Hospital Lubbock, TX

University Medical Center

University Medical Center in Lubbock, TX publishes cash prices for 359 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 267 of 355 procedures and below it for 88. By typical cash price it ranks #235 of 299 Texas hospitals and #8 of 8 hospitals in the Lubbock, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

602 Indiana Avenue, Lubbock, TX 79415,602 Indiana Avenue, Lubbock, TX 79415,11011 Slide Road, Lubbock, TX 79424 Collected Sep 22, 2026 Source price file Check a bill from this hospital (806) 775-8200

Acute care hospital Government-owned hospital Emergency department CMS star rating 2 of 5 CCN 450686 · CMS hospital register

The price file shows no self-pay discount

For 898 of the 898 prices listed here, the cash price in University Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

University Medical Center 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named University Medical Center in Lubbock, TX:

Feb 9, 2024 Warning notice
May 16, 2024 Corrective action plan requested
Jun 26, 2024 Case closed
Jun 26, 2026 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 Hc Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast	$5,515.00	$5,515.00	—	91% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast	$5,515.00	$5,515.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 Hc Radiologic Exam Abdomen 2 Views	$743.00	$743.00	—	97% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 Hc Radiologic Exam Abdomen 2 Views	$743.00	$743.00	—	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 Hc Xr Ankle Complete 3+	$843.00	$843.00	—	137% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Xr Ankle Complete 3+	$843.00	$843.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Trans O2 Co2 Per Day	$735.00	$735.00	—	21% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Ankle Brachial Index Ltd	$735.00	$735.00	—	21% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Trans O2 Co2 Per Day	$735.00	$735.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Ankle Brachial Index Ltd	$735.00	$735.00	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct U E Wo Contr	$3,329.00	$3,329.00	—	102% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Ct U E Wo Contr	$3,329.00	$3,329.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophagram - Fl Esophagus Barium Swallow	$1,209.00	$1,209.00	—	141% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Esophagram - Fl Esophagus Barium Swallow	$1,209.00	$1,209.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone Imaging, Whole Body - Nm Bone Whole Body	$1,614.00	$1,614.00	—	3% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone Imaging, Whole Body - Nm Bone Whole Body	$1,614.00	$1,614.00	—	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 Hc Ultrasound Breast Complete - Us Breast Bilateral Complete	$695.67	$695.67	—	—	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Hc Ultrasound Breast Complete - Us Breast Bilateral Complete	$695.67	$695.67	—	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 Noncdm Charge Record	$655.00	$655.00	—	89% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Unilat Limited	$695.67	$695.67	—	101% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Noncdm Charge Record	$655.00	$655.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Us Breast Unilat Limited	$695.67	$695.67	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast	$11,942.00	$11,942.00	—	197% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast	$11,942.00	$11,942.00	—	—	—
CT angiography (CTA) of the head CPT 70496 Hc Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast	$6,604.00	$6,604.00	—	177% above	—
CT angiography (CTA) of the head inpatient CPT 70496 Hc Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast	$6,604.00	$6,604.00	—	—	—
CT angiography (CTA) of the neck CPT 70498 Hc Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast	$5,730.00	$5,730.00	—	141% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 Hc Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast	$5,730.00	$5,730.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont	$7,831.00	$7,831.00	—	204% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont	$7,831.00	$7,831.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angio Hrt W/3D Image - Ct Heart Coronary Angiogram	$3,826.00	$3,826.00	—	130% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angio Hrt W/3D Image - Ct Heart Coronary Angiogram	$3,826.00	$3,826.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast	$648.00	$648.00	—	242% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast	$648.00	$648.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast	$3,405.00	$3,405.00	—	20% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast	$3,405.00	$3,405.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast	$5,267.00	$5,267.00	—	38% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast	$5,267.00	$5,267.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast	$5,871.00	$5,871.00	—	55% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast	$5,871.00	$5,871.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen W/Dye - Ct Abdomen W Contrast	$4,450.00	$4,450.00	—	77% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen W/Dye - Ct Abdomen W Contrast	$4,450.00	$4,450.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast	$3,843.00	$3,843.00	—	91% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast	$3,843.00	$3,843.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast	$3,232.00	$3,232.00	—	97% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast	$3,232.00	$3,232.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast	$3,232.00	$3,232.00	—	93% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast	$3,232.00	$3,232.00	—	—	—
CT scan of the head with contrast CPT 70460 Hc Ct Scan Head Contrast - Ct Head W Contrast	$4,266.00	$4,266.00	—	154% above	—
CT scan of the head with contrast inpatient CPT 70460 Hc Ct Scan Head Contrast - Ct Head W Contrast	$4,266.00	$4,266.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Hc Ct Scan Head Combo - Ct Head W Wo Contrast	$5,051.00	$5,051.00	—	147% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Scan Head Combo - Ct Head W Wo Contrast	$5,051.00	$5,051.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast	$3,843.00	$3,843.00	—	122% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast	$3,843.00	$3,843.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast	$3,794.00	$3,794.00	—	86% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast	$3,794.00	$3,794.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast	$4,450.00	$4,450.00	—	104% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast	$4,450.00	$4,450.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Us Scan Ext Cran Art W Color	$1,381.00	$1,381.00	—	29% above	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Scan Extcran Art W/Color	$1,381.00	$1,381.00	—	29% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Scan Extcran Art W/Color	$1,381.00	$1,381.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Us Scan Ext Cran Art W Color	$1,381.00	$1,381.00	—	—	—
Chest CT scan without and with contrast CPT 71270 Hc Cat Scan Of Chest Combo - Ct Chest W Wo Contrast	$5,748.00	$5,748.00	—	126% above	—
Chest CT scan without and with contrast inpatient CPT 71270 Hc Cat Scan Of Chest Combo - Ct Chest W Wo Contrast	$5,748.00	$5,748.00	—	—	—
Chest X-ray, 2 views CPT 71046 Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$657.00	$657.00	—	69% above	—
Chest X-ray, 2 views inpatient CPT 71046 Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$657.00	$657.00	—	—	—
Chest X-ray, single view CPT 71045 Xr Exam Chest 1 View	$657.00	$657.00	—	103% above	—
Chest X-ray, single view inpatient CPT 71045 Xr Exam Chest 1 View	$657.00	$657.00	—	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 Xr Clavicle Complete	$842.53	$842.53	—	181% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xr Clavicle Complete	$842.53	$842.53	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us,Retroperit, B-Scan/Real Time,Complete - Us Renal Complete	$1,556.00	$1,556.00	—	125% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us,Retroperit, B-Scan/Real Time,Complete - Us Renal Complete	$1,556.00	$1,556.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dxa Bone Density Axial - Dexa Bone Density	$1,030.00	$1,030.00	—	158% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Dxa Bone Density Axial - Dexa Bone Density	$1,030.00	$1,030.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dxa Bone Density/Peripheral - Dexa Bone Density Extremity	$407.00	$407.00	—	85% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Dxa Bone Density/Peripheral - Dexa Bone Density Extremity	$407.00	$407.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest	$1,064.00	$1,064.00	—	55% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest	$1,064.00	$1,064.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast	$3,843.00	$3,843.00	—	152% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast	$3,843.00	$3,843.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Cat Scan Of Chest Contrast - Ct Chest W Contrast	$4,601.00	$4,601.00	—	130% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Cat Scan Of Chest Contrast - Ct Chest W Contrast	$4,601.00	$4,601.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Xr Mammo Bilat Digital	$1,143.00	$1,143.00	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Xr Mammo Bilat Digital	$1,143.00	$1,143.00	—	—	—
Diagnostic mammogram, one breast CPT 77065 Hc Dx Mammo Incl Cad Uni	$810.00	$810.00	—	198% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 Hc Dx Mammo Incl Cad Uni	$810.00	$810.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Scan Le Art Bg Bilat	$2,448.00	$2,448.00	—	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Us Le Art Bg W Color	$2,448.00	$2,448.00	—	75% above	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc Scan Le Art Bg Bilat	$2,448.00	$2,448.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Us Le Art Bg W Color	$2,448.00	$2,448.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Us Ext Venous Bilateral	$2,393.00	$2,393.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Scan Ext Veins Bilateral	$2,393.00	$2,393.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Us Ext Venous Bilateral	$2,393.00	$2,393.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Scan Ext Veins Bilateral	$2,393.00	$2,393.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Tte W/Doppler Complete - Tte Complete	$3,728.00	$3,728.00	—	95% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Tte W/Doppler Complete - Tte Complete	$3,728.00	$3,728.00	—	—	—
Elbow X-ray, 2 views CPT 73070 Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views	$843.00	$843.00	—	168% above	—
