Great Falls Clinic Hospital
Great Falls Clinic Hospital in Great Falls, MT publishes cash prices for 388 common procedures listed here, from its own machine-readable price file updated Feb 18, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Montana median for 251 of 386 procedures and below it for 135. By typical cash price it ranks #26 of 29 Montana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
3010 15th Ave S,Great Falls,MT,59405 Collected Sep 22, 2026 Source price file Check a bill from this hospital (406) 216-8000
Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 270086 · CMS hospital register NPI 1639109978
The price file shows no self-pay discount
For 616 of the 616 prices listed here, the cash price in Great Falls Clinic Hospital'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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $2,536.00 | $2,536.00 | $178.32–$401.22 | 29% above | — |
| Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS | $408.00 | $408.00 | $106.29–$239.15 | 51% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $296.00 | $296.00 | $88.47–$199.06 | 37% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $296.00 | $296.00 | $88.47–$199.06 | 37% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $296.00 | $296.00 | $88.47–$199.06 | 37% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES | $607.00 | $607.00 | $135.26–$304.33 | 104% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST | $1,764.00 | $1,764.00 | $106.29–$239.15 | 31% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST | $1,764.00 | $1,764.00 | $106.29–$239.15 | 31% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $1,766.00 | $1,766.00 | $406.43–$914.47 | 30% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $478.00 | $478.00 | $88.47–$199.06 | 94% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $478.00 | $478.00 | $88.47–$199.06 | 94% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST | $3,197.00 | $3,197.00 | $354.68–$798.03 | 15% above | — |
| CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST | $2,426.00 | $2,426.00 | $178.32–$401.22 | 14% above | — |
| CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST | $2,426.00 | $2,426.00 | $178.32–$401.22 | 13% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $2,867.00 | $2,867.00 | $178.32–$401.22 | 30% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST | $3,655.00 | $3,655.00 | $354.68–$798.03 | 369% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM | $1,365.00 | $1,365.00 | $88.47–$199.06 | 231% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $2,426.00 | $2,426.00 | $242.58–$545.80 | 14% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $3,429.00 | $3,429.00 | $354.68–$798.03 | 21% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $3,859.00 | $3,859.00 | $354.68–$798.03 | 24% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $2,205.00 | $2,205.00 | $178.32–$401.22 | 22% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $1,874.00 | $1,874.00 | $106.29–$239.15 | 38% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $1,722.00 | $1,722.00 | $106.29–$239.15 | 44% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,723.00 | $1,723.00 | $106.29–$239.15 | 46% above | — |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $2,002.00 | $2,002.00 | $178.32–$401.22 | 39% above | — |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $2,315.00 | $2,315.00 | $178.32–$401.22 | 28% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $1,985.00 | $1,985.00 | $106.29–$239.15 | 39% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $2,095.00 | $2,095.00 | $106.29–$239.15 | 48% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $2,095.00 | $2,095.00 | $178.32–$401.22 | 31% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $1,434.00 | $1,434.00 | $242.58–$545.80 | 51% above | — |
| Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST | $2,426.00 | $2,426.00 | $178.32–$401.22 | 22% above | — |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $309.00 | $309.00 | $88.47–$199.06 | 39% above | — |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $287.00 | $287.00 | $88.47–$199.06 | 55% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE | $243.00 | $243.00 | $88.47–$199.06 | 28% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE | $243.00 | $243.00 | $88.47–$199.06 | 28% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $717.00 | $717.00 | $106.29–$239.15 | 43% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $391.00 | $391.00 | $106.29–$239.15 | 22% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT | $265.00 | $265.00 | $88.47–$199.06 | 80% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT | $252.00 | $252.00 | $88.47–$199.06 | 71% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $1,985.00 | $1,985.00 | $106.29–$239.15 | 43% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $2,315.00 | $2,315.00 | $178.32–$401.22 | 40% above | — |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $1,005.00 | $1,005.00 | $46.42–$104.44 | 194% above | — |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $120.00 | $120.00 | $37.74–$84.92 | 53% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $662.00 | $662.00 | $37.74–$84.92 | 158% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $662.00 | $662.00 | $37.74–$84.92 | 158% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $1,378.00 | $1,378.00 | $242.58–$545.80 | 37% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $1,075.00 | $1,075.00 | $242.58–$545.80 | 14% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $1,729.00 | $1,729.00 | $555.51–$1,249.90 | 10% above | — |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS | $250.00 | $250.00 | $88.47–$199.06 | 38% above | — |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS | $250.00 | $250.00 | $88.47–$199.06 | 38% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS | $302.00 | $302.00 | $88.47–$199.06 | 40% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS | $302.00 | $302.00 | $88.47–$199.06 | 40% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS | $302.00 | $302.00 | $88.47–$199.06 | 40% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST | $1,722.00 | $1,722.00 | $106.29–$239.15 | 32% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS | $397.00 | $397.00 | $106.29–$239.15 | 23% above | — |
| Facial bones X-ray, complete, 3 or more views one side CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS | $397.00 | $397.00 | $106.29–$239.15 | 23% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY OF FOREARM; 2 VIEWS | $260.40 | $260.40 | $88.47–$199.06 | 40% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS | $274.00 | $274.00 | $88.47–$199.06 | 47% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS | $274.00 | $274.00 | $88.47–$199.06 | 47% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM | $1,350.00 | $1,350.00 | $406.43–$914.47 | 12% above | — |
| Hand X-ray, 2 views CPT 73120 X-RAY OF HAND; 2 VIEWS | $282.00 | $282.00 | $106.29–$239.15 | 64% above | — |
| Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS | $282.00 | $282.00 | $106.29–$239.15 | 64% above | — |
| Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS | $282.00 | $282.00 | $106.29–$239.15 | 64% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS | $276.00 | $276.00 | $88.47–$199.06 | 45% above | — |
| Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS | $370.00 | $370.00 | $88.47–$199.06 | 76% above | — |
| Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS | $370.00 | $370.00 | $88.47–$199.06 | 76% above | — |
| Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS | $370.00 | $370.00 | $88.47–$199.06 | 76% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS | $370.00 | $370.00 | $106.29–$239.15 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS | $370.00 | $370.00 | $106.29–$239.15 | 50% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS | $370.00 | $370.00 | $106.29–$239.15 | 50% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST | $1,874.00 | $1,874.00 | $106.29–$239.15 | 43% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST | $1,874.00 | $1,874.00 | $106.29–$239.15 | 43% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST | $1,874.00 | $1,874.00 | $106.29–$239.15 | 43% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $717.00 | $717.00 | $106.29–$239.15 | 76% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $335.00 | $335.00 | $106.29–$239.15 | 44% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $469.00 | $469.00 | $106.29–$239.15 | 102% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $469.00 | $469.00 | $106.29–$239.15 | 102% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $419.00 | $419.00 | $106.29–$239.15 | 42% below | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS | $287.00 | $287.00 | $88.47–$199.06 | 47% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS | $287.00 | $287.00 | $88.47–$199.06 | 47% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS | $287.00 | $287.00 | $88.47–$199.06 | 47% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST | $2,536.00 | $2,536.00 | $242.58–$545.80 | 39% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $3,087.00 | $3,087.00 | $242.58–$545.80 | 79% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $3,087.00 | $3,087.00 | $242.58–$545.80 | 79% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $3,087.00 | $3,087.00 | $242.58–$545.80 | 79% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $3,197.00 | $3,197.00 | $354.68–$798.03 | 18% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $3,197.00 | $3,197.00 | $354.68–$798.03 | 18% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $2,315.00 | $2,315.00 | $242.58–$545.80 | 30% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $3,801.00 | $3,801.00 | $354.68–$798.03 | 31% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $2,646.00 | $2,646.00 | $242.58–$545.80 | 48% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $3,548.00 | $3,548.00 | $354.68–$798.03 | 26% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $2,426.00 | $2,426.00 | $242.58–$545.80 | 38% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $3,400.00 | $3,400.00 | $354.68–$798.03 | 27% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $2,426.00 | $2,426.00 | $242.58–$545.80 | 38% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $3,555.00 | $3,555.00 | $354.68–$798.03 | 32% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $2,426.00 | $2,426.00 | $242.58–$545.80 | 34% above | — |
| MRI of the neck (cervical spine), no contrast dye one side CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $2,426.00 | $2,426.00 | $242.58–$545.80 | 34% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $3,087.00 | $3,087.00 | $354.68–$798.03 | 11% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $2,536.00 | $2,536.00 | $242.58–$545.80 | 34% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $2,095.00 | $2,095.00 | $242.58–$545.80 | 34% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $2,095.00 | $2,095.00 | $242.58–$545.80 | 34% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $2,095.00 | $2,095.00 | $242.58–$545.80 | 34% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS | $439.00 | $439.00 | $106.29–$239.15 | 35% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST | $2,095.00 | $2,095.00 | $178.32–$401.22 | 19% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST | $1,722.00 | $1,722.00 | $106.29–$239.15 | 41% above | — |
| Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK | $294.00 | $294.00 | $88.47–$199.06 | 50% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $4,630.00 | $4,630.00 | $1,316.21–$2,961.47 | 114% above | — |
| Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST | $1,874.00 | $1,874.00 | $106.29–$239.15 | 35% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $662.00 | $662.00 | $106.29–$239.15 | 114% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $717.00 | $717.00 | $106.29–$239.15 | 32% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $662.00 | $662.00 | $106.29–$239.15 | 39% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $662.00 | $662.00 | $106.29–$239.15 | 49% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS | $386.00 | $386.00 | $88.47–$199.06 | 66% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS | $386.00 | $386.00 | $106.29–$239.15 | 39% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS | $386.00 | $386.00 | $106.29–$239.15 | 39% above | — |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $446.00 | $446.00 | $35.07–$78.91 | 62% above | — |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMOGRAPHY | $425.00 | $425.00 | $35.07–$78.91 | 54% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS | $302.00 | $302.00 | $88.47–$199.06 | 39% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS | $302.00 | $302.00 | $88.47–$199.06 | 39% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS | $302.00 | $302.00 | $88.47–$199.06 | 39% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS | $302.00 | $302.00 | $106.29–$239.15 | 27% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT | $1,729.00 | $1,729.00 | $555.51–$1,249.90 | 48% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION | $600.00 | $600.00 | $178.32–$401.22 | 39% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS | $230.00 | $230.00 | $88.47–$199.06 | 8% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS | $230.00 | $230.00 | $88.47–$199.06 | 8% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS | $230.00 | $230.00 | $88.47–$199.06 | 8% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST | $2,095.00 | $2,095.00 | $106.29–$239.15 | 48% above | — |
| Toe X-ray, 2 or more views CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS | $357.00 | $357.00 | $88.47–$199.06 | 105% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS | $357.00 | $357.00 | $88.47–$199.06 | 105% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS | $357.00 | $357.00 | $88.47–$199.06 | 105% above | — |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $662.00 | $662.00 | $106.29–$239.15 | 58% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $634.00 | $634.00 | $106.29–$239.15 | 59% above | — |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $772.00 | $772.00 | $106.29–$239.15 | 46% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $689.00 | $689.00 | $106.29–$239.15 | 39% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $717.00 | $717.00 | $106.29–$239.15 | 66% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS | $282.00 | $282.00 | $88.47–$199.06 | 40% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS | $282.00 | $282.00 | $88.47–$199.06 | 40% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $767.00 | $767.00 | $106.29–$239.15 | 20% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $805.00 | $805.00 | $106.29–$239.15 | 26% above | — |
| Wrist X-ray, 2 views CPT 73100 X-RAY OF WRIST; 2 VIEWS | $245.00 | $245.00 | $88.47–$199.06 | 38% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS | $245.00 | $245.00 | $88.47–$199.06 | 38% above | — |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS | $245.00 | $245.00 | $88.47–$199.06 | 38% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS | $254.00 | $254.00 | $88.47–$199.06 | 17% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS | $254.00 | $254.00 | $88.47–$199.06 | 17% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS | $254.00 | $254.00 | $88.47–$199.06 | 17% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $287.00 | $287.00 | $88.47–$199.06 | 36% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $287.00 | $287.00 | $88.47–$199.06 | 36% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $287.00 | $287.00 | $88.47–$199.06 | 36% above | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $276.00 | $276.00 | $88.47–$199.06 | 53% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS | $255.00 | $255.00 | $88.47–$199.06 | 43% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS | $255.00 | $255.00 | $88.47–$199.06 | 43% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS | $235.00 | $235.00 | $88.47–$199.06 | 39% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS | $235.00 | $235.00 | $88.47–$199.06 | 39% above | — |
