SelfPayRates
Hospital Cortland, NY

Guthrie Cortland Medical Center

Guthrie Cortland Medical Center in Cortland, NY publishes cash prices for 445 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 305 of 440 procedures and below it for 132. By typical cash price it ranks #81 of 115 New York hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

134 Homer Ave., Cortland, NY 13045 Collected Oct 21, 2026 Source price file Check a bill from this hospital (607) 756-3501

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 330175 · CMS hospital register NPI 1740287531

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Guthrie Cortland Medical Center 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

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.

Scans and imaging

ProcedureCash priceList priceInsurers payvs New YorkOff list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W-W/O Cont $2,732.50 $3,415.62 $181.89–$3,415.62 107% above 20%
Abdominal X-ray, 2 views CPT 74019 Xray Abdomen 2 Views $341.51 $426.89 $23.87–$466.69 33% above 20%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle,Minimum 3 Views $316.80 $396.00 $22.10–$396.00 57% above 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Fac Non-Invas Stdys Up/Lo Extrem AR $192.28 $240.35 $63.43–$565.70 40% below 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninvas Up/Lo Extm Art 1 Lev $590.79 $738.49 $63.43–$738.49 85% above 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninvasive Arterial Study (Single Level) $590.79 $738.49 $63.43–$738.49 85% above 20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extrem W/O Contrast $1,346.40 $1,683.00 $106.99–$1,598.85 81% above 20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus $378.24 $472.80 $20.20–$781.27 10% above 20%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan,Whole Body $1,666.56 $2,083.20 $106.05–$2,083.20 69% above 20%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete $540.29 $675.36 $32.79–$675.36 67% above 20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited $450.24 $562.80 $26.93–$562.80 78% above 20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd&Pelv W/O&W/Dye $2,212.80 $2,766.00 $179.25–$2,627.70 26% above 20%
CT angiography (CTA) of the head CPT 70496 CT Angio, Head, W/Cont, Noncont if Perf $2,219.78 $2,774.72 $182.74–$2,774.72 80% above 20%
CT angiography (CTA) of the neck CPT 70498 CT Angio, Neck, W/Cont, Noncont if Perf $3,318.24 $4,147.80 $209.83–$4,147.80 166% above 20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio,Chest(Noncoronary),W/Cont, Noncont if Perf $2,479.12 $3,098.90 $141.40–$3,098.90 91% above 20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Coronary Arteries W/O Quant Eval of Coronary Calcium $2,694.48 $3,368.10 $198.33–$3,368.10 107% above 20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO Dye $1,864.00 $2,330.00 $68.62–$2,330.00 772% above 20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelv W/O Contrast $2,644.38 $3,305.48 $218.78–$3,305.48 131% above 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelv W/ Contrast $4,407.31 $5,509.14 $267.93–$5,509.14 181% above 20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis 1+ Section/Regions $4,936.19 $6,170.24 $296.94–$6,170.24 138% above 20%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast $2,431.92 $3,039.90 $160.40–$3,039.90 110% above 20%
CT scan of the abdomen without contrast CPT 74150 CT Abd W/O Contrast $1,420.90 $1,776.12 $96.67–$1,776.12 73% above 20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast $1,927.95 $2,409.94 $121.20–$2,409.94 143% above 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast $1,739.30 $2,174.12 $121.20–$2,174.12 110% above 20%
CT scan of the head with contrast CPT 70460 CT Head W/ Contrast $2,435.02 $3,043.77 $146.45–$3,043.77 149% above 20%
CT scan of the head without and with contrast CPT 70470 CT Hd W/O & W/Contrast $2,852.45 $3,565.56 $206.77–$3,565.56 168% above 20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-Spine W/O Contrast $1,927.95 $2,409.94 $125.34–$2,409.94 118% above 20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-Spine W/O Contrast $1,853.80 $2,317.25 $125.34–$2,201.39 101% above 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast $2,569.63 $3,212.04 $161.63–$3,212.04 150% above 20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial,Bilat $470.99 $588.74 $109.08–$1,060.83 — 20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Extracran Art Bilat $1,014.00 $1,267.50 $109.08–$1,204.13 — 20%
Chest CT scan without and with contrast CPT 71270 CT Thorax, W & W/O Contrast $2,579.62 $3,224.52 $164.11–$3,224.52 97% above 20%
Chest X-ray, 2 views CPT 71046 Xray Chest 2 Views $329.28 $411.60 $21.42–$411.60 63% above 20%
Chest X-ray, single view CPT 71045 Xray Chest 1 View $250.26 $312.82 $15.89–$386.42 26% above 20%
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle X Ray $242.88 $303.60 $17.68–$386.42 20% above 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retroperitoneal/B-Scan W/Image Doc $685.44 $856.80 $60.60–$856.80 63% above 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density $673.30 $841.62 $78.14–$841.62 145% above 20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Extremity $558.83 $698.54 $35.72–$698.54 288% above 20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Pregnancy Unltrasound, Detailed, Transabd, Single Gestation $1,439.20 $1,799.00 $103.30–$1,799.00 154% above 20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Contrast $1,741.79 $2,177.24 $125.34–$2,177.24 101% above 20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan Thorax W Contrast $2,204.80 $2,756.00 $138.11–$2,756.00 69% above 20%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diagnostic W/ Cad Bilat $368.00 $460.00 $93.42–$680.60 — 20%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi $698.08 $872.60 $93.42–$872.60 — 20%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Un $459.26 $574.08 $73.34–$574.08 64% above 20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Scan of Lower Extremity; Complete Bilateral Study $1,080.60 $1,350.75 $109.08–$1,283.21 — 20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Fac Non-Invasive Duplex Scan Lower $470.40 $588.00 $109.08–$1,060.83 8% below 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Extrem Venous,Bilat $525.67 $657.09 $109.08–$1,060.83 — 20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Ext Veins Comp Bilat $1,557.50 $1,946.88 $109.08–$1,946.88 — 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete $1,646.92 $2,058.65 $116.13–$2,406.31 49% above 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler, Complete-Geis-Peds $3,403.44 $4,254.30 $183.33–$4,254.30 208% above 20%
Elbow X-ray, 2 views CPT 73070 Elbow, 2 Views $267.80 $334.75 $17.68–$386.42 33% above 20%
Elbow X-ray, complete, 3 or more views CPT 73080 Elbow, Min of 3 Views $304.32 $380.40 $22.10–$386.42 51% above 20%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit,Sella,Posterior Fossa,Outer,Inner,Middleear WO/Con $1,559.52 $1,949.40 $118.11–$1,949.40 109% above 20%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones $411.20 $514.00 $26.51–$514.00 52% above 20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm, Two Views $277.44 $346.80 $17.68–$386.42 38% above 20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging $1,062.42 $1,328.02 $104.78–$1,763.50 3% above 20%
Hand X-ray, 2 views CPT 73120 Hand 2 View $274.99 $343.74 $17.68–$466.69 32% above 20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL $273.60 $342.00 $17.68–$386.42 43% above 20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Incomplete Cpap Titration Study $6,619.90 $8,274.88 $492.48–$8,274.88 210% above 20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Nocturnal Polysomnogram With Cpap $6,619.90 $8,274.88 $492.48–$8,274.88 210% above 20%
Knee X-ray, 3 views CPT 73562 Knee, 3 Views $355.79 $444.74 $26.51–$444.74 73% above 20%
Knee X-ray, complete, 4 or more views CPT 73564 Knee, 4 or More Views $408.96 $511.20 $33.39–$511.20 49% above 20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extrem W/O Contrast $1,889.20 $2,361.50 $125.34–$2,243.42 154% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Peritoneal Limited $822.72 $1,028.40 $54.26–$1,028.40 117% above 20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Lmtd Jt/Fcl Evl Nvasc Xtr $511.47 $639.34 $36.70–$639.34 90% above 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C- $1,807.94 $2,259.92 $125.34–$2,259.92 316% above 20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibula/Fibula, 2 Views $326.40 $408.00 $17.68–$408.00 62% above 20%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast $2,176.80 $2,721.00 $149.59–$2,584.95 72% above 20%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast W/W/O Contrast Bilateral W/Cad $4,865.80 $6,082.25 $343.02–$6,082.25 — 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Lower Extrem Jt W/O Contrast $2,847.80 $3,559.75 $282.77–$3,381.76 137% above 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Lower Extrem Jt W/O & W/Contrast $5,439.20 $6,799.00 $336.01–$6,459.16 168% above 20%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast $1,410.40 $1,763.00 $119.58–$1,675.04 29% above 20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast $2,432.00 $3,040.00 $219.89–$2,888.00 45% above 20%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Inc Brain Stem WO/Contrast $3,017.60 $3,772.00 $282.77–$3,583.63 159% above 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Inc Brain Stem W/WO Contrast $4,947.20 $6,184.00 $420.94–$5,874.80 180% above 20%
MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine WO Contrast $2,592.00 $3,240.00 $282.77–$3,078.00 98% above 20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine W/WO Contr $4,328.00 $5,410.00 $420.94–$5,410.00 144% above 20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-Spine WO Contrast $2,867.20 $3,584.00 $282.77–$3,394.95 123% above 20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine W/WO Contr $4,816.80 $6,021.00 $420.94–$5,720.06 192% above 20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine WO Contrast $2,867.20 $3,584.00 $282.77–$3,404.80 117% above 20%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast $2,762.60 $3,453.25 $218.66–$3,280.59 72% above 20%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast $1,878.40 $2,348.00 $149.66–$2,230.80 75% above 20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Upper Extrem Jt W/O Contrast $2,961.71 $3,702.14 $282.77–$3,702.14 129% above 20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine, 4 or 5 Views $444.48 $555.60 $35.35–$555.60 57% above 20%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W Contrast $2,213.12 $2,766.40 $142.66–$2,766.40 119% above 20%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck W/O Contrast $1,792.62 $2,240.78 $110.88–$2,240.78 122% above 20%
Neck soft tissue X-ray CPT 70360 Neck Xray Soft Tissue $215.04 $268.80 $17.68–$386.42 7% above 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Perf Multi Spect $3,278.64 $4,098.30 $241.13–$5,729.33 23% above 20%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC Fac Computerized Ophthalmic Imaging Retina $127.60 $159.50 $17.15–$260.69 82% above 20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Image W/CT Skull-Thigh $10,459.70 $13,074.62 $682.76–$13,074.62 161% above 20%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast (720) $1,490.38 $1,862.98 $98.23–$1,862.98 79% above 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Sono, Limited $833.28 $1,041.60 $44.48–$1,041.60 177% above 20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic/B-Scan W/Image Doc $833.28 $1,041.60 $55.55–$1,041.60 109% above 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Eval>=14wks Sng Gest $288.12 $360.15 $55.55–$581.26 24% below 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Pregnant Uterus/B-Scan W/Image Doc $1,248.21 $1,560.26 $79.98–$1,560.26 230% above 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Preg Eval<14wks Sngl Gest $258.72 $323.40 $55.55–$967.00 26% below 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Pregnancy Ultrasound, 1st Trimester, Transabd, Single Gest $798.86 $998.57 $55.55–$998.57 127% above 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Preg Eval Ltd 1 /> Fetus $209.92 $262.40 $25.25–$466.69 28% below 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Pregnancy, Limited $615.83 $769.79 $44.19–$769.79 113% above 20%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs, Unilateral, 2 Views $351.62 $439.52 $23.87–$439.52 67% above 20%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilat W/Pa Cxr $404.16 $505.20 $26.94–$505.20 55% above 20%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad $477.12 $596.40 $77.25–$596.40 — 20%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Complete Stud $341.24 $426.55 $23.57–$426.55 62% above 20%
Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinuses Reg $419.20 $524.00 $31.97–$524.00 101% above 20%
Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 View $245.60 $307.00 $15.91–$466.69 6% above 20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram Less Than 6hrs $6,365.30 $7,956.62 $450.53–$7,956.62 204% above 20%
Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram 4 or More Parameters $6,365.30 $7,956.62 $450.53–$7,956.62 204% above 20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Only 603 $3,668.24 $4,585.30 $241.20–$4,585.30 217% above 20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function Eval $372.80 $466.00 $35.35–$781.27 3% above 20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray Exam of Femur Min 2 Views $343.68 $429.60 $21.24–$429.60 76% above 20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-Spine W/O Contrast $2,245.98 $2,807.48 $141.40–$2,807.48 152% above 20%
Toe X-ray, 2 or more views CPT 73660 Toes X Ray $203.52 $254.40 $13.27–$386.42 21% above 20%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal US Non-OB $380.44 $475.55 $60.60–$516.65 at median 20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal $724.26 $905.32 $60.60–$905.32 90% above 20%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal $281.66 $352.07 $51.81–$466.69 4% below 20%
Transvaginal ultrasound during pregnancy CPT 76817 Pregnancy Ultrasound, Transvaginal $699.06 $873.82 $51.81–$873.82 139% above 20%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdominal/B-Scan W/Image Doc $1,094.22 $1,367.77 $60.60–$1,367.77 133% above 20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum and Contents $987.12 $1,233.90 $53.03–$1,233.90 168% above 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US, Head/Neck Tissues,Real Time $250.32 $312.90 $30.30–$481.63 32% below 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Soft Tissue Head/Neck/B-Scan W/Image Doc $547.20 $684.00 $30.30–$684.00 49% above 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Gastroduodenal X Ray $464.64 $580.80 $30.30–$781.27 11% above 20%
Upper arm X-ray (humerus), 2 views CPT 73060 Humerus $286.08 $357.60 $17.68–$386.42 42% above 20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Unilateral or Limited Dvt $998.40 $1,248.00 $89.49–$1,248.00 174% above 20%
Wrist X-ray, 2 views CPT 73100 Wrist 2 View $262.14 $327.67 $17.68–$386.42 34% above 20%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist, Min of 3 Views $319.68 $399.60 $22.10–$399.60 58% above 20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray Exam Hip Uni 2-3 Views $256.32 $320.40 $22.03–$386.42 12% above 20%
X-ray of the abdomen, 1 view CPT 74018 Xray Abdomen 1 View $282.24 $352.80 $17.68–$386.42 35% above 20%
X-ray of the ankle, 2 views CPT 73600 Ankle, 2 View $278.78 $348.48 $17.68–$386.42 45% above 20%
X-ray of the finger(s), 2 or more views CPT 73140 Finger $225.72 $282.15 $13.27–$386.42 25% above 20%
X-ray of the foot, 2 views CPT 73620 Foot 2 View $283.23 $354.04 $17.68–$386.42 44% above 20%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot,Minimum 3 Views $341.24 $426.55 $22.10–$426.55 69% above 20%
X-ray of the hand, 3 or more views CPT 73130 Hand,Minimum 3 Views $323.52 $404.40 $22.10–$404.40 54% above 20%
X-ray of the knee, 1 or 2 views CPT 73560 Knee, One or 2 View $294.45 $368.06 $21.72–$386.42 44% above 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L Spine, Two/Three Views $495.26 $619.08 $26.51–$619.08 80% above 20%
X-ray of the lower back, 4 or more views CPT 72110 L Spine, Min of 4 Views $643.20 $804.00 $45.99–$804.00 113% above 20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 View $347.61 $434.51 $26.51–$466.69 57% above 20%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones $377.28 $471.60 $24.70–$471.60 87% above 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C Spine, Two/Three Views $328.91 $411.14 $26.51–$411.14 55% above 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis, One/Two Views $249.60 $312.00 $13.26–$466.69 10% above 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum and Coccyx $362.88 $453.60 $26.51–$453.60 80% above 20%

Lab tests

ProcedureCash priceList priceInsurers payvs New YorkOff list
ACTH blood test CPT 82024 Acth, Plasma $214.80 $268.50 $35.92–$268.50 51% above 20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT $63.08 $78.85 $4.93–$78.85 173% above 20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino $63.08 $78.85 $4.93–$78.85 173% above 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT $60.48 $75.60 $4.82–$75.60 152% above 20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel $631.20 $789.00 $44.30–$789.00 263% above 20%
Albumin blood test CPT 82040 Albumin, Serum $40.00 $50.00 $4.60–$47.48 119% above 20%
Albumin blood test CPT 82040 Albumin $40.80 $51.00 $4.60–$48.45 123% above 20%
Aldosterone blood test CPT 82088 Aldosterone, Serum $159.95 $199.94 $33.80–$199.94 27% above 20%
Aldosterone blood test CPT 82088 Adosterone 24 Hr Urine $167.95 $209.94 $33.80–$209.94 34% above 20%
Aldosterone blood test CPT 82088 Aldosterone 24 Hr Urine $454.20 $567.75 $33.80–$539.37 262% above 20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase $55.30 $69.12 $4.82–$69.12 174% above 20%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phos. Bone Specific $64.08 $80.10 $4.82–$80.10 218% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige; - Phadia $39.00 $48.75 $3.69–$48.75 144% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Sp Ige; Quan or Semiquan $60.00 $75.00 $3.69–$75.00 275% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile $382.20 $477.75 $41.94–$477.75 2289% above 20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein (Tumor Marker) $95.52 $119.40 $6.57–$207.25 54% above 20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum $114.62 $143.28 $6.57–$207.25 85% above 20%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha 1 Fetoprotein $349.60 $437.00 $21.80–$437.00 465% above 20%
Ammonia blood test CPT 82140 Ammonia Blood $271.60 $339.50 $18.94–$322.53 405% above 20%
Ammonia blood test CPT 82140 Ammonia $272.00 $340.00 $18.94–$322.53 406% above 20%
Amylase blood test CPT 82150 Amylase $96.00 $120.00 $5.08–$120.00 218% above 20%
Amylase blood test CPT 82150 Amylase Isoensymes $96.00 $120.00 $5.08–$120.00 218% above 20%
Amylase blood test CPT 82150 Amylase, Pancreatic Cyst Fluid $96.00 $120.00 $5.08–$120.00 218% above 20%
Amylase blood test CPT 82150 Amylase Pancreatic Cyst $96.00 $120.00 $5.08–$120.00 218% above 20%
