Hospital

USC Verdugo Hills Hospital

USC Verdugo Hills Hospital in Glendale, CA publishes cash prices for 290 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 268 of 285 procedures and below it for 17. By typical cash price it ranks #217 of 226 California hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1812 Verdugo Blvd, Glendale, CA 91209 Collected Sep 23, 2026 Source price file Check a bill from this hospital (818) 790-7100

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 050124 · CMS hospital register NPI 1033716147

The price file shows no self-pay discount

For 732 of the 732 prices listed here, the cash price in USC Verdugo Hills 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.

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W/O + W/Dye	$4,501.00	$4,501.00	—	59% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W/O + W/Dye	$4,501.00	$4,501.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 X-Ray Exam Abdomen 2 Views	$724.00	$724.00	—	68% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 X-Ray Exam Abdomen 2 Views	$724.00	$724.00	—	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Radex Ankle Complete Minimum 3 Views Lt	$998.50	$998.50	—	94% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Radex Ankle Complete Minimum 3 Views Rt	$998.50	$998.50	—	94% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Radex Ankle Complete Minimum 3 Views Lt	$998.50	$998.50	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Radex Ankle Complete Minimum 3 Views Rt	$998.50	$998.50	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/L Xtremity Art 2 Levels	$2,347.25	$2,347.25	—	321% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/L Xtremity Art 2 Levels	$2,347.25	$2,347.25	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extremity W/O Dye Rt	$3,969.50	$3,969.50	—	74% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extremity W/O Dye Lt	$3,969.50	$3,969.50	—	74% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upper Extremity W/O Dye Lt	$3,969.50	$3,969.50	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upper Extremity W/O Dye Rt	$3,969.50	$3,969.50	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-Ray Xm Esophagus 1Cntrst	$1,607.75	$1,607.75	—	166% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-Ray Xm Esophagus 1Cntrst	$1,607.75	$1,607.75	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone +/Joint Imaging Whole Body	$2,709.00	$2,709.00	—	28% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone +/Joint Imaging Whole Body	$2,709.00	$2,709.00	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Complete Rt	$1,199.25	$1,199.25	—	70% above	—
Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Complete Lt	$1,199.25	$1,199.25	—	70% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Complete Lt	$1,199.25	$1,199.25	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Complete Rt	$1,199.25	$1,199.25	—	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Limited Lt	$815.25	$815.25	—	53% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Limited Rt	$815.25	$815.25	—	53% above	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Ultrasound Breast Limited Rt	$815.25	$815.25	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Ultrasound Breast Limited Lt	$815.25	$815.25	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd+Pelv W/O+W/Dye	$6,466.50	$6,466.50	—	20% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd+Pelv W/O+W/Dye	$6,466.50	$6,466.50	—	—	—
CT angiography (CTA) of the head CPT 70496 Ct Angiography Head W/Contrast/Noncontrast	$5,056.25	$5,056.25	—	69% above	—
CT angiography (CTA) of the head inpatient CPT 70496 Ct Angiography Head W/Contrast/Noncontrast	$5,056.25	$5,056.25	—	—	—
CT angiography (CTA) of the neck CPT 70498 Ct Angiography Neck W/Contrast/Noncontrast	$4,824.00	$4,824.00	—	63% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angiography Neck W/Contrast/Noncontrast	$4,824.00	$4,824.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W/Contrast/Noncontrast	$8,589.50	$8,589.50	—	150% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angiography Chest W/Contrast/Noncontrast	$8,589.50	$8,589.50	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd + Pelvis W/O Contrast	$6,488.00	$6,488.00	—	103% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd + Pelvis W/O Contrast	$6,488.00	$6,488.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd + Pelv W/Contrast	$8,135.00	$8,135.00	—	97% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd + Pelv W/Contrast	$8,135.00	$8,135.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd + Pelv 1/> Regns	$8,947.75	$8,947.75	—	90% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd + Pelv 1/> Regns	$8,947.75	$8,947.75	—	—	—
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Dye	$3,926.75	$3,926.75	—	56% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Dye	$3,926.75	$3,926.75	—	—	—
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Dye	$2,724.25	$2,724.25	—	43% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Dye	$2,724.25	$2,724.25	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Dye	$4,166.00	$4,166.00	—	91% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Dye	$4,166.00	$4,166.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Dye	$3,968.00	$3,968.00	—	73% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Dye	$3,968.00	$3,968.00	—	—	—
CT scan of the head with contrast CPT 70460 Ct Head/Brain W/Dye	$5,788.00	$5,788.00	—	114% above	—
CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain W/Dye	$5,788.00	$5,788.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Ct Head/Brain W/O + W/Dye	$6,930.00	$6,930.00	—	124% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain W/O + W/Dye	$6,930.00	$6,930.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/O Dye	$4,507.25	$4,507.25	—	58% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine W/O Dye	$4,507.25	$4,507.25	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Neck Spine W/O Dye	$5,076.00	$5,076.00	—	74% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Neck Spine W/O Dye	$5,076.00	$5,076.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/Dye	$6,918.00	$6,918.00	—	172% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/Dye	$6,918.00	$6,918.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$2,102.50	$2,102.50	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$2,102.50	$2,102.50	—	—	—
Chest CT scan without and with contrast CPT 71270 Diagnostic Computed Tomography Thorax C-/C+	$6,113.75	$6,113.75	—	87% above	—
Chest CT scan without and with contrast inpatient CPT 71270 Diagnostic Computed Tomography Thorax C-/C+	$6,113.75	$6,113.75	—	—	—
Chest X-ray, 2 views CPT 71046 X-Ray Exam Chest 2 Views	$719.25	$719.25	—	77% above	—
Chest X-ray, 2 views inpatient CPT 71046 X-Ray Exam Chest 2 Views	$719.25	$719.25	—	—	—
Chest X-ray, single view CPT 71045 X-Ray Exam Chest 1 View	$571.50	$571.50	—	57% above	—
Chest X-ray, single view inpatient CPT 71045 X-Ray Exam Chest 1 View	$571.50	$571.50	—	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 Radex Clavicle Complete Lt	$797.00	$797.00	—	65% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 Radex Clavicle Complete Rt	$797.00	$797.00	—	65% above	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Radex Clavicle Complete Rt	$797.00	$797.00	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Radex Clavicle Complete Lt	$797.00	$797.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Exam Abdo Back Wall Comp	$1,953.25	$1,953.25	—	130% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Exam Abdo Back Wall Comp	$1,953.25	$1,953.25	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst	$3,503.75	$3,503.75	—	73% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst	$3,503.75	$3,503.75	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast	$5,838.25	$5,838.25	—	103% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast	$5,838.25	$5,838.25	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi	$1,014.50	$1,014.50	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi	$1,014.50	$1,014.50	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 Dx Mammo Incl Cad Uni Lt	$822.25	$822.25	—	119% above	—
