Arnot Ogden Medical Center
Arnot Ogden Medical Center in Elmira, NY publishes cash prices for 385 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 250 of 383 procedures and below it for 120. By typical cash price it ranks #74 of 115 New York hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
600 Roe Avenue, Elmira NY 14905 Collected Oct 23, 2026 Source price file Check a bill from this hospital (607) 737-4100
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 330090 · CMS hospital register NPI 1083605661
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Arnot Ogden 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.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 7 actions for a hospital named Arnot Ogden Medical Center in Elmira, NY:
- Dec 19, 2022 Met requirements
- Dec 11, 2023 Met requirements
- Mar 26, 2024 Warning notice
- Jun 28, 2024 Case closed
- May 16, 2025 Met requirements
- Apr 9, 2026 Warning notice
- May 28, 2026 Case closed
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast | $2,439.29 | $4,435.08 | $179.20–$197.12 | 85% above | 45% |
| Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W De | $240.15 | $436.63 | $106.81–$117.49 | 7% below | 45% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views | $255.27 | $464.13 | $222.41–$417.72 | 27% above | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Vasc Non-Invas Physiologic Std Extremity Art 1-2 Level | $332.43 | $604.42 | $289.64–$543.98 | 4% above | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext WO IV Contrast | $1,196.95 | $2,176.28 | $1,042.87–$2,176.28 | 61% above | 45% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow | $467.44 | $849.89 | $407.27–$764.90 | 36% above | 45% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body | $1,186.75 | $2,157.72 | $408.43–$449.27 | 20% above | 45% |
| Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete - US Breast Complete | $418.25 | $760.45 | $106.81–$117.49 | 29% above | 45% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited - US Breast Limited | $183.85 | $334.28 | $88.91–$97.80 | 27% below | 45% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W C | $3,921.12 | $7,129.30 | $356.43–$392.07 | 124% above | 45% |
| CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast | $2,031.10 | $3,692.90 | $1,769.64–$3,692.90 | 65% above | 45% |
| CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast | $1,639.67 | $2,981.21 | $1,428.60–$2,981.21 | 32% above | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO | $2,031.10 | $3,692.90 | $179.20–$197.12 | 56% above | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram | $2,356.72 | $4,284.95 | $356.43–$392.07 | 81% above | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring WO Contra | $440.37 | $800.68 | $88.91–$324.71 | 106% above | 45% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast | $2,831.97 | $5,149.04 | $2,467.42–$5,149.04 | 147% above | 45% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $3,758.45 | $6,833.54 | $3,274.63–$6,833.54 | 140% above | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast | $4,487.64 | $8,159.35 | $3,909.96–$8,159.35 | 116% above | 45% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast | $1,847.30 | $3,358.72 | $179.20–$197.12 | 59% above | 45% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast | $1,385.30 | $2,518.73 | $106.81–$117.49 | 69% above | 45% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast | $1,403.44 | $2,551.70 | $106.81–$117.49 | 77% above | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast | $1,262.77 | $2,295.94 | $1,100.21–$2,295.94 | 52% above | 45% |
| CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast | $1,519.18 | $2,762.14 | $179.20–$197.12 | 56% above | 45% |
| CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast | $1,829.48 | $3,326.32 | $179.20–$197.12 | 72% above | 45% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contra | $1,480.61 | $2,692.01 | $1,290.01–$2,692.01 | 67% above | 45% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Co | $1,464.72 | $2,663.13 | $106.81–$117.49 | 59% above | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast | $2,021.78 | $3,675.96 | $1,761.52–$3,675.96 | 97% above | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Vasc Duplex Scan Extracranial | $761.28 | $1,384.15 | $243.77–$268.15 | 17% above | 45% |
| Chest CT scan without and with contrast CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contrast | $2,051.52 | $3,730.03 | $179.20–$197.12 | 57% above | 45% |
| Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $246.23 | $447.69 | $214.53–$402.92 | 22% above | 45% |
| Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest 1 View | $198.34 | $360.62 | $88.91–$97.80 | at median | 45% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle - Xr Clavicle | $214.44 | $389.89 | $88.91–$97.80 | 6% above | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum | $616.05 | $1,120.09 | $106.81–$117.49 | 46% above | 45% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density | $502.70 | $914.00 | $437.99–$822.60 | 83% above | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral - Dexa Bone Density Extremity | $125.69 | $228.52 | $109.51–$205.67 | 13% below | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal Anat Sing or 1 | $468.82 | $852.40 | $408.47–$767.16 | 17% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast | $1,330.84 | $2,419.71 | $1,159.53–$2,419.71 | 54% above | 45% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast | $1,513.75 | $2,752.27 | $1,318.89–$2,752.27 | 16% above | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $682.25 | $1,240.45 | $213.08–$234.39 | — | 45% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic | $484.35 | $880.64 | $168.11–$184.92 | 73% above | 45% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Duplex Lo Extrem Art - Lower Extremity Arterial Duplex | $513.95 | $934.45 | $447.79–$841.01 | at median | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Cv US Doppler Venous Legs Bilate | $790.79 | $1,437.80 | $243.77–$268.15 | — | 45% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC Vasc Duplex Extrem Venous | $790.79 | $1,437.80 | $243.77–$268.15 | 5% above | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete W/ Contrast | $1,374.73 | $2,499.50 | $558.25–$614.08 | 24% above | 45% |
| Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views | $209.89 | $381.61 | $88.91–$97.80 | 5% above | 45% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views | $216.70 | $394.00 | $188.80–$354.60 | 7% above | 45% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Orbits/Sella WO I | $1,554.35 | $2,826.09 | $106.81–$117.49 | 109% above | 45% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $380.08 | $691.05 | $106.81–$117.49 | 40% above | 45% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views | $205.36 | $373.39 | $178.93–$336.05 | 2% above | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver F | $1,289.99 | $2,345.43 | $1,123.93–$2,345.43 | 25% above | 45% |
| Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views | $229.18 | $416.69 | $106.81–$117.49 | 10% above | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views | $191.74 | $348.61 | $88.91–$97.80 | at median | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt&Resp Efft | $375.12 | $682.04 | $220.60–$526.10 | 5% below | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $2,653.11 | $4,823.83 | $877.34–$965.07 | 24% above | 45% |
| Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views | $290.45 | $528.09 | $88.91–$97.80 | 41% above | 45% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views | $343.76 | $625.02 | $299.51–$562.52 | 25% above | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ext Low W/O Con Rt | $1,285.45 | $2,337.18 | $106.81–$117.49 | 73% above | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited | $635.35 | $1,155.18 | $106.81–$117.49 | 67% above | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Lmtd Jt/Nonvasc Xtr Strux - US Knee Limited | $443.60 | $806.54 | $106.81–$117.49 | 64% above | 45% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Lung Cancer Screening - Low Dose | $1,330.84 | $2,419.71 | $106.81–$117.49 | 206% above | 45% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views | $223.49 | $406.35 | $88.91–$97.80 | 11% above | 45% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angio, Head - MR Head Angio WO IV Contrast | $2,435.88 | $4,428.87 | $2,122.31–$3,985.98 | 93% above | 45% |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI Breast W/WO Contrast | $3,326.13 | $6,047.50 | $1,209.50–$5,442.75 | 3% above | 45% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Ext Low Jnt W/O Con | $2,632.16 | $4,785.75 | $2,293.33–$4,307.18 | 119% above | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip W and WO IV Contrast | $4,361.21 | $7,929.48 | $3,799.81–$7,136.53 | 115% above | 45% |
| MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast | $1,992.28 | $3,622.33 | $1,735.82–$3,260.10 | 82% above | 45% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast | $4,538.22 | $8,251.31 | $3,954.03–$7,426.18 | 171% above | 45% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast | $2,579.98 | $4,690.88 | $243.77–$268.15 | 122% above | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast | $3,597.68 | $6,541.24 | $356.43–$392.07 | 104% above | 45% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | $2,932.81 | $5,332.39 | $243.77–$268.15 | 124% above | 45% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast | $3,857.49 | $7,013.61 | $356.43–$392.07 | 117% above | 45% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast | $2,750.16 | $5,000.29 | $243.77–$268.15 | 114% above | 45% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast | $4,198.98 | $7,634.51 | $356.43–$392.07 | 154% above | 45% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast | $2,615.16 | $4,754.83 | $243.77–$268.15 | 98% above | 45% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast | $4,029.94 | $7,327.16 | $356.43–$392.07 | 151% above | 45% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast | $2,435.88 | $4,428.87 | $2,122.31–$3,985.98 | 127% above | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist WO IV Contrast | $2,510.79 | $4,565.07 | $2,187.58–$4,108.56 | 94% above | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4- | $428.86 | $779.75 | $373.66–$701.78 | 52% above | 45% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast | $2,009.53 | $3,653.69 | $179.20–$197.12 | 99% above | 45% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan,Soft Tissue Neck,W/O Contrast - CT Soft Tissue Neck W | $1,454.50 | $2,644.54 | $106.81–$117.49 | 80% above | 45% |
| Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $213.31 | $387.83 | $185.85–$349.05 | 6% above | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect Stress | $2,674.14 | $4,862.07 | $2,329.90–$4,862.07 | at median | 45% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Image W/CT Skull-Thigh - Pt/CT Bone Skull Base to Mid Thi | $6,198.02 | $11,269.13 | $1,460.92–$1,607.01 | 55% above | 45% |
| Pelvic CT scan without contrast CPT 72192 HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast | $1,531.64 | $2,784.80 | $1,334.48–$2,784.80 | 84% above | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited | $338.11 | $614.75 | $106.81–$117.49 | 12% above | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis | $628.53 | $1,142.78 | $547.62–$1,028.50 | 57% above | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First | $189.99 | $345.44 | $165.53–$310.90 | 50% below | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or Firs | $414.12 | $752.94 | $106.81–$117.49 | 18% above | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses | $242.80 | $441.45 | $211.54–$397.31 | 16% below | 45% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views | $226.91 | $412.56 | $88.91–$97.80 | 8% above | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni & Pa Chest | $307.46 | $559.02 | $267.88–$503.12 | 18% above | 45% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening | $394.19 | $716.70 | $172.34–$189.57 | — | 45% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views | $275.71 | $501.29 | $88.91–$97.80 | 31% above | 45% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $324.47 | $589.95 | $88.91–$97.80 | 56% above | 45% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $248.47 | $451.77 | $106.81–$117.49 | 8% above | 45% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $2,964.95 | $5,390.82 | $877.34–$965.07 | 41% above | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Stress W/O Contrast | $1,958.25 | $3,560.45 | $1,706.17–$3,204.41 | 69% above | 45% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & | $476.51 | $866.38 | $179.20–$197.12 | 32% above | 45% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw | $323.41 | $588.01 | $88.91–$97.80 | 65% above | 45% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Co | $1,748.36 | $3,178.83 | $1,523.30–$3,178.83 | 96% above | 45% |
| Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views | $145.23 | $264.05 | $88.91–$97.80 | 14% below | 45% |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal | $543.45 | $988.09 | $473.49–$889.28 | 43% above | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal | $407.26 | $740.48 | $354.84–$666.43 | 39% above | 45% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen | $901.96 | $1,639.92 | $106.81–$117.49 | 92% above | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum | $567.29 | $1,031.43 | $494.26–$928.29 | 54% above | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue | $528.71 | $961.29 | $106.81–$117.49 | 44% above | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Fl Upper GI Without Kub | $293.69 | $533.99 | $179.20–$197.12 | 30% below | 45% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus | $212.16 | $385.74 | $88.91–$97.80 | 5% above | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Vasc Duplex Extrem Venous,Uni or Ltd | $711.36 | $1,293.38 | $106.81–$117.49 | 95% above | 45% |