| X-ray of the foot, 2 views CPT 73620 X-RAY OF FOOT; 2 VIEWS | $231.00 | $231.00 | $88.47–$199.06 | 34% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS | $243.00 | $243.00 | $88.47–$199.06 | 41% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS | $243.00 | $243.00 | $88.47–$199.06 | 41% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS | $276.00 | $276.00 | $88.47–$199.06 | 17% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS | $276.00 | $276.00 | $88.47–$199.06 | 17% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS | $276.00 | $276.00 | $88.47–$199.06 | 17% above | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $254.00 | $254.00 | $88.47–$199.06 | 11% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $254.00 | $254.00 | $88.47–$199.06 | 11% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $254.00 | $254.00 | $88.47–$199.06 | 11% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $328.00 | $328.00 | $88.47–$199.06 | 84% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $328.00 | $328.00 | $88.47–$199.06 | 84% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $328.00 | $328.00 | $88.47–$199.06 | 84% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $364.00 | $364.00 | $106.29–$239.15 | 44% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $473.00 | $473.00 | $106.29–$239.15 | 41% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $309.00 | $309.00 | $106.29–$239.15 | 38% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS | $276.00 | $276.00 | $88.47–$199.06 | 31% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $320.00 | $320.00 | $88.47–$199.06 | 49% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $286.00 | $286.00 | $106.29–$239.15 | 31% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS | $310.00 | $310.00 | $88.47–$199.06 | 33% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ASSAY OF ACTH | $42.91 | $42.91 | $38.62–$86.89 | 81% below | — |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL | $257.00 | $257.00 | $38.62–$86.90 | 14% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $5.89 | $5.89 | $5.30–$11.93 | 89% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $41.00 | $41.00 | $5.30–$11.93 | 21% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $5.75 | $5.75 | $5.18–$11.66 | 89% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $56.00 | $56.00 | $5.18–$11.65 | 11% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $52.93 | $52.93 | $47.63–$107.17 | 74% below | — |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $5.50 | $5.50 | $4.95–$11.14 | 82% below | — |
| Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL | $33.00 | $33.00 | $4.95–$11.14 | 7% above | — |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $45.28 | $45.28 | $40.75–$91.69 | 77% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL | $527.00 | $527.00 | $40.75–$91.69 | 166% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $5.75 | $5.75 | $5.18–$11.66 | 90% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE | $46.00 | $46.00 | $5.18–$11.66 | 20% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $5.80 | $5.80 | $5.22–$11.74 | 88% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $460.00 | $460.00 | $5.22–$11.74 | 869% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $18.64 | $18.64 | $16.77–$37.73 | 84% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM | $119.00 | $119.00 | $16.77–$37.73 | 3% above | — |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $16.19 | $16.19 | $14.57–$32.78 | 87% below | — |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $106.00 | $106.00 | $14.57–$32.78 | 15% below | — |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $7.20 | $7.20 | $6.48–$14.58 | 87% below | — |
| Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL | $89.00 | $89.00 | $6.48–$14.58 | 55% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $14.39 | $14.39 | $12.95–$29.14 | 85% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $101.00 | $101.00 | $12.95–$29.14 | 5% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $13.43 | $13.43 | $12.09–$27.20 | 82% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $92.00 | $92.00 | $12.09–$27.20 | 23% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $39.26 | $39.26 | $39.26–$88.34 | 83% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $286.00 | $286.00 | $39.26–$88.33 | 26% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $9.57 | $9.57 | $8.62–$19.39 | 87% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC | $81.00 | $81.00 | $8.62–$19.39 | 7% above | — |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $9.40 | $9.40 | $8.46–$19.04 | 90% below | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $101.00 | $101.00 | $8.46–$19.04 | 7% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $5.57 | $5.57 | $5.02–$11.30 | 89% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL | $44.00 | $44.00 | $5.02–$11.30 | 11% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $188.00 | $188.00 | $52.98–$119.20 | 7% below | — |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $358.00 | $358.00 | $10.32–$23.22 | 136% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $3.00 | $3.00 | $9.34–$21.02 | 84% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $35.00 | $35.00 | $9.34–$21.02 | 84% above | — |
| Blood draw from a vein (venipuncture), collection fee only one side CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $35.00 | $35.00 | $9.34–$21.02 | 84% above | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $4.37 | $4.37 | $3.93–$8.84 | 89% below | — |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $33.00 | $33.00 | $3.93–$8.84 | 16% below | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $13.45 | $13.45 | $12.11–$27.25 | 77% below | — |
| Blood lead test CPT 83655 LEAD LEVEL | $181.00 | $181.00 | $12.11–$27.25 | 207% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $8.36 | $8.36 | $7.52–$16.92 | 88% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $61.00 | $61.00 | $7.52–$16.92 | 14% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $423.00 | $423.00 | $135.26–$304.33 | 488% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $4.39 | $4.39 | $3.95–$8.89 | 91% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE | $30.00 | $30.00 | $3.95–$8.89 | 37% below | — |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $23.13 | $23.13 | $20.81–$46.82 | 84% below | — |
| C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL | $121.00 | $121.00 | $20.81–$46.82 | 19% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $5.75 | $5.75 | $5.18–$11.66 | 91% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $41.00 | $41.00 | $5.18–$11.66 | 38% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $38.99 | $38.99 | $37.27–$83.86 | 77% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $23.13 | $23.13 | $20.81–$46.82 | 83% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $160.00 | $160.00 | $20.81–$46.82 | 21% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $23.13 | $23.13 | $20.81–$46.82 | 82% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $157.00 | $157.00 | $20.81–$46.82 | 25% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $158.00 | $158.00 | $51.31–$115.45 | 31% above | — |