Elbow X-ray, 2 views inpatient CPT 73070 Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views	$843.00	$843.00	—	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views	$843.00	$843.00	—	120% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views	$843.00	$843.00	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont	$3,232.00	$3,232.00	—	118% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont	$3,232.00	$3,232.00	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Hc X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views	$843.00	$843.00	—	116% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views	$843.00	$843.00	—	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc Xr Forearm Ap Lat	$843.00	$843.00	—	126% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc Xr Forearm Ap Lat	$843.00	$843.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function	$1,243.00	$1,243.00	—	22% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function	$1,243.00	$1,243.00	—	—	—
Hand X-ray, 2 views CPT 73120 Hc Xr Hand 2V	$843.00	$843.00	—	165% above	—
Hand X-ray, 2 views inpatient CPT 73120 Hc Xr Hand 2V	$843.00	$843.00	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc X-Ray Heel - Xr Calcaneus 2 Views	$843.00	$843.00	—	194% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc X-Ray Heel - Xr Calcaneus 2 Views	$843.00	$843.00	—	—	—
Knee X-ray, 3 views CPT 73562 Hc Xr Knee 3 Views	$843.00	$843.00	—	127% above	—
Knee X-ray, 3 views inpatient CPT 73562 Hc Xr Knee 3 Views	$843.00	$843.00	—	—	—
Knee X-ray, complete, 4 or more views CPT 73564 Hc Xr Knee 4+Views	$843.00	$843.00	—	98% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc Xr Knee 4+Views	$843.00	$843.00	—	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct L E Wo Contr	$3,329.00	$3,329.00	—	102% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Ct L E Wo Contr	$3,329.00	$3,329.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abd Scan Ltd	$1,556.00	$1,556.00	—	157% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abd Scan Ltd	$1,556.00	$1,556.00	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Extrem Non-Vasc Limited	$1,455.00	$1,455.00	—	273% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Extrem Non-Vasc Limited	$1,455.00	$1,455.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ldct For Lung Cancer Screen	$560.00	$560.00	—	133% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ldct For Lung Cancer Screen	$560.00	$560.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc Xr Tib Fib Ap Lat	$843.00	$843.00	—	144% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc Xr Tib Fib Ap Lat	$843.00	$843.00	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio, Head - Mr Head Angio Wo Iv Contrast	$2,915.00	$2,915.00	—	63% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mr Angio, Head - Mr Head Angio Wo Iv Contrast	$2,915.00	$2,915.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Extrem Joint Wo Contr	$3,553.00	$3,553.00	—	63% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Lower Extrem Joint Wo Contr	$3,553.00	$3,553.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Lower Extrem Joint W Wo Contrast	$8,281.00	$8,281.00	—	175% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Lower Extrem Joint W Wo Contrast	$8,281.00	$8,281.00	—	—	—
MRI of the abdomen without contrast CPT 74181 Hc Mri, Abdomen	$3,553.00	$3,553.00	—	73% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri, Abdomen	$3,553.00	$3,553.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast	$9,053.00	$9,053.00	—	196% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast	$9,053.00	$9,053.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain - Mri Brain Wo Contrast	$4,626.00	$4,626.00	—	151% above	—
MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Wo Contr + Mrv Head Wo Contr	$7,540.00	$7,540.00	—	309% above	—
MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Wo Contr + Mra Head Wo Contr	$7,540.00	$7,540.00	—	309% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain - Mri Brain Wo Contrast	$4,626.00	$4,626.00	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Wo Contr + Mrv Head Wo Contr	$7,540.00	$7,540.00	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Wo Contr + Mra Head Wo Contr	$7,540.00	$7,540.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Combo - Mri Brain W Wo Contrast	$7,405.00	$7,405.00	—	162% above	—
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W Wo Contrast + Mrv Head W Wo Contr	$10,725.00	$10,725.00	—	279% above	—
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W Wo Contrast + Mra Head Wo Contr	$10,725.00	$10,725.00	—	279% above	—
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W Wo Contrast + Mrv Head Wo Contr	$10,725.00	$10,725.00	—	279% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain Combo - Mri Brain W Wo Contrast	$7,405.00	$7,405.00	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W Wo Contrast + Mra Head Wo Contr	$10,725.00	$10,725.00	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W Wo Contrast + Mrv Head Wo Contr	$10,725.00	$10,725.00	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W Wo Contrast + Mrv Head W Wo Contr	$10,725.00	$10,725.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast	$3,944.00	$3,944.00	—	80% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast	$3,944.00	$3,944.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast	$7,894.00	$7,894.00	—	147% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast	$7,894.00	$7,894.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri, Dorsal Spine - Mri Complete Spine Wo Contrast	$3,944.00	$3,944.00	—	94% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri, Dorsal Spine - Mri Complete Spine Wo Contrast	$3,944.00	$3,944.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast	$9,758.00	$9,758.00	—	199% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast	$9,758.00	$9,758.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri, Cerv Spine - Mri Complete Spine Wo Contrast	$4,877.00	$4,877.00	—	115% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri, Cerv Spine - Mri Complete Spine Wo Contrast	$4,877.00	$4,877.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Hc Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast	$8,906.00	$8,906.00	—	186% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast	$8,906.00	$8,906.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Hc Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast	$4,094.00	$4,094.00	—	73% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast	$4,094.00	$4,094.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri U E Joint Wo Contr	$3,553.00	$3,553.00	—	98% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri U E Joint Wo Contr	$3,553.00	$3,553.00	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views	$1,455.00	$1,455.00	—	167% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views	$1,455.00	$1,455.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast	$4,266.00	$4,266.00	—	115% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast	$4,266.00	$4,266.00	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 Hc Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont	$3,232.00	$3,232.00	—	110% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 Hc Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont	$3,232.00	$3,232.00	—	—	—
Neck soft tissue X-ray CPT 70360 Hc X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$592.00	$592.00	—	149% above	—
Neck soft tissue X-ray inpatient CPT 70360 Hc X-Ray Neck Soft Tissue - Xr Neck Soft Tissue	$592.00	$592.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Ht Muscle Image Spect Mult	$4,171.00	$4,171.00	—	1% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Ht Muscle Image Spect Mult	$4,171.00	$4,171.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Neuroendocrine Imaging	$10,013.00	$10,013.00	—	133% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh	$10,013.00	$10,013.00	—	133% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Neuroendocrine Imaging	$10,013.00	$10,013.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh	$10,013.00	$10,013.00	—	—	—
Pelvic CT scan without contrast CPT 72192 Hc Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast	$3,843.00	$3,843.00	—	137% above	—
Pelvic CT scan without contrast inpatient CPT 72192 Hc Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast	$3,843.00	$3,843.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Exam Pelvic Limited	$591.00	$591.00	—	22% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Exam Pelvic Limited	$591.00	$591.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvic Complete	$1,500.00	$1,500.00	—	97% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Echo,Pelvic	$1,500.00	$1,500.00	—	97% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvic Complete	$1,500.00	$1,500.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Echo,Pelvic	$1,500.00	$1,500.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest	$1,446.00	$1,446.00	—	138% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest	$1,446.00	$1,446.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us <14 Wks Single Fetus	$1,446.00	$1,446.00	—	147% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us <14 Wks Single Fetus	$1,446.00	$1,446.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Ob Us Limited Fetus	$554.00	$554.00	—	21% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Ob Us Limited Fetus	$554.00	$554.00	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 Hc Xr Ribs 2 Vw Unilat	$486.00	$486.00	—	64% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Xr Ribs 2 Vw Unilat	$486.00	$486.00	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Xr Ribs Unilat W Pa Chest 3+V	$843.00	$843.00	—	114% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Xr Ribs Unilat W Pa Chest 3+V	$843.00	$843.00	—	—	—
Screening mammogram, both breasts both sides CPT 77067 Hc Scr Mammo Bi Incl Cad	$857.00	$857.00	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Scr Mammo Bi Incl Cad	$857.00	$857.00	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Xr Shoulder Comp 2+	$843.00	$843.00	—	164% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Xr Shoulder Comp 2+	$843.00	$843.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 Hc X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$843.00	$843.00	—	108% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views	$843.00	$843.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 Hc X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$843.00	$843.00	—	164% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 Hc X-Ray Skull <4 Vw - Xr Skull 1-3 Views	$843.00	$843.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$1,192.00	$1,192.00	—	98% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech	$1,192.00	$1,192.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Xr Femur 2+ View	$780.00	$780.00	—	139% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc Xr Femur 2+ View	$780.00	$780.00	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast	$3,843.00	$3,843.00	—	103% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast	$3,843.00	$3,843.00	—	—	—
