Hospital San Antonio-New Braunfels, TX

Santa Rosa Hospital - Westover Hills

Santa Rosa Hospital - Westover Hills in San Antonio, TX publishes cash prices for 376 common procedures listed here, from its own machine-readable price file updated Jan 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 293 of 372 procedures and above it for 77. By typical cash price it ranks #51 of 297 Texas hospitals and #2 of 13 hospitals in the San Antonio, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

11212 TX-151, San Antonio, TX 78251 Collected Sep 23, 2026 Source price file Check a bill from this hospital (210) 703-8211

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 450237 · CMS hospital register NPI 1194787218

Financial assistance

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

Santa Rosa Hospital - Westover Hills is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 HC 74170 CT ABDOMEN W/O & W CONTRAST	$1,066.23	$3,231.00	$83.58–$3,069.45	63% below	67%
Abdominal X-ray, 2 views CPT 74019 HC 74019 DX- ABDOMEN 2VWS	$210.54	$638.00	$31.41–$606.10	44% below	67%
Ankle X-ray, complete, 3 or more views CPT 73610 HC 73610 DX- ANKLE MIN 3VW	$150.15	$455.00	$29.74–$432.25	58% below	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC 93922 N-INVAS PHYS STDY LMTD BILAT UPR/LXTR EXTRM ART 1-2 LVLS	$354.42	$1,074.00	$118.14–$1,094.00	—	67%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC 93922 TCPO2, SINGLE LEVEL	$221.43	$671.00	$73.81–$1,094.00	64% below	67%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC 73200 CT UPPER EXTREM W/O CONTRAST	$668.58	$2,026.00	$49.93–$1,924.70	60% below	67%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC 74220 DX- ESOPHAGUS SINGLE CONTRAST STUDY	$607.53	$1,841.00	$83.54–$1,748.95	21% above	67%
Bone scan, whole body (nuclear medicine) CPT 78306 HC 78306 BONE AND/OR JOINT IMAGING, WHOLE BODY	$1,308.12	$3,964.00	$188.66–$3,765.80	17% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 HC 76641 US BREAST UNILAT CMPL RT	$151.80	$460.00	—	66% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 HC 76641 US BREAST,UNILAT, CMPL	$151.80	$460.00	$49.93–$660.00	66% below	67%
Breast ultrasound, complete, one breast one side CPT 76641 HC 76641 US BREAST UNILAT CMPL LT	$151.80	$460.00	—	66% below	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC 76642 US BREAST LMTD, RT	$108.24	$328.00	—	69% below	67%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC 76642 US BREAST LMTD, LT	$108.24	$328.00	—	69% below	67%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC 74174 CT ANGIO ABD/PEL W WO CONTR	$1,976.70	$5,990.00	$167.67–$5,690.50	51% below	67%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC 74174 CT ANGIO ABD & PELVIS	$1,976.70	$5,990.00	$167.67–$5,690.50	51% below	67%
CT angiography (CTA) of the head CPT 70496 HC 70496 CT ANGIOGRAPHY HEAD W CONTRAST	$846.12	$2,564.00	$83.58–$2,435.80	64% below	67%
CT angiography (CTA) of the neck CPT 70498 HC 70498 CT ANGIOGRAPHY NECK W CONTRAST	$846.12	$2,564.00	$83.58–$2,435.80	64% below	67%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC 71275 CT ANGIOGRAPHY CHEST W CONTRAST	$949.74	$2,878.00	$83.58–$2,734.10	63% below	67%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC 75574 CT ANGIO HEART, COR ART, BYP GRFT W CONT W/3D	$986.70	$2,990.00	$167.67–$2,840.50	41% below	67%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC 75571 CT CALCIUM SCORE	$110.55	$335.00	$40.20–$1,609.00	42% below	67%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC 74176 CT ABD/PELVIS W/O CONTRAST	$1,797.18	$5,446.00	$113.49–$5,173.70	37% below	67%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC 74177 CT ABD/PELVIS W CONTRAST	$1,914.33	$5,801.00	$167.67–$5,510.95	50% below	67%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC 74178 CT ABD/PELVIS W/O & W CONTRAST	$1,957.23	$5,931.00	$167.67–$5,634.45	49% below	67%
CT scan of the abdomen with contrast CPT 74160 HC 74160 CT ABDOMEN W CONTRAST	$1,031.91	$3,127.00	$83.58–$2,970.65	60% below	67%
CT scan of the abdomen without contrast CPT 74150 HC 74150 CT ABDOMEN W/O CONTRAST	$953.70	$2,890.00	$49.93–$2,745.50	53% below	67%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC 70486 CT MAXLFCL AREA W/O CONTRAST	$479.49	$1,453.00	$49.93–$1,609.00	71% below	67%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC 70486 CT FACIAL W/O CONTRAST	$740.52	$2,244.00	$49.93–$2,131.80	55% below	67%
CT scan of the head or brain, no contrast dye CPT 70450 HC 70450 CT HEAD/BRAIN W/O CONTRAST	$464.97	$1,409.00	$49.93–$1,609.00	72% below	67%
CT scan of the head or brain, no contrast dye CPT 70450 HC 70450 CT SRS, HEAD/BRAIN WO CONTRAST	$464.97	$1,409.00	$49.93–$1,609.00	72% below	67%
CT scan of the head with contrast CPT 70460 HC 70460 CT HEAD/BRAIN W CONTRAST	$515.13	$1,561.00	$83.58–$1,609.00	69% below	67%
CT scan of the head without and with contrast CPT 70470 HC 70470 CT HEAD/BRAIN W/O & W CONTRAST	$581.46	$1,762.00	$83.58–$1,673.90	72% below	67%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC 72131 CT L-SPINE W/O CONTRAST	$826.98	$2,506.00	$49.93–$2,380.70	52% below	67%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC 72125 CT C-SPINE W/O CONTRAST	$651.09	$1,973.00	$49.93–$1,874.35	68% below	67%
CT scan of the pelvis, with contrast dye CPT 72193 HC 72193 CT PELVIS W CONTRAST	$882.75	$2,675.00	$83.58–$2,541.25	59% below	67%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC 93880 DUPLX-SCAN XTRC ART CMPL/BIL	$213.84	$648.00	$77.76–$1,094.00	80% below	67%
Chest CT scan without and with contrast CPT 71270 HC 71270 DX - CT THORAX W/O & W CONTRAST	$989.01	$2,997.00	$83.58–$2,847.15	63% below	67%
Chest X-ray, 2 views CPT 71046 HC 71046 DX- CHEST 2VWS	$144.21	$437.00	$28.74–$415.15	63% below	67%
Chest X-ray, single view CPT 71045 HC 71045 POST AICD/PACEMAKER PLCMNT	$336.93	$1,021.00	$20.71–$969.95	4% above	67%
Chest X-ray, single view CPT 71045 HC 71045 DX- CHEST 1VW	$336.93	$1,021.00	$20.71–$969.95	4% above	67%
Collarbone (clavicle) X-ray, complete CPT 73000 HC 73000 DX- CLAVICLE 2VW	$150.15	$455.00	$26.40–$432.25	50% below	67%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC 76770 US RETROPERITONEAL R-T W/IMAGE COMPL	$156.09	$473.00	$49.93–$660.00	77% below	67%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC 77080 BONE DENSITY - 1 OR MORE SITES	$103.62	$314.00	$37.68–$298.30	74% below	67%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC 77081 BONE DENS PERIPH SITE (FOREARM	$691.35	$2,095.00	$26.73–$1,990.25	214% above	67%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC 76811 US PG UTER F&MAT DETAILED FTL XM 1ST GESTATION	$137.28	$416.00	$49.92–$660.00	80% below	67%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC 71250 DX - CT CHEST (HIGH RESOLUTION)	$797.61	$2,417.00	$49.93–$2,296.15	48% below	67%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC 71250 DX - CT THORAX W/O CONTRAST	$797.61	$2,417.00	$49.93–$2,296.15	48% below	67%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC 71260 DX - CT THORAX W CONTRAST	$871.86	$2,642.00	$83.58–$2,509.90	56% below	67%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC 71260 DX- CT CHEST (PE) WITH CONTRAST	$871.86	$2,642.00	$83.58–$2,509.90	56% below	67%
Diagnostic mammogram, both breasts both sides CPT 77066 HC 77066 DX BILATERAL MG INCL CAD	$211.86	$642.00	$70.62–$609.90	—	67%
Diagnostic mammogram, one breast one side CPT 77065 HC 77065 DX UNILATERAL MG INCL CAD	$131.01	$397.00	$43.67–$417.63	52% below	67%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC 93925 DUPLEX LWR ART/ABGRFT,CMPL BIL	$213.84	$648.00	$77.76–$1,094.00	85% below	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC 93970 DUPLEX EXTR VEINS; CMPL BILAT	$213.84	$648.00	$77.76–$1,094.00	—	67%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 93306 TTE W/DOPPLER, COMPLETE	$839.52	$2,544.00	$279.84–$2,416.80	58% below	67%
Elbow X-ray, 2 views CPT 73070 HC 73070 DX- ELBOW 2VW	$150.15	$455.00	$25.73–$432.25	52% below	67%
Elbow X-ray, complete, 3 or more views CPT 73080 HC 73080 DX- ELBOW 3 VIEWS	$179.52	$544.00	$29.74–$516.80	53% below	67%
Eye socket (orbit) CT scan without contrast CPT 70480 HC 70480 CT SELLA WO CONTRAST	$554.73	$1,681.00	$49.93–$1,609.00	63% below	67%
Eye socket (orbit) CT scan without contrast CPT 70480 HC 70480 CT POST FOSSA W/O CONTRAST	$554.73	$1,681.00	$49.93–$1,609.00	63% below	67%
Eye socket (orbit) CT scan without contrast CPT 70480 HC 70480 CT IAC WO CONTRAST	$554.73	$1,681.00	$49.93–$1,609.00	63% below	67%
Eye socket (orbit) CT scan without contrast CPT 70480 HC 70480 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST	$554.73	$1,681.00	$49.93–$1,609.00	63% below	67%
