USC Kenneth Norris Jr Cancer Hospital
USC Kenneth Norris Jr Cancer Hospital in Los Angeles, CA publishes cash prices for 331 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 293 of 326 procedures and below it for 32. By typical cash price it ranks #190 of 226 California hospitals and #52 of 55 hospitals in the Los Angeles, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1441 Eastlake Ave, Los Angeles, CA 90089 Collected Sep 23, 2026 Source price file Check a bill from this hospital
The price file shows no self-pay discount
For 850 of the 850 prices listed here, the cash price in USC Kenneth Norris Jr Cancer 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.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named USC Kenneth Norris Jr Cancer Hospital in Los Angeles, CA:
- Mar 28, 2025 Warning notice
- Apr 10, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W/O + W/Dye | $4,746.50 | $4,746.50 | — | 68% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W/O + W/Dye | $4,746.50 | $4,746.50 | — | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Radex Ankle Complete Minimum 3 Views Lt | $678.50 | $678.50 | — | 32% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Radex Ankle Complete Minimum 3 Views Rt | $678.50 | $678.50 | — | 32% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Radex Ankle Complete Minimum 3 Views Rt | $678.50 | $678.50 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Radex Ankle Complete Minimum 3 Views Lt | $678.50 | $678.50 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/L Xtremity Art 2 Levels | $923.50 | $923.50 | — | 66% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/L Xtremity Art 2 Levels | $923.50 | $923.50 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extremity W/O Dye Lt | $2,258.50 | $2,258.50 | — | 1% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extremity W/O Dye Rt | $2,258.50 | $2,258.50 | — | 1% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upper Extremity W/O Dye Rt | $2,258.50 | $2,258.50 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upper Extremity W/O Dye Lt | $2,258.50 | $2,258.50 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-Ray Xm Esophagus 1Cntrst | $537.50 | $537.50 | — | 11% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-Ray Xm Esophagus 1Cntrst | $537.50 | $537.50 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone +/Joint Imaging Whole Body | $4,631.00 | $4,631.00 | — | 118% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone +/Joint Imaging Whole Body | $4,631.00 | $4,631.00 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete | $1,200.00 | $1,200.00 | — | 70% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Complete Rt | $1,200.00 | $1,200.00 | — | 70% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Complete Lt | $1,200.00 | $1,200.00 | — | 70% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound Breast Complete | $1,200.00 | $1,200.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Complete Lt | $1,200.00 | $1,200.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Complete Rt | $1,200.00 | $1,200.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Limited Lt | $1,041.50 | $1,041.50 | — | 95% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Ultrasound Breast Limited Lt | $1,041.50 | $1,041.50 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd+Pelv W/O+W/Dye | $8,742.50 | $8,742.50 | — | 62% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd+Pelv W/O+W/Dye | $8,742.50 | $8,742.50 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 Ct Angiography Head W/Contrast/Noncontrast | $7,579.75 | $7,579.75 | — | 154% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct Angiography Head W/Contrast/Noncontrast | $7,579.75 | $7,579.75 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 Ct Angiography Neck W/Contrast/Noncontrast | $7,579.75 | $7,579.75 | — | 156% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angiography Neck W/Contrast/Noncontrast | $7,579.75 | $7,579.75 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W/Contrast/Noncontrast | $3,975.00 | $3,975.00 | — | 16% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angiography Chest W/Contrast/Noncontrast | $3,975.00 | $3,975.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Hrt W/O Dye W/Ca Test | $2,797.00 | $2,797.00 | — | 642% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Hrt W/O Dye W/Ca Test | $2,797.00 | $2,797.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd + Pelvis W/O Contrast | $6,659.75 | $6,659.75 | — | 108% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd + Pelvis W/O Contrast | $6,659.75 | $6,659.75 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd + Pelv W/Contrast | $8,937.50 | $8,937.50 | — | 116% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd + Pelv W/Contrast | $8,937.50 | $8,937.50 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd + Pelv 1/> Regns | $9,755.00 | $9,755.00 | — | 107% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd + Pelv 1/> Regns | $9,755.00 | $9,755.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Dye | $4,191.00 | $4,191.00 | — | 66% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Dye | $4,191.00 | $4,191.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Dye | $3,304.00 | $3,304.00 | — | 73% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Dye | $3,304.00 | $3,304.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Dye | $4,209.75 | $4,209.75 | — | 93% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Dye | $4,209.75 | $4,209.75 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Dye | $3,803.50 | $3,803.50 | — | 66% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Dye | $3,803.50 | $3,803.50 | — | — | — |
