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 Scans MRI/MRA Ultrasound X-Ray

Lab Cardiology Outpatient Procedures

CT Scan

Description Price CPT Code CT ABD & PELVIS ANGIOGRAPHY $7886 74174 CT ABD & PELVIS W CONTRAST $3478 74177 CT ABD & PELVIS W WO CONTRAST $3877 74178 CT ABD & PELVIS WO CONTR $2248 74176 CT OF THE CERVICAL SPINE WITHOUT CONTRAST $2537 72125 CT CHEST ANGIOGRAPHY $6296 71275 CT OF THE CHEST WITH CONTRAST $3038 71260 CT CHEST WO CONTR $2537 71250 CT GASTROVIEW MD PER ML ORAL $3 Q9963 CT HEAD ANGIOGRAPHY $4754 70496 CT OF THE HEAD WITHOUT CONTRAST $2161 70450 CT L E WO CONTR $2199 73700 CT L SPINE W CONTRAST $3038 72132 CT L SPINE WO CONTR $2537 72131 CT OF THE FACE AND JAW WITHOUT CONTRAST $2161 70486 CT NECK ANGIOGRAPHY $4754 70498 CT NECK W CONTRAST $2852 70491 CT OF THE PELVIS WITHOUT CONTRAST $2537 72192 CT T SPINE W CONTRAST $3038 72129 CT T SPINE WO CONTR $2537 72128

MRI/MRA

Description Price CPT Code MRA OF THE HEAD WITHOUT CONTRAST $1849 70544 MRA NECK WO CONTR $3235 70547 MRI ABDOMEN W WO CONTRAST $6270 74183 MRI ABDOMEN WO CONTR $2460 74181 MRI OF THE BRAIN WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE BRAIN WITH CONTRAST $6517 70553 MRI BRAIN W WO CONTRAST + MRA HEAD WO CONTR $9751 70553 MRI OF THE BRAIN WITHOUT CONTRAST $2935 70551 MRI BRAIN WO CONTR + MRA HEAD WO CONTR $6169 70551 MRI OF THE CERVICAL SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE CERVICAL SPINE WITH CONTRAST $5747 72156 MRI OF THE CERVICAL SPINE WITHOUT CONTRAST $2872 72141 MRI OF THE LUMBAR SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE LUMBAR SPINE WITH CONTRAST $5466 72158 MRI OF THE LUMBAR SPINE WITHOUT CONTRAST $2731 72148 MRI OF THE TOE, ANKLE, OR KNEE WITHOUT CONTRAST $2460 73721 MRI LOWER EXTREM W WO CONTRAST $3733 73720 MRI LOWER EXTREM WO CONTR $2815 73718 MRI PELVIS W WO CONTRAST $6270 72197 MRI T SPINE W WO CONTRAST $5466 72157 MRI OF THE THORACIC SPINE WITHOUT CONTRAST $2731 72146 MRI OF THE SHOULDER, ELBOW, WRIST, OR FINGERS WITHOUT CONTRAST $2460 73221 MRSA BY PCR $349 87641

Ultrasound

Description Price CPT Code ULTRASOUND OF THE RETROPERITONEUM -- ALL AREAS OF THE RETROPERITONEUM $1012 76700 ULTRASOUND OF THE RETROPERITONEUM -- PARTIAL AREA OF THE KIDNEYS AND ABDOMINAL AORTA $1012 76705 US BIOPSY THYROID NDL $937 60100 US BREAST UNILAT COMPLETE $452 76641 US BREAST UNILAT LIMITED $452 76642 US ENCEPHALOGRAM B $649 76506 ULTRASOUND USED TO GUIDE THE NEEDLE DURING A NEEDLE BIOPSY OF NEEDLE ASPIRATION $1237 76942 US GUIDE VASCULAR ACCESS (RRT) $206 76937 US GUIDE VASCULAR ACCESS (RSP) $206 76937 US HEAD NECK SOFT TISSUE $1012 76536 US INTRAOPERATIVE $831 76998 US PARACENTESIS $2114 49083 ULTRASOUND OF THE PELVIS $976 76856 US PELVIC COMPLETE NON OB $976 76856 ULTRASOUND OF THE ABDOMEN -- ALL AREAS OF THE ABDOMEN $1012 76770 US TESTICULAR/SCROTAL $1012 76870 US THORACENTESIS W IMAGING $2293 32555 US TRANSVAGINAL $976 76830 ULTRASOUND OF THE VAGINAL TRACT $976 76830 ULTRASOUND OF A PREGNANT UTERUS $622 76817