Eye socket (orbit) CT scan without contrast CPT 70480 HC 70480 CT SRS, ORBIT,MID/IN EAR WO CO	$726.33	$2,201.00	$49.93–$2,090.95	52% below	67%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC 70150 DX- FACIAL BONES MIN 3VW	$126.72	$384.00	$39.09–$497.64	68% below	67%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC 73090 DX- FOREARM 2VW	$150.15	$455.00	$24.39–$432.25	60% below	67%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC 73090 POST REDUCTN FOREARM 2VW	$376.53	$1,141.00	$24.39–$1,083.95	1% above	67%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC 78226 HEPATBL DUCTAL SYS IMG GLBLDR	$1,199.55	$3,635.00	$188.66–$3,453.25	25% below	67%
Hand X-ray, 2 views CPT 73120 HC 73120 DX- HAND 2VW	$210.54	$638.00	$26.73–$606.10	34% below	67%
Hand X-ray, 2 views CPT 73120 HC 73120 POST REDUCTN HAND 2VW	$365.31	$1,107.00	$26.73–$1,051.65	15% above	67%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC 73650 DX- CALCANEUS/HEEL 2VW	$89.76	$272.00	$25.73–$354.36	69% below	67%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC 95806 SLEEP STUDY-UNATTENDED	$912.45	$2,765.00	$146.91–$6,319.00	34% above	67%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC 95811 POLYSOMNOGRAPHY WITH CPAP	$4,820.64	$14,608.00	$518.00–$13,877.60	13% above	67%
Knee X-ray, 3 views CPT 73562 HC 73562 DX- KNEE 3VWS	$106.26	$322.00	$33.75–$354.36	72% below	67%
Knee X-ray, complete, 4 or more views CPT 73564 HC 73564 DX- KNEE COMPLETE 4 VW	$210.54	$638.00	$37.43–$606.10	51% below	67%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC 73700 CT LOWER EXTREMITY W/O CONTRAST	$794.97	$2,409.00	$49.93–$2,288.55	53% below	67%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC 76705 ULTRASOUND ABDOMINAL R-T W/IMAGE LIMITED	$156.09	$473.00	$49.93–$660.00	74% below	67%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC 76882 US EXTREMITY NONVASC;LTD,JOINT/FCL EVL/NVASC XTRMTY IMG GDE	$52.80	$160.00	$19.20–$660.00	87% below	67%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC 71271 CT THORAX LOW DOSE LUNG CA SCREEN	$406.56	$1,232.00	$49.93–$1,609.00	69% above	67%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC 73590 DX- TIB/FIB 2VW	$150.15	$455.00	$27.06–$432.25	57% below	67%
MR angiography (MRA) of the head without contrast CPT 70544 HC 70544 MRA SAG SINUS W/O CONTRAST	$974.82	$2,954.00	$113.49–$2,806.30	46% below	67%
MR angiography (MRA) of the head without contrast CPT 70544 HC 70544 MRA HEAD W/O CONTRAST	$974.82	$2,954.00	$113.49–$2,806.30	46% below	67%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC 77049 MRI BREAST BILAT W/O&W CONT	$517.44	$1,568.00	$172.48–$2,372.00	—	67%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC 73721 MRI LWR EXTR,JNT W/O CONTRAST	$537.57	$1,629.00	$113.49–$2,372.00	76% below	67%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC 73721 MRI ANKLE WO CONTRAST	$1,703.46	$5,162.00	$113.49–$4,903.90	23% below	67%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC 73723 MRI LWR EXTR,JNT W/O & W CONTRAST	$1,844.37	$5,589.00	$167.67–$5,309.55	39% below	67%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC 73723 MRI ANKLE W & WO CONTRAST	$1,844.37	$5,589.00	$167.67–$5,309.55	39% below	67%
MRI of the abdomen without contrast CPT 74181 HC 74181 MRI ABDOMEN W/O CONTRAST	$537.57	$1,629.00	$113.49–$2,372.00	76% below	67%
MRI of the abdomen without contrast CPT 74181 HC 74181 MRI, MRCP	$1,813.68	$5,496.00	$113.49–$5,221.20	17% below	67%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC 74183 MRI ABDOMEN W/O & W CONTRAST	$1,993.20	$6,040.00	$167.67–$5,738.00	35% below	67%
MRI of the brain, no contrast dye CPT 70551 HC 70551 MRI BRAIN W/O CONTRAST	$1,379.73	$4,181.00	$113.49–$3,971.95	27% below	67%
MRI of the brain, no contrast dye CPT 70551 HC 70551 MRI BRAIN LAB W/O CONTRAST	$1,379.73	$4,181.00	$113.49–$3,971.95	27% below	67%
MRI of the brain, with and without contrast dye CPT 70553 HC 70553 MRI BRAIN W/O & W CONTRAST	$1,863.18	$5,646.00	$167.67–$5,363.70	34% below	67%
MRI of the lower back, no contrast dye CPT 72148 HC 72148 MRI L-SPINE W/O CONTRAST	$537.57	$1,629.00	$113.49–$2,372.00	75% below	67%
MRI of the lower back, without and then with contrast dye CPT 72158 HC 72158 MRI L-SPINE W/O & W CONTRAST	$823.68	$2,496.00	$167.67–$2,372.00	74% below	67%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC 72146 MRI T-SPINE W/O CONTRAST	$537.57	$1,629.00	$113.49–$2,372.00	74% below	67%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC 72156 MRI C-SPINE W/O & W CONTRAST	$1,988.25	$6,025.00	$167.67–$5,723.75	39% below	67%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC 72141 MRI C-SPINE W/O CONTRAST	$1,628.55	$4,935.00	$113.49–$4,688.25	28% below	67%
MRI of the pelvis without and with contrast CPT 72197 HC 72197 MRI PELVIS W/O & W CONTRAST	$2,061.84	$6,248.00	$167.67–$5,935.60	35% below	67%
MRI of the pelvis, no contrast dye CPT 72195 HC 72195 MRI PELVIS W/O CONTRAST	$1,490.61	$4,517.00	$113.49–$4,291.15	37% below	67%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC 73221 MRI UPP EXT,JNT W/O CONTRAST	$537.57	$1,629.00	$113.49–$2,372.00	70% below	67%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC 72050 DX- C-SPINE MIN 4VW	$210.54	$638.00	$42.78–$606.10	61% below	67%
Neck soft tissue CT scan with contrast CPT 70491 HC 70491 CT SOFT TISS NECK W CONTRAST	$542.19	$1,643.00	$83.58–$1,609.00	73% below	67%
Neck soft tissue CT scan without contrast CPT 70490 HC 70490 CT SOFT TISS NECK W/O CONTRAST	$503.91	$1,527.00	$49.93–$1,609.00	67% below	67%
Neck soft tissue X-ray CPT 70360 HC 70360 DX- C-SPINE SOFT TISSUE	$384.45	$1,165.00	$26.73–$1,106.75	62% above	67%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC 78452 MYOCAR PERF IMG TOMO MULTI (SPECT)	$3,092.43	$9,371.00	$454.41–$8,902.45	25% below	67%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC 78815 PET SKULL BASE-MID THIGH	$1,819.62	$5,514.00	$661.68–$7,002.00	58% below	67%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC 78815 PET SKULL BASE-MID THIGH,SUBSEQ(PS)	$1,819.62	$5,514.00	$661.68–$7,002.00	58% below	67%
Pelvic CT scan without contrast CPT 72192 HC 72192 CT CYSTOGRAM	$675.84	$2,048.00	$49.93–$1,945.60	58% below	67%
Pelvic CT scan without contrast CPT 72192 HC 72192 CT SRS, PELVIS WO CONTRAST	$821.37	$2,489.00	$49.93–$2,364.55	49% below	67%
Pelvic CT scan without contrast CPT 72192 HC 72192 CT PELVIS W/O CONTRAST	$821.37	$2,489.00	$49.93–$2,364.55	49% below	67%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC 76857 US EXAM, PELVIC, LIMITED	$90.09	$273.00	$32.76–$660.00	81% below	67%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC 76856 US BLADDER/PELVIS	$156.09	$473.00	$49.93–$660.00	80% below	67%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC 76805 US PG UTER F&MAT AFTER 1ST TRI 1/1ST GESTATION	$132.66	$402.00	$48.24–$660.00	78% below	67%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC 76801 US PG UTER IMG F&MAT 14 WK TABDL 1/1ST GESTATION	$109.23	$331.00	$39.72–$660.00	81% below	67%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC 76815 US PG UTER R-T IMG LMTD 1 FETUSES	$251.13	$761.00	$49.93–$722.95	45% below	67%
Rib X-ray, one side, 2 views one side CPT 71100 HC 71100 DX- RIBS UNILATERAL 2VW	$150.15	$455.00	$31.41–$432.25	50% below	67%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC 71101 DX- RIBS UNILATERAL W/PA CHEST	$210.54	$638.00	$36.09–$606.10	47% below	67%
Screening mammogram, both breasts both sides CPT 77067 HC 77067 SCRN BILATERAL MG W/IMPLT INCL CAD	$174.90	$530.00	$58.30–$503.50	—	67%
Screening mammogram, both breasts both sides CPT 77067 HC 77067 SCRN BILATERAL MG INCL CAD	$174.90	$530.00	$58.30–$503.50	—	67%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC 73030 DX- SHOULDER COMPL MIN 2VW	$144.21	$437.00	$27.74–$415.15	56% below	67%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC 73030 POST REDUCTN SHOULDER COMPL MIN 2VW	$429.66	$1,302.00	$27.74–$1,236.90	32% above	67%
Sinus X-ray, complete, 3 or more views CPT 70220 HC 70220 DX- SINUS PARANASAL MIN 3VW	$179.19	$543.00	$35.41–$515.85	57% below	67%
Skull X-ray, fewer than 4 views CPT 70250 HC 70250 DX- SKULL< 4VW	$156.09	$473.00	$34.41–$497.64	51% below	67%
Sleep study in a lab (polysomnography) CPT 95810 HC 95810 POLYSOMNOGRAPHY W/4+ SLEEP PAR	$4,271.52	$12,944.00	$466.00–$12,296.80	3% above	67%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC 93351 TTE RST/STR W/CONT EKG	$423.72	$1,284.00	$141.24–$1,219.80	84% below	67%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC 74230 DX- ESO-SWALLOW W/VIDEO, SNGL CONT STDY	$860.31	$2,607.00	$83.58–$2,476.65	43% above	67%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC 73552 DX - FEMUR 2/> VW	$122.43	$371.00	$31.08–$354.36	62% below	67%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC 72128 CT T-SPINE W/O CONTRAST	$685.08	$2,076.00	$49.93–$1,972.20	64% below	67%
Toe X-ray, 2 or more views CPT 73660 HC 73660 DX- TOE(S) MIN 2VW	$150.15	$455.00	$26.73–$432.25	45% below	67%