Toe X-ray, 2 or more views CPT 73660 Hc X-Ray Toe	$843.00	$843.00	—	210% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 Hc X-Ray Toe	$843.00	$843.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Hc Echography,Transvaginal - Us Pelvis Transvaginal	$1,500.00	$1,500.00	—	148% above	—
Transvaginal pelvic ultrasound CPT 76830 Hc Non Ob Transvag Us (Ec)	$1,500.00	$1,500.00	—	148% above	—
Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal Non Ob	$1,500.00	$1,500.00	—	148% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Echography,Transvaginal - Us Pelvis Transvaginal	$1,500.00	$1,500.00	—	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Non Ob Transvag Us (Ec)	$1,500.00	$1,500.00	—	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal Non Ob	$1,500.00	$1,500.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Hc Transvaginal Us Obstetric - Us Ob Transvaginal	$957.00	$957.00	—	88% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Transvaginal Us Obstetric - Us Ob Transvaginal	$957.00	$957.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Hc Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete	$1,556.00	$1,556.00	—	98% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete	$1,556.00	$1,556.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Hc Echo,Scrotum & Contents - Us Scrotum	$1,040.00	$1,040.00	—	70% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Echo,Scrotum & Contents - Us Scrotum	$1,040.00	$1,040.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Soft Tissue Head Neck (Ec)	$1,556.00	$1,556.00	—	147% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue	$1,556.00	$1,556.00	—	147% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Soft Tissue Head Neck (Ec)	$1,556.00	$1,556.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue	$1,556.00	$1,556.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Xr Ugi	$1,514.00	$1,514.00	—	111% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Xr Ugi	$1,514.00	$1,514.00	—	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 Hc Xr Humerus (Rad)	$843.00	$843.00	—	140% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc Xr Humerus (Rad)	$843.00	$843.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Extremity Venous Unilateral (Ec)	$1,521.00	$1,521.00	—	95% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Extremity Venous Unilateral	$1,521.00	$1,521.00	—	95% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Us Extremity Venous Unilateral	$1,521.00	$1,521.00	—	95% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Extremity Venous Unilateral (Ec)	$1,521.00	$1,521.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Us Extremity Venous Unilateral	$1,521.00	$1,521.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Extremity Venous Unilateral	$1,521.00	$1,521.00	—	—	—
Wrist X-ray, 2 views CPT 73100 Hc Xr Wrist Ap Lat	$843.00	$843.00	—	184% above	—
Wrist X-ray, 2 views inpatient CPT 73100 Hc Xr Wrist Ap Lat	$843.00	$843.00	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Hc Xr Wrist Complete 3+	$843.00	$843.00	—	130% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Xr Wrist Complete 3+	$843.00	$843.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Xr Hip Unilat 2-3 View	$472.00	$472.00	—	28% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hc Xr Hip Unilat 2-3 View	$472.00	$472.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Hc Radiologic Exam Abdomen 1 View	$592.00	$592.00	—	75% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Radiologic Exam Abdomen 1 View	$592.00	$592.00	—	—	—
X-ray of the ankle, 2 views CPT 73600 Hc Xr Ankle Ap Lat	$843.00	$843.00	—	182% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 Hc Xr Ankle Ap Lat	$843.00	$843.00	—	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Hc Xr Finger	$843.00	$843.00	—	250% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Xr Finger	$843.00	$843.00	—	—	—
X-ray of the foot, 2 views CPT 73620 Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views	$843.00	$843.00	—	153% above	—
X-ray of the foot, 2 views inpatient CPT 73620 Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views	$843.00	$843.00	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views	$843.00	$843.00	—	127% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views	$843.00	$843.00	—	—	—
X-ray of the hand, 3 or more views CPT 73130 Hc Xr Hand Complete 3+	$843.00	$843.00	—	120% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Xr Hand Complete 3+	$843.00	$843.00	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 Hc Xr Knee Ap Lat	$843.00	$843.00	—	186% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Xr Knee Ap Lat	$843.00	$843.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$843.00	$843.00	—	90% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views	$843.00	$843.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$1,455.00	$1,455.00	—	159% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$1,455.00	$1,455.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$843.00	$843.00	—	109% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views	$843.00	$843.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Hc X-Ray Nasal Bones - Xr Nasal Bones	$763.00	$763.00	—	178% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc X-Ray Nasal Bones - Xr Nasal Bones	$763.00	$763.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views	$843.00	$843.00	—	131% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views	$843.00	$843.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$843.00	$843.00	—	169% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views	$843.00	$843.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$843.00	$843.00	—	175% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views	$843.00	$843.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 Hc Assay Of Acth - Acth	$564.00	$564.00	—	165% above	—
ACTH blood test inpatient CPT 82024 Hc Assay Of Acth - Acth	$564.00	$564.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Transferase Alanine Amino	$49.00	$49.00	—	2% below	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Transferase Alanine Amino	$49.00	$49.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Transferase Aspartate Amino	$49.00	$49.00	—	5% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Transferase Aspartate Amino	$49.00	$49.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Hepatitis Panel,Acute	$155.00	$155.00	—	59% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Hepatitis Panel,Acute	$155.00	$155.00	—	—	—
Albumin blood test CPT 82040 Hc Assay Of Serum Albumin - Albumin	$87.00	$87.00	—	134% above	—
Albumin blood test inpatient CPT 82040 Hc Assay Of Serum Albumin - Albumin	$87.00	$87.00	—	—	—
Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone - Aldosterone	$591.00	$591.00	—	343% above	—
Aldosterone blood test inpatient CPT 82088 Hc Assay Of Aldosterone - Aldosterone	$591.00	$591.00	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 Hc Assay Alkal Phosphatase - Alkaline Phosphatase	$90.00	$90.00	—	88% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Assay Alkal Phosphatase - Alkaline Phosphatase	$90.00	$90.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Ea	$77.00	$77.00	—	221% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Ea	$77.00	$77.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha Fetoprotein	$54.00	$54.00	—	49% below	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha Fetoprotein	$54.00	$54.00	—	—	—
Ammonia blood test CPT 82140 Hc Assay Of Ammonia - Ammonia	$99.00	$99.00	—	30% below	—
Ammonia blood test inpatient CPT 82140 Hc Assay Of Ammonia - Ammonia	$99.00	$99.00	—	—	—
Amylase blood test CPT 82150 Hc Amylase Assay	$28.00	$28.00	—	64% below	—
Amylase blood test inpatient CPT 82150 Hc Amylase Assay	$28.00	$28.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$79.00	$79.00	—	42% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy	$79.00	$79.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Antibodies - Ana	$59.00	$59.00	—	23% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Antibodies - Ana	$59.00	$59.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide Type B	$110.00	$110.00	—	30% below	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide Type B	$110.00	$110.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Routine	$49.00	$49.00	—	27% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Routine	$49.00	$49.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel	$29.00	$29.00	—	86% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel	$29.00	$29.00	—	—	—
Bilirubin blood test, total CPT 82247 Hc Bilirubin Total - Bilirubin Total	$24.00	$24.00	—	58% below	—
Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin Total - Bilirubin Total	$24.00	$24.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path,Level Iv - Lab Surg Path,Level Iv	$340.00	$340.00	—	14% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path,Level Iv - Lab Surg Path,Level Iv	$340.00	$340.00	—	—	—
Blood culture for bacteria CPT 87040 Hc Culture Blood	$119.00	$119.00	—	42% below	—
Blood culture for bacteria inpatient CPT 87040 Hc Culture Blood	$119.00	$119.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Chg Collection Venous Blood,Venipuncture - Draw Charge	$11.00	$11.00	—	39% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Sane Venipuncture	$15.00	$15.00	—	17% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Chg Collection Venous Blood,Venipuncture - Draw Charge	$11.00	$11.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Sane Venipuncture	$15.00	$15.00	—	—	—
Blood glucose (sugar) test CPT 82947 Hc Assay Quantitative,Blood Glucose	$16.00	$16.00	—	62% below	—
Blood glucose (sugar) test inpatient CPT 82947 Hc Assay Quantitative,Blood Glucose	$16.00	$16.00	—	—	—
Blood lead test CPT 83655 Hc Assay Of Lead	$186.00	$186.00	—	300% above	—
Blood lead test inpatient CPT 83655 Hc Assay Of Lead	$186.00	$186.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Chorionic Gonadotropin, Qual - Hcg Qualitative	$49.00	$49.00	—	64% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Chorionic Gonadotropin, Qual - Hcg Qualitative	$49.00	$49.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing Serologic Abo	$276.00	$276.00	—	212% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing Serologic Abo	$276.00	$276.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 Hc Urea Nitrogen Quant	$73.00	$73.00	—	38% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Urea Nitrogen Quant	$73.00	$73.00	—	—	—
C-peptide blood test CPT 84681 Hc Assay Of C-Peptide	$317.00	$317.00	—	335% above	—
C-peptide blood test inpatient CPT 84681 Hc Assay Of C-Peptide	$317.00	$317.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein - C-Reactive Protein	$79.00	$79.00	—	52% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein - C-Reactive Protein	$79.00	$79.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Diff Amplified Probe	$114.00	$114.00	—	35% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Diff Amplified Probe	$114.00	$114.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$292.00	$292.00	—	120% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9	$292.00	$292.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$292.00	$292.00	—	93% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Immunoassay, Tumor Antigen, Ca 125 - Ca 125	$292.00	$292.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-Cov-2 Covid-19 Amplified Probe	$416.00	$416.00	—	350% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Sars-Cov-2 Covid-19 Amplified Probe	$416.00	$416.00	—	—	—
