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$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 NECK WO CONTR$323570547
MRI ABDOMEN W WO CONTRAST$627074183
MRI ABDOMEN WO CONTR$246074181
MRI OF THE BRAIN WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE BRAIN WITH CONTRAST$651770553
MRI BRAIN W WO CONTRAST + MRA HEAD WO CONTR$975170553
MRI OF THE BRAIN WITHOUT CONTRAST$293570551
MRI BRAIN WO CONTR + MRA HEAD WO CONTR$616970551
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE CERVICAL SPINE WITH CONTRAST$574772156
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST$287272141
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE LUMBAR SPINE WITH CONTRAST$546672158
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST$273172148
MRI OF THE TOE, ANKLE, OR KNEE WITHOUT CONTRAST$246073721
MRI LOWER EXTREM W WO CONTRAST$373373720
MRI LOWER EXTREM WO CONTR$281573718
MRI PELVIS W WO CONTRAST$627072197
MRI PELVIS WO CONTR$283572195
MRI T SPINE W WO CONTRAST$546672157
MRI OF THE THORACIC SPINE WITHOUT CONTRAST$273172146
MRI OF THE SHOULDER, ELBOW, WRIST, OR FINGERS WITHOUT CONTRAST$246073221
MRSA BY PCR$34987641
 
Ultrasound
DescriptionPriceCPT Code
ULTRASOUND OF THE RETROPERITONEUM -- ALL AREAS OF THE RETROPERITONEUM$101276700
ULTRASOUND OF THE RETROPERITONEUM -- PARTIAL AREA OF THE KIDNEYS AND ABDOMINAL AORTA$101276705
US BIOPSY THYROID NDL$93760100
US BREAST UNILAT COMPLETE$45276641
US BREAST UNILAT LIMITED$45276642
US ENCEPHALOGRAM B$64976506
ULTRASOUND USED TO GUIDE THE NEEDLE DURING A NEEDLE BIOPSY OF NEEDLE ASPIRATION$123776942
US GUIDE VASCULAR ACCESS (RRT)$20676937
US GUIDE VASCULAR ACCESS (RSP)$20676937
US HEAD NECK SOFT TISSUE$101276536
US INTRAOPERATIVE$83176998
US PARACENTESIS$211449083
ULTRASOUND OF THE PELVIS$97676856
US PELVIC COMPLETE NON OB$97676856
ULTRASOUND OF THE ABDOMEN -- ALL AREAS OF THE ABDOMEN$101276770
US TESTICULAR/SCROTAL$101276870
US THORACENTESIS W IMAGING$229332555
US TRANSVAGINAL$97676830
ULTRASOUND OF THE VAGINAL TRACT$97676830
ULTRASOUND OF A PREGNANT UTERUS$62276817
 
X-Ray
DescriptionPriceCPT Code
X-RAY OF THE ANKLE MINIMUM OF 3 VIEWS$47573610
XR BREAST TOMOSYNTHESIS SCREENING$14377063
XR DEXA AXIAL SKELETON$79677080
XR ELBOW COMPLETE 3+$47573080
XR EXAM CHEST 1 VIEW (RAD)$31971045
XR EXAM CHEST 2 VIEWS (RAD)$31971046
XR FEMUR 2+ VIEW$43973552
X-RAY OF THE FOOT MINIMUM OF 3 VIEWS$47573630
XR FOREARM AP LAT$47573090
X-RAY OF THE HAND MINIMUM OF 3 VIEWS$47573130
XR HIP UNILAT 2-3 VIEW$26673502
X-RAY OF THE KNEE 3 VIEWS$47573562
XR KNEE AP LAT$47573560
XR LUMBAR SPINE 2 OR 3 VIEWS (RAD)$47572100
MAMMOGRAM SCREENING -- BOTH BREASTS$72277067
X-RAY OF THE PELVIS ONE OR TWO VIEWS$47572170
X-RAY OF THE SHOULDER MINIMUM 2 VIEWS$47573030
XR TIB FIB AP LAT$47573590
XR WRIST COMPLETE 3+$47573110
XR X-RAY EXAM ABDOMEN 1 VIEW$25874018
 
Lab
DescriptionPriceCPT Code
CBCD -- COMPLETE BLOOD COUNT WITH DIFFERENTIAL$12385025
BMP $16180048
MANUAL DIFFERENTIAL ONLY$6285007
BLOOD GAS (RT)$26582803
BLOOD TYPING SEROLOGIC ABO$4686900
BLOOD TYPING SEROLOGIC RH(D)$4686901
CAPILLARY BLOOD DRAW (GLBL)$4436416
CBC -- COMPLETE BLOOD COUNT ONLY$10585027
CENTRAL LINE BLOOD DRAW (GLBL)$35036591
CMP -- COMPREHENSIVE METABOLIC PANEL$19180053
CULTURE BLOOD$12687040
CULTURE URINE QUANT COUNT (MICRO)$9887086
LACTATE (RT)$15183605
MAGNESIUM$10183735
PHOSPHORUS SERUM$7484100
PT$7185610
PTT$9985730
THYROID STIMULATING HORMONE (CHEM)$23084443
TROPONIN QUANT (CHEM)$14284484
UA$7081001
 
Cardiology
DescriptionPriceCPT Code
2D TTE W OR W/O FOL W/CON FU$1681C8924
3D RENDER WO POSTPROCESS (CARDIO)$42776376
ADMIN ECG CONTRAST AGENT$192 
DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR COLOR FLOW MAPPING$68993325
DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR SPECTRAL DISPLAY$68993320
DOPPLER LTD CARDIAC FU$77193321
ECG ECHO 2 DIM CHD$154993303
ECG ECHO FU LIMITED$77193308
ULTRASOUND USED DURING THE CARDIOVASCULAR STRESS TEST$2151C8928
ECHO TRANSESOPHAGEAL (TEE)$90693355
EKG$26893005
CARDIOVASCULAR STRESS TEST USING A TREADMILL $169493017
TEE WO CONTR (CARDIO)$301193312
TTE W CONTRAST (CARDIO)$3410C8929
TTE W/DOPPLER COMPLETE$341093306
 
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
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
Excision of Duodenum, Endo, Diagn-0DB98ZX$6518
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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