The University of Texas Southwestern Medical Center at Dallas
The University of Texas Southwestern Medical Center at Dallas in Dallas, TX publishes cash prices for 403 common procedures listed here, from its own machine-readable price file updated Mar 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 290 of 397 procedures and above it for 107. By typical cash price it ranks #93 of 297 Texas hospitals and #15 of 82 hospitals in the Dallas, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.
6201 Harry Hines Blvd, Dallas, TX 75390 Collected Sep 23, 2026 Source price file Check a bill from this hospital (214) 633-5555
Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 450044 · CMS hospital register NPI 1285798918
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
The University of Texas Southwestern Medical Center at Dallas is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HCHG CT ABDOMEN W&W/O CONTRAST | $1,167.00 | $2,334.00 | $178.02–$2,069.84 | 60% below | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG CT ABDOMEN W&W/O CONTRAST | $1,167.00 | $2,334.00 | $841.99–$2,053.92 | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 HCHG XR ABDOMEN 2 VIEWS | $342.00 | $684.00 | $37.09–$684.14 | 10% below | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HCHG XR ABDOMEN 2 VIEWS | $342.00 | $684.00 | $246.75–$601.92 | — | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HCHG XR ANKLE 3+ VIEWS | $225.50 | $451.00 | $37.09–$487.16 | 37% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HCHG XR ANKLE 3+ VIEWS | $225.50 | $451.00 | $162.70–$396.88 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG US ANKLE BRACHIAL ARTERIAL INDICES ABI LIMITED | $175.50 | $351.00 | $50.71–$676.97 | 71% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG US ANKLE BRACHIAL ARTERIAL INDICES ABI LIMITED | $175.50 | $351.00 | $126.62–$308.88 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HCHG CT UPR EXT W/O CONTRAST | $645.50 | $1,291.00 | $106.34–$1,273.12 | 61% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HCHG CT UPR EXT W/O CONTRAST | $645.50 | $1,291.00 | $465.73–$1,136.08 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG XR ESOPHAGRAM WO AIR | $270.50 | $541.00 | $99.90–$1,112.27 | 46% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG XR ESOPHAGRAM WO AIR | $270.50 | $541.00 | $195.17–$476.08 | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HCHG NM BONE WB | $1,105.50 | $2,211.00 | $275.66–$1,945.68 | 30% below | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG NM BONE WB | $1,105.50 | $2,211.00 | $797.62–$1,945.68 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 HCHG ULTRASOUND BREAST UNILATERAL COMPLETE | $356.00 | $712.00 | $103.91–$684.14 | 20% below | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG ULTRASOUND BREAST UNILATERAL COMPLETE | $356.00 | $712.00 | $256.85–$626.56 | — | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG ULTRASOUND BREAST UNILATERAL LIMITED | $280.50 | $561.00 | $85.54–$648.00 | 19% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG ULTRASOUND BREAST UNILATERAL LIMITED | $280.50 | $561.00 | $202.38–$493.68 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG CTA ABD/PEL W/WO | $1,695.50 | $3,391.00 | $357.13–$3,299.56 | 58% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG CTA ABD/PEL W/WO | $1,695.50 | $3,391.00 | $1,223.30–$2,984.08 | — | 50% |
| CT angiography (CTA) of the head CPT 70496 HCHG CTA HEAD W&W/O CONTRAST | $1,597.00 | $3,194.00 | $178.02–$2,810.72 | 33% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 HCHG CTA HEAD W&W/O CONTRAST | $1,597.00 | $3,194.00 | $1,152.24–$2,810.72 | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 HCHG CTA NECK W&W/O CONTRAST | $1,597.00 | $3,194.00 | $178.02–$2,810.72 | 33% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HCHG CTA NECK W&W/O CONTRAST | $1,597.00 | $3,194.00 | $1,152.24–$2,810.72 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST (NONCOR) W&W/O CONTRAST | $1,388.50 | $2,777.00 | $178.02–$2,443.76 | 46% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST (NONCOR) W&W/O CONTRAST | $1,388.50 | $2,777.00 | $1,001.80–$2,443.76 | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG CT ANGIO HRT W/3D IMAGE | $933.50 | $1,867.00 | $180.34–$2,717.00 | 44% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG CT ANGIO HRT W/3D IMAGE | $933.50 | $1,867.00 | $673.52–$1,642.96 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG CT HRT W/O CONTRST EVAL CORN CAL | $190.00 | $380.00 | $86.88–$1,241.00 | at median | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG CT HRT W/O CONTRST EVAL CORN CAL | $190.00 | $380.00 | $137.09–$334.40 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABDOMEN & PELVIS | $1,243.00 | $2,486.00 | $189.79–$2,647.10 | 56% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABDOMEN & PELVIS | $1,243.00 | $2,486.00 | $896.82–$2,187.68 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABDOMEN & PELVIS WITH CONTRAST | $1,973.00 | $3,946.00 | $318.09–$4,337.43 | 48% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABDOMEN & PELVIS WITH CONTRAST | $1,973.00 | $3,946.00 | $1,423.52–$3,472.48 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD & PELV W&W/O CONT 1+ REGIONS | $1,795.50 | $3,591.00 | $356.19–$4,337.43 | 53% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD & PELV W&W/O CONT 1+ REGIONS | $1,795.50 | $3,591.00 | $1,295.45–$3,160.08 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 HCHG CT ABDOMEN W/CONTRAST | $1,372.50 | $2,745.00 | $178.02–$2,415.60 | 47% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABDOMEN W/CONTRAST | $1,372.50 | $2,745.00 | $990.26–$2,415.60 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 HCHG CT ABDOMEN W/O CONTRAST | $618.00 | $1,236.00 | $106.34–$1,273.12 | 69% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABDOMEN W/O CONTRAST | $618.00 | $1,236.00 | $445.89–$1,087.68 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAX/FACIAL W/O CONTRAST | $1,062.50 | $2,125.00 | $106.34–$1,870.00 | 36% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAX/FACIAL W/O CONTRAST | $1,062.50 | $2,125.00 | $766.59–$1,870.00 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT HEAD W/O CONTRAST | $1,062.50 | $2,125.00 | $106.34–$1,870.00 | 36% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD W/O CONTRAST | $1,062.50 | $2,125.00 | $766.59–$1,870.00 | — | 50% |
| CT scan of the head with contrast CPT 70460 HCHG CT HEAD W/CONTRAST | $1,817.00 | $3,634.00 | $153.36–$3,197.92 | 8% above | 50% |
| CT scan of the head with contrast inpatient CPT 70460 HCHG CT HEAD W/CONTRAST | $1,817.00 | $3,634.00 | $1,310.97–$3,197.92 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 HCHG CT HEAD W&W/O CONTRAST | $1,551.50 | $3,103.00 | $178.02–$2,730.64 | 24% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT HEAD W&W/O CONTRAST | $1,551.50 | $3,103.00 | $1,119.41–$2,730.64 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT L-SPINE W/O CONTRAST | $923.50 | $1,847.00 | $106.34–$1,625.36 | 47% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT L-SPINE W/O CONTRAST | $923.50 | $1,847.00 | $666.31–$1,625.36 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT C-SPINE W/O CONTRAST | $803.00 | $1,606.00 | $106.34–$1,413.28 | 61% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT C-SPINE W/O CONTRAST | $803.00 | $1,606.00 | $579.36–$1,413.28 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W/CONTRAST | $1,377.50 | $2,755.00 | $178.02–$2,424.40 | 37% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W/CONTRAST | $1,377.50 | $2,755.00 | $993.87–$2,424.40 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HCHG DUPLEX EXTRACRANIAL/CAROTID BILAT | $737.50 | $1,475.00 | $191.46–$1,298.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HCHG DUPLEX EXTRACRANIAL/CAROTID BILAT | $737.50 | $1,475.00 | $532.11–$1,298.00 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HCHG CT THORAX W&W/O CONTRAST | $1,168.50 | $2,337.00 | $178.02–$2,069.84 | 56% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 HCHG CT THORAX W&W/O CONTRAST | $1,168.50 | $2,337.00 | $843.07–$2,056.56 | — | 50% |
| Chest X-ray, 2 views CPT 71046 HCHG XR CHEST 2 VIEWS | $333.50 | $667.00 | $33.75–$586.96 | 14% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST 2 VIEWS | $333.50 | $667.00 | $240.62–$586.96 | — | 50% |
| Chest X-ray, single view CPT 71045 HCHG XR CHEST 1 VIEW | $251.00 | $502.00 | $26.06–$487.16 | 23% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 HCHG XR CHEST 1 VIEW | $251.00 | $502.00 | $181.10–$441.76 | — | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HCHG XR CLAVICLE CMPL | $133.00 | $266.00 | $32.41–$487.16 | 56% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG XR CLAVICLE CMPL | $133.00 | $266.00 | $95.96–$234.08 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONEAL CMPL | $428.00 | $856.00 | $106.34–$753.28 | 38% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONEAL CMPL | $428.00 | $856.00 | $308.80–$753.28 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG XR BONE DENSITY AXIAL | $152.50 | $305.00 | $38.09–$397.00 | 62% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG XR BONE DENSITY AXIAL | $152.50 | $305.00 | $110.03–$268.40 | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG XR BONE DENSITY APPENDICULAR | $52.00 | $104.00 | $31.41–$397.00 | 76% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG XR BONE DENSITY APPENDICULAR | $52.00 | $104.00 | $37.52–$91.52 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US PREGNANCY DETAILED SINGLE | $207.50 | $415.00 | $160.61–$648.00 | 70% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG US PREGNANCY DETAILED SINGLE | $207.50 | $415.00 | $149.71–$365.20 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT THORAX W/O CONTRAST | $797.50 | $1,595.00 | $106.34–$1,403.60 | 48% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT THORAX W/O CONTRAST | $797.50 | $1,595.00 | $575.40–$1,403.60 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT CHEST W/CONTRAST | $1,374.50 | $2,749.00 | $173.08–$2,419.12 | 31% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT CHEST W/CONTRAST | $1,374.50 | $2,749.00 | $991.70–$2,419.12 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG MAMMOGRAM DIAG BILAT INCL CAD | $393.50 | $787.00 | $113.69–$734.74 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG MAMMOGRAM DIAG BILAT INCL CAD | $393.50 | $787.00 | $283.91–$692.56 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHG MAMMOGRAM DIAG UNILATERAL INCL CAD | $307.00 | $614.00 | $88.70–$574.14 | 13% above | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG MAMMOGRAM DIAG UNILATERAL INCL CAD | $307.00 | $614.00 | $221.50–$540.32 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG DUPLEX ARTERIAL LOWER EXT BILAT | $569.50 | $1,139.00 | $233.52–$1,371.69 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG DUPLEX ARTERIAL LOWER EXT BILAT | $569.50 | $1,139.00 | $410.89–$1,002.32 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG DUPLEX VENOUS EXTREMITY BILAT | $922.00 | $1,844.00 | $188.79–$1,622.72 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG DUPLEX VENOUS EXTREMITY BILAT | $922.00 | $1,844.00 | $665.22–$1,622.72 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO TTE 2D M MODE W SPEC/COLOR CMPL | $1,899.50 | $3,799.00 | $482.96–$3,343.12 | 4% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG ECHO TTE 2D M MODE W SPEC/COLOR CMPL | $1,899.50 | $3,799.00 | $1,370.49–$3,343.12 | — | 50% |
| Elbow X-ray, 2 views CPT 73070 HCHG XR ELBOW 2 VIEWS | $153.00 | $306.00 | $29.40–$487.16 | 51% below | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 HCHG XR ELBOW 2 VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HCHG XR ELBOW CMPL 3+ VIEWS | $153.00 | $306.00 | $32.75–$487.16 | 60% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HCHG XR ELBOW CMPL 3+ VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT ORB/FOS/SEL/EAR W/O CONTRAST | $923.50 | $1,847.00 | $106.34–$1,625.36 | 39% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT ORB/FOS/SEL/EAR W/O CONTRAST | $923.50 | $1,847.00 | $666.31–$1,625.36 | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG XR FACIAL BONES 3+ VIEWS | $153.00 | $306.00 | $47.11–$684.14 | 61% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG XR FACIAL BONES 3+ VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HCHG XR FOREARM 2 VIEWS | $229.00 | $458.00 | $29.40–$487.16 | 39% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HCHG XR FOREARM 2 VIEWS | $229.00 | $458.00 | $165.22–$403.04 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG HEPATOBILIARY IMAGING | $1,086.50 | $2,173.00 | $303.06–$1,912.24 | 32% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG HEPATOBILIARY IMAGING | $1,086.50 | $2,173.00 | $783.91–$1,912.24 | — | 50% |
| Hand X-ray, 2 views CPT 73120 HCHG XR HAND 2V | $176.50 | $353.00 | $31.41–$684.14 | 44% below | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 HCHG XR HAND 2V | $176.50 | $353.00 | $127.34–$310.64 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HCHG XR CALCANEUS 2+ VIEWS | $260.00 | $520.00 | $28.74–$487.16 | 9% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG XR CALCANEUS 2+ VIEWS | $260.00 | $520.00 | $187.59–$457.60 | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG SLEEP STUDY UNATTENDED | $531.50 | $1,063.00 | $153.56–$1,639.00 | 22% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG SLEEP STUDY UNATTENDED | $531.50 | $1,063.00 | $383.48–$935.44 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG PSG 4+ PARAMETERS W/CPAP | $2,035.50 | $4,071.00 | $588.10–$3,990.00 | 52% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG PSG 4+ PARAMETERS W/CPAP | $2,035.50 | $4,071.00 | $1,468.61–$3,582.48 | — | 50% |