Amylase blood test CPT 82150 Amylase, Pancreatic Cyst $1,097.28 $1,371.60 $94.19–$1,371.60 3530% above 20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Peptide Igg $101.92 $127.40 $12.04–$127.40 113% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ana Reflex $89.96 $112.45 $5.51–$150.01 106% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Defined Ana Screen (Symphony) Phadia $91.43 $114.29 $9.19–$150.01 109% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Dsdna - Phadia $91.43 $114.29 $9.19–$150.01 109% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Defined Ana Screen $93.24 $116.55 $9.19–$150.01 113% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (Ana) $147.47 $184.34 $9.19–$184.34 237% above 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide $156.00 $195.00 $10.07–$185.25 27% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Intraop Incis Ster $109.60 $137.00 $8.02–$130.15 245% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Body Fluid $114.40 $143.00 $8.02–$135.85 260% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound/Abscess $114.40 $143.00 $8.02–$135.85 260% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic and Anaerobic Cul $114.40 $143.00 $8.02–$135.85 260% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum $114.40 $143.00 $8.02–$135.85 260% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Product Culture $114.40 $143.00 $8.02–$135.85 260% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat $114.40 $143.00 $8.02–$135.85 260% above 20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Urogenital $114.40 $143.00 $8.02–$135.85 260% above 20%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel $35.20 $44.00 $7.32–$41.80 39% below 20%
Bilirubin blood test, total CPT 82247 Bilirubin, Total $56.78 $70.98 $4.67–$70.98 152% above 20%
Bilirubin blood test, total CPT 82247 Bilirubin Total $56.78 $70.98 $4.67–$70.98 152% above 20%
Bilirubin blood test, total CPT 82247 Bilirubin, Body Fluid $329.91 $412.39 $53.57–$412.39 1366% above 20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Level IV $144.00 $180.00 $32.78–$434.21 6% below 20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block $311.04 $388.80 $32.78–$434.21 103% above 20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path G&M Level IV $311.04 $388.80 $32.78–$434.21 103% above 20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block, Cyto $311.04 $388.80 $32.78–$434.21 103% above 20%
Blood culture for bacteria CPT 87040 Culture Blood $119.20 $149.00 $8.23–$146.73 90% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture - Bradford Co Da $11.56 $14.45 $5.62–$393.65 23% below 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Misc Venipuncture $27.77 $34.71 $5.62–$393.65 85% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture $31.20 $39.00 $5.62–$393.65 108% above 20%
Blood glucose (sugar) test CPT 82947 Glucose; Quan, Blood $52.00 $65.00 $3.65–$61.75 189% above 20%
Blood glucose (sugar) test CPT 82947 Glucose $64.32 $80.40 $3.93–$80.40 257% above 20%
Blood glucose (sugar) test CPT 82947 HC Glucose - Abg Critical Panel $64.32 $80.40 $3.93–$80.40 257% above 20%
Blood lead test CPT 83655 Lead, Blood $66.72 $83.40 $11.26–$83.40 52% above 20%
Blood lead test CPT 83655 Lead Random Urine $116.85 $146.06 $11.26–$146.06 167% above 20%
Blood lead test CPT 83655 Lead 24 Hour Urine $196.82 $246.03 $12.11–$246.03 349% above 20%
Blood lead test CPT 83655 Lea 24 Hr Urine $196.82 $246.03 $12.11–$246.03 349% above 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Fac Chorionic Gonadotropin Qual $28.56 $35.70 $2.02–$55.07 11% below 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Hcg, Qual Ser/UR $82.08 $102.60 $5.58–$102.60 156% above 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo $32.76 $40.95 $2.99–$565.70 79% below 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Rc Abo Type $83.52 $104.40 $5.23–$565.70 45% below 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Cord $83.52 $104.40 $5.23–$565.70 45% below 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $83.52 $104.40 $5.23–$565.70 45% below 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Blood Group $83.52 $104.40 $5.23–$565.70 45% below 20%
Blood urea nitrogen (BUN) test CPT 84520 Fluid, Urea Nitrogen $21.70 $27.13 $3.67–$27.13 3% below 20%
Blood urea nitrogen (BUN) test CPT 84520 Blood, Urea Nitrogen $63.84 $79.80 $3.95–$79.80 186% above 20%
C-peptide blood test CPT 84681 C-Peptide $92.16 $115.20 $19.35–$115.20 7% above 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein $97.14 $121.42 $6.73–$121.42 267% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe $220.00 $275.00 $34.66–$275.00 74% above 20%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 $90.96 $113.70 $19.35–$113.70 21% above 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 $99.20 $124.00 $19.35–$117.80 29% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Lab Non Cdc $167.04 $208.80 $30.79–$208.80 70% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Lab Non Cdc $192.00 $240.00 $30.79–$240.00 96% above 20%
Calcium blood test, total CPT 82310 Calcium; Total $54.91 $68.64 $4.80–$68.64 117% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pancreatic Cyst Fluid $282.46 $353.08 $18.96–$353.08 250% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Peritoneal Fluid $282.46 $353.08 $18.96–$353.08 250% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pleural Fluid $282.46 $353.08 $18.96–$353.08 250% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pericardial Fluid $282.46 $353.08 $18.96–$353.08 250% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea Pancreatic Cyst $282.46 $353.08 $18.96–$353.08 250% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antig $282.46 $353.08 $18.96–$353.08 250% above 20%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Pancreatic Cyst $550.81 $688.51 $33.18–$688.51 582% above 20%
Chickenpox (varicella) immunity blood test CPT 86787 Anti-Herpes Zoster Vrs $66.72 $83.40 $8.11–$83.40 48% above 20%
Chickenpox (varicella) immunity blood test CPT 86787 Ab; Varicella-Zoster $70.06 $87.57 $8.11–$87.57 56% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia T Amplif Na Probe $225.47 $281.84 $21.64–$281.84 125% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna $236.74 $295.93 $21.64–$295.93 137% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $75.60 $94.50 $6.10–$94.50 11% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile $75.60 $94.50 $6.10–$94.50 11% above 20%
Complete blood count (CBC) with differential CPT 85025 Cbc/Auto Diff $38.40 $48.00 $3.20–$48.00 6% below 20%
Complete blood count (CBC), no differential CPT 85027 Cbc/No Diff $43.20 $54.00 $3.20–$54.00 50% above 20%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic $56.28 $70.35 $9.82–$70.35 4% below 20%
Cortisol blood test, total CPT 82533 Dexamethasone Suppresion $189.49 $236.86 $15.16–$236.86 287% above 20%
Cortisol blood test, total CPT 82533 Cortisol; Total $189.49 $236.86 $15.16–$236.86 287% above 20%
Creatine kinase (CK) blood test, total CPT 82550 Cpk; Total $69.12 $86.40 $5.08–$86.40 177% above 20%
Creatinine blood test CPT 82565 Creatinine; Blood $67.39 $84.24 $4.76–$84.24 173% above 20%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody $85.44 $106.80 $13.38–$106.80 64% above 20%
Cytomegalovirus (CMV) antibody test CPT 86644 R.C.Cmv Ab Testing Unit $124.03 $155.04 $13.38–$155.04 138% above 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate $128.88 $161.10 $20.67–$161.10 52% above 20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic Cannabinoid Blood $327.39 $409.24 $57.79–$409.24 169% above 20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Multi Class $327.39 $409.24 $57.79–$409.24 169% above 20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol/Urine $327.39 $409.24 $57.79–$409.24 169% above 20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorhine Ql Urine $327.39 $409.24 $57.79–$409.24 169% above 20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lsd, Urine $327.39 $409.24 $57.79–$409.24 169% above 20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates, Hydrocodone $327.39 $409.24 $57.79–$409.24 169% above 20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel $104.16 $130.20 $6.41–$130.20 233% above 20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Bar Viral Capsid Igm $125.63 $157.04 $16.87–$169.50 176% above 20%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Bar Viral Capsid Igg $132.24 $165.30 $16.87–$169.50 190% above 20%
Estradiol blood test CPT 82670 Estradiol $237.12 $296.40 $25.98–$296.40 132% above 20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; Fsh $190.76 $238.45 $17.28–$238.45 153% above 20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprtectin $211.20 $264.00 $11.39–$264.00 133% above 20%
Ferritin blood test (iron stores) CPT 82728 Ferritin $138.13 $172.66 $12.68–$172.66 128% above 20%
Fibrinogen blood test CPT 85384 Fibrinogen Level $74.40 $93.00 $6.97–$93.00 97% above 20%
Folate (folic acid) blood test CPT 82746 Folic Acid; Serum $165.87 $207.34 $12.63–$207.34 201% above 20%
Free T3 thyroid hormone test CPT 84481 T3; Free $145.68 $182.10 $9.09–$182.10 130% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis $144.80 $181.00 $9.00–$181.00 202% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine $166.44 $208.05 $9.00–$208.05 247% above 20%
Free testosterone test CPT 84402 Testosterone; Free $153.09 $191.36 $23.69–$191.36 85% above 20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase Gamma Ggt $74.10 $92.63 $5.08–$92.63 176% above 20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT $78.00 $97.50 $5.08–$97.50 190% above 20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel $435.96 $544.95 $57.06–$544.95 178% above 20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose-Post Gluc Dose $72.38 $90.48 $4.75–$90.48 242% above 20%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test,3 Specimens $156.00 $195.00 $11.97–$195.00 172% above 20%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test Gtt 3 Specimens $156.00 $195.00 $11.97–$195.00 172% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Dna $225.47 $281.84 $21.64–$281.84 124% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Amp Probe $225.47 $281.84 $21.64–$281.84 124% above 20%
H. pylori antibody blood test CPT 86677 Helicobactor Pylori Iga $179.20 $224.00 $14.19–$224.00 241% above 20%