| CT scan of the head with contrast CPT 70460 Ct Head/Brain W/Dye | $4,474.50 | $4,474.50 | — | 65% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain W/Dye | $4,474.50 | $4,474.50 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head/Brain W/O + W/Dye | $5,146.00 | $5,146.00 | — | 66% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain W/O + W/Dye | $5,146.00 | $5,146.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/O Dye | $5,270.50 | $5,270.50 | — | 84% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine W/O Dye | $5,270.50 | $5,270.50 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Neck Spine W/O Dye | $2,096.25 | $2,096.25 | — | 28% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Neck Spine W/O Dye | $2,096.25 | $2,096.25 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/Dye | $4,746.50 | $4,746.50 | — | 86% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/Dye | $4,746.50 | $4,746.50 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study | $1,325.75 | $1,325.75 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study | $1,325.75 | $1,325.75 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 Diagnostic Computed Tomography Thorax C-/C+ | $4,300.00 | $4,300.00 | — | 32% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Diagnostic Computed Tomography Thorax C-/C+ | $4,300.00 | $4,300.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 X-Ray Exam Chest 2 Views | $946.75 | $946.75 | — | 132% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-Ray Exam Chest 2 Views | $946.75 | $946.75 | — | — | — |
| Chest X-ray, single view CPT 71045 X-Ray Exam Chest 1 View | $800.50 | $800.50 | — | 120% above | — |
| Chest X-ray, single view inpatient CPT 71045 X-Ray Exam Chest 1 View | $800.50 | $800.50 | — | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Radex Clavicle Complete Rt | $296.25 | $296.25 | — | 39% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Radex Clavicle Complete Lt | $296.25 | $296.25 | — | 39% below | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Radex Clavicle Complete Lt | $296.25 | $296.25 | — | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Radex Clavicle Complete Rt | $296.25 | $296.25 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Exam Abdo Back Wall Comp | $1,731.50 | $1,731.50 | — | 104% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Exam Abdo Back Wall Comp | $1,731.50 | $1,731.50 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial | $813.25 | $813.25 | — | 61% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Axial | $813.25 | $813.25 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Density/Peripheral | $735.75 | $735.75 | — | 166% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa Bone Density/Peripheral | $735.75 | $735.75 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst | $3,128.00 | $3,128.00 | — | 54% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst | $3,128.00 | $3,128.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast | $4,168.25 | $4,168.25 | — | 45% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast | $4,168.25 | $4,168.25 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi | $1,042.75 | $1,042.75 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi | $1,042.75 | $1,042.75 | — | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 Dx Mammo Incl Cad Uni Lt | $1,012.75 | $1,012.75 | — | 170% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Dx Mammo Incl Cad Uni Rt | $1,012.75 | $1,012.75 | — | 170% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx Mammo Incl Cad Uni Lt | $1,012.75 | $1,012.75 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx Mammo Incl Cad Uni Rt | $1,012.75 | $1,012.75 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $2,176.25 | $2,176.25 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $2,176.25 | $2,176.25 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study | $3,429.50 | $3,429.50 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study | $3,429.50 | $3,429.50 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete | $5,389.00 | $5,389.00 | — | 100% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete | $5,389.00 | $5,389.00 | — | — | — |
| Elbow X-ray, 2 views one side CPT 73070 Radex Elbow 2 Views Rt | $666.50 | $666.50 | — | 68% above | — |
| Elbow X-ray, 2 views one side CPT 73070 Radex Elbow 2 Views Lt | $666.50 | $666.50 | — | 68% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Radex Elbow 2 Views Lt | $666.50 | $666.50 | — | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Radex Elbow 2 Views Rt | $666.50 | $666.50 | — | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Radex Elbow Complete Minimum 3 Views Rt | $707.75 | $707.75 | — | 46% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Radex Elbow Complete Minimum 3 Views Lt | $707.75 | $707.75 | — | 46% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Radex Elbow Complete Minimum 3 Views Rt | $707.75 | $707.75 | — | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Radex Elbow Complete Minimum 3 Views Lt | $707.75 | $707.75 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit/Ear/Fossa W/O Dye | $5,613.50 | $5,613.50 | — | 145% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbit/Ear/Fossa W/O Dye | $5,613.50 | $5,613.50 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Radex Facial Bones Complete Minimum 3 Views | $985.00 | $985.00 | — | 99% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Radex Facial Bones Complete Minimum 3 Views | $985.00 | $985.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Radex Forearm 2 Views Lt | $556.00 | $556.00 | — | 30% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Radex Forearm 2 Views Rt | $556.00 | $556.00 | — | 30% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Radex Forearm 2 Views Rt | $556.00 | $556.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Radex Forearm 2 Views Lt | $556.00 | $556.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging | $4,303.00 | $4,303.00 | — | 142% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging | $4,303.00 | $4,303.00 | — | — | — |