Calcium blood test, total CPT 82310 Hc Assay Of Calcium, Total - Calcium	$90.00	$90.00	—	56% above	—
Calcium blood test, total inpatient CPT 82310 Hc Assay Of Calcium, Total - Calcium	$90.00	$90.00	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen - Cea	$62.00	$62.00	—	54% below	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen - Cea	$62.00	$62.00	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster - Varicella Zoster Igm	$130.00	$130.00	—	112% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella-Zoster - Varicella Zoster Igm	$130.00	$130.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$114.00	$114.00	—	8% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr	$114.00	$114.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel - Bundled Charge	$43.00	$43.00	—	71% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel - Bundled Charge	$43.00	$43.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 Hc Automated Cbc W Diff	$28.00	$28.00	—	69% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Automated Cbc W Diff	$28.00	$28.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc - Cbc	$28.00	$28.00	—	70% below	—
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Complete Cbc - Cbc	$28.00	$28.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Hc Metabolic Panel,Comprehensive - Bundled Charge	$39.00	$39.00	—	84% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Metabolic Panel,Comprehensive - Bundled Charge	$39.00	$39.00	—	—	—
Cortisol blood test, total CPT 82533 Hc Total Cortisol - Cortisol	$109.00	$109.00	—	33% above	—
Cortisol blood test, total inpatient CPT 82533 Hc Total Cortisol - Cortisol	$109.00	$109.00	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 Hc Assay Of Ck	$28.00	$28.00	—	56% below	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Assay Of Ck	$28.00	$28.00	—	—	—
Creatinine blood test CPT 82565 Hc Assay Of Creatinine - Creatinine	$88.00	$88.00	—	64% above	—
Creatinine blood test inpatient CPT 82565 Hc Assay Of Creatinine - Creatinine	$88.00	$88.00	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cmv Antibody	$189.00	$189.00	—	166% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Cmv Antibody	$189.00	$189.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$336.00	$336.00	—	123% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dehydroepiandrosterone-Sulfate - Dhea-Sulfate	$336.00	$336.00	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen Class List A	$189.00	$189.00	—	204% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen Class List A	$189.00	$189.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel	$151.00	$151.00	—	5% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel	$151.00	$151.00	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Epstein-Barr Capsid Vca	$141.00	$141.00	—	64% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Epstein-Barr Capsid Vca	$141.00	$141.00	—	—	—
Estradiol blood test CPT 82670 Hc Assay Of Estradiol - Estradiol	$420.00	$420.00	—	237% above	—
Estradiol blood test inpatient CPT 82670 Hc Assay Of Estradiol - Estradiol	$420.00	$420.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Hc Gonadotropin (Fsh) - Fsh	$60.00	$60.00	—	62% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Gonadotropin (Fsh) - Fsh	$60.00	$60.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Hc Calprotectin Assay	$194.00	$194.00	—	9% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Calprotectin Assay	$194.00	$194.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Hc Assay Of Ferritin - Ferritin	$44.00	$44.00	—	47% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Assay Of Ferritin - Ferritin	$44.00	$44.00	—	—	—
Fibrinogen blood test CPT 85384 Hc Fibrinogen, Activity - Fibrinogen	$149.00	$149.00	—	72% above	—
Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen, Activity - Fibrinogen	$149.00	$149.00	—	—	—
Folate (folic acid) blood test CPT 82746 Hc Blood Folic Acid Serum - Folate	$48.00	$48.00	—	40% below	—
Folate (folic acid) blood test inpatient CPT 82746 Hc Blood Folic Acid Serum - Folate	$48.00	$48.00	—	—	—
Free T3 thyroid hormone test CPT 84481 Hc Triiodothyronine Free Assay	$99.00	$99.00	—	29% below	—
Free T3 thyroid hormone test inpatient CPT 84481 Hc Triiodothyronine Free Assay	$99.00	$99.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Assay Of Free Thyroxine - T4 Free	$39.00	$39.00	—	48% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Assay Of Free Thyroxine - T4 Free	$39.00	$39.00	—	—	—
Free testosterone test CPT 84402 Hc Assay Of Testosterone - Testosterone Free	$376.00	$376.00	—	255% above	—
Free testosterone test inpatient CPT 84402 Hc Assay Of Testosterone - Testosterone Free	$376.00	$376.00	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Glutamyltransferase	$49.00	$49.00	—	17% below	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc Glutamyltransferase	$49.00	$49.00	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel	$99.00	$99.00	—	77% below	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc General Health Panel	$99.00	$99.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Post Dose	$28.00	$28.00	—	64% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Post Dose	$28.00	$28.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tol Test 3 Spec	$203.00	$203.00	—	34% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tol Test 3 Spec	$203.00	$203.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gc Amplified Probe	$114.00	$114.00	—	13% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gc Amplified Probe	$114.00	$114.00	—	—	—
H. pylori stool antigen test CPT 87338 Hc Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$147.00	$147.00	—	80% above	—
H. pylori stool antigen test inpatient CPT 87338 Hc Iaad Ia Hpylori Stool - H Pylori Antigen Stool	$147.00	$147.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant By Pcr	$916.00	$916.00	—	202% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant By Pcr	$916.00	$916.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv	$79.00	$79.00	—	9% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv	$79.00	$79.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv-1 W/ Hiv-1 And Hiv-2 Ab, Single Result	$223.00	$223.00	—	64% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv-1 W/ Hiv-1 And Hiv-2 Ab, Single Result	$223.00	$223.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Iadna Human Papillomavirus High-Risk Types	$283.00	$283.00	—	299% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Iadna Human Papillomavirus High-Risk Types	$283.00	$283.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Glycosylated Hemoglobin Test - Hemoglobin A1C	$39.00	$39.00	—	53% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Glycosylated Hemoglobin Test - Hemoglobin A1C	$39.00	$39.00	—	—	—
Hemoglobin blood test CPT 85018 Hc Hemoglobin - Hemoglobin	$28.00	$28.00	—	35% below	—
Hemoglobin blood test inpatient CPT 85018 Hc Hemoglobin - Hemoglobin	$28.00	$28.00	—	—	—
Hepatitis B core antibody test (total) CPT 86704 Hc Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$39.00	$39.00	—	46% below	—
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total	$39.00	$39.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$48.00	$48.00	—	25% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody	$48.00	$48.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$34.00	$34.00	—	51% below	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen	$34.00	$34.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Ab Test - Hepatitis C Antibody	$46.00	$46.00	—	46% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Ab Test - Hepatitis C Antibody	$46.00	$46.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Iadna Hepatitis C Quant & Reverse Transcription	$168.00	$168.00	—	29% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Iadna Hepatitis C Quant & Reverse Transcription	$168.00	$168.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Hc Ab Herpes Simplex 1	$189.00	$189.00	—	162% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Ab Herpes Simplex 1	$189.00	$189.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Simplex Test, Type 2 - Hsv 2	$65.00	$65.00	—	23% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpes Simplex Test, Type 2 - Hsv 2	$65.00	$65.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$191.00	$191.00	—	153% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C-Reactive Protein,High Sensitivity - High Sensitivity Crp	$191.00	$191.00	—	—	—
Homocysteine blood test CPT 83090 Hc Assay Of Homocystine - Homocysteine Total	$258.00	$258.00	—	72% above	—
Homocysteine blood test inpatient CPT 83090 Hc Assay Of Homocystine - Homocysteine Total	$258.00	$258.00	—	—	—
Insulin blood test CPT 83525 Hc Assay Of Insulin,Total - Insulin, Total	$167.00	$167.00	—	143% above	—
Insulin blood test inpatient CPT 83525 Hc Assay Of Insulin,Total - Insulin, Total	$167.00	$167.00	—	—	—
Iron blood test (serum iron) CPT 83540 Hc Assay Of Iron - Iron	$65.00	$65.00	—	8% below	—
Iron blood test (serum iron) inpatient CPT 83540 Hc Assay Of Iron - Iron	$65.00	$65.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Test - Iron And Iron Binding Capacity Panel	$29.00	$29.00	—	68% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Test - Iron And Iron Binding Capacity Panel	$29.00	$29.00	—	—	—
Kidney function blood test panel CPT 80069 Hc Renal Function Panel - Bundled Charge	$49.00	$49.00	—	72% below	—
Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel - Bundled Charge	$49.00	$49.00	—	—	—
LH (luteinizing hormone) test CPT 83002 Hc Gonadotropin (Lh) - Luteinizing Hormone	$279.00	$279.00	—	100% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Hc Gonadotropin (Lh) - Luteinizing Hormone	$279.00	$279.00	—	—	—
Lactate (lactic acid) blood test CPT 83605 Hc Assay Of Lactic Acid - Lactate	$69.00	$69.00	—	28% below	—
Lactate (lactic acid) blood test inpatient CPT 83605 Hc Assay Of Lactic Acid - Lactate	$69.00	$69.00	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate	$103.00	$103.00	—	151% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate	$103.00	$103.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Hc Assay Of Lipase - Lipase	$39.00	$39.00	—	42% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Assay Of Lipase - Lipase	$39.00	$39.00	—	—	—
Liver function blood test panel CPT 80076 Hc Hepatic Function Panel - Bundled Charge	$49.00	$49.00	—	75% below	—
Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel - Bundled Charge	$49.00	$49.00	—	—	—
Lyme disease antibody test CPT 86618 Hc Lyme Disease Antibody	$237.00	$237.00	—	187% above	—