| Knee X-ray, 3 views CPT 73562 HCHG XR KNEE 3 VIEWS | $226.50 | $453.00 | $40.76–$487.16 | 40% below | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 HCHG XR KNEE 3 VIEWS | $226.50 | $453.00 | $163.42–$398.64 | — | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 HCHG XR KNEE CMPL 4+ VIEWS | $306.00 | $612.00 | $46.78–$684.14 | 28% below | 50% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HCHG XR KNEE CMPL 4+ VIEWS | $306.00 | $612.00 | $220.78–$538.56 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HCHG CT LWR EXT W/O CONTRAST | $710.50 | $1,421.00 | $106.34–$1,273.12 | 58% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HCHG CT LWR EXT W/O CONTRAST | $710.50 | $1,421.00 | $512.63–$1,250.48 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG US ABDOMEN LTD | $435.50 | $871.00 | $88.55–$766.48 | 28% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG US ABDOMEN LTD | $435.50 | $871.00 | $314.21–$766.48 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HCHG US EXTREMITY NON VASCULAR LIMITED | $221.50 | $443.00 | $30.35–$684.14 | 45% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HCHG US EXTREMITY NON VASCULAR LIMITED | $221.50 | $443.00 | $159.81–$389.84 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT THORAX LOW DOSE CA SCREEN WO CONTRAST | $151.50 | $303.00 | $106.34–$1,241.00 | 37% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT THORAX LOW DOSE CA SCREEN WO CONTRAST | $151.50 | $303.00 | $109.31–$266.64 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HCHG XR TIBIA/FIBULA 2 VIEWS | $153.00 | $306.00 | $31.74–$487.16 | 56% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG XR TIBIA/FIBULA 2 VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HCHG MRA HEAD W/O CONT | $1,657.00 | $3,314.00 | $224.54–$2,916.32 | 9% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG MRA HEAD W/O CONT | $1,657.00 | $3,314.00 | $1,195.53–$2,916.32 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HCHG MRI BREAST WWO CONT W/CAD BILAT | $1,768.00 | $3,536.00 | $510.81–$3,328.19 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HCHG MRI BREAST WWO CONT W/CAD BILAT | $1,768.00 | $3,536.00 | $1,275.61–$3,111.68 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG MRI LWR EXT JOINT W/O CONT | $1,384.50 | $2,769.00 | $210.84–$2,647.10 | 37% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG MRI LWR EXT JOINT W/O CONT | $1,384.50 | $2,769.00 | $998.92–$2,436.72 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG MRI LWR EXT JOINT W&W/O CONT | $2,243.00 | $4,486.00 | $357.13–$4,337.43 | 25% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG MRI LWR EXT JOINT W&W/O CONT | $2,243.00 | $4,486.00 | $1,618.32–$3,947.68 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN W/O CONT | $1,563.50 | $3,127.00 | $204.83–$2,751.76 | 29% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN W/O CONT | $1,563.50 | $3,127.00 | $1,128.07–$2,751.76 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W&W/O CONT | $1,954.00 | $3,908.00 | $354.51–$4,337.43 | 36% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W&W/O CONT | $1,954.00 | $3,908.00 | $1,409.81–$3,439.04 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN W/O CONTRAST | $1,602.50 | $3,205.00 | $204.15–$2,820.40 | 15% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN W/O CONTRAST | $1,602.50 | $3,205.00 | $1,156.20–$2,820.40 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN W/WO CONTRAST | $2,584.50 | $5,169.00 | $332.80–$4,548.72 | 9% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W/WO CONTRAST | $2,584.50 | $5,169.00 | $1,864.72–$4,548.72 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG MRI L-SPINE W/O CONT | $1,423.00 | $2,846.00 | $199.14–$2,647.10 | 35% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI L-SPINE W/O CONT | $1,423.00 | $2,846.00 | $1,026.69–$2,504.48 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI L-SPINE W&W/O CONT | $1,779.00 | $3,558.00 | $333.80–$4,337.43 | 44% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI L-SPINE W&W/O CONT | $1,779.00 | $3,558.00 | $1,283.55–$3,131.04 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI T-SPINE W/O CONT | $1,811.00 | $3,622.00 | $198.48–$3,187.36 | 11% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI T-SPINE W/O CONT | $1,811.00 | $3,622.00 | $1,306.64–$3,187.36 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI C-SPINE W&W/O CONT | $2,248.00 | $4,496.00 | $334.46–$4,337.43 | 31% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI C-SPINE W&W/O CONT | $2,248.00 | $4,496.00 | $1,621.93–$3,956.48 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI C-SPINE W/O CONT | $1,798.50 | $3,597.00 | $198.48–$3,165.36 | 21% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI C-SPINE W/O CONT | $1,798.50 | $3,597.00 | $1,297.62–$3,165.36 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W&W/O CONT | $2,054.50 | $4,109.00 | $353.18–$4,337.43 | 35% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W&W/O CONT | $2,054.50 | $4,109.00 | $1,482.32–$3,615.92 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS W/O CONT | $1,274.50 | $2,549.00 | $233.52–$2,647.10 | 46% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS W/O CONT | $1,274.50 | $2,549.00 | $919.55–$2,243.12 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HCHG MRI UPR EXT JOINT W/O CONT | $1,094.00 | $2,188.00 | $211.18–$2,647.10 | 39% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HCHG MRI UPR EXT JOINT W/O CONT | $1,094.00 | $2,188.00 | $789.32–$1,925.44 | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG XR C-SPINE 4 OR 5 VIEWS | $306.50 | $613.00 | $53.46–$684.14 | 44% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG XR C-SPINE 4 OR 5 VIEWS | $306.50 | $613.00 | $221.14–$539.44 | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HCHG CT NECK W/CONTRAST | $1,818.50 | $3,637.00 | $178.02–$3,200.56 | 8% below | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG CT NECK W/CONTRAST | $1,818.50 | $3,637.00 | $1,312.05–$3,200.56 | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HCHG CT NECK W/O CONTRAST | $818.50 | $1,637.00 | $106.34–$1,440.56 | 47% below | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG CT NECK W/O CONTRAST | $818.50 | $1,637.00 | $590.55–$1,440.56 | — | 50% |
| Neck soft tissue X-ray CPT 70360 HCHG XR NECK SOFT TISSUE | $160.50 | $321.00 | $31.74–$487.16 | 32% below | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 HCHG XR NECK SOFT TISSUE | $160.50 | $321.00 | $115.80–$282.48 | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG NM MYOCARD PERF MULTI SPECT | $1,775.00 | $3,550.00 | $438.05–$3,124.00 | 57% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG NM MYOCARD PERF MULTI SPECT | $1,775.00 | $3,550.00 | $1,280.66–$3,124.00 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HCHG PET CT TUMOR SKULL TO MID-THIGH | $6,108.50 | $12,217.00 | $1,458.59–$15,625.55 | 42% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HCHG PET CT TUMOR SKULL TO MID-THIGH | $6,108.50 | $12,217.00 | $4,407.28–$10,750.96 | — | 50% |
| Pelvic CT scan without contrast CPT 72192 HCHG CT PELVIS W/O CONTRAST | $617.50 | $1,235.00 | $106.34–$1,273.12 | 62% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 HCHG CT PELVIS W/O CONTRAST | $617.50 | $1,235.00 | $445.53–$1,086.80 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US PELVIS NON OB LTD | $328.00 | $656.00 | $50.79–$684.14 | 32% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG US PELVIS NON OB LTD | $328.00 | $656.00 | $236.65–$577.28 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELVIS NON OB | $495.50 | $991.00 | $96.28–$872.08 | 35% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELVIS NON OB | $495.50 | $991.00 | $357.50–$872.08 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US PREGNANCY >14 WEEKS SINGLE | $392.50 | $785.00 | $106.34–$690.80 | 35% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US PREGNANCY >14 WEEKS SINGLE | $392.50 | $785.00 | $283.19–$690.80 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG US PREGNANCY <14 WEEKS SINGLE | $311.50 | $623.00 | $106.34–$648.00 | 47% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG US PREGNANCY <14 WEEKS SINGLE | $311.50 | $623.00 | $224.75–$548.24 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US PREGNANCY LTD | $233.00 | $466.00 | $81.86–$684.14 | 49% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US PREGNANCY LTD | $233.00 | $466.00 | $168.11–$410.08 | — | 50% |
| Rib X-ray, one side, 2 views CPT 71100 HCHG XR RIBS 2 VIEWS UNI | $150.50 | $301.00 | $37.09–$487.16 | 50% below | 50% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 HCHG XR RIBS 2 VIEWS UNI | $150.50 | $301.00 | $108.59–$264.88 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HCHG XR RIBS W/CXR 3+ VIEWS UNI | $231.50 | $463.00 | $42.44–$684.14 | 41% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HCHG XR RIBS W/CXR 3+ VIEWS UNI | $231.50 | $463.00 | $167.03–$407.44 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG MAMMOGRAM SCRN BILAT INCL CAD | $260.00 | $520.00 | $75.12–$607.16 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG MAMMOGRAM SCRN BILAT INCL CAD | $260.00 | $520.00 | $187.59–$457.60 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HCHG XR SHOULDER CMP 2+ VIEWS | $173.00 | $346.00 | $34.75–$487.16 | 47% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HCHG XR SHOULDER CMP 2+ VIEWS | $173.00 | $346.00 | $124.82–$304.48 | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HCHG XR SINUSES 3+ VIEWS | $153.00 | $306.00 | $37.76–$487.16 | 63% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG XR SINUSES 3+ VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HCHG XR SKULL LTD <4 VIEWS | $229.00 | $458.00 | $36.09–$684.14 | 28% below | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG XR SKULL LTD <4 VIEWS | $229.00 | $458.00 | $165.22–$403.04 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG PSG 4+ PARAMETERS | $1,587.50 | $3,175.00 | $458.66–$3,990.00 | 62% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG PSG 4+ PARAMETERS | $1,587.50 | $3,175.00 | $1,145.38–$2,794.00 | — | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HCHG ECHO TTE STRESS MD/QHP SUPV | $1,345.00 | $2,690.00 | $388.60–$2,367.20 | 50% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HCHG ECHO TTE STRESS MD/QHP SUPV | $1,345.00 | $2,690.00 | $970.42–$2,367.20 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG XR SWALLOW EXAM CINE/VIDEO SNGL CONTR | $295.00 | $590.00 | $127.64–$1,112.27 | 51% below | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG XR SWALLOW EXAM CINE/VIDEO SNGL CONTR | $295.00 | $590.00 | $212.84–$519.20 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG XR OF FEMUR 2/> | $247.00 | $494.00 | $35.75–$487.16 | 24% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG XR OF FEMUR 2/> | $247.00 | $494.00 | $178.21–$434.72 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG CT T-SPINE W/O CONTRAST | $923.50 | $1,847.00 | $106.34–$1,625.36 | 51% below | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG CT T-SPINE W/O CONTRAST | $923.50 | $1,847.00 | $666.31–$1,625.36 | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 HCHG XR TOE(S) 2+ VIEWS | $160.00 | $320.00 | $29.40–$487.16 | 41% below | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HCHG XR TOE(S) 2+ VIEWS | $160.00 | $320.00 | $115.44–$281.60 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANSVAGINAL NON OB | $217.00 | $434.00 | $106.34–$648.00 | 64% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANSVAGINAL NON OB | $217.00 | $434.00 | $156.57–$381.92 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HCHG US PREGNANCY TRANSVAGINAL | $259.00 | $518.00 | $93.23–$684.14 | 49% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG US PREGNANCY TRANSVAGINAL | $259.00 | $518.00 | $186.87–$455.84 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG US ABDOMEN CMPL | $435.50 | $871.00 | $106.34–$766.48 | 45% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN CMPL | $435.50 | $871.00 | $314.21–$766.48 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HCHG US SCROTUM | $491.00 | $982.00 | $101.58–$864.16 | 20% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US SCROTUM | $491.00 | $982.00 | $354.26–$864.16 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US SOFT TISSUE HEAD/NECK | $440.50 | $881.00 | $106.34–$775.28 | 30% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US SOFT TISSUE HEAD/NECK | $440.50 | $881.00 | $317.82–$775.28 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG XR UGI W/O KUB | $252.00 | $504.00 | $124.96–$1,112.27 | 65% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG XR UGI W/O KUB | $252.00 | $504.00 | $181.82–$443.52 | — | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HCHG XR HUMERUS 2+ VIEWS | $181.00 | $362.00 | $32.41–$487.16 | 48% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HCHG XR HUMERUS 2+ VIEWS | $181.00 | $362.00 | $130.59–$318.56 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG DUPLEX SCAN EXT VEIN UNILAT/LTD | $590.00 | $1,180.00 | $106.34–$1,038.40 | 25% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG DUPLEX SCAN EXT VEIN UNILAT/LTD | $590.00 | $1,180.00 | $425.69–$1,038.40 | — | 50% |
