Procedure Price Lookup

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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$989074174
CT ABD & PELVIS W CONTRAST$436174177
CT ABD & PELVIS W WO CONTRAST$486274178
CT ABD & PELVIS WO CONTR$281974176
CT OF THE ABDOMEN WITHOUT CONTRAST FOLLOWED BY CT OF THE ABDOMEN WITH CONTRAST$456774170
CT OF THE CERVICAL SPINE WITHOUT CONTRAST$318272125
CT CHEST ANGIOGRAPHY$789671275
CT OF THE CHEST WITH CONTRAST$381071260
CT CHEST WO CONTR$318271250
CT GUIDE CYST ASPIRATION$229877012
CT HEAD ANGIOGRAPHY$596370496
CT OF THE HEAD WITHOUT CONTRAST$271070450
CT L E WO CONTR$275773700
CT L SPINE W CONTRAST$381072132
CT L SPINE WO CONTR$318272131
CT OF THE FACE AND JAW WITHOUT CONTRAST$271070486
CT NECK ANGIOGRAPHY$596370498
CT NECK W CONTRAST$357770491
CT T SPINE W CONTRAST$381072129
CT T SPINE WO CONTR$318272128
 
MRI/MRA
DescriptionPriceCPT Code
MRI ABDOMEN W WO CONTRAST$702274183
MRI ABDOMEN WO CONTR$275574181
MRI OF THE BRAIN WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE BRAIN WITH CONTRAST$729970553
MRI BRAIN W WO CONTRAST + MRA HEAD WO CONTR$1092170553
MRI OF THE BRAIN WITHOUT CONTRAST$328770551
MRI BRAIN WO CONTR + MRA HEAD WO CONTR$690970551
MRI BREAST W W/O CONTRAST BILATERAL$3843C8908
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE CERVICAL SPINE WITH CONTRAST$643772156
MRI OF THE CERVICAL SPINE WITHOUT CONTRAST$321772141
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE LUMBAR SPINE WITH CONTRAST$612272158
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST$305972148
MRI OF THE TOE, ANKLE, OR KNEE WITHOUT CONTRAST$275573721
MRI LOWER EXTREM W WO CONTRAST$418173720
MRI LOWER EXTREM WO CONTR$315373718
MRI ORB FACE NECK W WO CONTRAST$786070543
MRI PELVIS W WO CONTRAST$702272197
MRI T SPINE W WO CONTRAST$612272157
MRI OF THE THORACIC SPINE WITHOUT CONTRAST$305972146
MRI OF THE SHOULDER, ELBOW, WRIST, OR FINGERS WITHOUT CONTRAST$275573221
MRSA BY PCR$39187641
 
Ultrasound
DescriptionPriceCPT Code
ULTRASOUND OF THE RETROPERITONEUM -- ALL AREAS OF THE RETROPERITONEUM$111976700
ULTRASOUND OF THE RETROPERITONEUM -- PARTIAL AREA OF THE KIDNEYS AND ABDOMINAL AORTA$111976705
US BREAST UNILAT LIMITED$50076642
US BX BREAST 1ST LESION$372019083
US DUPLEX ARTERIAL FLOW COMPLETE$176293975
US ENCEPHALOGRAM B$71776506
ULTRASOUND USED TO GUIDE THE NEEDLE DURING A NEEDLE BIOPSY OF NEEDLE ASPIRATION$136876942
US GUIDE VASCULAR ACCESS (RSP)$22876937
US HEAD NECK SOFT TISSUE$111976536
US INTRAOPERATIVE$91976998
US PARACENTESIS$236849083
ULTRASOUND OF THE PELVIS$107976856
ULTRASOUND OF THE ABDOMEN -- ALL AREAS OF THE ABDOMEN$111976770
US TESTICULAR/SCROTAL$111976870
US THORACENTESIS W IMAGING$217832555
US TRANSVAGINAL$107976830
ULTRASOUND OF THE VAGINAL TRACT$107976830
ULTRASOUND OF A PREGNANT UTERUS$68876817
USTEKINUMAB*1 MG INJ (J3357)$1349J3357
USTEKINUMAB*1 MG INJ (J3358)$81J3358
 