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Antibody	$237.00	$237.00	—	—	—
Magnesium blood test CPT 83735 Hc Assay Of Magnesium - Magnesium	$28.00	$28.00	—	39% below	—
Magnesium blood test inpatient CPT 83735 Hc Assay Of Magnesium - Magnesium	$28.00	$28.00	—	—	—
Measles (rubeola) antibody test CPT 86765 Hc Rubeola - Rubeola Antibody	$49.00	$49.00	—	34% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola - Rubeola Antibody	$49.00	$49.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Monospot Test	$82.00	$82.00	—	4% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Monospot Test	$82.00	$82.00	—	—	—
Mumps immunity blood test CPT 86735 Hc Mumps - Mumps Antibody	$187.00	$187.00	—	217% above	—
Mumps immunity blood test inpatient CPT 86735 Hc Mumps - Mumps Antibody	$187.00	$187.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Free	$277.00	$277.00	—	146% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Free	$277.00	$277.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Specific Antigen,Total - Psa	$60.00	$60.00	—	30% below	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Specific Antigen,Total - Psa	$60.00	$60.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer	$149.00	$149.00	—	64% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer	$149.00	$149.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Hc Assay Of Parathormone - Pth Intact	$134.00	$134.00	—	34% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Assay Of Parathormone - Pth Intact	$134.00	$134.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial - Aptt	$29.00	$29.00	—	42% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplas Time Partial - Aptt	$29.00	$29.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 Hc Assay Of Inorganic Phosphorus - Phosphorus	$26.00	$26.00	—	58% below	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Assay Of Inorganic Phosphorus - Phosphorus	$26.00	$26.00	—	—	—
Potassium blood test CPT 84132 Hc Assay Of Serum Potassium - Potassium	$81.00	$81.00	—	35% above	—
Potassium blood test inpatient CPT 84132 Hc Assay Of Serum Potassium - Potassium	$81.00	$81.00	—	—	—
Progesterone blood test CPT 84144 Hc Assay Of Progesterone - Progesterone	$319.00	$319.00	—	216% above	—
Progesterone blood test inpatient CPT 84144 Hc Assay Of Progesterone - Progesterone	$319.00	$319.00	—	—	—
Prolactin blood test CPT 84146 Hc Assay Of Prolactin - Prolactin	$63.00	$63.00	—	43% below	—
Prolactin blood test inpatient CPT 84146 Hc Assay Of Prolactin - Prolactin	$63.00	$63.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time	$29.00	$29.00	—	36% below	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time	$29.00	$29.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Strep A Assay W/Optic - Rapid Strep A Screen	$164.00	$164.00	—	68% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Strep A Assay W/Optic - Rapid Strep A Screen	$164.00	$164.00	—	—	—
Renin blood test CPT 84244 Hc Assay Of Renin - Renin Direct Assay	$328.00	$328.00	—	222% above	—
Renin blood test inpatient CPT 84244 Hc Assay Of Renin - Renin Direct Assay	$328.00	$328.00	—	—	—
Rh blood typing CPT 86901 Hc Blood Typing Serologic Rh	$114.00	$114.00	—	78% above	—
Rh blood typing inpatient CPT 86901 Hc Blood Typing Serologic Rh	$114.00	$114.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor Quantitative	$99.00	$99.00	—	117% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor Quantitative	$99.00	$99.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 Hc Rubella - Rubella Antibody	$47.00	$47.00	—	7% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella - Rubella Antibody	$47.00	$47.00	—	—	—
Sodium blood test CPT 84295 Hc Assay Of Serum Sodium - Sodium	$28.00	$28.00	—	55% below	—
Sodium blood test inpatient CPT 84295 Hc Assay Of Serum Sodium - Sodium	$28.00	$28.00	—	—	—
Stool ova and parasites exam CPT 87177 Hc Ova And Parasites Smears - Ova And Parasite Examination	$118.00	$118.00	—	76% above	—
Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites Smears - Ova And Parasite Examination	$118.00	$118.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood Feces	$90.00	$90.00	—	140% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Blood Feces	$90.00	$90.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Occult Bld Fhg Qual 1-3	$99.00	$99.00	—	47% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Occult Bld Fhg Qual 1-3	$99.00	$99.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum - T. Pallidum Confirmatory	$99.00	$99.00	—	124% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody Treponema Pallidum - T. Pallidum Confirmatory	$99.00	$99.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Non Treponemal Antibody Qual	$71.00	$71.00	—	66% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test Non Treponemal Antibody Qual	$71.00	$71.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test	$201.00	$201.00	—	2% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test	$201.00	$201.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone - Testosterone	$84.00	$84.00	—	16% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone - Testosterone	$84.00	$84.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Antibody - Thyroid Or Liver Kidney	$205.00	$205.00	—	146% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Antibody - Thyroid Or Liver Kidney	$205.00	$205.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Noncdm Charge Record	$52.00	$52.00	—	50% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$55.00	$55.00	—	48% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Noncdm Charge Record	$52.00	$52.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone	$55.00	$55.00	—	—	—
Total IgE blood test CPT 82785 Hc Assay Of Gammaglobulin Ige - Immunoglobulin Ige	$249.00	$249.00	—	214% above	—
Total IgE blood test inpatient CPT 82785 Hc Assay Of Gammaglobulin Ige - Immunoglobulin Ige	$249.00	$249.00	—	—	—
Total cholesterol blood test CPT 82465 Hc Assay, Bld/Serum Cholesterol - Cholesterol Fluid	$78.00	$78.00	—	41% above	—
Total cholesterol blood test inpatient CPT 82465 Hc Assay, Bld/Serum Cholesterol - Cholesterol Fluid	$78.00	$78.00	—	—	—
Total thyroxine (T4) blood test CPT 84436 Hc Assay Of Total Thyroxine - T4	$49.00	$49.00	—	39% below	—
Total thyroxine (T4) blood test inpatient CPT 84436 Hc Assay Of Total Thyroxine - T4	$49.00	$49.00	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 Hc Triiodothyronine Total Assay, Tt-3 - T3	$46.00	$46.00	—	63% below	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc Triiodothyronine Total Assay, Tt-3 - T3	$46.00	$46.00	—	—	—
Transferrin blood test CPT 84466 Hc Assay Of Transferrin - Transferrin	$41.00	$41.00	—	66% below	—
Transferrin blood test inpatient CPT 84466 Hc Assay Of Transferrin - Transferrin	$41.00	$41.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis Amplif	$202.00	$202.00	—	131% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Vaginalis Amplif	$202.00	$202.00	—	—	—
Triglycerides blood test CPT 84478 Hc Assay Of Triglycerides - Triglycerides	$29.00	$29.00	—	57% below	—
Triglycerides blood test inpatient CPT 84478 Hc Assay Of Triglycerides - Triglycerides	$29.00	$29.00	—	—	—
Troponin test, quantitative CPT 84484 Hc Assay Of Troponin, Quant - Troponin	$149.00	$149.00	—	31% above	—
Troponin test, quantitative inpatient CPT 84484 Hc Assay Of Troponin, Quant - Troponin	$149.00	$149.00	—	—	—
Uric acid blood test CPT 84550 Hc Assay Of Uric Acid, Blood - Uric Acid	$39.00	$39.00	—	50% below	—
Uric acid blood test inpatient CPT 84550 Hc Assay Of Uric Acid, Blood - Uric Acid	$39.00	$39.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$29.00	$29.00	—	69% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis, Auto, W/Scope - Urinalysis Microscopic	$29.00	$29.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Wo Micro Auto	$62.00	$62.00	—	29% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Wo Micro Auto	$62.00	$62.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Hc N-Autom Urinalysis W/O Micro	$69.00	$69.00	—	135% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc N-Autom Urinalysis W/O Micro	$69.00	$69.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine Quant Count	$67.00	$67.00	—	48% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine Quant Count	$67.00	$67.00	—	—	—
Urine microalbumin (albumin) test CPT 82043 Hc Microalbumin, Quantitative - Microalbumin Urine	$69.00	$69.00	—	35% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 Hc Microalbumin, Quantitative - Microalbumin Urine	$69.00	$69.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Test	$39.00	$39.00	—	54% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Pregnancy Test	$39.00	$39.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B-12 - Vitamin B12	$124.00	$124.00	—	37% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B-12 - Vitamin B12	$124.00	$124.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D25 Hydroxy	$96.00	$96.00	—	20% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D25 Hydroxy	$96.00	$96.00	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vit D 1 25-Dihydroxy	$562.00	$562.00	—	257% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vit D 1 25-Dihydroxy	$562.00	$562.00	—	—	—
Zinc blood test CPT 84630 Hc Assay Of Zinc - Zinc	$176.00	$176.00	—	158% above	—
Zinc blood test inpatient CPT 84630 Hc Assay Of Zinc - Zinc	$176.00	$176.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$59.00	$59.00	—	47% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Chorionic Gonadotropin, Quant - Hcg Quantitative Blood	$59.00	$59.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Bx Breast W Device 1St Lesion Stereotactic Guide	$5,879.00	$5,879.00	—	68% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Bx Breast W Device 1St Lesion Stereotactic Guide	$5,879.00	$5,879.00	—	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 Hc Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography	$15,080.00	$15,080.00	—	44% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography	$15,080.00	$15,080.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion (Ec)	$2,253.00	$2,253.00	—	69% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion	$2,253.00	$2,253.00	—	69% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion (Glbl)	$2,253.00	$2,253.00	—	69% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion (Glbl)	$2,253.00	$2,253.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion	$2,253.00	$2,253.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion (Ec)	$2,253.00	$2,253.00	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$92,250.00	$92,250.00	—	205% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Ep Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$92,250.00	$92,250.00	—	—	—
Cervical biopsy CPT 57500 Hc Cervical Biopsy	$2,855.00	$2,855.00	—	151% above	—
Cervical biopsy inpatient CPT 57500 Hc Cervical Biopsy	$2,855.00	$2,855.00	—	—	—