| Hand X-ray, 2 views one side CPT 73120 Radex Hand 2 Views Rt | $853.75 | $853.75 | — | 110% above | — |
| Hand X-ray, 2 views one side CPT 73120 Radex Hand 2 Views Lt | $853.75 | $853.75 | — | 110% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 Radex Hand 2 Views Lt | $853.75 | $853.75 | — | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 Radex Hand 2 Views Rt | $853.75 | $853.75 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Radex Calcaneus Minimum 2 Views Rt | $350.00 | $350.00 | — | 1% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Radex Calcaneus Minimum 2 Views Lt | $350.00 | $350.00 | — | 1% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Radex Calcaneus Minimum 2 Views Lt | $350.00 | $350.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Radex Calcaneus Minimum 2 Views Rt | $350.00 | $350.00 | — | — | — |
| Knee X-ray, 3 views one side CPT 73562 X-Ray Exam Knee 3 View Lt | $533.75 | $533.75 | — | 16% above | — |
| Knee X-ray, 3 views one side CPT 73562 X-Ray Exam Knee 3 View Rt | $533.75 | $533.75 | — | 16% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 X-Ray Exam Knee 3 View Lt | $533.75 | $533.75 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 X-Ray Exam Knee 3 View Rt | $533.75 | $533.75 | — | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-Ray Exam Knee 4 Or More Rt | $660.00 | $660.00 | — | 13% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-Ray Exam Knee 4 Or More Lt | $660.00 | $660.00 | — | 13% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-Ray Exam Knee 4 Or More Lt | $660.00 | $660.00 | — | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-Ray Exam Knee 4 Or More Rt | $660.00 | $660.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extremity W/O Dye Rt | $2,496.00 | $2,496.00 | — | 17% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extremity W/O Dye Lt | $2,496.00 | $2,496.00 | — | 17% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lower Extremity W/O Dye Rt | $2,496.00 | $2,496.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lower Extremity W/O Dye Lt | $2,496.00 | $2,496.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen | $1,662.25 | $1,662.25 | — | 101% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen | $1,662.25 | $1,662.25 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img Rt | $1,035.50 | $1,035.50 | — | 90% 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 Lt | $1,035.50 | $1,035.50 | — | 90% 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 Lt | $1,035.50 | $1,035.50 | — | — | — |
| 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 | $1,035.50 | $1,035.50 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C- | $5,012.75 | $5,012.75 | — | 1308% 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- | $5,012.75 | $5,012.75 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Lt | $448.50 | $448.50 | — | 4% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Rt | $448.50 | $448.50 | — | 4% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Rt | $448.50 | $448.50 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Radiologic Examination Tibia + Fibula 2 Views Lt | $448.50 | $448.50 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr Angiography Head W/O Dye | $3,270.25 | $3,270.25 | — | 13% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr Angiography Head W/O Dye | $3,270.25 | $3,270.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Rt | $2,942.25 | $2,942.25 | — | 3% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Lt | $2,942.25 | $2,942.25 | — | 3% below | — |
| 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 | $2,942.25 | $2,942.25 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Jnt Of Lwr Extre W/O Dye Lt | $2,942.25 | $2,942.25 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Dye | $5,682.75 | $5,682.75 | — | 103% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Dye | $5,682.75 | $5,682.75 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/O + W/Dye | $7,515.50 | $7,515.50 | — | 72% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/O + W/Dye | $7,515.50 | $7,515.50 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Stem W/O Dye | $4,549.25 | $4,549.25 | — | 57% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Stem W/O Dye | $4,549.25 | $4,549.25 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain Stem W/O + W/Dye | $6,864.75 | $6,864.75 | — | 59% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain Stem W/O + W/Dye | $6,864.75 | $6,864.75 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Dye | $4,155.50 | $4,155.50 | — | 36% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Dye | $4,155.50 | $4,155.50 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spinal Canal Lumbar W/O + W/Contr Matrl | $7,622.00 | $7,622.00 | — | 69% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Spinal Canal Lumbar W/O + W/Contr Matrl | $7,622.00 | $7,622.