| Wrist X-ray, 2 views CPT 73100 HCHG XR WRIST 2 VIEWS | $153.00 | $306.00 | $34.09–$487.16 | 48% below | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 HCHG XR WRIST 2 VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HCHG XR WRIST CMPL 3+ VIEWS | $153.00 | $306.00 | $41.10–$487.16 | 59% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG XR WRIST CMPL 3+ VIEWS | $153.00 | $306.00 | $110.39–$269.28 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HCHG XR HIP UNI 2-3 VIEWS | $256.50 | $513.00 | $47.11–$487.16 | 30% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HCHG XR HIP UNI 2-3 VIEWS | $256.50 | $513.00 | $185.06–$451.44 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HCHG XR ABDOMEN 1 VIEW | $179.00 | $358.00 | $30.08–$487.16 | 47% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG XR ABDOMEN 1 VIEW | $179.00 | $358.00 | $129.15–$315.04 | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 HCHG XR ANKLE 2 VIEWS | $153.50 | $307.00 | $32.75–$487.16 | 49% below | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HCHG XR ANKLE 2 VIEWS | $153.50 | $307.00 | $110.75–$270.16 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG XR FINGER(S) 2+ VIEWS | $176.00 | $352.00 | $38.09–$487.16 | 27% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG XR FINGER(S) 2+ VIEWS | $176.00 | $352.00 | $126.98–$309.76 | — | 50% |
| X-ray of the foot, 2 views CPT 73620 HCHG XR FOOT 2 VIEWS | $176.50 | $353.00 | $28.40–$487.16 | 47% below | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 HCHG XR FOOT 2 VIEWS | $176.50 | $353.00 | $127.34–$310.64 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HCHG XR FOOT CMPL 3+ VIEWS | $259.50 | $519.00 | $34.41–$487.16 | 30% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HCHG XR FOOT CMPL 3+ VIEWS | $259.50 | $519.00 | $187.23–$456.72 | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HCHG XR HAND CMP 3+V | $229.00 | $458.00 | $37.09–$487.16 | 40% below | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HCHG XR HAND CMP 3+V | $229.00 | $458.00 | $165.22–$403.04 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HCHG XR KNEE 1-2 VIEWS | $198.50 | $397.00 | $34.41–$487.16 | 33% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HCHG XR KNEE 1-2 VIEWS | $198.50 | $397.00 | $143.22–$349.36 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG XR L-SPINE 2-3 VIEWS | $248.50 | $497.00 | $40.10–$684.14 | 44% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG XR L-SPINE 2-3 VIEWS | $248.50 | $497.00 | $179.29–$437.36 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG XR L-SPINE 4+ VIEWS | $235.00 | $470.00 | $51.45–$684.14 | 58% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG XR L-SPINE 4+ VIEWS | $235.00 | $470.00 | $169.55–$413.60 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG XR T-SPINE 2 VIEWS | $199.00 | $398.00 | $33.08–$684.14 | 51% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG XR T-SPINE 2 VIEWS | $199.00 | $398.00 | $143.58–$350.24 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HCHG XR NASAL CMPL 3+ VIEWS | $99.50 | $199.00 | $38.43–$487.16 | 64% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG XR NASAL CMPL 3+ VIEWS | $99.50 | $199.00 | $71.79–$175.12 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG XR C-SPINE 3 VIEWS OR LESS | $199.00 | $398.00 | $39.76–$487.16 | 45% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR C-SPINE 3 VIEWS OR LESS | $199.00 | $398.00 | $143.58–$350.24 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG XR PELVIS 1-2 VIEWS | $199.00 | $398.00 | $28.06–$684.14 | 37% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG XR PELVIS 1-2 VIEWS | $199.00 | $398.00 | $143.58–$350.24 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG XR SACRUM/COCCYX 2+ VIEWS | $176.00 | $352.00 | $32.75–$487.16 | 43% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG XR SACRUM/COCCYX 2+ VIEWS | $176.00 | $352.00 | $126.98–$309.76 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HCHG ADRENOCORTICOTROPIC (ACTH) | $142.00 | $284.00 | $32.44–$348.08 | 33% below | 50% |
| ACTH blood test inpatient CPT 82024 HCHG ADRENOCORTICOTROPIC (ACTH) | $142.00 | $284.00 | $102.45–$249.92 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG ALT/SGPT | $36.50 | $73.00 | $4.45–$64.24 | 29% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG ALT/SGPT | $36.50 | $73.00 | $26.33–$64.24 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG AST/SGOT | $39.50 | $79.00 | $4.35–$69.52 | 23% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG AST/SGOT | $39.50 | $79.00 | $28.50–$69.52 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG ACUTE HEPATITIS PANEL | $328.00 | $656.00 | $40.01–$577.28 | 14% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG ACUTE HEPATITIS PANEL | $328.00 | $656.00 | $236.65–$577.28 | — | 50% |
| Albumin blood test CPT 82040 HCHG ALBUMIN | $33.00 | $66.00 | $4.16–$58.08 | 11% below | 50% |
| Albumin blood test inpatient CPT 82040 HCHG ALBUMIN | $33.00 | $66.00 | $23.81–$58.08 | — | 50% |
| Aldosterone blood test CPT 82088 HCHG ALDOSTERONE | $150.00 | $300.00 | $34.23–$367.28 | 15% above | 50% |
| Aldosterone blood test inpatient CPT 82088 HCHG ALDOSTERONE | $150.00 | $300.00 | $108.23–$264.00 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HCHG PHOSPHATASE ALKALINE | $46.00 | $92.00 | $4.35–$80.96 | 6% below | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG PHOSPHATASE ALKALINE | $46.00 | $92.00 | $33.19–$80.96 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG RAST ALLERGEN IGE QN SQ EA | $77.00 | $154.00 | $4.38–$135.52 | 221% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG RAST ALLERGEN IGE QN SQ EA | $77.00 | $154.00 | $55.56–$135.52 | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG ALPHA FETOPROTEIN SERUM | $108.00 | $216.00 | $14.09–$190.08 | 9% below | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG ALPHA FETOPROTEIN SERUM | $108.00 | $216.00 | $77.92–$190.08 | — | 50% |
| Ammonia blood test CPT 82140 HCHG AMMONIA | $125.00 | $250.00 | $12.24–$220.00 | 12% below | 50% |
| Ammonia blood test inpatient CPT 82140 HCHG AMMONIA | $125.00 | $250.00 | $90.19–$220.00 | — | 50% |
| Amylase blood test CPT 82150 HCHG AMYLASE | $51.00 | $102.00 | $5.44–$89.76 | 33% below | 50% |
| Amylase blood test inpatient CPT 82150 HCHG AMYLASE | $51.00 | $102.00 | $36.80–$89.76 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CYCLIC CITRULLI PEPT (CCP) ANTIBODY | $48.00 | $96.00 | $10.88–$116.72 | 9% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HCHG CYCLIC CITRULLI PEPT (CCP) ANTIBODY | $48.00 | $96.00 | $34.63–$84.48 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANTINUCLEAR ANTIBODIES (ANA) SCREEN | $90.50 | $181.00 | $10.16–$159.28 | 18% above | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG ANTINUCLEAR ANTIBODIES (ANA) SCREEN | $90.50 | $181.00 | $65.30–$159.28 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG NATRIURETIC PEPTIDE | $167.00 | $334.00 | $32.98–$353.85 | 7% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG NATRIURETIC PEPTIDE | $167.00 | $334.00 | $120.49–$293.92 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE ROUTINE | $66.00 | $132.00 | $7.24–$116.16 | 1% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE ROUTINE | $66.00 | $132.00 | $47.62–$116.16 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL | $68.50 | $137.00 | $7.11–$120.56 | 67% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL | $68.50 | $137.00 | $49.42–$120.56 | — | 50% |
| Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN TOTAL | $118.00 | $236.00 | $4.22–$207.68 | 107% above | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN TOTAL | $118.00 | $236.00 | $85.14–$207.68 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG GROSS & MICRO LEVEL IV | $161.00 | $322.00 | $46.52–$445.87 | 46% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG GROSS & MICRO LEVEL IV | $161.00 | $322.00 | $116.16–$283.36 | — | 50% |
| Blood culture for bacteria CPT 87040 HCHG CULTURE BLOOD | $66.50 | $133.00 | $8.67–$117.04 | 67% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 HCHG CULTURE BLOOD | $66.50 | $133.00 | $47.98–$117.04 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE | $16.00 | $32.00 | $3.00–$28.16 | 12% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 KIT AORTIC VALVE COMMANDER SAPIEN 3 ATRION 29 MM 14 FR THV | $60,125.00 | $120,250.00 | $3.00–$105,820.00 | 332266% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE | $16.00 | $32.00 | $11.54–$28.16 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 KIT AORTIC VALVE COMMANDER SAPIEN 3 ATRION 29 MM 14 FR THV | $60,125.00 | $120,250.00 | $43,380.19–$105,820.00 | — | 50% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE BLOOD | $35.50 | $71.00 | $3.30–$62.48 | 15% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE BLOOD | $35.50 | $71.00 | $25.61–$62.48 | — | 50% |
| Blood lead test CPT 83655 HCHG LEAD | $62.50 | $125.00 | $10.17–$110.00 | 34% above | 50% |
| Blood lead test inpatient CPT 83655 HCHG LEAD | $62.50 | $125.00 | $45.09–$110.00 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG HCG QL | $68.50 | $137.00 | $6.32–$120.56 | 50% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG HCG QL | $68.50 | $137.00 | $49.42–$120.56 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG BLOOD TYPING SEROLOGIC ABO | $166.00 | $332.00 | $2.51–$982.69 | 88% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG BLOOD TYPING SEROLOGIC ABO | $166.00 | $332.00 | $119.77–$292.16 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HCHG UREA NITROGEN QUANTITATIVE | $21.00 | $42.00 | $3.32–$36.96 | 61% below | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG UREA NITROGEN QUANTITATIVE | $21.00 | $42.00 | $15.15–$36.96 | — | 50% |
| C-peptide blood test CPT 84681 HCHG C-PEPTIDE | $84.50 | $169.00 | $17.48–$187.56 | 16% above | 50% |
| C-peptide blood test inpatient CPT 84681 HCHG C-PEPTIDE | $84.50 | $169.00 | $60.97–$148.72 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG C-REACTIVE PROTEIN | $289.00 | $578.00 | $4.35–$508.64 | 467% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG C-REACTIVE PROTEIN | $289.00 | $578.00 | $208.51–$508.64 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HCHG C DIFFICILE PCR | $175.00 | $350.00 | $31.31–$335.91 | at median | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG C DIFFICILE PCR | $175.00 | $350.00 | $126.26–$308.00 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HCHG IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $117.00 | $234.00 | $17.48–$205.92 | 12% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $117.00 | $234.00 | $84.42–$205.92 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG IMMUNOASSAY TUMOR ANTIGEN CA 125 | $133.50 | $267.00 | $17.48–$234.96 | 12% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG IMMUNOASSAY TUMOR ANTIGEN CA 125 | $133.50 | $267.00 | $96.32–$234.96 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG COVID-19 SARS-COV-2 AMP PRB | $88.50 | $177.00 | $47.21–$462.46 | 1% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG COVID-19 SARS-COV-2 AMP PRB | $88.50 | $177.00 | $63.85–$155.76 | — | 50% |
| Calcium blood test, total CPT 82310 HCHG CALCIUM TOTAL | $24.00 | $48.00 | $4.33–$46.51 | 59% below | 50% |
| Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM TOTAL | $24.00 | $48.00 | $17.32–$42.24 | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CARCINOEMBRYONIC ANTIGEN (CEA) | $151.00 | $302.00 | $15.93–$265.76 | 13% above | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CARCINOEMBRYONIC ANTIGEN (CEA) | $151.00 | $302.00 | $108.95–$265.76 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HCHG VARICELLA-ZOSTER ANTIBODY | $64.00 | $128.00 | $10.82–$116.09 | 2% above | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VARICELLA-ZOSTER ANTIBODY | $64.00 | $128.00 | $46.18–$112.64 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG NUCLEIC ACID AMP CHLAMYDIA TRACH | $169.00 | $338.00 | $29.48–$316.27 | 36% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG NUCLEIC ACID AMP CHLAMYDIA TRACH | $169.00 | $338.00 | $121.93–$297.44 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL | $71.00 | $142.00 | $11.25–$124.96 | 52% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL | $71.00 | $142.00 | $51.23–$124.96 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 HCHG BLOOD COUNT CBC AUTO W/AUTO DIFF | $59.50 | $119.00 | $6.53–$104.72 | 35% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG BLOOD COUNT CBC AUTO W/AUTO DIFF | $59.50 | $119.00 | $42.93–$104.72 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HCHG BLOOD COUNT CBC AUTO W/O DIFF | $55.00 | $110.00 | $5.43–$96.80 | 41% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG BLOOD COUNT CBC AUTO W/O DIFF | $55.00 | $110.00 | $39.68–$96.80 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $76.00 | $152.00 | $8.87–$133.76 | 70% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $76.00 | $152.00 | $54.83–$133.76 | — | 50% |
| Cortisol blood test, total CPT 82533 HCHG CORTISOL TOTAL | $121.00 | $242.00 | $13.69–$212.96 | 45% above | 50% |
| Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL TOTAL | $121.00 | $242.00 | $87.30–$212.96 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HCHG CREATINE KINASE (CPK) TOTAL | $57.50 | $115.00 | $5.47–$101.20 | 10% below | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CREATINE KINASE (CPK) TOTAL | $57.50 | $115.00 | $41.49–$101.20 | — | 50% |