Circumcision, surgical, older than a newborn CPT 54160 Hc Circumcision	$1,185.00	$1,185.00	—	48% below	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Hc Circumcision	$1,185.00	$1,185.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Closed Rx Dist Rad/Ulna Fx	$636.00	$636.00	—	41% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Closed Rx Dist Rad/Ulna Fx	$636.00	$636.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Noncdm Charge Record	$9,983.00	$9,983.00	—	182% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Noncdm Charge Record	$9,983.00	$9,983.00	—	—	—
Coronary stent placement, one artery CPT 92928 Hc Prq Trluml Coronary Stent W/Angio One Art/Brnch	$26,454.00	$26,454.00	—	126% above	—
Coronary stent placement, one artery inpatient CPT 92928 Hc Prq Trluml Coronary Stent W/Angio One Art/Brnch	$26,454.00	$26,454.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Noncdm Charge Record	$124.00	$124.00	—	11% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Remove Impacted Earwax Irrig Uni	$243.00	$243.00	—	118% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Remove Impacted Earwax Irrig Uni (Uc)	$256.00	$256.00	—	130% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Noncdm Charge Record	$124.00	$124.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Remove Impacted Earwax Irrig Uni	$243.00	$243.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Remove Impacted Earwax Irrig Uni (Uc)	$256.00	$256.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 Noncdm Charge Record	$124.00	$124.00	—	at median	—
Earwax removal with instruments, one ear CPT 69210 Hc Remove Impacted Cerumen One Both Ears	$233.00	$233.00	—	88% above	—
Earwax removal with instruments, one ear CPT 69210 Hc Remove Impacted Cerumen One Both Ears (Uc)	$245.00	$245.00	—	98% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Noncdm Charge Record	$124.00	$124.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Hc Remove Impacted Cerumen One Both Ears	$233.00	$233.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Hc Remove Impacted Cerumen One Both Ears (Uc)	$245.00	$245.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Bx W/Wo Ecc (Ec)	$583.00	$583.00	—	58% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Bx W/Wo Ecc	$583.00	$583.00	—	58% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Bx W/Wo Ecc	$583.00	$583.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Bx W/Wo Ecc (Ec)	$583.00	$583.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy By Band	$2,127.00	$2,127.00	—	139% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Hemorrhoidectomy By Band	$2,127.00	$2,127.00	—	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 Hc Hysterectomy Abdominal Total	$7,051.00	$7,051.00	—	68% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Hc Hysterectomy Abdominal Total	$7,051.00	$7,051.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Cath/Inject Hysterosalpingogram	$397.00	$397.00	—	6% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Cath/Inject Hysterosalpingogram	$397.00	$397.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 Hc Iud Insertion	$1,054.00	$1,054.00	—	178% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Iud Insertion	$1,054.00	$1,054.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Noncdm Charge Record	$350.00	$350.00	—	19% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hc Incise Drain Abscess Simple (Ec)	$572.00	$572.00	—	33% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hc Drain Skin Abscess Simple	$572.00	$572.00	—	33% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hc Drainage Of Abscess (Uc)	$602.00	$602.00	—	39% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Noncdm Charge Record	$350.00	$350.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Drain Skin Abscess Simple	$572.00	$572.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Incise Drain Abscess Simple (Ec)	$572.00	$572.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Drainage Of Abscess (Uc)	$602.00	$602.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Sgl Tendon Shth/Liga	$970.00	$970.00	—	142% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Us Inj Tendon Sheath	$970.00	$970.00	—	142% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Inj Sgl Tendon Shth/Liga	$970.00	$970.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Us Inj Tendon Sheath	$970.00	$970.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us	$894.00	$894.00	—	51% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Drain Inject Joint Bursa	$894.00	$894.00	—	51% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Noncdm Charge Record	$941.00	$941.00	—	59% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Drain Inject Joint Bursa (Uc)	$941.00	$941.00	—	59% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Drain Inject Joint Bursa	$894.00	$894.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us	$894.00	$894.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Drain Inject Joint Bursa (Uc)	$941.00	$941.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Noncdm Charge Record	$941.00	$941.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis Intermed Joint	$894.00	$894.00	—	52% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us	$894.00	$894.00	—	52% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis Intermed Joint	$894.00	$894.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us	$894.00	$894.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Noncdm Charge Record	$386.00	$386.00	—	27% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair Intermed =<2.5Cm	$965.00	$965.00	—	82% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair Intermed =<2.5Cm (Uc)	$1,016.00	$1,016.00	—	91% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Noncdm Charge Record	$386.00	$386.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Repair Intermed =<2.5Cm	$965.00	$965.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Repair Intermed =<2.5Cm (Uc)	$1,016.00	$1,016.00	—	—	—
Left heart catheterization, diagnostic one side CPT 93452 Hc Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp	$13,218.00	$13,218.00	—	42% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp	$13,218.00	$13,218.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,701.00	$1,701.00	—	2% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,701.00	$1,701.00	—	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 Noncdm Charge Record	$5,377.00	$5,377.00	—	48% above	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Noncdm Charge Record	$5,377.00	$5,377.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Noncdm Charge Record	$299.00	$299.00	—	6% above	—
Nail removal (partial or complete), one nail CPT 11730 Hc Remove Nail Plate (Ec)	$414.00	$414.00	—	47% above	—
Nail removal (partial or complete), one nail CPT 11730 Hc Remove Nail Plate (Uc)	$436.00	$436.00	—	54% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Noncdm Charge Record	$299.00	$299.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Remove Nail Plate (Ec)	$414.00	$414.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Remove Nail Plate (Uc)	$436.00	$436.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 Hc Inject Nerv Blck,Great Occiptl	$808.00	$808.00	—	89% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inject Nerv Blck,Great Occiptl	$808.00	$808.00	—	—	—
Pacemaker implant (dual chamber) CPT 33208 Hc Ep Inser Hart Pacer Xvenous Atr/Ventr	$49,453.00	$49,453.00	—	160% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Ep Inser Hart Pacer Xvenous Atr/Ventr	$49,453.00	$49,453.00	—	—	—
Paracentesis with imaging guidance CPT 49083 Hc Abd Paracentesis W/ Imaging	$3,744.00	$3,744.00	—	157% above	—
Paracentesis with imaging guidance CPT 49083 Hc Abdom Paracentesis Dx/Ther W Imaging Guidance	$3,744.00	$3,744.00	—	157% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdom Paracentesis Dx/Ther W Imaging Guidance	$3,744.00	$3,744.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Hc Abd Paracentesis W/ Imaging	$3,744.00	$3,744.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Noncdm Charge Record	$709.00	$709.00	—	39% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Remove Nail Bed (Ec)	$1,543.00	$1,543.00	—	202% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Remove Nail Bed (Uc)	$1,624.00	$1,624.00	—	218% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Noncdm Charge Record	$709.00	$709.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Remove Nail Bed (Ec)	$1,543.00	$1,543.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Remove Nail Bed (Uc)	$1,624.00	$1,624.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Fb Subq Simple (Ec)	$545.00	$545.00	—	4% above	—
Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Fb Subq Simple (Uc)	$574.00	$574.00	—	9% above	—
Removal of a foreign object under the skin, simple CPT 10120 Noncdm Charge Record	$913.00	$913.00	—	74% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Remove Fb Subq Simple (Ec)	$545.00	$545.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Remove Fb Subq Simple (Uc)	$574.00	$574.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Noncdm Charge Record	$913.00	$913.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 Hc Apply Short Arm Cast (Ec)	$724.00	$724.00	—	159% above	—
Short arm cast (elbow to hand) CPT 29075 Hc Apply Short Arm Cast (Uc)	$762.00	$762.00	—	173% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Hc Apply Short Arm Cast (Ec)	$724.00	$724.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 Hc Apply Short Arm Cast (Uc)	$762.00	$762.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 Noncdm Charge Record	$175.00	$175.00	—	23% below	—
Short arm splint (forearm and hand) CPT 29125 Hc Splint Application Short Arm Static	$402.00	$402.00	—	78% above	—
Short arm splint (forearm and hand) CPT 29125 Hc Splint Application Short Arm Static (Uc)	$423.00	$423.00	—	87% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Noncdm Charge Record	$175.00	$175.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Splint Application Short Arm Static	$402.00	$402.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Splint Application Short Arm Static (Uc)	$423.00	$423.00	—	—	—
Short leg cast (below the knee) CPT 29405 Hc Apply Cast Short Leg (Ec)	$462.00	$462.00	—	36% above	—
Short leg cast (below the knee) inpatient CPT 29405 Hc Apply Cast Short Leg (Ec)	$462.00	$462.00	—	—	—
Short leg splint (calf to foot) CPT 29515 Noncdm Charge Record	$233.00	$233.00	—	11% below	—
Short leg splint (calf to foot) CPT 29515 Hc Apply Lower Leg Splint	$402.00	$402.00	—	54% above	—
Short leg splint (calf to foot) CPT 29515 Hc Apply Lower Leg Splint (Uc)	$423.00	$423.00	—	62% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Noncdm Charge Record	$233.00	$233.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Lower Leg Splint	$402.00	$402.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Lower Leg Splint (Uc)	$423.00	$423.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Noncdm Charge Record	$316.00	$316.00	—	5% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repair Superficial Wd =< 2.5 Cm	$501.00	$501.00	—	50% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repair Superficial Wd =< 2.5 Cm (Uc)	$527.00	$527.00	—	58% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Noncdm Charge Record	$316.00	$316.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Repair Superficial Wd =< 2.5 Cm	$501.00	$501.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Repair Superficial Wd =< 2.5 Cm (Uc)	$527.00	$527.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Skin Single Lesion (Ec)	$712.00	$712.00	—	68% above	—
