Shriners Childrens - Northern California
Shriners Childrens - Northern California in Sacramento, CA publishes cash prices for 289 common procedures listed here, from its own machine-readable price file updated Mar 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 178 of 288 procedures and below it for 107. By typical cash price it ranks #171 of 226 California hospitals and #10 of 14 hospitals in the Sacramento, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2425 Stockton Blvd,Sacramento,CA,95817 Collected Sep 23, 2026 Source price file Check a bill from this hospital (916) 453-2000
Children's hospital Nonprofit hospital No emergency department CCN 053311 · CMS hospital register NPI 1962530451
The price file shows no self-pay discount
For 361 of the 361 prices listed here, the cash price in Shriners Childrens - Northern California's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Shriners Childrens - Northern California is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $2,445.70 | $2,445.70 | $100.00–$415.20 | 14% below | — |
| Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS | $395.10 | $395.10 | $30.64–$189.95 | 8% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $514.50 | $514.50 | $22.54–$158.12 | at median | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | at median | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | at median | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE | $1,430.40 | $1,430.40 | $100.00–$260.64 | 37% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $641.90 | $641.90 | $47.26–$318.70 | 6% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $1,427.43 | $1,427.43 | $100.00–$726.36 | 33% below | — |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $2,496.70 | $2,496.70 | $100.00–$472.63 | 16% below | — |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $2,496.70 | $2,496.70 | $100.00–$490.77 | 16% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $2,496.70 | $2,496.70 | $100.00–$442.88 | 27% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $2,911.10 | $2,911.10 | $100.00–$433.52 | 9% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $4,129.90 | $4,129.90 | $100.00–$633.88 | at median | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $4,129.90 | $4,129.90 | $100.00–$633.88 | 12% below | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $2,178.00 | $2,178.00 | $100.00–$369.00 | 14% below | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,430.40 | $1,430.40 | $100.00–$238.96 | 25% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,430.40 | $1,430.40 | $100.00–$218.24 | 35% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,430.40 | $1,430.40 | $100.00–$199.10 | 37% below | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $2,178.00 | $2,178.00 | $100.00–$318.70 | 19% below | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,445.70 | $2,445.70 | $100.00–$318.70 | 21% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $4,291.20 | $4,291.20 | $100.00–$261.36 | 50% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $4,291.20 | $4,291.20 | $100.00–$263.52 | 47% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $2,178.00 | $2,178.00 | $100.00–$363.03 | 15% below | — |
| Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+ | $2,445.70 | $2,445.70 | $100.00–$371.42 | 25% below | — |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $395.10 | $395.10 | $28.02–$158.12 | 3% below | — |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $329.20 | $329.20 | $17.82–$158.12 | 10% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE | $329.20 | $329.20 | $22.18–$158.12 | 32% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE | $329.20 | $329.20 | $100.00–$158.12 | 32% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE | $329.20 | $329.20 | $100.00–$158.12 | 32% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $856.20 | $856.20 | $83.98–$189.95 | 1% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $531.70 | $531.70 | $41.90–$189.95 | 5% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $213.50 | $213.50 | $26.18–$158.12 | 23% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $1,430.40 | $1,430.40 | $100.00–$249.15 | 30% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $2,178.00 | $2,178.00 | $100.00–$318.70 | 24% below | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $1,137.10 | $1,137.10 | $111.16–$433.52 | 9% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,137.10 | $1,137.10 | $151.44–$433.52 | 4% below | — |
| Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW | $411.60 | $411.60 | $22.18–$158.12 | 3% above | — |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 3% above | — |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 3% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $24.24–$158.12 | 6% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 6% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 6% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $1,430.40 | $1,430.40 | $100.00–$340.56 | 37% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES | $395.10 | $395.10 | $33.45–$189.95 | 20% below | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM | $411.60 | $411.60 | $22.18–$158.12 | 4% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 4% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS | $823.20 | $823.20 | $100.00–$158.12 | 93% above | — |
| Hand X-ray, 2 views CPT 73120 X-RAY OF HAND; 2 VIEWS | $411.60 | $411.60 | $20.96–$189.95 | 1% above | — |
| Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS | $411.60 | $411.60 | $100.00–$189.95 | 1% above | — |
| Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS | $411.60 | $411.60 | $100.00–$189.95 | 1% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL | $411.60 | $411.60 | $20.12–$158.12 | 17% above | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $411.60 | $411.60 | $24.23–$158.12 | 10% below | — |
| Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 10% below | — |
| Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 10% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $514.50 | $514.50 | $26.42–$189.95 | 12% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS | $514.50 | $514.50 | $100.00–$189.95 | 12% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS | $514.50 | $514.50 | $100.00–$189.95 | 12% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $1,430.40 | $1,430.40 | $100.00–$261.36 | 33% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $713.60 | $713.60 | $60.47–$189.95 | 14% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $713.60 | $713.60 | $11.34–$189.95 | 31% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $713.60 | $713.60 | $100.00–$189.95 | 31% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $713.60 | $713.60 | $100.00–$189.95 | 31% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS | $411.60 | $411.60 | $22.18–$158.12 | 5% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 5% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 5% below | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE | $2,563.00 | $2,563.00 | $100.00–$483.78 | 11% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $2,563.00 | $2,563.00 | $100.00–$468.71 | 15% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $3,926.10 | $3,926.10 | $100.00–$1,061.50 | 15% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,563.00 | $2,563.00 | $100.00–$470.66 | 8% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $3,926.10 | $3,926.10 | $100.00–$1,063.44 | 10% below | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $2,563.00 | $2,563.00 | $100.00–$470.42 | 12% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,926.10 | $3,926.10 | $100.00–$926.42 | 9% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $7,144.40 | $7,144.40 | $100.00–$521.55 | 133% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $10,943.90 | $10,943.90 | $100.00–$926.42 | 142% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $7,144.40 | $7,144.40 | $100.00–$522.03 | 147% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $11,217.50 | $11,217.50 | $100.00–$926.06 | 153% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $7,323.00 | $7,323.00 | $100.00–$470.66 | 144% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $3,926.10 | $3,926.10 | $100.00–$1,063.44 | 5% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $2,563.00 | $2,563.00 | $100.00–$479.90 | at median | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $2,563.00 | $2,563.00 | $100.00–$468.71 | 2% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS | $551.70 | $551.70 | $38.17–$189.95 | 14% below | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $2,178.00 | $2,178.00 | $100.00–$318.70 | 20% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE | $1,430.40 | $1,430.40 | $100.00–$233.73 | 32% below | — |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $329.20 | $329.20 | $18.06–$158.12 | 1% above | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $1,430.40 | $1,430.40 | $100.00–$249.02 | 27% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $745.10 | $745.10 | $44.83–$189.95 | 38% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $745.10 | $745.10 | $65.19–$189.95 | 21% below | — |
| Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS | $411.60 | $411.60 | $24.36–$158.12 | 11% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST | $514.50 | $514.50 | $28.61–$189.95 | 16% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $411.60 | $411.60 | $24.24–$158.12 | 25% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 25% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 25% below | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES | $395.10 | $395.10 | $33.45–$158.12 | 14% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS | $329.20 | $329.20 | $26.42–$189.95 | 19% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION | $641.90 | $641.90 | $55.50–$318.70 | 3% below | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $182.90 | $182.90 | $30.53–$158.12 | 55% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS | $182.90 | $182.90 | $100.00–$158.12 | 55% below | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS | $182.90 | $182.90 | $100.00–$158.12 | 55% below | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE | $4,291.20 | $4,291.20 | $100.00–$262.80 | 53% above | — |
| Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) | $494.00 | $494.00 | $17.93–$158.12 | 50% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 25% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS | $494.00 | $494.00 | $100.00–$158.12 | 50% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $856.20 | $856.20 | $83.98–$189.95 | 22% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $687.80 | $687.80 | $58.41–$189.95 | 23% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $713.60 | $713.60 | $60.47–$189.95 | 14% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $1,038.00 | $1,038.00 | $62.29–$318.70 | 69% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS | $411.60 | $411.60 | $24.24–$158.12 | 4% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 4% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 4% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $713.60 | $713.60 | $91.93–$189.95 | 21% below | — |
| Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST | $411.60 | $411.60 | $20.96–$158.12 | 6% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 6% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 6% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $514.50 | $514.50 | $22.54–$158.12 | 2% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 2% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 2% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $239.90 | $239.90 | $38.94–$158.12 | 40% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $239.90 | $239.90 | $100.00–$158.12 | 40% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $239.90 | $239.90 | $100.00–$158.12 | 40% below | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $329.20 | $329.20 | $25.08–$158.12 | 8% above | — |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $411.60 | $411.60 | $20.96–$158.12 | 5% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 5% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 5% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $411.60 | $411.60 | $17.93–$158.12 | 13% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 13% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 13% above | — |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $411.60 | $411.60 | $20.96–$158.12 | 2% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 2% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS | $411.60 | $411.60 | $100.00–$158.12 | 2% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $514.50 | $514.50 | $22.54–$158.12 | 4% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 4% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 4% above | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $514.50 | $514.50 | $22.54–$158.12 | 1% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 1% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $514.50 | $514.50 | $100.00–$158.12 | 1% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $329.20 | $329.20 | $22.18–$158.12 | 17% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $329.20 | $329.20 | $100.00–$158.12 | 17% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $329.20 | $329.20 | $100.00–$158.12 | 17% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $329.20 | $329.20 | $28.48–$189.95 | 30% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $551.70 | $551.70 | $38.90–$189.95 | 15% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $329.20 | $329.20 | $27.63–$189.95 | 29% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $474.20 | $474.20 | $22.18–$158.12 | 10% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $329.20 | $329.20 | $25.58–$158.12 | 27% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $329.20 | $329.20 | $22.18–$189.95 | 15% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $395.10 | $395.10 | $24.24–$158.12 | 16% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ASSAY OF ACTH | $401.80 | $401.80 | $23.72–$536.00 | 493% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $55.10 | $55.10 | $3.25–$536.00 | 28% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $53.90 | $53.90 | $3.18–$536.00 | 19% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $494.80 | $494.80 | $29.25–$536.00 | 82% above | — |
| Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL | $42.60 | $42.60 | $3.04–$536.00 | 71% above | — |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $413.00 | $413.00 | $25.02–$536.00 | 1277% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $53.90 | $53.90 | $3.18–$536.00 | 46% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $54.30 | $54.30 | $3.20–$536.00 | 986% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM | $174.80 | $174.80 | $10.28–$536.00 | 127% above | — |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $151.60 | $151.60 | $8.95–$536.00 | 16% below | — |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $67.40 | $67.40 | $3.98–$536.00 | 32% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $134.70 | $134.70 | $7.95–$536.00 | 564% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $125.90 | $125.90 | $7.42–$536.00 | 291% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $353.10 | $353.10 | $20.84–$536.00 | 91% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC | $89.60 | $89.60 | $5.29–$536.00 | 26% below | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $87.90 | $87.90 | $5.19–$536.00 | 55% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $114.90 | $114.90 | $3.08–$536.00 | 154% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $262.00 | $262.00 | $15.32–$536.00 | 102% above | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $107.40 | $107.40 | $6.34–$536.00 | 61% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $22.80 | $22.80 | $2.40–$7,570.15 | 8% above | — |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $40.90 | $40.90 | $2.41–$536.00 | 9% above | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $126.00 | $126.00 | $7.43–$536.00 | 1129% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $78.20 | $78.20 | $4.62–$536.00 | 51% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $62.00 | $62.00 | $1.84–$536.00 | 40% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $41.10 | $41.10 | $2.43–$536.00 | 24% above | — |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $178.30 | $178.30 | $12.78–$536.00 | 179% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $53.90 | $53.90 | $3.18–$536.00 | at median | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $271.20 | $271.20 | $21.55–$536.00 | 77% above | — |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL | $53.60 | $53.60 | $3.17–$536.00 | 13% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $268.10 | $268.10 | $7.91–$536.00 | 689% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $227.59 | $227.59 | $21.55–$536.00 | 317% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $139.40 | $139.40 | $8.23–$536.00 | 37% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $80.90 | $80.90 | $4.78–$536.00 | 27% below | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $67.30 | $67.30 | $3.98–$536.00 | 23% below | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $106.10 | $106.10 | $3.98–$536.00 | 21% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $110.00 | $110.00 | $6.49–$536.00 | 57% below | — |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $169.50 | $169.50 | $10.01–$536.00 | 77% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL | $67.80 | $67.80 | $4.00–$536.00 | 22% below | — |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE | $53.30 | $53.30 | $3.15–$536.00 | 15% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $149.90 | $149.90 | $8.84–$536.00 | 444% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $105.80 | $105.80 | $6.26–$536.00 | 26% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $225.70 | $225.70 | $13.65–$536.00 | 123% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS | $143.30 | $143.30 | $35.92–$536.00 | 131% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $73.00 | $73.00 | $4.31–$536.00 | 13% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $188.80 | $188.80 | $11.14–$536.00 | 613% above | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $279.50 | $279.50 | $17.15–$536.00 | 218% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $193.40 | $193.40 | $11.41–$536.00 | 90% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $127.32 | $127.32 | $12.05–$536.00 | 75% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $141.80 | $141.80 | $8.37–$536.00 | 33% above | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT | $88.50 | $88.50 | $5.21–$536.00 | 34% below | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $153.00 | $153.00 | $9.03–$536.00 | 40% above | — |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $163.60 | $163.60 | $10.40–$536.00 | 102% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $93.80 | $93.80 | $5.54–$536.00 | 38% above | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $250.50 | $250.50 | $15.63–$536.00 | 815% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $74.90 | $74.90 | $4.42–$536.00 | 65% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $130.70 | $130.70 | $6.40–$536.00 | 5% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $227.59 | $227.59 | $21.55–$536.00 | 281% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $147.30 | $147.30 | $8.91–$536.00 | 29% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $142.70 | $142.70 | $8.41–$536.00 | 143% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $250.40 | $250.40 | $14.79–$536.00 | 187% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $100.90 | $100.90 | $5.96–$536.00 | 55% above | — |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $24.80 | $24.80 | $1.46–$536.00 | 38% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL | $125.40 | $125.40 | $7.40–$536.00 | 257% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $111.70 | $111.70 | $6.60–$536.00 | 162% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $107.40 | $107.40 | $6.34–$536.00 | 50% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $148.50 | $148.50 | $8.77–$536.00 | 171% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $131.40 | $131.40 | $7.95–$536.00 | 115% above | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $175.60 | $175.60 | $10.36–$536.00 | 131% above | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $116.00 | $116.00 | $7.02–$536.00 | 201% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $67.40 | $67.40 | $3.50–$536.00 | 16% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $91.00 | $91.00 | $4.30–$536.00 | 25% above | — |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $90.30 | $90.30 | $5.34–$536.00 | 37% below | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $192.80 | $192.80 | $11.37–$536.00 | 85% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $111.10 | $111.10 | $6.56–$536.00 | 17% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $62.80 | $62.80 | $3.71–$536.00 | 74% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $71.70 | $71.70 | $4.23–$536.00 | 26% below | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $85.00 | $85.00 | $5.01–$536.00 | 44% below | — |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $156.70 | $156.70 | $10.46–$536.00 | 642% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $69.70 | $69.70 | $4.11–$536.00 | 10% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $83.54 | $83.54 | $7.91–$536.00 | 167% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $53.90 | $53.90 | $3.18–$536.00 | 48% below | — |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $84.64 | $84.64 | $8.01–$536.00 | 428% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $429.40 | $429.40 | $25.34–$536.00 | 290% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $62.50 | $62.50 | $3.69–$536.00 | at median | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL | $49.30 | $49.30 | $2.91–$536.00 | 35% below | — |
| Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL | $47.80 | $47.80 | $2.83–$536.00 | 35% below | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $198.50 | $198.50 | $12.81–$536.00 | 141% above | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $193.80 | $193.80 | $11.90–$536.00 | 81% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $40.90 | $40.90 | $2.42–$536.00 | 26% below | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $122.70 | $122.70 | $7.36–$536.00 | 63% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $124.80 | $124.80 | $7.36–$536.00 | 16% above | — |
| Renin blood test CPT 84244 ASSAY OF RENIN | $223.40 | $223.40 | $13.51–$536.00 | 802% above | — |
| Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $246.00 | $246.00 | $1.84–$536.00 | 342% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $64.90 | $64.90 | $3.48–$536.00 | 392% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $93.33 | $93.33 | $8.84–$536.00 | 84% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $27.00 | $27.00 | $1.66–$536.00 | 52% below | — |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $50.00 | $50.00 | $2.95–$536.00 | 24% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $89.00 | $89.00 | $5.46–$536.00 | 326% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $43.30 | $43.30 | $2.62–$536.00 | 223% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $619.90 | $619.90 | $38.05–$536.00 | 631% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $262.00 | $262.00 | $15.85–$536.00 | 554% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $151.40 | $151.40 | $8.94–$536.00 | 562% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $175.00 | $175.00 | $10.32–$536.00 | 89% above | — |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $171.40 | $171.40 | $10.12–$536.00 | 173% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL | $45.40 | $45.40 | $2.67–$536.00 | 8% above | — |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $71.50 | $71.50 | $4.22–$536.00 | 82% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) | $147.50 | $147.50 | $8.70–$536.00 | 89% above | — |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $132.80 | $132.80 | $7.84–$536.00 | 146% above | — |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $59.90 | $59.90 | $3.53–$536.00 | 46% above | — |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $102.40 | $102.40 | $6.04–$536.00 | 43% below | — |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $46.90 | $46.90 | $2.77–$536.00 | 29% below | — |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $32.90 | $32.90 | $1.94–$536.00 | 60% below | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $23.40 | $23.40 | $1.38–$536.00 | 58% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $26.60 | $26.60 | $1.58–$536.00 | 22% below | — |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $82.50 | $82.50 | $4.96–$536.00 | 41% below | — |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $17.80 | $17.80 | $3.56–$536.00 | 52% below | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $64.30 | $64.30 | $3.89–$536.00 | 27% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $156.80 | $156.80 | $9.25–$536.00 | 67% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $308.00 | $308.00 | $18.00–$536.00 | 382% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL | $400.60 | $400.60 | $23.64–$536.00 | 491% above | — |
| Zinc blood test CPT 84630 ZINC LEVEL | $118.50 | $118.50 | $6.99–$536.00 | 977% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $156.60 | $156.60 | $8.62–$536.00 | 12% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $44,210.72 | $44,210.72 | $847.66–$13,184.11 | 376% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $9,586.95 | $9,586.95 | $1,508.00–$13,184.11 | 3% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $18,400.55 | $18,400.55 | $1,508.00–$13,184.11 | 98% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $1,342.67 | $1,342.67 | $28.97–$3,064.10 | 151% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $1,342.67 | $1,342.67 | $13.59–$1,814.00 | 150% above | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $11,658.71 | $11,658.71 | $7.87–$4,100.50 | 223% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $4,586.81 | $4,586.81 | $1,248.00–$4,501.00 | 27% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $6,493.55 | $6,493.55 | $166.11–$4,501.00 | 40% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $12,030.75 | $12,030.75 | $166.11–$4,100.50 | 159% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $1,342.67 | $1,342.67 | $16.10–$2,266.00 | 141% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION | $781.70 | $781.70 | $320.13–$2,266.00 | 40% above | — |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $4,329.03 | $4,329.03 | $220.25–$4,501.00 | 86% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $5,333.53 | $5,333.53 | $165.57–$4,501.00 | 156% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $4,406.80 | $4,406.80 | $99.55–$3,064.10 | 172% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,620.63 | $4,620.63 | $99.55–$3,064.10 | 186% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $1,171.24 | $1,171.24 | $13.23–$1,814.00 | 266% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $385.27 | $385.27 | $10.96–$988.00 | 117% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $372.82 | $372.82 | $16.45–$1,814.00 | 97% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $5,527.24 | $5,527.24 | $78.63–$3,064.10 | 168% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $12,987.10 | $12,987.10 | $311.60–$6,505.37 | 93% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $417.00 | $417.00 | $21.46–$2,266.00 | 11% below | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $5,720.20 | $5,720.20 | $1,664.00–$6,505.37 | 23% below | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $12,213.75 | $12,213.75 | $1,664.00–$6,505.37 | 65% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,763.48 | $1,763.48 | $20.02–$1,814.00 | 167% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $1,763.48 | $1,763.48 | $398.37–$1,814.00 | 167% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $1,763.48 | $1,763.48 | $21.10–$2,529.00 | 85% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $1,763.48 | $1,763.48 | $398.37–$2,529.00 | 85% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $6,837.95 | $6,837.95 | $398.37–$2,529.00 | 619% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $1,763.48 | $1,763.48 | $19.31–$2,266.00 | 190% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $1,763.48 | $1,763.48 | $19.31–$1,814.00 | 142% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $4,329.04 | $4,329.04 | $1,508.00–$5,945.03 | 3% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $9,586.95 | $9,586.95 | $1,508.00–$5,945.03 | 129% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $10,746.97 | $10,746.97 | $1,664.00–$6,120.00 | 109% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $18,400.55 | $18,400.55 | $1,664.00–$6,120.00 | 257% above | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $12,987.10 | $12,987.10 | $1,664.00–$6,120.00 | 210% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $12,987.10 | $12,987.10 | $1,664.00–$6,120.00 | 37% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $33,806.00 | $33,806.00 | $364.19–$10,984.36 | 113% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $2,419.73 | $2,419.73 | $96.98–$3,064.10 | 179% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $6,493.55 | $6,493.55 | $96.98–$3,064.10 | 648% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $5,774.42 | $5,774.42 | $59.36–$3,064.10 | 223% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL | $9,893.70 | $9,893.70 | $59.36–$3,064.10 | 453% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $5,527.24 | $5,527.24 | $96.74–$3,064.10 | 171% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $4,209.22 | $4,209.22 | $46.13–$3,064.10 | 217% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $4,209.22 | $4,209.22 | $37.91–$3,064.10 | 185% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $1,329.50 | $1,329.50 | $36.74–$1,814.00 | 164% above | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $1,620.00 | $1,620.00 | $27.90–$1,814.00 | 225% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $821.20 | $821.20 | $362.99–$1,814.00 | 65% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $1,620.00 | $1,620.00 | $362.99–$1,814.00 | 225% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $753.09 | $753.09 | $28.96–$1,814.00 | 80% above | — |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST | $821.20 | $821.20 | $23.96–$1,814.00 | 65% above | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $1,853.37 | $1,853.37 | $23.96–$946.27 | 271% above | — |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST | $821.20 | $821.20 | $362.99–$1,814.00 | 65% above | — |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST | $1,620.00 | $1,620.00 | $362.99–$1,814.00 | 225% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $945.40 | $945.40 | $24.68–$1,814.00 | 91% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $4,209.22 | $4,209.22 | $79.39–$3,064.10 | 114% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $1,171.24 | $1,171.24 | $16.81–$1,814.00 | 196% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $4,114.98 | $4,114.98 | $67.67–$3,064.10 | 212% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $1,171.24 | $1,171.24 | $50.53–$2,747.00 | 56% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $1,171.24 | $1,171.24 | $47.88–$2,747.00 | 77% above | — |
| Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER | $11,440.40 | $11,440.40 | $1,248.00–$4,501.00 | 272% above | — |
| Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER | $11,440.40 | $11,440.40 | $1,248.00–$4,501.00 | 272% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,763.48 | $1,763.48 | $16.81–$1,814.00 | 176% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $3,813.48 | $3,813.48 | $126.75–$4,501.00 | 116% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $5,333.52 | $5,333.52 | $113.43–$3,064.10 | 185% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $1,171.24 | $1,171.24 | $47.20–$1,814.00 | 227% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $2,419.73 | $2,419.73 | $52.48–$4,100.50 | 255% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $2,538.20 | $2,538.20 | $29.10–$988.00 | 191% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $200.60 | $200.60 | $1,384.20–$3,783.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $2,092.90 | $2,092.90 | $41.01–$600.15 | 140% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $965.31 | $965.31 | $5.36–$233.79 | 76% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $194.70 | $194.70 | $6.66–$107.18 | 42% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $503.90 | $503.90 | $45.76–$536.00 | 1% above | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $913.20 | $913.20 | $55.24–$536.00 | 56% above | — |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $252.30 | $252.30 | $45.17–$536.00 | 29% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $269.30 | $269.30 | $20.00–$536.00 | 50% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $1,796.90 | $1,796.90 | $100.00–$678.01 | 94% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $388.00 | $388.00 | $21.32–$110.14 | 81% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $493.80 | $493.80 | $24.43–$167.97 | 102% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $730.90 | $730.90 | $28.50–$223.65 | 114% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $334.50 | $334.50 | $17.72–$77.21 | 140% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $261.20 | $261.20 | $26.06–$307.00 | 11% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $391.80 | $391.80 | $52.11–$307.00 | 11% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $493.80 | $493.80 | $26.35–$176.86 | 96% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $481.80 | $481.80 | $1,384.20–$3,783.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $345.50 | $345.50 | $17.97–$80.99 | 142% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $337.10 | $337.10 | $1,384.20–$3,783.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $345.50 | $345.50 | $22.28–$118.90 | 72% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $337.10 | $337.10 | $1,384.20–$3,783.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $303.30 | $303.30 | $15.33–$45.31 | 164% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $295.90 | $295.90 | $1,384.20–$3,783.00 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $708.00 | $708.00 | $23.87–$219.83 | 250% above | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $419.90 | $419.90 | $21.84–$392.32 | 10% above | — |
| Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST | $965.31 | $965.31 | $1,384.20–$3,783.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $699.10 | $699.10 | $48.30–$678.01 | 13% below | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/82f7c2f5b9cfc8c957f18f792ad43572/charges/mrf