Diagnostic mammogram, one breast one side CPT 77065 Dx Mammo Incl Cad Uni Rt	$822.25	$822.25	—	119% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx Mammo Incl Cad Uni Rt	$822.25	$822.25	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx Mammo Incl Cad Uni Lt	$822.25	$822.25	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$2,978.00	$2,978.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$2,978.00	$2,978.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$2,987.25	$2,987.25	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$2,987.25	$2,987.25	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete	$6,767.00	$6,767.00	—	152% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete	$6,767.00	$6,767.00	—	—	—
Elbow X-ray, 2 views one side CPT 73070 Radex Elbow 2 Views Lt	$710.00	$710.00	—	78% above	—
Elbow X-ray, 2 views one side CPT 73070 Radex Elbow 2 Views Rt	$710.00	$710.00	—	78% above	—
Elbow X-ray, 2 views inpatient one side CPT 73070 Radex Elbow 2 Views Lt	$710.00	$710.00	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 Radex Elbow 2 Views Rt	$710.00	$710.00	—	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 Radex Elbow Complete Minimum 3 Views Lt	$912.25	$912.25	—	88% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 Radex Elbow Complete Minimum 3 Views Rt	$912.25	$912.25	—	88% above	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Radex Elbow Complete Minimum 3 Views Rt	$912.25	$912.25	—	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Radex Elbow Complete Minimum 3 Views Lt	$912.25	$912.25	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit/Ear/Fossa W/O Dye	$3,882.50	$3,882.50	—	70% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbit/Ear/Fossa W/O Dye	$3,882.50	$3,882.50	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Radex Facial Bones Complete Minimum 3 Views	$1,909.00	$1,909.00	—	286% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Radex Facial Bones Complete Minimum 3 Views	$1,909.00	$1,909.00	—	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Radex Forearm 2 Views Lt	$793.75	$793.75	—	86% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Radex Forearm 2 Views Rt	$793.75	$793.75	—	86% above	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Radex Forearm 2 Views Rt	$793.75	$793.75	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Radex Forearm 2 Views Lt	$793.75	$793.75	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$2,815.50	$2,815.50	—	58% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging	$2,815.50	$2,815.50	—	—	—
Hand X-ray, 2 views one side CPT 73120 Radex Hand 2 Views Lt	$745.50	$745.50	—	83% above	—
Hand X-ray, 2 views one side CPT 73120 Radex Hand 2 Views Rt	$745.50	$745.50	—	83% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 Radex Hand 2 Views Lt	$745.50	$745.50	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 Radex Hand 2 Views Rt	$745.50	$745.50	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Radex Calcaneus Minimum 2 Views Lt	$674.50	$674.50	—	91% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Radex Calcaneus Minimum 2 Views Rt	$674.50	$674.50	—	91% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Radex Calcaneus Minimum 2 Views Lt	$674.50	$674.50	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Radex Calcaneus Minimum 2 Views Rt	$674.50	$674.50	—	—	—
Knee X-ray, 3 views one side CPT 73562 X-Ray Exam Knee 3 View Rt	$874.00	$874.00	—	90% above	—
Knee X-ray, 3 views one side CPT 73562 X-Ray Exam Knee 3 View Lt	$874.00	$874.00	—	90% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 X-Ray Exam Knee 3 View Lt	$874.00	$874.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 X-Ray Exam Knee 3 View Rt	$874.00	$874.00	—	—	—
Knee X-ray, complete, 4 or more views one side CPT 73564 X-Ray Exam Knee 4 Or More Lt	$1,259.25	$1,259.25	—	115% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 X-Ray Exam Knee 4 Or More Rt	$1,259.25	$1,259.25	—	115% above	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-Ray Exam Knee 4 Or More Rt	$1,259.25	$1,259.25	—	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-Ray Exam Knee 4 Or More Lt	$1,259.25	$1,259.25	—	—	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extremity W/O Dye Rt	$3,448.75	$3,448.75	—	62% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extremity W/O Dye Lt	$3,448.75	$3,448.75	—	62% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lower Extremity W/O Dye Lt	$3,448.75	$3,448.75	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lower Extremity W/O Dye Rt	$3,448.75	$3,448.75	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen	$1,917.25	$1,917.25	—	131% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen	$1,917.25	$1,917.25	—	—	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img Lt	$1,110.75	$1,110.75	—	104% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img Rt	$1,110.75	$1,110.75	—	104% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img Rt	$1,110.75	$1,110.75	—	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img Lt	$1,110.75	$1,110.75	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$450.00	$450.00	—	26% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$450.00	$450.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Rt	$827.00	$827.00	—	91% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Lt	$827.00	$827.00	—	91% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Rt	$827.00	$827.00	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Lt	$827.00	$827.00	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 Mr Angiography Head W/O Dye	$10,285.25	$10,285.25	—	255% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr Angiography Head W/O Dye	$10,285.25	$10,285.25	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Rt	$5,469.25	$5,469.25	—	80% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Lt	$5,469.25	$5,469.25	—	80% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Lt	$5,469.25	$5,469.25	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Rt	$5,469.25	$5,469.25	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Joint Lwr Extr W/O+W/Dye Rt	$10,144.75	$10,144.75	—	120% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Joint Lwr Extr W/O+W/Dye Lt	$10,144.75	$10,144.75	—	120% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Joint Lwr Extr W/O+W/Dye Lt	$10,144.75	$10,144.75	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Joint Lwr Extr W/O+W/Dye Rt	$10,144.75	$10,144.75	—	—	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Dye	$7,119.00	$7,119.00	—	155% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Dye	$7,119.00	$7,119.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/O + W/Dye	$10,890.00	$10,890.00	—	149% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/O + W/Dye	$10,890.00	$10,890.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain Stem W/O Dye	$3,835.75	$3,835.75	—	32% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Stem W/O Dye	$3,835.75	$3,835.75	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain Stem W/O + W/Dye	$6,869.75	$6,869.75	—	59% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain Stem W/O + W/Dye	$6,869.75	$6,869.75	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Dye	$5,342.75	$5,342.75	—	75% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Dye	$5,342.75	$5,342.75	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spinal Canal Lumbar W/O + W/Contr Matrl	$8,627.50	$8,627.50	—	91% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Spinal Canal Lumbar W/O + W/Contr Matrl	$8,627.50	$8,627.50	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spinal Canal Thoracic W/O Contrast Matrl	$5,530.00	$5,530.00	—	91% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Spinal Canal Thoracic W/O Contrast Matrl	$5,530.00	$5,530.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spinal Canal Cervical W/O + W/Contr Matrl	$21,498.25	$21,498.25	—	384% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Spinal Canal Cervical W/O + W/Contr Matrl	$21,498.25	$21,498.25	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spinal Canal Cervical W/O Contrast Matrl	$3,835.75	$3,835.75	—	28% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Spinal Canal Cervical W/O Contrast Matrl	$3,835.75	$3,835.75	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O + W/Dye	$12,098.75	$12,098.75	—	192% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O + W/Dye	$12,098.75	$12,098.75	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Dye	$7,257.50	$7,257.50	—	183% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Dye	$7,257.50	$7,257.50	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Joint Upr Extrem W/O Dye Rt	$5,482.00	$5,482.00	—	109% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Joint Upr Extrem W/O Dye Lt	$5,482.00	$5,482.00	—	109% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Joint Upr Extrem W/O Dye Rt	$5,482.00	$5,482.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Joint Upr Extrem W/O Dye Lt	$5,482.00	$5,482.00	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray Exam Neck Spine 4/5Vws	$1,508.00	$1,508.00	—	134% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray Exam Neck Spine 4/5Vws	$1,508.00	$1,508.00	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck W/Dye	$3,895.25	$3,895.25	—	42% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck W/Dye	$3,895.25	$3,895.25	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck W/O Dye	$3,243.50	$3,243.50	—	53% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Soft Tissue Neck W/O Dye	$3,243.50	$3,243.50	—	—	—