Transvaginal pelvic ultrasound CPT 76830 HC 76830 US TRVG	$119.13	$361.00	$43.32–$660.00	80% below	67%
Transvaginal ultrasound during pregnancy CPT 76817 HC 76817 US PG UTER R-T IMG TRVG	$88.77	$269.00	$32.28–$660.00	83% below	67%
Ultrasound of the abdomen, complete CPT 76700 HC 76700 US ABDOMINAL R-T W/IMAGE DOCUMENTATION	$156.09	$473.00	$49.93–$660.00	80% below	67%
Ultrasound of the scrotum and testicles CPT 76870 HC 76870 US SCROTUM AND CONTENTS	$156.09	$473.00	$49.93–$660.00	75% below	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC 76536 US SOFT TIS HEAD&NECK	$156.09	$473.00	$49.93–$660.00	75% below	67%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC 76536 SOFT TISSUE HEAD/NECK US	$608.85	$1,845.00	$49.93–$1,752.75	3% below	67%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC 74240 DX- UGI SINGLE CONTRAST INCL SCOUT ABD IMG	$825.33	$2,501.00	$83.58–$2,375.95	14% above	67%
Upper arm X-ray (humerus), 2 views CPT 73060 HC 73060 DX- HUMERUS 2VW	$150.15	$455.00	$27.40–$432.25	57% below	67%
Upper arm X-ray (humerus), 2 views CPT 73060 HC 73060 POST REDUCTN HUMERUS 2VW	$379.83	$1,151.00	$27.40–$1,093.45	8% above	67%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC 93971 DUPLEX EXTR VEINS; UNI/LTD	$96.03	$291.00	$34.92–$1,094.00	88% below	67%
Wrist X-ray, 2 views CPT 73100 HC 73100 DX- WRIST 2VW	$150.15	$455.00	$29.74–$432.25	49% below	67%
Wrist X-ray, 2 views CPT 73100 HC 73100 POST REDUCTN WRIST 2VW	$399.96	$1,212.00	$29.74–$1,151.40	35% above	67%
Wrist X-ray, complete, 3 or more views CPT 73110 HC 73110 DX- WRIST 3VW	$150.15	$455.00	$33.08–$432.25	59% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC 73502 DX - HIP, UNI, 2-3 VW (W OR WO PELVIS).2	$150.15	$455.00	$39.09–$432.25	59% below	67%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC 73502 DX - HIP, UNI, 2-3 VW (W OR WO PELVIS)	$439.89	$1,333.00	$39.09–$1,266.35	20% above	67%
X-ray of the abdomen, 1 view CPT 74018 HC 74018 DX- ABDOMEN 1VW	$231.66	$702.00	$25.73–$666.90	32% below	67%
X-ray of the ankle, 2 views CPT 73600 HC 73600 DX- ANKLE 2VW	$79.86	$242.00	$28.06–$354.36	73% below	67%
X-ray of the ankle, 2 views CPT 73600 HC 73600 POST REDUCTN ANKLE 2VW	$383.13	$1,161.00	$28.06–$1,102.95	28% above	67%
X-ray of the finger(s), 2 or more views CPT 73140 HC 73140 DX- FINGER(S) 2VW	$150.15	$455.00	$30.40–$432.25	38% below	67%
X-ray of the finger(s), 2 or more views CPT 73140 HC 73140 POST REDUCTN FINGER(S) 2VW	$338.58	$1,026.00	$30.40–$974.70	40% above	67%
X-ray of the foot, 2 views CPT 73620 HC 73620 DX- FOOT 2VW	$150.15	$455.00	$24.73–$432.25	55% below	67%
X-ray of the foot, complete, 3 or more views CPT 73630 HC 73630 DX- FOOT CMPL MIN 3VW	$140.58	$426.00	$27.74–$404.70	62% below	67%
X-ray of the hand, 3 or more views CPT 73130 HC 73130 DX- HAND 3VW	$220.44	$668.00	$30.08–$634.60	42% below	67%
X-ray of the knee, 1 or 2 views CPT 73560 HC 73560 DX- KNEE 1 OR 2 VIEWS	$115.50	$350.00	$29.40–$354.36	61% below	67%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC 72100 DX- L-SPINE 2/3 VWS	$210.54	$638.00	$33.08–$606.10	53% below	67%
X-ray of the lower back, 4 or more views CPT 72110 HC 72110 DX- L-SPINE MIN 4VW	$210.54	$638.00	$46.11–$606.10	63% below	67%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC 72070 DX- SPINE, DORSAL/THORACIC 2V	$210.54	$638.00	$32.08–$606.10	48% below	67%
X-ray of the nasal bones, 3 or more views CPT 70160 HC 70160 DX- NASAL BONES MIN 3VW	$126.72	$384.00	$31.08–$364.80	54% below	67%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC 72040 DX- C-SPINE 2VW OR 3VW	$150.15	$455.00	$31.41–$432.25	59% below	67%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC 72170 DX- PELVIS 1 OR 2 VW	$210.54	$638.00	$30.08–$606.10	33% below	67%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC 72220 DX- SACRUM/COCCYX MIN 2VW	$150.15	$455.00	$26.73–$432.25	51% below	67%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 HC 82024 ASSAY OF ACTH	$79.86	$242.00	$5.64–$229.90	63% below	67%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC 84460 ALANINE AMINO (ALT) (SGPT)	$14.19	$43.00	$2.65–$40.85	72% below	67%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC 84460 ALANINE AMINOTRANSFERASE	$18.48	$56.00	$2.65–$53.20	64% below	67%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC 84450 TRANSFERASE (AST) (SGOT)	$19.80	$60.00	$2.59–$57.00	62% below	67%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC 80074 ACUTE HEPATITIS PANEL	$97.02	$294.00	$20.00–$284.27	75% below	67%
Albumin blood test CPT 82040 HC 82040 ASSAY SERUM ALBUMIN PLASM/WHOLE BLOOD	$16.83	$51.00	$2.48–$48.45	55% below	67%
Albumin blood test CPT 82040 HC 82040 ALBUMIN SERUM NEPH REF LAB	$21.78	$66.00	$2.48–$62.70	41% below	67%
Aldosterone blood test CPT 82088 HC 82088 ALDOSTERONE, 24 HR URINE	$22.44	$68.00	$6.91–$206.24	83% below	67%
Aldosterone blood test CPT 82088 HC 82088 ASSAY OF ALDOSTERONE	$22.44	$68.00	$6.91–$206.24	83% below	67%
Alkaline phosphatase (ALP) blood test CPT 84075 HC 84075 ASSAY ALKALINE PHOSPHATASE	$14.19	$43.00	$2.59–$40.85	71% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 86003 ALLERGEN, FOOD, MIXED NUTS	$8.58	$26.00	$2.61–$26.43	64% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 86003 RAST INDIVIDUAL REF EACH	$13.20	$40.00	$2.61–$38.00	45% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 86003 ALLERGEN SPECIFIC IGE	$13.20	$40.00	$2.61–$38.00	45% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 86003 RAST INDIVIDUAL EACH	$58.41	$177.00	$2.61–$168.15	143% above	67%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC 82105 AFP, TUMOR MARKER	$74.58	$226.00	$6.12–$214.70	37% below	67%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC 82105 AFP (TRI TEST)	$79.86	$242.00	$6.12–$229.90	33% below	67%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC 82105 ALPHA-FETOPROTEIN, SERUM	$79.86	$242.00	$6.12–$229.90	33% below	67%
Ammonia blood test CPT 82140 HC 82140 ASSAY OF AMMONIA	$71.61	$217.00	$4.15–$206.15	50% below	67%
Amylase blood test CPT 82150 HC 82150 AMYLASE, BODY FLUID	$59.73	$181.00	$3.24–$171.95	22% below	67%
Amylase blood test CPT 82150 HC 82150 AMYLASE URINE	$59.73	$181.00	$3.24–$171.95	22% below	67%
Amylase blood test CPT 82150 HC 82150 ASSAY OF AMYLASE	$70.29	$213.00	$3.24–$202.35	8% below	67%
Amylase blood test CPT 82150 HC 82150 AMYLASE ISOENZYMES	$70.29	$213.00	$3.24–$202.35	8% below	67%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC 86200 ANTI CYCLIC CITRULLINATED PEPTIDE	$80.52	$244.00	$6.48–$231.80	52% above	67%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC 86200 CCP ANTIBODY	$145.86	$442.00	$6.48–$419.90	175% above	67%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC 86038 ANTINUCLEAR ANTIBODIES	$158.40	$480.00	$6.05–$456.00	106% above	67%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC 86038 ANTINUCLEAR ANTIBODIES ANA	$158.40	$480.00	$6.05–$456.00	106% above	67%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC 86038 ANTINUCLEAR ANTIBODIES .2	$264.66	$802.00	$6.05–$761.90	244% above	67%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC 83880 BNP (B NATRIURETIC PEPTIDE)	$75.90	$230.00	$6.07–$218.50	51% below	67%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC 83880 NATRIURETIC PEPTIDE	$105.27	$319.00	$6.07–$303.05	33% below	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE HELICOBACTER PYLORI	$68.64	$208.00	$3.53–$197.60	2% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE SURGICAL	$78.54	$238.00	$3.53–$226.10	17% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT RESPIRATORY	$112.86	$342.00	$3.53–$324.90	68% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE BODY FLUID.2	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE THROAT	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE, BACTERIA, OTHER	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE BONE MARROW	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT EAR OR EYE	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE CSF	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE EYE	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT TISSUE OR BONE	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULT WOUND SUPERFICIAL	$139.26	$422.00	$3.53–$400.90	108% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC FN: 87070 GONORRHEA TEST	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE, BACTERIAL, ANY SOURCE	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE, GC	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE, ANY NOT LISTED	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE STREPT	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE LEGIONELLA	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE PERTUSSIS	$244.20	$740.00	$3.53–$703.00	264% above	67%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC 87070 CULTURE NASAL	$244.20	$740.00	$3.53–$703.00	264% above	67%