| Wrist X-ray, 2 views CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views | $195.15 | $354.82 | $88.91–$97.80 | at median | 45% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views | $228.04 | $414.61 | $88.91–$97.80 | 13% above | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw | $287.05 | $521.91 | $88.91–$97.80 | 25% above | 45% |
| X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $208.98 | $379.97 | $88.91–$97.80 | at median | 45% |
| X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views | $215.58 | $391.97 | $187.83–$352.77 | 12% above | 45% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Views | $180.40 | $328.00 | $88.91–$97.80 | at median | 45% |
| X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views | $230.31 | $418.75 | $88.91–$97.80 | 17% above | 45% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views | $266.63 | $484.79 | $88.91–$97.80 | 32% above | 45% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views | $239.39 | $435.25 | $88.91–$97.80 | 14% above | 45% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views | $223.49 | $406.35 | $194.72–$365.72 | 10% above | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $294.98 | $536.32 | $106.81–$117.49 | 7% above | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $476.51 | $866.38 | $106.81–$117.49 | 58% above | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $185.68 | $337.60 | $161.78–$303.84 | 16% below | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones | $268.88 | $488.88 | $234.27–$439.99 | 33% above | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Vie | $254.17 | $462.12 | $221.45–$415.91 | 19% above | 45% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $204.23 | $371.32 | $177.94–$334.19 | 10% below | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $268.88 | $488.88 | $234.27–$439.99 | 33% above | 45% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Assay of Acth - Acth | $257.10 | $467.46 | $38.62–$44.30 | 80% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $60.13 | $109.33 | $5.30–$8.32 | 160% above | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $60.13 | $109.33 | $5.18–$8.32 | 151% above | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge | $408.44 | $742.61 | $21.43–$52.66 | 135% above | 45% |
| Albumin blood test CPT 82040 HC Assay of Serum Albumin - Additional Charge | $10.40 | $18.90 | $4.95–$8.32 | 43% below | 45% |
| Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin | $65.80 | $119.64 | $4.95–$8.32 | 260% above | 45% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone,24hr Urine | $77.96 | $141.75 | $18.34–$48.90 | 38% below | 45% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone | $245.29 | $445.99 | $18.34–$48.90 | 95% above | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase | $59.00 | $107.27 | $2.33–$8.32 | 193% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Ragweed, Short/Common Ige | $35.30 | $64.19 | $30.76–$64.19 | 121% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Yeast, Brewer's Ige | $35.30 | $64.19 | $30.76–$64.19 | 121% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige | $35.30 | $64.19 | $30.76–$64.19 | 121% above | 45% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker | $180.61 | $328.38 | $7.55–$20.00 | 192% above | 45% |
| Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia | $116.85 | $212.46 | $5.00–$17.48 | 117% above | 45% |
| Amylase blood test CPT 82150 HC Assay of Amylase - Amylase Body Fluid | $95.30 | $173.28 | $2.92–$8.32 | 215% above | 45% |
| Amylase blood test CPT 82150 HC Assay of Amylase - Amylase,Timed Urine | $95.30 | $173.28 | $2.92–$8.32 | 215% above | 45% |
| Amylase blood test CPT 82150 HC Assay of Amylase - Amylase | $95.30 | $173.28 | $2.92–$8.32 | 215% above | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide | $95.16 | $173.01 | $5.83–$14.47 | 99% above | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies) | $146.34 | $266.08 | $5.44–$15.00 | 235% above | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $148.63 | $270.24 | $39.26–$43.19 | 21% above | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Ear | $119.11 | $216.57 | $8.62–$12.06 | 274% above | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Urethral-Vaginal Culture | $119.11 | $216.57 | $8.62–$12.06 | 274% above | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Tissue | $119.13 | $216.60 | $3.88–$12.06 | 275% above | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Throat Culture | $119.13 | $216.60 | $8.62–$12.06 | 275% above | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Body Fluid Culture | $119.13 | $216.60 | $103.79–$216.60 | 275% above | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Sputum | $119.13 | $216.60 | $103.79–$216.60 | 275% above | 45% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge | $142.95 | $259.91 | $8.46–$32.20 | 146% above | 45% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total, Cord Blood | $50.66 | $92.10 | $5.02–$8.32 | 125% above | 45% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total | $50.66 | $92.10 | $44.13–$92.10 | 125% above | 45% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Body Fluid | $50.66 | $92.10 | $44.13–$92.10 | 125% above | 45% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total and Direct | $50.66 | $92.10 | $44.13–$92.10 | 125% above | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV | $58.86 | $107.02 | $51.28–$107.02 | 61% below | 45% |
| Blood culture for bacteria CPT 87040 HC Culture Bacterial Blood Aerobic W/ID Isolates | $146.34 | $266.08 | $10.32–$12.06 | 133% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood,Venipuncture - Bundled Charge | $19.79 | $35.98 | $17.24–$35.98 | 32% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge | $19.79 | $35.98 | $4.20–$43.33 | 32% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture | $19.79 | $35.98 | $4.20–$43.33 | 32% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Gtt Fasting | $57.87 | $105.21 | $50.42–$105.21 | 222% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random | $57.87 | $105.21 | $50.42–$105.21 | 222% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting | $57.87 | $105.21 | $50.42–$105.21 | 222% above | 45% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - POCT Glucometer | $57.87 | $105.21 | $50.42–$105.21 | 222% above | 45% |
| Blood lead test CPT 83655 HC Assay of Lead - Lead Blood | $114.58 | $208.33 | $12.11–$23.58 | 162% above | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Urine | $151.86 | $276.10 | $132.31–$276.10 | 374% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen | $52.20 | $94.91 | $51.22–$149.52 | 66% below | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Crossmatch | $52.20 | $94.91 | $51.22–$149.52 | 66% below | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Abo | $52.20 | $94.91 | $51.22–$149.52 | 66% below | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Post-Dialysis Bun (Blood Urea Nit | $60.13 | $109.33 | $3.95–$8.32 | 169% above | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Blood Urea Nitrogen | $60.13 | $109.33 | $3.95–$8.32 | 169% above | 45% |