| Creatinine blood test CPT 82565 HCHG CREATININE | $34.00 | $68.00 | $4.30–$59.84 | 37% below | 50% |
| Creatinine blood test inpatient CPT 82565 HCHG CREATININE | $34.00 | $68.00 | $24.53–$59.84 | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CYTOMEGALOVIRUS (CMV) ANTIBODY | $82.50 | $165.00 | $12.09–$145.20 | 10% above | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CYTOMEGALOVIRUS (CMV) ANTIBODY | $82.50 | $165.00 | $59.52–$145.20 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HCHG FIBRIN DEGRADATION D-DIMER QN | $88.00 | $176.00 | $8.55–$154.88 | 48% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG FIBRIN DEGRADATION D-DIMER QN | $88.00 | $176.00 | $63.49–$154.88 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DHEA-S | $82.00 | $164.00 | $18.67–$200.36 | 46% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG DHEA-S | $82.00 | $164.00 | $59.16–$144.32 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG TEST PRESUMPTIVE CHEMISTRY ANALYZERS | $297.00 | $594.00 | $52.20–$560.07 | 378% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG TEST PRESUMPTIVE CHEMISTRY ANALYZERS | $297.00 | $594.00 | $214.29–$522.72 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG ELECTROLYTE PANEL | $56.50 | $113.00 | $5.89–$99.44 | 65% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG ELECTROLYTE PANEL | $56.50 | $113.00 | $40.76–$99.44 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EPSTEIN-BARR VCA AG ANTIBODY | $64.00 | $128.00 | $15.24–$163.50 | 26% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EPSTEIN-BARR VCA AG ANTIBODY | $64.00 | $128.00 | $46.18–$112.64 | — | 50% |
| Estradiol blood test CPT 82670 HCHG ESTRADIOL | $122.00 | $244.00 | $23.47–$251.82 | 2% below | 50% |
| Estradiol blood test inpatient CPT 82670 HCHG ESTRADIOL | $122.00 | $244.00 | $88.02–$214.72 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HCHG FOLLICLE STIMULATING HORMONE (FSH) | $98.50 | $197.00 | $15.61–$173.36 | 37% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG FOLLICLE STIMULATING HORMONE (FSH) | $98.50 | $197.00 | $71.07–$173.36 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HCHG CALPROTECTIN | $111.50 | $223.00 | $16.49–$196.24 | 48% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HCHG CALPROTECTIN | $111.50 | $223.00 | $80.45–$196.24 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN | $79.50 | $159.00 | $11.45–$139.92 | 5% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HCHG FERRITIN | $79.50 | $159.00 | $57.36–$139.92 | — | 50% |
| Fibrinogen blood test CPT 85384 HCHG FIBRINOGEN ACTIVITY | $75.50 | $151.00 | $8.16–$132.88 | 13% below | 50% |
| Fibrinogen blood test inpatient CPT 85384 HCHG FIBRINOGEN ACTIVITY | $75.50 | $151.00 | $54.47–$132.88 | — | 50% |
| Folate (folic acid) blood test CPT 82746 HCHG FOLIC ACID | $101.50 | $203.00 | $12.35–$178.64 | 27% above | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 HCHG FOLIC ACID | $101.50 | $203.00 | $73.23–$178.64 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HCHG TRIIODOTHYRONINE (T-3) FREE | $84.00 | $168.00 | $14.23–$152.68 | 40% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HCHG TRIIODOTHYRONINE (T-3) FREE | $84.00 | $168.00 | $60.61–$147.84 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG THYROXINE (T-4) FREE | $68.50 | $137.00 | $7.58–$120.56 | 9% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG THYROXINE (T-4) FREE | $68.50 | $137.00 | $49.42–$120.56 | — | 50% |
| Free testosterone test CPT 84402 HCHG TESTOSTERONE FREE | $103.00 | $206.00 | $21.39–$229.56 | 3% below | 50% |
| Free testosterone test inpatient CPT 84402 HCHG TESTOSTERONE FREE | $103.00 | $206.00 | $74.31–$181.28 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG GGT/GGTP | $124.00 | $248.00 | $6.05–$218.24 | 111% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG GGT/GGTP | $124.00 | $248.00 | $89.47–$218.24 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HCHG GENERAL HEALTH PANEL | $159.00 | $318.00 | $45.94–$318.34 | 64% below | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HCHG GENERAL HEALTH PANEL | $159.00 | $318.00 | $114.72–$279.84 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 1 HR PP | $28.00 | $56.00 | $3.99–$49.28 | 64% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 1 HR PP | $28.00 | $56.00 | $20.20–$49.28 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOLERANCE 1ST 3 SPECIMEN | $85.50 | $171.00 | $10.81–$150.48 | 44% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOLERANCE 1ST 3 SPECIMEN | $85.50 | $171.00 | $61.69–$150.48 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG NUCLEIC ACID AMP N GONORRHOEAE | $145.50 | $291.00 | $29.48–$316.27 | 12% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG NUCLEIC ACID AMP N GONORRHOEAE | $145.50 | $291.00 | $104.98–$256.08 | — | 50% |
| H. pylori antibody blood test CPT 86677 HCHG HELICOBACTER PYLORI ANTIBODY | $53.50 | $107.00 | $14.15–$151.87 | 58% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HCHG HELICOBACTER PYLORI ANTIBODY | $53.50 | $107.00 | $38.60–$94.16 | — | 50% |
| H. pylori stool antigen test CPT 87338 HCHG EIA QL H PYLORI ANTIGEN STOOL | $68.00 | $136.00 | $12.08–$129.61 | 21% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HCHG EIA QL H PYLORI ANTIGEN STOOL | $68.00 | $136.00 | $49.06–$119.68 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG NUCLEIC ACID QN HIV-1 | $289.00 | $578.00 | $71.48–$767.01 | 5% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG NUCLEIC ACID QN HIV-1 | $289.00 | $578.00 | $208.51–$508.64 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV-1/HIV-2 ANTIBODY SINGLE ASSAY | $43.00 | $86.00 | $11.52–$123.57 | 47% below | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG HIV-1/HIV-2 ANTIBODY SINGLE ASSAY | $43.00 | $86.00 | $31.02–$75.68 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV COMBO | $138.50 | $277.00 | $20.23–$243.76 | 2% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV COMBO | $138.50 | $277.00 | $99.93–$243.76 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HCHG INFECTIOUS AGENT DETECT DNA/RNA HPV HIGH-RISK TYPES | $175.00 | $350.00 | $29.48–$316.27 | 147% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HCHG INFECTIOUS AGENT DETECT DNA/RNA HPV HIGH-RISK TYPES | $175.00 | $350.00 | $126.26–$308.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG HGB A1C BLOOD TEST | $63.50 | $127.00 | $8.16–$111.76 | 25% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG HGB A1C BLOOD TEST | $63.50 | $127.00 | $45.82–$111.76 | — | 50% |
| Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN HEMOCUE | $23.00 | $46.00 | $1.99–$40.48 | 47% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN HEMOCUE | $23.00 | $46.00 | $16.59–$40.48 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HCHG HEPATITIS B CORE ANTIBODY TOTAL | $90.50 | $181.00 | $10.12–$159.28 | 24% above | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG HEPATITIS B CORE ANTIBODY TOTAL | $90.50 | $181.00 | $65.30–$159.28 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG HEPATITIS B SURFACE ANTIBODY | $80.50 | $161.00 | $9.02–$141.68 | 26% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG HEPATITIS B SURFACE ANTIBODY | $80.50 | $161.00 | $58.08–$141.68 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG EIA QL HEPATITIS B AG | $59.50 | $119.00 | $8.68–$104.72 | 15% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG EIA QL HEPATITIS B AG | $59.50 | $119.00 | $42.93–$104.72 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C ANTIBODY | $202.00 | $404.00 | $11.99–$355.52 | 134% above | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG HEPATITIS C ANTIBODY | $202.00 | $404.00 | $145.74–$355.52 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG NUCLEIC ACID QN HEPATITIS C | $205.00 | $410.00 | $35.99–$386.12 | 15% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG NUCLEIC ACID QN HEPATITIS C | $205.00 | $410.00 | $147.91–$360.80 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HCHG HERPES SIMPLEX TYPE I ANTIBODY | $59.00 | $118.00 | $11.08–$118.88 | 18% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG HERPES SIMPLEX TYPE I ANTIBODY | $59.00 | $118.00 | $42.57–$103.84 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HCHG HERPES SIMPLEX TYPE II ANTIBODY | $79.00 | $158.00 | $16.25–$174.40 | 5% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG HERPES SIMPLEX TYPE II ANTIBODY | $79.00 | $158.00 | $57.00–$139.04 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY | $64.50 | $129.00 | $10.88–$116.72 | 18% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY | $64.50 | $129.00 | $46.54–$113.52 | — | 50% |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTINE | $83.50 | $167.00 | $15.05–$161.51 | 44% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTINE | $83.50 | $167.00 | $60.25–$146.96 | — | 50% |
| Insulin blood test CPT 83525 HCHG INSULIN TOTAL | $42.00 | $84.00 | $9.60–$103.02 | 39% below | 50% |
| Insulin blood test inpatient CPT 83525 HCHG INSULIN TOTAL | $42.00 | $84.00 | $30.30–$73.92 | — | 50% |
| Iron blood test (serum iron) CPT 83540 HCHG IRON | $45.50 | $91.00 | $5.43–$80.08 | 36% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON | $45.50 | $91.00 | $32.83–$80.08 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HCHG IRON BINDING CAPACITY | $57.50 | $115.00 | $7.34–$101.20 | 36% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG IRON BINDING CAPACITY | $57.50 | $115.00 | $41.49–$101.20 | — | 50% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL | $69.50 | $139.00 | $7.29–$122.32 | 61% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL | $69.50 | $139.00 | $50.14–$122.32 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HCHG LUTEINIZING HORMONE (LH) | $104.00 | $208.00 | $15.56–$183.04 | 26% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HCHG LUTEINIZING HORMONE (LH) | $104.00 | $208.00 | $75.04–$183.04 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 HCHG LACTATE/LACTIC ACID | $71.50 | $143.00 | $9.72–$125.84 | 25% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTATE/LACTIC ACID | $71.50 | $143.00 | $51.59–$125.84 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LACTATE DEHYDROGENASE (LDH) | $46.50 | $93.00 | $5.07–$81.84 | 4% above | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LACTATE DEHYDROGENASE (LDH) | $46.50 | $93.00 | $33.55–$81.84 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE | $36.50 | $73.00 | $5.79–$64.24 | 45% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE | $36.50 | $73.00 | $26.33–$64.24 | — | 50% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL | $58.00 | $116.00 | $6.86–$102.08 | 70% below | 50% |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL | $58.00 | $116.00 | $41.85–$102.08 | — | 50% |
| Lyme disease antibody test CPT 86618 HCHG LYME DISEASE ANTIBODY | $52.50 | $105.00 | $14.31–$153.49 | 37% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 HCHG LYME DISEASE ANTIBODY | $52.50 | $105.00 | $37.88–$92.40 | — | 50% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM | $46.00 | $92.00 | $5.63–$80.96 | 5% above | 50% |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM | $46.00 | $92.00 | $33.19–$80.96 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 HCHG RUBEOLA ANTIBODY | $52.50 | $105.00 | $10.82–$116.09 | 72% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG RUBEOLA ANTIBODY | $52.50 | $105.00 | $37.88–$92.40 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG HETEROPHILE ANTIBODY SCREEN | $39.50 | $79.00 | $4.35–$69.52 | 54% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG HETEROPHILE ANTIBODY SCREEN | $39.50 | $79.00 | $28.50–$69.52 | — | 50% |
| Mumps immunity blood test CPT 86735 HCHG MUMPS ANTIBODY | $76.50 | $153.00 | $10.96–$134.64 | 28% above | 50% |
| Mumps immunity blood test inpatient CPT 86735 HCHG MUMPS ANTIBODY | $76.50 | $153.00 | $55.19–$134.64 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PROSTATIC SPECIFIC ANTIGEN FREE | $68.00 | $136.00 | $15.45–$165.75 | 40% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PROSTATIC SPECIFIC ANTIGEN FREE | $68.00 | $136.00 | $49.06–$119.68 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PROSTATIC SPECIFIC ANITGEN TOTAL SCREEN | $83.50 | $167.00 | $15.45–$165.75 | 3% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PROSTATIC SPECIFIC ANTIGEN TOTAL | $108.50 | $217.00 | $15.45–$190.96 | 27% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PROSTATIC SPECIFIC ANITGEN TOTAL SCREEN | $83.50 | $167.00 | $60.25–$146.96 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PROSTATIC SPECIFIC ANTIGEN TOTAL | $108.50 | $217.00 | $78.28–$190.96 | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HCHG CYTOPATH CERV/VAG TLP AUTO/MAN RESC | $113.00 | $226.00 | $22.35–$239.84 | 54% above | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG CYTOPATH CERV/VAG TLP AUTO/MAN RESC | $113.00 | $226.00 | $81.53–$198.88 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HCHG CYTOPATH PAP TLP MAN | $105.00 | $210.00 | $17.02–$184.80 | 21% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HCHG CYTOPATH PAP TLP MAN | $105.00 | $210.00 | $75.76–$184.80 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HCHG PARATHORMONE (PTH) | $208.00 | $416.00 | $34.68–$372.06 | 1% above | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG PARATHORMONE (PTH) | $208.00 | $416.00 | $150.07–$366.08 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PARTIAL THROMBOPLASTIN TIME (PTT) | $54.00 | $108.00 | $5.05–$95.04 | 8% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PARTIAL THROMBOPLASTIN TIME (PTT) | $54.00 | $108.00 | $38.96–$95.04 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HCHG PHOSPHORUS BLOOD | $42.50 | $85.00 | $3.98–$74.80 | 32% below | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG PHOSPHORUS BLOOD | $42.50 | $85.00 | $30.66–$74.80 | — | 50% |
| Potassium blood test CPT 84132 HCHG POTASSIUM SERUM/ PLASMA/ BLOOD | $41.50 | $83.00 | $4.00–$73.04 | 31% below | 50% |
| Potassium blood test inpatient CPT 84132 HCHG POTASSIUM SERUM/ PLASMA/ BLOOD | $41.50 | $83.00 | $29.94–$73.04 | — | 50% |
| Progesterone blood test CPT 84144 HCHG PROGESTERONE SERUM | $108.00 | $216.00 | $17.52–$190.08 | 5% above | 50% |
| Progesterone blood test inpatient CPT 84144 HCHG PROGESTERONE SERUM | $108.00 | $216.00 | $77.92–$190.08 | — | 50% |
| Prolactin blood test CPT 84146 HCHG PROLACTIN | $79.00 | $158.00 | $16.28–$174.67 | 28% below | 50% |
| Prolactin blood test inpatient CPT 84146 HCHG PROLACTIN | $79.00 | $158.00 | $57.00–$139.04 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHROMBIN TIME (PT) | $35.50 | $71.00 | $3.60–$62.48 | 23% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME (PT) | $35.50 | $71.00 | $25.61–$62.48 | — | 50% |
| Renin blood test CPT 84244 HCHG RENIN | $81.50 | $163.00 | $18.47–$198.20 | 21% below | 50% |
| Renin blood test inpatient CPT 84244 HCHG RENIN | $81.50 | $163.00 | $58.80–$143.44 | — | 50% |
| Rh blood typing CPT 86901 HCHG BLOOD TYPING SEROLOGIC RH (D) | $76.50 | $153.00 | $2.51–$301.30 | 19% above | 50% |
| Rh blood typing inpatient CPT 86901 HCHG BLOOD TYPING SEROLOGIC RH (D) | $76.50 | $153.00 | $55.19–$134.64 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 HCHG RHEUMATOID FACTOR QN | $54.50 | $109.00 | $4.76–$95.92 | 19% above | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUMATOID FACTOR QN | $54.50 | $109.00 | $39.32–$95.92 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA ANTIBODY | $69.00 | $138.00 | $12.09–$129.70 | 50% above | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA ANTIBODY | $69.00 | $138.00 | $49.78–$121.44 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG SED RATE RBC AUTO | $21.00 | $42.00 | $2.27–$36.96 | 66% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HCHG SED RATE RBC AUTO | $21.00 | $42.00 | $15.15–$36.96 | — | 50% |
| Sodium blood test CPT 84295 HCHG SODIUM SERUM/BLOOD | $40.00 | $80.00 | $4.04–$70.40 | 36% below | 50% |
| Sodium blood test inpatient CPT 84295 HCHG SODIUM SERUM/BLOOD | $40.00 | $80.00 | $28.86–$70.40 | — | 50% |
| Stool ova and parasites exam CPT 87177 HCHG SMEAR OVA & PARASITE CONCENT/IDENT | $33.00 | $66.00 | $7.48–$80.22 | 52% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 HCHG SMEAR OVA & PARASITE CONCENT/IDENT | $33.00 | $66.00 | $23.81–$58.08 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD FECES CANCER SCREEN | $12.00 | $24.00 | $3.68–$39.48 | 69% below | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG OCCULT BLOOD FECES CANCER SCREEN | $12.00 | $24.00 | $8.66–$21.12 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG OCCULT BLOOD FECES IMMUNOASSAY QL | $49.00 | $98.00 | $13.37–$143.49 | 27% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG OCCULT BLOOD FECES IMMUNOASSAY QL | $49.00 | $98.00 | $35.35–$86.24 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG FTA ANTIBODY CONFIRM | $59.50 | $119.00 | $11.12–$119.33 | 35% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG FTA ANTIBODY CONFIRM | $59.50 | $119.00 | $42.93–$104.72 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG SYPHILIS VDRL/RPR QL | $88.00 | $176.00 | $3.59–$154.88 | 115% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG SYPHILIS VDRL/RPR QL | $88.00 | $176.00 | $63.49–$154.88 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG TB TEST CELL IMM AG MEAS GAM INTERF | $224.00 | $448.00 | $52.06–$558.63 | 13% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HCHG TB TEST CELL IMM AG MEAS GAM INTERF | $224.00 | $448.00 | $161.62–$394.24 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL | $117.50 | $235.00 | $21.68–$232.63 | 18% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL | $117.50 | $235.00 | $84.78–$206.80 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG MICROSOMAL ANTIBODY | $73.50 | $147.00 | $12.22–$131.14 | 12% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG MICROSOMAL ANTIBODY | $73.50 | $147.00 | $53.03–$129.36 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG THYROID STIMULATING HORMONE (TSH) | $98.50 | $197.00 | $14.11–$173.36 | 10% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG THYROID STIMULATING HORMONE (TSH) | $98.50 | $197.00 | $71.07–$173.36 | — | 50% |
| Total IgE blood test CPT 82785 HCHG GAMMAGLOBULIN IGE | $63.00 | $126.00 | $13.83–$148.35 | 23% below | 50% |
| Total IgE blood test inpatient CPT 82785 HCHG GAMMAGLOBULIN IGE | $63.00 | $126.00 | $45.45–$110.88 | — | 50% |
| Total cholesterol blood test CPT 82465 HCHG CHOLESTEROL TOTAL | $29.50 | $59.00 | $3.65–$51.92 | 47% below | 50% |
| Total cholesterol blood test inpatient CPT 82465 HCHG CHOLESTEROL TOTAL | $29.50 | $59.00 | $21.28–$51.92 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 HCHG THYROXINE (T-4) TOTAL | $53.00 | $106.00 | $5.77–$93.28 | 34% below | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HCHG THYROXINE (T-4) TOTAL | $53.00 | $106.00 | $38.24–$93.28 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HCHG TRIIODOTHYRONINE (T-3) TOTAL | $106.50 | $213.00 | $11.91–$187.44 | 15% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HCHG TRIIODOTHYRONINE (T-3) TOTAL | $106.50 | $213.00 | $76.84–$187.44 | — | 50% |
| Transferrin blood test CPT 84466 HCHG TRANSFERRIN | $63.50 | $127.00 | $10.72–$115.01 | 47% below | 50% |
| Transferrin blood test inpatient CPT 84466 HCHG TRANSFERRIN | $63.50 | $127.00 | $45.82–$111.76 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 HCHG TRICHOMONAS VAGINALIS AMPLIF | $128.00 | $256.00 | $29.48–$316.27 | 46% above | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HCHG TRICHOMONAS VAGINALIS AMPLIF | $128.00 | $256.00 | $92.35–$225.28 | — | 50% |
| Triglycerides blood test CPT 84478 HCHG TRIGLYCERIDES | $51.00 | $102.00 | $4.82–$89.76 | 26% below | 50% |
| Triglycerides blood test inpatient CPT 84478 HCHG TRIGLYCERIDES | $51.00 | $102.00 | $36.80–$89.76 | — | 50% |
| Troponin test, quantitative CPT 84484 HCHG TROPONIN QN | $74.00 | $148.00 | $10.47–$130.24 | 35% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 HCHG TROPONIN QN | $74.00 | $148.00 | $53.39–$130.24 | — | 50% |
| Uric acid blood test CPT 84550 HCHG URIC ACID BLOOD | $35.50 | $71.00 | $3.80–$62.48 | 55% below | 50% |
| Uric acid blood test inpatient CPT 84550 HCHG URIC ACID BLOOD | $35.50 | $71.00 | $25.61–$62.48 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS AUTO W/MICRO | $25.50 | $51.00 | $2.66–$44.88 | 73% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS AUTO W/MICRO | $25.50 | $51.00 | $18.40–$44.88 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINE AUTO W/O MICRO | $16.00 | $32.00 | $1.89–$28.16 | 67% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINE AUTO W/O MICRO | $16.00 | $32.00 | $11.54–$28.16 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS NONAUTO W/O MICRO | $16.00 | $32.00 | $2.92–$31.37 | 47% below | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS NONAUTO W/O MICRO | $16.00 | $32.00 | $11.54–$28.16 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 HCHG MICROALBUMIN QN URINE | $78.50 | $157.00 | $4.86–$138.16 | 54% above | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICROALBUMIN QN URINE | $78.50 | $157.00 | $56.64–$138.16 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HCHG URINE PREGNANCY VISUAL | $57.00 | $114.00 | $7.23–$100.32 | 30% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCHG URINE PREGNANCY VISUAL | $57.00 | $114.00 | $41.13–$100.32 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B-12 (CYANCOBALAMIN) | $52.00 | $104.00 | $12.67–$135.92 | 43% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG VITAMIN B-12 (CYANCOBALAMIN) | $52.00 | $104.00 | $37.52–$91.52 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG VITAMIN D 25 HYDROXY INC FRACTION | $145.50 | $291.00 | $24.86–$266.78 | 22% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG VITAMIN D 25 HYDROXY INC FRACTION | $145.50 | $291.00 | $104.98–$256.08 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HCHG 1 25 DIHYDROXY INC FRACTION | $141.50 | $283.00 | $32.34–$347.00 | 8% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HCHG 1 25 DIHYDROXY INC FRACTION | $141.50 | $283.00 | $102.09–$249.04 | — | 50% |
| Zinc blood test CPT 84630 HCHG ZINC | $63.00 | $126.00 | $9.57–$110.88 | 8% below | 50% |
| Zinc blood test inpatient CPT 84630 HCHG ZINC | $63.00 | $126.00 | $45.45–$110.88 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG HCG QN | $169.00 | $338.00 | $12.64–$297.44 | 50% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG HCG QN | $169.00 | $338.00 | $121.93–$297.44 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HCHG CHEMODENERV FACIAL/TRIGEM/CERV MUSC MIGRAINE | $536.00 | $1,072.00 | $59.25–$2,667.00 | 4% below | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 HCHG CHEMODENERV FACIAL/TRIGEM/CERV MUSC MIGRAINE | $536.00 | $1,072.00 | $386.72–$943.36 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG BX BREAST 1ST LESION STRTCTC | $2,569.50 | $5,139.00 | $486.45–$6,261.00 | 27% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG BX BREAST 1ST LESION STRTCTC | $2,569.50 | $5,139.00 | $1,853.89–$4,522.32 | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 HCHG LFT HRT ART/VENTR ANGIOGRAPHY | $11,706.00 | $23,412.00 | $3,216.41–$20,602.56 | 12% above | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HCHG LFT HRT ART/VENTR ANGIOGRAPHY | $11,706.00 | $23,412.00 | $8,445.88–$20,602.56 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION ELECTIVE EXTERNAL | $1,051.50 | $2,103.00 | $303.80–$2,717.00 | 21% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION ELECTIVE EXTERNAL | $1,051.50 | $2,103.00 | $758.66–$1,850.64 | — | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 HCHG TX ATRIAL FIB PULM VEIN ISOL | $40,106.50 | $80,213.00 | $2,648.00–$126,882.59 | 32% above | 50% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HCHG TX ATRIAL FIB PULM VEIN ISOL | $40,106.50 | $80,213.00 | $28,936.84–$70,587.44 | — | 50% |
| Cervical biopsy CPT 57500 HCHG BIOPSY EXC CERVIX SGL/MULTI LESN, W/OR W/O FULGURATION | $966.00 | $1,932.00 | $91.36–$4,750.00 | 16% below | 50% |
| Cervical biopsy inpatient CPT 57500 HCHG BIOPSY EXC CERVIX SGL/MULTI LESN, W/OR W/O FULGURATION | $966.00 | $1,932.00 | $696.97–$1,700.16 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION W/CLAMP OR OTHR DEVICE | $1,595.00 | $3,190.00 | $652.80–$2,807.20 | 30% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION W/CLAMP OR OTHR DEVICE | $1,595.00 | $3,190.00 | $1,150.79–$2,807.20 | — | 50% |
| Colonoscopy with polyp removal CPT 45385 HCHG COLONOSCOPY REMOVE POLYP/LESION SNARE | $2,969.00 | $5,938.00 | $429.26–$6,261.00 | 127% above | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 HCHG COLONOSCOPY REMOVE POLYP/LESION SNARE | $2,969.00 | $5,938.00 | $2,142.13–$5,225.44 | — | 50% |
| Colonoscopy with tissue sample CPT 45380 HCHG COLONOSCOPY BIOPSY | $2,969.00 | $5,938.00 | $429.26–$6,261.00 | 108% above | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 HCHG COLONOSCOPY BIOPSY | $2,969.00 | $5,938.00 | $2,142.13–$5,225.44 | — | 50% |
| Colonoscopy, diagnostic CPT 45378 HCHG COLONOSCOPY COLORECTAL CANCER SCREENING NON-HIGH RISK | $1,287.50 | $2,575.00 | $328.50–$6,261.00 | 16% below | 50% |
| Colonoscopy, diagnostic CPT 45378 HCHG COLONOSCOPY COLORECTAL CANCER SCREENING HIGH RISK | $1,287.50 | $2,575.00 | $328.50–$6,261.00 | 16% below | 50% |
| Colonoscopy, diagnostic CPT 45378 HCHG COLONOSCOPY W/WO BRUSH OR WASH | $2,182.00 | $4,364.00 | $328.50–$6,261.00 | 42% above | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG COLONOSCOPY COLORECTAL CANCER SCREENING HIGH RISK | $1,287.50 | $2,575.00 | $928.93–$2,266.00 | — | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG COLONOSCOPY COLORECTAL CANCER SCREENING NON-HIGH RISK | $1,287.50 | $2,575.00 | $928.93–$2,266.00 | — | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 HCHG COLONOSCOPY W/WO BRUSH OR WASH | $2,182.00 | $4,364.00 | $1,574.31–$3,840.32 | — | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HCHG COLPOSCOPY W/BX CERVIX & CURETTAGE | $360.50 | $721.00 | $65.06–$2,667.00 | 24% above | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HCHG COLPOSCOPY W/BX CERVIX & CURETTAGE | $360.50 | $721.00 | $260.10–$634.48 | — | 50% |