Basic metabolic panel (blood test) CPT 80048 HC 80048 METABOLIC PANEL TOTAL CA	$48.84	$148.00	$3.55–$140.60	77% below	67%
Bilirubin blood test, total CPT 82247 HC 82247 BILIRUBIN, TOTAL CHEM	$11.88	$36.00	$2.51–$34.20	79% below	67%
Bilirubin blood test, total CPT 82247 HC 82247 BILIRUBIN, TOTAL	$15.51	$47.00	$2.51–$44.65	73% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC 88305 PATH. SURG, LEVEL IV	$256.08	$776.00	$25.09–$737.20	14% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC 88305 LEVEL IV; GROSS AND MICRO EXAM	$367.62	$1,114.00	$25.09–$1,058.30	24% above	67%
Blood culture for bacteria CPT 87040 HC 87040 BLOOD CULTURE FOR BACTERIA	$150.48	$456.00	$3.39–$433.20	26% below	67%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC 36415 COLLJ VEN BLD VNPNXR	$23.43	$71.00	$3.71–$67.45	30% above	67%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC FN: 36415 VENIPUNCTURE	$27.39	$83.00	$3.71–$78.85	51% above	67%
Blood glucose (sugar) test CPT 82947 HC 82947 ASSAY, GLUCOSE, BLOOD QUANT	$13.86	$42.00	$1.97–$39.90	67% below	67%
Blood glucose (sugar) test CPT 82947 HC 82947 GLUCOSE BLOOD QUANT POC	$16.83	$51.00	$1.97–$48.45	60% below	67%
Blood lead test CPT 83655 HC 83655 ASSAY OF LEAD	$53.13	$161.00	$6.06–$152.95	14% above	67%
Blood lead test CPT 83655 HC 83655 LEAD URINE	$58.74	$178.00	$6.06–$169.10	26% above	67%
Blood lead test CPT 83655 HC 83655 LEAD 24 HR URINE	$64.02	$194.00	$6.06–$184.30	38% above	67%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC 84703 HCG SERUM QUALITATIVE	$53.13	$161.00	$3.26–$152.95	61% below	67%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC 86900 BLOOD TYPING, ABO.2	$155.76	$472.00	$2.79–$448.40	76% above	67%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC 86900 BLOOD TYPING, ABO	$155.76	$472.00	$2.79–$448.40	76% above	67%
Blood urea nitrogen (BUN) test CPT 84520 HC 84520 ASSAY OF UREA NITROGEN	$19.80	$60.00	$1.98–$57.00	64% below	67%
Blood urea nitrogen (BUN) test CPT 84520 HC 84520 UREA NITROGEN BUN POC	$25.41	$77.00	$1.98–$73.15	53% below	67%
Blood urea nitrogen (BUN) test CPT 84520 HC 84520 UREA BODY FLUID	$25.41	$77.00	$1.98–$73.15	53% below	67%
C-peptide blood test CPT 84681 HC 84681 ASSAY OF C-PEPTIDE	$66.00	$200.00	$1.00–$190.00	9% below	67%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC 86140 C-REACTIVE PROTEIN	$46.86	$142.00	$2.59–$134.90	8% below	67%
C. difficile toxin gene test (stool PCR) CPT 87493 HC 87493 CLOSTRIDIUM DIFFICILE, PCR	$143.88	$436.00	$18.64–$414.20	18% below	67%
CA 19-9 blood test (tumor marker) CPT 86301 HC 86301 CA-19, BF OR TISSUE	$135.63	$411.00	$10.41–$390.45	2% above	67%
CA 19-9 blood test (tumor marker) CPT 86301 HC 86301 IMMUNOASSAY, TUMOR, CA 19-9	$135.63	$411.00	$10.41–$390.45	2% above	67%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC 86304 IMMUNOASSAY, TUMOR, CA 125	$124.41	$377.00	$5.90–$358.15	18% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC 87635 COVID 19 SARS-2 AMP PRB	$64.68	$196.00	$21.55–$190.36	27% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$69.63	$211.00	$21.55–$200.45	22% below	67%
Calcium blood test, total CPT 82310 HC 82310 ASSAY OF CALCIUM	$28.71	$87.00	$2.58–$82.65	51% below	67%
Carcinoembryonic antigen (CEA) test CPT 82378 HC 82378 CARCINOEMBRYONIC ANTIGEN	$68.64	$208.00	$2.42–$197.60	49% below	67%
Carcinoembryonic antigen (CEA) test CPT 82378 HC 82378 CEA BODY FLUID	$68.64	$208.00	$2.42–$197.60	49% below	67%
Chickenpox (varicella) immunity blood test CPT 86787 HC 86787 VARICELLA ZOSTER, IGM	$121.11	$367.00	$6.44–$348.65	93% above	67%
Chickenpox (varicella) immunity blood test CPT 86787 HC 86787 VARICELLA-ZOSTER ANTIBODY	$121.11	$367.00	$6.44–$348.65	93% above	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 87491 CHYLMD TRACH, DNA, AMP PROBE	$79.53	$241.00	$17.55–$228.95	36% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC FN: 87491 CHYLMD TRACH DNA AMP PROBE	$159.39	$483.00	$17.55–$458.85	28% above	67%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC 80061 LIPID PANEL	$66.33	$201.00	$5.62–$190.95	55% below	67%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC 80061 LIPID PROFILE	$75.24	$228.00	$5.62–$216.60	49% below	67%
Complete blood count (CBC) with differential CPT 85025 HC 85025 COMPLETE CBC W/AUTO DIFF WBC	$100.98	$306.00	$3.89–$344.10	11% above	67%
Complete blood count (CBC), no differential CPT 85027 HC 85027 COMPLETE CBC, AUTOMATED	$50.82	$154.00	$3.24–$146.30	46% below	67%
Comprehensive metabolic panel (blood test) CPT 80053 HC 80053 COMPREHEN METABOLIC PANEL	$102.63	$311.00	$4.44–$295.45	59% below	67%
Cortisol blood test, total CPT 82533 HC 82533 TOTAL CORTISOL	$55.11	$167.00	$2.72–$158.65	34% below	67%
Cortisol blood test, total CPT 82533 HC 82533 TOTAL CORTISOL .2	$55.11	$167.00	$2.72–$158.65	34% below	67%
Cortisol blood test, total CPT 82533 HC 82533 CORTISOL, URINE	$64.68	$196.00	$2.72–$186.20	23% below	67%
Cortisol blood test, total CPT 82533 HC 82533 CORTISOL SALIVA	$64.68	$196.00	$2.72–$186.20	23% below	67%
Creatine kinase (CK) blood test, total CPT 82550 HC 82550 ASSAY OF CK (CPK)	$54.78	$166.00	$3.26–$157.70	14% below	67%
Creatinine blood test CPT 82565 HC 82565 CREATININE BLOOD POC	$24.42	$74.00	$2.56–$70.30	54% below	67%
Creatinine blood test CPT 82565 HC 82565 CREATININE WHOLE BLOOD	$25.41	$77.00	$2.56–$73.15	53% below	67%
Creatinine blood test CPT 82565 HC 82565 CREATININE BLOOD	$28.38	$86.00	$2.56–$81.70	47% below	67%
Creatinine blood test CPT 82565 HC 82565 ASSAY OF CREATININE	$36.96	$112.00	$2.56–$106.40	31% below	67%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 86644 CMV CMV ANTIBODY IGG	$88.44	$268.00	$4.28–$254.60	18% above	67%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 86644 CMV, BLOOD UNIT SCREEN	$157.08	$476.00	$4.28–$452.20	109% above	67%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 86644 CMV ANTIBODY.3	$157.08	$476.00	$4.28–$452.20	109% above	67%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 86644 CMV TITER	$157.08	$476.00	$4.28–$452.20	109% above	67%
D-dimer blood test (blood clot marker) CPT 85379 HC 85379 D DIMER QT	$106.59	$323.00	$4.28–$306.85	37% below	67%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC 82627 DEHYDROEPIANDROSTERONE	$69.63	$211.00	$7.89–$200.45	54% below	67%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC 82627 DEHYDROEPIANDROSTERONE SULFATE	$69.63	$211.00	$7.89–$200.45	54% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG TST PRSMV CHEM ANLZR ABUSE PANEL II, URINE	$24.42	$74.00	$8.88–$293.50	61% below	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 CHYMOTRYPSIN FECAL	$75.24	$228.00	$26.10–$293.50	21% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG SCRN LOW/MOD CMPLX UR 4	$119.13	$361.00	$26.10–$342.95	92% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG TST PRSMV CHEM ANLZR QUALITATE/MULTI	$119.13	$361.00	$26.10–$342.95	92% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 OPIATES URINE CHEM	$119.13	$361.00	$26.10–$342.95	92% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 ADENOSINE DEAMINASE BF	$144.21	$437.00	$26.10–$415.15	132% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG TST PRSMV CHEM ANLZR MECONIUM	$168.96	$512.00	$26.10–$486.40	172% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUGS OF ABUSE SCREEN	$168.96	$512.00	$26.10–$486.40	172% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG TST PRSMV CHEM ANLZR ABUSE PANEL I, URINE	$169.62	$514.00	$26.10–$488.30	173% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG TST PRSMV CHEM ANLZR BARBITURATES, URINE	$169.62	$514.00	$26.10–$488.30	173% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 DRUG TST PRSMV CHEM ANLZR CANNABINOIDS, URINE	$197.01	$597.00	$26.10–$567.15	217% above	67%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 80307 GAMMA HYDROXYBUTYRIC ACID	$324.72	$984.00	$26.10–$934.80	423% above	67%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC 80051 ELECTROLYTE PANEL	$43.23	$131.00	$2.94–$124.45	73% below	67%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC 86665 EPSTEIN-BARR ANTIBODY	$120.45	$365.00	$7.21–$346.75	39% above	67%
Estradiol blood test CPT 82670 HC 82670 ASSAY OF ESTRADIOL; TOTAL	$69.63	$211.00	$7.88–$200.45	44% below	67%
FSH (follicle-stimulating hormone) test CPT 83001 HC 83001 GONADOTROPIN (FSH)	$80.19	$243.00	$5.41–$230.85	49% below	67%
Fecal calprotectin (stool inflammation test) CPT 83993 HC 83993 CALPROTECTIN, FECAL	$120.12	$364.00	$1.99–$345.80	44% below	67%
Ferritin blood test (iron stores) CPT 82728 HC 82728 ASSAY OF FERRITIN	$47.19	$143.00	$3.91–$135.85	44% below	67%
Fibrinogen blood test CPT 85384 HC 85384 FIBRINOGEN	$77.88	$236.00	$2.86–$224.20	10% below	67%
Fibrinogen blood test CPT 85384 HC 85384 FIBRINOGEN ACTIVITY TEG	$92.73	$281.00	$2.86–$266.95	7% above	67%
Folate (folic acid) blood test CPT 82746 HC 82746 BLOOD FOLIC ACID SERUM	$47.52	$144.00	$4.62–$136.80	41% below	67%