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spinal Canal Thoracic W/O Contrast Matrl | $5,460.25 | $5,460.25 | — | 89% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Spinal Canal Thoracic W/O Contrast Matrl | $5,460.25 | $5,460.25 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spinal Canal Cervical W/O + W/Contr Matrl | $11,040.25 | $11,040.25 | — | 149% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Spinal Canal Cervical W/O + W/Contr Matrl | $11,040.25 | $11,040.25 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spinal Canal Cervical W/O Contrast Matrl | $9,241.75 | $9,241.75 | — | 208% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Spinal Canal Cervical W/O Contrast Matrl | $9,241.75 | $9,241.75 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O + W/Dye | $9,541.25 | $9,541.25 | — | 130% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O + W/Dye | $9,541.25 | $9,541.25 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Joint Upr Extrem W/O Dye Lt | $5,545.00 | $5,545.00 | — | 111% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Joint Upr Extrem W/O Dye Rt | $5,545.00 | $5,545.00 | — | 111% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Joint Upr Extrem W/O Dye Lt | $5,545.00 | $5,545.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Joint Upr Extrem W/O Dye Rt | $5,545.00 | $5,545.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray Exam Neck Spine 4/5Vws | $1,348.75 | $1,348.75 | — | 109% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray Exam Neck Spine 4/5Vws | $1,348.75 | $1,348.75 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck W/Dye | $7,183.25 | $7,183.25 | — | 163% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck W/Dye | $7,183.25 | $7,183.25 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck W/O Dye | $4,683.00 | $4,683.00 | — | 121% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Soft Tissue Neck W/O Dye | $4,683.00 | $4,683.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 Radiologic Examination Neck Soft Tissue | $423.25 | $423.25 | — | 30% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 Radiologic Examination Neck Soft Tissue | $423.25 | $423.25 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult | $5,247.25 | $5,247.25 | — | 29% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult | $5,247.25 | $5,247.25 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Dye | $3,356.00 | $3,356.00 | — | 71% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Dye | $3,356.00 | $3,356.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Exam Pelvic Limited | $1,063.75 | $1,063.75 | — | 97% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Exam Pelvic Limited | $1,063.75 | $1,063.75 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam Pelvic Complete | $1,468.00 | $1,468.00 | — | 56% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Exam Pelvic Complete | $1,468.00 | $1,468.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Lt | $427.00 | $427.00 | — | 8% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Rt | $427.00 | $427.00 | — | 8% below | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Rt | $427.00 | $427.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-Ray Exam Ribs Uni 2 Views Lt | $427.00 | $427.00 | — | — | — |
| 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 | $644.50 | $644.50 | — | 5% 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 | $644.50 | $644.50 | — | 5% 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 | $644.50 | $644.50 | — | — | — |
| 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 | $644.50 | $644.50 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad | $950.50 | $950.50 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad | $950.50 | $950.50 | — | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Lt | $818.50 | $818.50 | — | 48% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Rt | $818.50 | $818.50 | — | 48% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Rt | $818.50 | $818.50 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Radex Shoulder Complete Minimum 2 Views Lt | $818.50 | $818.50 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views | $1,094.50 | $1,094.50 | — | 139% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views | $1,094.50 | $1,094.50 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Radiologic Examination Skull 4< Views | $712.25 | $712.25 | — | 75% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Radiologic Examination Skull 4< Views | $712.25 | $712.25 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-Ray Xm Swlng Funcj C+ | $1,313.00 | $1,313.00 | — | 98% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-Ray Xm Swlng Funcj C+ | $1,313.00 | $1,313.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-Ray Exam Of Femur 2/> Rt | $762.50 | $762.50 | — | 87% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-Ray Exam Of Femur 2/> Lt | $762.50 | $762.50 | — | 87% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-Ray Exam Of Femur 2/> Lt | $762.50 | $762.50 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-Ray Exam Of Femur 2/> Rt | $762.50 | $762.50 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic Spine W/O Contrast Material | $2,455.75 | $2,455.75 | — | 13% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic Spine W/O Contrast Material | $2,455.75 | $2,455.75 | — | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 Radex Toe Minimum 2 Views Lt | $333.50 | $333.50 | — | 1% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 Radex Toe Minimum 2 Views Rt | $333.50 | $333.50 | — | 1% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Radex Toe Minimum 2 Views Rt | $333.50 | $333.50 | — | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Radex Toe Minimum 2 Views Lt | $333.50 | $333.50 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal Us Non-Ob | $1,814.75 | $1,814.75 | — | 153% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal Us Non-Ob | $1,814.75 | $1,814.75 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Us Exam Abdom Complete | $1,774.00 | $1,774.00 | — | 62% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us Exam Abdom Complete | $1,774.00 | $1,774.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Exam Scrotum | $2,280.50 | $2,280.50 | — | 156% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Exam Scrotum | $2,280.50 | $2,280.50 | — | — | — |