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Skin Single Lesion	$712.00	$712.00	—	68% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Bx Skin Single Lesion	$712.00	$712.00	—	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Bx Skin Single Lesion (Ec)	$712.00	$712.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags, Up To 15	$402.00	$402.00	—	32% above	—
Skin tag removal, up to 15 tags CPT 11200 Noncdm Charge Record	$423.00	$423.00	—	39% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skin Tags, Up To 15	$402.00	$402.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Noncdm Charge Record	$423.00	$423.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Lumbar Puncture (Ec)	$1,012.00	$1,012.00	—	3% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture,Lumbar,Diagnostic	$1,012.00	$1,012.00	—	3% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture,Lumbar,Diagnostic	$1,012.00	$1,012.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Lumbar Puncture (Ec)	$1,012.00	$1,012.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Noncdm Charge Record	$332.00	$332.00	—	16% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Repair Superficial Wd 2.6 To 7.5Cm (Ec)	$501.00	$501.00	—	28% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Repair Superficial Wd 2.6 To 7.5Cm (Uc)	$527.00	$527.00	—	34% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Noncdm Charge Record	$332.00	$332.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Repair Superficial Wd 2.6 To 7.5Cm (Ec)	$501.00	$501.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Repair Superficial Wd 2.6 To 7.5Cm (Uc)	$527.00	$527.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Noncdm Charge Record	$358.00	$358.00	—	8% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Repair Superficial Face Wd =< 2.5 Cm (Ec)	$501.00	$501.00	—	28% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Repair Superficial Face Wd =< 2.5 Cm (Uc)	$527.00	$527.00	—	35% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Noncdm Charge Record	$358.00	$358.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Repair Superficial Face Wd =< 2.5 Cm (Ec)	$501.00	$501.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Repair Superficial Face Wd =< 2.5 Cm (Uc)	$527.00	$527.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Needle/Cath Pleura W/Imaging	$2,138.00	$2,138.00	—	52% above	—
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis W Imaging (Ec)	$2,138.00	$2,138.00	—	52% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis Needle/Cath Pleura W/Imaging	$2,138.00	$2,138.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis W Imaging (Ec)	$2,138.00	$2,138.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Noncdm Charge Record	$389.00	$389.00	—	12% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inject Trigger Point, 1 Or 2	$719.00	$719.00	—	63% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inject Single Or Multi Trigger Points	$719.00	$719.00	—	63% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inject Single Or Multi Trigger Points (Uc)	$757.00	$757.00	—	72% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Noncdm Charge Record	$389.00	$389.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inject Single Or Multi Trigger Points	$719.00	$719.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inject Trigger Point, 1 Or 2	$719.00	$719.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inject Single Or Multi Trigger Points (Uc)	$757.00	$757.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx Breast W Device 1St Lesion Ultrasound Guide	$5,879.00	$5,879.00	—	113% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Bx Breast W Device 1St Lesion Ultrasound Guide	$5,879.00	$5,879.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Subq Tissue =< 20 Sq Cm (Ec)	$1,139.00	$1,139.00	—	13% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$1,139.00	$1,139.00	—	13% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$1,139.00	$1,139.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Subq Tissue =< 20 Sq Cm (Ec)	$1,139.00	$1,139.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion Service	$1,411.00	$1,411.00	—	84% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion Service	$1,411.00	$1,411.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Noncdm Charge Record	$46.00	$46.00	—	77% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Aerosol Treatment	$861.00	$861.00	—	323% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Airway Inhalation (Uc)	$906.00	$906.00	—	346% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Hc Rt Hand Held Nebulizer	$861.00	$861.00	—	323% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Noncdm Charge Record	$46.00	$46.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Aerosol Treatment	$861.00	$861.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Airway Inhalation (Uc)	$906.00	$906.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Hc Rt Hand Held Nebulizer	$861.00	$861.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Hc Chemother, Iv Infusion, 1 Hr	$1,174.00	$1,174.00	—	117% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemother, Iv Infusion, 1 Hr	$1,174.00	$1,174.00	—	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hc Opthalmological - Med Exam And Eval Comp New Patient	$536.00	$536.00	—	122% above	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Hc Opthalmological - Med Exam And Eval Comp New Patient	$536.00	$536.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care, E/M 30-74 Minutes	$5,425.00	$5,425.00	—	114% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care, E/M 30-74 Minutes	$5,425.00	$5,425.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy Portable	$2,258.00	$2,258.00	—	146% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy Portable	$2,258.00	$2,258.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg 12 Lead Tracing	$318.00	$318.00	—	17% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram, Tracing	$318.00	$318.00	—	17% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg 12 Lead Tracing	$318.00	$318.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Electrocardiogram, Tracing	$318.00	$318.00	—	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 Hc Electroconvulsive Therapy,1 Seiz	$1,595.00	$1,595.00	—	52% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hc Electroconvulsive Therapy,1 Seiz	$1,595.00	$1,595.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Emergency Department Level 1 Visit Limited/Minor Prob	$780.00	$780.00	—	233% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Emergency Department Level 1 Visit Limited/Minor Prob	$780.00	$780.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Emergency Department Level 2 Visit Low/Moder Severity	$1,116.00	$1,116.00	—	157% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Emergency Department Level 2 Visit Low/Moder Severity	$1,116.00	$1,116.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Emergency Department Level 3 Visit Moderate Severity	$1,742.00	$1,742.00	—	126% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Emergency Department Level 3 Visit Moderate Severity	$1,742.00	$1,742.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Emergency Department Level 4 Visit High/Urgent Severity	$2,813.00	$2,813.00	—	118% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Emergency Department Level 4 Visit High/Urgent Severity	$2,813.00	$2,813.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Emergency Department Level 5 Visit High Severity&Threat Func	$4,353.00	$4,353.00	—	145% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Emergency Department Level 5 Visit High Severity&Threat Func	$4,353.00	$4,353.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Ekg Exercise Treadmill	$2,007.00	$2,007.00	—	60% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Ekg Exercise Treadmill	$2,007.00	$2,007.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Noncdm Charge Record	$741.00	$741.00	—	71% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Hydration Iv Init Hr (Uc)	$741.00	$741.00	—	71% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Infusion, Hydration, 31-60 Min	$768.00	$768.00	—	77% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Hydration Iv Init Hr (Ec)	$768.00	$768.00	—	77% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Noncdm Charge Record	$741.00	$741.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Hydration Iv Init Hr (Uc)	$741.00	$741.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Infusion, Hydration, 31-60 Min	$768.00	$768.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Hydration Iv Init Hr (Ec)	$768.00	$768.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Noncdm Charge Record	$1,373.00	$1,373.00	—	205% above	—
IV infusion of a medicine, first hour CPT 96365 Hc Infuse Iv Init Hr (Uc)	$1,373.00	$1,373.00	—	205% above	—
IV infusion of a medicine, first hour CPT 96365 Hc Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour	$1,423.00	$1,423.00	—	217% above	—
IV infusion of a medicine, first hour CPT 96365 Hc Infuse Iv Init Hr (Ec)	$1,423.00	$1,423.00	—	217% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Noncdm Charge Record	$1,373.00	$1,373.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Infuse Iv Init Hr (Uc)	$1,373.00	$1,373.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour	$1,423.00	$1,423.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Infuse Iv Init Hr (Ec)	$1,423.00	$1,423.00	—	—	—
IV push of a medicine, first drug CPT 96374 Noncdm Charge Record	$493.00	$493.00	—	116% above	—
IV push of a medicine, first drug CPT 96374 Hc Inject Iv Push Initial (Uc)	$493.00	$493.00	—	116% above	—
IV push of a medicine, first drug CPT 96374 Hc Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug	$511.00	$511.00	—	124% above	—
IV push of a medicine, first drug CPT 96374 Hc Inject Iv Push Initial (Ec)	$511.00	$511.00	—	124% above	—
