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 $12570 74174 CT ABD & PELVIS W CONTRAST $5544 74177 CT ABD & PELVIS W WO CONTRAST $6180 74178 CT ABD & PELVIS WO CONTR $3584 74176 CT OF THE ABDOMEN WITHOUT CONTRAST FOLLOWED BY CT OF THE ABDOMEN WITH CONTRAST $5805 74170 CT OF THE CERVICAL SPINE WITHOUT CONTRAST $3994 72125 CT CHEST ANGIOGRAPHY $8243 71275 CT OF THE CHEST WITH CONTRAST $4843 71260 CT CHEST WO CONTR $4045 71250 CT HEAD ANGIOGRAPHY $6952 70496 CT OF THE HEAD WITHOUT CONTRAST $3402 70450 CT L E WO CONTR $3504 73700 CT L SPINE W CONTRAST $4843 72132 CT L SPINE WO CONTR $4045 72131 CT OF THE FACE AND JAW WITHOUT CONTRAST $3402 70486 CT NECK ANGIOGRAPHY $6032 70498 CT NECK W CONTRAST $4491 70491 CT OF THE PELVIS WITHOUT CONTRAST $4045 72192 CT T SPINE W CONTRAST $4843 72129 CT T SPINE WO CONTR $4045 72128

MRI/MRA

Description Price CPT Code MRI ABDOMEN W WO CONTRAST $8804 74183 MRI ABDOMEN WO CONTR $3455 74181 MRI OF THE BRAIN WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE BRAIN WITH CONTRAST $6959 70553 MRI OF THE BRAIN WITHOUT CONTRAST $4347 70551 MRI BRAIN WO CONTR + MRA HEAD WO CONTR $7086 70551 MRI BREAST W W/O CONTRAST BILATERAL $4819 C8908 MRI OF THE CERVICAL SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE CERVICAL SPINE WITH CONTRAST $9170 72156 MRI OF THE CERVICAL SPINE WITHOUT CONTRAST $4583 72141 MRI OF THE LUMBAR SPINE WITHOUT CONTRAST FOLLOWED BY AN MRI OF THE LUMBAR SPINE WITH CONTRAST $7677 72158 MRI OF THE LUMBAR SPINE WITHOUT CONTRAST $3836 72148 MRI LOWER EXTREM JOINT W WO CONTRAST $8054 73723 MRI OF THE TOE, ANKLE, OR KNEE WITHOUT CONTRAST $3455 73721 MRI LOWER EXTREM W WO CONTRAST $5243 73720 MRI LOWER EXTREM WO CONTR $3953 73718 MRI ORB FACE NECK W WO CONTRAST $7852 70543 MRI PELVIS W WO CONTRAST $8662 72197 MRI T SPINE W WO CONTRAST $7677 72157 MRI OF THE THORACIC SPINE WITHOUT CONTRAST $3836 72146 MRI OF THE SHOULDER, ELBOW, WRIST, OR FINGERS WITHOUT CONTRAST $3455 73221 MRSA BY PCR $596 87641

Ultrasound

Description Price CPT Code ULTRASOUND OF THE RETROPERITONEUM -- ALL AREAS OF THE RETROPERITONEUM $1407 76700 ULTRASOUND OF THE RETROPERITONEUM -- PARTIAL AREA OF THE KIDNEYS AND ABDOMINAL AORTA $1407 76705 US BREAST BILAT LIMITED $944 76642 US BREAST UNILAT LIMITED $629 76642 US CHEST (EC) $901 76604 US ECHO EXAM OF ABDOMEN (EC) $1407 76705 US ENCEPHALOGRAM B $901 76506 US FNA BX W/US GDN 1ST LESGE $2176 10005 ULTRASOUND USED TO GUIDE THE NEEDLE DURING A NEEDLE BIOPSY OF NEEDLE ASPIRATION $1719 76942 US GUIDE VASCULAR ACCESS (CCL) $612 76937 US GUIDE VASCULAR ACCESS (RSP) $612 76937 US HEAD NECK SOFT TISSUE $1407 76536 US PARACENTESIS $3204 49083 ULTRASOUND OF THE PELVIS $1356 76856 ULTRASOUND OF THE ABDOMEN -- ALL AREAS OF THE ABDOMEN $1407 76770 US TESTICULAR/SCROTAL $940 76870 US TRANSVAGINAL $1356 76830 ULTRASOUND OF THE VAGINAL TRACT $1356 76830 ULTRASOUND OF A PREGNANT UTERUS $865 76817 USTEKINUMAB*1 MG INJ (J3357) $2174 J3357