| 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 | $1,330.25 | $1,330.25 | — | 60% 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 | $1,330.25 | $1,330.25 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst | $1,169.25 | $1,169.25 | — | 90% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst | $1,169.25 | $1,169.25 | — | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Radex Humerus Minimum 2 Views Rt | $853.75 | $853.75 | — | 100% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Radex Humerus Minimum 2 Views Lt | $853.75 | $853.75 | — | 100% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Radex Humerus Minimum 2 Views Rt | $853.75 | $853.75 | — | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Radex Humerus Minimum 2 Views Lt | $853.75 | $853.75 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study | $1,627.25 | $1,627.25 | — | 81% 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 | $1,627.25 | $1,627.25 | — | — | — |
| Wrist X-ray, 2 views one side CPT 73100 Radex Wrist 2 Views Rt | $141.50 | $141.50 | — | 64% below | — |
| Wrist X-ray, 2 views one side CPT 73100 Radex Wrist 2 Views Lt | $141.50 | $141.50 | — | 64% below | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Radex Wrist 2 Views Rt | $141.50 | $141.50 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Radex Wrist 2 Views Lt | $141.50 | $141.50 | — | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Radex Wrist Complete Minimum 3 Views Lt | $382.00 | $382.00 | — | 24% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Radex Wrist Complete Minimum 3 Views Rt | $382.00 | $382.00 | — | 24% below | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Radex Wrist Complete Minimum 3 Views Rt | $382.00 | $382.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Radex Wrist Complete Minimum 3 Views Lt | $382.00 | $382.00 | — | — | — |
| 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 | $762.50 | $762.50 | — | 90% 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 | $762.50 | $762.50 | — | 90% 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 Rt | $762.50 | $762.50 | — | — | — |
| 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 Lt | $762.50 | $762.50 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-Ray Exam Abdomen 1 View | $586.50 | $586.50 | — | 93% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray Exam Abdomen 1 View | $586.50 | $586.50 | — | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 Radiologic Examination Ankle 2 Views Lt | $638.75 | $638.75 | — | 63% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Radiologic Examination Ankle 2 Views Rt | $638.75 | $638.75 | — | 63% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Radiologic Examination Ankle 2 Views Rt | $638.75 | $638.75 | — | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Radiologic Examination Ankle 2 Views Lt | $638.75 | $638.75 | — | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Radex Fingr Minimum 2 Views Lt | $382.00 | $382.00 | — | 5% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Radex Fingr Minimum 2 Views Rt | $382.00 | $382.00 | — | 5% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Radex Fingr Minimum 2 Views Lt | $382.00 | $382.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Radex Fingr Minimum 2 Views Rt | $382.00 | $382.00 | — | — | — |
| X-ray of the foot, 2 views one side CPT 73620 Radiologic Examination Foot 2 Views Lt | $573.25 | $573.25 | — | 41% above | — |
| X-ray of the foot, 2 views one side CPT 73620 Radiologic Examination Foot 2 Views Rt | $573.25 | $573.25 | — | 41% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Radiologic Examination Foot 2 Views Lt | $573.25 | $573.25 | — | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Radiologic Examination Foot 2 Views Rt | $573.25 | $573.25 | — | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Radex Foot Complete Minimum 3 Views Lt | $573.25 | $573.25 | — | 16% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Radex Foot Complete Minimum 3 Views Rt | $573.25 | $573.25 | — | 16% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Radex Foot Complete Minimum 3 Views Rt | $573.25 | $573.25 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Radex Foot Complete Minimum 3 Views Lt | $573.25 | $573.25 | — | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Radex Hand Minimum 3 Views Lt | $1,067.50 | $1,067.50 | — | 110% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Radex Hand Minimum 3 Views Rt | $1,067.50 | $1,067.50 | — | 110% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Radex Hand Minimum 3 Views Rt | $1,067.50 | $1,067.50 | — | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Radex Hand Minimum 3 Views Lt | $1,067.50 | $1,067.50 | — | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Rt | $350.00 | $350.00 | — | 12% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Lt | $350.00 | $350.00 | — | 12% below | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Lt | $350.00 | $350.00 | — | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-Ray Exam Knee 1 Or 2 View Rt | $350.00 | $350.