IV push of a medicine, first drug inpatient CPT 96374 Hc Inject Iv Push Initial (Uc)	$493.00	$493.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 Noncdm Charge Record	$493.00	$493.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 Hc Inject Iv Push Initial (Ec)	$511.00	$511.00	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 Hc Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug	$511.00	$511.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inject Im Sq (Uc)	$227.00	$227.00	—	55% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Noncdm Charge Record	$227.00	$227.00	—	55% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Injection,Therap/Proph/Diagnost, Im Or Subcut	$235.00	$235.00	—	60% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inject Im Sq (Ec)	$235.00	$235.00	—	60% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Inject Im Sq (Uc)	$227.00	$227.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Noncdm Charge Record	$227.00	$227.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Injection,Therap/Proph/Diagnost, Im Or Subcut	$235.00	$235.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Inject Im Sq (Ec)	$235.00	$235.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$1,129.00	$1,129.00	—	63% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$1,129.00	$1,129.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Hc Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$203.00	$203.00	—	80% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Hc Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$203.00	$203.00	—	80% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min	$203.00	$203.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min	$203.00	$203.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 Noncdm Charge Record	$508.08	$508.08	—	125% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Noncdm Charge Record	$508.08	$508.08	—	—	—
New patient office visit, about 45 minutes CPT 99204 Noncdm Charge Record	$763.53	$763.53	—	161% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Noncdm Charge Record	$763.53	$763.53	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Noncdm Charge Record	$322.23	$322.23	—	116% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Noncdm Charge Record	$322.23	$322.23	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Med Nutr Ther, 1St, Indiv, Ea 15 Min	$118.00	$118.00	—	135% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Med Nutr Ther, 1St, Indiv, Ea 15 Min	$118.00	$118.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Occupational Therapy Eval Low Complex 30 Mins	$559.00	$559.00	—	130% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Occupational Therapy Eval Low Complex 30 Mins	$559.00	$559.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Physical Therapy Evaluation High Complex 45 Mins	$667.00	$667.00	—	131% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Physical Therapy Evaluation High Complex 45 Mins	$667.00	$667.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Physical Therapy Evaluation Low Complex 20 Mins	$570.00	$570.00	—	180% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Physical Therapy Evaluation Low Complex 20 Mins	$570.00	$570.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Physical Therapy Evaluation Mod Complex 30 Mins	$609.00	$609.00	—	145% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Physical Therapy Evaluation Mod Complex 30 Mins	$609.00	$609.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Ot Manual Ther Tech,1+Regions,Ea 15 Min	$186.00	$186.00	—	68% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Pt Manual Ther Tech,1+Regions,Ea 15 Min	$186.00	$186.00	—	68% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Slp Manual Ther Tech,1+Regions,Ea 15 Min	$186.00	$186.00	—	68% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Ot Manual Ther Tech,1+Regions,Ea 15 Min	$186.00	$186.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Pt Manual Ther Tech,1+Regions,Ea 15 Min	$186.00	$186.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Slp Manual Ther Tech,1+Regions,Ea 15 Min	$186.00	$186.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Ot Therapeutic Exercises	$195.00	$195.00	—	74% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Noncdm Charge Record	$195.00	$195.00	—	74% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Pt Therapeutic Exercises	$195.00	$195.00	—	74% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Ther Proc Ex Rom 15Min Pt	$195.00	$195.00	—	74% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Pt Therapeutic Exercises	$195.00	$195.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Ot Therapeutic Exercises	$195.00	$195.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Noncdm Charge Record	$195.00	$195.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Ther Proc Ex Rom 15Min Pt	$195.00	$195.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Noncdm Charge Record	$413.55	$413.55	—	135% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Noncdm Charge Record	$413.55	$413.55	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Noncdm Charge Record	$586.84	$586.84	—	205% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Noncdm Charge Record	$586.84	$586.84	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Noncdm Charge Record	$248.32	$248.32	—	99% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Noncdm Charge Record	$248.32	$248.32	—	—	—
Speech and language evaluation CPT 92523 Hc Slp Eval Speech Sound Product Language Comprehension	$952.00	$952.00	—	145% above	—
Speech and language evaluation inpatient CPT 92523 Hc Slp Eval Speech Sound Product Language Comprehension	$952.00	$952.00	—	—	—
Speech therapy session, individual CPT 92507 Hc Slp Speech/Hearing Therapy, Individual	$501.00	$501.00	—	131% above	—
Speech therapy session, individual inpatient CPT 92507 Hc Slp Speech/Hearing Therapy, Individual	$501.00	$501.00	—	—	—
Spirometry (breathing test) CPT 94010 Noncdm Charge Record	$692.00	$692.00	—	94% above	—
Spirometry (breathing test) CPT 94010 Hc Breathing Capacity Test - Breathing Capacity Test	$760.00	$760.00	—	113% above	—
Spirometry (breathing test) inpatient CPT 94010 Noncdm Charge Record	$692.00	$692.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Hc Breathing Capacity Test - Breathing Capacity Test	$760.00	$760.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Hc Pulmonary Function Pre Post Bronch	$439.00	$439.00	—	26% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Pulmonary Function Pre Post Bronch	$439.00	$439.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Noncdm Charge Record	$206.00	$206.00	—	83% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$206.00	$206.00	—	83% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$206.00	$206.00	—	83% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Noncdm Charge Record	$206.00	$206.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Pt Therapeut Actvity Direct Pt Contact Each 15 Min	$206.00	$206.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Ot Therapeut Actvity Direct Pt Contact Each 15 Min	$206.00	$206.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy	$484.00	$484.00	—	112% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Noncdm Charge Record	$510.00	$510.00	—	123% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy	$484.00	$484.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Noncdm Charge Record	$510.00	$510.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE 0.5ML	$1,464.10	$1,464.10	—	268% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE 0.5ML	$1,464.10	$1,464.10	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIP TET PERT <7 YRS VACCINE 0.5 ML SYRINGE	$220.80	$220.80	—	145% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIP TET PERT <7 YRS VACCINE 0.5 ML SYRINGE	$220.80	$220.80	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TRI (FLUARIX) 6 MOS+ PREFILLED SYRINGE	$157.90	$157.90	—	321% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TRI (FLUARIX) 6 MOS+ PREFILLED SYRINGE	$157.90	$157.90	—	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACC 0.5ML HAVRIX	$290.70	$290.70	—	210% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACC 0.5ML HAVRIX	$290.70	$290.70	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B VACC (ACTHIB) 0.5 ML INJ SDV	$98.10	$98.10	—	109% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B VACC (ACTHIB) 0.5 ML INJ SDV	$98.10	$98.10	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TRI (FLUZONE) 65 YRS+ PREFILLED SYRINGE	$165.00	$165.00	—	11% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TRI (FLUZONE) 65 YRS+ PREFILLED SYRINGE	$165.00	$165.00	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE 0.5ML	$707.40	$707.40	—	252% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE 0.5ML	$707.40	$707.40	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACCINE 0.5ML	$252.40	$252.40	—	29% below	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACCINE 0.5ML	$252.40	$252.40	—	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13 VALENT 0.5ML VACCINE	$1,671.60	$1,671.60	—	243% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13 VALENT 0.5ML VACCINE	$1,671.60	$1,671.60	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VALENT 0.5ML VACCINE	$2,101.00	$2,101.00	—	273% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VALENT 0.5ML VACCINE	$2,101.00	$2,101.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$868.40	$868.40	—	243% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE	$868.40	$868.40	—	—	—
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE 0.5ML INJ	$306.20	$306.20	—	8% below	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE 0.5ML INJ	$306.20	$306.20	—	—	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100MG/1ML INJ	$4,042.30	$4,042.30	—	312% above	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100MG/1ML INJ	$4,042.30	$4,042.30	—	—	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE 2ML	$733.40	$733.40	—	455% above	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE 2ML	$733.40	$733.40	—	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER VACCINE 0.5ML	$1,598.40	$1,598.40	—	681% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER VACCINE 0.5ML	$1,598.40	$1,598.40	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE (DECAVAC) ADULT 0.5ML	$288.00	$288.00	—	185% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE (DECAVAC) ADULT 0.5ML	$288.00	$288.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML INJ	$362.90	$362.90	—	210% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML INJ	$362.90	$362.90	—	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID POLYSACCHARIDE VACCINE 0.5 ML INJ SYRINGE	$537.10	$537.10	—	23% above	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID POLYSACCHARIDE VACCINE 0.5 ML INJ SYRINGE	$537.10	$537.10	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immuniz Admin,1 Single/Comb Vac/Toxoid	$382.00	$382.00	—	418% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Noncdm Charge Record	$388.00	$388.00	—	426% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Immuniz Admin,1 Single/Comb Vac/Toxoid	$382.00	$382.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Noncdm Charge Record	$388.00	$388.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Noncdm Charge Record	$151.00	$151.00	—	222% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immuniz,Admin,Each Addl	$156.00	$156.00	—	233% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Noncdm Charge Record	$151.00	$151.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immuniz,Admin,Each Addl	$156.00	$156.00	—	—	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://hospitalpricedisclosure.com/download.aspx?pi=aBYLhQo5r4Du5fp8OqOidQ*-*