Pricing for Common Outpatient Procedures - Community Hospital of the Monterey Peninsula

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Average charges for 25 common procedures

Price estimates will be provided to patients upon request. Patients may contact the Patient Access price estimate line, (831) 625-4715.

Actual costs may vary based on individual circumstances.
Service Average charge 2017 CPT code
Emergency department visit, level 2 (low to moderate severity) $2,246.00 99282
Emergency department visit, level 3 (moderate severity) $5,173.00 99283
Outpatient visit, established patient, 15 minutes $1,896.00 99213
Laboratory and pathology services (CPT Codes 80047-89398) Average charge 2017 CPT code
Basic metabolic panel $61.00 80048
Complete blood count, automated $72.00 85027
Complete blood count, with differential WBC, automated $79.00 85025
Comprehensive metabolic panel $75.00 80053
Creatine kinase (CK), (CPK), total $227.00 82550
Lipid panel $130.00 80061
Partial thromboplastin time $170.00 85730
Prothrombin time $72.00 85610
Thyroid stimulating hormone $181.00 84443
Troponin, quantitative $136.00 84484
Radiology Services  (CPT Codes 70010-79999) Average charge 2017 CPT code
CT scan, abdomen, with contrast $1,800.00 74160
CT scan, head or brain, without contrast $1,953.00 70450
CT scan, pelvis, with contrast $2,994.00 72193
MRI, head or brain, without contrast, followed by contrast $1,313.00 70553
Ultrasound, abdomen, complete $1,175.00 76700
Ultrasound, OB, 14 weeks or more, transabdominal $900.00 76805
X-Ray, lower back, four views $531.00 72110
X-Ray, chest, two views $426.00 71020
Physical therapy and breathing services  (CPT Codes 90281-99607) Average charge 2017 CPT code
Inhalation treatment, pressurized or nonpressurized $241.00 94640
Physical therapy, evaluation $271.00 97001
Physical therapy, gait training $157.00 97116
Physical therapy, therapeutic exercise $157.00 97110
Surgery services  (CPT Codes 10021-69990) Average charge 2017 CPT code
Injection, anesthetic or steroid, transforaminal epidural, lumbar $4,084.00 64483

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