knee, 4 or More Views

$255
$292

13% lower than market

X-Ray Lower Leg, 2 Views

$194
$260

25% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$223
$312

28% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$303
$524

42% lower than market

X-Ray Middle Spine, 3 Views

$217
$354

39% lower than market

X-Ray Neck Soft Tissue

$135
$233

42% lower than market

X-Ray Neck Spine, 2-3 Views

$168
$316

47% lower than market

X-Ray Pelvis, 1-2 Views

$173
$222

22% lower than market

X-Ray Pelvis, 2 Views

$225
$312

28% lower than market

X-Ray Ribs One Side, 2 Views

$202
$300

33% lower than market

X-Ray Sacroiliac Joints, 3 or More Views

$245
$249

1% lower than market

X-Ray Shoulder Blade

$182
$319

43% lower than market

X-Ray Shoulder, 2 Views

$189
$268

29% lower than market

X-Ray Toes, 2 Views

$170
$223

24% lower than market

X-Ray Upper Arm, 2 Views

$192
$266

28% lower than market

X-Ray Upper Spine, 4-5 Views

$362
$476

24% lower than market

X-Ray Wrist, 2 Views

$173
$233

26% lower than market

X-Ray Wrist, 3 Views

$212
$284

25% lower than market

X-Ray of Middle Spine; 3 Views

$282
$328

14% lower than market

X-ray Ribs One Side, Minimum 3 Views

$289
$320

10% lower than market

X-ray lower and sacral spine including bending views minimum 6 views

$460
$504

9% lower than market

X-ray of bones of face, minimum of 3 views

$218
$284

23% lower than market

X-ray of bones of nose, minimum of 3 views

$143
$177

19% lower than market

X-ray of breast bone, minimum of 2 views

$225
$297

24% lower than market

X-ray of paranasal sinus, complete, minimum of 3 views

$212
$373

43% lower than market

X-ray of skull, less than 4 views

$192
$296

35% lower than market

X-ray of upper digestive tract with contrast

$482
$553

13% lower than market

X-ray survey of forearm or wrist bone density

$492
$704

30% lower than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Abnormal or Irregular Heartbeat with complications

$9,457
$21,455

56% lower than market

Abnormal or Irregular Heartbeat without complications

$6,922
$15,271

55% lower than market

Acute & subacute endocarditis with complications

$15,807
$31,391

50% lower than market

Atherosclerosis without major complications

$5,548
$17,422

68% lower than market

Cardiac arrhythmia & conduction disorders with major complications

$25,859
$31,566

18% lower than market

Heart Failure with complications