H. pylori antibody blood test CPT 86677 Ab; Helicobacter Pylori $179.20 $224.00 $14.19–$224.00 241% above 20%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori, Stool $327.39 $409.24 $41.18–$409.24 512% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna by Dna Quantitiative $324.24 $405.30 $79.14–$405.30 39% above 20%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1,Hiv-2,Single Assay $88.80 $111.00 $13.71–$111.00 77% above 20%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 Single Result $244.00 $305.00 $23.99–$305.00 387% above 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab $81.60 $102.00 $18.67–$102.00 13% above 20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types $180.05 $225.06 $28.13–$225.06 90% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobi $41.04 $51.30 $9.03–$51.30 14% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glyco Hemoglobin A1c $41.04 $51.30 $9.03–$51.30 14% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Fac Glycosylated Hemoglobin Test $56.28 $70.35 $9.03–$70.35 57% above 20%
Hemoglobin blood test CPT 85018 Hemoglobin $23.52 $29.40 $2.02–$29.40 63% above 20%
Hemoglobin blood test CPT 85018 Hemoglobin Hgb $27.80 $34.75 $2.02–$33.07 93% above 20%
Hemoglobin blood test CPT 85018 Hemoglobin Electrophoresis $1,077.12 $1,346.40 $673.20–$1,346.40 7364% above 20%
Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody $92.35 $115.44 $10.20–$115.44 112% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab $152.64 $190.80 $9.99–$190.80 285% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen W/Reflex Confirmation $27.73 $34.66 $9.61–$135.01 26% below 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Eia $145.92 $182.40 $9.61–$182.40 290% above 20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab $285.12 $356.40 $14.98–$356.40 437% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna $384.38 $480.48 $39.84–$480.48 182% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Ab, Type 1 $149.20 $186.50 $12.27–$186.50 270% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Ab, Type 2 $93.40 $116.75 $14.65–$116.75 61% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igg Inhibition, Ia $513.37 $641.71 $32.96–$641.71 785% above 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein Hs $95.04 $118.80 $10.35–$118.80 99% above 20%
Homocysteine blood test CPT 83090 Assay of Homocystine $125.76 $157.20 $16.67–$157.20 72% above 20%
Insulin blood test CPT 83525 Insulin; Total $63.36 $79.20 $10.63–$79.20 50% above 20%
Iron blood test (serum iron) CPT 83540 Iron Total Serum $97.97 $122.46 $6.47–$122.46 281% above 20%
Iron blood test (serum iron) CPT 83540 Serum Iron $97.97 $122.46 $6.47–$122.46 281% above 20%
Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue $156.80 $196.00 $10.35–$186.20 509% above 20%
Iron blood test (serum iron) CPT 83540 Iron,Urine $156.80 $196.00 $10.35–$186.20 509% above 20%
Iron-binding capacity (TIBC) test CPT 83550 Serum Iron Binding $97.34 $121.68 $6.50–$121.68 143% above 20%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding $97.34 $121.68 $6.50–$121.68 143% above 20%
Kidney function blood test panel CPT 80069 Renal Panel $124.80 $156.00 $8.07–$148.20 85% above 20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin; Luteinizing Hormone $186.96 $233.70 $17.22–$233.70 142% above 20%
LH (luteinizing hormone) test CPT 83002 Lh, Pediatric $283.20 $354.00 $18.52–$354.00 267% above 20%
Lactate (lactic acid) blood test CPT 83605 Lactate $78.80 $98.50 $9.39–$93.57 95% above 20%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid $78.80 $98.50 $9.39–$93.57 95% above 20%
Lactate (lactic acid) blood test CPT 83605 I Stat Lactic Acid (POCT) $322.40 $403.00 $20.19–$382.85 699% above 20%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Isoenzymes $55.60 $69.50 $5.08–$65.88 150% above 20%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $58.40 $73.00 $5.08–$69.35 162% above 20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid $42.56 $53.20 $5.79–$88.34 51% above 20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $85.12 $106.40 $5.79–$106.40 203% above 20%
Liver function blood test panel CPT 80076 Hepatic Function Panel $122.64 $153.30 $7.32–$153.30 117% above 20%
Lyme disease antibody test CPT 86618 Ab; Lyme's Disease $66.72 $83.40 $15.84–$83.40 38% above 20%
Magnesium blood test CPT 83735 Magnesium $38.40 $48.00 $5.08–$45.60 55% above 20%
Magnesium blood test CPT 83735 Magnesium, RBC $59.20 $74.00 $5.08–$70.22 139% above 20%
Magnesium blood test CPT 83735 Magnesium 24 Hr Urine $88.40 $110.50 $5.33–$104.88 257% above 20%
Measles (rubeola) antibody test CPT 86765 Ab; Rubeola $198.20 $247.75 $11.98–$235.36 328% above 20%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody $96.96 $121.20 $5.18–$121.20 182% above 20%
Mumps immunity blood test CPT 86735 Sars - Cov-2covid 19 Lab Test $80.00 $100.00 $8.11–$100.00 88% above 20%
Mumps immunity blood test CPT 86735 Mumps Antibody $210.08 $262.60 $13.05–$262.60 395% above 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Total and Free - Quest $91.73 $114.66 $17.10–$114.66 38% above 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa; Free $141.12 $176.40 $17.10–$176.40 112% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa: Total $141.12 $176.40 $17.10–$176.40 112% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen (Psa), Total $141.12 $176.40 $17.10–$176.40 112% above 20%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology Cer/Vag Any $77.60 $97.00 $24.75–$97.00 14% above 20%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Pap Smear Screen $312.80 $391.00 $24.75–$391.00 360% above 20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology Cervix/Vagina $64.80 $81.00 $18.84–$81.00 8% below 20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Test 7 88142 $111.20 $139.00 $18.84–$139.00 58% above 20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath Cv/Vg Auto Thin La $113.60 $142.00 $18.84–$142.00 62% above 20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone $178.56 $223.20 $38.39–$223.20 22% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P T T $67.20 $84.00 $5.59–$84.00 185% above 20%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic $44.80 $56.00 $4.41–$53.20 120% above 20%
Potassium blood test CPT 84132 Assay of Serum Potassium $56.40 $70.50 $4.43–$66.98 145% above 20%
Potassium blood test CPT 84132 Potassium/Whole Blood $56.80 $71.00 $4.43–$67.65 147% above 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatal Advanced $3,661.20 $4,576.50 $705.92–$4,576.50 221% above 20%
Progesterone blood test CPT 84144 Progesterone $190.00 $237.50 $19.40–$237.50 121% above 20%
Prolactin blood test CPT 84146 Prolactin Total and Monomeric $217.60 $272.00 $18.02–$343.45 202% above 20%
Prolactin blood test CPT 84146 Prolactin Dilution $217.60 $272.00 $18.02–$343.45 202% above 20%
Prolactin blood test CPT 84146 Prolactin Monomeric $302.92 $378.65 $19.38–$378.65 320% above 20%
Prolactin blood test CPT 84146 Prolactin Total $302.92 $378.65 $19.38–$378.65 320% above 20%
Prolactin blood test CPT 84146 Prolactin $318.86 $398.58 $19.38–$398.58 342% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $49.60 $62.00 $3.95–$58.90 220% above 20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen Screen Flu B $41.60 $52.00 $14.65–$52.00 1% above 20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen Screen Flu A $41.60 $52.00 $14.65–$52.00 1% above 20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Screen $36.20 $45.25 $3.79–$57.24 10% below 20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Group A $45.36 $56.70 $3.79–$57.24 13% above 20%
Renin blood test CPT 84244 Renin $120.84 $151.05 $15.60–$151.05 49% above 20%
Rh blood typing CPT 86901 Blood Typing Serologic Rh (D) $25.20 $31.50 $2.99–$172.26 54% below 20%
Rh blood typing CPT 86901 Arc- Rh Type $74.88 $93.60 $5.23–$172.26 36% above 20%
Rh blood typing CPT 86901 Rh Typing $74.88 $93.60 $5.23–$172.26 36% above 20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Fluid Quant $75.20 $94.00 $5.25–$89.30 259% above 20%
Rheumatoid factor (RF) test CPT 86431 Quan Rheum Factor $87.36 $109.20 $5.25–$109.20 317% above 20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant Ana Reflex $87.36 $109.20 $5.25–$109.20 317% above 20%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody,Igm $55.98 $69.98 $13.38–$72.00 26% above 20%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody $69.12 $86.40 $13.38–$86.40 55% above 20%
Rubella antibody test (immunity check) CPT 86762 Rubella $69.12 $86.40 $13.38–$86.40 55% above 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate, Erythrocyte; Automated $9.24 $11.55 $2.02–$78.77 63% below 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Autom Erythrocyte Sed Rate $79.87 $99.84 $7.75–$99.84 222% above 20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Fertility $111.20 $139.00 $11.45–$139.00 196% above 20%
Sodium blood test CPT 84295 Sodium $57.60 $72.00 $4.47–$68.40 165% above 20%
Sodium blood test CPT 84295 Sodium Serum $57.60 $72.00 $4.47–$68.40 165% above 20%
Stool ova and parasites exam CPT 87177 Ova and Parasite Exam $190.08 $237.60 $10.43–$237.60 478% above 20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult, by Peroxid, Feces, Single Colorectal Scr $17.64 $22.05 $3.43–$39.80 24% above 20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood by Perox Act, Qualitative;Feces 1-3 Deter $37.00 $46.25 $3.43–$43.94 160% above 20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Fhg Qual 1-3 $76.80 $96.00 $6.00–$96.00 57% above 20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab $32.60 $40.75 $12.31–$45.85 23% below 20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Abs $136.00 $170.00 $12.31–$170.00 222% above 20%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody (Treponema Pallidum Antibodies) $177.60 $222.00 $12.31–$222.00 320% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $19.61 $24.51 $3.30–$67.16 24% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Screening $62.74 $78.43 $3.97–$78.43 298% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl CSF $65.36 $81.70 $4.27–$81.70 315% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr/Vdrl Qual $65.36 $81.70 $4.27–$81.70 315% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Test Cell Immun Measure $324.48 $405.60 $50.50–$405.60 99% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon - TB Gold $340.70 $425.88 $50.50–$425.88 109% above 20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total $155.52 $194.40 $24.00–$194.40 66% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Thyroid Peroxdse Ab $58.04 $72.55 $10.28–$94.07 9% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidas Ab $58.04 $72.55 $10.28–$94.07 9% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Each $59.86 $74.82 $10.28–$94.07 13% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab $181.38 $226.72 $10.99–$226.72 241% above 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone $128.64 $160.80 $9.09–$160.80 76% above 20%
