Leahi Hospital

Cash prices

1. Comprehensive metabolic panel (CMP) blood test

   CPT 80053

   Facility fee only
   $145
   US typical $100

   Doctor fees are billed separately.
2. TSH (thyroid) test

   CPT 84443

   Facility fee only
   $231
   US typical $71

   Doctor fees are billed separately.
3. Hemoglobin A1c (diabetes) test

   CPT 83036

   Facility fee only
   $120
   US typical $51

   Doctor fees are billed separately.
4. Prothrombin time (PT/INR) clotting test

   CPT 85610

   Facility fee only
   $45.50
   US typical $27.20

   Doctor fees are billed separately.
5. Magnesium test

   CPT 83735

   Facility fee only
   $93.60
   US typical $34.43

   Doctor fees are billed separately.
6. Lipid panel (cholesterol) blood test

   CPT 80061

   Facility fee only
   $155
   US typical $71.50

   Doctor fees are billed separately.
7. Free T4 (thyroid hormone) test

   CPT 84439

   Facility fee only
   $112
   US typical $56.70

   Doctor fees are billed separately.
8. Uric acid blood test

   CPT 84550

   Facility fee only
   $62.40
   US typical $39

   Doctor fees are billed separately.
9. Phosphorus test

   CPT 84100

   Facility fee only
   $53.30
   US typical $35.40

   Doctor fees are billed separately.
10. Liver function (hepatic) panel

    CPT 80076

    Facility fee only
    $114
    US typical $81.60

    Doctor fees are billed separately.
11. Hemoglobin blood test

    CPT 85018

    Facility fee only
    $33.80
    US typical $20

    Doctor fees are billed separately.
12. Creatine kinase (CK) test, total

    CPT 82550

    Facility fee only
    $89.70
    US typical $44.20

    Doctor fees are billed separately.
13. Creatinine blood test

    CPT 82565

    Facility fee only
    $57.20
    US typical $33

    Doctor fees are billed separately.
14. Bacterial culture, aerobic (not urine, blood, or stool)

    CPT 87070

    Facility fee only
    $125
    US typical $55.80

    Doctor fees are billed separately.
15. Iron test

    CPT 83540

    Facility fee only
    $80.60
    US typical $42.10

    Doctor fees are billed separately.
16. Vitamin B12 test

    CPT 82607

    Facility fee only
    $168
    US typical $75.60

    Doctor fees are billed separately.
17. Ferritin test

    CPT 82728

    Facility fee only
    $159
    US typical $76.85

    Doctor fees are billed separately.
18. BNP heart failure blood test (natriuretic peptide)

    CPT 83880

    Facility fee only
    $395
    US typical $135

    Doctor fees are billed separately.
19. Creatinine test, urine or other non-blood sample

    CPT 82570

    Facility fee only
    $57.85
    US typical $26

    Doctor fees are billed separately.
20. Folic acid (folate) blood test

    CPT 82746

    Facility fee only
    $163
    US typical $76.80

    Doctor fees are billed separately.
21. Blood infection test (bacterial culture)

    CPT 87040

    Facility fee only
    $127
    US typical $96.19

    Doctor fees are billed separately.
22. Direct bilirubin blood test

    CPT 82248

    Facility fee only
    $55.90
    US typical $38.35

    Doctor fees are billed separately.
23. C-reactive protein (CRP) blood test

    CPT 86140

    Facility fee only
    $68.25
    US typical $43.16

    Doctor fees are billed separately.
24. Vitamin D test

    CPT 82306

    Facility fee only
    $272
    US typical $101

    Doctor fees are billed separately.
25. Parathyroid hormone (PTH) blood test

    CPT 83970

    Facility fee only
    $456
    US typical $156

    Doctor fees are billed separately.
26. Albumin blood test

    CPT 82040

    Facility fee only
    $54.60
    US typical $25.60

    Doctor fees are billed separately.
27. Ammonia blood test

    CPT 82140

    Facility fee only
    $180
    US typical $78

    Doctor fees are billed separately.
28. Hematocrit blood test

    CPT 85014

    Facility fee only
    $26.65
    US typical $21

    Doctor fees are billed separately.
29. ALT liver enzyme test (SGPT)

    CPT 84460

    Facility fee only
    $73.45
    US typical $35

    Doctor fees are billed separately.
30. Vancomycin drug level test

    CPT 80202

    Facility fee only
    $159
    US typical $101

    Doctor fees are billed separately.
31. AST liver enzyme test (SGOT)

    CPT 84450

    Facility fee only
    $72.80
    US typical $36

    Doctor fees are billed separately.
32. Kidney function blood panel

    CPT 80069

    Facility fee only
    $107
    US typical $83.86

    Doctor fees are billed separately.
33. Total protein urine test

    CPT 84156

    Facility fee only
    $50.70
    US typical $30

    Doctor fees are billed separately.
34. Physical therapy: therapeutic exercise (15 min)

    CPT 97110

    Facility fee only
    $140
    US typical $88.80

    Doctor fees are billed separately.
35. Gait (walking) training, each 15 min

    CPT 97116

    Facility fee only
    $129
    US typical $83.09

    Doctor fees are billed separately.
36. Prealbumin test

    CPT 84134

    Facility fee only
    $161
    US typical $73.45

    Doctor fees are billed separately.
37. Basic metabolic panel (BMP) blood test

    CPT 80048

    Facility fee only
    $116
    US typical $82.70

    Doctor fees are billed separately.
38. Complete blood count (CBC), automated

    CPT 85027

    Facility fee only
    $85.80
    US typical $46.20

    Doctor fees are billed separately.
39. Urine microalbumin test, quantitative

    CPT 82043

    Facility fee only
    $65
    US typical $39.05

    Doctor fees are billed separately.
40. Physical therapy evaluation (low complexity)

    CPT 97161

    Facility fee only
    $380
    US typical $202

    Doctor fees are billed separately.
41. Therapeutic activities (one-on-one), each 15 min

    CPT 97530

    Facility fee only
    $160
    US typical $89.48

    Doctor fees are billed separately.
42. Neuromuscular re-education, each 15 min

    CPT 97112

    Facility fee only
    $140
    US typical $90.10

    Doctor fees are billed separately.
43. Urinalysis, automated, with microscope exam

    CPT 81001

    Facility fee only
    $46.15
    US typical $36

    Doctor fees are billed separately.
44. Manual therapy, each 15 min

    CPT 97140

    Facility fee only
    $125
    US typical $89.25

    Doctor fees are billed separately.
45. Physical therapy evaluation (moderate complexity)

    CPT 97162

    Facility fee only
    $311
    US typical $233

    Doctor fees are billed separately.
46. Antibiotic susceptibility test (MIC), per plate

    CPT 87186

    Facility fee only
    $120
    US typical $53

    Doctor fees are billed separately.
47. Bacteria identification from culture (aerobic), each isolate

    CPT 87077

    Facility fee only
    $113
    US typical $42.60

    Doctor fees are billed separately.
48. Self-care and home management training, each 15 min

    CPT 97535

    Facility fee only
    $151
    US typical $85.50

    Doctor fees are billed separately.
49. Homocysteine blood test

    CPT 83090

    Facility fee only
    $187
    US typical $93.75

    Doctor fees are billed separately.
50. Iron binding capacity (TIBC) blood test

    CPT 83550

    Facility fee only
    $11.70
    US typical $51

    Doctor fees are billed separately.

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.