Free T3 thyroid hormone test CPT 84481 HC 84481 FREE ASSAY (FT-3)	$75.24	$228.00	$3.02–$216.60	46% below	67%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC 84439 ASSAY OF FREE THYROXINE	$68.31	$207.00	$4.51–$196.65	9% below	67%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC 84439 T4 FREE, DIRECT DIALYSIS	$72.93	$221.00	$4.51–$209.95	3% below	67%
Free testosterone test CPT 84402 HC 84402 ASSAY OF TESTOSTERONE	$77.22	$234.00	$6.21–$222.30	27% below	67%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC 82977 ASSAY OF GGT	$19.80	$60.00	$3.60–$57.00	66% below	67%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC 80050 GENERAL HEALTH PANEL	$47.52	$144.00	$15.84–$173.20	89% below	67%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC 82950 GLUCOSE POST DOSE	$20.79	$63.00	$2.38–$59.85	73% below	67%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC 82950 GLUCOSE TEST	$20.79	$63.00	$2.38–$59.85	73% below	67%
Glucose tolerance test, 3 samples CPT 82951 HC 82951 GLUCOSE TOLERANCE TEST (GTT)	$76.23	$231.00	$6.44–$219.45	50% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 87591 N.GONORRHOEAE, DNA, AMP PROB	$79.53	$241.00	$17.55–$228.95	39% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC FN: 87591 N. GONORRHOEAE DNA PROB	$159.39	$483.00	$17.55–$458.85	22% above	67%
H. pylori antibody blood test CPT 86677 HC 86677 HELICOBACTER PYLORI	$135.30	$410.00	$3.73–$389.50	7% above	67%
H. pylori stool antigen test CPT 87338 HC 87338 HPYLORI, STOOL, EIA	$68.64	$208.00	$5.84–$197.60	20% below	67%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC 87536 HIV-1, DNA, QUANT	$207.90	$630.00	$17.51–$598.50	31% below	67%
HIV-1 and HIV-2 antibody test CPT 86703 HC 86703 HIV-1/HIV-2, SINGLE ASSAY	$135.63	$411.00	$6.80–$390.45	67% above	67%
HIV-1 and HIV-2 antibody test CPT 86703 HC 86703 HIV COMBO SNGL RESULT	$139.92	$424.00	$6.80–$402.80	72% above	67%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC 87389 HIV1 AND HIV2 AG AND AB EVAL, S	$47.52	$144.00	$4.41–$136.80	65% below	67%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC 87624 HPV, DNA, AMP PROBE	$79.53	$241.00	$14.74–$228.95	12% above	67%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC 87624 HPV,AMP PROBE DNA	$204.93	$621.00	$14.74–$589.95	189% above	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC 83036 HEMOGLOBIN A1C	$27.39	$83.00	$4.86–$78.85	68% below	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC 83036 GLYCOSYLATED HEMOGLOBIN TEST	$32.34	$98.00	$4.86–$93.10	62% below	67%
Hemoglobin blood test CPT 85018 HC 85018 HEMOGLOBIN	$31.02	$94.00	$1.19–$89.30	29% below	67%
Hemoglobin blood test CPT 85018 HC 85018 HEMOGLOBIN .3	$31.02	$94.00	$1.19–$89.30	29% below	67%
Hepatitis B core antibody test (total) CPT 86704 HC 86704 HEP B CORE ANTIBODY, TOTAL	$85.80	$260.00	$5.54–$247.00	17% above	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC 86706 HEP B SURFACE ANTIBODY	$73.26	$222.00	$5.37–$210.90	15% above	67%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC 87340 HEPATITIS B SURFACE AG, EIA	$41.25	$125.00	$5.17–$118.75	41% below	67%
Hepatitis C antibody blood test (screening) CPT 86803 HC 86803 HEPATITIS C AB TEST	$132.00	$400.00	$7.14–$380.00	53% above	67%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC 87522 HEPATITIS C, RNA, QUANT	$333.63	$1,011.00	$9.21–$960.45	39% above	67%
Herpes blood test, HSV-1 antibody CPT 86695 HC 86695 HERPES SIMPLEX TEST	$174.24	$528.00	$4.73–$501.60	142% above	67%
Herpes blood test, HSV-1 antibody CPT 86695 HC 86695 HSV1 IGG	$197.01	$597.00	$4.73–$567.15	174% above	67%
Herpes blood test, HSV-2 antibody CPT 86696 HC 86696 HERPES SIMPLEX TYPE 2	$111.54	$338.00	$5.69–$321.10	34% above	67%
Herpes blood test, HSV-2 antibody CPT 86696 HC 86696 HSV2 IGG	$197.01	$597.00	$5.69–$567.15	137% above	67%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC 86141 C-REACTIVE PROTEIN, HS	$94.71	$287.00	$4.20–$272.65	20% above	67%
Homocysteine blood test CPT 83090 HC 83090 HOMOCYSTINE BLOOD	$80.52	$244.00	$7.25–$231.80	46% below	67%
Homocysteine blood test CPT 83090 HC 83090 ASSAY OF HOMOCYSTINE	$80.52	$244.00	$7.25–$231.80	46% below	67%
Insulin blood test CPT 83525 HC 83525 ASSAY OF INSULIN	$48.18	$146.00	$2.54–$138.70	30% below	67%
Iron blood test (serum iron) CPT 83540 HC 83540 ASSAY OF IRON	$36.63	$111.00	$3.24–$105.45	48% below	67%
Iron-binding capacity (TIBC) test CPT 83550 HC 83550 IRON BINDING TEST	$32.34	$98.00	$4.37–$93.10	64% below	67%
Kidney function blood test panel CPT 80069 HC 80069 RENAL FUNCTION PANEL	$40.92	$124.00	$3.65–$117.80	77% below	67%
LH (luteinizing hormone) test CPT 83002 HC 83002 GONADOTROPIN (LH)	$72.93	$221.00	$7.59–$209.95	48% below	67%
Lactate (lactic acid) blood test CPT 83605 HC 83605 LACTIC ACID BLOOD	$26.40	$80.00	$5.79–$76.00	72% below	67%
Lactate (lactic acid) blood test CPT 83605 HC 83605 LACTIC ACID CSF	$26.40	$80.00	$5.79–$76.00	72% below	67%
Lactate (lactic acid) blood test CPT 83605 HC 83605 ASSAY OF LACTIC ACID	$31.02	$94.00	$5.79–$89.30	68% below	67%
Lactate (lactic acid) blood test CPT 83605 HC 83605 LACTIC ACID BLOOD POC	$38.94	$118.00	$5.79–$112.10	59% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 83615 LDH, BODY FLUID	$39.27	$119.00	$3.02–$113.05	12% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 83615 LACTATE DEHYDROGENASE BLD	$39.27	$119.00	$3.02–$113.05	12% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 83615 LACTATE DEHYDROGENASE CSF	$39.27	$119.00	$3.02–$113.05	12% below	67%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 83615 LACTATE (LD) (LDH) ENZYME	$39.27	$119.00	$3.02–$113.05	12% below	67%
Lipase blood test (pancreas enzyme) CPT 83690 HC 83690 LIPASE BLOOD	$50.82	$154.00	$2.81–$146.30	24% below	67%
Lipase blood test (pancreas enzyme) CPT 83690 HC 83690 ASSAY OF LIPASE	$66.00	$200.00	$2.81–$190.00	1% below	67%
Liver function blood test panel CPT 80076 HC 80076 HEPATIC FUNCTION PANEL	$78.87	$239.00	$3.43–$227.05	59% below	67%
Lyme disease antibody test CPT 86618 HC 86618 LYME DISEASE ANTIBODY	$88.77	$269.00	$7.08–$255.55	7% above	67%
Lyme disease antibody test CPT 86618 HC 86618 LYME DISEASE TITER	$142.56	$432.00	$7.08–$410.40	72% above	67%
Lyme disease antibody test CPT 86618 HC 86618 LYME AB DETECTION BLD	$142.56	$432.00	$7.08–$410.40	72% above	67%
Magnesium blood test CPT 83735 HC 83735 ASSAY OF MAGNESIUM	$34.32	$104.00	$3.35–$98.80	22% below	67%
Magnesium blood test CPT 83735 HC 83735 MAGNESIUM	$37.62	$114.00	$3.35–$108.30	14% below	67%
Magnesium blood test CPT 83735 HC 83735 MAGNESIUM URINE	$44.55	$135.00	$3.35–$128.25	1% above	67%
Measles (rubeola) antibody test CPT 86765 HC 86765 MEASLES ANTIBODY IGG	$62.70	$190.00	$6.04–$180.50	105% above	67%
Measles (rubeola) antibody test CPT 86765 HC 86765 RUBEOLA ANTIBODY	$69.30	$210.00	$6.04–$199.50	127% above	67%
Measles (rubeola) antibody test CPT 86765 HC 86765 RUBEOLA IGG	$81.51	$247.00	$6.04–$234.65	167% above	67%
Measles (rubeola) antibody test CPT 86765 HC 86765 MEASLES, IGM	$81.51	$247.00	$6.04–$234.65	167% above	67%
Mono test (heterophile antibody, Monospot) CPT 86308 HC 86308 HETEROPHILE ANTIBODIES	$81.18	$246.00	$2.59–$233.70	5% below	67%
Mumps immunity blood test CPT 86735 HC 86735 MUMPS, AB-IGG	$83.16	$252.00	$5.41–$239.40	39% above	67%
Mumps immunity blood test CPT 86735 HC 86735 MUMPS ANTIBODY	$95.70	$290.00	$5.41–$275.50	60% above	67%
Obstetric blood test panel CPT 80055 HC 80055 OBSTETRIC PANEL	$148.50	$450.00	$20.08–$427.50	41% below	67%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC 84154 ASSAY OF PSA, FREE	$57.42	$174.00	$4.09–$165.30	49% below	67%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC 84153 ASSAY OF PSA, TOTAL	$58.08	$176.00	$6.03–$167.20	32% below	67%
Parathyroid hormone (PTH) blood test CPT 83970 HC 83970 PTH, INTRA OPERATIVE	$53.13	$161.00	$6.21–$208.91	74% below	67%
Parathyroid hormone (PTH) blood test CPT 83970 HC 83970 PARATHYROID HORMONE, INTACT	$69.30	$210.00	$6.21–$208.91	66% below	67%
Parathyroid hormone (PTH) blood test CPT 83970 HC 83970 ASSAY OF PARATHORMONE	$122.43	$371.00	$6.21–$352.45	40% below	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 PTT HEPARIN NEUTRALIZED	$66.66	$202.00	$3.01–$191.90	33% above	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 THROMBOPLASTIN TIME, PARTIAL	$66.66	$202.00	$3.01–$191.90	33% above	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 PTT, VON WILL PANEL	$74.25	$225.00	$3.01–$213.75	48% above	67%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC 85730 PTT, POCT NON-WAIVED	$74.25	$225.00	$3.01–$213.75	48% above	67%
Phosphorus (phosphate) blood test CPT 84100 HC 84100 ASSAY OF PHOSPHORUS	$27.39	$83.00	$2.37–$78.85	56% below	67%
Phosphorus (phosphate) blood test CPT 84100 HC 84100 PHOSPHORUS (INORGANIC), SERUM	$41.91	$127.00	$2.37–$120.65	33% below	67%
