Hospital Riverside-San Bernardino-Ontario, CA

Desert Valley Hospital

Desert Valley Hospital in Victorville, CA publishes cash prices for 364 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 332 of 358 procedures and above it for 13. By typical cash price it ranks #14 of 226 California hospitals and #4 of 27 hospitals in the Riverside, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

16850 Bear Valley Road Victorville, CA 92395 Collected Sep 22, 2026 Source price file Check a bill from this hospital (760) 241-8000

Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 050709 · CMS hospital register NPI 1851396576

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

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 1 action for a hospital named Desert Valley Hospital in Victorville, CA:

Apr 3, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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 California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&W/O CONTRAST - 74170 - 46874170	$224.00	$2,341.99	$222.24–$3,840.62	92% below	90%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&W/O CONTRAST - 74170 - 4570174170	$224.00	$3,840.62	$222.24–$3,840.62	92% below	94%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+V LT - 73610 - 457073610L	$111.00	$758.75	$26.32–$758.75	78% below	85%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+V RT - 73610 - 46373610R	$111.00	$758.75	$26.32–$758.75	78% below	85%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+V LT - 73610 - 46373610L	$111.00	$758.75	$26.32–$758.75	78% below	85%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+V RT - 73610 - 457073610R	$111.00	$758.75	$26.32–$758.75	78% below	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$170.00	$949.00	$50.82–$949.00	70% below	82%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE - 73200 - 457073200L	$133.00	$2,851.05	$132.46–$2,851.05	94% below	95%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE - 73200 - 457073200R	$133.00	$2,851.05	$132.46–$2,851.05	94% below	95%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPR EXT W/O CONTRAST RT - 73200 - 457017320R	$133.00	$2,851.05	$132.46–$2,851.05	94% below	95%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPR EXT W/O CONTRAST RT - 73200 - 46873200R	$133.00	$2,851.05	$132.46–$2,851.05	94% below	95%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPR EXT W/O CONTRAST LT	$133.00	$2,851.05	$132.46–$2,851.05	94% below	95%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$224.00	$956.24	$40.98–$956.24	63% below	77%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WB	$511.00	$2,427.00	$171.95–$2,427.00	76% below	79%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$133.00	$806.33	$65.44–$806.33	81% below	84%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$111.00	$849.00	$49.43–$849.00	79% below	87%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W&W/O CONTRAST - 70496 - 4570170496	$224.00	$5,155.00	$191.53–$5,155.00	92% below	96%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W&W/O CONTRAST - 70496 - 46870496	$224.00	$5,155.00	$191.53–$5,155.00	92% below	96%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W&W/O CONTRAST - 70498 - 46870498	$224.00	$5,081.00	$190.93–$5,081.00	92% below	96%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W&W/O CONTRAST - 70498 - 4570170498	$224.00	$5,081.00	$190.93–$5,081.00	92% below	96%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W&W/O CONTRAST - 71275 - 4570171275	$224.00	$4,529.00	$192.35–$4,529.00	93% below	95%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W&W/O CONTRAST - 71275 - 46871275	$224.00	$4,529.00	$192.35–$4,529.00	93% below	95%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W3D IMAGE	$446.00	$2,916.15	$227.85–$2,924.00	84% below	85%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$446.00	$2,924.00	$227.85–$2,924.00	84% below	85%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST - 75571 - 46875571	$111.00	$573.06	$59.37–$573.06	71% below	81%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST - 75571 - 4570175571	$111.00	$573.06	$59.37–$573.06	71% below	81%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ADB & PELVIS W/O CONTRAST - 74176 - 4570174176	$305.00	$1,520.89	$101.10–$1,520.89	90% below	80%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ADB & PELVIS W/O CONTRAST - 74176 - 46874176	$305.00	$1,520.89	$101.10–$1,520.89	90% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST - 74177 - 4570174177	$446.00	$2,352.28	$202.90–$2,352.28	89% below	81%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST - 74177 - 46874177	$446.00	$2,352.28	$202.90–$2,352.28	89% below	81%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS W&W/O CONT 1+	$446.00	$2,622.41	$233.05–$2,622.41	91% below	83%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CB ABD & PELVIS W&W/O CONT 1+	$446.00	$2,622.41	$233.05–$2,622.41	91% below	83%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST - 74160 - 46874160	$224.00	$1,968.96	$221.59–$3,741.00	91% below	89%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST - 74160 - 4570174160	$224.00	$3,741.00	$221.59–$3,741.00	91% below	94%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST - 74150 - 46874150	$133.00	$3,216.00	$116.66–$3,216.00	93% below	96%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST - 74150 - 4570174150	$133.00	$3,216.00	$116.66–$3,216.00	93% below	96%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX/FACIAL W/O CONTRAST - 70486 - 46870486	$133.00	$2,643.00	$125.62–$2,643.00	94% below	95%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX/FACIAL W/O CONTRAST - 70486 - 4570170486	$133.00	$2,643.00	$125.62–$2,643.00	94% below	95%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST - 70450 - 4570170450	$133.00	$2,947.00	$94.42–$2,947.00	94% below	95%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST - 70450 - 46870450	$133.00	$2,947.00	$94.42–$2,947.00	94% below	95%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST - 70460 - 4570170460	$224.00	$3,051.00	$137.27–$3,051.00	92% below	93%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST - 70460 - 46870460	$224.00	$3,051.00	$137.27–$3,051.00	92% below	93%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W&W/O CONTRAST - 70470 - 4570170470	$224.00	$3,560.00	$163.90–$3,560.00	93% below	94%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W&W/O CONTRAST - 70470 - 46870470	$224.00	$3,560.00	$163.90–$3,560.00	93% below	94%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST - 72193 - 46872193	$224.00	$3,653.86	$222.24–$3,653.86	91% below	94%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST - 72193 - 4570172193	$224.00	$3,653.86	$222.24–$3,653.86	91% below	94%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$305.00	$1,941.00	$168.51–$1,941.00	—	84%
Chest CT scan without and with contrast CPT 71270 CT THORAX W&W/O CONTRAST - 71270 - 46871270	$224.00	$2,341.99	$208.88–$2,341.99	93% below	90%
Chest CT scan without and with contrast CPT 71270 CT THORAX W&W/O CONTRAST - 71270 - 4570171270	$224.00	$2,341.99	$208.88–$2,341.99	93% below	90%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V - 71046 - 46371020	$111.00	$754.00	$18.13–$754.00	73% below	85%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V - 71046 - 4570171020	$111.00	$754.00	$18.13–$754.00	73% below	85%
Chest X-ray, single view CPT 71045 XR CHEST 1V PA - 71045 - 46371010	$111.00	$542.00	$9.71–$542.00	70% below	80%
Chest X-ray, single view CPT 71045 XR CHEST 1V PA - 71045 - 4570171010	$111.00	$542.00	$9.71–$542.00	70% below	80%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE - 73000 - 457073000L	$111.00	$334.67	$21.16–$447.03	77% below	67%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE - 73000 - 457073000R	$111.00	$447.03	$21.16–$447.03	77% below	75%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMPL LT	$111.00	$447.03	$21.16–$447.03	77% below	75%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMPL RT	$111.00	$447.03	$21.16–$447.03	77% below	75%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$133.00	$1,436.30	$79.89–$1,436.30	84% below	91%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDL AORTA SCREEN AAA	$133.00	$1,436.30	$79.89–$1,436.30	84% below	91%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL	$133.00	$395.80	$26.05–$395.80	74% below	66%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY APPENDICULAR	$111.00	$186.36	$15.81–$186.36	60% below	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST - 71250 - 46871250	$133.00	$3,363.00	$132.46–$3,363.00	93% below	96%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST - 71250 - 4570171250	$133.00	$3,363.00	$132.46–$3,363.00	93% below	96%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST - 71260 - 4570171260	$224.00	$3,671.00	$170.83–$3,671.00	92% below	94%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST - 71260 - 46871260	$224.00	$3,671.00	$170.83–$3,671.00	92% below	94%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BI	$121.00	$454.90	$88.25–$454.90	—	73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ARTERIAL LWR EXT BI - 93925 - 45993925	$305.00	$1,714.66	$104.21–$1,714.66	—	82%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ARTERIAL LWR EXT BI - 93925 - 4570193925	$305.00	$1,714.66	$104.21–$1,714.66	—	82%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT BI - 93970 - 45993970	$305.00	$1,749.75	$173.75–$1,749.75	—	83%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT BI - 93970 - 4570193970	$305.00	$1,749.75	$173.75–$1,749.75	—	83%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT BI - 93970 - 46793970	$305.00	$1,749.75	$173.75–$1,749.75	—	83%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/SPEC/COLOR COMPL - 93306 - 45993306	$699.00	$3,142.85	$177.42–$3,142.85	74% below	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/SPEC/COLOR COMPL - 93306 - 4570193306	$699.00	$3,142.85	$177.42–$3,142.85	74% below	78%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2V RT	$111.00	$661.31	$21.46–$661.31	72% below	83%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2V LT	$111.00	$661.31	$21.46–$661.31	72% below	83%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2V LT,XR ELBOW 2V RT - 73070 - 457073070L	$111.00	$334.67	$21.46–$661.31	72% below	67%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2V LT,XR ELBOW 2V RT - 73070 - 457073070R	$111.00	$334.67	$21.46–$661.31	72% below	67%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW - 73080 - 457073080R	$111.00	$548.00	$27.20–$548.00	77% below	80%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW - 73080 - 457073080L	$111.00	$548.00	$27.20–$548.00	77% below	80%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMPL 3+V LT	$111.00	$548.00	$27.20–$548.00	77% below	80%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMPL 3+V RT	$111.00	$548.00	$27.20–$548.00	77% below	80%
