Pricing Information

UMC Pricing Information
Diagnostic Tests & Outpatient Procedures

When comparing charges with other hospitals or provider practices, it is important to understand their charges may or may not include both the hospital and the doctor or other provider services. Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles).

The services you receive from your provider are based on your individual need and medical condition. Actual charges will vary based on services delivered and medical condition. Additional tests or services not listed in the estimate may be ordered by your doctor or provider, in order to treat, diagnose or care for individual needs.

CT Scan
DescriptionPriceCPT Code
CT ABD & PELVIS ANGIOGRAPHY$788674174
CT ABD & PELVIS W CONTRAST$347874177
CT ABD & PELVIS W WO CONTRAST$387774178
CT ABD & PELVIS WO CONTR$224874176
CT OF THE CERVICAL SPINE WITHOUT CONTRAST$253772125
CT CHEST ANGIOGRAPHY WO CONTR$629671275
CT OF THE CHEST WITH CONTRAST$303871260
CT CHEST WO CONTR$253771250
CT GASTROVIEW MD PER ML ORAL$3Q9963
CT HEAD ANGIOGRAPHY$475470496
CT OF THE HEAD WITHOUT CONTRAST$216170450
CT L E WO CONTR$219973700
CT L SPINE W CONTRAST$303872132
CT L SPINE WO CONTR$253772131
CT OF THE FACE AND JAW WITHOUT CONTRAST$216170486
CT NECK ANGIOGRAPHY$475470498
CT NECK W CONTRAST$285270491
CT OF THE PELVIS WITHOUT CONTRAST$253772192
CT T SPINE W CONTRAST$303872129
CT T SPINE WO CONTR$253772128
 
MRI/MRA
DescriptionPriceCPT Code
MRA OF THE HEAD WITHOUT CONTRAST$172170544
MRA NECK WO CONTR$301170547
MRI ABDOMEN W WO CONTRAST$613674183
MRI ABDOMEN WO CONTR$240774181
MRI OF THE BRAIN WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE BRAIN WITH CONTRAST$606670553
MRI OF THE BRAIN WITHOUT CONTRAST$273270551
MRI BRAIN WO CONTR + MRA HEAD WO CONTR$574270551
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE CERVICAL SPINE WITH CONTRAST$534972156
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST$267372141
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE LUMBAR SPINE WITH CONTRAST$534972158
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST$267372148
MRI LOWER EXTREM JOINT W CONTRAST$288873722
MRI OF THE TOE, ANKLE, OR KNEE WITHOUT CONTRAST$240773721
MRI LOWER EXTREM W WO CONTRAST$365373720
MRI LOWER EXTREM WO CONTR$275573718
MRI PELVIS W WO CONTRAST$613672197
MRI T SPINE W WO CONTRAST$534972157
MRI OF THE THORACIC SPINE WITHOUT CONTRAST$267372146
MRI OF THE SHOULDER, ELBOW, WRIST, OR FINGERS WITHOUT CONTRAST$240773221
MRSA BY PCR$36787641
 
Ultrasound
DescriptionPriceCPT Code
ULTRASOUND OF THE RETROPERITONEUM -- ALL AREAS OF THE RETROPERITONEUM$95076700
ULTRASOUND OF THE RETROPERITONEUM -- PARTIAL AREA OF THE KIDNEYS AND ABDOMINAL AORTA$95076705
US ASPIRATION NEEDLE W IMAGE$164410022
US BIOPSY LIVER NDL$387847000
US BREAST UNILAT COMPLETE$42476641
US BREAST UNILAT LIMITED$42476642
US DUPLEX ARTERIAL FLOW COMPLETE$149693975
US ENCEPHALOGRAM B$60976506
ULTRASOUND USED TO GUIDE THE NEEDLE DURING A NEEDLE BIOPSY OF NEEDLE ASPIRATION$116176942
US GUIDE VASCULAR ACCESS (RRT)$19376937
US HEAD NECK SOFT TISSUE$95076536
US INTRAOPERATIVE$78076998
US PARACENTESIS$194149083
ULTRASOUND OF THE PELVIS$91676856
ULTRASOUND OF THE ABDOMEN -- ALL AREAS OF THE ABDOMEN$95076770
US TESTICULAR/SCROTAL$95076870
US THORACENTESIS W IMAGING$200432555
US TRANSVAGINAL$91676830
ULTRASOUND OF THE VAGINAL TRACT$91676830
ULTRASOUND OF A PREGNANT UTERUS$58476817
 