Potassium blood test CPT 84132 HC 84132 POTASSIUM BLOOD POC	$22.11	$67.00	$2.38–$63.65	63% below	67%
Potassium blood test CPT 84132 HC 84132 POTASSIUM	$22.11	$67.00	$2.38–$63.65	63% below	67%
Potassium blood test CPT 84132 HC 84132 ASSAY OF SERUM POTASSIUM	$28.71	$87.00	$2.38–$82.65	52% below	67%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC 81420 FETAL CHRMOML ANEUPLOIDY	$574.86	$1,742.00	$209.04–$2,956.29	34% below	67%
Progesterone blood test CPT 84144 HC 84144 ASSAY OF PROGESTERONE	$61.38	$186.00	$6.32–$176.70	40% below	67%
Prolactin blood test CPT 84146 HC 84146 ASSAY OF PROLACTIN	$59.73	$181.00	$7.49–$171.95	46% below	67%
Prothrombin time (PT/INR) clotting test CPT 85610 HC 85610 PROTIME, POCT WAIVED	$4.29	$13.00	$1.56–$19.82	91% below	67%
Prothrombin time (PT/INR) clotting test CPT 85610 HC 85610 PROTIME (PROTHROMBIN) TIME	$41.91	$127.00	$2.15–$120.65	9% below	67%
Prothrombin time (PT/INR) clotting test CPT 85610 HC 85610 PROTHROMBIN TIME	$41.91	$127.00	$2.15–$120.65	9% below	67%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC 80305 DRUG TST PRSMV QUAL DIR OPTICAL OBS, URINE	$118.80	$360.00	$5.29–$342.00	12% above	67%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC 80305 DRUG SCRN LOW/MOD CMPLX UR 3	$142.89	$433.00	$5.29–$411.35	34% above	67%
Rapid flu test (influenza antigen) CPT 87804 HC 87804 INFLUENZA ASSAY W/OPTIC	$93.06	$282.00	$8.28–$267.90	at median	67%
Rapid flu test (influenza antigen) CPT 87804 HC 87804 INFLUENZA B DIRECT OPTIC IA	$93.06	$282.00	$8.28–$267.90	at median	67%
Rapid flu test (influenza antigen) CPT 87804 HC 87804 INFLUENZA A ANTIGEN	$152.46	$462.00	$8.28–$438.90	64% above	67%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC 87880 STREP A ASSAY W/OPTIC	$99.66	$302.00	$8.27–$286.90	1% above	67%
Renin blood test CPT 84244 HC 84244 ASSAY OF RENIN	$68.31	$207.00	$7.68–$196.65	33% below	67%
Rh blood typing CPT 86901 HC 86901 BLOOD TYPING, RH (D)	$48.18	$146.00	$2.79–$138.70	25% below	67%
Rheumatoid factor (RF) test CPT 86431 HC 86431 RHEUMATOID FACTOR, QUANT	$80.85	$245.00	$2.84–$232.75	77% above	67%
Rubella antibody test (immunity check) CPT 86762 HC 86762 RUBELLA ANTIBODY	$103.62	$314.00	$7.08–$298.30	125% above	67%
Rubella antibody test (immunity check) CPT 86762 HC 86762 RUBELLA, IGM	$117.15	$355.00	$7.08–$337.25	155% above	67%
Rubella antibody test (immunity check) CPT 86762 HC 86762 RUBELLA ANTIBODY.2	$117.15	$355.00	$7.08–$337.25	155% above	67%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC 85652 RBC SED RATE, AUTOMATED	$41.91	$127.00	$1.35–$120.65	31% below	67%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC 89320 SEMEN ANAL VOL/COUNT/MOT	$92.73	$281.00	$6.16–$289.92	28% below	67%
Sodium blood test CPT 84295 HC 84295 SODIUM BLOOD POC	$18.15	$55.00	$2.41–$52.25	71% below	67%
Sodium blood test CPT 84295 HC 84295 SODIUM	$18.15	$55.00	$2.41–$52.25	71% below	67%
Sodium blood test CPT 84295 HC 84295 ASSAY OF SERUM SODIUM	$23.76	$72.00	$2.41–$68.40	62% below	67%
Stool ova and parasites exam CPT 87177 HC 87177 OVA AND PARASITES SMEARS	$83.82	$254.00	$2.52–$241.30	22% above	67%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC 82270 OCCULT BLOOD, FECES	$15.84	$48.00	$2.19–$45.60	59% below	67%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC 82274 OCCULT BLOOD FECAL, IMMUNO	$111.21	$337.00	$5.42–$320.15	65% above	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC 86780 MHA-TP	$28.71	$87.00	$6.62–$82.65	35% below	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC 86780 ANTIBODY; TREPONEMA PALLIDUM	$28.71	$87.00	$6.62–$82.65	35% below	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC 86780 TREPONEMA PALLIDUM IGG CONFIRM	$28.71	$87.00	$6.62–$82.65	35% below	67%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC 86780 T PALLIDUM AB IGG BY ELISA	$120.12	$364.00	$6.62–$345.80	172% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 86592 SYPHILIS TEST QL VDRL	$64.35	$195.00	$2.14–$185.25	57% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 86592 VDRL, SPINAL FLUID	$64.35	$195.00	$2.14–$185.25	57% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 86592 BLOOD SEROLOGY, QUALITATIVE	$64.35	$195.00	$2.14–$185.25	57% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 86592 RPR CORD BLOOD	$78.21	$237.00	$2.14–$225.15	91% above	67%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC FN: 86592 SYPHILIS TEST	$78.21	$237.00	$2.14–$225.15	91% above	67%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC 86480 TB TEST, CELL IMMUN MEASURE	$69.96	$212.00	$5.41–$313.33	65% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 HC 84403 ASSAY OF TOTAL TESTOSTERONE	$75.90	$230.00	$7.06–$218.50	23% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 HC 84403 TOTAL TESTOSTERONE .3	$112.20	$340.00	$7.06–$323.00	13% above	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 86376 MICROSOMAL ANTIBODY	$95.70	$290.00	$2.38–$275.50	15% above	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 86376 MICROSOMAL ANTIBODY THYROID PR.2	$95.70	$290.00	$2.38–$275.50	15% above	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 86376 MICROSOMAL ANTIBODY THYROID PR	$95.70	$290.00	$2.38–$275.50	15% above	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 84443 TSH 3RD GENERATION	$86.13	$261.00	$6.62–$247.95	22% below	67%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 84443 ASSAY THYROID STIM HORMONE	$86.13	$261.00	$6.62–$247.95	22% below	67%
Total IgE blood test CPT 82785 HC 82785 ASSAY OF GAMMAGLOBULIN IGE	$65.34	$198.00	$1.65–$188.10	20% below	67%
Total cholesterol blood test CPT 82465 HC 82465 ASSAY, BLD/SERUM CHOLESTEROL	$38.94	$118.00	$1.95–$112.10	30% below	67%
Total thyroxine (T4) blood test CPT 84436 HC 84436 ASSAY OF TOTAL THYROXINE	$68.97	$209.00	$2.41–$198.55	14% below	67%
Total triiodothyronine (T3) blood test CPT 84480 HC 84480 ASSAY, TRIIODOTHYRONINE (T3)	$61.71	$187.00	$2.34–$177.65	51% below	67%
Transferrin blood test CPT 84466 HC 84466 ASSAY OF TRANSFERRIN	$37.62	$114.00	$4.24–$108.30	68% below	67%
Trichomonas test (NAAT) CPT 87661 HC 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$49.17	$149.00	$5.50–$177.18	44% below	67%
Trichomonas test (NAAT) CPT 87661 HC FN: 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$128.37	$389.00	$5.50–$369.55	47% above	67%
Triglycerides blood test CPT 84478 HC 84478 TRIGLYCERIDES	$39.60	$120.00	$1.66–$114.00	43% below	67%
Triglycerides blood test CPT 84478 HC 84478 ASSAY OF TRIGLYCERIDES	$51.48	$156.00	$1.66–$148.20	26% below	67%
Troponin test, quantitative CPT 84484 HC 84484 TROPONIN T QN	$69.30	$210.00	$2.13–$199.50	39% below	67%
Troponin test, quantitative CPT 84484 HC 84484 ASSAY OF TROPONIN, QUANT	$90.09	$273.00	$2.13–$259.35	21% below	67%
Uric acid blood test CPT 84550 HC 84550 ASSAY OF BLOOD/URIC ACID	$28.38	$86.00	$2.26–$81.70	64% below	67%
Urinalysis with microscope exam, automated CPT 81001 HC FN: 81001 URINALYSIS	$22.77	$69.00	$1.59–$65.55	76% below	67%
Urinalysis with microscope exam, automated CPT 81001 HC 81001 URINALYSIS, AUTO W/SCOPE	$91.41	$277.00	$1.59–$263.15	2% below	67%
Urinalysis with microscope exam, manual CPT 81000 HC 81000 URINALYSIS, NONAUTO W/SCOPE	$75.24	$228.00	$0.91–$216.60	91% above	67%
Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO SG	$41.25	$125.00	$1.13–$118.75	15% below	67%
Urinalysis without microscope exam, automated CPT 81003 HC 81003 URINALYSIS, AUTO, W/O SCOPE	$41.25	$125.00	$1.13–$118.75	15% below	67%
Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO PH ONLY	$45.87	$139.00	$1.13–$132.05	5% below	67%
Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO BILI/BLOOD	$45.87	$139.00	$1.13–$132.05	5% below	67%
Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO KETONES	$45.87	$139.00	$1.13–$132.05	5% below	67%
Urinalysis without microscope exam, automated CPT 81003 HC 81003 UA AUTO W/O MICRO PROTEIN	$45.87	$139.00	$1.13–$132.05	5% below	67%
Urinalysis without microscope exam, manual CPT 81002 HC 81002 URINALYSIS NONAUTO W/O SCOPE	$29.37	$89.00	$1.28–$84.55	2% below	67%
Urine culture for bacteria, with colony count CPT 87086 HC 87086 URINE CULTURE/COLONY COUNT	$139.26	$422.00	$2.34–$400.90	8% above	67%
Urine culture for bacteria, with colony count CPT 87086 HC FN: 87086 URINE CULTURE/COLONY COUNT	$232.98	$706.00	$2.34–$670.70	80% above	67%
Urine microalbumin (albumin) test CPT 82043 HC 82043 MICROALBUMIN, QUANTITATIVE	$24.42	$74.00	$2.89–$70.30	52% below	67%
Urine microalbumin (albumin) test CPT 82043 HC 82043 MICROALBUMIN, UR 24HR	$30.36	$92.00	$2.89–$87.40	40% below	67%
Urine pregnancy test, read by color change CPT 81025 HC FN: 81025 PREGNANCY TEST	$6.93	$21.00	$2.52–$51.33	91% below	67%
Urine pregnancy test, read by color change CPT 81025 HC 81025 CHORIONIC GONADOTROPIN ASSAY	$6.93	$21.00	$2.52–$51.33	91% below	67%
Urine pregnancy test, read by color change CPT 81025 HC 81025 URINE PREGNANCY TEST POC	$11.88	$36.00	$4.31–$51.33	85% below	67%