| Coronary stent placement, one artery CPT 92928 HCHG STENT PLACEMENT INTRACORONARY | $12,850.50 | $25,701.00 | $3,712.77–$43,775.66 | 10% above | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 HCHG STENT PLACEMENT INTRACORONARY | $12,850.50 | $25,701.00 | $9,271.64–$22,616.88 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HCHG CYSTOSCOPY | $1,206.00 | $2,412.00 | $135.00–$4,750.00 | 7% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HCHG CYSTOSCOPY | $1,206.00 | $2,412.00 | $870.13–$2,122.56 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HCHG DESTR PREMALIG LESIONS, FIRST | $408.00 | $816.00 | $117.88–$718.08 | 104% above | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HCHG DESTR PREMALIG LESIONS, FIRST | $408.00 | $816.00 | $294.37–$718.08 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HCHG BIOPSY ENDOMETRIAL SAMPLING W/O DIL | $222.00 | $444.00 | $45.96–$2,667.00 | 40% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HCHG BIOPSY ENDOMETRIAL SAMPLING W/O DIL | $222.00 | $444.00 | $160.17–$390.72 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJ INTERLAMINAR CERV/THORACIC W IMAGE GUIDE | $751.00 | $1,502.00 | $262.86–$4,750.00 | 48% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJ INTERLAMINAR CERV/THORACIC W IMAGE GUIDE | $751.00 | $1,502.00 | $541.85–$1,321.76 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJECT ANES/STER LUMB/SACR SGL | $1,256.50 | $2,513.00 | $340.77–$4,750.00 | 28% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJECT ANES/STER LUMB/SACR SGL | $1,256.50 | $2,513.00 | $906.56–$2,211.44 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG SIGMOIDOSCOPY W/WO BRUSH OR WASH | $1,293.50 | $2,587.00 | $130.67–$4,750.00 | 50% above | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HCHG SIGMOIDOSCOPY W/WO BRUSH OR WASH | $1,293.50 | $2,587.00 | $933.26–$2,276.56 | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG CATH/INTRO SALINE/CONTRAST FOR SIS | $279.50 | $559.00 | $80.75–$2,667.00 | 26% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG CATH/INTRO SALINE/CONTRAST FOR SIS | $279.50 | $559.00 | $201.66–$491.92 | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 HCHG INSERT DEVICE INTRAUTERINE IUD | $180.00 | $360.00 | $52.01–$2,667.00 | 52% below | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HCHG INSERT DEVICE INTRAUTERINE IUD | $180.00 | $360.00 | $129.87–$316.80 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HCHG I&D ABSCESS SMP | $342.50 | $685.00 | $65.06–$2,667.00 | 24% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG I&D ABSCESS SMP | $342.50 | $685.00 | $247.11–$602.80 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJECT SINGLE TENDON/LIGAMENT | $177.00 | $354.00 | $23.54–$2,667.00 | 56% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG INJECT SINGLE TENDON/LIGAMENT | $177.00 | $354.00 | $127.71–$311.52 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG ARTHROCENT ASP/INJ JT MAJOR W/O US GUIDANCE | $390.50 | $781.00 | $27.96–$2,667.00 | 34% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG ARTHROCENT ASP/INJ JT MAJOR W/O US GUIDANCE | $390.50 | $781.00 | $281.75–$687.28 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG ARTHROCENT ASP/INJ JT INTERMED W/O US GUIDANCE | $324.50 | $649.00 | $23.54–$2,667.00 | 45% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG ARTHROCENT ASP/INJ JT INTERMED W/O US GUIDANCE | $324.50 | $649.00 | $234.13–$571.12 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG ARTHROCENT ASP/INJ JT SMALL W/O US GUIDANCE | $246.50 | $493.00 | $22.70–$2,667.00 | 42% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG ARTHROCENT ASP/INJ JT SMALL W/O US GUIDANCE | $246.50 | $493.00 | $177.85–$433.84 | — | 50% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HCHG LAPAROSCOPY ESOPHAGOSC FUNDOPLASTY | $16,949.50 | $33,899.00 | $4,897.05–$31,771.00 | 51% above | 50% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HCHG LAPAROSCOPY ESOPHAGOSC FUNDOPLASTY | $16,949.50 | $33,899.00 | $12,229.06–$29,831.12 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG RPR LAC INTERMD SCALP/AXIL <2.5CM | $754.50 | $1,509.00 | $143.08–$2,667.00 | 42% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HCHG RPR LAC INTERMD SCALP/AXIL <2.5CM | $754.50 | $1,509.00 | $544.37–$1,327.92 | — | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 HCHG CATH LEFT HEART W/ VENTRICULOGRAPY | $7,501.00 | $15,002.00 | $2,167.19–$19,062.00 | 19% below | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG CATH LEFT HEART W/ VENTRICULOGRAPY | $7,501.00 | $15,002.00 | $5,411.97–$13,201.76 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ INTERLAMINAR LUMB/SACR W IMAGE GUIDE | $751.00 | $1,502.00 | $262.86–$4,750.00 | 55% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ INTERLAMINAR LUMB/SACR W IMAGE GUIDE | $751.00 | $1,502.00 | $541.85–$1,321.76 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ INTERLAMINAR LUMB/SACR WO IMAGE GUIDE | $631.00 | $1,262.00 | $262.86–$4,750.00 | 49% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ INTERLAMINAR LUMB/SACR WO IMAGE GUIDE | $631.00 | $1,262.00 | $455.27–$1,110.56 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJECT EPIDURAL LUMBAR/SACRAL SGL | $1,422.00 | $2,844.00 | $340.77–$4,750.00 | 3% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJECT EPIDURAL LUMBAR/SACRAL SGL | $1,422.00 | $2,844.00 | $1,025.97–$2,502.72 | — | 50% |
| Lumpectomy (partial mastectomy) CPT 19301 HCHG MASTECTOMY PARTIAL | $5,995.50 | $11,991.00 | $963.66–$13,384.55 | 27% above | 50% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HCHG MASTECTOMY PARTIAL | $5,995.50 | $11,991.00 | $4,325.75–$10,552.08 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HCHG EXC LESN BGN TRUNK/ARM/LEG <0.5CM | $354.00 | $708.00 | $77.79–$4,750.00 | 56% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HCHG EXC LESN BGN TRUNK/ARM/LEG <0.5CM | $354.00 | $708.00 | $255.41–$623.04 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE PARTL/COMP SMPL/SNGL | $221.00 | $442.00 | $63.85–$2,667.00 | 22% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG AVULSION NAIL PLATE PARTL/COMP SMPL/SNGL | $221.00 | $442.00 | $159.45–$388.96 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ ANES AND OR STEROID GREAT OCCIPITAL NERVE | $531.00 | $1,062.00 | $30.18–$2,667.00 | 24% above | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ ANES AND OR STEROID GREAT OCCIPITAL NERVE | $531.00 | $1,062.00 | $383.12–$934.56 | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 HCHG INSERT PACEMAKER PERM A/V | $10,619.00 | $21,238.00 | $6,450.90–$45,293.07 | 44% below | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HCHG INSERT PACEMAKER PERM A/V | $10,619.00 | $21,238.00 | $7,661.61–$18,689.44 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 HCHG PARACENTESIS W SAVED IMAGES | $1,423.00 | $2,846.00 | $334.95–$6,261.00 | 2% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 HCHG PARACENTESIS W SAVED IMAGES | $1,423.00 | $2,846.00 | $1,026.69–$2,504.48 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG EXC NAIL/NAIL MATRIX PARTL/COMP | $478.00 | $956.00 | $84.71–$2,667.00 | 6% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG EXC NAIL/NAIL MATRIX PARTL/COMP | $478.00 | $956.00 | $344.88–$841.28 | — | 50% |
| Prostate biopsy CPT 55700 HCHG PROSTATE BIOPSY NDL/PUNCH SNGL OR MULTI | $594.00 | $1,188.00 | $463.32–$7,826.71 | 77% below | 50% |
| Prostate biopsy inpatient CPT 55700 HCHG PROSTATE BIOPSY NDL/PUNCH SNGL OR MULTI | $594.00 | $1,188.00 | $428.57–$1,045.44 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG PERC RADIOFREQ RHIZOLYSIS LUMBAR SPINE | $2,880.50 | $5,761.00 | $659.94–$12,019.00 | 2% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG PERC RADIOFREQ RHIZOLYSIS LUMBAR SPINE | $2,880.50 | $5,761.00 | $2,078.28–$5,069.68 | — | 50% |
| Removal of a breast lump, open surgery CPT 19120 HCHG EXC CYST/LESN BREAST | $1,580.50 | $3,161.00 | $963.66–$13,384.55 | 68% below | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HCHG EXC CYST/LESN BREAST | $1,580.50 | $3,161.00 | $1,140.33–$2,781.68 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HCHG INCISION/REMOVAL FB SUBQ SMPL | $403.50 | $807.00 | $86.38–$2,667.00 | 24% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG INCISION/REMOVAL FB SUBQ SMPL | $403.50 | $807.00 | $291.13–$710.16 | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 HCHG APPLY CAST ARM SHORT | $153.50 | $307.00 | $45.13–$300.11 | 45% below | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HCHG APPLY CAST ARM SHORT | $153.50 | $307.00 | $110.75–$270.16 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HCHG APPL SPLINT FORARM/ARM SHRT STATIC | $218.50 | $437.00 | $63.13–$2,667.00 | 3% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HCHG APPL SPLINT FORARM/ARM SHRT STATIC | $218.50 | $437.00 | $157.65–$384.56 | — | 50% |
| Short leg cast (below the knee) CPT 29405 HCHG APPLY CAST LEG SHORT | $61.50 | $123.00 | $39.03–$300.11 | 82% below | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 HCHG APPLY CAST LEG SHORT | $61.50 | $123.00 | $44.37–$108.24 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HCHG APPLY SPLINT LEG SHORT | $191.00 | $382.00 | $34.33–$2,667.00 | 30% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HCHG APPLY SPLINT LEG SHORT | $191.00 | $382.00 | $137.81–$336.16 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG RPR LAC SMP SCLP/HND/GEN <2.5CM | $88.50 | $177.00 | $25.57–$2,667.00 | 76% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HCHG RPR LAC SMP SCLP/HND/GEN <2.5CM | $88.50 | $177.00 | $63.85–$155.76 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HCHG BIOPSY PUNCH SKIN SINGLE LESION | $407.50 | $815.00 | $79.46–$2,667.00 | 8% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG BIOPSY PUNCH SKIN SINGLE LESION | $407.50 | $815.00 | $294.01–$717.20 | — | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HCHG EXC LESN MAL TRUNK/ARM/LEG <0.5CM | $992.50 | $1,985.00 | $112.68–$4,750.00 | 19% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HCHG EXC LESN MAL TRUNK/ARM/LEG <0.5CM | $992.50 | $1,985.00 | $716.09–$1,746.80 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG SPINAL PUNC LUMBAR DIAG | $940.00 | $1,880.00 | $262.86–$4,750.00 | 10% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DIAGNOSTIC W/O FLUORO | $940.00 | $1,880.00 | $262.86–$4,750.00 | 10% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG SPINAL PUNC LUMBAR DIAG | $940.00 | $1,880.00 | $678.21–$1,654.40 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DIAGNOSTIC W/O FLUORO | $940.00 | $1,880.00 | $678.21–$1,654.40 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG RPR LAC SMP SCLP/HND/GEN 2.6-7.5 | $514.00 | $1,028.00 | $148.50–$904.64 | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG RPR LAC SMP SCLP/HND/GEN 2.6-7.5 | $514.00 | $1,028.00 | $370.85–$904.64 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HCHG RPR LAC INTERMD FCE/EAR/LIP <2.5 | $670.00 | $1,340.00 | $193.58–$2,667.00 | 72% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HCHG RPR LAC INTERMD FCE/EAR/LIP <2.5 | $670.00 | $1,340.00 | $483.41–$1,179.20 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG BIOPSY SKIN TANGENTIAL SINGLE LESION | $407.50 | $815.00 | $64.23–$2,667.00 | 13% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HCHG BIOPSY SKIN TANGENTIAL SINGLE LESION | $407.50 | $815.00 | $294.01–$717.20 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 HCHG THORACENTESIS ASP OF PLEURAL SPACE W GUIDANCE | $1,470.50 | $2,941.00 | $223.75–$4,750.00 | 4% above | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HCHG THORACENTESIS ASP OF PLEURAL SPACE W GUIDANCE | $1,470.50 | $2,941.00 | $1,060.97–$2,588.08 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJECT TRIGGER POINT 1-2 MUSCLE(S) | $204.50 | $409.00 | $23.26–$2,667.00 | 54% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJECT TRIGGER POINT 1-2 MUSCLE(S) | $204.50 | $409.00 | $147.55–$359.92 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG BX BREAST 1ST LESION US IMAG | $2,742.50 | $5,485.00 | $486.45–$6,261.00 | 1% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG BX BREAST 1ST LESION US IMAG | $2,742.50 | $5,485.00 | $1,978.71–$4,826.80 | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG EGD DILATION BALLOON < 30MM | $2,023.50 | $4,047.00 | $564.97–$6,880.59 | 38% above | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HCHG EGD DILATION BALLOON < 30MM | $2,023.50 | $4,047.00 | $1,459.96–$3,561.36 | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG EGD BIOPSY | $2,594.00 | $5,188.00 | $334.95–$6,261.00 | 119% above | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HCHG EGD BIOPSY | $2,594.00 | $5,188.00 | $1,871.57–$4,565.44 | — | 50% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HCHG EGD INJECTION ANY SUBSTANCE | $1,249.50 | $2,499.00 | $334.95–$6,261.00 | 71% above | 50% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HCHG EGD INJECTION ANY SUBSTANCE | $1,249.50 | $2,499.00 | $901.51–$2,199.12 | — | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HCHG EGD REMOVE POLYP/LESION SNARE | $2,119.00 | $4,238.00 | $564.97–$6,880.59 | 86% above | 50% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HCHG EGD REMOVE POLYP/LESION SNARE | $2,119.00 | $4,238.00 | $1,528.86–$3,729.44 | — | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG EGD DILATION OVER GUIDEWIRE (SAVARY) | $1,687.00 | $3,374.00 | $334.95–$6,261.00 | 131% above | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HCHG EGD DILATION OVER GUIDEWIRE (SAVARY) | $1,687.00 | $3,374.00 | $1,217.17–$2,969.12 | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG EGD W OR WO COLL SPECIMEN BY BRUSH OR WASH | $1,525.50 | $3,051.00 | $334.95–$6,261.00 | 5% above | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HCHG EGD W OR WO COLL SPECIMEN BY BRUSH OR WASH | $1,525.50 | $3,051.00 | $1,100.65–$2,684.88 | — | 50% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HCHG EGD TRANSMURAL DRAINAGE PSEUDOCYST | $5,810.00 | $11,620.00 | $2,814.82–$13,249.94 | 336% above | 50% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HCHG EGD TRANSMURAL DRAINAGE PSEUDOCYST | $5,810.00 | $11,620.00 | $4,191.92–$10,225.60 | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 