Total IgE blood test CPT 82785 IGE $120.43 $150.54 $12.63–$150.54 98% above 20%
Total cholesterol blood test CPT 82465 Cholesterol, Fluid $43.20 $54.00 $4.05–$54.00 91% above 20%
Total thyroxine (T4) blood test CPT 84436 Thyroxine; Total $135.36 $169.20 $7.08–$169.20 363% above 20%
Total triiodothyronine (T3) blood test CPT 84480 T3, Free, Tracer Dialysis $76.80 $96.00 $5.76–$96.00 21% above 20%
Total triiodothyronine (T3) blood test CPT 84480 T3 $76.80 $96.00 $5.76–$96.00 21% above 20%
Transferrin blood test CPT 84466 Transferrin $71.04 $88.80 $11.87–$88.80 51% above 20%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif $132.24 $165.30 $21.64–$165.30 74% above 20%
Trichomonas test (NAAT) CPT 87661 Trichomonas $134.89 $168.61 $21.64–$168.61 77% above 20%
Triglycerides blood test CPT 84478 Triglycerides, Pleural Fluid $53.60 $67.00 $5.08–$67.00 119% above 20%
Triglycerides blood test CPT 84478 Triglycerides, Peritoneal Fluid $53.60 $67.00 $5.08–$67.00 119% above 20%
Triglycerides blood test CPT 84478 Triglycerides $53.80 $67.25 $5.08–$67.25 120% above 20%
Triglycerides blood test CPT 84478 Assay of Blood Lipoprotein Vldl $56.40 $70.50 $5.08–$70.50 130% above 20%
Triglycerides blood test CPT 84478 Procainamide and Napa $83.20 $104.00 $5.08–$104.00 240% above 20%
Troponin test, quantitative CPT 84484 Troponin, Quan $83.39 $104.24 $8.13–$104.24 93% above 20%
Uric acid blood test CPT 84550 Uric Acid $62.40 $78.00 $4.20–$78.00 210% above 20%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W Micro $84.86 $106.08 $5.55–$106.08 161% above 20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis W/O Micro $19.32 $24.15 $2.02–$60.14 14% above 20%
Urinalysis without microscope exam, automated CPT 81003 Urine Auto W/O Micro $58.66 $73.32 $3.54–$73.32 245% above 20%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick On $59.24 $74.05 $3.60–$74.05 248% above 20%
Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick Non-Auto W/O Micro $20.00 $25.00 $2.02–$25.00 92% above 20%
Urinalysis without microscope exam, manual CPT 81002 Non Auto Urinalysis WO Micrscp $23.20 $29.00 $2.02–$29.00 123% above 20%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count $52.80 $66.00 $7.51–$66.00 38% above 20%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine $56.64 $70.80 $7.51–$70.80 49% above 20%
Urine microalbumin (albumin) test CPT 82043 Urine, Microalbumin, Quant $60.04 $75.05 $5.08–$75.05 102% above 20%
Urine microalbumin (albumin) test CPT 82043 Microalbumin (Urine) $60.04 $75.05 $5.08–$75.05 102% above 20%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy $31.92 $39.90 $2.02–$70.28 11% above 20%
Urine pregnancy test, read by color change CPT 81025 Hcg, Pregnancy Urine $71.63 $89.54 $4.34–$89.54 148% above 20%
Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative-Waived $71.63 $89.54 $4.34–$89.54 148% above 20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12 $185.82 $232.27 $12.63–$232.27 234% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Questassured Vitamin D $129.60 $162.00 $27.53–$162.00 21% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 Hydroxy $129.60 $162.00 $27.53–$162.00 21% above 20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit D 1 25-Dihydroxy $332.18 $415.22 $35.81–$415.22 210% above 20%
Zinc blood test CPT 84630 ZINC $78.00 $97.50 $7.98–$97.50 93% above 20%
Zinc blood test CPT 84630 Zinc Serum $114.66 $143.33 $7.98–$143.33 183% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 4 $148.78 $185.98 $12.49–$185.98 168% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg, Quantitative $181.44 $226.80 $12.49–$226.80 226% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 3 $181.44 $226.80 $12.49–$226.80 226% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quan $343.44 $429.30 $19.57–$429.30 518% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta,Quantitative $343.44 $429.30 $19.57–$429.30 518% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Alpha Fetoprotein Maternal Screen 5 $343.44 $429.30 $19.57–$429.30 518% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Bhcg I Stat (POCT) $343.44 $429.30 $19.57–$429.30 518% above 20%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs New YorkOff list
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine $400.43 $500.54 $133.24–$1,295.49 8% below 20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc $2,828.80 $3,536.00 $192.79–$7,110.71 8% below 20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clsd Tx Lateral Malleolus Fx $579.77 $724.71 $154.05–$1,052.76 10% above 20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Dstl Fib Fx WO Manip $1,704.00 $2,130.00 $154.05–$2,130.00 223% above 20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Clsd Tx Metatarsal Fx W/O Man $444.53 $555.66 $109.85–$1,052.76 3% below 20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Metatarsal Fx WO Manip $1,648.00 $2,060.00 $109.85–$2,060.00 261% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion $993.60 $1,242.00 $113.10–$2,871.86 4% below 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioverison Electric Ext. $993.80 $1,242.25 $113.10–$2,871.86 4% below 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion - Cortland Only $993.80 $1,242.25 $113.10–$2,871.86 4% below 20%
Cataract surgery with lens implant CPT 66984 HC Fac Remv Cataract Extracap,Insert Lens $1,825.15 $2,281.44 $376.44–$3,035.08 32% below 20%
Cervical biopsy CPT 57500 Biopsy of Cervix $233.44 $291.80 $85.96–$3,821.40 84% below 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Fac Circumcision,Clamp, or Other Device $308.70 $385.88 $63.67–$8,990.25 87% below 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Newborn Circumcision Procedure $3,108.30 $3,885.38 $641.03–$8,990.25 28% above 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block $3,108.30 $3,885.38 $641.03–$8,990.25 28% above 20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Tx Dstl Radial Fx W/O Man $473.89 $592.36 $148.85–$1,052.76 16% below 20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep WO Mnp $1,648.00 $2,060.00 $148.85–$2,060.00 193% above 20%
Colonoscopy with polyp removal CPT 45385 Colonoscopy Flex W Rem Lesion by Snare $2,069.60 $2,587.00 $306.72–$5,174.60 8% above 20%
Colonoscopy with tissue sample CPT 45380 HC Fac Colonoscopy W/Biopsy Single/Multiple $1,083.10 $1,353.87 $243.22–$5,174.60 22% below 20%
Colonoscopy with tissue sample CPT 45380 Colonoscopy Flex W Bx; Sgl/Multi $2,069.60 $2,587.00 $243.22–$5,174.60 48% above 20%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flex ; Dx $1,996.80 $2,496.00 $223.59–$4,256.11 3% above 20%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Fac Colposcopy of the Cervix Including Upper/Adjacent Vagina; With Loop Electrode Biopsy(S) of the Cervix $899.64 $1,124.55 $185.55–$4,231.15 76% below 20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage $351.04 $438.80 $137.72–$1,334.99 47% below 20%
Complex cataract surgery with lens implant CPT 66982 HC Fac Remv Cataract Extracap,Insert Lens,Comp $2,815.34 $3,519.18 $580.66–$3,519.18 4% above 20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy $418.07 $522.59 $97.50–$2,929.31 71% below 20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Flexible Cystoscopy $2,495.52 $3,119.40 $455.95–$3,119.40 73% above 20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy $3,087.84 $3,859.80 $786.72–$3,859.80 114% above 20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Fac Dilation/Curettage,Diagnostic $766.75 $958.44 $479.22–$4,231.15 80% below 20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Premalig Les 1st Laser Cryo $186.98 $233.73 $26.00–$872.03 36% below 20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st $504.00 $630.00 $66.57–$872.03 74% above 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rmve Impcted Cerumen Irrig/Lavage $31.75 $39.69 $18.32–$260.69 74% below 20%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impated Ear Wax Unilateral $148.84 $186.05 $18.32–$260.69 23% above 20%
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen One or Both Ears $291.84 $364.80 $39.29–$364.80 124% above 20%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral $122.30 $152.88 $39.29–$260.69 6% below 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy $219.33 $274.16 $66.30–$882.87 52% below 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx $501.60 $627.00 $66.30–$882.87 9% above 20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Imaging $3,721.54 $4,651.92 $738.05–$4,651.92 166% above 20%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Fac Inject Intravitreal Pharmcologic $511.56 $639.45 $111.22–$1,455.68 29% below 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Lev $2,992.32 $3,740.40 $514.31–$3,907.20 49% above 20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex; Dx $1,996.80 $2,496.00 $537.30–$4,001.20 at median 20%