Neck soft tissue X-ray CPT 70360 Radiologic Examination Neck Soft Tissue	$1,076.00	$1,076.00	—	231% above	—
Neck soft tissue X-ray inpatient CPT 70360 Radiologic Examination Neck Soft Tissue	$1,076.00	$1,076.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult	$7,756.25	$7,756.25	—	91% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult	$7,756.25	$7,756.25	—	—	—
Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Dye	$4,868.50	$4,868.50	—	148% above	—
Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Dye	$4,868.50	$4,868.50	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Exam Pelvic Limited	$1,093.25	$1,093.25	—	103% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Exam Pelvic Limited	$1,093.25	$1,093.25	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam Pelvic Complete	$2,507.50	$2,507.50	—	167% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Exam Pelvic Complete	$2,507.50	$2,507.50	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Us >/= 14 Wks Sngl Fetus	$2,709.50	$2,709.50	—	214% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Us >/= 14 Wks Sngl Fetus	$2,709.50	$2,709.50	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks Single Fetus	$2,229.75	$2,229.75	—	188% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us < 14 Wks Single Fetus	$2,229.75	$2,229.75	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us Limited 1+ Fetus(S)	$1,451.25	$1,451.25	—	140% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Us Limited 1+ Fetus(S)	$1,451.25	$1,451.25	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Lt	$949.25	$949.25	—	105% above	—
Rib X-ray, one side, 2 views one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Rt	$949.25	$949.25	—	105% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Lt	$949.25	$949.25	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Rt	$949.25	$949.25	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Radex Ribs Uni W/Posteroant Ch Minimum 3 Views Rt	$1,399.75	$1,399.75	—	127% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Radex Ribs Uni W/Posteroant Ch Minimum 3 Views Lt	$1,399.75	$1,399.75	—	127% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Radex Ribs Uni W/Posteroant Ch Minimum 3 Views Rt	$1,399.75	$1,399.75	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Radex Ribs Uni W/Posteroant Ch Minimum 3 Views Lt	$1,399.75	$1,399.75	—	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad	$771.25	$771.25	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad	$771.25	$771.25	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Rt	$961.00	$961.00	—	74% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Lt	$961.00	$961.00	—	74% above	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Rt	$961.00	$961.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Lt	$961.00	$961.00	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views	$1,404.00	$1,404.00	—	207% above	—
Sinus X-ray, complete, 3 or more views one side CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views Lt	$1,404.00	$1,404.00	—	207% above	—
Sinus X-ray, complete, 3 or more views one side CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views Rt	$1,404.00	$1,404.00	—	207% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views	$1,404.00	$1,404.00	—	—	—
Sinus X-ray, complete, 3 or more views inpatient one side CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views Rt	$1,404.00	$1,404.00	—	—	—
Sinus X-ray, complete, 3 or more views inpatient one side CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views Lt	$1,404.00	$1,404.00	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 Radiologic Examination Skull 4< Views	$1,031.75	$1,031.75	—	154% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 Radiologic Examination Skull 4< Views	$1,031.75	$1,031.75	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete	$1,783.75	$1,783.75	—	44% below	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete	$1,783.75	$1,783.75	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-Ray Xm Swlng Funcj C+	$1,903.25	$1,903.25	—	188% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-Ray Xm Swlng Funcj C+	$1,903.25	$1,903.25	—	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-Ray Exam Of Femur 2/> Lt	$867.75	$867.75	—	113% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-Ray Exam Of Femur 2/> Rt	$867.75	$867.75	—	113% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-Ray Exam Of Femur 2/> Lt	$867.75	$867.75	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-Ray Exam Of Femur 2/> Rt	$867.75	$867.75	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic Spine W/O Contrast Material	$4,059.00	$4,059.00	—	45% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic Spine W/O Contrast Material	$4,059.00	$4,059.00	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 Radex Toe Minimum 2 Views Lt	$789.25	$789.25	—	139% above	—
Toe X-ray, 2 or more views one side CPT 73660 Radex Toe Minimum 2 Views Rt	$789.25	$789.25	—	139% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 Radex Toe Minimum 2 Views Lt	$789.25	$789.25	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 Radex Toe Minimum 2 Views Rt	$789.25	$789.25	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Transvaginal Us Non-Ob	$1,777.75	$1,777.75	—	148% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal Us Non-Ob	$1,777.75	$1,777.75	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal Us Obstetric	$1,824.25	$1,824.25	—	174% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal Us Obstetric	$1,824.25	$1,824.25	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Us Exam Abdom Complete	$2,945.50	$2,945.50	—	169% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Exam Abdom Complete	$2,945.50	$2,945.50	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Us Exam Scrotum	$2,325.00	$2,325.00	—	161% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Exam Scrotum	$2,325.00	$2,325.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head + Neck Real Time Imge Docm	$1,571.00	$1,571.00	—	89% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Soft Tissue Head + Neck Real Time Imge Docm	$1,571.00	$1,571.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst	$1,282.50	$1,282.50	—	108% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst	$1,282.50	$1,282.50	—	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 Radex Humerus Minimum 2 Views Lt	$791.50	$791.50	—	85% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 Radex Humerus Minimum 2 Views Rt	$791.50	$791.50	—	85% above	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Radex Humerus Minimum 2 Views Lt	$791.50	$791.50	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Radex Humerus Minimum 2 Views Rt	$791.50	$791.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$2,251.75	$2,251.75	—	150% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$2,251.75	$2,251.75	—	—	—
Wrist X-ray, 2 views one side CPT 73100 Radex Wrist 2 Views Lt	$612.50	$612.50	—	57% above	—
Wrist X-ray, 2 views one side CPT 73100 Radex Wrist 2 Views Rt	$612.50	$612.50	—	57% above	—
Wrist X-ray, 2 views inpatient one side CPT 73100 Radex Wrist 2 Views Lt	$612.50	$612.50	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 Radex Wrist 2 Views Rt	$612.50	$612.50	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Radex Wrist Complete Minimum 3 Views Lt	$948.25	$948.25	—	89% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Radex Wrist Complete Minimum 3 Views Rt	$948.25	$948.25	—	89% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Radex Wrist Complete Minimum 3 Views Rt	$948.25	$948.25	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Radex Wrist Complete Minimum 3 Views Lt	$948.25	$948.25	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views Rt	$667.50	$667.50	—	66% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views Lt	$667.50	$667.50	—	66% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views Lt	$667.50	$667.50	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-Ray Exam Hip Uni 2-3 Views Rt	$667.50	$667.50	—	—	—