Urine pregnancy test, read by color change CPT 81025 HC 81025 URINE PREGNANCY TEST	$12.87	$39.00	$4.31–$51.33	84% below	67%
Vitamin B12 (cobalamin) blood test CPT 82607 HC 82607 VITAMIN B-12	$66.99	$203.00	$7.54–$192.85	26% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 82306 VITAMIN D 25 OH	$71.94	$218.00	$2.05–$207.10	40% below	67%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 82306 ASSAY OF VITAMIN D	$93.39	$283.00	$2.05–$268.85	22% below	67%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 82652 ASSAY OF DIHYDROXYVITAMIN D	$91.08	$276.00	$10.48–$262.20	41% below	67%
Zinc blood test CPT 84630 HC 84630 ASSAY OF ZINC	$63.36	$192.00	$2.94–$182.40	7% below	67%
Zinc blood test CPT 84630 HC 84630 ZINC	$68.31	$207.00	$2.94–$196.65	at median	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC 84702 HCG, TUMOR MARKER	$79.86	$242.00	$1.00–$229.90	29% below	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC 84702 CHORIONIC GONADOTROPIN TEST	$103.95	$315.00	$1.00–$299.25	7% below	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC 84702 INTACT HCG (TRI TEST)	$108.24	$328.00	$1.00–$311.60	4% below	67%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC 84702 HCG, INTACT QUAN	$108.24	$328.00	$1.00–$311.60	4% below	67%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC 19081 STEREOTAC BX BRST 1ST LES	$3,101.01	$9,397.00	$271.37–$8,927.15	11% below	67%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC 27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MNPJ	$465.96	$1,412.00	$85.32–$4,308.00	at median	67%
Cardiac catheterization with coronary angiogram CPT 93458 HC 93458 LHC & CORONARY	$4,937.79	$14,963.00	$1,645.93–$16,505.00	53% below	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTRNL	$1,504.14	$4,558.00	$296.04–$4,330.10	13% above	67%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC 92960 CARDIOVERSION	$1,562.55	$4,735.00	$296.04–$4,498.25	17% above	67%
Catheter ablation for atrial fibrillation CPT 93656 HC 93656 TX ATRIAL FIB PULM VEIN ISOL	$12,447.27	$37,719.00	$2,153.55–$46,070.68	59% below	67%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$1,871.10	$5,670.00	$128.00–$5,386.50	52% above	67%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC 25600 CLSD TX DISTAL RAD FX,W/O MANIP	$622.38	$1,886.00	$85.32–$4,020.00	38% above	67%
Colonoscopy with endoscopic ultrasound CPT 45391 HC 45391 COLSC FLX NDSC US XM	$857.01	$2,597.00	$311.64–$5,774.00	19% below	67%
Colonoscopy with polyp removal CPT 45385 HC 45385 COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ	$825.33	$2,501.00	$300.12–$5,774.00	37% below	67%
Colonoscopy with tissue sample CPT 45380 HC 45380 SCOPE OF COLON WITH BIOPSY	$928.95	$2,815.00	$337.80–$5,774.00	35% below	67%
Colonoscopy with tissue sample CPT 45380 HC 45380 SCOPE OF COLON WITH BIOPSY (59)	$1,648.35	$4,995.00	$363.36–$5,774.00	16% above	67%
Colonoscopy, diagnostic CPT 45378 HC 45378 SCOPE OF COLON FOR DIAGNOSIS	$742.50	$2,250.00	$270.00–$5,774.00	52% below	67%
Coronary stent placement, one artery CPT 92928 HC 92928 COR STENT ANGIO 1 VSL	$3,644.52	$11,044.00	$1,214.84–$21,297.14	69% below	67%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC 58120 DILATION/CURETTAGE, DX NON OBST	$2,719.53	$8,241.00	$128.00–$7,828.95	33% below	67%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC 17000 DEST PREMALIGNANT LESION 1ST	$100.65	$305.00	$33.55–$10,721.00	50% below	67%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC 69209 RMVL IMPCTD CERUMEN IRRG/LAVG	$102.96	$312.00	$34.32–$4,020.00	7% below	67%
Earwax removal with instruments, one ear one side CPT 69210 HC 69210 RMVL IMPCTD CERUMEN SPX UNILATERAL	$203.28	$616.00	$50.06–$4,020.00	64% above	67%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC 58100 ENDOMETRIAL BX -ENDOCRV BX W/O DILAT SPX	$633.60	$1,920.00	$45.96–$4,020.00	72% above	67%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC 62321 NJX C-DX/THER SBST EDRL/SARACH CRV/THRC	$1,890.90	$5,730.00	$203.73–$5,443.50	31% above	67%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC 64493 INJ A/ST PVERT FCT JNT/NV;L/S SGL LEV	$841.17	$2,549.00	$271.37–$4,308.00	52% below	67%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC 45330 FLEX SIG, DX, W/WO COLLJ SPEC BR/WA SPX	$429.99	$1,303.00	$130.67–$4,308.00	50% below	67%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC 46221 HEMORRHOIDECTOMY SMPL LIGATURE	$307.23	$931.00	$111.72–$4,308.00	66% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC 58340 CATHJ&INTRO SALINE NFS SHG/HSG	$517.44	$1,568.00	$56.33–$4,020.00	38% above	67%
Incision and drainage of a simple or single skin abscess CPT 10060 HC 10060 I&D ABSCESS,SIMPLE/SINGLE	$58.41	$177.00	$21.24–$10,721.00	87% below	67%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC 20550 INJ(S) SGL TENDON SHTH/LIGMNT	$116.82	$354.00	$23.54–$4,308.00	71% below	67%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC 20610 ASP/INJ MJR JNT/BURSA W/O US GDE	$116.82	$354.00	$21.63–$4,308.00	80% below	67%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC 20605 ASP/INJ INTMED JNT/BURSA W/O US GDE	$116.82	$354.00	$17.89–$4,308.00	80% below	67%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC 20600 ASP/INJ SM JNT/BURSA W/O US GDE	$116.82	$354.00	$16.82–$4,308.00	72% below	67%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC 12031 LAC. REP. INTERMED S/A/T/EXT </=2.5 CM	$472.89	$1,433.00	$129.00–$4,650.00	11% below	67%
Left heart catheterization, diagnostic one side CPT 93452 HC 93452 LEFT HEART CATH (NO COR)	$3,157.11	$9,567.00	$1,052.37–$16,505.00	66% below	67%
Lower-back epidural injection, with imaging guidance CPT 62323 HC 62323 NJX C-DX/THER SBST EDRL/SARACH LMBR SAC	$662.64	$2,008.00	$203.73–$4,308.00	60% below	67%
Lower-back epidural injection, without imaging guidance CPT 62322 HC 62322 INJECTION SUBSTANCE SPINAL CANAL LOWER BACK/SACRUM W/IMG	$1,228.59	$3,723.00	$203.73–$4,308.00	at median	67%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC 64483 NJX ANES&/STRD TFRML EDRL LMBR/SAC 1 LVL	$2,834.37	$8,589.00	$271.37–$8,159.55	92% above	67%
Miscarriage treatment with D&C, first trimester CPT 59820 HC 59820 TX MISSED ABORTION 1ST TRIMESTER SURGICAL	$4,106.85	$12,445.00	$363.36–$11,822.75	13% above	67%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC 11400 EXC LES B9MARG T/A/L; 0.5 < CM	$1,096.59	$3,323.00	$77.79–$10,721.00	36% above	67%
Nail removal (partial or complete), one nail CPT 11730 HC 11730 AVULSION NAIL PLATE,PART/COMPL,SMPL; SNGL	$326.70	$990.00	$108.90–$12,462.00	16% above	67%
Occipital nerve block (injection for headaches) CPT 64405 HC 64405 NJX ANES AGNT/STEROID GRTER OCCIPITAL NRV	$808.17	$2,449.00	$30.18–$4,308.00	89% above	67%
Pacemaker implant (dual chamber) CPT 33208 HC 33208 INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTR	$3,393.72	$10,284.00	$585.99–$23,314.00	82% below	67%
Paracentesis with imaging guidance CPT 49083 HC 49083 ABD PARACENTESIS W/IMAGING	$919.05	$2,785.00	$271.37–$4,308.00	37% below	67%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC 11750 EXC. NAIL/MATRIX FOR PERM REM.	$975.48	$2,956.00	$84.71–$12,462.00	91% above	67%
Prostate biopsy CPT 55700 HC 55700 PROSTATE NEEDLE BIOPSY, ANY APPROACH	$1,624.59	$4,923.00	$363.36–$5,774.00	38% below	67%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC 64635 DSTRJ NULYT PVRT FACET JT NRV LMBR/SAC 1 LEV	$1,473.12	$4,464.00	$363.36–$9,339.00	48% below	67%
Removal of a breast lump, open surgery CPT 19120 HC 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LES	$1,161.60	$3,520.00	$128.00–$7,191.24	76% below	67%
Removal of a foreign object under the skin, simple CPT 10120 HC 10120 INCN & REMVL FB SUBQ TIS;SMPL	$123.75	$375.00	$45.00–$10,721.00	77% below	67%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC G0121 COLORECTAL SCRN; NOT HI RISK IND	$676.50	$2,050.00	$246.00–$5,774.00	13% below	67%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC G0105 COLORECTAL SCRN; HI RISK IND	$729.30	$2,210.00	$265.20–$5,774.00	37% below	67%
Short arm cast (elbow to hand) CPT 29075 HC 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$128.70	$390.00	$45.13–$4,020.00	54% below	67%
Short arm splint (forearm and hand) CPT 29125 HC 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$513.48	$1,556.00	$99.22–$4,020.00	127% above	67%
Short leg cast (below the knee) CPT 29405 HC 29405 APPLY SHORT LEG CAST,BLW KNEE	$468.60	$1,420.00	$39.03–$4,020.00	38% above	67%
Short leg splint (calf to foot) CPT 29515 HC 29515 APPLICATION LOWER LEG SPLINT	$579.81	$1,757.00	$33.11–$4,020.00	113% above	67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC 12001 SMPL REP S/N/AX/G/TR; 2.5CM/<	$463.32	$1,404.00	$129.00–$4,650.00	28% above	67%
Skin biopsy, punch, one lesion CPT 11104 HC 11104 PUNCH BX SKIN; SNGL LESION	$151.14	$458.00	$54.96–$10,721.00	66% below	67%