HCHG ABLAT EXTREM RADIOFREQ 1ST | $3,208.50 | $6,417.00 | $1,118.22–$20,334.00 | 23% below | 50% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HCHG ABLAT EXTREM RADIOFREQ 1ST | $3,208.50 | $6,417.00 | $2,314.93–$5,646.96 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 HCHG DESTR BEN LESIONS TO 14 OTH THAN SKIN TAGS/CUTAN VASC | $510.00 | $1,020.00 | $147.35–$897.60 | 155% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 HCHG DESTR BEN LESIONS TO 14 OTH THAN SKIN TAGS/CUTAN VASC | $510.00 | $1,020.00 | $367.97–$897.60 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRIDE SKIN/SUBQ TISSUE | $659.50 | $1,319.00 | $143.08–$2,667.00 | 35% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG DEBRIDE SKIN/SUBQ TISSUE | $659.50 | $1,319.00 | $475.83–$1,160.72 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG TRANSFUSION BLOOD/COMP | $811.00 | $1,622.00 | $30.73–$1,448.00 | 6% above | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG TRANSFUSION BLOOD/COMP | $811.00 | $1,622.00 | $585.14–$1,427.36 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AIRWAY INHALATION TREATMENT | $576.50 | $1,153.00 | $166.56–$1,142.21 | 184% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AIRWAY INHALATION TREATMENT | $576.50 | $1,153.00 | $415.94–$1,014.64 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HCHG CHEMO IV INFUSION SGL/INIT <1HR | $450.00 | $900.00 | $130.01–$979.00 | 17% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG CHEMO IV INFUSION SGL/INIT <1HR | $450.00 | $900.00 | $324.68–$792.00 | — | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HCHG AUD EVAL COMP THRESHOLD/RECOGNITION | $236.50 | $473.00 | $68.33–$859.02 | 21% below | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HCHG AUD EVAL COMP THRESHOLD/RECOGNITION | $236.50 | $473.00 | $170.63–$416.24 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HCHG CRITICAL CARE 30-74 MIN | $2,122.50 | $4,245.00 | $613.23–$10,480.00 | 16% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG CRITICAL CARE 30-74 MIN | $2,122.50 | $4,245.00 | $1,531.38–$3,735.60 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG AWAKE/DROWSY | $669.00 | $1,338.00 | $193.29–$1,928.89 | 27% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG EEG AWAKE/DROWSY | $669.00 | $1,338.00 | $482.68–$1,177.44 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG ROUTINE TRACING ONLY | $235.50 | $471.00 | $59.40–$928.00 | 13% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG ROUTINE TRACING ONLY | $235.50 | $471.00 | $169.91–$414.48 | — | 50% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HCHG ELECTROCONVULSIVE THERAPY | $1,166.50 | $2,333.00 | $300.00–$2,053.04 | 11% above | 50% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HCHG ELECTROCONVULSIVE THERAPY | $1,166.50 | $2,333.00 | $300.00–$2,053.04 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG EMERGENCY ROOM LEVEL 1 | $226.00 | $452.00 | $51.36–$1,156.00 | 3% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG EMERGENCY ROOM LEVEL 1 | $226.00 | $452.00 | $163.06–$397.76 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG EMERGENCY ROOM LEVEL 2 | $470.00 | $940.00 | $51.36–$2,356.00 | 9% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG EMERGENCY ROOM LEVEL 2 | $470.00 | $940.00 | $339.11–$827.20 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG EMERGENCY ROOM LEVEL 3 | $770.50 | $1,541.00 | $51.36–$4,165.00 | at median | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG EMERGENCY ROOM LEVEL 3 | $770.50 | $1,541.00 | $555.92–$1,356.08 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG EMERGENCY ROOM LEVEL 4 | $1,221.50 | $2,443.00 | $352.92–$6,740.00 | 5% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG EMERGENCY ROOM LEVEL 4 | $1,221.50 | $2,443.00 | $881.31–$2,149.84 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG EMERGENCY ROOM LEVEL 5 | $1,879.00 | $3,758.00 | $542.88–$10,480.00 | 6% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG EMERGENCY ROOM LEVEL 5 | $1,879.00 | $3,758.00 | $1,355.70–$3,307.04 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG STRESS TEST TRACING ONLY | $852.00 | $1,704.00 | $246.16–$1,571.50 | 32% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG STRESS TEST TRACING ONLY | $852.00 | $1,704.00 | $614.72–$1,499.52 | — | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG PSYCH THERAPY FAMILY W PT 50MIN | $192.50 | $385.00 | $55.62–$338.80 | 32% below | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG PSYCH THERAPY FAMILY W PT 50MIN | $192.50 | $385.00 | $138.89–$338.80 | — | 50% |
| Group psychotherapy session CPT 90853 HCHG GROUP THERAPY PATIENTS ONLY | $140.00 | $280.00 | $40.45–$246.40 | 14% below | 50% |
| Group psychotherapy session inpatient CPT 90853 HCHG GROUP THERAPY PATIENTS ONLY | $140.00 | $280.00 | $101.01–$246.40 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG IV INFUS THPY FLUID INTL 31 MIN - 1 HR | $315.00 | $630.00 | $91.01–$1,102.00 | 28% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG IV INFUS THPY FLUID INTL 31 MIN - 1 HR | $315.00 | $630.00 | $227.27–$554.40 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 HCHG IV INFUS THPY/PROPH/DX INTL UP TO 1 | $342.00 | $684.00 | $98.81–$1,102.00 | 24% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG IV INFUS THPY/PROPH/DX INTL UP TO 1 | $342.00 | $684.00 | $246.75–$601.92 | — | 50% |
| IV push of a medicine, first drug CPT 96374 HCHG THERAPEUTIC/PROPH/DIAG IV PUSH INIT | $213.00 | $426.00 | $61.54–$1,102.00 | 7% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 HCHG THERAPEUTIC/PROPH/DIAG IV PUSH INIT | $213.00 | $426.00 | $153.68–$374.88 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG THERAP/PROPH/DIAG INJ SQ/IM | $137.50 | $275.00 | $39.73–$777.00 | 6% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG THERAP/PROPH/DIAG INJ SQ/IM | $137.50 | $275.00 | $99.21–$242.00 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG PSYCHIATRIC DIAGNOSTIC EVAL | $204.00 | $408.00 | $58.94–$359.04 | 47% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HCHG PSYCHIATRIC DIAGNOSTIC EVAL | $204.00 | $408.00 | $147.19–$359.04 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG NERVE CONDUCTION STUDIES 7-8 | $427.50 | $855.00 | $123.51–$752.40 | 41% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG NERVE CONDUCTION STUDIES 7-8 | $427.50 | $855.00 | $308.44–$752.40 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEUROMUSCULAR RE-ED 15 MIN | $120.00 | $240.00 | $34.67–$298.00 | 6% above | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEUROMUSCULAR RE-ED 15 MIN | $120.00 | $240.00 | $86.58–$211.20 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 HCHG VISIT NEW LEVEL III W/PROC | $309.50 | $619.00 | $89.42–$544.72 | 37% above | 50% |
| New patient office visit, about 30 minutes CPT 99203 HCHG VISIT NEW LEVEL III | $309.50 | $619.00 | $89.42–$544.72 | 37% above | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG VISIT NEW LEVEL III W/PROC | $309.50 | $619.00 | $223.30–$544.72 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG VISIT NEW LEVEL III | $309.50 | $619.00 | $223.30–$544.72 | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 HCHG VISIT NEW LEVEL IV | $378.50 | $757.00 | $109.36–$814.50 | 29% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 HCHG VISIT NEW LEVEL IV W/PROC | $378.50 | $757.00 | $109.36–$814.50 | 29% above | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG VISIT NEW LEVEL IV W/PROC | $378.50 | $757.00 | $273.09–$666.16 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG VISIT NEW LEVEL IV | $378.50 | $757.00 | $273.09–$666.16 | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 HCHG VISIT NEW LEVEL V | $447.00 | $894.00 | $129.15–$1,062.92 | 53% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 HCHG VISIT NEW LEVEL V W/PROC | $447.00 | $894.00 | $129.15–$1,062.92 | 53% above | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG VISIT NEW LEVEL V | $447.00 | $894.00 | $322.51–$786.72 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG VISIT NEW LEVEL V W/PROC | $447.00 | $894.00 | $322.51–$786.72 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG VISIT NEW LEVEL II | $241.00 | $482.00 | $69.63–$424.16 | 62% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG VISIT NEW LEVEL II W/PROC | $241.00 | $482.00 | $69.63–$424.16 | 62% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG VISIT NEW LEVEL II W/PROC | $241.00 | $482.00 | $173.88–$424.16 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG VISIT NEW LEVEL II | $241.00 | $482.00 | $173.88–$424.16 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HCHG OT EVALUATION LOW COMPLEXITY | $208.00 | $416.00 | $60.10–$577.31 | 14% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG OT EVALUATION LOW COMPLEXITY | $208.00 | $416.00 | $150.07–$366.08 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HCHG PT EVALUATION HIGH COMPLEXITY | $306.00 | $612.00 | $88.41–$538.56 | 6% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG PT EVALUATION HIGH COMPLEXITY | $306.00 | $612.00 | $220.78–$538.56 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HCHG PT EVALUATION LOW COMPLEXITY | $214.00 | $428.00 | $61.83–$537.02 | 6% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG PT EVALUATION LOW COMPLEXITY | $214.00 | $428.00 | $154.40–$376.64 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HCHG PT EVALUATION MODERATE COMPLEXITY | $248.50 | $497.00 | $71.80–$537.02 | 2% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG PT EVALUATION MODERATE COMPLEXITY | $248.50 | $497.00 | $179.29–$437.36 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY 15 MIN | $128.50 | $257.00 | $37.13–$298.00 | 16% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY 15 MIN | $128.50 | $257.00 | $92.71–$226.16 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG EXERCISE THERAPEUTIC 15 MIN | $119.50 | $239.00 | $34.53–$298.00 | 7% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG EXERCISE THERAPEUTIC 15 MIN | $119.50 | $239.00 | $86.22–$210.32 | — | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HCHG PSYCHOTHERAPY CRISIS 60MIN | $156.00 | $312.00 | $45.07–$274.56 | 52% below | 50% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HCHG PSYCHOTHERAPY CRISIS 60MIN | $156.00 | $312.00 | $112.55–$274.56 | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG PSYCHOTHERAPY 30MIN W PT | $84.00 | $168.00 | $24.27–$181.56 | 56% below | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG PSYCHOTHERAPY 30MIN W PT | $84.00 | $168.00 | $60.61–$147.84 | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG PSYCHOTHERAPY 45MIN W PT | $105.00 | $210.00 | $30.34–$184.80 | 62% below | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG PSYCHOTHERAPY 45MIN W PT | $105.00 | $210.00 | $75.76–$184.80 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG PSYCHOTHERAPY 60MIN W PT | $156.00 | $312.00 | $45.07–$274.56 | 43% below | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG PSYCHOTHERAPY 60MIN W PT | $156.00 | $312.00 | $112.55–$274.56 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG VISIT ESTAB LEVEL V | $420.00 | $840.00 | $121.35–$739.20 | 47% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG VISIT ESTAB LEVEL V W/PROC | $420.00 | $840.00 | $121.35–$739.20 | 47% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG L&D TRIAGE LEVEL 5 | $588.00 | $1,176.00 | $135.00–$1,034.88 | 106% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG VISIT ESTAB LEVEL V W/PROC | $420.00 | $840.00 | $303.03–$739.20 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG VISIT ESTAB LEVEL V | $420.00 | $840.00 | $303.03–$739.20 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG L&D TRIAGE LEVEL 5 | $588.00 | $1,176.00 | $424.24–$1,034.88 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG VISIT ESTAB LEVEL III | $282.50 | $565.00 | $81.62–$497.20 | 61% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG L&D TRIAGE LEVEL 3 | $282.50 | $565.00 | $81.62–$497.20 | 61% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG VISIT ESTAB LEVEL III W/PROC | $282.50 | $565.00 | $81.62–$497.20 | 61% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG VISIT ESTAB LEVEL III W/PROC | $282.50 | $565.00 | $203.82–$497.20 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG VISIT ESTAB LEVEL III | $282.50 | $565.00 | $203.82–$497.20 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG L&D TRIAGE LEVEL 3 | $282.50 | $565.00 | $203.82–$497.20 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG VISIT ESTAB LEVEL IV W/PROC | $351.00 | $702.00 | $101.41–$617.76 | 82% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG VISIT ESTAB LEVEL IV | $351.00 | $702.00 | $101.41–$617.76 | 82% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG L&D TRIAGE LEVEL 4 | $351.00 | $702.00 | $101.41–$617.76 | 82% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG VISIT ESTAB LEVEL IV | $351.00 | $702.00 | $253.25–$617.76 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG VISIT ESTAB LEVEL IV W/PROC | $351.00 | $702.00 | $253.25–$617.76 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG L&D TRIAGE LEVEL 4 | $351.00 | $702.00 | $253.25–$617.76 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG L&D TRIAGE LEVEL 2 | $213.50 | $427.00 | $61.68–$375.76 | 70% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG VISIT ESTAB LEVEL II | $213.50 | $427.00 | $61.68–$375.76 | 70% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG VISIT ESTAB LEVEL II W/PROC | $213.50 | $427.00 | $61.68–$375.76 | 70% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG VISIT ESTAB LEVEL II | $213.50 | $427.00 | $154.04–$375.76 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG VISIT ESTAB LEVEL II W/PROC | $213.50 | $427.00 | $154.04–$375.76 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG L&D TRIAGE LEVEL 2 | $213.50 | $427.00 | $154.04–$375.76 | — | 50% |