X-Ray
DescriptionPriceCPT Code
X-RAY OF THE ANKLE MINIMUM OF 3 VIEWS$53273610
XR BREAST TOMOSYNTHESIS SCREENING$16077063
XR DEXA AXIAL SKELETON$89277080
XR ELBOW COMPLETE 3+$53273080
XR EXAM CHEST 1 VIEW (RAD)$35771045
XR EXAM CHEST 2 VIEWS (RAD)$35771046
XR FEMUR 2+ VIEW$49273552
X-RAY OF THE FOOT MINIMUM OF 3 VIEWS$53273630
XR FOREARM AP LAT$53273090
X-RAY OF THE HAND MINIMUM OF 3 VIEWS$53273130
XR HIP UNILAT 2-3 VIEW$29873502
X-RAY OF THE KNEE 3 VIEWS$53273562
XR KNEE AP LAT$53273560
XR LUMBAR SPINE 2 OR 3 VIEWS (RAD)$53272100
MAMMOGRAM SCREENING -- BOTH BREASTS$80977067
X-RAY OF THE PELVIS ONE OR TWO VIEWS$53272170
X-RAY OF THE SHOULDER MINIMUM 2 VIEWS$53273030
XR TIB FIB AP LAT$53273590
XR WRIST COMPLETE 3+$53273110
XR X-RAY EXAM ABDOMEN 1 VIEW$32474018
 
Lab
DescriptionPriceCPT Code
ANTIBODY SCREEN RBC$16086850
CBCD -- COMPLETE BLOOD COUNT WITH DIFFERENTIAL$13885025
BMP $18080048
BLOOD GAS (RT)$29782803
BLOOD TYPING SEROLOGIC ABO$37486900
BLOOD TYPING SEROLOGIC RH(D)$11486901
CBC -- COMPLETE BLOOD COUNT ONLY$11885027
CMP -- COMPREHENSIVE METABOLIC PANEL$21480053
CULTURE BLOOD$14187040
GLYCATED HEMOGLOBIN$15883036
LACTATE (RT)$16983605
MAGNESIUM$11383735
PHOSPHORUS SERUM$8384100
PT$8085610
SOFIA SARS AG FIA (POCL)$41687426
PTT$11185730
THYROID STIMULATING HORMONE (CHEM)$25884443
TROPONIN QUANT (CHEM)$15984484
UA$7881001
CHARGE FOR BLOOD COLLECTION$036415
 
Cardiology
DescriptionPriceCPT Code
2D TTE W OR W/O FOL W/CON FU$1771C8924
3D RENDER WO POSTPROCESS (CARDIO)$38676376
ADMIN ECG CONTRAST AGENT$22793352
DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR COLOR FLOW MAPPING$72693325
DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR SPECTRAL DISPLAY$72693320
DOPPLER LTD CARDIAC FU$81293321
ECG ECHO 2 DIM CHD$163293303
ECG ECHO FU LIMITED$81293308
ULTRASOUND USED DURING THE CARDIOVASCULAR STRESS TEST$3557C8928
ECHO TRANSESOPHAGEAL (TEE)$100293355
EKG$26893005
CARDIOVASCULAR STRESS TEST USING A TREADMILL $169493017
MYOCARDIAL STRAIN IMAGING (CARDIO)$79093356
PULMONARY STRESS COMPLEX$102594621
TEE W CONTRAST (CARDIO)$3077C8925
TEE WO CONTR (CARDIO)$317293312
TTE W CONTRAST (CARDIO)$3593C8929
TTE W/DOPPLER COMPLETE NO CONTRAST$359393306
 
Outpatient Procedures
DescriptionAverage Charges
[ENDOSCOPIC] POLYPECTOMY OF RECTUM$6986
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 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$6924
Excision of Stomach, Endo, Diagn-0DB68ZX$6773
LAPROSCOPIC REMOVAL OF GALL BLADDER$11767
LEFT HEART CATH$20775
REMOVAL OF FLUID FROM THE EYEBALL$12223
INSERTING TUBE INTO THE INNER EAR$5759
Replacement of Left Lens with Synth Sub, Perc Approach-08RK3JZ$14106
Replacement of Right Lens with Synth Sub, Perc Approach-08RJ3JZ$14188
X-RAY OF THE BLADDER WITH CONTRAST$2293
REMOVAL OF TONSILS AND ADENOIDS$6786
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