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Exam L-S Spine 2/3 Vws | $849.75 | $849.75 | — | 80% 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 | $849.75 | $849.75 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $1,004.50 | $1,004.50 | — | 54% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $1,004.50 | $1,004.50 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Exam Thorac Spine 2Vws | $653.75 | $653.75 | — | 41% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray Exam Thorac Spine 2Vws | $653.75 | $653.75 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Exam Of Nasal Bones | $473.25 | $473.25 | — | 9% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray Exam Of Nasal Bones | $473.25 | $473.25 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray Exam Neck Spine 2-3 Vw | $1,098.75 | $1,098.75 | — | 144% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray Exam Neck Spine 2-3 Vw | $1,098.75 | $1,098.75 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic Examination Pelvis 1/2 Views | $960.00 | $960.00 | — | 149% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Radiologic Examination Pelvis 1/2 Views | $960.00 | $960.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radex Sacrum + Coccyx Minimum 2 Views | $560.50 | $560.50 | — | 19% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Radex Sacrum + Coccyx Minimum 2 Views | $560.50 | $560.50 | — | — | — |
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) | $80.25 | $80.25 | — | 86% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (Alt) (Sgpt) | $80.25 | $80.25 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (Ast) (Sgot) | $80.25 | $80.25 | — | 77% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (Ast) (Sgot) | $80.25 | $80.25 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $456.00 | $456.00 | — | 68% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $456.00 | $456.00 | — | — | — |
| Albumin blood test CPT 82040 Assay Of Serum Albumin | $129.75 | $129.75 | — | 420% above | — |
| Albumin blood test inpatient CPT 82040 Assay Of Serum Albumin | $129.75 | $129.75 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phos, Bone(4) | $22.00 | $22.00 | — | 40% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay Of Phosphatase Alkaline | $139.50 | $139.50 | — | 277% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phos, Bone(4) | $22.00 | $22.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay Of Phosphatase Alkaline | $139.50 | $139.50 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Each (1) | $5.00 | $5.00 | — | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen Each (4) | $5.15 | $5.15 | — | 3% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Ige Each (1) | $5.00 | $5.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergen Each (4) | $5.15 | $5.15 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein Serum | $186.50 | $186.50 | — | 142% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum | $186.50 | $186.50 | — | — | — |
| Ammonia blood test CPT 82140 Assay Of Ammonia | $178.50 | $178.50 | — | 1% below | — |
| Ammonia blood test inpatient CPT 82140 Assay Of Ammonia | $178.50 | $178.50 | — | — | — |
| Amylase blood test CPT 82150 Assay Of Amylase | $157.75 | $157.75 | — | 209% above | — |
| Amylase blood test inpatient CPT 82150 Assay Of Amylase | $157.75 | $157.75 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody | $26.25 | $26.25 | — | 29% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp Antibody | $26.25 | $26.25 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab(Ana) | $59.00 | $59.00 | — | 83% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab(Ana) | $59.00 | $59.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay Of Natriuretic Peptide | $218.00 | $218.00 | — | 18% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay Of Natriuretic Peptide | $218.00 | $218.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Biopsy/Surg Spc | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bone Marrow | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Csf | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Eye | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Fluid Ex Csf | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Respiratory | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound/Abcess | $294.50 | $294.50 | — | 144% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Csf | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Eye | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Respiratory | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Wound/Abcess | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Biopsy/Surg Spc | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Sputum | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Fluid Ex Csf | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bone Marrow | $294.50 | $294.50 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Genital | $294.50 | $294.50 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Metabolic Panel Total Ca | $290.00 | $290.00 | — | 47% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic Panel Total Ca | $290.00 | $290.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $99.50 | $99.50 | — | 120% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $99.50 | $99.50 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level Iv Surg Pathology Gross+Microscopic Exam | $359.75 | $359.75 | — | 177% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level Iv Surg Pathology Gross+Microscopic Exam | $359.75 | $359.75 | — | — | — |
| Blood culture for bacteria CPT 87040 Blood Culture For Bacteria | $812.50 | $812.50 | — | 199% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria | $812.50 | $812.50 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture | $16.00 | $16.00 | — | 24% below | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture | $16.00 | $16.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Assay Glucose Blood Quant | $96.00 | $96.00 | — | 156% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Fibrometer (1) | $103.75 | $103.75 | — | 177% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Assay Glucose Blood Quant | $96.00 | $96.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fibrometer (1) | $103.75 | $103.75 | — | — | — |