Hammertoe correction surgery CPT 28285 Hammertoe OP One Toe $3,652.00 $4,565.00 $300.95–$4,565.00 5% below 20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations $448.65 $560.81 $59.80–$4,001.20 61% below 20%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of Hemorrhoid(S) $2,431.10 $3,038.88 $236.17–$4,001.20 113% above 20%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove Int/Ext Hem 1 Group $6,910.89 $8,638.61 $1,425.37–$8,638.61 89% above 20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj Hysterosalpingogram $218.40 $273.00 $47.88–$614.00 28% below 20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endom &/Polypc W/WO D&C $606.22 $757.78 $283.27–$13,953.93 86% below 20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud $209.92 $262.40 $22.43–$262.40 49% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc Smpl/Sngl Tech $167.73 $209.66 $30.55–$872.03 59% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Absc; Smpl or Sg $367.68 $459.60 $30.55–$872.03 9% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Simple $367.68 $459.60 $30.55–$872.03 9% below 20%
Incision and drainage of a simple or single skin abscess CPT 10060 I+D of Abscess Simple $367.68 $459.60 $30.55–$872.03 9% below 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath Ligament $141.71 $177.14 $41.60–$1,295.49 71% below 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendon Shth or Ligament $839.20 $1,049.00 $183.99–$1,295.49 70% above 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection:Tendon Sheath,Ligament Aponeurosis $1,246.56 $1,558.20 $260.29–$1,558.20 152% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspir/Inj Major Joint Bursa $188.75 $235.94 $30.55–$1,295.49 63% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspiration and/or Inj; Major Joint $484.00 $605.00 $30.55–$1,295.49 4% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Bursa Injection; Major Area $484.00 $605.00 $30.55–$1,295.49 4% below 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocintesis Aspiration &/or Inj Maj Joint or Bursa $484.00 $605.00 $30.55–$1,295.49 4% below 20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device $273.42 $341.78 $77.16–$565.70 3% below 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir/Inj Interm Joint Bursa $158.18 $197.72 $27.95–$1,295.49 65% below 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inject Intermediate Joint $392.00 $490.00 $27.95–$1,295.49 14% below 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Inter Joint/Bursa/W/O US $392.00 $490.00 $27.95–$1,295.49 14% below 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspir/Inj Small Joint Bursa $138.77 $173.46 $23.40–$1,295.49 69% below 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Sm Jnt/Bursa $382.40 $478.00 $23.40–$1,295.49 15% below 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspiration Inject, Small Joint $1,031.90 $1,289.87 $215.57–$1,295.49 130% above 20%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Fac Discission,2nd Cataract,Laser $404.07 $505.09 $252.55–$2,407.63 68% below 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rep Inter <2.5cm Scalp Trunk Extrem $412.78 $515.97 $31.85–$1,753.41 30% below 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair-Intermediate Scalp,Trunk,Extremites 2.5cm or Less $658.40 $823.00 $184.26–$1,753.41 11% above 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac W/Imaging $3,721.54 $4,651.92 $602.37–$4,651.92 149% above 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Out Img Gdn $2,276.00 $2,845.00 $1,049.35–$3,907.20 56% above 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac $2,605.07 $3,256.34 $549.18–$3,907.20 79% above 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac (727) $2,605.07 $3,256.34 $549.18–$3,907.20 79% above 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epidural L/S $3,504.98 $4,381.22 $672.21–$4,381.22 127% above 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Transforaminal Epidural Lumbar $3,504.98 $4,381.22 $672.25–$4,381.22 127% above 20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les <.5cm Trunk Arm Legs $219.91 $274.89 $48.75–$3,087.83 80% below 20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr Ext B9 and Margins 0.5 Cm or Less $2,736.00 $3,420.00 $811.91–$3,420.00 153% above 20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Ben Les <.5cm Face Ears Eyelids $253.43 $316.79 $70.85–$3,087.83 76% below 20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion First Nail Plate $144.48 $180.60 $65.98–$872.03 57% below 20%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate (Part, or Compl, Simple, Single) $332.80 $416.00 $65.98–$872.03 at median 20%
Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate Simp Sngle $359.20 $449.00 $65.98–$872.03 8% above 20%
Occipital nerve block (injection for headaches) CPT 64405 Injection Anesthetic Agent Greater Occipital Nrv $245.78 $307.23 $45.50–$1,295.49 48% below 20%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anesth; Greater Occipital Nerve $512.80 $641.00 $45.50–$1,295.49 8% above 20%
Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block $1,017.36 $1,271.70 $64.84–$1,976.00 115% above 20%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging $1,384.00 $1,730.00 $109.63–$4,114.65 3% below 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Part/Compl Perm $351.04 $438.80 $76.97–$1,753.41 52% below 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Nail Matix for Permanent Removal $658.40 $823.00 $124.51–$1,753.41 10% below 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail and Matrix $1,652.00 $2,065.00 $124.51–$2,065.00 125% above 20%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach $377.50 $471.87 $116.35–$2,596.24 84% below 20%
Prostate biopsy CPT 55700 Needle Biopsy, Prostrate,Sngle/Multiple $4,575.20 $5,719.00 $984.00–$5,719.00 89% above 20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt $3,909.74 $4,887.18 $237.19–$8,570.08 15% above 20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of F/B Simple Tc $204.62 $255.78 $39.65–$1,753.41 68% below 20%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal of FB-Simple $286.40 $358.00 $39.65–$1,753.41 56% below 20%
Removal of a foreign object under the skin, simple CPT 10120 Incision and Removal Foreign Body Subq Tiss Simple $1,086.40 $1,358.00 $128.47–$1,753.41 69% above 20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Scrn Colonoscopy Pt Not Hi Risk $1,996.80 $2,496.00 $223.98–$4,001.20 29% above 20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Scrn Colonoscopy on Hi Risk Pt $1,996.80 $2,496.00 $223.59–$4,001.20 85% above 20%
Short arm cast (elbow to hand) CPT 29075 Application Forearm Cast $155.82 $194.78 $59.15–$1,165.55 64% below 20%
Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow Finger Short Arm $372.80 $466.00 $59.15–$1,165.55 13% below 20%
Short arm cast (elbow to hand) CPT 29075 Ot Appl Cast; Elbow to Finger $484.80 $606.00 $33.50–$1,165.55 14% above 20%
Short arm splint (forearm and hand) CPT 29125 Appl Shrt Arm Splnt Static $148.18 $185.22 $33.80–$565.70 30% below 20%
Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint $259.16 $323.95 $33.80–$565.70 23% above 20%
Short arm splint (forearm and hand) CPT 29125 Ot Appl Short Arm Splint Static $389.28 $486.60 $33.80–$565.70 85% above 20%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe $294.59 $368.24 $65.65–$1,165.55 40% below 20%
Short leg cast (below the knee) CPT 29405 Apply Sh Leg Cast $712.00 $890.00 $65.65–$1,165.55 45% above 20%
Short leg splint (calf to foot) CPT 29515 Appl Lower Leg Splint $152.30 $190.37 $45.50–$692.49 47% below 20%
Short leg splint (calf to foot) CPT 29515 Application of Lower Leg Splint $213.12 $266.40 $38.94–$692.49 25% below 20%
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint $213.12 $266.40 $45.50–$692.49 25% below 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Rep <2.5cm Scalp Neck $276.36 $345.45 $31.85–$872.03 27% below 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp,Trunk 2.5cm or Less $367.68 $459.60 $31.85–$872.03 3% below 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< $820.80 $1,026.00 $54.80–$1,026.00 117% above 20%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin; Single Lesion $261.66 $327.08 $52.56–$1,753.41 62% below 20%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion $325.60 $407.00 $52.56–$1,753.41 53% below 20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Fac Exc Skin Malig <0.5 Cm Trunk,Arm,Leg $282.24 $352.80 $104.00–$3,087.83 67% below 20%
Skin tag removal, up to 15 tags CPT 11200 Exc Mult Skin Tags 1-15 $126.62 $158.27 $40.30–$872.03 65% below 20%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tag Any Area Up to Including 15 Lesions $336.00 $420.00 $40.30–$872.03 8% below 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Fac Spinal Puncture,Lumbar,Diagnostic $334.58 $418.22 $54.60–$921.57 72% below 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Spinal Puncture $1,267.20 $1,584.00 $78.74–$1,584.00 7% above 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture L-Spine $1,267.20 $1,584.00 $78.74–$1,584.00 7% above 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Rep 2.6-7.5cm Scalp Neck $298.70 $373.38 $46.15–$872.03 25% below 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp,Trunk 2.6cm to 7.5cm $481.66 $602.08 $46.15–$872.03 21% above 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Scalp, Trunk 2.6cm to 7.5cm $1,083.46 $1,354.32 $72.09–$1,354.32 173% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Rep <2.5cm Face Ear Eyelid $289.30 $361.62 $40.95–$872.03 23% below 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair-Facial Lips 2.5cm or Less $367.68 $459.60 $40.95–$872.03 3% below 20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy of Skin; Single Lesion $208.15 $260.19 $41.90–$872.03 58% below 20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les $325.60 $407.00 $41.90–$872.03 34% below 20%