| C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide | $88.50 | $160.91 | $13.40–$22.89 | 3% above | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein | $81.21 | $147.66 | $70.76–$147.66 | 207% above | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C. Difficile Amp. Probe | $137.24 | $249.52 | $119.57–$249.52 | 9% above | 45% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $83.59 | $151.98 | $72.83–$151.98 | 11% above | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $226.90 | $412.55 | $197.69–$412.55 | 195% above | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Cervical Specific Antige | $317.63 | $577.50 | $276.74–$577.50 | 313% above | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt | $59.72 | $108.59 | $51.31–$56.44 | 39% below | 45% |
| Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Calcium | $52.36 | $95.20 | $2.32–$8.32 | 107% above | 45% |
| Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Pth, Intact and Calcium | $54.46 | $99.02 | $2.32–$8.32 | 115% above | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) | $229.18 | $416.69 | $199.68–$416.69 | 184% above | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg | $74.88 | $136.15 | $5.80–$17.81 | 66% above | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igm | $74.88 | $136.15 | $5.80–$17.81 | 66% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $128.82 | $234.21 | $15.79–$47.74 | 29% above | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge | $200.80 | $365.09 | $174.95–$365.09 | 195% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge | $86.23 | $156.78 | $7.77–$13.79 | 110% above | 45% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc | $59.00 | $107.27 | $51.40–$107.27 | 105% above | 45% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Additional Charge | $59.00 | $107.27 | $51.40–$107.27 | 105% above | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge | $208.77 | $379.59 | $4.75–$32.20 | 258% above | 45% |
| Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol | $172.71 | $314.01 | $16.30–$31.46 | 252% above | 45% |
| Cortisol blood test, total CPT 82533 HC Cortisol Salivary | $254.59 | $462.89 | $16.30–$31.46 | 420% above | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK | $89.63 | $162.96 | $6.51–$8.32 | 259% above | 45% |
| Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Serum | $56.73 | $103.14 | $5.12–$8.32 | 130% above | 45% |
| Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Fluid | $56.73 | $103.14 | $5.12–$8.32 | 130% above | 45% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody - Cmv Igg | $59.49 | $108.16 | $6.48–$19.83 | 14% above | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $86.92 | $158.04 | $10.18–$16.58 | 131% above | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate | $166.00 | $301.81 | $22.23–$31.46 | 96% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Ethyl Glucoronide, Urine | $120.70 | $219.45 | $62.14–$68.35 | 1% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Cannabinoid Screen, Urine | $156.57 | $284.68 | $136.42–$284.68 | 28% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Oxycodone Screen Urine | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Phencyclidine (PCP) Screen UR | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Opiate Qualitative Urine | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Methadone Screen, Urine | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Amphetamine Qual Urine | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 1, Serum | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Meconium Drug Screen | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Benzodiazepine Urine Qual | $270.09 | $491.07 | $62.14–$68.35 | 122% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Cocaine Urine Qual | $270.09 | $491.07 | $235.32–$491.07 | 122% above | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge | $103.24 | $187.71 | $3.15–$32.20 | 230% above | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igm | $52.15 | $94.82 | $13.03–$19.95 | 15% above | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Pan | $52.20 | $94.91 | $8.16–$25.07 | 15% above | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igg | $52.20 | $94.91 | $8.16–$25.07 | 15% above | 45% |
| Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol | $219.69 | $399.44 | $191.41–$399.44 | 115% above | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh | $154.30 | $280.54 | $134.43–$280.54 | 105% above | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal | $303.99 | $552.71 | $264.86–$552.71 | 235% above | 45% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin | $150.89 | $274.34 | $13.40–$14.99 | 149% above | 45% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative | $96.67 | $175.77 | $9.72–$16.58 | 155% above | 45% |
| Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate | $152.31 | $276.92 | $13.40–$16.17 | 176% above | 45% |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free | $260.01 | $472.74 | $16.94–$31.46 | 310% above | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free | $206.50 | $375.45 | $4.06–$31.46 | 330% above | 45% |
| Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free | $82.82 | $150.59 | $25.47–$31.46 | at median | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt | $57.87 | $105.21 | $50.42–$105.21 | 115% above | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 1 Hr | $45.38 | $82.50 | $39.53–$82.50 | 115% above | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Gtt 1 Hour | $45.38 | $82.50 | $39.53–$82.50 | 115% above | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge | $131.59 | $239.26 | $114.65–$239.26 | 130% above | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour | $131.59 | $239.26 | $114.65–$239.26 | 130% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr | $91.49 | $166.35 | $35.09–$47.74 | 9% below | 45% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga | $158.82 | $288.77 | $7.58–$20.05 | 202% above | 45% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg | $158.82 | $288.77 | $7.58–$20.05 | 202% above | 45% |
