Home › Hospitals › Stormont Vail Hospital Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) —
$2,735.43
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CT head/brain without contrast (70450) —
$2,236.70
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MRI brain without contrast (70551) —
$2,976.60
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MRI brain with contrast (70552) —
$3,670.70
—
MRI brain without and with contrast (70553) —
$5,415.30
—
X-ray lower spine, 4+ views (72110) —
$991.01
—
MRI lumbar spine without contrast (72148) —
$3,204.30
—
CT pelvis with contrast (72193) —
$3,568.65
—
MRI lower-extremity joint without contrast (73721) —
$3,204.30
—
CT abdomen and pelvis with contrast (74177) —
$6,434.87
—
Ultrasound, abdomen complete (76700) range across 3 matching MRF lines —
$1,051.67–$1,429.51
—
Ultrasound, pregnant uterus (≥14 weeks) (76805) —
$777.13
—
Ultrasound, transvaginal (76830) —
$970.19
—
Basic metabolic panel (80048) —
$328.27
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Comprehensive metabolic panel (80053) —
$381.80
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Obstetric panel (80055) —
$651.46
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Lipid panel (80061) —
$381.65
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Renal function panel (80069) —
$301.18
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Hepatic function panel (80076) —
$273.25
—
Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines —
$49.26–$82.03
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PSA, total (84153) —
$160.20
—
Thyroid stimulating hormone (TSH) (84443) —
$263.45
—
CBC with automated differential (85025) —
$196.16
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CBC, automated (85027) —
$190.46
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Prothrombin time (PT) (85610) —
$211.36
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Partial thromboplastin time (PTT) (85730) —
$248.83
—
Psychotherapy, 30 minutes (90832) —
$251.60
—
Psychotherapy, 45 minutes (90834) —
$327.60
—
Group psychotherapy (90853) —
$135.56
—
Left heart catheterization (93452) —
$16,823.49
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Sleep study (attended polysomnography) (95810) —
$6,128.84
—
Physical therapy, therapeutic exercise (per 15 min) (97110) —
$199.29
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Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines —
$486.21–$600.97
—
Office visit, new patient (moderate complexity, ~45 min) (99204) —
$667.13
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Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines —
$465.09–$890.52
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A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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