X-Ray

Description Price CPT Code X-RAY OF THE ANKLE MINIMUM OF 3 VIEWS $762 73610 XR BREAST TOMOSYNTHESIS SCREENING $267 77063 XR DEXA AXIAL SKELETON $945 77080 XR ELBOW COMPLETE 3+ $762 73080 XR EXAM CHEST 1 VIEW (RAD) $595 71045 XR EXAM CHEST 2 VIEWS (RAD) $595 71046 XR FEMUR 2+ VIEW $705 73552 X-RAY OF THE FOOT MINIMUM OF 3 VIEWS $762 73630 XR FOREARM AP LAT $762 73090 X-RAY OF THE HAND MINIMUM OF 3 VIEWS $762 73130 XR HIP UNILAT 2-3 VIEW $427 73502 X-RAY OF THE KNEE 3 VIEWS $762 73562 XR KNEE AP LAT $762 73560 XR LUMBAR SPINE 2 OR 3 VIEWS (RAD) $762 72100 MAMMOGRAM SCREENING -- BOTH BREASTS $776 77067 X-RAY OF THE PELVIS ONE OR TWO VIEWS $762 72170 X-RAY OF THE SHOULDER MINIMUM 2 VIEWS $762 73030 XR TIB FIB AP LAT $762 73590 XR WRIST COMPLETE 3+ $762 73110 XR X-RAY EXAM ABDOMEN 1 VIEW $508 74018

Lab

Description Price CPT Code CBCD -- COMPLETE BLOOD COUNT WITH DIFFERENTIAL $174 85025 BMP $274 80048 BLOOD GAS (RT) $347 82803 BLOOD TYPING SEROLOGIC ABO $391 86900 BLOOD TYPING SEROLOGIC RH(D) $120 86901 CBC -- COMPLETE BLOOD COUNT ONLY $148 85027 CMP -- COMPREHENSIVE METABOLIC PANEL $325 80053 DNA/RNA AMPLIFIED PROBE (VIRO) $316 87150 FLU - SARS COMBO TEST (POCL) $365 87428 GLUCOSE GLUCOMETER $49 82962 GLYCATED HEMOGLOBIN $240 83036 LACTATE (RT) $256 83605 MAGNESIUM $172 83735 PHOSPHORUS SERUM $125 84100 PT $100 85610 PTT $139 85730 THYROID STIMULATING HORMONE (CHEM) $393 84443 TROPONIN QUANT (CHEM) $242 84484 UA $120 81001 CHARGE FOR BLOOD COLLECTION $11 36415

Cardiology

Description Price CPT Code 2D TTE W OR W/O FOL W/CON FU $1643 C8924 3D RENDER WO POSTPROCESS (CARDIO) $423 76376 DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR COLOR FLOW MAPPING $674 93325 DOPPLER USED WITH THE ECHOCARDIOGRAPHY OF THE HEART FOR SPECTRAL DISPLAY $674 93320 DOPPLER LTD CARDIAC FU $752 93321 ECG ECHO 2 DIM CHD $1513 93303 ECG ECHO FU LIMITED $752 93308 ULTRASOUND USED DURING THE CARDIOVASCULAR STRESS TEST $3299 C8928 EKG $278 93005 CARDIOVASCULAR STRESS TEST USING A TREADMILL $1758 93017 MYOCARDIAL STRAIN IMAGING (CARDIO) $732 93356 PULMONARY STRESS COMPLEX $1163 94621 TEE WO CONTR (CARDIO) $2942 93312 TTE W CONTRAST (CARDIO) $3333 C8929 TTE W/DOPPLER COMPLETE NO CONTRAST $3333 93306

Outpatient Procedures

Description Average 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 $7210 Excision of Stomach, Endo, Diagn-0DB68ZX $6926 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 $14238 Replacement of Right Lens with Synth Sub, Perc Approach-08RJ3JZ $14302 X-RAY OF THE BLADDER WITH CONTRAST $2293 REMOVAL OF TONSILS AND ADENOIDS $6786