| H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $149.42 | $271.68 | $6.47–$12.06 | 179% above | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv-1 Rna, Ultrasensitive Quant | $356.25 | $647.72 | $310.39–$647.72 | 52% above | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen | $237.88 | $432.51 | $6.17–$18.70 | 375% above | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1/2 Ag&Ab | $237.88 | $432.51 | $10.84–$27.30 | 230% above | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv Dna Probe, A | $99.91 | $181.65 | $87.05–$181.65 | 5% above | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv High Risk Pc | $291.06 | $529.20 | $15.79–$47.74 | 207% above | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c | $122.43 | $222.60 | $8.32–$10.68 | 242% above | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - POCT Glycated Hemoglobin, Tota | $122.53 | $222.78 | $8.32–$10.68 | 242% above | 45% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin | $31.77 | $57.76 | $1.07–$13.79 | 120% above | 45% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin and Hematocrit | $31.77 | $57.76 | $1.07–$13.79 | 120% above | 45% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin, Blood Gases | $31.77 | $57.76 | $2.37–$13.79 | 120% above | 45% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $72.33 | $131.51 | $5.42–$15.00 | 66% above | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $132.74 | $241.35 | $10.74–$13.03 | 235% above | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Ant | $108.11 | $196.56 | $4.65–$14.17 | 189% above | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody | $217.83 | $396.06 | $6.42–$19.00 | 310% above | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant P | $155.54 | $282.80 | $135.52–$282.80 | 14% above | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody | $90.81 | $165.11 | $79.12–$165.11 | 125% above | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody | $90.81 | $165.11 | $8.71–$21.40 | 57% above | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $111.47 | $202.68 | $97.12–$202.68 | 133% above | 45% |
| Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine Total | $142.95 | $259.91 | $8.06–$31.46 | 96% above | 45% |
| Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine | $142.95 | $259.91 | $8.06–$31.46 | 96% above | 45% |
| Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin, Total | $109.66 | $199.38 | $95.54–$199.38 | 160% above | 45% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron | $71.48 | $129.96 | $62.28–$129.96 | 178% above | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr | $104.37 | $189.76 | $8.32–$9.61 | 161% above | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron + Transferrin + Tibc | $104.37 | $189.76 | $90.93–$189.76 | 161% above | 45% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge | $131.59 | $239.26 | $114.65–$239.26 | 95% above | 45% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone | $150.89 | $274.34 | $131.46–$274.34 | 96% above | 45% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid Body Fluid | $184.94 | $336.26 | $161.14–$336.26 | 358% above | 45% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate | $184.94 | $336.26 | $161.14–$336.26 | 358% above | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase | $53.33 | $96.97 | $46.47–$96.97 | 139% above | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl | $53.33 | $96.97 | $46.47–$96.97 | 139% above | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase | $96.44 | $175.35 | $6.89–$8.32 | 243% above | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase Body Fluid | $96.44 | $175.35 | $6.89–$8.32 | 243% above | 45% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge | $206.50 | $375.45 | $3.68–$32.20 | 265% above | 45% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies | $94.13 | $171.15 | $7.66–$23.54 | 94% above | 45% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Lyme Disease (Borrelia Burgdorferi), | $98.20 | $178.54 | $7.66–$23.54 | 103% above | 45% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium | $74.88 | $136.15 | $65.24–$136.15 | 203% above | 45% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium Urine | $74.88 | $136.15 | $65.24–$136.15 | 203% above | 45% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine | $155.93 | $283.50 | $135.85–$283.50 | 531% above | 45% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody Igg | $64.67 | $117.58 | $56.34–$117.58 | 40% above | 45% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody, Igm | $64.68 | $117.60 | $56.35–$117.60 | 40% above | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen | $71.48 | $129.96 | $62.28–$129.96 | 108% above | 45% |
| Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igm Antibody | $28.88 | $52.50 | $13.03–$14.36 | 32% below | 45% |
| Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igg Antibody | $82.82 | $150.59 | $72.16–$150.59 | 95% above | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $109.10 | $198.37 | $95.06–$198.37 | 64% above | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Screening | $180.40 | $328.00 | $13.40–$20.23 | 171% above | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa | $180.40 | $328.00 | $8.28–$24.36 | 171% above | 45% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Auto Fluid Redo - Lab Cytopat,Cer/Vag,Thin Layer | $99.33 | $180.60 | $11.97–$36.06 | 46% above | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact | $309.30 | $562.37 | $269.49–$562.37 | 111% above | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Additional Charge | $28.88 | $52.50 | $6.01–$16.58 | 23% above | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt | $69.21 | $125.83 | $6.01–$16.58 | 194% above | 45% |
| Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus | $59.00 | $107.27 | $2.13–$8.32 | 190% above | 45% |
| Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium | $62.40 | $113.45 | $54.37–$113.45 | 171% above | 45% |
| Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone | $152.04 | $276.43 | $20.86–$31.46 | 77% above | 45% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin | $179.76 | $326.83 | $156.62–$326.83 | 149% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Prothrombin Mixing Study | $52.20 | $94.91 | $4.29–$16.58 | 237% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr | $52.20 | $94.91 | $4.29–$16.58 | 237% above | 45% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen, Urine | $22.83 | $41.50 | $12.60–$13.86 | 34% below | 45% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Toxicology Screen Urine | $22.83 | $41.50 | $19.89–$41.50 | 34% below | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen | $19.22 | $34.94 | $16.74–$34.94 | 52% below | 45% |
| Renin blood test CPT 84244 HC Assay of Renin - Renin Direct Assay | $182.59 | $331.99 | $159.09–$331.99 | 125% above | 45% |
| Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) - Cord Blood Type | $64.67 | $117.58 | $38.16–$51.22 | 18% above | 45% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor | $95.30 | $173.28 | $83.04–$173.28 | 355% above | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igm | $80.56 | $146.48 | $13.03–$15.83 | 81% above | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated | $63.54 | $115.52 | $2.70–$13.79 | 157% above | 45% |
| Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium | $44.75 | $81.36 | $38.99–$81.36 | 106% above | 45% |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination | $125.93 | $228.96 | $8.90–$12.06 | 283% above | 45% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occ | $23.83 | $43.32 | $4.38–$8.32 | 67% above | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Fecal Occult Bld Screen (Ifob) | $27.29 | $49.61 | $23.77–$49.61 | 44% below | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm | $81.43 | $148.05 | $5.96–$15.31 | 93% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Rea | $55.58 | $101.06 | $1.92–$13.03 | 253% above | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB | $163.38 | $297.05 | $142.35–$297.05 | at median | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone | $238.89 | $434.35 | $25.81–$31.46 | 156% above | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody | $109.09 | $198.35 | $95.05–$198.35 | 105% above | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab | $109.10 | $198.37 | $95.06–$198.37 | 105% above | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $216.70 | $394.00 | $16.80–$31.46 | 196% above | 45% |
| Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige | $112.10 | $203.82 | $97.67–$203.82 | 84% above | 45% |
| Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Fluid | $55.58 | $101.06 | $4.35–$8.32 | 146% above | 45% |
| Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Total | $55.58 | $101.06 | $4.35–$8.32 | 146% above | 45% |
| Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone) | $99.85 | $181.55 | $3.09–$31.46 | 241% above | 45% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) | $150.85 | $274.27 | $14.18–$31.46 | 138% above | 45% |
| Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin | $102.16 | $185.75 | $12.76–$14.04 | 117% above | 45% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Amp Rna Probe | $76.00 | $138.18 | $66.22–$138.18 | at median | 45% |
| Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides | $51.95 | $94.46 | $5.74–$8.32 | 112% above | 45% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin T | $43.31 | $78.75 | $12.47–$13.72 | at median | 45% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin I | $129.34 | $235.17 | $12.47–$13.72 | 199% above | 45% |
| Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid | $64.67 | $117.58 | $2.03–$8.32 | 221% above | 45% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $44.24 | $80.44 | $1.43–$13.14 | 36% above | 45% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Bundled Charge | $44.24 | $80.44 | $3.17–$13.14 | 36% above | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only | $34.65 | $63.00 | $1.01–$13.14 | 104% above | 45% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope - POCT Urinalysis Dipstick | $4.81 | $8.74 | $3.48–$13.14 | 54% below | 45% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope | $34.65 | $63.00 | $3.48–$13.14 | 233% above | 45% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Bacterial Quanttative Colony Count Urine | $131.59 | $239.26 | $114.65–$239.26 | 245% above | 45% |
| Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin Random Urine | $77.96 | $141.75 | $2.60–$13.14 | 162% above | 45% |
| Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine | $84.69 | $153.99 | $2.60–$13.14 | 185% above | 45% |
| Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin / Creatinine Urine | $84.69 | $153.99 | $73.79–$153.99 | 185% above | 45% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine | $87.35 | $158.81 | $76.10–$158.81 | 202% above | 45% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12 | $153.04 | $278.25 | $15.08–$31.46 | 175% above | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitami | $112.33 | $204.23 | $13.32–$41.84 | 5% above | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay, Dihydroxyvitamin D W/Fractions, if Performed - Vitamin | $358.13 | $651.14 | $312.03–$651.14 | 234% above | 45% |
| Zinc blood test CPT 84630 HC Assay of Zinc - Zinc | $82.14 | $149.35 | $11.39–$23.58 | 103% above | 45% |
| Zinc blood test CPT 84630 HC Dexamethasone | $83.74 | $152.25 | $11.39–$23.58 | 107% above | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $275.71 | $501.29 | $6.77–$31.46 | 396% above | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $144.14 | $262.08 | $101.65–$504.27 | 67% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide | $2,479.01 | $4,507.29 | $1,687.37–$1,856.11 | 20% below | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Closed Rx Dist Fibula Fx | $280.48 | $509.96 | $252.01–$547.38 | 47% below | 45% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation | $195.20 | $354.90 | $84.50–$547.38 | 57% below | 45% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cath Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ve | $5,421.86 | $9,857.93 | $1,959.46–$3,643.37 | 11% below | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext - Cardioversion External | $1,687.82 | $3,068.77 | $579.05–$742.79 | 63% above | 45% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein | $24,968.59 | $45,397.43 | $647.47–$1,003.55 | 14% below | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Regionl Block | $205.59 | $373.80 | $179.12–$373.80 | 92% below | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Closed Rx Dist Rad/Ulna Fx | $281.68 | $512.15 | $245.42–$512.15 | 50% below | 45% |
| Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy | $2,588.94 | $4,707.17 | $2,255.68–$4,236.45 | 35% above | 45% |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $304.50 | $553.64 | $842.50–$1,344.82 | 78% below | 45% |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $1,242.05 | $2,258.28 | $842.50–$1,045.11 | 36% below | 45% |
| Coronary stent placement, one artery CPT 92928 HC Cath Prq Trluml Coronary Stent W/Angio One Art/Brnch | $10,505.12 | $19,100.22 | $372.34–$2,906.54 | 25% below | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruc Benign/Premal,First Lesion | $99.10 | $180.18 | $86.34–$180.18 | 66% below | 45% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $18.62 | $33.85 | $60.27–$66.30 | 85% below | 45% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $43.24 | $78.62 | $37.67–$78.62 | 67% below | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $1,252.39 | $2,277.08 | $1,091.18–$2,049.37 | 10% below | 45% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1 | $1,829.97 | $3,327.21 | $78.74–$603.43 | 9% below | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd - Endoscopy | $2,001.87 | $3,639.76 | $842.50–$1,045.11 | at median | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Inject Hysterosalpingogram | $124.81 | $226.93 | $45.39–$204.24 | 59% below | 45% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device | $693.00 | $1,260.00 | $252.00–$1,260.00 | 69% above | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple | $325.02 | $590.94 | $23.50–$350.47 | 20% below | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath/Ligament | $44.45 | $80.81 | $313.60–$344.96 | 91% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $383.48 | $697.23 | $313.60–$344.96 | 24% below | 45% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Delivery Implant | $145.34 | $264.26 | $135.93–$350.47 | 48% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $271.99 | $494.52 | $21.50–$319.15 | 41% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $147.15 | $267.54 | $128.21–$267.54 | 67% below | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm | $249.85 | $454.27 | $24.50–$759.33 | 58% below | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layr Clos Wnd Trunk,Arm,Leg 12.6-20 Cm | $460.81 | $837.84 | $415.32–$759.33 | 22% below | 45% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/ | $6,960.33 | $12,655.14 | $1,959.46–$3,643.37 | 2% above | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,249.23 | $2,271.32 | $81.32–$603.43 | 16% below | 45% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $460.81 | $837.84 | $401.49–$754.06 | 68% below | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Leve | $1,278.59 | $2,324.70 | $95.04–$603.43 | 17% below | 45% |