X-Ray

Description Price CPT Code X-RAY OF THE ANKLE MINIMUM OF 3 VIEWS $475 73610 XR BREAST TOMOSYNTHESIS SCREENING $143 77063 XR DEXA AXIAL SKELETON $796 77080 XR ELBOW COMPLETE 3+ $475 73080 XR EXAM CHEST 1 VIEW (RAD) $319 71045 XR EXAM CHEST 2 VIEWS (RAD) $319 71046 XR FEMUR 2+ VIEW $439 73552 X-RAY OF THE FOOT MINIMUM OF 3 VIEWS $475 73630 XR FOREARM AP LAT $475 73090 X-RAY OF THE HAND MINIMUM OF 3 VIEWS $475 73130 XR HIP UNILAT 2-3 VIEW $266 73502 X-RAY OF THE KNEE 3 VIEWS $475 73562 XR KNEE AP LAT $475 73560 XR LUMBAR SPINE 2 OR 3 VIEWS (RAD) $475 72100 MAMMOGRAM SCREENING -- BOTH BREASTS $722 77067 X-RAY OF THE PELVIS ONE OR TWO VIEWS $475 72170 X-RAY OF THE SHOULDER MINIMUM 2 VIEWS $475 73030 XR TIB FIB AP LAT $475 73590 XR WRIST COMPLETE 3+ $475 73110 XR X-RAY EXAM ABDOMEN 1 VIEW $258 74018

Lab

Description Price CPT Code CBCD -- COMPLETE BLOOD COUNT WITH DIFFERENTIAL $123 85025 BMP $161 80048 MANUAL DIFFERENTIAL ONLY $62 85007 BLOOD GAS (RT) $265 82803 BLOOD TYPING SEROLOGIC ABO $46 86900 BLOOD TYPING SEROLOGIC RH(D) $46 86901 CAPILLARY BLOOD DRAW (GLBL) $44 36416 CBC -- COMPLETE BLOOD COUNT ONLY $105 85027 CENTRAL LINE BLOOD DRAW (GLBL) $350 36591 CMP -- COMPREHENSIVE METABOLIC PANEL $191 80053 CULTURE BACTERIAL ID $100 87077 CULTURE BLOOD $126 87040 CULTURE URINE QUANT COUNT (MICRO) $98 87086 LACTATE (RT) $151 83605 MAGNESIUM $101 83735 PHOSPHORUS SERUM $74 84100 PT $71 85610 PTT $99 85730 TROPONIN QUANT (CHEM) $142 84484 UA $70 81001

Cardiology

Description Price CPT Code 2D TTE W OR W/O FOL W/CON FU $1681 C8924 3D RENDER WO POSTPROCESS (CARDIO) $427 76376 ADMIN ECG CONTRAST AGENT $192   DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR COLOR FLOW MAPPING $689 93325 DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR SPECTRAL DISPLAY $689 93320 DOPPLER LTD CARDIAC FU $771 93321 ECG ECHO 2 DIM CHD $1549 93303 ECG ECHO FU LIMITED $771 93308 ULTRASOUND USED DURING THE CARDIOVASCULAR STRESS TEST $2151 C8928 ECHO TRANSESOPHAGEAL (TEE) $906 93355 EKG $268 93005 CARDIOVASCULAR STRESS TEST USING A TREADMILL $1694 93017 TEE W CONTRAST (CARDIO) $2921 C8925 TEE WO CONTR (CARDIO) $3011 93312 TTE W CONTRAST (CARDIO) $3410 C8929 TTE W DOPPLER COMPLETE (CARDIO) $3410 C8929 TTE W/DOPPLER COMPLETE $3410 93306

Outpatient Procedures

Description Average 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 $6513 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