| Blood lead test CPT 83655 Lead Quant Blood(4) | $7.00 | $7.00 | — | 32% below | — |
| Blood lead test CPT 83655 Lead Urine (1) | $10.31 | $10.31 | — | 1% above | — |
| Blood lead test inpatient CPT 83655 Lead Quant Blood(4) | $7.00 | $7.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Lead Urine (1) | $10.31 | $10.31 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin Chorionic Qualitative | $265.00 | $265.00 | — | 66% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin Chorionic Qualitative | $265.00 | $265.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo | $392.00 | $392.00 | — | 281% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo | $392.00 | $392.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Assay Of Urea Nitrogen | $80.25 | $80.25 | — | 142% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay Of Urea Nitrogen | $80.25 | $80.25 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $69.50 | $69.50 | — | 29% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $69.50 | $69.50 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe | $258.00 | $258.00 | — | 69% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe | $258.00 | $258.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay Tumor Ca 19-9 | $305.75 | $305.75 | — | 512% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay Tumor Ca 19-9 | $305.75 | $305.75 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay Tumor Ca 125 | $305.75 | $305.75 | — | 122% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay Tumor Ca 125 | $305.75 | $305.75 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb Hgh Thruput | $180.00 | $180.00 | — | 90% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $180.00 | $180.00 | — | 90% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb Hgh Thruput | $180.00 | $180.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $180.00 | $180.00 | — | — | — |
| Calcium blood test, total CPT 82310 Calcium Total | $85.00 | $85.00 | — | 37% above | — |
| Calcium blood test, total inpatient CPT 82310 Calcium Total | $85.00 | $85.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen | $278.00 | $278.00 | — | 232% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen | $278.00 | $278.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igg (04) | $6.00 | $6.00 | — | 82% below | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab Igg (04) | $6.00 | $6.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach Dna Amp Probe | $477.25 | $477.25 | — | 774% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach Dna Amp Probe | $477.25 | $477.25 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $107.00 | $107.00 | — | 6% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $107.00 | $107.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete Cbc W/Auto Diff Wbc | $242.00 | $242.00 | — | 118% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Cbc W/Auto Diff Wbc | $242.00 | $242.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Complete Cbc Automated | $114.75 | $114.75 | — | 30% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Cbc Automated | $114.75 | $114.75 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehen Metabolic Panel | $483.00 | $483.00 | — | 89% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel | $483.00 | $483.00 | — | — | — |
| Cortisol blood test, total CPT 82533 Total Cortisol | $170.75 | $170.75 | — | 79% above | — |
| Cortisol blood test, total inpatient CPT 82533 Total Cortisol | $170.75 | $170.75 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Assay Of Ck (Cpk) | $150.50 | $150.50 | — | 72% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay Of Ck (Cpk) | $150.50 | $150.50 | — | — | — |
| Creatinine blood test CPT 82565 Assay Of Creatinine | $75.75 | $75.75 | — | 64% above | — |
| Creatinine blood test CPT 82565 Creatinine Blood Istat | $82.50 | $82.50 | — | 78% above | — |
| Creatinine blood test inpatient CPT 82565 Assay Of Creatinine | $75.75 | $75.75 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine Blood Istat | $82.50 | $82.50 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin Dgradj Products D-Dimer Quantitative | $187.25 | $187.25 | — | 30% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Dgradj Products D-Dimer Quantitative | $187.25 | $187.25 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrst Sulfate(04) | $15.00 | $15.00 | — | 85% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrst Sulfate(04) | $15.00 | $15.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Urine Screen | $372.75 | $372.75 | — | 501% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Urine Screen | $372.75 | $372.75 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $208.50 | $208.50 | — | 148% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $208.50 | $208.50 | — | — | — |
| Estradiol blood test CPT 82670 Assay Of Total Estradiol | $105.25 | $105.25 | — | 20% above | — |