Eye socket (orbit) CT scan without contrast CPT 70480 CT FOS/SEL/EAR W/O CONTRAST - 70480 - 46870480	$133.00	$2,811.00	$132.46–$2,811.00	94% below	95%
Eye socket (orbit) CT scan without contrast CPT 70480 CT FOS/SEL/EAR W/O CONTRAST - 70480 - 4570170480	$133.00	$1,449.98	$132.46–$2,811.00	94% below	91%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$133.00	$645.00	$36.90–$645.00	73% below	79%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM - 73090 - 457073090R	$111.00	$548.00	$20.57–$548.00	74% below	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM - 73090 - 457073090L	$111.00	$548.00	$20.57–$548.00	74% below	80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2V RT	$111.00	$548.00	$20.57–$548.00	74% below	80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2V LT	$111.00	$548.00	$20.57–$548.00	74% below	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYS,INCLUDING GB	$511.00	$1,638.80	$261.91–$2,293.76	71% below	69%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY DUCTS	$511.00	$2,293.76	$261.91–$2,293.76	71% below	78%
Hand X-ray, 2 views one side CPT 73120 XR HAND LTD 2V RT - 73120 - 46373120R	$133.00	$669.00	$17.12–$669.00	67% below	80%
Hand X-ray, 2 views one side CPT 73120 XR HAND LTD 2V RT - 73120 - 457073120R	$133.00	$669.00	$17.12–$669.00	67% below	80%
Hand X-ray, 2 views one side CPT 73120 XR HAND LTD 2V LT - 73120 - 46373120L	$133.00	$669.00	$17.12–$669.00	67% below	80%
Hand X-ray, 2 views one side CPT 73120 XR HAND LTD 2V LT - 73120 - 457073120L	$133.00	$669.00	$17.12–$669.00	67% below	80%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL - 73650 - 457073650L	$111.00	$334.67	$19.37–$580.50	69% below	67%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL - 73650 - 457073650R	$111.00	$334.67	$19.37–$580.50	69% below	67%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+V RT	$111.00	$580.50	$19.37–$580.50	69% below	81%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+V LT	$111.00	$580.50	$19.37–$580.50	69% below	81%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG 4+ PARAMETERS W/CPAP	$1,099.00	$4,118.30	$271.95–$4,118.30	70% below	73%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE 3V BI	$111.00	$334.67	$25.15–$564.00	—	67%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LT - 73562 - 457073562L	$111.00	$564.00	$25.15–$564.00	76% below	80%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RT - 73562 - 46373562R	$111.00	$564.00	$25.15–$564.00	76% below	80%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LT - 73562 - 46373562L	$111.00	$564.00	$25.15–$564.00	76% below	80%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RT - 73562 - 457073562R	$111.00	$564.00	$25.15–$564.00	76% below	80%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE CMPL 4+V BI	$133.00	$343.38	$29.01–$1,000.33	—	61%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE - 73564 - 457073564B	$133.00	$343.38	$29.01–$1,000.33	77% below	61%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE - 73564 - 457073564L	$133.00	$343.38	$29.01–$1,000.33	77% below	61%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE - 73564 - 457073564R	$133.00	$343.38	$29.01–$1,000.33	77% below	61%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMPL 4+V LT	$133.00	$1,000.33	$29.01–$1,000.33	77% below	87%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMPL 4+V RT - 73564 - 4570173564	$133.00	$1,000.33	$29.01–$1,000.33	77% below	87%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMPL 4+V RT - 73564 - 46373564R	$133.00	$1,000.33	$29.01–$1,000.33	77% below	87%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LWR EXT W/O CONTRAST R	$133.00	$2,819.80	$131.98–$2,819.80	94% below	95%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT W/O CONTRAST LT - 73700 - 457073700L	$133.00	$2,819.80	$131.98–$2,819.80	94% below	95%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT W/O CONTRAST RT - 73700 - 46873700R	$133.00	$2,819.80	$131.98–$2,819.80	94% below	95%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT W/O CONTRAST LT - 73700 - 46873700L	$133.00	$2,819.80	$131.98–$2,819.80	94% below	95%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXT W/O CONTRAST RT - 73700 - 457073700R	$133.00	$2,819.80	$131.98–$2,819.80	94% below	95%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$133.00	$1,040.00	$60.12–$1,040.00	84% below	87%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON VASCULAR LTD	$133.00	$488.39	$8.66–$488.39	76% below	73%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG - 73590 - 457073590R	$111.00	$1,144.45	$21.46–$1,144.45	74% below	90%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG - 73590 - 457073590L	$111.00	$1,144.45	$21.46–$1,144.45	74% below	90%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2V RT	$111.00	$1,144.45	$21.46–$1,144.45	74% below	90%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2V LT	$111.00	$1,144.45	$21.46–$1,144.45	74% below	90%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CON	$305.00	$2,691.85	$181.41–$2,691.85	89% below	89%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LWR EXT JNT W/O CONT BI	$305.00	$5,103.00	$206.20–$5,103.00	—	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JNT W/O CON LT	$305.00	$3,299.00	$206.20–$5,103.00	90% below	91%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JNT W/O CONT RT	$305.00	$3,299.00	$206.20–$5,103.00	90% below	91%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LWR EXT JNT W&W/O CON BI	$446.00	$3,902.50	$300.20–$3,902.50	—	89%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JNT W&W/O CON RT	$446.00	$2,694.00	$300.20–$3,902.50	90% below	83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JNT W&W/O CON LT	$446.00	$3,491.88	$300.20–$3,902.50	90% below	87%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CON	$305.00	$2,691.85	$216.39–$2,691.85	89% below	89%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE	$446.00	$4,992.00	$263.48–$4,992.00	90% below	91%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CON	$305.00	$4,738.00	$188.21–$4,738.00	90% below	94%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O CON	$446.00	$6,237.51	$316.79–$6,237.51	90% below	93%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CON	$305.00	$4,234.00	$181.42–$4,234.00	90% below	93%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CON	$446.00	$6,006.45	$318.04–$6,006.45	90% below	93%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CON	$305.00	$3,889.00	$183.45–$3,889.00	89% below	92%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CON	$305.00	$4,069.05	$181.08–$4,069.05	90% below	93%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&W/O CON	$446.00	$5,812.75	$263.00–$5,812.75	89% below	92%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CON	$305.00	$4,201.00	$185.60–$4,201.00	88% below	93%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI UPR EXT JNT W/O CON BI	$305.00	$2,691.85	$206.55–$2,691.85	—	89%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPR EXT JNT W/O CON RT	$305.00	$1,740.00	$206.55–$2,691.85	88% below	82%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPR EXT JNT W/O CON LT	$305.00	$2,441.60	$206.55–$2,691.85	88% below	88%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radexam,spine,cervical4or5view - 72050 - 46372050	$133.00	$964.00	$38.44–$964.00	79% below	86%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RADEXAM,SPINE,CERVICAL4OR5VIEW - 72050 - 4570172050	$133.00	$964.00	$38.44–$964.00	79% below	86%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST - 70491 - 46870491	$224.00	$3,265.56	$184.40–$3,265.56	92% below	93%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST - 70491 - 4570170491	$224.00	$3,265.56	$184.40–$3,265.56	92% below	93%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST - 70490 - 46870490	$133.00	$2,733.00	$132.46–$2,733.00	94% below	95%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST - 70490 - 4570170490	$133.00	$2,733.00	$132.46–$2,733.00	94% below	95%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE - 70360 - 46370360	$111.00	$465.00	$17.62–$465.00	66% below	76%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE - 70360 - 4570170360	$111.00	$334.67	$17.62–$465.00	66% below	67%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF MULTI SPECT - 78452 - 4570178452	$1,656.00	$7,483.00	$295.90–$7,483.00	59% below	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF MULTI SPECT - 78452 - 46578452	$1,656.00	$7,483.00	$295.90–$7,483.00	59% below	78%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 OPTHALMIC SCAN RETINA UNI/BI	$75.00	$233.65	$14.16–$233.65	—	68%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST - 72192 - 46872192	$133.00	$3,192.00	$117.13–$3,192.00	93% below	96%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST - 72192 - 4570172192	$133.00	$3,192.00	$117.13–$3,192.00	93% below	96%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$133.00	$1,528.75	$30.24–$1,528.75	75% below	91%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND EXAM PELVIC LIMITED	$133.00	$1,528.75	$30.24–$1,528.75	75% below	91%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB	$133.00	$2,185.89	$67.93–$2,185.89	86% below	94%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY >14 WEEKS SGL	$133.00	$1,338.00	$90.65–$1,338.00	85% below	90%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY <14 WEEKS SGL	$133.00	$851.00	$47.84–$851.00	83% below	84%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$133.00	$840.00	$56.89–$840.00	78% below	84%
Rib X-ray, one side, 2 views CPT 71100 XR RIBS 2V UNI	$111.00	$596.00	$26.10–$596.00	76% below	81%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2V UNI LT	$111.00	$596.00	$26.10–$596.00	76% below	81%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2V UNI RT	$111.00	$596.00	$26.10–$596.00	76% below	81%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W/CXR 3+V UNI - 71101 - 4570171101	$133.00	$742.00	$29.67–$742.00	78% below	82%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W/CXR 3+V UNI - 71101 - 46371101	$133.00	$742.00	$29.67–$742.00	78% below	82%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BI	$99.00	$381.86	$74.08–$381.86	—	74%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER CMPL 2+V	$111.00	$548.00	$25.59–$548.00	80% below	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMPL 2+V LT - 73030 - 457073030L	$111.00	$548.00	$25.59–$548.00	80% below	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMPL 2+V RT	$111.00	$548.00	$25.59–$548.00	80% below	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMPL 2+V LT - 73030 - 46373030L	$111.00	$548.00	$25.59–$548.00	80% below	80%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3+V - 70220 - 46370220	$111.00	$670.00	$32.53–$670.00	76% below	83%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3+V - 70220 - 4570170220	$111.00	$670.00	$32.53–$670.00	76% below	83%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL LTD <4V - 70250 - 46370250	$133.00	$656.00	$24.60–$656.00	67% below	80%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL LTD <4V - 70250 - 4570170250	$133.00	$343.38	$24.60–$656.00	67% below	61%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE - 93351 - 4570193351	$699.00	$2,665.17	$123.65–$2,665.17	78% below	74%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress tte complete - 93351 - 45993351	$699.00	$2,646.50	$123.65–$2,665.17	78% below	74%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOW FUNCTION TEST	$224.00	$1,443.00	$59.57–$1,443.00	66% below	84%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V LT - 73552 - 46373550L	$111.00	$548.00	$20.99–$548.00	73% below	80%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V LT - 73552 - 46373552L	$111.00	$548.00	$20.99–$548.00	73% below	80%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V RT - 73552 - 46373550R	$111.00	$548.00	$20.99–$548.00	73% below	80%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V LT - 73552 - 457073552L	$111.00	$334.67	$20.99–$548.00	73% below	67%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V RT - 73552 - 46373552R	$111.00	$548.00	$20.99–$548.00	73% below	80%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V RT - 73552 - 457073552R	$111.00	$548.00	$20.99–$548.00	73% below	80%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) - 73660 - 457073660L	$111.00	$334.67	$17.22–$581.73	66% below	67%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) - 73660 - 457073660R	$111.00	$334.67	$17.22–$581.73	66% below	67%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+V RT	$111.00	$581.73	$17.22–$581.73	66% below	81%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+V LT	$111.00	$581.73	$17.22–$581.73	66% below	81%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$133.00	$1,457.26	$70.84–$1,457.26	81% below	91%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$133.00	$896.00	$51.77–$896.00	80% below	85%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPL - 76700 - 4570176700	$133.00	$728.63	$82.35–$1,415.00	88% below	82%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPL - 76700 - 46776700	$133.00	$1,415.00	$82.35–$1,415.00	88% below	91%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$133.00	$1,165.00	$47.16–$1,165.00	85% below	89%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK - 76536 - 4570176536	$133.00	$728.63	$65.98–$1,026.83	84% below	82%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK - 76536 - 46776536	$133.00	$1,026.83	$65.98–$1,026.83	84% below	87%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/KUB	$224.00	$758.22	$103.91–$758.22	64% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/O KUB	$224.00	$758.22	$103.91–$758.22	64% below	70%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+V BI	$111.00	$334.67	$21.46–$481.00	—	67%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS - 73060 - 457073060B	$111.00	$334.67	$21.46–$481.00	74% below	67%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS - 73060 - 457073060L	$111.00	$334.67	$21.46–$481.00	74% below	67%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS - 73060 - 457073060R	$111.00	$481.00	$21.46–$481.00	74% below	77%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+V LT	$111.00	$481.00	$21.46–$481.00	74% below	77%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+V RT	$111.00	$481.00	$21.46–$481.00	74% below	77%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY - 93971 - 457093971L	$133.00	$1,283.00	$101.89–$1,283.00	85% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY - 93971 - 46793971L	$133.00	$1,283.00	$101.89–$1,283.00	85% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY - 93971 - 46793971R	$133.00	$1,283.00	$101.89–$1,283.00	85% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY - 93971 - 457093971R	$133.00	$1,283.00	$101.89–$1,283.00	85% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT UNI LT	$133.00	$1,283.00	$101.89–$1,283.00	85% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT UNI RT	$133.00	$1,283.00	$101.89–$1,283.00	85% below	90%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2V LT	$111.00	$643.16	$17.87–$643.16	71% below	83%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2V LT,XR WRIST 2V RT - 73100 - 457073100L	$111.00	$572.00	$17.87–$643.16	71% below	81%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2V RT	$111.00	$643.16	$17.87–$643.16	71% below	83%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2V LT,XR WRIST 2V RT - 73100 - 457073100R	$111.00	$572.00	$17.87–$643.16	71% below	81%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST - 73110 - 457073110R	$111.00	$817.11	$27.41–$817.11	78% below	86%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST - 73110 - 457073110L	$111.00	$817.11	$27.41–$817.11	78% below	86%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMPL 3+V LT	$111.00	$817.11	$27.41–$817.11	78% below	86%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMPL 3+V RT	$111.00	$817.11	$27.41–$817.11	78% below	86%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR EXAM HIP UNI 2-3 V	$111.00	$608.00	$27.59–$608.00	72% below	82%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 V R	$111.00	$608.00	$27.59–$608.00	72% below	82%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 V - 73502 - 457073502L	$111.00	$608.00	$27.59–$608.00	72% below	82%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 V - 73502 - 46373502	$111.00	$608.00	$27.59–$608.00	72% below	82%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 V - 73502 - 457073502R	$111.00	$608.00	$27.59–$608.00	72% below	82%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 V L	$111.00	$608.00	$27.59–$608.00	72% below	82%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1V - 74018 - 46374000	$111.00	$504.70	$16.73–$504.70	64% below	78%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1V - 74018 - 4570174000	$111.00	$504.70	$16.73–$504.70	64% below	78%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LT	$111.00	$639.67	$19.92–$639.67	72% below	83%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RT	$111.00	$639.67	$19.92–$639.67	72% below	83%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LT,XR ANKLE 2V RT - 73600 - 457073600L	$111.00	$334.67	$19.92–$639.67	72% below	67%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LT,XR ANKLE 2V RT - 73600 - 457073600R	$111.00	$334.67	$19.92–$639.67	72% below	67%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) - 73140 - 457073140L	$111.00	$334.67	$17.67–$626.29	70% below	67%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) - 73140 - 457073140R	$111.00	$626.29	$17.67–$626.29	70% below	82%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2+V RT	$111.00	$626.29	$17.67–$626.29	70% below	82%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2+V LT	$111.00	$626.29	$17.67–$626.29	70% below	82%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 1V BI	$111.00	$334.67	$17.87–$666.00	—	67%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V RT - 73620 - 457073620R	$111.00	$334.67	$17.87–$666.00	73% below	67%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V LT - 73620 - 46373620L	$111.00	$666.00	$17.87–$666.00	73% below	83%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V RT - 73620 - 46373620R	$111.00	$666.00	$17.87–$666.00	73% below	83%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V LT - 73620 - 457073620L	$111.00	$666.00	$17.87–$666.00	73% below	83%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMPL 3+V RT - 73630 - 457073630R	$111.00	$756.50	$25.01–$756.50	78% below	85%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMPL 3+V LT - 73630 - 457073630L	$111.00	$756.50	$25.01–$756.50	78% below	85%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMPL 3+V RT - 73630 - 46373630R	$111.00	$756.50	$25.01–$756.50	78% below	85%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMPL 3+V LT - 73630 - 46373630L	$111.00	$756.50	$25.01–$756.50	78% below	85%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND - 73130 - 457073130L	$111.00	$794.29	$26.32–$794.29	78% below	86%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND - 73130 - 457073130R	$111.00	$794.29	$26.32–$794.29	78% below	86%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND CMPL 3+V RT	$111.00	$794.29	$26.32–$794.29	78% below	86%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND CMPL 3+V LT	$111.00	$794.29	$26.32–$794.29	78% below	86%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 - 73560 - 457073560R	$111.00	$334.67	$20.19–$670.59	72% below	67%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 - 73560 - 457073560L	$111.00	$334.67	$20.19–$670.59	72% below	67%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V LT	$111.00	$670.59	$20.19–$670.59	72% below	83%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V RT	$111.00	$670.59	$20.19–$670.59	72% below	83%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2-3V - 72100 - 4570172100	$133.00	$603.00	$29.98–$603.00	72% below	78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2-3V - 72100 - 46372100	$133.00	$603.00	$29.98–$603.00	72% below	78%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4+V - 72110 - 46372110	$133.00	$985.00	$43.40–$985.00	80% below	86%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4+V - 72110 - 4570172110	$133.00	$985.00	$43.40–$985.00	80% below	86%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2V - 72070 - 4570172070	$133.00	$563.65	$27.35–$563.65	71% below	76%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2V - 72070 - 46372070	$133.00	$563.65	$27.35–$563.65	71% below	76%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL CMPL 3+V - 70160 - 4570170160	$111.00	$334.67	$26.31–$599.28	74% below	67%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL CMPL 3+V - 70160 - 46370160	$111.00	$599.28	$26.31–$599.28	74% below	81%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3V - 72040 - 46372040	$111.00	$528.53	$24.97–$528.53	75% below	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3V - 72040 - 4570172040	$111.00	$528.53	$24.97–$528.53	75% below	79%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V - 72170 - 4570172170	$133.00	$343.38	$22.95–$656.00	65% below	61%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V - 72170 - 46372170	$133.00	$656.00	$22.95–$656.00	65% below	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+V - 72220 - 46372220	$111.00	$583.48	$25.12–$583.48	76% below	81%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+V - 72220 - 4570172220	$111.00	$334.67	$25.12–$583.48	76% below	67%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ACTH blood test CPT 82024 ACTH LC	$38.00	$127.45	$38.23–$127.45	44% below	70%
ACTH blood test CPT 82024 ACTH LC 2	$38.00	$127.45	$38.23–$127.45	44% below	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$5.00	$108.70	$5.25–$108.70	88% below	95%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$5.00	$103.00	$5.06–$103.00	89% below	95%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$47.00	$563.00	$40.00–$563.00	83% below	92%
Albumin blood test CPT 82040 ALBUMIN	$4.00	$80.33	$4.61–$80.33	84% below	95%
Aldosterone blood test CPT 82088 ALDOSTERONE LC 3	$40.00	$134.48	$40.34–$224.13	33% above	70%
Aldosterone blood test CPT 82088 PN RENIN ALDOS RAT, ALDOS LC1	$40.00	$224.13	$40.34–$224.13	33% above	82%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS LIVER LC	$5.00	$17.09	$4.74–$94.88	86% below	71%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS	$5.00	$94.88	$4.74–$94.88	86% below	95%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS LC 1	$5.00	$17.09	$4.74–$94.88	86% below	71%
Alkaline phosphatase (ALP) blood test CPT 84075 PN ALK PHOS ISO PHOS ALK LC1	$5.00	$17.09	$4.74–$94.88	86% below	71%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS LC 2	$5.00	$17.09	$4.74–$94.88	86% below	71%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERG IGE QN SQ EA LC 2	$5.00	$116.00	$5.17–$116.00	at median	96%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE;ea qn LC	$5.00	$97.80	$5.17–$116.00	at median	95%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SER LC 3	$16.00	$55.34	$16.60–$92.24	79% below	71%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKR LC	$16.00	$92.24	$16.60–$92.24	79% below	83%
Ammonia blood test CPT 82140 AMMONIA	$14.00	$290.25	$14.42–$290.25	92% below	95%
Amylase blood test CPT 82150 AMYLASE	$6.00	$246.00	$6.41–$246.00	88% below	98%
Amylase blood test CPT 82150 AMYBF LC	$6.00	$35.64	$6.41–$246.00	88% below	83%
Amylase blood test CPT 82150 AMYLASE LC 1	$6.00	$21.38	$6.41–$246.00	88% below	72%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB LC 1	$12.00	$42.74	$5.68–$71.23	41% below	72%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG/IGA LC	$12.00	$71.23	$5.68–$71.23	41% below	83%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA LC 14	$12.00	$39.90	$5.80–$118.23	63% below	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA RFLX LC	$12.00	$66.50	$5.80–$118.23	63% below	82%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA LC 13	$12.00	$118.23	$5.80–$118.23	63% below	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT LC	$12.00	$66.50	$5.80–$118.23	63% below	82%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA LC 8	$12.00	$19.32	$5.80–$118.23	63% below	38%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$39.00	$379.40	$24.12–$379.40	79% below	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BACTERIA OTHER	$8.00	$381.00	$8.53–$381.00	93% below	98%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$5.00	$149.00	$4.69–$149.00	89% below	97%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL PTH GROSS & MICRO LEVEL IV	$66.00	$306.26	$11.76–$306.26	49% below	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$9.00	$43.00	$3.60–$118.65	57% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE PHLEBOTOMY	$9.00	$118.65	$3.60–$118.65	57% below	92%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$3.00	$97.00	$3.79–$97.00	92% below	97%
Blood lead test CPT 83655 LEAD BLD ADULT LC	$12.00	$39.96	$11.99–$225.03	17% above	70%
Blood lead test CPT 83655 LEAD BLD LC 10	$12.00	$39.96	$11.99–$225.03	17% above	70%
Blood lead test CPT 83655 LEAD BLD LC 1	$12.00	$39.96	$11.99–$225.03	17% above	70%
Blood lead test CPT 83655 LEAD BLOOD PEDS LC	$12.00	$39.96	$11.99–$225.03	17% above	70%
Blood lead test CPT 83655 LEAD BLOOD	$12.00	$225.03	$11.99–$225.03	17% above	95%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL	$7.00	$149.00	$7.41–$149.00	96% below	95%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$170.00	$279.70	$2.73–$279.70	65% above	39%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING;ABO	$170.00	$279.70	$2.73–$279.70	65% above	39%
Blood urea nitrogen (BUN) test CPT 84520 BUN - 84520 - 45084520	$3.00	$113.00	$3.61–$113.00	91% below	97%
Blood urea nitrogen (BUN) test CPT 84520 BUN - 84520 - 40184520	$3.00	$69.00	$3.61–$113.00	91% below	96%
C-peptide blood test CPT 84681 C PEPTIDE LC 1	$20.00	$68.67	$20.46–$68.67	69% below	71%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN LC 4	$5.00	$17.09	$5.13–$17.09	91% below	71%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$37.00	$57.00	$17.10–$288.79	76% below	35%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOX AMP PROCE TECH	$37.00	$288.79	$17.10–$288.79	76% below	87%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE REVOGEN	$37.00	$186.35	$17.10–$288.79	76% below	80%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC 1	$20.00	$68.67	$14.80–$114.46	60% below	71%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$20.00	$114.46	$14.80–$114.46	60% below	83%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 LC	$20.00	$114.46	$14.80–$114.46	85% below	83%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 SER LC	$20.00	$114.46	$14.80–$114.46	85% below	83%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 LC 1	$20.00	$68.67	$14.80–$114.46	85% below	71%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL	$51.00	$51.31	$15.39–$500.00	46% below	1%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL IN-HOUSE - 87635 - 45180006	$51.00	$500.00	$15.39–$500.00	46% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL IN-HOUSE - 87635 - 45180011	$51.00	$256.55	$15.39–$500.00	46% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC	$51.00	$70.00	$15.39–$500.00	46% below	27%
Calcium blood test, total CPT 82310 CALCIUM	$5.00	$225.00	$4.70–$225.00	92% below	98%
Calcium blood test, total CPT 82310 CALCIUM SER LC 4	$5.00	$50.40	$4.70–$225.00	92% below	90%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA)	$18.00	$371.14	$18.77–$371.14	78% below	95%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 15 - 86787 - 45102964	$12.00	$24.79	$5.95–$126.00	65% below	52%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 9	$12.00	$126.00	$5.95–$126.00	65% below	90%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 14 - 86787 - 45102963	$12.00	$19.83	$5.95–$126.00	65% below	39%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 1	$12.00	$42.50	$5.95–$126.00	65% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 15 - 86787 - 45102736	$12.00	$42.50	$5.95–$126.00	65% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 14 - 86787 - 45102735	$12.00	$24.79	$5.95–$126.00	65% below	52%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 13 - 86787 - 45102962	$12.00	$42.50	$5.95–$126.00	65% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB LC 13 - 86787 - 45102676	$12.00	$19.83	$5.95–$126.00	65% below	39%
Chickenpox (varicella) immunity blood test CPT 86787 V.ZOSTER IGG LC	$12.00	$70.84	$5.95–$126.00	65% below	83%
Chickenpox (varicella) immunity blood test CPT 86787 PN VZV AB IGG/M,VAR ZOS AB LC2	$12.00	$42.50	$5.95–$126.00	65% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 PN VZV AB IGG/M,VAR ZOS AB LC1	$12.00	$42.50	$5.95–$126.00	65% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMUDIA T, AMPLIF NA PR	$35.00	$193.00	$29.37–$193.00	36% below	82%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CORONARY RISK (LIPID PANEL)	$13.00	$602.00	$13.24–$602.00	87% below	98%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF	$7.00	$159.00	$7.69–$159.00	94% below	96%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$6.00	$118.00	$6.41–$118.00	93% below	95%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$10.00	$837.00	$10.45–$837.00	96% below	99%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$16.00	$329.00	$16.14–$329.00	83% below	95%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CPK) TOTAL	$6.00	$218.80	$6.44–$218.80	93% below	97%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CPK) TOT LC 1	$6.00	$63.70	$6.44–$218.80	93% below	91%
Creatinine blood test CPT 82565 CREATININE	$5.00	$113.00	$4.95–$113.00	89% below	96%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB LC 8	$14.00	$140.77	$14.21–$140.77	49% below	90%
Cytomegalovirus (CMV) antibody test CPT 86644 PN CMV IGG/M AB, CMV ABS LC1	$14.00	$79.15	$14.21–$140.77	49% below	82%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN D-DIMER QN	$10.00	$202.65	$10.08–$202.65	93% below	95%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE LC 2	$22.00	$73.36	$22.01–$73.36	78% below	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S LC	$22.00	$73.36	$22.01–$73.36	78% below	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR SGL CLASS LC 6	$62.00	$205.06	$31.25–$798.10	at median	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen, qualitative; mult	$62.00	$104.15	$31.25–$798.10	at median	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QL MLT CLASS NON	$62.00	$205.06	$31.25–$798.10	at median	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR(O)	$62.00	$798.10	$31.25–$798.10	at median	92%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test(s), Presumptive	$62.00	$341.77	$31.25–$798.10	at median	82%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR MULTI CLASS LC 9	$62.00	$205.06	$31.25–$798.10	at median	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR SGL CLASS	$62.00	$404.04	$31.25–$798.10	at median	85%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCRN 12W/RFLX LC	$62.00	$109.00	$31.25–$798.10	at median	43%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$7.00	$47.85	$6.94–$284.00	92% below	85%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$7.00	$284.00	$6.94–$284.00	92% below	98%
Epstein-Barr virus (EBV) antibody test CPT 86665 PN EBV, IGG LC1	$18.00	$33.24	$9.97–$59.86	32% below	46%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA AB AB LC 10	$18.00	$59.86	$9.97–$59.86	32% below	70%
Estradiol blood test CPT 82670 ESTRADIOL LC	$27.00	$92.20	$27.66–$92.20	69% below	71%
Estradiol blood test CPT 82670 ESTRADIOL	$27.00	$92.20	$27.66–$92.20	69% below	71%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE (FSH)	$18.00	$210.00	$18.39–$210.00	82% below	91%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$13.00	$74.97	$13.49–$74.97	88% below	83%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LC	$13.00	$44.98	$13.49–$74.97	88% below	71%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$9.00	$212.00	$8.76–$212.00	93% below	96%
Fibrinogen blood test CPT 85384 FIBRINOGEN LC 1	$9.00	$83.09	$8.76–$212.00	93% below	89%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$14.00	$287.56	$14.55–$287.56	87% below	95%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE (T-3) FREE	$16.00	$264.59	$13.69–$264.59	80% below	94%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T-4) FREE	$9.00	$172.00	$8.93–$172.00	87% below	95%
Free testosterone test CPT 84402 PN TESTO FR TOT TESTO FR LC1	$25.00	$84.05	$25.22–$248.99	9% below	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE LC 6	$25.00	$248.99	$25.22–$248.99	9% below	90%
Free testosterone test CPT 84402 FREE TESTOS DIR LC	$25.00	$84.05	$25.22–$248.99	9% below	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA GGT	$7.00	$134.00	$7.13–$134.00	85% below	95%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE TEST GTT 3 SPEC INC	$12.00	$615.00	$12.74–$615.00	91% below	98%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA, AMPLIF NA PR	$35.00	$193.00	$29.10–$193.00	41% below	82%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NUC ACID AMP NEISSERIA LC 5	$35.00	$115.80	$29.10–$193.00	41% below	70%
H. pylori antibody blood test CPT 86677 H PYLORI AB LC 7	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 PN H PYLO IGG/A, H PYLO AB LC3	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG LC	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 H. PYLORI IGA LC	$16.00	$17.31	$5.19–$55.61	86% below	8%
H. pylori antibody blood test CPT 86677 H PYLORI AB LC 1	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 H PYLORI AB LC 3	$16.00	$20.81	$5.19–$55.61	86% below	23%
H. pylori antibody blood test CPT 86677 PN H PYLO IGG/A, H PYLO AB LC1	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 PN H PYLO IGG/A, H PYLO AB LC2	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 H PYLORI AB LC 8	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori antibody blood test CPT 86677 H. PYLORI IGM LC	$16.00	$55.61	$5.19–$55.61	86% below	71%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$14.00	$30.00	$9.00–$30.00	82% below	53%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QN LC 6	$85.00	$356.67	$84.25–$356.67	16% below	76%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 PCR Quantitative	$85.00	$280.83	$84.25–$356.67	16% below	70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB SGL ASSAY	$13.00	$203.21	$13.57–$203.21	78% below	94%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV VIRUS A/O/2 AG/AB 4GEN	$24.00	$132.44	$16.21–$132.44	73% below	82%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGBA1C & EAG LC	$9.00	$32.04	$9.61–$149.00	86% below	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED A1C	$9.00	$149.00	$9.61–$149.00	86% below	94%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB	$12.00	$155.00	$11.93–$155.00	66% below	92%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$10.00	$159.00	$10.63–$159.00	77% below	94%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB LC 8	$10.00	$35.44	$10.63–$159.00	77% below	72%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B AG EIA QL LC 11	$10.00	$187.59	$4.33–$187.59	86% below	95%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B AG EIA QL LC 7	$10.00	$14.43	$4.33–$187.59	86% below	31%
Hepatitis B surface antigen (HBsAg) test CPT 87340 EIA QL HEPATITIS B AG	$10.00	$158.00	$4.33–$187.59	86% below	94%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB	$14.00	$259.22	$14.13–$259.22	74% below	95%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB LC 6	$14.00	$47.09	$14.13–$259.22	74% below	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QN LC 3	$42.00	$119.89	$19.55–$418.95	52% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN PCR RFLX GENO LC	$42.00	$65.16	$19.55–$418.95	52% below	36%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QN LC 10	$42.00	$418.95	$19.55–$418.95	52% below	90%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR QT LC	$42.00	$74.00	$19.55–$418.95	52% below	43%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I AB LC 9	$13.00	$32.10	$9.63–$72.55	33% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 PN HSV IGG AB,HSV 1 AB IGM LC1	$13.00	$72.55	$9.63–$72.55	33% below	82%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II AB LC 5	$19.00	$63.86	$13.76–$106.43	19% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II AB LC 7	$19.00	$81.15	$13.76–$106.43	19% below	77%
Herpes blood test, HSV-2 antibody CPT 86696 PN HSV IGG AB,HSV 2 AB IGM LC1	$19.00	$106.43	$13.76–$106.43	19% below	82%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENS	$12.00	$126.63	$8.85–$126.63	80% below	91%
Homocysteine blood test CPT 83090 HOMOCYSTINE LC 2	$17.00	$29.10	$8.73–$98.56	78% below	42%
Homocysteine blood test CPT 83090 HOMOCYST(E)INE LC	$17.00	$98.56	$8.73–$98.56	78% below	83%
Insulin blood test CPT 83525 INSULIN LC 5	$11.00	$31.26	$9.18–$62.87	71% below	65%
Insulin blood test CPT 83525 INSULIN LC 1	$11.00	$37.72	$9.18–$62.87	71% below	71%
Insulin blood test CPT 83525 INSULIN LC	$11.00	$62.87	$9.18–$62.87	71% below	83%
Iron blood test (serum iron) CPT 83540 IRON	$6.00	$165.00	$6.41–$165.00	90% below	96%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$8.00	$189.00	$7.91–$189.00	89% below	96%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$18.00	$211.00	$18.33–$211.00	83% below	91%
Lactate (lactic acid) blood test CPT 83605 Lactate (lactic acid)	$11.00	$264.00	$10.80–$264.00	92% below	96%
Lactate (lactic acid) blood test CPT 83605 LACTATE/LACTIC ACID LS 1	$11.00	$104.44	$10.80–$264.00	92% below	89%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$6.00	$132.15	$5.98–$132.15	83% below	95%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID LC 1	$6.00	$59.08	$5.98–$132.15	83% below	90%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$6.00	$204.00	$6.82–$204.00	94% below	97%
Magnesium blood test CPT 83735 MAGNESIUM	$6.00	$175.00	$6.63–$175.00	91% below	97%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB LC 13	$12.00	$42.50	$12.75–$42.50	62% below	72%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB LC 14	$12.00	$42.50	$12.75–$42.50	62% below	72%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$12.00	$42.50	$12.75–$42.50	62% below	72%
Mumps immunity blood test CPT 86735 MUMPS AB IGG LC 1	$13.00	$43.07	$5.95–$71.78	19% below	70%
Mumps immunity blood test CPT 86735 MUMPS AB IGG LC 9	$13.00	$19.83	$5.95–$71.78	19% below	34%
Mumps immunity blood test CPT 86735 MUMPS IGG LC	$13.00	$71.78	$5.95–$71.78	19% below	82%
Mumps immunity blood test CPT 86735 MUMPS AB IGG LC 10	$13.00	$24.79	$5.95–$71.78	19% below	48%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$47.00	$382.00	$41.12–$382.00	80% below	88%
PSA (prostate-specific antigen) blood test, free CPT 84154 PN PSA TOT %FR, PSA FR LC1	$18.00	$101.15	$14.77–$101.15	70% below	82%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA RFLX FR LC	$18.00	$60.69	$18.21–$200.62	70% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PN PSA TOT %FR, PSA TOT LC1	$18.00	$60.69	$18.21–$200.62	70% below	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL	$18.00	$200.62	$18.21–$200.62	70% below	91%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORM (PTH) LC 2	$41.00	$136.22	$39.98–$227.04	63% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$41.00	$206.40	$39.98–$227.04	63% below	80%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT LC	$41.00	$227.04	$39.98–$227.04	63% below	82%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLASTIN	$6.00	$225.00	$5.95–$225.00	90% below	97%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$4.00	$122.00	$4.69–$122.00	95% below	97%
Potassium blood test CPT 84132 POTASSIUM	$4.00	$105.00	$3.95–$105.00	95% below	96%
Progesterone blood test CPT 84144 PROGESTERONE	$20.00	$242.79	$20.65–$242.79	76% below	92%
Prolactin blood test CPT 84146 PROLACTIN	$19.00	$263.00	$19.19–$263.00	82% below	93%
Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME	$4.00	$189.00	$4.00–$189.00	93% below	98%
Rapid flu test (influenza antigen) CPT 87804 IMMUNO OPTICAL INFLUENZA B	$16.00	$82.75	$7.08–$82.75	79% below	81%
Rapid flu test (influenza antigen) CPT 87804 IMMUNO OPTICAL INFLUENZA A	$16.00	$82.75	$7.08–$82.75	79% below	81%
Rapid flu test (influenza antigen) CPT 87804 IMMUNO OPTICAL INFLUENZA LC 1	$16.00	$54.62	$7.08–$82.75	79% below	71%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 IMMUNO OPTICAL STREP A	$16.00	$90.92	$8.02–$90.92	85% below	82%
Renin blood test CPT 84244 PN RENIN ALDOS RAT, RENIN LC1	$21.00	$72.57	$21.77–$72.57	15% below	71%
Renin blood test CPT 84244 RENIN ACTIVITY LC	$21.00	$72.57	$21.77–$72.57	15% below	71%
Renin blood test CPT 84244 RENIN LC 2	$21.00	$72.57	$21.77–$72.57	15% below	71%
Rh blood typing CPT 86901 BLOOD TYPING RH (D)	$47.00	$198.00	$2.82–$198.00	16% below	76%
Rheumatoid factor (RF) test CPT 86431 RHEUM FACTOR QN LC 6	$5.00	$55.51	$5.61–$55.51	62% below	91%
Rheumatoid factor (RF) test CPT 86431 RHEUM FACTOR QN LC 1	$5.00	$18.71	$5.61–$55.51	62% below	73%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR LC	$5.00	$31.19	$5.61–$55.51	62% below	84%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG EIA - 86762 - 45096762	$14.00	$47.49	$14.25–$224.00	72% below	71%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG EIA - 86762 - 45086762	$14.00	$224.00	$14.25–$224.00	72% below	94%