X-ray of the abdomen, 1 view CPT 74018 X-Ray Exam Abdomen 1 View	$591.25	$591.25	—	94% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray Exam Abdomen 1 View	$591.25	$591.25	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 Radiologic Examination Ankle 2 Views Rt	$784.00	$784.00	—	100% above	—
X-ray of the ankle, 2 views one side CPT 73600 Radiologic Examination Ankle 2 Views Lt	$784.00	$784.00	—	100% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Radiologic Examination Ankle 2 Views Rt	$784.00	$784.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Radiologic Examination Ankle 2 Views Lt	$784.00	$784.00	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Radex Fingr Minimum 2 Views Lt	$655.25	$655.25	—	80% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Radex Fingr Minimum 2 Views Rt	$655.25	$655.25	—	80% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Radex Fingr Minimum 2 Views Rt	$655.25	$655.25	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Radex Fingr Minimum 2 Views Lt	$655.25	$655.25	—	—	—
X-ray of the foot, 2 views one side CPT 73620 Radiologic Examination Foot 2 Views Lt	$697.25	$697.25	—	72% above	—
X-ray of the foot, 2 views one side CPT 73620 Radiologic Examination Foot 2 Views Rt	$697.25	$697.25	—	72% above	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Radiologic Examination Foot 2 Views Rt	$697.25	$697.25	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Radiologic Examination Foot 2 Views Lt	$697.25	$697.25	—	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Radex Foot Complete Minimum 3 Views Lt	$876.50	$876.50	—	77% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Radex Foot Complete Minimum 3 Views Rt	$876.50	$876.50	—	77% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Radex Foot Complete Minimum 3 Views Rt	$876.50	$876.50	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Radex Foot Complete Minimum 3 Views Lt	$876.50	$876.50	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 Radex Hand Minimum 3 Views Lt	$983.50	$983.50	—	93% above	—
X-ray of the hand, 3 or more views one side CPT 73130 Radex Hand Minimum 3 Views Rt	$983.50	$983.50	—	93% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Radex Hand Minimum 3 Views Rt	$983.50	$983.50	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Radex Hand Minimum 3 Views Lt	$983.50	$983.50	—	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Lt	$733.50	$733.50	—	85% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Rt	$733.50	$733.50	—	85% above	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Lt	$733.50	$733.50	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Rt	$733.50	$733.50	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Exam L-S Spine 2/3 Vws	$1,226.00	$1,226.00	—	160% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray Exam L-S Spine 2/3 Vws	$1,226.00	$1,226.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$1,607.75	$1,607.75	—	147% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$1,607.75	$1,607.75	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Exam Thorac Spine 2Vws	$881.50	$881.50	—	91% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray Exam Thorac Spine 2Vws	$881.50	$881.50	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Exam Of Nasal Bones	$1,257.00	$1,257.00	—	191% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray Exam Of Nasal Bones	$1,257.00	$1,257.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray Exam Neck Spine 2-3 Vw	$869.75	$869.75	—	93% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray Exam Neck Spine 2-3 Vw	$869.75	$869.75	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic Examination Pelvis 1/2 Views	$753.00	$753.00	—	96% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Radiologic Examination Pelvis 1/2 Views	$753.00	$753.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radex Sacrum + Coccyx Minimum 2 Views	$1,047.50	$1,047.50	—	123% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Radex Sacrum + Coccyx Minimum 2 Views	$1,047.50	$1,047.50	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino (Alt) (Sgpt)	$116.25	$116.25	—	170% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (Alt) (Sgpt)	$116.25	$116.25	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (Ast) (Sgot)	$116.25	$116.25	—	156% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (Ast) (Sgot)	$116.25	$116.25	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$514.75	$514.75	—	89% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$514.75	$514.75	—	—	—
Albumin blood test CPT 82040 Assay Of Serum Albumin	$208.75	$208.75	—	736% above	—
Albumin blood test inpatient CPT 82040 Assay Of Serum Albumin	$208.75	$208.75	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 Assay Of Phosphatase Alkaline	$73.75	$73.75	—	100% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay Of Phosphatase Alkaline	$73.75	$73.75	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum	$304.50	$304.50	—	296% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum	$304.50	$304.50	—	—	—
Ammonia blood test CPT 82140 Assay Of Ammonia	$326.25	$326.25	—	80% above	—
Ammonia blood test inpatient CPT 82140 Assay Of Ammonia	$326.25	$326.25	—	—	—
Amylase blood test CPT 82150 Assay Of Amylase	$300.25	$300.25	—	488% above	—
Amylase blood test inpatient CPT 82150 Assay Of Amylase	$300.25	$300.25	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probnp (1)	$70.25	$70.25	—	62% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay Of Natriuretic Peptide	$581.75	$581.75	—	214% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Probnp (1)	$70.25	$70.25	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay Of Natriuretic Peptide	$581.75	$581.75	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Noncdm Charge Record	$250.00	$250.00	—	107% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Nose	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Eye	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Csf	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Respiratory	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Catheter	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Semen	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital Definitive	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Fluid Definitive	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Surgical Wound	$300.00	$300.00	—	149% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Noncdm Charge Record	$250.00	$250.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Surgical Wound	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Catheter	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Fluid Definitive	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Csf	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Genital Definitive	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Eye	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Nose	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Respiratory	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Semen	$300.00	$300.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat	$300.00	$300.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Metabolic Panel Total Ca	$651.50	$651.50	—	237% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic Panel Total Ca	$651.50	$651.50	—	—	—
Bilirubin blood test, total CPT 82247 Bilirubin Total	$125.75	$125.75	—	178% above	—
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$125.75	$125.75	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level Iv Surg Pathology Gross+Microscopic Exam	$420.75	$420.75	—	224% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level Iv Surg Pathology Gross+Microscopic Exam	$420.75	$420.75	—	—	—
Blood culture for bacteria CPT 87040 Blood Culture For Bacteria	$1,392.00	$1,392.00	—	411% above	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria	$1,392.00	$1,392.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$35.00	$35.00	—	66% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture	$35.00	$35.00	—	—	—
Blood glucose (sugar) test CPT 82947 Noncdm Charge Record	$34.00	$34.00	—	9% below	—
Blood glucose (sugar) test CPT 82947 Assay Glucose Blood Quant	$119.50	$119.50	—	218% above	—
