Home › Hospitals › USA Health Children's & Women's Hospital
Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD) with biopsy (43239)
$1,420
$1,420
1.7×
Colonoscopy with biopsy (45380)
$1,231
$1,231
1.1×
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,781
$1,781
2.2×
Transforaminal epidural injection, lumbar/sacral (64483)
$989
$989
1.2×
CT head/brain without contrast (70450)
$1,714
$1,714
18.2×
MRI brain without contrast (70551)
$1,738
$1,738
8.1×
MRI brain with contrast (70552)
$1,878
$1,878
6.0×
MRI brain without and with contrast (70553)
$2,894
$2,894
9.2×
X-ray lower spine, 4+ views (72110)
$290
$290
3.1×
MRI lumbar spine without contrast (72148)
$1,697
$1,697
7.9×
CT pelvis with contrast (72193)
$1,084
$1,084
6.8×
MRI lower-extremity joint without contrast (73721)
$1,697
$1,697
7.9×
CT abdomen and pelvis with contrast (74177)
$2,169
$2,169
6.9×
Ultrasound, abdomen complete (76700)
$470
$470
5.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$509
$509
5.4×
Ultrasound, transvaginal (76830)
$293
$293
3.1×
Mammography, one breast (diagnostic) (77065)
$462
$462
5.4×
Mammography, both breasts (diagnostic) (77066)
$493
$493
4.5×
Mammography, screening (bilateral) (77067)
$431
$431
4.7×
Basic metabolic panel (80048)
$186
$186
22.0×
Comprehensive metabolic panel (80053)
$270
$270
25.6×
Lipid panel (80061)
$168
$168
12.5×
Renal function panel (80069)
$324.75
$324.75
37.4×
Hepatic function panel (80076)
$188
$188
23.0×
Urinalysis, non-automated, without microscopy (81002)
$21
$21
6.0×
PSA, total (84153)
$140
$140
7.6×
Thyroid stimulating hormone (TSH) (84443)
$209
$209
12.4×
CBC with automated differential (85025)
$98
$98
12.6×
CBC, automated (85027)
$58
$58
9.0×
Prothrombin time (PT) (85610)
$78
$78
18.2×
Partial thromboplastin time (PTT) (85730)
$98
$98
16.3×
Left heart catheterization (93452)
$4,544
$4,544
1.6×
Sleep study (attended polysomnography) (95810)
$3,049
$3,049
3.9×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$103
$103
3.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$171
$171
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$171
$171
1.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$171
$171
1.4×
Office consultation (low complexity, ~30 min) (99243)
$171
$171
1.4×
Office consultation (moderate complexity, ~40 min) (99244)
$171
$171
1.4×
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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