X-Ray
DescriptionPriceCPT Code
X-RAY OF THE ABDOMEN -- FRONT VIEW $21974000
X-RAY OF THE ANKLE MINIMUM OF 3 VIEWS$44273610
X-RAY OF THE CHEST FRONT VIEW ONLY$30071010
X-RAY OF THE CHEST FRONT AND SIDE VIEW$30071020
XR DEXA AXIAL SKELETON$74177080
XR ELBOW COMPLETE 3+$44273080
XR FEMUR 2+ VIEW$40973552
X-RAY OF THE FOOT MINIMUM OF 3 VIEWS$44273630
XR FOREARM AP LAT$44273090
X-RAY OF THE HAND MINIMUM OF 3 VIEWS$44273130
XR HIP UNILAT 2-3 VIEW$24873502
XR HUMERUS (RAD)$44273060
X-RAY OF THE KNEE 3 VIEWS$44273562
XR KNEE AP LAT$44273560
XR LUMBAR SPINE 2 OR 3 VIEWS (RAD)$44272100
MAMMOGRAM SCREENING -- BOTH BREASTS$679G0202
X-RAY OF THE PELVIS ONE OR TWO VIEWS$44272170
X-RAY OF THE SHOULDER MINIMUM 2 VIEWS$44273030
XR TIB FIB AP LAT$44273590
XR WRIST COMPLETE 3+$44273110
 
Lab
DescriptionPriceCPT Code
CBCD -- COMPLETE BLOOD COUNT WITH DIFFERENTIAL$12985025
BMP $16980048
MANUAL DIFFERENTIAL ONLY$6585007
BLOOD GAS (RT)$27982803
BLOOD TYPING SEROLOGIC ABO$4886900
BLOOD TYPING SEROLOGIC RH(D)$4886901
CAPILLARY BLOOD DRAW (GLBL)$4636416
CBC -- COMPLETE BLOOD COUNT ONLY$11085027
CENTRAL LINE BLOOD DRAW (GLBL)$30636591
CMP -- COMPREHENSIVE METABOLIC PANEL$20180053
CULTURE BLOOD$13387040
CULTURE URINE QUANT COUNT (MICRO)$10387086
LACTATE (RT)$15983605
MAGNESIUM$10683735
PT$7585610
PTT$10485730
THYROID STIMULATING HORMONE (CHEM)$24284443
TROPONIN QUANT (CHEM)$14984484
UA$7481001
CHARGE FOR BLOOD COLLECTION$2736415
 
Cardiology
DescriptionPriceCPT Code
3D RENDER WO POSTPROCESS (CARDIO)$42776376
DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR COLOR FLOW MAPPING$58493325
DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR SPECTRAL DISPLAY$58493320
DOPPLER LTD CARDIAC FU$65393321
ECHOCARDOIGRAPHY OR ULTRASOUND OF THE HEART $131393307
ECG ECHO 2 DIM CHD$131393303
ECG ECHO FU LIMITED$653C8924
ULTRASOUND USED DURING THE CARDIOVASCULAR STRESS TEST$1823C8928
EKG$22793005
CARDIOVASCULAR STRESS TEST USING A TREADMILL $143693017
TEE W CONTRAST (CARDIO)$2475C8925
TEE WO CONTR (CARDIO)$255293312
TTE W CONTRAST (CARDIO)$2890C8929
TTE W DOPPLER COMPLETE (CARDIO)$2890C8929
 
Outpatient Procedures
DescriptionAverage Charges
[ENDOSCOPIC] POLYPECTOMY OF RECTUM$6986
BREAST BIOPSY DONE USING A NEEDLE$4562
C (PERCUTAN) (NEEDLE) BIOPSY OF THYROID GLAND$1846
LIVER BIOPSY DONE USING A NEEDLE$4737
CARPAL TUNNEL RELEASE$6904
CATARACT REMOVAL WITH INSERTION OF A NEW LENS$10491
CIRCUMCISION$7815
COLONSCOPY$5466
ENDOSCOPIC EXC/DES OF LES/TIS OF ESOPHAGUS$10503
ENDOSCOPIC POLYP REMOVAL FROM THE LARGE INTESTINE$7488
EGD WITH A BIOPSY $5747
LITHOTRIPSY$18421
EXCIS KNEE SEMILUN CARTL$12877
LAPROSCOPIC REMOVAL OF GALL BLADDER$11767
LEFT HEART CATH$20775
REMOVAL OF FLUID FROM THE EYEBALL$12223
INSERTING TUBE INTO THE INNER EAR$5759
PER NERVE ADHESIOLYS NEC$10334
X-RAY OF THE BLADDER WITH CONTRAST$2293
REMOVAL OF TONSILS AND ADENOIDS$6786
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