Blood glucose (sugar) test inpatient CPT 82947 Noncdm Charge Record	$34.00	$34.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Assay Glucose Blood Quant	$119.50	$119.50	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin Chorionic Qualitative	$487.25	$487.25	—	205% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin Chorionic Qualitative	$487.25	$487.25	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo	$207.50	$207.50	—	102% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo	$207.50	$207.50	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 Assay Of Urea Nitrogen	$155.75	$155.75	—	370% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay Of Urea Nitrogen	$155.75	$155.75	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$157.75	$157.75	—	193% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$157.75	$157.75	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$651.50	$651.50	—	326% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$651.50	$651.50	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay Tumor Ca 19-9	$540.00	$540.00	—	980% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay Tumor Ca 19-9	$540.00	$540.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay Tumor Ca 125	$576.00	$576.00	—	318% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay Tumor Ca 125	$576.00	$576.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$238.75	$238.75	—	152% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amp Probe Tq	$927.50	$927.50	—	880% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb Hgh Thruput	$927.50	$927.50	—	880% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$238.75	$238.75	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb Hgh Thruput	$927.50	$927.50	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amp Probe Tq	$927.50	$927.50	—	—	—
Calcium blood test, total CPT 82310 Calcium Total	$138.25	$138.25	—	127% above	—
Calcium blood test, total inpatient CPT 82310 Calcium Total	$138.25	$138.25	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$375.00	$375.00	—	348% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$375.00	$375.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach Dna Amp Probe	$160.25	$160.25	—	193% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach Dna Amp Probe	$160.25	$160.25	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$239.25	$239.25	—	136% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$239.25	$239.25	—	—	—
Complete blood count (CBC) with differential CPT 85025 Complete Cbc W/Auto Diff Wbc	$142.25	$142.25	—	28% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Cbc W/Auto Diff Wbc	$142.25	$142.25	—	—	—
Complete blood count (CBC), no differential CPT 85027 Complete Cbc Automated	$135.75	$135.75	—	54% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Cbc Automated	$135.75	$135.75	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen Metabolic Panel	$644.00	$644.00	—	152% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel	$644.00	$644.00	—	—	—
Cortisol blood test, total CPT 82533 Total Cortisol	$403.25	$403.25	—	322% above	—
Cortisol blood test, total inpatient CPT 82533 Total Cortisol	$403.25	$403.25	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 Assay Of Ck (Cpk)	$211.25	$211.25	—	142% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay Of Ck (Cpk)	$211.25	$211.25	—	—	—
Creatinine blood test CPT 82565 Assay Of Creatinine	$82.00	$82.00	—	77% above	—
Creatinine blood test inpatient CPT 82565 Assay Of Creatinine	$82.00	$82.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Dgradj Products D-Dimer Quantitative	$605.75	$605.75	—	322% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Dgradj Products D-Dimer Quantitative	$605.75	$605.75	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Urine Screen	$743.50	$743.50	—	1099% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Urine Screen	$743.50	$743.50	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$153.50	$153.50	—	82% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$153.50	$153.50	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-Barr Capsid Vca	$97.50	$97.50	—	268% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Capsid Vca	$97.50	$97.50	—	—	—
Estradiol blood test CPT 82670 Assay Of Total Estradiol	$244.25	$244.25	—	183% above	—
Estradiol blood test inpatient CPT 82670 Assay Of Total Estradiol	$244.25	$244.25	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Assay Of Gonadotropin (Fsh)	$163.00	$163.00	—	60% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay Of Gonadotropin (Fsh)	$163.00	$163.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Assay Of Ferritin	$296.00	$296.00	—	177% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Assay Of Ferritin	$296.00	$296.00	—	—	—
Fibrinogen blood test CPT 85384 Fibrinogen Activity-Cntrl Clot Stiffns	$324.00	$324.00	—	143% above	—
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity-Cntrl Clot Stiffns	$324.00	$324.00	—	—	—
Folate (folic acid) blood test CPT 82746 Assay Of Folic Acid Serum	$410.50	$410.50	—	276% above	—
Folate (folic acid) blood test inpatient CPT 82746 Assay Of Folic Acid Serum	$410.50	$410.50	—	—	—
Free T3 thyroid hormone test CPT 84481 Free Assay (Ft-3)	$238.00	$238.00	—	194% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Free Assay (Ft-3)	$238.00	$238.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay Of Free Thyroxine	$153.75	$153.75	—	126% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay Of Free Thyroxine	$153.75	$153.75	—	—	—
Free testosterone test CPT 84402 Testosterone Free	$44.75	$44.75	—	63% above	—
Free testosterone test inpatient CPT 84402 Testosterone Free	$44.75	$44.75	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay Of Ggt	$124.25	$124.25	—	173% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay Of Ggt	$124.25	$124.25	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$1,011.50	$1,011.50	—	264% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$1,011.50	$1,011.50	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Test	$339.75	$339.75	—	553% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Test	$339.75	$339.75	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (Gtt)	$109.00	$109.00	—	21% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test (Gtt)	$109.00	$109.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae Dna Amp Prob	$156.75	$156.75	—	162% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae Dna Amp Prob	$156.75	$156.75	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy	$282.00	$282.00	—	379% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy	$282.00	$282.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Noncdm Charge Record	$235.00	$235.00	—	169% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Noncdm Charge Record	$235.00	$235.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test	$158.50	$158.50	—	143% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test	$158.50	$158.50	—	—	—
Hemoglobin blood test CPT 85018 Blood Count Hemoglobin - Poc	$10.75	$10.75	—	73% below	—
Hemoglobin blood test CPT 85018 Hemoglobin	$133.25	$133.25	—	230% above	—
Hemoglobin blood test inpatient CPT 85018 Blood Count Hemoglobin - Poc	$10.75	$10.75	—	—	—
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$133.25	$133.25	—	—	—
Hepatitis B core antibody test (total) CPT 86704 Noncdm Charge Record	$20.00	$20.00	—	43% below	—
Hepatitis B core antibody test (total) inpatient CPT 86704 Noncdm Charge Record	$20.00	$20.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Iaad Ia Hepatitis B Surface Antigen	$197.75	$197.75	—	176% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Iaad Ia Hepatitis B Surface Antigen	$197.75	$197.75	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test	$213.50	$213.50	—	290% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab Test	$213.50	$213.50	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity	$164.00	$164.00	—	177% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity	$164.00	$164.00	—	—	—
Iron blood test (serum iron) CPT 83540 Assay Of Iron	$123.25	$123.25	—	112% above	—
Iron blood test (serum iron) inpatient CPT 83540 Assay Of Iron	$123.25	$123.25	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Test	$135.25	$135.25	—	85% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Test	$135.25	$135.25	—	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$130.75	$130.75	—	8% below	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$130.75	$130.75	—	—	—
LH (luteinizing hormone) test CPT 83002 Assay Of Gonadotropin (Lh)	$194.25	$194.25	—	87% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Assay Of Gonadotropin (Lh)	$194.25	$194.25	—	—	—