| Estradiol blood test inpatient CPT 82670 Assay Of Total Estradiol | $105.25 | $105.25 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay Of Gonadotropin (Fsh) | $196.50 | $196.50 | — | 93% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay Of Gonadotropin (Fsh) | $196.50 | $196.50 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Assay Of Ferritin | $172.25 | $172.25 | — | 61% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay Of Ferritin | $172.25 | $172.25 | — | — | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity-Cntrl Clot Stiffns | $220.00 | $220.00 | — | 65% above | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity-Cntrl Clot Stiffns | $220.00 | $220.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Assay Of Folic Acid Serum | $158.75 | $158.75 | — | 45% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Assay Of Folic Acid Serum | $158.75 | $158.75 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Free Assay (Ft-3) | $215.25 | $215.25 | — | 166% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free Assay (Ft-3) | $215.25 | $215.25 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay Of Free Thyroxine | $126.75 | $126.75 | — | 86% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay Of Free Thyroxine | $126.75 | $126.75 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay Of Ggt | $148.50 | $148.50 | — | 226% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay Of Ggt | $148.50 | $148.50 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Test | $142.75 | $142.75 | — | 175% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Test | $142.75 | $142.75 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (Gtt) | $163.50 | $163.50 | — | 19% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test (Gtt) | $163.50 | $163.50 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae Dna Amp Prob | $379.75 | $379.75 | — | 536% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae Dna Amp Prob | $379.75 | $379.75 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quant+Revrse Trnscrpj | $1,099.25 | $1,099.25 | — | 990% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quant+Revrse Trnscrpj | $1,099.25 | $1,099.25 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy | $82.25 | $82.25 | — | 40% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 1 Result Antbdy | $82.25 | $82.25 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 + Hiv-2 Ab | $229.25 | $229.25 | — | 162% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 + Hiv-2 Ab | $229.25 | $229.25 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types | $382.75 | $382.75 | — | 183% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High-Risk Types | $382.75 | $382.75 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test | $84.00 | $84.00 | — | 29% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test | $84.00 | $84.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $41.75 | $41.75 | — | 4% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $41.75 | $41.75 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody Total | $135.25 | $135.25 | — | 285% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody Total | $135.25 | $135.25 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen Donor (4) | $51.54 | $51.54 | — | 28% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Iaad Ia Hepatitis B Surface Antigen | $151.75 | $151.75 | — | 111% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen Donor (4) | $51.54 | $51.54 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Iaad Ia Hepatitis B Surface Antigen | $151.75 | $151.75 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test | $155.00 | $155.00 | — | 183% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab Test | $155.00 | $155.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Revrs Trnscrpj | $385.50 | $385.50 | — | 339% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj | $385.50 | $385.50 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes I Ab Igg (1) | $9.00 | $9.00 | — | 54% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes I Ab Igg (1) | $9.00 | $9.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Ii Ab Igg (1) | $9.00 | $9.00 | — | 62% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Ii Ab Igg (1) | $9.00 | $9.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity | $76.25 | $76.25 | — | 25% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity | $76.25 | $76.25 | — | — | — |
| Homocysteine blood test CPT 83090 Assay Of Homocystine | $88.25 | $88.25 | — | 16% above | — |
| Homocysteine blood test inpatient CPT 83090 Assay Of Homocystine | $88.25 | $88.25 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Assay Of Iron | $117.75 | $117.75 | — | 103% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Assay Of Iron | $117.75 | $117.75 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Test | $71.75 | $71.75 | — | 2% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Test | $71.75 | $71.75 | — | — | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $289.75 | $289.75 | — | 104% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $289.75 | $289.75 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Assay Of Gonadotropin (Lh) | $196.00 | $196.00 | — | 88% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Assay Of Gonadotropin (Lh) | $196.00 | $196.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Assay Of Lactic Acid | $385.75 | $385.75 | — | 189% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay Of Lactic Acid | $385.75 | $385.75 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (Ld) (Ldh) Enzyme | $95.25 | $95.25 | — | 164% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (Ld) (Ldh) Enzyme | $95.25 | $95.25 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay Of Lipase | $259.00 | $259.00 | — | 169% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay Of Lipase | $259.00 | $259.00 | — | — | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $181.00 | $181.00 | — | 20% above | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $181.00 | $181.00 | — | — | — |
| Magnesium blood test CPT 83735 Assay Of Magnesium | $206.25 | $206.25 | — | 226% above | — |
| Magnesium blood test inpatient CPT 83735 Assay Of Magnesium | $206.25 | $206.25 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab Igg (1) | $7.00 | $7.00 | — | 78% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Ab Igm(4) | $18.75 | $18.75 | — | 40% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab Igg (1) | $7.00 | $7.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab