Skip to main content

Day Kimball Hospital

320 Pomfret Street, Putnam, CT 06260 · (860) 928-6541

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Website ↗

Price file

Prices published

File dated 2026-08-01

2,550 price rows for 62 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines

$27
cash
$879
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines

$457
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines

$663
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 10 lines

$14
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$22
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$30
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 16 lines

$317
cash
$147
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines

$215
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines

$212
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$54
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines

$89
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines

$8
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$28
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 12 lines

$2,411
cash
$1,069
cash
$1,204
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines

$1,085
cash
—
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$110
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines

$165
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines

$220
cash
PSA test (prostate)

CPT 84153 · lowest of 12 lines

$22
cash
$5
cash
$37
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines

$204
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 7 lines

$9
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 6 lines

$136
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 6 lines

$183
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines

$219
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 17 lines

$204
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines

$999
cash
—
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines

$37
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines

$159
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$191
cash
—
cash
—
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$14
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 6 lines

$112
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.