Home › Hospitals › Covenant Childrens Hospital Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,040.34
$2,477
1.1×
Upper GI endoscopy (EGD) with biopsy (43239) $1,040.34
$2,477
1.1×
Diagnostic colonoscopy (45378) $1,047.06
$2,493
1.1×
Inguinal hernia repair (age 5+) (49505) $4,989.18
$11,879
1.4×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,200.78
$2,859
1.4×
CT head/brain without contrast (70450) $140
$994
1.3×
MRI brain without contrast (70551) $690
$6,299.50
2.9×
MRI brain with contrast (70552) $2,732.94
$6,507
7.8×
MRI brain without and with contrast (70553) $495
$5,456
1.4×
X-ray lower spine, 4+ views (72110) $383.46
$913
3.7×
MRI lumbar spine without contrast (72148) $655.62
$1,561
2.7×
CT pelvis with contrast (72193) $752.64
$1,792
4.3×
MRI lower-extremity joint without contrast (73721) $749.28
$1,784
3.1×
CT abdomen and pelvis with contrast (74177) $460
$3,694
1.3×
Ultrasound, abdomen complete (76700) $459.06
$1,093
4.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $860.58
$2,049
8.2×
Ultrasound, transvaginal (76830) $459.06
$1,093
4.4×
Mammography, one breast (diagnostic) (77065) $315
$750
3.7×
Mammography, both breasts (diagnostic) (77066) $336.42
$801
3.0×
Mammography, screening (bilateral) (77067) $162.50
$802
1.8×
Basic metabolic panel (80048) $51.66
$123
6.1×
Comprehensive metabolic panel (80053) $64.68
$154
6.1×
Lipid panel (80061) $81.90
$195
6.1×
Renal function panel (80069) $52.92
$126
6.1×
Hepatic function panel (80076) $49.98
$119
6.1×
Urinalysis, non-automated, without microscopy (81002) $26.46
$63
7.6×
PSA, total (84153) $96.60
$230
5.3×
Thyroid stimulating hormone (TSH) (84443) $88.20
$210
5.3×
CBC with automated differential (85025) $44.10
$105
5.7×
CBC, automated (85027) $36.54
$87
5.6×
Prothrombin time (PT) (85610) $24.36
$58
5.7×
Partial thromboplastin time (PTT) (85730) $34.02
$81
5.7×
Psychotherapy, 30 minutes (90832) $94.08
$224
0.5×
Psychotherapy, 45 minutes (90834) $94.08
$224
0.5×
Psychotherapy, 60 minutes (90837) $94.08
$224
0.5×
Family psychotherapy, without patient (50 min) (90846) $94.08
$224
0.5×
Family psychotherapy, with patient (50 min) (90847) $94.08
$224
0.5×
Group psychotherapy (90853) $49.14
$117
0.5×
Left heart catheterization (93452) $14,650.86
$34,883
4.5×
Sleep study (attended polysomnography) (95810) $2,520.84
$6,002
2.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $125
$162
4.3×
Children's hospital — Medicare is an adult program, so the Medicare benchmarks on this page are a general yardstick, not rates this hospital typically bills.
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