| Speech and language evaluation CPT 92523 HCHG SPEECH SOUND LANG COMPREHEN | $724.50 | $1,449.00 | $209.32–$1,275.12 | 91% above | 50% |
| Speech and language evaluation inpatient CPT 92523 HCHG SPEECH SOUND LANG COMPREHEN | $724.50 | $1,449.00 | $522.73–$1,275.12 | — | 50% |
| Speech therapy session, individual CPT 92507 HCHG ST TREATMENT SPEECH | $142.50 | $285.00 | $41.17–$499.02 | 34% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 HCHG ST TREATMENT SPEECH | $142.50 | $285.00 | $102.81–$250.80 | — | 50% |
| Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY/PFT SMP | $355.50 | $711.00 | $102.71–$859.02 | at median | 50% |
| Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY/PFT SMP | $355.50 | $711.00 | $256.49–$625.68 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HCHG SPIROMETRY/PFT PRE & POST BRONCH | $305.00 | $610.00 | $88.12–$777.00 | 49% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG SPIROMETRY/PFT PRE & POST BRONCH | $305.00 | $610.00 | $220.06–$536.80 | — | 50% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HCHG TRANSCRAN MAGNET STIM INITIAL | $802.50 | $1,605.00 | $231.86–$1,412.40 | 65% above | 50% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HCHG TRANSCRAN MAGNET STIM INITIAL | $802.50 | $1,605.00 | $579.00–$1,412.40 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVITY 15 MIN | $114.50 | $229.00 | $33.08–$298.00 | 2% above | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG THERAPEUTIC ACTIVITY 15 MIN | $114.50 | $229.00 | $82.61–$201.52 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG PHLEBOTOMY THERAPEUTIC | $162.00 | $324.00 | $46.81–$676.97 | 28% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG PHLEBOTOMY THERAPEUTIC | $162.00 | $324.00 | $116.88–$285.12 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 flu vaccine 2024-25 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $162.25 | $324.49 | $46.88–$285.55 | 100% above | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 flu vac 2025 65up-adjMF59C(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $175.03 | $350.05 | $50.57–$308.04 | 116% above | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 flu vaccine 2024-25 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $162.25 | $324.49 | $78.53–$285.55 | — | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 flu vac 2025 65up-adjMF59C(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $175.03 | $350.05 | $84.71–$308.04 | — | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID vaccine 2023-24 PF 50 mcg/0.5 mL Syrg 0.5 mL Syringe | $287.40 | $574.80 | $83.04–$628.19 | 134% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID vaccine 2023-24 PF 50 mcg/0.5 mL Syrg 0.5 mL Syringe | $287.40 | $574.80 | $139.10–$505.82 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID vac23-24(12up)(PF) 30 mcg/0.3 mL Susp 0.3 mL Vial | $255.50 | $511.00 | $73.82–$564.39 | 53% above | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID vaccine 2023-24 PF 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $276.40 | $552.80 | $79.86–$564.39 | 66% above | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID vaccine 2024-25 PF 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $303.35 | $606.70 | $87.64–$564.39 | 82% above | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID vaccine 2025-26 PF 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $327.42 | $654.84 | $94.60–$576.26 | 96% above | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID vac23-24(12up)(PF) 30 mcg/0.3 mL Susp 0.3 mL Vial | $255.50 | $511.00 | $123.66–$449.68 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID vaccine 2023-24 PF 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $276.40 | $552.80 | $133.78–$486.46 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID vaccine 2024-25 PF 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $303.35 | $606.70 | $146.82–$533.90 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID vaccine 2025-26 PF 30 mcg/0.3 mL Syrg 0.3 mL Syringe | $327.42 | $654.84 | $158.47–$576.26 | — | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine live (PF) 1,350 unit/0.5 mL Susr 1 Each Vial | $403.46 | $806.91 | $116.57–$710.08 | 19% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine live (PF) 1,350 unit/0.5 mL Susr 1 Each Vial | $403.46 | $806.91 | $195.27–$710.08 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diptheria-tetanus toxoid-acellular pertussis 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $61.79 | $123.57 | $17.85–$119.08 | 32% below | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diptheria-tetanus toxoid-acellular pertussis 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $61.79 | $123.57 | $29.90–$108.74 | — | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 haemophilus B conjugate vaccine pwdr component 2 of 2 Solr 1 Each Vial | $227.85 | $455.69 | $65.83–$484.23 | 19% below | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 haemophilus B conjugate vaccine pwdr component 2 of 2 Solr 1 Each Vial | $227.85 | $455.69 | $110.28–$401.01 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vaccine 2024-25 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $43.35 | $86.70 | $12.52–$76.30 | 16% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vac ts 2025-26(6mos up)-PF 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $45.03 | $90.05 | $13.01–$79.24 | 20% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vaccine 2024-25 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $43.35 | $86.70 | $20.98–$76.30 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vac ts 2025-26(6mos up)-PF 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe | $45.03 | $90.05 | $21.79–$79.24 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 H Papillomavirus Vac,9-val (PF) 0.5 mL Susp 0.5 mL Vial | $594.21 | $1,188.41 | $171.68–$1,045.80 | 9% above | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 H Papillomavirus Vac,9-val (PF) 0.5 mL Susp 0.5 mL Vial | $594.21 | $1,188.41 | $287.60–$1,045.80 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT IM | $179.75 | $359.49 | $51.93–$316.35 | 3% below | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE ADULT IM | $179.75 | $359.49 | $87.00–$316.35 | — | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 hepatitis B vaccince 20 mcg/0.5 mL Syrg 0.5 mL Syringe | $345.15 | $690.30 | $99.72–$607.46 | 14% below | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 hepatitis B vaccince 20 mcg/0.5 mL Syrg 0.5 mL Syringe | $345.15 | $690.30 | $167.05–$607.46 | — | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Syrg 0.5 mL Syringe | $61.38 | $122.76 | $17.73–$108.03 | 27% below | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine 5 mcg/0.5 mL Susp 0.5 mL Syringe | $61.38 | $122.76 | $17.73–$108.03 | 27% below | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Syrg 0.5 mL Syringe | $61.38 | $122.76 | $29.71–$108.03 | — | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine 5 mcg/0.5 mL Susp 0.5 mL Syringe | $61.38 | $122.76 | $29.71–$108.03 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX (pf) 10MCG | $28.88 | $57.75 | $8.34–$54.63 | 39% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX (pf) 10MCG | $28.88 | $57.75 | $13.98–$50.82 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE | $206.99 | $413.98 | $59.80–$364.30 | 12% below | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE | $206.99 | $413.98 | $100.18–$364.30 | — | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 men A (MENVEO) vial 2 of 2 lyophilized conjugate component vial 10 mcg /0.5 mL Solr 1 Each Vial | $367.70 | $735.39 | $106.23–$647.14 | 44% below | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 mening vac A,C,Y,W135,tet (PF) 10 mcg/0.5 mL Soln 0.5 mL Vial | $379.19 | $758.38 | $109.56–$667.37 | 43% below | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 men A (MENVEO) vial 2 of 2 lyophilized conjugate component vial 10 mcg /0.5 mL Solr 1 Each Vial | $367.70 | $735.39 | $177.96–$647.14 | — | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 mening vac A,C,Y,W135,tet (PF) 10 mcg/0.5 mL Soln 0.5 mL Vial | $379.19 | $758.38 | $183.53–$667.37 | — | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal B vaccine 120 mcg/0.5 mL Syrg 0.5 mL Syringe | $456.95 | $913.90 | $132.02–$804.23 | 39% below | 50% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 meningococcal B vaccine 120 mcg/0.5 mL Syrg 0.5 mL Syringe | $456.95 | $913.90 | $221.16–$804.23 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal vaccine 20-valent 0.5 mL Syrg 0.5 mL Syringe | $547.24 | $1,094.47 | $158.11–$1,067.12 | 3% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal vaccine 20-valent 0.5 mL Syrg 0.5 mL Syringe | $547.24 | $1,094.47 | $264.86–$963.13 | — | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine, IPV 40-8-32 unit/0.5 mL Susp 0.5 mL Syringe | $63.54 | $127.08 | $18.36–$136.51 | 81% below | 50% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus Vaccine, IPV 40-8-32 unit/0.5 mL Susp 0.5 mL Syringe | $63.54 | $127.08 | $30.75–$111.83 | — | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 nirsevimab-alip 100 mg/mL Syrg 1 mL Syringe | $503.76 | $1,007.52 | $145.55–$2,130.98 | 49% below | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 nirsevimab-alip 100 mg/mL Syrg 1 mL Syringe | $503.76 | $1,007.52 | $243.82–$886.62 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe | $1,004.02 | $2,008.04 | $290.08–$2,130.98 | 2% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab-alip 50 mg/0.5 mL Syrg 0.5 mL Syringe | $1,004.02 | $2,008.04 | $485.95–$1,767.08 | — | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV vaccine PF 120 mcg/0.5 mL Solr 1 Each Vial | $677.46 | $1,354.92 | $195.73–$1,192.33 | 6% above | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV vaccine PF 120 mcg/0.5 mL Solr 1 Each Vial | $677.46 | $1,354.92 | $327.89–$1,192.33 | — | 50% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine (chicken derived) 2.5 unit Susr 1 Each KIT | $874.75 | $1,749.49 | $252.73–$1,539.55 | 15% below | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine (chicken derived) 2.5 unit Susr 1 Each KIT | $874.75 | $1,749.49 | $423.38–$1,539.55 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster (PF) 50 mcg/0.5 mL Susr 1 Each KIT | $476.62 | $953.24 | $137.71–$838.85 | 107% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 varicella-zoster (SHINGRIX) lyophilized gE antigen component vial 50 mcg Susr 1 Each Vial | $476.62 | $953.24 | $137.71–$838.85 | 107% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 varicella-zoster (SHINGRIX) lyophilized gE antigen component vial 50 mcg Susr 1 Each Vial | $476.62 | $953.24 | $230.68–$838.85 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster (PF) 50 mcg/0.5 mL Susr 1 Each KIT | $476.62 | $953.24 | $230.68–$838.85 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids peds (PF) 5-6.7 Lf unit Susp 0.5 mL Vial | $11.50 | $23.00 | $3.32–$79.81 | 90% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial | $52.19 | $104.37 | $15.08–$91.85 | 52% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (PF) 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe | $87.88 | $175.76 | $25.39–$154.67 | 20% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids peds (PF) 5-6.7 Lf unit Susp 0.5 mL Vial | $11.50 | $23.00 | $5.57–$20.24 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial | $52.19 | $104.37 | $25.26–$91.85 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (PF) 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe | $87.88 | $175.76 | $42.53–$154.67 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphth, Pertus(Acell), Tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $100.45 | $200.90 | $29.02–$176.79 | 23% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphth, Pertus(Acell), Tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Susp 0.5 mL Vial | $104.79 | $209.58 | $30.28–$184.43 | 20% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA/PERTUSSIS/TETANUS VAC 0.5 ML | $105.79 | $211.58 | $30.56–$186.19 | 19% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphth, Pertus(Acell), Tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe | $100.45 | $200.90 | $48.62–$176.79 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphth, Pertus(Acell), Tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Susp 0.5 mL Vial | $104.79 | $209.58 | $50.72–$184.43 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA/PERTUSSIS/TETANUS VAC 0.5 ML | $105.79 | $211.58 | $51.20–$186.19 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG IMMUNE ADMIN ONE VACC IM/SUB-Q/ID | $154.00 | $308.00 | $21.00–$375.46 | 109% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG IMMUNE ADMIN ONE VACC IM/SUB-Q/ID | $154.00 | $308.00 | $111.11–$271.04 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG IMMUNE ADMIN EA ADD VACC IM/SUBQ | $81.50 | $163.00 | $21.00–$143.44 | 74% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG IMMUNE ADMIN EA ADD VACC IM/SUBQ | $81.50 | $163.00 | $58.80–$143.44 | — | 50% |
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.