Sodium blood test CPT 84295 SODIUM	$4.00	$47.04	$4.03–$84.00	94% below	91%
Sodium blood test CPT 84295 SODIUM,SERUM	$4.00	$64.38	$4.03–$84.00	94% below	94%
Sodium blood test CPT 84295 SODIUM;SERUM	$4.00	$84.00	$4.03–$84.00	94% below	95%
Stool ova and parasites exam CPT 87177 OVA & PARASITES STOOL LC 2	$8.00	$158.31	$8.24–$158.31	62% below	95%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STL PEROXDS SIM DET	$4.00	$85.05	$3.35–$85.05	90% below	95%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STOOL	$4.00	$15.75	$3.35–$85.05	90% below	75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD FECAL HGB IA QL 1-3	$15.00	$117.00	$11.31–$117.00	69% below	87%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB LC	$13.00	$72.82	$9.12–$72.82	20% below	82%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODY	$13.00	$66.20	$9.12–$72.82	20% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CONFIRM LC 1	$13.00	$43.69	$9.12–$72.82	20% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC	$4.00	$23.49	$3.65–$41.72	70% below	83%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL LC	$4.00	$14.09	$3.65–$41.72	70% below	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS VDRL/RPR/ART QL LC 7	$4.00	$41.72	$3.65–$41.72	70% below	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$4.00	$21.35	$3.65–$41.72	70% below	81%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS VDRL/RPR/ART QL LC 2	$4.00	$14.09	$3.65–$41.72	70% below	72%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT-TB PLUS LC	$61.00	$204.53	$34.71–$204.53	28% below	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC 4	$25.00	$85.17	$25.55–$252.56	38% below	71%
Testosterone blood test, total (not free testosterone) CPT 84403 PN TESTO FR TOT,TESTO TOT LC1	$25.00	$85.17	$25.55–$252.56	38% below	71%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$25.00	$252.56	$25.55–$252.56	38% below	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB LC 4	$14.00	$48.02	$14.40–$169.00	39% below	71%
Thyroid peroxidase (TPO) antibody test CPT 86376 PN THYROID AB,MICRO THY AB LC1	$14.00	$80.03	$14.40–$169.00	39% below	83%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB LC 9	$14.00	$142.31	$14.40–$169.00	39% below	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 PN THYROGL QT,MICRO THY AB LC1	$14.00	$169.00	$14.40–$169.00	39% below	92%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO AB LC	$14.00	$80.03	$14.40–$169.00	39% below	83%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE - 84443 - 45084443	$16.00	$143.00	$16.63–$316.00	83% below	89%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THY PAN LC	$16.00	$92.40	$16.63–$316.00	83% below	83%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE - 84443 - 301450087	$16.00	$316.00	$16.63–$316.00	83% below	95%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E LC 5	$16.00	$54.32	$16.30–$90.53	75% below	71%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E LC 1	$16.00	$54.32	$16.30–$90.53	75% below	71%
Total IgE blood test CPT 82785 IGE LC	$16.00	$90.53	$16.30–$90.53	75% below	82%
Total cholesterol blood test CPT 82465 CHOLESTEROL SER LC 2	$4.00	$42.56	$4.31–$170.00	90% below	91%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$4.00	$170.00	$4.31–$170.00	90% below	98%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (T-4) TOTAL LC 1	$6.00	$22.67	$5.94–$37.79	85% below	74%
Total thyroxine (T4) blood test CPT 84436 T4 LC	$6.00	$37.79	$5.94–$37.79	85% below	84%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T-3) TOTAL	$14.00	$194.00	$14.04–$194.00	82% below	93%
Transferrin blood test CPT 84466 TRANSFERRIN - 84466 - 45084466	$12.00	$124.88	$12.63–$124.88	78% below	90%
Transferrin blood test CPT 84466 TRANSFERRIN - 84466 - 45184466	$12.00	$42.11	$12.63–$124.88	78% below	72%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$5.00	$97.00	$5.68–$97.00	88% below	95%
Troponin test, quantitative CPT 84484 TROPONIN I QN	$12.00	$307.50	$9.72–$307.50	93% below	96%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis Nonauto w/ micro	$4.00	$99.00	$2.96–$99.00	87% below	96%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O MICRO - 81002 - 40181002	$3.00	$56.50	$2.47–$56.50	91% below	95%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O MICRO - 81002 - 44081002	$3.00	$56.50	$2.47–$56.50	91% below	95%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto w/o micro - 81002 - 45081002	$3.00	$18.00	$2.47–$56.50	91% below	83%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W/COLONY CT	$8.00	$389.00	$6.48–$389.00	94% below	98%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HR URINE	$5.00	$56.63	$5.72–$135.96	86% below	91%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QN	$5.00	$135.96	$5.72–$135.96	86% below	96%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UR QN LC 1	$5.00	$19.07	$5.72–$135.96	86% below	74%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UR QN LC 12	$5.00	$19.07	$5.72–$135.96	86% below	74%
Urine microalbumin (albumin) test CPT 82043 MICROALB RDM UR LC	$5.00	$19.07	$5.72–$135.96	86% below	74%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST UR QL - 81025 - 40181025	$8.00	$189.60	$4.02–$189.60	91% below	96%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST UR QL - 81025 - 45081025	$8.00	$189.60	$4.02–$189.60	91% below	96%
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B-12	$15.00	$216.00	$14.93–$216.00	84% below	93%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 25-OH LC 6	$29.00	$162.80	$23.78–$312.50	55% below	82%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 25-OH LC 1	$29.00	$97.68	$23.78–$312.50	55% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITD-3 25-OH LC	$29.00	$93.50	$23.78–$312.50	55% below	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-OH LC	$29.00	$97.68	$23.78–$312.50	55% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$29.00	$312.50	$23.78–$312.50	55% below	91%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITD 1 25 DI-OH LC	$38.00	$127.05	$38.07–$127.05	44% below	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D (1 25 DIHYDROXY) LC 2	$38.00	$127.05	$38.07–$127.05	44% below	70%
Zinc blood test CPT 84630 ZINC LC	$11.00	$37.59	$11.28–$37.59	at median	71%
Zinc blood test CPT 84630 ZINC SER LC 1	$11.00	$37.59	$11.28–$37.59	at median	71%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN LC 3	$15.00	$49.67	$14.90–$364.00	92% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN	$15.00	$364.00	$14.90–$364.00	92% below	96%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOV BEL C2	$16,431.00	$5,637.55	$1,422.93–$5,637.55	65% above	-191%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888	$9,286.00	$8,187.75	$967.66–$8,187.75	at median	-13%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr	$9,286.00	$5,458.50	$494.04–$5,458.50	23% above	-70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 SC BX BREAST NDL W/GUIDE BI	$2,113.00	$4,044.09	$632.17–$4,044.09	—	48%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$2,113.00	$4,044.09	$632.17–$4,044.09	51% below	48%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 SC BX BREAST NDL W/GUIDE RT	$2,113.00	$4,044.09	$632.17–$4,044.09	51% below	48%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 SC EXC CYST/LESN BREAST LT	$2,113.00	$4,044.09	$632.17–$4,044.09	51% below	48%
Broken ankle (outer ankle bone) treatment without surgery or setting both sides CPT 27786 TX FX FIB DIST W/O MAN CLS BI	$315.00	$735.00	$174.91–$735.00	—	57%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 TX FX FIB DIST W/O MAN CLS LT	$315.00	$735.00	$174.91–$735.00	41% below	57%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 TX FX FIB DIST W/O MAN CLS RT	$315.00	$644.70	$174.91–$735.00	41% below	51%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo	$4,187.00	$3,639.00	$574.61–$3,639.00	at median	-15%
Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs	$4,187.00	$3,639.00	$423.48–$3,639.00	16% below	-15%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT ART/VENTRICLE ANGIO	$4,149.00	$18,436.40	$693.51–$18,436.40	68% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNA	$845.00	$3,750.90	$175.66–$3,750.90	56% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNAL - 92960 - 45792960	$845.00	$3,750.90	$175.66–$3,750.90	56% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTV EXTERNAL - 92960 - 4570192960	$845.00	$2,714.00	$175.66–$3,750.90	56% below	69%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$2,499.00	$5,105.42	$454.46–$5,105.42	31% below	51%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$33,452.00	$55,548.40	$880.47–$55,548.40	at median	40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$1,178.00	$14,182.30	$58.15–$14,182.30	39% below	92%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older	$2,675.00	$3,639.00	$181.57–$3,639.00	42% below	26%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision wregionl block	$2,675.00	$11,625.49	$1,274.00–$11,625.49	60% above	77%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 SC TX FX RADL DIST W/O MAN LT	$315.00	$644.70	$174.91–$644.70	44% below	51%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/REM SNARE	$1,531.00	$6,758.47	$574.08–$6,758.47	33% below	77%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal	$1,531.00	$3,639.00	$574.08–$6,758.47	33% below	58%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX W/BIOPSY	$1,531.00	$6,758.47	$473.68–$6,758.47	34% below	77%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy	$1,531.00	$3,639.00	$473.68–$6,758.47	34% below	58%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEXIBLE	$1,190.00	$5,225.91	$423.48–$5,225.91	43% below	77%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY SCRN HIGH RISK P - 45378 - 476G0105	$1,190.00	$3,763.80	$423.48–$5,225.91	43% below	68%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,190.00	$3,639.00	$423.48–$5,225.91	43% below	67%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1VSL	$14,775.00	$65,004.00	$483.05–$65,004.00	1% below	77%
Coronary stent placement, one artery CPT 92928 STENT PLMNT INTRCOR SGL VESL	$14,775.00	$31,531.40	$483.05–$65,004.00	1% below	53%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332	$4,511.00	$5,003.63	$789.82–$5,003.63	40% below	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY - 52000 - 48752000	$892.00	$3,126.70	$124.43–$3,639.00	45% below	71%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy - 52000 - OR36052000	$892.00	$3,639.00	$124.43–$3,639.00	45% below	75%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$4,143.00	$3,639.00	$319.80–$3,639.00	2% below	-14%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TUBE TYMPANOSTOMY 12MX10MM	$690.00	$1,379.61	$85.98–$1,379.61	33% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$75.00	$279.70	$11.54–$279.70	58% below	73%
Earwax removal with instruments, one ear CPT 69210 REMOVE CERUMEN IMPACTED	$75.00	$281.54	$43.79–$281.54	60% below	73%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 INJ ANES/STER LUMB/SACR SGL BI	$1,132.00	$2,016.54	$144.45–$2,016.54	—	44%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ ANES/STER LUMB/SACR SGL RT	$1,132.00	$2,016.54	$144.45–$2,016.54	45% below	44%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ ANES/STER LUMB/SACR SGL LT	$1,132.00	$2,016.54	$144.45–$2,016.54	45% below	44%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$8,285.00	$4,093.88	$463.51–$4,093.88	11% above	-102%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$4,582.00	$4,002.90	$277.74–$4,002.90	32% below	-14%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEX	$1,190.00	$2,129.94	$78.50–$2,129.94	35% below	44%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$7,737.00	$6,457.59	$668.60–$6,457.59	41% below	-20%
Hammertoe correction surgery CPT 28285 HAMMERTOE FUSION 3.4X20	$4,187.00	$11,130.00	$290.51–$11,130.00	at median	62%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$4,187.00	$7,153.43	$290.51–$11,130.00	at median	41%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s)	$1,190.00	$3,639.00	$110.55–$3,639.00	36% below	67%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$6,402.00	$3,734.76	$1,120.43–$3,734.76	at median	-71%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$4,143.00	$4,810.48	$251.48–$4,810.48	42% below	14%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$256.00	$953.75	$60.88–$1,138.95	45% below	73%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMP	$256.00	$1,138.95	$60.88–$1,138.95	45% below	78%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$4,582.00	$4,852.00	$493.45–$4,852.00	38% below	6%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON/LIGAMENT	$392.00	$734.10	$65.68–$734.10	41% below	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ARTHROCENT ASP/INJ JT MAJ BI	$392.00	$1,155.00	$65.68–$1,223.50	—	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$392.00	$1,223.50	$65.68–$1,223.50	59% below	68%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENT ASP/INJ JT MAJ RT	$392.00	$1,155.00	$65.68–$1,223.50	59% below	66%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENT ASP/INJ JT MAJ LT	$392.00	$1,155.00	$65.68–$1,223.50	59% below	66%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant	$170.00	$2,274.38	$62.46–$2,274.38	40% below	93%
Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 ARTHROCENT ASP/INJ JT INTER BI	$392.00	$734.10	$54.46–$1,308.85	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ JT/BURSA W/O US MED JT	$392.00	$1,308.85	$54.46–$1,308.85	36% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHROCENT ASP/INJ JT INTER RT - 20605 - 4504010171	$392.00	$745.50	$54.46–$1,308.85	36% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHROCENT ASP/INJ JT INTER RT - 20605 - 320051103	$392.00	$745.50	$54.46–$1,308.85	36% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHROCENT ASP/INJ JT INTER LT	$392.00	$734.10	$54.46–$1,308.85	36% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHROVENT ASP/INJ JT RT	$392.00	$745.50	$54.46–$1,308.85	36% below	47%
Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 ARTHROCENT ASP/INJ JT SMALL BI	$392.00	$734.10	$46.46–$1,305.85	—	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRN/INJ JT/BURSA W/O US SM JT	$392.00	$1,305.85	$46.46–$1,305.85	46% below	70%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ARTHROCENT ASP/INJ JT SMALL LT	$392.00	$1,015.22	$46.46–$1,305.85	46% below	61%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ARTHROCENT ASP/INJ JT SMALL RT	$392.00	$734.10	$46.46–$1,305.85	46% below	47%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery - 29882 - OR36029882	$4,187.00	$4,808.68	$801.04–$4,808.68	at median	13%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881	$4,187.00	$4,184.85	$790.35–$4,184.85	19% below	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880	$4,187.00	$4,548.75	$790.35–$4,548.75	at median	8%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$7,737.00	$3,942.25	$391.98–$3,942.25	5% below	-96%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$7,737.00	$10,234.70	$379.70–$10,234.70	51% below	24%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$7,737.00	$10,390.30	$701.38–$10,390.34	42% below	26%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SCLP/AXIL <2.5CM	$520.00	$1,463.10	$121.22–$1,463.10	40% below	64%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART W/VENTRCLGRPH	$4,149.00	$15,281.80	$549.26–$15,281.80	58% below	73%
Left heart catheterization, diagnostic one side CPT 93452 LHC BY LT VENTR PUNCTURE	$4,149.00	$13,417.20	$549.26–$15,281.80	58% below	69%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART PERC	$4,149.00	$8,440.80	$549.26–$15,281.80	58% below	51%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMINAR LMBR/SAC	$903.00	$3,172.95	$220.03–$3,172.95	59% below	72%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 INJ EPIDURAL LUMB/SACR SGL BI	$1,132.00	$2,016.54	$205.61–$2,016.54	—	44%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ EPIDURAL LUMB/SACR SGL RT	$1,132.00	$2,016.54	$205.61–$2,016.54	45% below	44%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ EPIDURAL LUMB/SACR SGL LT	$1,132.00	$2,016.54	$205.61–$2,016.54	45% below	44%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 LUMBAR SPINE FUSION COMBINED	$34,727.00	$14,182.30	$1,514.89–$14,182.30	126% above	-145%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar	$9,286.00	$3,184.13	$955.24–$3,184.13	58% below	-192%
Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION	$22,440.00	$3,184.12	$955.24–$3,184.12	27% above	-605%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy	$5,011.00	$3,639.00	$333.58–$3,639.00	25% below	-38%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$4,143.00	$3,639.00	$241.91–$3,639.00	18% below	-14%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE - 11730 - 43911730	$256.00	$953.75	$45.93–$1,138.95	49% below	73%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE - 11730 - 40111730	$256.00	$1,138.95	$45.93–$1,138.95	49% below	78%
Pacemaker implant (dual chamber) CPT 33208 INS/REPL PACEMKR PERM A/V - 33208 - 45733208	$13,377.00	$59,987.20	$1,068.05–$59,987.20	29% below	78%
Pacemaker implant (dual chamber) CPT 33208 INS/REPL PACEMKR PERM A/V - 33208 - 45933208	$13,377.00	$35,992.30	$1,068.05–$59,987.20	29% below	63%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING - 49083 - 45949083	$1,160.00	$4,318.45	$89.72–$5,374.08	37% below	73%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING - 49083 - 46349083	$1,160.00	$5,374.08	$89.72–$5,374.08	37% below	78%
Paracentesis with imaging guidance CPT 49083 ABDOM PARACENTESIS W/IMAG	$1,160.00	$3,498.95	$89.72–$5,374.08	37% below	67%
Partial knee replacement (one compartment) CPT 27446 Revision of knee joint	$16,431.00	$28,366.80	$3,308.00–$28,366.80	18% below	42%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$520.00	$3,915.09	$121.22–$3,915.09	60% below	87%
Prostate biopsy CPT 55700 Biopsy of prostate	$2,566.00	$5,261.05	$1,578.32–$5,261.05	58% below	51%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$5,011.00	$3,866.44	$302.26–$3,866.44	at median	-30%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REM FB SUBQ SMP	$520.00	$1,463.10	$74.23–$1,463.10	47% below	64%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCRN NOT HIGH RISK	$1,190.00	$3,763.80	$730.18–$3,763.80	50% below	68%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCRN HIGH RISK P - G0105 - 476G0105	$1,190.00	$3,763.80	$730.18–$3,763.80	51% below	68%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone	$4,511.00	$4,873.28	$961.25–$15,256.70	43% below	7%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY/ESWL KIDNEY	$4,511.00	$15,256.70	$961.25–$15,256.70	43% below	70%
Short arm splint (forearm and hand) both sides CPT 29125 APPL SPLINT ARM SHORT STATI BI	$170.00	$500.10	$75.84–$738.85	—	66%
Short arm splint (forearm and hand) one side CPT 29125 APPL SPLINT ARM SHORT STATI LT	$170.00	$738.85	$75.84–$738.85	59% below	77%
Short arm splint (forearm and hand) one side CPT 29125 APPL SPLINT ARM SHORT STATI RT	$170.00	$738.85	$75.84–$738.85	59% below	77%
Short leg splint (calf to foot) both sides CPT 29515 APPL SPLINT LEG SHORT BI	$207.00	$406.26	$81.17–$904.45	—	49%
Short leg splint (calf to foot) one side CPT 29515 APPL SPLINT LEG SHORT LT	$207.00	$904.45	$81.17–$904.45	58% below	77%
Short leg splint (calf to foot) one side CPT 29515 APPL SPLINT LEG SHORT RT	$207.00	$904.45	$81.17–$904.45	58% below	77%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc	$4,187.00	$4,835.39	$517.50–$4,835.39	at median	13%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCLP <2.5CM	$256.00	$1,138.95	$100.39–$1,138.95	54% below	78%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/<	$906.00	$3,639.00	$99.33–$3,639.00	54% below	75%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAG <15	$256.00	$506.85	$45.40–$506.85	35% below	49%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC - 62270 - 46362270	$903.00	$3,727.60	$117.49–$3,727.60	32% below	76%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC - 62270 - 40162270	$903.00	$2,925.85	$117.49–$3,727.60	32% below	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SMP SCLP 2.6-7.5CM	$256.00	$1,138.95	$106.81–$1,138.95	66% below	78%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SMP FACE <2.5CM	$256.00	$1,138.95	$104.67–$1,138.95	61% below	78%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp)	$6,862.00	$5,044.98	$1,068.05–$5,044.98	36% below	-36%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEU	$802.00	$3,420.65	$92.33–$4,893.50	61% below	77%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING - 32555 - 45932555	$802.00	$3,350.56	$92.33–$4,893.50	61% below	76%