| Lumbar spinal fusion (posterior), one level CPT 22612 HC Arthrodesis Posterior/Posterolateral Lumbar | $15,441.21 | $28,074.92 | $4,261.54–$19,704.95 | 29% below | 45% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC Care of Miscarriage | $460.81 | $837.84 | $329.32–$827.57 | 89% below | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $123.72 | $224.95 | $107.80–$202.46 | 89% below | 45% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Skin Benig <0.5 Cm Face,Facial | $126.73 | $230.41 | $685.60–$795.82 | 88% below | 45% |
| Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate | $117.72 | $214.03 | $102.56–$214.03 | 65% below | 45% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck,Great Occiptl | $99.70 | $181.27 | $35.00–$504.27 | 79% below | 45% |
| Pacemaker implant (dual chamber) CPT 33208 HC Ep Inser Hart Pacer Xvenous Atr/Ventr | $17,882.21 | $32,513.10 | $15,580.28–$29,261.79 | 44% above | 45% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $1,192.41 | $2,168.01 | $656.43–$1,019.29 | 16% below | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $180.18 | $327.60 | $156.99–$327.60 | 75% below | 45% |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate,Needle/Punch | $460.81 | $837.84 | $167.57–$754.06 | 81% below | 45% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $1,658.87 | $3,016.13 | $167.38–$605.74 | 51% below | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple | $434.89 | $790.70 | $30.50–$350.47 | 32% below | 45% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colon Ca Scrn Not Hi Rsk Ind | $269.69 | $490.35 | $158.60–$842.50 | 83% below | 45% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind | $279.88 | $508.87 | $158.36–$842.50 | 74% below | 45% |
| Short arm cast (elbow to hand) CPT 29075 HC Apply Forearm Cast | $129.13 | $234.78 | $285.75–$315.55 | 70% below | 45% |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $129.13 | $234.78 | $112.51–$234.78 | 74% below | 45% |
| Short leg splint (calf to foot) CPT 29515 HC Apply Lower Leg Splint | $364.50 | $662.72 | $166.02–$230.89 | 28% above | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm | $96.10 | $174.72 | $83.73–$174.72 | 75% below | 45% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $147.75 | $268.63 | $415.32–$685.60 | 79% below | 45% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC (T)Excision Malig Lesion Trunk Arms Legs;Excised .5cm or Le | $200.60 | $364.73 | $685.60–$795.82 | 77% below | 45% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags, Up to 15 | $75.08 | $136.50 | $204.98–$350.47 | 79% below | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic | $747.64 | $1,359.34 | $603.43–$793.29 | 37% below | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm | $113.51 | $206.39 | $204.98–$498.72 | 71% below | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Resuperf Wnd Face <2.5 Cm | $117.72 | $214.03 | $102.56–$214.03 | 69% below | 45% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion | $280.96 | $510.83 | $244.79–$510.83 | 43% below | 45% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $758.55 | $1,379.18 | $660.90–$1,379.18 | 41% below | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2 | $344.91 | $627.11 | $31.06–$319.15 | 18% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide | $2,479.01 | $4,507.29 | $1,687.37–$1,856.11 | 15% below | 45% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam - Egd | $2,443.53 | $4,442.78 | $131.33–$954.75 | at median | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd | $2,058.63 | $3,742.96 | $119.07–$877.04 | 23% above | 45% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection - Egd | $2,058.63 | $3,742.96 | $119.07–$877.04 | 54% above | 45% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd | $4,165.28 | $7,573.23 | $166.79–$877.04 | 80% above | 45% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus - Egd | $2,443.53 | $4,442.78 | $142.51–$877.04 | 97% above | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $2,058.63 | $3,742.96 | $1,793.63–$3,368.66 | 25% above | 45% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC Cysto/Uretero/Pyeloscopy W/Lithotripsy | $460.81 | $837.84 | $1,573.67–$6,025.72 | 92% below | 45% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC Vasc Endovenous Rf, 1st Vein | $5,900.81 | $10,728.74 | $233.32–$2,610.11 | 30% above | 45% |
| Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14 | $110.51 | $200.93 | $49.00–$350.47 | 68% below | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $124.93 | $227.14 | $33.00–$759.33 | 85% below | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service | $596.88 | $1,085.23 | $520.04–$1,085.23 | 18% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment | $264.02 | $480.04 | $230.04–$432.04 | 18% above | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemother, IV Infusion, 1 Hr | $419.79 | $763.25 | $337.46–$371.21 | 31% below | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min | $1,100.73 | $2,001.32 | $959.03–$1,801.19 | 36% below | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care, E/M 30-74 Minutes | $1,100.73 | $2,001.32 | $843.92–$928.31 | 36% below | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg,W/Awake & Drowsy Record - Eeg Awake or Drowsy Portable | $503.17 | $914.85 | $220.60–$242.66 | 27% below | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC Electrocardiogram Complete | $184.94 | $336.26 | $67.25–$302.63 | 202% above | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing - Ecg 12-Lead | $374.54 | $680.98 | $60.27–$66.30 | 162% above | 45% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC Electroconvulsive Therapy,1 Seiz | $685.88 | $1,247.06 | $418.76–$965.07 | 20% below | 45% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC Electroconvulsive Therapy,1 Seiz | $685.88 | $1,247.06 | $597.59–$1,247.06 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob | $146.18 | $265.78 | $127.36–$239.20 | 41% below | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity | $234.56 | $426.47 | $156.87–$172.56 | 30% below | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity | $401.33 | $729.69 | $349.67–$656.72 | 29% below | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity | $628.39 | $1,142.53 | $426.30–$468.93 | 26% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func | $854.60 | $1,553.82 | $608.43–$669.27 | 28% below | 45% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing Only - Stress Test Only, Exercise | $748.80 | $1,361.45 | $220.60–$242.66 | 36% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min | $465.16 | $845.74 | $217.31–$239.04 | 25% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour | $409.59 | $744.71 | $356.87–$670.24 | 2% below | 45% |
| IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug | $176.99 | $321.80 | $30.59–$41.18 | 31% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut | $133.89 | $243.43 | $73.56–$80.92 | 20% above | 45% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation | $102.10 | $185.64 | $181.34–$206.39 | 60% below | 45% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb | $448.75 | $815.91 | $390.98–$734.32 | 2% below | 45% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Minutes | $180.40 | $328.00 | $65.60–$328.00 | 19% below | 45% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Minutes | $239.39 | $435.25 | $87.05–$435.25 | 20% below | 45% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Minutes | $260.95 | $474.46 | $94.89–$474.46 | 31% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New 20 Minutes | $164.52 | $299.12 | $59.82–$299.12 | 6% below | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min | $51.65 | $93.91 | $35.63–$39.19 | 3% below | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Preventive Visit,New,18-39 | $117.72 | $214.03 | $42.81–$214.03 | 42% below | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Preventive Visit,New,40-64 | $153.62 | $279.30 | $55.86–$279.30 | 32% below | 45% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC Preventive Visit,New,65 & Over | $219.22 | $398.58 | $79.72–$398.58 | 15% below | 45% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC Preventive Visit,Est,18-39 | $65.47 | $119.03 | $23.81–$119.03 | 68% below | 45% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC Preventive Visit,Est,40-64 | $109.91 | $199.84 | $39.97–$199.84 | 53% below | 45% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC Preventive Visit,Est,65 & Over | $98.75 | $179.55 | $35.91–$179.55 | 52% below | 45% |
| Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services | $112.92 | $205.30 | $181.34–$206.39 | 62% below | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes | $13.86 | $25.20 | $10.39–$55.92 | 70% below | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Minutes | $216.70 | $394.00 | $78.80–$394.00 | 8% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes | $180.40 | $328.00 | $65.60–$328.00 | 1% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 25 Minutes | $197.42 | $358.95 | $71.79–$358.95 | at median | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes | $167.92 | $305.30 | $61.06–$305.30 | at median | 45% |
| Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Spirometry Without Bronchodilator | $190.39 | $346.16 | $165.88–$311.54 | 14% below | 45% |
| Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchodilator | $388.00 | $705.46 | $381.24–$419.36 | at median | 45% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Transcranial Magnetic Stimulation Treatment,Planning | $312.91 | $568.93 | $220.60–$418.76 | 15% below | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy | $154.30 | $280.54 | $135.93–$149.52 | 27% below | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Immunization, Im, <7 Yo | $30.63 | $55.69 | $11.14–$50.12 | 38% below | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Immunization, Im, <7 Yo | $30.63 | $55.69 | $10.00–$36.06 | 38% below | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC Dtap Immunization, Im, <7 Yo | $30.63 | $55.69 | $11.14–$50.12 | — | 45% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Dtap-Hepb-Ipv Vaccine Intramuscular | $88.89 | $161.62 | $10.00–$122.27 | 36% below | 45% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Dtap-Hepb-Ipv Vaccine Intramuscular | $88.89 | $161.62 | $32.32–$145.46 | 36% below | 45% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC Dtap-Hepb-Ipv Vaccine Intramuscular | $88.89 | $161.62 | $32.32–$145.46 | — | 45% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC Riv3 Vaccine Preservative Free for Im Use | $36.04 | $65.52 | $10.00–$130.55 | 66% below | 45% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC Riv3 Vaccine Preservative Free for Im Use | $36.04 | $65.52 | $13.10–$58.97 | 66% below | 45% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC Riv3 Vaccine Preservative Free for Im Use | $36.04 | $65.52 | $13.10–$58.97 | — | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult Dose for Intramuscular Use | $51.65 | $93.91 | $10.00–$100.23 | 50% below | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult Dose for Intramuscular Use | $51.65 | $93.91 | $18.78–$84.52 | 50% below | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hepa Vaccine Adult Dose for Intramuscular Use | $51.65 | $93.91 | $18.78–$84.52 | — | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use | $25.22 | $45.86 | $10.00–$46.68 | 55% below | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use | $25.22 | $45.86 | $9.17–$41.27 | 55% below | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use | $25.22 | $45.86 | $9.17–$41.27 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine for Intramuscular Use | $193.39 | $351.62 | $70.32–$316.46 | 55% below | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine for Intramuscular Use | $193.39 | $351.62 | $10.00–$416.16 | 55% below | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine for Intramuscular Use | $193.39 | $351.62 | $70.32–$316.46 | — | 45% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Rv5 Vaccine 3 Dose Schedule Live for Oral Use | $72.07 | $131.04 | $26.21–$117.94 | 45% below | 45% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Rv5 Vaccine 3 Dose Schedule Live for Oral Use | $72.07 | $131.04 | $10.00–$121.23 | 45% below | 45% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC Rv5 Vaccine 3 Dose Schedule Live for Oral Use | $72.07 | $131.04 | $26.21–$117.94 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im | $40.84 | $74.26 | $14.85–$66.83 | 26% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im | $40.84 | $74.26 | $10.00–$59.35 | 26% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Yo, Im | $40.84 | $74.26 | $14.85–$66.83 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid | $47.92 | $87.13 | $73.56–$80.92 | 43% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl | $47.92 | $87.13 | $17.43–$78.42 | 6% above | 45% |
Source file: https://cayugahealth.pt.panaceainc.com/MRFDownload/CayugaHealth/aomc