Lactate (lactic acid) blood test CPT 83605 Assay Of Lactic Acid	$436.25	$436.25	—	227% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 Assay Of Lactic Acid	$436.25	$436.25	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (Ld) (Ldh) Enzyme	$225.50	$225.50	—	540% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (Ld) (Ldh) Enzyme	$225.50	$225.50	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Assay Of Lipase	$436.25	$436.25	—	353% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay Of Lipase	$436.25	$436.25	—	—	—
Liver function blood test panel CPT 80076 Hepatic Function Panel	$225.50	$225.50	—	49% above	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$225.50	$225.50	—	—	—
Lyme disease antibody test CPT 86618 Noncdm Charge Record	$55.13	$55.13	—	161% above	—
Lyme disease antibody test inpatient CPT 86618 Noncdm Charge Record	$55.13	$55.13	—	—	—
Magnesium blood test CPT 83735 Assay Of Magnesium	$342.75	$342.75	—	449% above	—
Magnesium blood test inpatient CPT 83735 Assay Of Magnesium	$342.75	$342.75	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody Screen	$482.50	$482.50	—	369% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody Screen	$482.50	$482.50	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay Of Psa Free	$36.75	$36.75	—	39% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay Of Psa Free	$36.75	$36.75	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay Of Psa Total	$280.50	$280.50	—	369% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay Of Psa Total	$280.50	$280.50	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath C/V Thin Layer	$112.50	$112.50	—	24% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath C/V Thin Layer	$112.50	$112.50	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Assay Of Parathormone	$359.50	$359.50	—	227% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay Of Parathormone	$359.50	$359.50	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood	$324.00	$324.00	—	418% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood	$324.00	$324.00	—	—	—
Phosphorus (phosphate) blood test CPT 84100 Assay Of Phosphorus	$216.00	$216.00	—	186% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Assay Of Phosphorus	$216.00	$216.00	—	—	—
Potassium blood test CPT 84132 Noncdm Charge Record	$222.00	$222.00	—	204% above	—
Potassium blood test CPT 84132 Assay Of Serum Potassium	$230.75	$230.75	—	216% above	—
Potassium blood test inpatient CPT 84132 Noncdm Charge Record	$222.00	$222.00	—	—	—
Potassium blood test inpatient CPT 84132 Assay Of Serum Potassium	$230.75	$230.75	—	—	—
Progesterone blood test CPT 84144 Assay Of Progesterone	$187.00	$187.00	—	127% above	—
Progesterone blood test inpatient CPT 84144 Assay Of Progesterone	$187.00	$187.00	—	—	—
Prolactin blood test CPT 84146 Assay Of Prolactin	$169.25	$169.25	—	58% above	—
Prolactin blood test inpatient CPT 84146 Assay Of Prolactin	$169.25	$169.25	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$306.00	$306.00	—	457% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$306.00	$306.00	—	—	—
Rh blood typing CPT 86901 Blood Typing Serologic Rh(D)	$116.25	$116.25	—	109% above	—
Rh blood typing inpatient CPT 86901 Blood Typing Serologic Rh(D)	$116.25	$116.25	—	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$88.75	$88.75	—	572% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant	$88.75	$88.75	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody	$28.75	$28.75	—	43% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody	$28.75	$28.75	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Noncdm Charge Record	$160.00	$160.00	—	186% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Noncdm Charge Record	$160.00	$160.00	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Anal Vol/Count/Mot	$195.50	$195.50	—	41% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Anal Vol/Count/Mot	$195.50	$195.50	—	—	—
Sodium blood test CPT 84295 Assay Of Serum Sodium	$134.00	$134.00	—	105% above	—
Sodium blood test inpatient CPT 84295 Assay Of Serum Sodium	$134.00	$134.00	—	—	—
Stool ova and parasites exam CPT 87177 Ova And Parasites Smears	$56.50	$56.50	—	171% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Smears	$56.50	$56.50	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Feces 1-3 Det Ca Scrn	$66.50	$66.50	—	71% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Feces 1-3 Det Ca Scrn	$66.50	$66.50	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Noncdm Charge Record	$11.00	$11.00	—	32% below	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Noncdm Charge Record	$11.00	$11.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual	$132.50	$132.50	—	887% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual	$132.50	$132.50	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Assay Of Total Testosterone	$225.50	$225.50	—	463% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Of Total Testosterone	$225.50	$225.50	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay Thyroid Stim Hormone	$265.00	$265.00	—	186% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay Thyroid Stim Hormone	$265.00	$265.00	—	—	—
Total cholesterol blood test CPT 82465 Assay Bld/Serum Cholesterol	$98.75	$98.75	—	135% above	—
Total cholesterol blood test inpatient CPT 82465 Assay Bld/Serum Cholesterol	$98.75	$98.75	—	—	—
Total thyroxine (T4) blood test CPT 84436 Assay Of Total Thyroxine	$275.25	$275.25	—	602% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 Assay Of Total Thyroxine	$275.25	$275.25	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 Noncdm Charge Record	$358.00	$358.00	—	359% above	—
Total triiodothyronine (T3) blood test CPT 84480 Assay Triiodothyronine (T3)	$372.00	$372.00	—	377% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 Noncdm Charge Record	$358.00	$358.00	—	—	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 Assay Triiodothyronine (T3)	$372.00	$372.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif	$108.00	$108.00	—	10% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif	$108.00	$108.00	—	—	—
Triglycerides blood test CPT 84478 Assay Of Triglycerides	$237.00	$237.00	—	477% above	—
Triglycerides blood test inpatient CPT 84478 Assay Of Triglycerides	$237.00	$237.00	—	—	—
Troponin test, quantitative CPT 84484 Assay Of Troponin Quant	$604.75	$604.75	—	237% above	—
Troponin test, quantitative inpatient CPT 84484 Assay Of Troponin Quant	$604.75	$604.75	—	—	—
Uric acid blood test CPT 84550 Assay Of Blood/Uric Acid	$113.25	$113.25	—	71% above	—
Uric acid blood test inpatient CPT 84550 Assay Of Blood/Uric Acid	$113.25	$113.25	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Scope	$184.75	$184.75	—	123% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope	$184.75	$184.75	—	—	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope	$135.50	$135.50	—	142% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope	$135.50	$135.50	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Noncdm Charge Record	$11.00	$11.00	—	68% below	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Noncdm Charge Record	$11.00	$11.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count	$585.50	$585.50	—	320% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count	$585.50	$585.50	—	—	—
Urine microalbumin (albumin) test CPT 82043 Ur Albumin Quantitative	$104.00	$104.00	—	183% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 Ur Albumin Quantitative	$104.00	$104.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 Noncdm Charge Record	$469.00	$469.00	—	433% above	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$562.75	$562.75	—	540% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Noncdm Charge Record	$469.00	$469.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$562.75	$562.75	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12	$318.00	$318.00	—	238% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12	$318.00	$318.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$279.50	$279.50	—	337% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$279.50	$279.50	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test	$457.25	$457.25	—	156% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test	$457.25	$457.25	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast 1St Lesion Strtctc Rt	$6,791.50	$6,791.50	—	56% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast 1St Lesion Strtctc Lt	$6,791.50	$6,791.50	—	56% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx Breast 1St Lesion Strtctc Rt	$6,791.50	$6,791.50	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx Breast 1St Lesion Strtctc Lt	$6,791.50	$6,791.50	—	—	—
Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Artery/Ventricle Angio	$17,824.00	$17,824.00	—	38% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L Hrt Artery/Ventricle Angio	$17,824.00	$17,824.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext	$3,303.00	$3,303.00	—	73% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External-Ed	$3,384.00	$3,384.00	—	77% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext-Surg	$3,384.00	$3,384.00	—	77% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext	$3,303.00	$3,303.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext-Surg	$3,384.00	$3,384.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External-Ed	$3,384.00	$3,384.00	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 Tx Atrial Fib Pulm Vein Isol	$75,733.25	$75,733.25	—	126% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Tx Atrial Fib Pulm Vein Isol	$75,733.25	$75,733.25	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W Clamp Oth Dev W Block	$4,762.00	$4,762.00	—	184% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W Clamp Oth Dev W Block	$4,762.00	$4,762.00	—	—	—
Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate	$5,291.00	$5,291.00	—	875% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate	$5,291.00	$5,291.00	—	—	—
Coronary stent placement, one artery CPT 92928 Prq Card D-E Stent W/Angio 1 Vsl	$36,979.25	$36,979.25	—	147% above	—
Coronary stent placement, one artery CPT 92928 Prq Card Bms Stent W/Angio 1 Vsl	$36,979.25	$36,979.25	—	147% above	—
Coronary stent placement, one artery inpatient CPT 92928 Prq Card D-E Stent W/Angio 1 Vsl	$36,979.25	$36,979.25	—	—	—
Coronary stent placement, one artery inpatient CPT 92928 Prq Card Bms Stent W/Angio 1 Vsl	$36,979.25	$36,979.25	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$3,854.75	$3,854.75	—	138% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$3,854.75	$3,854.75	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath + Saline/Contrast Sonohyster/Hysterosalpi	$2,198.50	$2,198.50	—	251% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath + Saline/Contrast Sonohyster/Hysterosalpi	$2,198.50	$2,198.50	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Incision + Drainage Abscess Simple/Single	$720.00	$720.00	—	54% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision + Drainage Abscess Simple/Single	$720.00	$720.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath Ligament Aponeurosis	$1,304.00	$1,304.00	—	97% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath Ligament Aponeurosis	$1,304.00	$1,304.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspirand Injection Major Jt Bursa	$1,038.00	$1,038.00	—	9% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir+/Inj Major Jt/Bursa W/O Us	$1,038.00	$1,038.00	—	9% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthrocentesis Aspirand Injection Major Jt Bursa Lt	$1,038.00	$1,038.00	—	9% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthrocentesis Aspirand Injection Major Jt Bursa Rt	$1,038.00	$1,038.00	—	9% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir+/Inj Major Jt/Bursa W/O Us	$1,038.00	$1,038.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspirand Injection Major Jt Bursa	$1,038.00	$1,038.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Arthrocentesis Aspirand Injection Major Jt Bursa Lt	$1,038.00	$1,038.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Arthrocentesis Aspirand Injection Major Jt Bursa Rt	$1,038.00	$1,038.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us	$1,038.00	$1,038.00	—	71% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Lt	$1,038.00	$1,038.00	—	71% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Rt	$1,038.00	$1,038.00	—	71% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us	$1,038.00	$1,038.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Rt	$1,038.00	$1,038.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Lt	$1,038.00	$1,038.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspirand Injection Small Jt Bursa	$1,038.00	$1,038.00	—	43% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspirand Injection Small Jt Bursa	$1,038.00	$1,038.00	—	—	—
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclgrphy	$13,878.00	$13,878.00	—	40% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclgrphy	$13,878.00	$13,878.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac	$3,775.50	$3,775.50	—	70% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac	$3,775.50	$3,775.50	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,235.75	$1,235.75	—	39% below	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level Lt	$1,235.75	$1,235.75	—	39% below	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,235.75	$1,235.75	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level Lt	$1,235.75	$1,235.75	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate	$650.75	$650.75	—	29% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Nail Plate	$650.75	$650.75	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 Njx Aa+/Strd Gr Ocpl Nrv	$599.50	$599.50	—	32% below	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx Aa+/Strd Gr Ocpl Nrv	$599.50	$599.50	—	—	—
Pacemaker implant (dual chamber) CPT 33208 Insrt Heart Pm Atrial + Vent	$28,867.50	$28,867.50	—	54% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt Heart Pm Atrial + Vent	$28,867.50	$28,867.50	—	—	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$4,406.00	$4,406.00	—	140% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$4,406.00	$4,406.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Incision + Removal Foreign Body Subq Tiss Simple	$1,641.50	$1,641.50	—	67% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision + Removal Foreign Body Subq Tiss Simple	$1,641.50	$1,641.50	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$1,088.00	$1,088.00	—	51% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion	$1,088.00	$1,088.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diag Spinal Lumbar Puncture	$1,828.75	$1,828.75	—	38% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Lumbar Spinal Puncture Ir	$1,828.75	$1,828.75	—	38% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic Lumbar Spinal Puncture Ir	$1,828.75	$1,828.75	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diag Spinal Lumbar Puncture	$1,828.75	$1,828.75	—	—	—
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging	$3,710.75	$3,710.75	—	83% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging	$3,710.75	$3,710.75	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$1,299.00	$1,299.00	—	104% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl	$1,299.00	$1,299.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Lt	$7,062.75	$7,062.75	—	120% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Rt	$7,062.75	$7,062.75	—	120% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Lt	$7,062.75	$7,062.75	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Rt	$7,062.75	$7,062.75	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debr Skin/Sc Tiss 1St 20Sqcm	$4,442.00	$4,442.00	—	552% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debr Skin/Sc Tiss 1St 20Sqcm	$4,442.00	$4,442.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Admin Lab	$619.25	$619.25	—	29% below	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service	$619.25	$619.25	—	29% below	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service	$619.25	$619.25	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Admin Lab	$619.25	$619.25	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$327.50	$327.50	—	1% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$327.50	$327.50	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care First Hour	$9,511.25	$9,511.25	—	73% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care First Hour	$9,511.25	$9,511.25	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake/Drowsy	$1,826.00	$1,826.00	—	78% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake/Drowsy	$1,826.00	$1,826.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing	$696.50	$696.50	—	106% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing	$696.50	$696.50	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Visit Level 1	$612.00	$612.00	—	45% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Dept Visit Level 1	$612.00	$612.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit Level 2	$1,058.50	$1,058.50	—	21% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Dept Visit Level 2	$1,058.50	$1,058.50	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit Level 3	$2,175.50	$2,175.50	—	45% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Dept Visit Level 3	$2,175.50	$2,175.50	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Dept Visit Level 4	$2,950.75	$2,950.75	—	9% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Dept Visit Level 4	$2,950.75	$2,950.75	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit Level 5	$5,311.25	$5,311.25	—	50% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Dept Visit Level 5	$5,311.25	$5,311.25	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Strs Tst Xers+/Or Rx Cont Ecg Trcg Only	$2,044.75	$2,044.75	—	45% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Strs Tst Xers+/Or Rx Cont Ecg Trcg Only	$2,044.75	$2,044.75	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 Family Psytx W/Pt 50 Min	$293.50	$293.50	—	14% below	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psytx W/Pt 50 Min	$293.50	$293.50	—	—	—