Thoracentesis with imaging guidance CPT 32555 US GUIDE THORACENTESIS	$802.00	$4,893.50	$92.33–$4,893.50	61% below	84%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING - 32555 - 46332555	$802.00	$3,543.86	$92.33–$4,893.50	61% below	77%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING - 32555 - 46832555	$802.00	$3,543.86	$92.33–$4,893.50	61% below	77%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$4,243.00	$7,278.00	$290.51–$7,278.00	25% below	42%
Total hip replacement CPT 27130 Total hip arthroplasty	$16,431.00	$9,552.38	$1,853.16–$9,552.38	79% above	-72%
Total knee replacement CPT 27447 Total knee arthroplasty	$16,431.00	$8,987.34	$1,743.54–$8,987.34	36% below	-83%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$22,440.00	$14,851.10	$2,881.11–$14,851.10	98% above	-51%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$2,058.00	$3,639.00	$302.26–$3,639.00	33% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 ER INJ TRIGGR PT 1-2 MUSCLE(S)	$392.00	$1,029.95	$52.49–$1,029.95	39% below	62%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$7,737.00	$2,426.00	$604.44–$2,426.00	79% above	-219%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$2,113.00	$6,470.15	$613.92–$6,470.15	34% below	67%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm - 43249 - OR36043249	$2,455.00	$3,639.00	$319.89–$7,787.00	at median	33%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/DILAT ESOPH BALLOON	$2,455.00	$6,524.12	$319.89–$7,787.00	at median	62%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM - 43249 - 40143249	$2,455.00	$7,787.00	$319.89–$7,787.00	at median	68%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple	$1,160.00	$3,747.34	$335.91–$5,374.08	34% below	69%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY	$1,160.00	$5,374.08	$335.91–$5,374.08	34% below	78%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/INJ SUBMUCOSAL DIRECTED	$1,160.00	$2,760.00	$243.11–$2,760.00	38% below	58%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REM TUMR/POLYP SNARE	$2,455.00	$6,524.12	$1,473.55–$6,524.12	25% below	62%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILAT ESOPH GD WIRE	$1,160.00	$3,726.80	$212.00–$3,726.80	38% below	69%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD - BEDSIDE ER	$1,160.00	$2,393.00	$321.48–$3,639.00	38% below	52%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,160.00	$3,224.45	$321.48–$3,639.00	38% below	64%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash	$1,160.00	$3,639.00	$321.48–$3,639.00	38% below	68%
Upper endoscopy (EGD), diagnostic CPT 43235 ENDO GI UPPER SMP PRIMARY	$1,160.00	$2,400.00	$321.48–$3,639.00	38% below	52%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy	$6,862.00	$4,366.80	$354.43–$4,366.80	14% below	-57%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$6,862.00	$5,458.50	$354.06–$5,458.50	43% below	-26%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s)	$2,675.00	$3,639.00	$373.82–$3,639.00	4% below	26%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$256.00	$19,211.10	$102.27–$19,211.10	29% below	99%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$520.00	$1,463.10	$148.99–$3,639.00	24% below	64%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/< - 11042 - OR36011042	$520.00	$3,639.00	$148.99–$3,639.00	24% below	86%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< - 11042 - 48711042	$520.00	$1,997.65	$148.99–$3,639.00	24% below	74%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 1ST 20 SQ CM/>	$520.00	$1,899.10	$148.99–$3,639.00	24% below	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SKIN/SUBQ TISSUE - 11042 - 40111042	$520.00	$932.40	$148.99–$3,639.00	24% below	44%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep	$9,286.00	$6,368.25	$579.30–$6,368.25	52% above	-46%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP/ADM	$564.00	$1,940.20	$399.22–$2,505.91	35% below	71%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP	$564.00	$2,505.91	$399.22–$2,505.91	35% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE - 36430 - 45736430	$564.00	$2,505.91	$399.22–$2,505.91	35% below	77%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE - 36430 - 44036430	$564.00	$1,940.20	$399.22–$2,505.91	35% below	71%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP	$564.00	$2,505.91	$399.22–$2,505.91	35% below	77%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT - 94640 - 4570194640	$280.00	$1,165.83	$16.78–$1,165.83	13% below	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT	$280.00	$1,165.83	$16.78–$1,165.83	13% below	76%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT	$280.00	$810.40	$16.78–$1,165.83	13% below	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT - 94640 - 47200005	$280.00	$1,165.83	$16.78–$1,165.83	13% below	76%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1ST HR	$422.00	$1,200.75	$28.59–$1,200.75	52% below	65%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN	$1,057.00	$5,312.82	$174.42–$5,312.82	81% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/MAG ROUTINE TRACING ONLY	$75.00	$444.00	$23.52–$444.00	78% below	83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing	$75.00	$444.00	$23.52–$444.00	78% below	83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING ONLY	$75.00	$444.00	$23.52–$444.00	78% below	83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE TRACING ONLY	$75.00	$444.00	$23.52–$444.00	78% below	83%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I	$107.00	$518.79	$21.77–$518.79	75% below	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II	$196.00	$907.50	$34.97–$907.50	78% below	78%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III	$349.00	$1,745.84	$63.97–$1,745.84	77% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV	$534.00	$2,684.88	$98.04–$2,684.88	80% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V	$762.00	$3,865.71	$155.03–$3,865.71	79% below	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$276.00	$1,696.00	$75.31–$1,696.00	80% below	84%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING ONLY	$276.00	$1,696.00	$75.31–$1,696.00	80% below	84%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS FLUID INTL 31MIN-1HR - 96360 - 40196360	$272.00	$1,207.67	$51.30–$1,207.67	45% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS FLUID INTL 31MIN-1HR - 96360 - 43996360	$272.00	$961.00	$51.30–$1,207.67	45% below	72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS FLUID INTL 31MIN-1HR - 96360 - 44096360	$272.00	$918.70	$51.30–$1,207.67	45% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS FLUID INTL 31MIN-1HR - 96360 - 4570196360	$272.00	$1,207.67	$51.30–$1,207.67	45% below	77%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATE INIT 31M-1HR	$272.00	$1,017.50	$51.30–$1,207.67	45% below	73%
IV infusion of a medicine, first hour CPT 96365 IV INFUS THPY/PROPH/DX INTL UP - 96365 - 44096365	$272.00	$936.70	$62.60–$1,207.67	54% below	71%
IV infusion of a medicine, first hour CPT 96365 IV INFUS THPY/PROPH/DX INTL UP - 96365 - 43996365	$272.00	$898.85	$62.60–$1,207.67	54% below	70%
IV infusion of a medicine, first hour CPT 96365 IV INF THPY/PRO/DX UP TO 1HR	$272.00	$1,017.50	$62.60–$1,207.67	54% below	73%
IV infusion of a medicine, first hour CPT 96365 IV INFUS THPY/PROPH/DX INTL UP - 96365 - 40196365	$272.00	$1,207.67	$62.60–$1,207.67	54% below	77%
IV infusion of a medicine, first hour CPT 96365 IV INFUS THPY/PROPH/DX INTL UP - 96365 - 4570196365	$272.00	$1,207.67	$62.60–$1,207.67	54% below	77%
IV push of a medicine, first drug CPT 96374 THERAPYPRO//DX IV PUSH INTL - 96374 - 44096374	$272.00	$918.70	$49.82–$1,207.67	23% below	70%
IV push of a medicine, first drug CPT 96374 THERAPYPRO//DX IV PUSH INTL - 96374 - 43996374	$272.00	$898.85	$49.82–$1,207.67	23% below	70%
IV push of a medicine, first drug CPT 96374 THERAPYPRO//DX IV PUSH INTL - 96374 - 4570196374	$272.00	$1,207.67	$49.82–$1,207.67	23% below	77%
IV push of a medicine, first drug CPT 96374 THERAPYPRO//DX IV PUSH INTL - 96374 - 40196374	$272.00	$1,207.67	$49.82–$1,207.67	23% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/PRO/DX INJ SQ/IM - 96372 - 40196372	$92.00	$407.95	$18.75–$407.95	49% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/PRO/DX INJ SQ/IM - 96372 - 44096372	$92.00	$302.35	$18.75–$407.95	49% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/PRO/DX INJ SQ/IM - 96372 - 4570196372	$92.00	$407.95	$18.75–$407.95	49% below	77%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/PRO/DX INJ SQ/IM - 96372 - 43996372	$92.00	$265.85	$18.75–$407.95	49% below	65%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-ED 15MIN	$34.00	$149.10	$17.53–$149.10	73% below	77%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 60MIN	$103.00	$638.92	$102.16–$638.92	74% below	84%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$103.00	$527.50	$102.16–$638.92	74% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$103.00	$308.82	$92.65–$308.82	56% below	67%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 30MIN	$103.00	$638.92	$102.15–$638.92	71% below	84%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$103.00	$475.18	$102.15–$638.92	71% below	78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE THERAPY 15MIN	$30.00	$330.00	$9.14–$330.00	77% below	91%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$238.00	$524.02	$107.68–$524.02	48% below	55%
Speech therapy session, individual CPT 92507 ST TX SPEECH/LANG 15MIN	$80.00	$213.00	$63.90–$213.00	71% below	62%
Spirometry (breathing test) CPT 94010 SPIROMETRY/PFT SMP	$276.00	$774.00	$21.17–$774.00	28% below	64%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY/PFT PRE & POST	$477.00	$1,784.94	$38.75–$1,784.94	40% below	73%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TRANSCRN MAG STIM THER TX PLAN	$276.00	$1,043.35	$123.15–$1,043.35	71% below	74%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 15MIN	$37.00	$352.00	$15.98–$352.00	73% below	89%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$170.00	$443.31	$23.52–$443.31	47% below	62%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMADM PRQ IS SUBQ/IM NJXS 1VAC - 90471 - 450090471	$92.00	$407.95	$4.46–$407.95	12% below	77%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$92.00	$174.60	$4.46–$407.95	12% below	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL	$92.00	$302.35	$4.46–$407.95	12% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMADM PRQ IS SUBQ/IM NJXS 1VAC - 90471 - 4570190471	$92.00	$174.60	$4.46–$407.95	12% below	47%

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://dvmc.com/wp-content/uploads/2026/09/240000562_DesertValleyHospital_standardcharges.json