Skin tag removal, up to 15 tags CPT 11200 HC 11200 REMOVAL SKIN TAGS, <=15 LES	$72.60	$220.00	$24.20–$10,721.00	76% below	67%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC 62270 SPI PNXR LMBR DX	$209.55	$635.00	$76.20–$4,308.00	80% below	67%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC 12002 SMPL REP S/N/AX/G/TR; 2.6-7.5CM	$492.03	$1,491.00	$129.00–$4,650.00	8% above	67%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC 12011 SMPL REP F/E/E/N/L/MM; <=2.5CM	$482.46	$1,462.00	$129.00–$4,650.00	24% above	67%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC 11102 TANGNTL BX SKIN; SNGL LESION	$137.28	$416.00	$49.92–$10,721.00	62% below	67%
Thoracentesis with imaging guidance CPT 32555 HC 32555 THORACENTESIS NDL/CATH,ASP PLRL SP; W/IMG GUIDE	$1,225.95	$3,715.00	$172.16–$4,308.00	13% below	67%
Trigger finger release surgery CPT 26055 HC 26055 INCISE FINGER TENDON SHEATH	$495.99	$1,503.00	$128.00–$5,774.00	79% below	67%
Trigger point injections, 1 or 2 muscles CPT 20552 HC 20552 INJ SGL/MUL-TRIGGER PT,1-2 MUSL(S)	$116.82	$354.00	$23.26–$4,308.00	74% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC 19083 US BX BRST 1ST LES	$1,937.76	$5,872.00	$271.37–$6,600.00	30% below	67%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC 43249 EGD FLXORL BALO DILAT ESOPH < 30 MM DIAM	$693.66	$2,102.00	$252.24–$5,774.00	53% below	67%
Upper endoscopy (EGD) with biopsy CPT 43239 HC 43239 EGD FLXORL SCOPE FOR BIOPSY(S)	$585.75	$1,775.00	$213.00–$5,774.00	50% below	67%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC 43236 EGD FLXORL SCOPE, SUBMUCSL INJ,ANY SUBST	$589.71	$1,787.00	$214.44–$5,774.00	19% below	67%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC 43251 EGD FLXORL RMVL TUM POLYP/OTH LES SNARE TQ	$587.40	$1,780.00	$213.60–$5,774.00	48% below	67%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC 43248 EGD FLXORL DILAT ESOPH > GDWIRE	$619.41	$1,877.00	$225.24–$5,774.00	15% below	67%
Upper endoscopy (EGD), diagnostic CPT 43235 HC 43235 EGD FLXORL SCOPE FOR DIAGNOSIS	$560.01	$1,697.00	$203.64–$4,308.00	62% below	67%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC 43240 EGD FLXORL TRANSMURAL DRG PSEUDOCST	$962.61	$2,917.00	$350.04–$11,179.14	28% below	67%
Vein ablation, radiofrequency, first vein CPT 36475 HC 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$4,007.85	$12,145.00	$128.00–$16,505.00	4% below	67%
Wart removal, up to 14 warts CPT 17110 HC 17110 DEST B9 LESIONS UP TO 14	$433.29	$1,313.00	$128.00–$10,721.00	117% above	67%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC 11042 DEBRIDE SQ TIS 1ST <= 20 SQ CM	$792.00	$2,400.00	$143.08–$10,721.00	22% below	67%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC 36430 ADMIN BLOOD TRANSFUSION PER VISIT	$1,687.29	$5,113.00	$25.90–$4,857.35	121% above	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC 94640 PRESS/N-PRESS INHLJ TX F/AAO/SPTM INDCTJ	$121.11	$367.00	$40.37–$651.22	40% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC 94640 INHL TMT FOR SPUTUM INDUCTION	$121.11	$367.00	$40.37–$651.22	40% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC 94640 MDI/NEB INITIAL	$197.67	$599.00	$65.89–$651.22	3% below	67%
Chemotherapy IV infusion, first hour CPT 96413 HC 96413 CHEMO ADMIN, IV <1HR INITIAL	$391.05	$1,185.00	$130.35–$1,590.00	28% below	67%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC 95816 ROUTINE EEG AWAKE/DROWSY	$253.44	$768.00	$84.48–$1,099.74	72% below	67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC 93005 ECG ROUTINE ECG W/LEAST 12 LEAD, TRACING ONLY	$20.79	$63.00	$6.93–$280.00	92% below	67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC 99281 EMERGENCY VISIT LEVEL 1	$234.30	$710.00	$51.36–$1,053.00	at median	67%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC 99282 EMERGENCY VISIT LEVEL 2	$432.63	$1,311.00	$51.36–$1,467.00	at median	67%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC 99283 EMERGENCY VISIT LEVEL 3	$827.97	$2,509.00	$51.36–$2,383.55	8% above	67%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC 99284 EMERGENCY VISIT LEVEL 4	$1,345.74	$4,078.00	$399.84–$3,874.10	4% above	67%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC 99285 EMERGENCY VISIT LEVEL 5	$2,157.54	$6,538.00	$575.69–$6,211.10	22% above	67%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC 93017 CV STRESS TEST, TRACING ONLY	$814.77	$2,469.00	$70.98–$2,345.55	35% below	67%
Eye exam, returning patient, intermediate CPT 92012 HC 92012 OPH MEDICAL XM&EVAL INTRM EST PT	$131.67	$399.00	$43.89–$410.39	33% below	67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR	$238.59	$723.00	$79.53–$1,493.00	45% below	67%
IV infusion of a medicine, first hour CPT 96365 HC 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST UP TO 1 HOUR	$287.43	$871.00	$95.81–$1,493.00	36% below	67%
IV infusion of a medicine, first hour CPT 96365 HC 96365 IVIG ADMIN, IV UP TO 1HR INITIAL	$287.43	$871.00	$95.81–$1,493.00	36% below	67%
IV push of a medicine, first drug CPT 96374 HC 96374 IV PUSH, INITIAL,THER/PROPH/DG	$169.29	$513.00	$56.43–$1,493.00	26% below	67%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC 96372 INJ,ADMIN THER/PROPH/DG;SC/IM	$21.78	$66.00	$7.26–$1,493.00	85% below	67%
New patient office visit, about 30 minutes CPT 99203 HC 99203 OFC/OUTPATIENT VISIT,NEW 3	$36.63	$111.00	$12.21–$480.00	84% below	67%
New patient office visit, about 45 minutes CPT 99204 HC 99204 OFC/OUTPATIENT VISIT,NEW 4	$36.63	$111.00	$12.21–$480.00	87% below	67%
New patient office visit, about 60 minutes CPT 99205 HC 99205 OFC/OUTPATIENT VISIT,NEW 5	$36.63	$111.00	$12.21–$606.01	87% below	67%
New patient office visit, about 60 minutes CPT 99205 HC FN: 99205 SA EXAM WO COLPOSCOPE	$132.33	$401.00	$44.11–$606.01	55% below	67%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC 99202 OFC/OUTPATIENT VISIT,NEW 2	$36.63	$111.00	$12.21–$480.00	75% below	67%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC 97802 MED NUTR THER, INDIVIDUAL	$56.10	$170.00	$18.70–$302.00	12% above	67%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC 99406 TOBACCO CESS INTERM 3-10MIN	$10.56	$32.00	$3.52–$55.94	75% below	67%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC 99215 OFC/OUTPATIENT VISIT, EST 5	$36.63	$111.00	$12.21–$480.00	87% below	67%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC 99213 OFC/OUTPATIENT VISIT, EST 3	$36.63	$111.00	$12.21–$480.00	79% below	67%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FN: 99213 TREATMENT ROOM	$208.89	$633.00	$52.15–$601.35	19% above	67%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC 99214 OFC/OUTPATIENT VISIT, EST 4	$36.63	$111.00	$12.21–$480.00	81% below	67%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC 99214 WOUND CARE-MODERATE 30 MIN	$155.76	$472.00	$51.92–$480.00	19% below	67%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC 99212 OFC/OUTPATIENT VISIT, EST 2	$36.63	$111.00	$12.21–$480.00	71% below	67%
Spirometry (breathing test) CPT 94010 ceFAZolin (Ancef) 3 g in sodium chloride 0.9 % 100 mL IVPB	$249.15	$755.00	$65.32–$717.25	30% below	67%
Spirometry (breathing test) CPT 94010 HC 94010 PUL FCT WO BR	$249.15	$755.00	$65.32–$717.25	30% below	67%
Spirometry before and after a bronchodilator CPT 94060 HC 94060 BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN	$253.44	$768.00	$84.48–$729.60	57% below	67%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC 99195 THERAPEUTIC PHLEBOTOMY	$211.20	$640.00	$70.40–$4,326.00	6% below	67%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis b vaccine (Engerix-B) 10 MCG/0.5ML injection Commercially Insured / Private Pay 0.5 mL	$77.52	$0.01	$31.47–$84.70	8% below	-775100%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza vaccine age >65 years (Fluzone High-Dose) injection	$242.91	$736.09	$73.62–$699.28	63% above	67%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella vaccine (MMR-II) injection 0.5 mL	$291.40	$883.02	$97.13–$838.86	23% above	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-Val conj vaccine (Prevnar 20) injection 0.5 mL	$869.91	$2,636.08	$289.96–$2,504.27	54% above	67%
Rabies vaccine, one dose CPT 90675 Rabies Virus Vaccine, HDC (Imovax) injection 1 mL	$1,386.39	$4,201.19	$307.78–$3,991.13	35% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Boostrix) injection (adult) 0.5 mL	$148.64	$450.43	$39.07–$427.90	14% above	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC 90471 IMMUN ADMIN VACCINE 1 VACCINE	$71.94	$218.00	$23.98–$214.06	2% below	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC 90472 IMMUN ADMIN VACCINE EA ADDL VACCINE	$58.41	$177.00	$10.00–$168.15	25% above	67%

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://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109665_santarosahospitalwestoverhills_standardcharges.json