Thoracentesis with imaging guidance CPT 32555 HC Fac Thoracentesis Needle/Cath Pleura W/Imaging $340.46 $425.57 $132.08–$2,713.34 73% below 20%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/Imaging $437.60 $547.00 $95.94–$2,713.34 66% below 20%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis,Needle or Catheter; W/Imaging $2,288.80 $2,861.00 $476.73–$2,861.00 79% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point 1-2 Muscles $145.82 $182.28 $40.38–$1,295.49 65% below 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl $748.00 $935.00 $341.79–$1,295.49 78% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Points, One or Two Muscules $929.18 $1,161.47 $193.47–$1,295.49 122% above 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US Imag $3,233.28 $4,041.60 $180.56–$7,110.71 11% above 20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Ugi Balloon Dil Esoph - < 30 Mm Dia $3,033.60 $3,792.00 $728.00–$8,325.28 24% above 20%
Upper endoscopy (EGD) with biopsy CPT 43239 Ugi W Bx. Sgl/Multiple $3,033.60 $3,792.00 $193.15–$4,114.65 82% above 20%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple $4,969.12 $6,211.40 $348.19–$6,211.40 198% above 20%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr GI Scope W/Submuc Inj $3,033.60 $3,792.00 $198.67–$3,792.00 126% above 20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Ugi With Rem T/P/Les by Snare $3,211.20 $4,014.00 $236.70–$8,325.28 38% above 20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Ugi W Guide Wire and Dilation $3,033.60 $3,792.00 $625.68–$3,792.00 145% above 20%
Upper endoscopy (EGD), diagnostic CPT 43235 Upper GI Diagnostic $3,033.60 $3,792.00 $728.00–$4,114.65 84% above 20%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash $4,875.94 $6,094.92 $728.00–$6,094.92 196% above 20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Fac Removal of Sperm Duct(S) $870.24 $1,087.80 $179.49–$7,724.54 79% below 20%
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein $13,888.80 $17,361.00 $1,352.00–$17,361.00 207% above 20%
Wart removal, up to 14 warts CPT 17110 Dest Ben Les 1-14 Laser Cryo $174.05 $217.56 $63.70–$872.03 50% below 20%
Wart removal, up to 14 warts CPT 17110 Destruc B9 Lesion 1-14 $859.20 $1,074.00 $63.70–$1,074.00 148% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debr Subq Tiss =<20sq Cm $203.45 $254.31 $42.90–$1,918.13 76% below 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq Tissue First 20 Sq Cm or Less $987.20 $1,234.00 $74.04–$3,351.55 17% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin & Subcutaneous Tissue $987.20 $1,234.00 $74.04–$3,351.55 17% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Wound Debridement (Subq & Tissue) $987.20 $1,234.00 $74.04–$3,351.55 17% above 20%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transf,Bl/Bl Comp-2c $824.20 $1,030.25 $50.28–$1,918.64 13% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalatn Tx Ippb Acute Air Obst $27.61 $34.51 $3.03–$3,271.00 88% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn Treatment-Initial $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Continous Aerosol-Subs Each $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment Int $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pep Therapy Subsequent $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn Treatment-Subsequent $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I P P B Treatments Sub $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment-Subsequent $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment-Initial $228.80 $286.00 $44.83–$3,300.00 2% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Cont Aerosol-Initial $325.49 $406.86 $67.13–$3,300.00 45% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Bronchodilator Therapy, Initial $325.49 $406.86 $67.13–$3,300.00 45% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Bronchodilatr Therapy,Subsequ $325.49 $406.86 $67.13–$3,300.00 45% above 20%
Chemotherapy IV infusion, first hour CPT 96413 Chemo, IV Infusion, 1st Hr $1,200.36 $1,500.45 $76.00–$1,500.45 96% above 20%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Fac Comprehensive Medical Exam $231.67 $289.59 $20.20–$289.59 1% above 20%
Comprehensive eye exam, returning patient CPT 92014 HC Fac Comprehensive Medical Exam $195.22 $244.02 $20.20–$244.02 at median 20%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry Threshold Eval & Speech Recognition $120.54 $150.68 $25.25–$686.65 35% below 20%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min $2,306.00 $2,882.50 $1,024.00–$2,882.50 34% above 20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Incld Record Awake & Drowsy $118.44 $148.05 $29.25–$1,366.63 83% below 20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Recording Awake and Drowsy $740.60 $925.75 $61.86–$1,366.63 8% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing Only $85.85 $107.31 $5.76–$669.39 40% below 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg: Tracing Only $187.92 $234.90 $13.60–$669.39 31% above 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Visit May Not Requ Phys/Qhp $188.00 $235.00 $14.01–$386.42 25% below 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit Straightforward Mdm $335.20 $419.00 $51.57–$694.99 1% below 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit Low Mdm $589.80 $737.25 $87.15–$2,354.10 5% above 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Dept Visit Moderate Mdm $925.60 $1,157.00 $148.72–$3,422.79 10% above 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit High Mdm $1,341.00 $1,676.25 $137.58–$3,487.94 13% above 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only $463.94 $579.92 $30.30–$1,366.63 16% below 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress W/ Electro Cardiac Monitoring $770.88 $963.60 $44.59–$1,366.63 40% above 20%
Eye exam, returning patient, intermediate CPT 92012 HC Fac Intermediate Medical Exam $138.18 $172.73 $16.16–$172.73 40% below 20%
Group psychotherapy session CPT 90853 HC Fac Group Psychotherapy $27.11 $33.89 $5.59–$123.09 79% below 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf, Hydration;Initial Up to 1 Hr $252.07 $315.09 $35.35–$924.65 32% below 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion, Hydration; Initial, Up to 1 Hour $252.07 $315.09 $35.35–$924.65 32% below 20%
IV infusion of a medicine, first hour CPT 96365 IV Infusion, for Therapy;Initial, Up to 1 Hour $432.13 $540.16 $35.35–$924.65 3% above 20%
IV infusion of a medicine, first hour CPT 96365 Infusion Except for Chemo $432.13 $540.16 $35.35–$924.65 3% above 20%
IV infusion of a medicine, first hour CPT 96365 IV Inf for Therapy, Prop or Diagnostic-Initial Up to 1 Hr $432.13 $540.16 $35.35–$924.65 3% above 20%
IV push of a medicine, first drug CPT 96374 IV P Inj-Therapeutic, Proph, or Diagnostic $136.92 $171.15 $40.33–$924.65 46% below 20%
IV push of a medicine, first drug CPT 96374 Ivp, Single or Initial Substance/Drug $136.92 $171.15 $40.33–$924.65 46% below 20%
IV push of a medicine, first drug CPT 96374 Thera Phroph or Diag Inject(Initial); Intravenous $271.32 $339.15 $40.33–$924.65 6% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Diag Inj Subq or Im $41.75 $52.19 $13.36–$390.43 63% below 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj, Im, Sq Therapeutic, Proph, or Diagnostic $136.92 $171.15 $13.36–$421.02 23% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Injection Sc/Im $136.92 $171.15 $13.36–$421.02 23% above 20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Fac Psychiatric Diagnosis Evaluation $171.34 $214.18 $107.09–$705.13 33% below 20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Tst 7-8 Studies $5,743.71 $7,179.64 $362.21–$7,179.64 1156% above 20%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Re-ED Ea 15 Mn $94.08 $117.60 $29.62–$164.00 15% above 20%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-Educator $94.08 $117.60 $29.62–$164.00 15% above 20%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $442.82 $553.52 $100.40–$565.57 99% above 20%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New Lvl 4 $743.82 $929.78 $116.96–$929.78 150% above 20%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $799.42 $999.27 $118.92–$999.27 168% above 20%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New Hi Mdm 60 Minutes $893.47 $1,116.84 $120.49–$1,116.84 137% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes $337.01 $421.26 $57.42–$565.57 93% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office/Outpatient New Sf Mdm 15 Minutes $415.34 $519.17 $41.08–$565.57 138% above 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutr Ther, 1st Indiv Ea 15 Min $55.44 $69.30 $28.22–$105.06 5% above 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Self Pay Nutrition Counseling $150.00 $150.00 $28.22–$150.00 183% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Dm/Renal Initial Eval Mnt (Each 15 Min) $152.64 $190.80 $28.22–$190.80 188% above 20%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min $208.00 $260.00 $89.23–$332.26 22% above 20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min $371.50 $464.37 $88.39–$464.37 41% above 20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min $221.13 $276.41 $85.03–$329.10 23% above 20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min $294.84 $368.55 $88.39–$368.55 23% above 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Joint Mobilization; Ea 15 Min $99.12 $123.90 $20.70–$164.00 19% above 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Tx-Mobilizat Ea 15mn $99.12 $123.90 $20.70–$164.00 19% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Therapeutic Px-Exercises Ea 15 Min $99.12 $123.90 $24.16–$164.00 31% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Therapeutic Px-Exercises Ea 15mn $99.12 $123.90 $24.16–$164.00 31% above 20%
Preventive checkup, new patient aged 18–39 CPT 99385 New Prevent 18-39 Yr $202.27 $252.84 $126.42–$252.84 at median 20%
Preventive checkup, new patient aged 40–64 CPT 99386 New Prevent 40-64yr Age $233.44 $291.80 $145.90–$291.80 4% above 20%
Preventive checkup, new patient aged 65 or older CPT 99387 New Prevent >65yr Age $255.78 $319.73 $159.87–$319.73 at median 20%