Group psychotherapy session CPT 90853 Group Psychotherapy	$460.00	$460.00	—	61% above	—
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy	$460.00	$460.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Init	$936.00	$936.00	—	88% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Iv Infusion Init	$936.00	$936.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Ther/Proph/Diag Iv Inf Init	$952.25	$952.25	—	62% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Proph/Diag Iv Inf Init	$952.25	$952.25	—	—	—
IV push of a medicine, first drug CPT 96374 Ther/Proph/Diag Inj Iv Push	$1,037.75	$1,037.75	—	193% above	—
IV push of a medicine, first drug inpatient CPT 96374 Ther/Proph/Diag Inj Iv Push	$1,037.75	$1,037.75	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im	$460.00	$460.00	—	157% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im	$460.00	$460.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$881.00	$881.00	—	130% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$881.00	$881.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt+Ivntj Indiv Each 15 Mi	$196.25	$196.25	—	97% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt+Ivntj Indiv Each 15 Mi	$196.25	$196.25	—	—	—
Psychotherapy session, 30 minutes CPT 90832 Psytx W Pt 30 Minutes	$293.50	$293.50	—	8% below	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx W Pt 30 Minutes	$293.50	$293.50	—	—	—
Psychotherapy session, 45 minutes CPT 90834 Psytx W Pt 45 Minutes	$381.50	$381.50	—	20% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx W Pt 45 Minutes	$381.50	$381.50	—	—	—
Psychotherapy session, 60 minutes CPT 90837 Psytx W Pt 60 Minutes	$498.50	$498.50	—	36% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx W Pt 60 Minutes	$498.50	$498.50	—	—	—
Spirometry (breathing test) CPT 94010 Breathing Capacity Test	$1,144.75	$1,144.75	—	200% above	—
Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test	$1,144.75	$1,144.75	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre+Post-Brncdilat Admn	$898.25	$898.25	—	12% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Brncdilat Rspse Spmtry Pre+Post-Brncdilat Admn	$898.25	$898.25	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$724.50	$724.50	—	124% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$724.50	$724.50	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Virus Vaccine, Inactivated Trivalent Pf (Fluad) 2024-2025	$307.59	$307.59	—	118% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influenza Virus Vaccine, Inactivated Trivalent Pf (Fluad) 2024-2025	$307.59	$307.59	—	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid-19 Mrna Vaccine, 30 Mcg/0.3 Ml Inj Susp (Comirnaty) 2024-2025	$574.35	$574.35	—	147% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Covid-19 Mrna Vaccine, 30 Mcg/0.3 Ml Inj Susp (Comirnaty) 2024-2025	$574.35	$574.35	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine, Inactivated Trivalent Pf (Afluria) 2024-2025	$90.17	$90.17	—	111% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Virus Vaccine, Inactivated Trivalent Pf (Afluria) 2024-2025	$90.17	$90.17	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43)	$111.53	$111.53	—	9% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine Adult 10 Mcg/Ml	$272.20	$272.20	—	122% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43)	$111.53	$111.53	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine Adult 10 Mcg/Ml	$272.20	$272.20	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43)	$114.38	$114.38	—	98% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine 20 Mcg/Ml Injection; 0.5 Ml Peds	$114.38	$114.38	—	98% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43)	$114.38	$114.38	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Vaccine 20 Mcg/Ml Injection; 0.5 Ml Peds	$114.38	$114.38	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)	$375.87	$375.87	—	168% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/Mumps/Rubella Virus Vaccine Injection	$375.87	$375.87	—	168% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/Mumps/Rubella Virus Vaccine Injection	$375.87	$375.87	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)	$375.87	$375.87	—	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13-Valent Conj Vaccine Inj 0.5 Ml	$949.03	$949.03	—	204% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13-Valent Conj Vaccine Inj 0.5 Ml	$949.03	$949.03	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine; 0.5 Ml	$1,132.46	$1,132.46	—	118% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine; 0.5 Ml	$1,132.46	$1,132.46	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23-Valent Vaccine Injection 0.5 Ml	$491.40	$491.40	—	204% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23-Valent Vaccine Injection 0.5 Ml	$491.40	$491.40	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab (Cvx 306) Alip Preservative-Free 50 Mg/0.5 Ml Soln	$2,079.00	$2,079.00	—	115% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe	$2,079.00	$2,079.00	—	115% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe	$2,079.00	$2,079.00	—	115% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe	$2,079.00	$2,079.00	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe	$2,079.00	$2,079.00	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab (Cvx 306) Alip Preservative-Free 50 Mg/0.5 Ml Soln	$2,079.00	$2,079.00	—	—	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)	$1,786.02	$1,786.02	—	153% above	—
Rabies vaccine, one dose CPT 90675 Rabies Vaccine (Rabavert) Injection	$1,786.02	$1,786.02	—	153% above	—
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Injection	$1,786.02	$1,786.02	—	153% above	—
Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)	$1,786.02	$1,786.02	—	153% above	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Injection	$1,786.02	$1,786.02	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine (Rabavert) Injection	$1,786.02	$1,786.02	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)	$1,786.02	$1,786.02	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)	$1,786.02	$1,786.02	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/Diphtheria/Pertussis, Acel (Tdap) 5 Units-2 Units-15.5 Mcg/0.5 Ml Im Susp	$218.54	$218.54	—	89% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58)	$218.54	$218.54	—	89% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58)	$218.54	$218.54	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/Diphtheria/Pertussis, Acel (Tdap) 5 Units-2 Units-15.5 Mcg/0.5 Ml Im Susp	$218.54	$218.54	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq Id Subq/Im Njxs 1 Vaccine	$211.50	$211.50	—	102% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Adm Prq Id Subq/Im Njxs 1 Vaccine	$211.50	$211.50	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq Id Subq/Im Njxs Ea Addl Vaccine	$124.25	$124.25	—	56% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Im Adm Prq Id Subq/Im Njxs Ea Addl Vaccine	$124.25	$124.25	—	—	—

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

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

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

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

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

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

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

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

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

Source file: https://hospitalpricedisclosure.com/download.aspx?pi=h0rmgXMGiSXmDqPqnFmWhA*-*