| Calcium blood test, total CPT 82310 ASSAY OF CALCIUM | $5.73 | $5.73 | $5.16–$11.61 | 84% below | — |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL | $44.00 | $44.00 | $5.16–$11.61 | 26% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $21.07 | $21.07 | $18.96–$42.66 | 80% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL | $159.00 | $159.00 | $18.96–$42.66 | 49% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $14.31 | $14.31 | $12.88–$28.98 | 71% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) | $166.00 | $166.00 | $12.88–$28.98 | 235% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $38.99 | $38.99 | $35.09–$78.95 | 57% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $14.88 | $14.88 | $13.39–$30.13 | 82% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $197.00 | $197.00 | $13.39–$30.13 | 136% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $8.63 | $8.63 | $7.77–$17.48 | 89% below | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $101.00 | $101.00 | $7.77–$17.48 | 28% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $7.18 | $7.18 | $6.47–$14.56 | 86% below | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $74.00 | $74.00 | $6.47–$14.56 | 47% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $34.50 | $34.50 | $10.56–$23.76 | 74% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $146.00 | $146.00 | $10.56–$23.76 | 12% above | — |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $18.11 | $18.11 | $16.30–$36.67 | 84% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL | $133.00 | $133.00 | $16.30–$36.67 | 19% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $7.23 | $7.23 | $6.51–$14.65 | 87% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL | $60.00 | $60.00 | $6.51–$14.65 | 7% above | — |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE | $5.69 | $5.69 | $5.12–$11.52 | 87% below | — |
| Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL | $39.00 | $39.00 | $5.12–$11.52 | 10% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $15.99 | $15.99 | $14.39–$32.38 | 85% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) | $93.00 | $93.00 | $14.39–$32.38 | 10% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $11.31 | $11.31 | $10.18–$22.90 | 90% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $78.00 | $78.00 | $10.18–$22.90 | 31% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $24.71 | $24.71 | $22.23–$50.02 | 84% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $144.00 | $144.00 | $22.23–$50.02 | 5% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $64.65 | $64.65 | $62.14–$139.82 | 66% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS | $421.00 | $421.00 | $62.14–$139.82 | 124% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $7.79 | $7.79 | $7.01–$15.77 | 89% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $20.16 | $20.16 | $18.14–$40.82 | 79% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID | $468.00 | $468.00 | $18.14–$40.82 | 396% above | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $31.04 | $31.04 | $27.94–$62.86 | 79% below | — |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $169.00 | $169.00 | $27.94–$62.86 | 13% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $20.65 | $20.65 | $18.58–$41.80 | 84% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $121.00 | $121.00 | $18.58–$41.80 | 3% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $21.81 | $21.81 | $19.63–$44.17 | 92% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $513.00 | $513.00 | $19.63–$44.17 | 98% above | — |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $15.15 | $15.15 | $13.63–$30.67 | 84% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $120.00 | $120.00 | $13.63–$30.67 | 29% above | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $9.72 | $9.72 | $9.72–$21.87 | 90% below | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $16.34 | $16.34 | $14.70–$33.08 | 82% below | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $112.00 | $112.00 | $14.70–$33.08 | 23% above | — |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $18.82 | $18.82 | $16.94–$38.12 | 83% below | — |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $138.00 | $138.00 | $16.94–$38.12 | 25% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $10.02 | $10.02 | $9.02–$20.30 | 87% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $84.00 | $84.00 | $9.02–$20.30 | 12% above | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $28.30 | $28.30 | $25.47–$57.31 | 79% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $165.00 | $165.00 | $25.47–$57.31 | 24% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $8.00 | $8.00 | $7.20–$16.20 | 81% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $58.00 | $58.00 | $7.20–$16.20 | 37% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $266.00 | $266.00 | — | 4% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $5.27 | $5.27 | $4.75–$10.69 | 91% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $41.00 | $41.00 | $4.75–$10.69 | 33% below | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $14.30 | $14.30 | $12.87–$28.96 | 86% below | — |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $104.00 | $104.00 | $12.87–$28.96 | 1% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $38.99 | $38.99 | $35.09–$78.95 | 61% below | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $16.85 | $16.85 | $16.85–$37.91 | 87% below | — |
| H. pylori antibody blood test CPT 86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI (GASTROINTESTINAL BACTERIA) | $125.00 | $125.00 | $16.85–$37.91 | 3% below | — |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $15.98 | $15.98 | $14.38–$32.35 | 81% below | — |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $133.00 | $133.00 | $14.38–$32.35 | 56% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $94.55 | $94.55 | $85.10–$191.48 | 74% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $547.00 | $547.00 | $85.10–$191.47 | 49% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $15.23 | $15.23 | $13.71–$30.85 | 82% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS | $112.00 | $112.00 | $13.71–$30.85 | 35% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $26.75 | $26.75 | $24.08–$54.18 | 66% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $10.79 | $10.79 | $9.71–$21.85 | 84% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $83.00 | $83.00 | $9.71–$21.85 | 24% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $2.63 | $2.63 | $2.37–$5.33 | 91% below | — |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $30.00 | $30.00 | $2.37–$5.33 | 5% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL | $13.39 | $13.39 | $12.05–$27.11 | 85% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT | $100.00 | $100.00 | $12.05–$27.11 | 11% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $11.93 | $11.93 | $10.74–$24.16 | 85% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $74.00 | $74.00 | $10.74–$24.16 | 9% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $11.48 | $11.48 | $10.33–$23.24 | 85% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $79.00 | $79.00 | $10.33–$23.24 | 4% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $15.85 | $15.85 | $14.27–$32.11 | 86% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $115.00 | $115.00 | $14.27–$32.11 | at median | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $47.60 | $47.60 | $42.84–$96.39 | 91% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $348.00 | $348.00 | $42.84–$96.39 | 32% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $14.65 | $14.65 | $13.19–$29.68 | 84% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $93.00 | $93.00 | $13.19–$29.68 | 2% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $21.51 | $21.51 | $19.35–$43.54 | 78% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $119.00 | $119.00 | $19.35–$43.54 | 23% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $14.39 | $14.39 | $12.95–$29.14 | 81% below | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $18.74 | $18.74 | $17.92–$40.32 | 86% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $139.00 | $139.00 | $17.92–$40.32 | 4% above | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $12.70 | $12.70 | $11.43–$25.72 | 85% below | — |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $85.00 | $85.00 | $11.43–$25.72 | 3% below | — |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $7.19 | $7.19 | $6.47–$14.56 | 89% below | — |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $69.00 | $69.00 | $6.47–$14.56 | 10% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $9.71 | $9.71 | $8.74–$19.66 | 85% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $56.00 | $56.00 | $8.74–$19.66 | 15% below | — |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $106.00 | $106.00 | $8.68–$19.53 | 5% below | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $20.57 | $20.57 | $18.52–$41.67 | 82% below | — |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $120.00 | $120.00 | $18.52–$41.67 | 5% above | — |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $11.87 | $11.87 | $11.57–$26.03 | 91% below | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $135.00 | $135.00 | $11.57–$26.03 | 2% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $6.71 | $6.71 | $6.04–$13.59 | 86% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL | $47.00 | $47.00 | $6.04–$13.59 | at median | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $7.65 | $7.65 | $6.89–$15.50 | 91% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $100.00 | $100.00 | $6.89–$15.50 | 15% above | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $61.00 | $61.00 | $8.17–$18.38 | 21% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $18.92 | $18.92 | $17.03–$38.32 | 85% below | — |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $110.00 | $110.00 | $17.03–$38.32 | 11% below | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $7.44 | $7.44 | $6.70–$15.08 | 89% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $74.00 | $74.00 | $6.70–$15.08 | 14% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $14.31 | $14.31 | $12.88–$28.98 | 77% below | — |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $83.00 | $83.00 | $12.88–$28.98 | 32% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $5.75 | $5.75 | $5.18–$11.66 | 91% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $33.00 | $33.00 | $5.18–$11.65 | 50% below | — |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $14.50 | $14.50 | $13.05–$29.36 | 72% below | — |
| Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS | $106.00 | $106.00 | $13.05–$29.36 | 107% above | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $53.12 | $53.12 | $47.81–$107.57 | 82% below | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC BLOOD TEST PANEL | $830.00 | $830.00 | $47.81–$107.57 | 177% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $20.44 | $20.44 | $18.39–$41.38 | 82% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $123.00 | $123.00 | $18.39–$41.38 | 8% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $20.44 | $20.44 | $18.39–$41.38 | 82% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $141.00 | $141.00 | $18.39–$41.38 | 26% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $29.44 | $29.44 | $26.61–$59.87 | 63% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $45.86 | $45.86 | $41.28–$92.88 | 78% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $322.00 | $322.00 | $41.28–$92.88 | 56% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $6.67 | $6.67 | $6.01–$13.52 | 89% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $92.00 | $92.00 | $6.01–$13.52 | 58% above | — |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS | $5.27 | $5.27 | $4.74–$10.66 | 90% below | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL | $46.00 | $46.00 | $4.74–$10.66 | 13% below | — |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM | $5.11 | $5.11 | $4.76–$10.71 | 89% below | — |
| Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL | $53.00 | $53.00 | $4.76–$10.71 | 10% above | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $23.18 | $23.18 | $20.86–$46.94 | 83% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $137.00 | $137.00 | $20.86–$46.94 | 3% above | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $21.53 | $21.53 | $19.38–$43.60 | 82% below | — |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $146.00 | $146.00 | $19.38–$43.60 | 22% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $4.37 | $4.37 | $4.29–$9.65 | 87% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $39.00 | $39.00 | $4.29–$9.65 | 18% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $12.60 | $12.60 | $12.60–$28.35 | 89% below | — |
| Renin blood test CPT 84244 ASSAY OF RENIN | $24.44 | $24.44 | $21.99–$49.48 | 86% below | — |
| Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL | $285.00 | $285.00 | $21.99–$49.48 | 67% above | — |
| Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $64.00 | $64.00 | $37.97–$85.43 | 15% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $6.30 | $6.30 | $5.67–$12.76 | 89% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $46.00 | $46.00 | $5.67–$12.76 | 23% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $15.99 | $15.99 | $14.39–$32.38 | 75% below | — |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $81.00 | $81.00 | $14.39–$32.38 | 25% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $13.39 | $13.39 | $12.31–$27.70 | 92% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EVALUATION VOLUME; SPERM COUNT; MOTILITY AND ANALYSIS | $75.00 | $75.00 | $12.31–$27.70 | 53% below | — |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $5.35 | $5.35 | $4.81–$10.82 | 88% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $9.89 | $9.89 | $8.90–$20.02 | 86% below | — |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $70.00 | $70.00 | $8.90–$20.02 | 1% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $4.38 | $4.38 | $4.38–$9.86 | 88% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $111.00 | $111.00 | $4.38–$9.86 | 207% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $17.67 | $17.67 | $15.92–$35.82 | 65% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $98.00 | $98.00 | $15.92–$35.82 | 93% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM | $14.71 | $14.71 | $13.24–$29.79 | 78% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM | $162.00 | $162.00 | $13.24–$29.79 | 141% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $4.75 | $4.75 | $4.27–$9.61 | 91% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $33.00 | $33.00 | $4.27–$9.61 | 35% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $68.87 | $68.87 | $61.98–$139.46 | 64% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $391.00 | $391.00 | $61.98–$139.46 | 106% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $28.68 | $28.68 | $25.81–$58.07 | 78% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $164.00 | $164.00 | $25.81–$58.07 | 23% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $16.17 | $16.17 | $14.55–$32.74 | 82% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $119.00 | $119.00 | $14.55–$32.74 | 29% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $18.67 | $18.67 | $16.80–$37.80 | 79% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $120.00 | $120.00 | $16.80–$37.80 | 33% above | — |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $18.29 | $18.29 | $16.46–$37.03 | 78% below | — |
| Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL | $107.00 | $107.00 | $16.46–$37.03 | 26% above | — |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $4.84 | $4.84 | $4.35–$9.79 | 86% below | — |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $7.63 | $7.63 | $6.87–$15.46 | 87% below | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL | $63.00 | $63.00 | $6.87–$15.46 | 11% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) | $15.75 | $15.75 | $14.18–$31.90 | 83% below | — |
| Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL | $101.00 | $101.00 | $14.18–$31.90 | 12% above | — |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $14.18 | $14.18 | $12.76–$28.71 | 87% below | — |
| Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL | $89.00 | $89.00 | $12.76–$28.71 | 20% below | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $38.99 | $38.99 | $35.09–$78.95 | 63% below | — |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $6.38 | $6.38 | $5.74–$12.91 | 85% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL | $61.00 | $61.00 | $5.74–$12.91 | 45% above | — |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $12.47 | $12.47 | $12.47–$28.06 | 86% below | — |
| Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE | $244.00 | $244.00 | $12.47–$28.06 | 165% above | — |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $5.02 | $5.02 | $4.52–$10.17 | 88% below | — |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $45.00 | $45.00 | $4.52–$10.17 | 9% above | — |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $55.00 | $55.00 | $3.17–$7.13 | 25% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $2.49 | $2.49 | $2.25–$5.06 | 91% below | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $33.00 | $33.00 | $2.25–$5.06 | 22% above | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $8.97 | $8.97 | $8.07–$18.16 | 90% below | — |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $112.00 | $112.00 | $8.07–$18.16 | 24% above | — |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $6.42 | $6.42 | $5.78–$13.00 | 88% below | — |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL | $55.00 | $55.00 | $5.78–$13.01 | at median | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $8.61 | $8.61 | $8.61–$19.37 | 80% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $16.75 | $16.75 | $15.08–$33.93 | 82% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $125.00 | $125.00 | $15.08–$33.93 | 36% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $32.89 | $32.89 | $29.60–$66.60 | 76% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $230.00 | $230.00 | $29.60–$66.60 | 68% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY | $42.78 | $42.78 | $38.50–$86.62 | 81% below | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL | $251.00 | $251.00 | $38.50–$86.62 | 13% above | — |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $12.65 | $12.65 | $11.39–$25.63 | 87% below | — |
| Zinc blood test CPT 84630 ZINC LEVEL | $94.00 | $94.00 | $11.39–$25.63 | 1% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $16.73 | $16.73 | $15.05–$33.86 | 85% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $123.00 | $123.00 | $15.05–$33.86 | 7% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $7,875.50 | $7,875.50 | $3,370.67–$7,584.01 | 1216% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $9,943.50 | $9,943.50 | $13,052.49–$29,368.10 | 41% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $18,178.00 | $18,178.00 | $7,377.05–$16,598.36 | 184% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $50,918.00 | $50,918.00 | $7,377.05–$16,598.36 | 695% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $14,832.67 | $14,832.67 | $7,377.05–$16,598.36 | 272% above | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $15,620.00 | $15,620.00 | $7,377.05–$16,598.36 | 292% above | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $15,735.50 | $15,735.50 | $7,377.05–$16,598.36 | 294% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $3,280.00 | $3,280.00 | $1,679.10–$3,777.98 | 52% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $3,280.00 | $3,280.00 | $1,679.10–$3,777.98 | 52% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $3,280.00 | $3,280.00 | $1,679.10–$3,777.98 | 52% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA | $19,359.50 | $19,359.50 | $3,326.49–$7,484.60 | 470% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA | $24,680.00 | $24,680.00 | $3,326.49–$7,484.60 | 627% above | — |
| Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION | $25,841.88 | $25,841.88 | $3,326.49–$7,484.60 | 1815% above | — |
| Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION | $30,277.57 | $30,277.57 | $3,326.49–$7,484.60 | 2144% above | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $14,772.00 | $14,772.00 | $3,295.92–$7,415.82 | 23% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $1,308.76 | $1,308.76 | $671.95–$1,511.89 | 51% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $5,567.00 | $5,567.00 | $1,985.24–$4,466.79 | 242% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $10,560.00 | $10,560.00 | $1,985.24–$4,466.79 | 549% above | — |
| Cataract surgery with lens implant CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $4,021.90 | $4,021.90 | $2,346.26–$5,279.08 | 120% above | — |
| Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $7,297.00 | $7,297.00 | $2,346.26–$5,279.08 | 300% above | — |
| Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $7,297.00 | $7,297.00 | $2,346.26–$5,279.08 | 300% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION | $49,064.60 | $49,064.60 | $26,573.14–$59,789.57 | 53% above | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH | $9,847.24 | $9,847.24 | $936.39–$2,106.88 | 2648% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $19,730.50 | $19,730.50 | $2,125.20–$4,781.70 | 3402% above | — |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,542.00 | $3,542.00 | $1,216.57–$2,737.28 | 67% above | — |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,357.00 | $3,357.00 | $1,216.57–$2,737.28 | 75% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,576.00 | $2,576.00 | $945.44–$2,127.24 | 44% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE | $12,511.09 | $12,511.09 | $3,291.03–$7,404.82 | 1316% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $7,297.00 | $7,297.00 | $2,346.26–$5,279.08 | 234% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $11,350.00 | $11,350.00 | $2,346.26–$5,279.08 | 419% above | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $617.00 | $617.00 | $3,583.68–$8,063.28 | at median | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $8,123.00 | $8,123.00 | $3,583.68–$8,063.28 | 1219% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $12,031.00 | $12,031.00 | $708.91–$1,595.05 | 2606% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA | $7,297.00 | $7,297.00 | $1,577.42–$3,549.20 | 415% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA | $15,403.00 | $15,403.00 | $1,577.42–$3,549.20 | 986% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $211.00 | $211.00 | $59.97–$134.93 | 381% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX | $352.00 | $352.00 | $59.97–$134.93 | 313% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE | $7,132.33 | $7,132.33 | $3,790.44–$8,528.49 | 981% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE | $8,469.50 | $8,469.50 | $7,174.99–$16,143.73 | 871% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $1,380.00 | $1,380.00 | $717.64–$1,614.69 | 19% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL | $3,830.00 | $3,830.00 | $899.20–$2,023.20 | 242% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL | $7,660.00 | $7,660.00 | $899.20–$2,023.20 | 585% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $12,479.50 | $12,479.50 | $6,581.63–$14,808.67 | 1314% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE | $18,646.33 | $18,646.33 | $6,581.63–$14,808.67 | 90% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $14,871.00 | $14,871.00 | $3,640.03–$8,190.07 | 2978% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,088.00 | $2,088.00 | $945.44–$2,127.24 | 92% above | — |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $17,712.00 | $17,712.00 | $6,146.21–$13,828.97 | 849% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $25,156.00 | $25,156.00 | $6,146.21–$13,828.97 | 1179% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $12,481.00 | $12,481.00 | $5,085.76–$11,442.96 | 413% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $17,287.00 | $17,287.00 | $3,291.03–$7,404.82 | 580% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $6,936.00 | $6,936.00 | — | 2310% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $670.00 | $670.00 | $203.98–$458.96 | 205% above | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $637.30 | $637.30 | $203.98–$458.96 | 190% above | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $670.00 | $670.00 | $203.98–$458.96 | 205% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $19,456.00 | $19,456.00 | $3,640.03–$8,190.07 | 608% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $662.00 | $662.00 | $312.06–$702.14 | 140% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $5,567.00 | $5,567.00 | $312.06–$702.14 | 1918% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $7,660.00 | $7,660.00 | $312.06–$702.14 | 2677% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $7,660.00 | $7,660.00 | $312.06–$702.14 | 3637% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $691.00 | $691.00 | $312.06–$702.14 | 237% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $7,117.00 | $7,117.00 | $3,326.49–$7,484.60 | 199% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $25,855.00 | $25,855.00 | $3,326.49–$7,484.60 | 986% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $16,633.00 | $16,633.00 | $3,326.49–$7,484.60 | 514% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $20,425.00 | $20,425.00 | $3,326.49–$7,484.60 | 654% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $6,489.22 | $6,489.22 | $3,326.49–$7,484.60 | 76% above | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $16,633.00 | $16,633.00 | $3,326.49–$7,484.60 | 351% above | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $21,351.00 | $21,351.00 | $3,326.49–$7,484.60 | 479% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $16,170.00 | $16,170.00 | $3,326.49–$7,484.60 | 704% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $16,633.00 | $16,633.00 | $3,326.49–$7,484.60 | 727% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $17,712.00 | $17,712.00 | $6,146.21–$13,828.97 | 1186% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $33,830.00 | $33,830.00 | $10,806.86–$24,315.44 | — | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $42,504.00 | $42,504.00 | $10,806.86–$24,315.44 | 1882% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $25,528.00 | $25,528.00 | $10,806.86–$24,315.44 | 841% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $30,380.25 | $30,380.25 | $6,146.21–$13,828.97 | 3018% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $20,818.99 | $20,818.99 | $6,146.21–$13,828.97 | 2037% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $29,493.00 | $29,493.00 | $6,146.21–$13,828.97 | 2927% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $18,169.34 | $18,169.34 | $6,146.21–$13,828.97 | 1102% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $32,511.83 | $32,511.83 | $6,146.21–$13,828.97 | 2051% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $7,326.19 | $7,326.19 | $6,146.21–$13,828.97 | 401% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $29,493.00 | $29,493.00 | $6,146.21–$13,828.97 | 1916% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $869.00 | $869.00 | $413.28–$929.88 | 111% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 INSERTION OF TUBE IN LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $12,717.00 | $12,717.00 | $3,295.92–$7,415.82 | 36% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $743.50 | $743.50 | $717.64–$1,614.69 | 21% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,040.93 | $2,040.93 | $899.20–$2,023.20 | 94% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,280.00 | $2,280.00 | $899.20–$2,023.20 | 117% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,280.00 | $2,280.00 | $899.20–$2,023.20 | 117% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC | $37,051.00 | $37,051.00 | $7,377.05–$16,598.36 | 825% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC | $27,729.00 | $27,729.00 | $7,377.05–$16,598.36 | 592% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC | $37,051.00 | $37,051.00 | $7,377.05–$16,598.36 | 825% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $22,373.00 | $22,373.00 | $7,377.05–$16,598.36 | 422% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK | $10,669.57 | $10,669.57 | $17,825.81–$40,108.07 | 119% above | — |
| Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST | $24,680.00 | $24,680.00 | $6,750.75–$15,189.19 | 848% above | — |
| Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST | $33,190.00 | $33,190.00 | $6,750.75–$15,189.19 | 1175% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $11,350.00 | $11,350.00 | $3,291.03–$7,404.82 | 307% above | — |
| Occipital nerve block (injection for headaches) one side CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $369.00 | $369.00 | $312.06–$702.14 | 26% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE | $49,320.00 | $49,320.00 | $10,626.06–$23,908.64 | 152% above | — |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $2,706.00 | $2,706.00 | $922.09–$2,074.70 | 233% above | — |
| Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE | $31,695.00 | $31,695.00 | $13,052.49–$29,368.10 | 260% above | — |
| Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE | $31,695.00 | $31,695.00 | $13,052.49–$29,368.10 | 260% above | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $4,090.00 | $4,090.00 | — | 515% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE | $69,291.66 | $69,291.66 | $10,806.86–$24,315.44 | 1231% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $3,830.00 | $3,830.00 | $1,985.24–$4,466.79 | 172% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $5,957.50 | $5,957.50 | $1,985.24–$4,466.79 | 322% above | — |
| Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $7,297.00 | $7,297.00 | $3,980.64–$8,956.44 | 552% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $1,068.00 | $1,068.00 | $413.28–$929.88 | 243% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK | $59,183.00 | $59,183.00 | $6,146.21–$13,828.97 | 2774% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,743.00 | $2,743.00 | $945.44–$2,127.24 | 43% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $2,219.00 | $2,219.00 | $945.44–$2,127.24 | 65% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $11,928.50 | $11,928.50 | $3,370.67–$7,584.01 | 748% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $17,826.64 | $17,826.64 | $3,583.68–$8,063.28 | 740% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $17,826.64 | $17,826.64 | $3,583.68–$8,063.28 | 740% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $352.00 | $352.00 | $135.26–$304.33 | 121% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $352.00 | $352.00 | $135.26–$304.33 | 121% above | — |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $470.00 | $470.00 | $165.21–$371.72 | 146% above | — |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $470.00 | $470.00 | $165.21–$371.72 | 146% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE | $15,562.00 | $15,562.00 | $3,326.49–$7,484.60 | 535% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE | $15,677.50 | $15,677.50 | $3,326.49–$7,484.60 | 539% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $14,832.67 | $14,832.67 | $147.59–$332.08 | 871% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $15,735.50 | $15,735.50 | $147.59–$332.08 | 930% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $17,964.50 | $17,964.50 | $147.59–$332.08 | 1076% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $567.00 | $567.00 | $203.98–$458.96 | 129% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $558.00 | $558.00 | $413.28–$929.88 | 74% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $702.00 | $702.00 | $203.98–$458.96 | 153% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $567.00 | $567.00 | $203.98–$458.96 | 61% above | — |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $21,397.00 | $21,397.00 | $5,451.09–$12,264.95 | 452% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $2,143.00 | $2,143.00 | $637.75–$1,434.94 | 131% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $2,143.00 | $2,143.00 | $637.75–$1,434.94 | 131% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $2,143.00 | $2,143.00 | $637.75–$1,434.94 | 131% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $22,568.00 | $22,568.00 | $3,370.67–$7,584.01 | 2679% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $18,602.00 | $18,602.00 | $6,018.41–$13,541.42 | 2285% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $13,209.00 | $13,209.00 | $3,370.67–$7,584.01 | 1866% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) | $7,492.00 | $7,492.00 | $6,018.41–$13,541.42 | 780% above | — |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $22,839.00 | $22,839.00 | $13,052.49–$29,368.10 | 254% above | — |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $41,017.00 | $41,017.00 | $13,052.49–$29,368.10 | 536% above | — |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $41,017.00 | $41,017.00 | $13,052.49–$29,368.10 | 536% above | — |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $24,190.98 | $24,190.98 | $13,052.49–$29,368.10 | 165% above | — |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $24,437.00 | $24,437.00 | $13,052.49–$29,368.10 | 167% above | — |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $24,437.00 | $24,437.00 | $13,052.49–$29,368.10 | 167% above | — |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $41,017.00 | $41,017.00 | $17,825.81–$40,108.07 | 341% above | — |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $45,678.00 | $45,678.00 | $17,825.81–$40,108.07 | 391% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $58,720.00 | $58,720.00 | $6,146.21–$13,828.97 | 1695% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $590.38 | $590.38 | $312.06–$702.14 | 224% above | — |
| Trigger point injections, 1 or 2 muscles one side CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $628.00 | $628.00 | $312.06–$702.13 | 245% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $2,646.00 | $2,646.00 | $1,679.10–$3,777.98 | 69% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $2,646.00 | $2,646.00 | $1,679.10–$3,777.98 | 69% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $2,265.00 | $2,265.00 | $1,950.86–$4,389.44 | 70% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $8,241.00 | $8,241.00 | $922.09–$2,074.70 | 433% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,938.00 | $1,938.00 | $1,950.86–$4,389.44 | 6% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE | $2,353.00 | $2,353.00 | $922.09–$2,074.70 | 257% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,112.00 | $2,112.00 | $922.09–$2,074.70 | 100% above | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $18,791.00 | $18,791.00 | $5,451.09–$12,264.95 | 340% above | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $27,707.00 | $27,707.00 | $5,451.09–$12,264.95 | 548% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $15,403.00 | $15,403.00 | $2,125.20–$4,781.70 | 845% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $5,945.05 | $5,945.05 | $203.98–$458.96 | 3029% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $1,278.00 | $1,278.00 | $413.28–$929.88 | 379% above | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE | $24,680.00 | $24,680.00 | $7,377.05–$16,598.36 | 291% above | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE | $28,935.00 | $28,935.00 | $7,377.05–$16,598.36 | 359% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $1,316.00 | $1,316.00 | $448.52–$1,009.17 | 74% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $762.00 | $762.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $1,327.00 | $1,327.00 | $335.81–$755.57 | 164% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH INTERPRETATION AND REPORT | $235.00 | $235.00 | — | 326% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $214.00 | $214.00 | $59.97–$134.93 | 38% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $250.00 | $250.00 | $85.73–$192.89 | 20% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $421.00 | $421.00 | $156.10–$351.22 | 19% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $761.00 | $761.00 | $277.52–$624.42 | 43% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,260.00 | $1,260.00 | $424.21–$954.47 | 48% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,851.00 | $1,851.00 | $605.45–$1,362.26 | 44% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $808.00 | $808.00 | $219.52–$493.92 | 40% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $665.00 | $665.00 | $216.25–$486.56 | 162% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $737.00 | $737.00 | $216.25–$486.56 | 114% above | — |
| IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN | $665.00 | $665.00 | $216.25–$486.56 | 316% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $220.00 | $220.00 | $73.20–$164.70 | 180% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES | $125.00 | $125.00 | $32.73–$73.64 | 41% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES | $246.00 | $246.00 | $100.54–$226.22 | 44% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $308.00 | $308.00 | $97.86–$220.18 | 54% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $276.00 | $276.00 | $97.86–$220.18 | 62% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $296.00 | $296.00 | $97.86–$220.18 | 55% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES | $178.00 | $178.00 | $27.72–$62.37 | 127% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $120.00 | $120.00 | $29.06–$65.39 | 43% above | — |
| Speech and language evaluation CPT 92523 EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION | $596.00 | $596.00 | $226.46–$509.54 | 64% above | — |
| Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER | $318.00 | $318.00 | $76.15–$171.34 | 73% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES | $427.00 | $427.00 | $35.07–$78.91 | 390% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $441.00 | $441.00 | $135.26–$304.33 | 170% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Montana | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 Imovax Rabies | $1,836.91 | $1,836.91 | $319.75–$719.44 | 238% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE | $1,836.91 | $1,836.91 | $319.75–$719.44 | 238% above | — |
| Rabies vaccine, one dose CPT 90675 RabAvert | $1,836.91 | $1,836.91 | $319.75–$719.44 | 238% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac | $120.11 | $120.11 | — | 77% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $189.86 | $189.86 | — | 83% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $195.00 | $195.00 | $73.20–$164.70 | 300% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $35.49 | $35.49 | — | 11% above | — |
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://apim.services.craneware.com/api-pricing-transparency/api/public/cc2262cf9e8e517c05fef8b1434c3119/charges/mrf