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Prevent 1839 Yr Age $181.10 $226.38 $113.19–$285.86 11% below 20%
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Prevent 40-64yr Age $194.04 $242.55 $121.28–$285.86 17% below 20%
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Prevent >65yr Age $208.74 $260.93 $130.47–$260.93 2% above 20%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Fac Psychotherapy for Crisis Initial 60 Minutes $56.80 $71.00 $11.72–$213.81 79% below 20%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Min $23.87 $29.84 $14.92–$705.13 88% below 20%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mi $73.64 $92.05 $46.03–$705.13 72% below 20%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 Min $63.96 $79.95 $39.98–$705.13 79% below 20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke/Tobacco Couns 3-10mins $21.52 $26.90 $11.00–$130.74 54% below 20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Mins $66.40 $83.00 $11.00–$130.74 42% above 20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min $119.20 $149.00 $11.00–$149.00 155% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min $583.89 $729.86 $151.89–$729.86 148% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20-29 Min $391.87 $489.84 $80.77–$565.57 114% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Est Level III $415.34 $519.17 $57.78–$565.57 127% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min $442.82 $553.52 $118.92–$565.57 124% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10-19 Min $337.01 $421.26 $43.07–$565.57 101% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit Est Level II $373.80 $467.25 $30.81–$565.57 123% above 20%
Speech and language evaluation CPT 92523 St Speech Sound Lang Comprehen $514.08 $642.60 $58.42–$750.70 31% above 20%
Speech therapy session, individual CPT 92507 St Speech/Hearing Therapy Indiv $188.16 $235.20 $28.21–$251.47 12% above 20%
Spirometry (breathing test) CPT 94010 Spirometry W/ Vital Capacity, Expiratory Flow Rate $87.62 $109.52 $15.15–$686.65 61% below 20%
Spirometry (breathing test) CPT 94010 Pulmonary Screener $368.64 $460.80 $19.50–$686.65 66% above 20%
Spirometry (breathing test) CPT 94010 Spirometry $397.90 $497.38 $26.51–$686.65 79% above 20%
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation Response Spirometry Pre/Post Bronchodilator Admin $121.72 $152.15 $24.70–$1,366.63 69% below 20%
Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre/Post $584.48 $730.60 $44.19–$1,366.63 51% above 20%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation $584.48 $730.60 $44.19–$1,366.63 51% above 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity 1:1 Ea 15mn $80.80 $101.00 $5.10–$164.00 6% below 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity 1:1 Ea 15mn $80.80 $101.00 $5.10–$164.00 6% below 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic $209.00 $261.25 $13.00–$565.70 2% below 20%
Visual field test, extended CPT 92083 HC Fac Extended Exam; Visual Field Exa $171.11 $213.89 $14.14–$565.70 49% below 20%

Vaccines

ProcedureCash priceList priceInsurers payvs New YorkOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid Vacc Moderna 12+Y $180.60 $225.75 $68.81–$225.75 12% below 20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 2023-2024 Covid-19 Pfizer (12+ Years) Monovalent, 30 Mcg in 0.3 Ml Route Intramuscular $162.96 $203.70 $24.04–$268.72 19% below 20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Vaccine Varicella $205.80 $257.25 $13.00–$257.25 22% below 20%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix Vacc Dtap-Ipv $94.08 $117.60 $13.00–$117.60 3% above 20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Acell Dtap <7yrs Im $54.60 $68.25 $13.00–$68.25 11% above 20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP $239.20 $299.00 $149.50–$299.00 387% above 20%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix Vacc $117.60 $147.00 $13.00–$147.00 15% below 20%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel 0.5ml Dose $134.40 $168.00 $13.00–$168.00 8% below 20%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Dtap-Ipv-Hib-Hepb Vaccine Im $176.40 $220.50 $13.00–$220.50 23% below 20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Fac Iiv3 Vacc No Prsv 0.5ml Im $31.08 $38.85 $5.47–$40.63 10% above 20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $153.00 $191.25 $22.35–$191.25 439% above 20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil Hpv-9 Vaccine $335.16 $418.95 $127.70–$418.95 33% below 20%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix Adult Dose Im Vacc $142.80 $178.50 $13.00–$178.50 37% below 20%
Hepatitis A vaccine, adult dose CPT 90632 Havrix Hep a Im 1ml Adult $130.20 $162.75 $13.90–$162.75 27% above 20%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a Pediatric/Adol $52.08 $65.10 $13.00–$65.10 8% below 20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vacc Adult Im Engerix 20mcg $107.52 $134.40 $13.90–$134.40 20% above 20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC Fac Hepatitis B Vaccine Adult 2 Dose Im $241.08 $301.35 $91.85–$310.72 at median 20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 State Vacc Hep B Ped/Adol $50.40 $63.00 $13.90–$63.00 11% above 20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY $128.20 $160.25 $30.77–$160.25 183% above 20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP $136.80 $171.00 $30.77–$171.00 201% above 20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY $240.00 $300.00 $30.77–$300.00 429% above 20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib Prp-T Vacc 1 Dose $42.84 $53.55 $13.00–$53.55 33% above 20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose $117.60 $147.00 $13.90–$171.78 6% above 20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vacc Subq $109.20 $136.50 $13.00–$136.50 19% below 20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR $920.00 $1,150.00 $575.00–$1,150.00 582% above 20%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmrv Proquad Vaccine $315.00 $393.75 $120.02–$393.75 28% below 20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo $184.80 $231.00 $13.00–$231.00 9% below 20%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Fac Meningococcal (Groups a, C, Y, W) Conjugate Vaccine Solution for Intramuscular Injection (Menquadfi) .5ml Dose $243.60 $304.50 $50.24–$304.50 at median 20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Mcv-B $262.08 $327.60 $99.85–$327.60 21% below 20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY $1,061.20 $1,326.50 $663.25–$1,326.50 222% above 20%
Meningococcal B vaccine (Trumenba) CPT 90621 Menb Recombinant Lipoprotein Vaccine Im $222.60 $278.25 $84.81–$278.25 36% below 20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13v Pneu Conj Vacc $391.44 $489.30 $149.14–$489.30 19% above 20%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal Conjugate Vaccine 15-Valent (Pc15) Intramuscular $352.80 $441.00 $134.42–$441.00 at median 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar20 $436.80 $546.00 $60.10–$546.00 2% above 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $2,566.40 $3,208.00 $1,604.00–$3,208.00 499% above 20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pcv21 Vaccine Im $385.56 $481.95 $139.90–$481.95 7% below 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vacc >2 23v Subq Im $203.28 $254.10 $13.90–$254.10 20% above 20%
Polio vaccine, inactivated (IPV) CPT 90713 Ipv State Vaccine $52.08 $65.10 $13.00–$65.10 39% below 20%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rs Monoc Antb Seasn 1 Ml Im $610.40 $763.00 $232.56–$763.00 41% below 20%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus Rsv Antibody 50mg/0.5ml $610.40 $763.00 $232.56–$763.00 41% below 20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Fac Abrysvo Rsv Vaccine, Bivalent, for Adults 60 Years and Older, or 32-36 Week Pregnant Women 120mcg/0.5ml $360.36 $450.45 $137.30–$450.45 15% below 20%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC Fac Arexvy Respiratory Syncytial Virus Vaccine Adjuvanted 60 Years and Older 120mcg/0.5ml $336.00 $420.00 $128.02–$420.00 18% below 20%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im $519.12 $648.90 $197.78–$1,086.21 10% above 20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR $1,895.00 $2,368.75 $312.03–$2,368.75 302% above 20%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotateq Vacc Oral Liq 2ml $113.40 $141.75 $13.00–$141.75 14% below 20%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix 50mcg/0.5ml Vial $231.84 $289.80 $88.33–$289.80 41% below 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vacc >7yrs $46.20 $57.75 $13.90–$65.40 13% below 20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP $462.00 $577.50 $31.11–$577.50 772% above 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap >7yrs $63.84 $79.80 $13.90–$130.61 15% above 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY $239.00 $298.75 $38.63–$298.75 331% above 20%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Fac Typhoid Vaccine, Vicps for Im U $156.24 $195.30 $13.90–$195.30 33% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immun Admin First (Single) Perq/Subq/Im $42.00 $52.50 $13.36–$312.34 50% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunizations Admin 1 Vaccine $133.95 $167.44 $13.36–$312.34 59% above 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immun Adm Ea Addtl Perq/Subq/Im $26.88 $33.60 $13.36–$33.60 40% below 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm; Ea Addtl Vaccine $66.98 $83.72 $13.36–$83.72 49% above 20%

Dental

ProcedureCash priceList priceInsurers payvs New YorkOff list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Tooth Ext Erupted- Exposed Root,Elevation and/or Forceps $2,013.40 $2,516.75 $415.26–$2,516.75 7% above 20%
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://rca.elevatepfs.com/ptapp/api/cdm/export/oneclick?recno=7b9dcd42aaca15ad796e448c09186fb2fd7c909fff74a72aef558bf19a1ba560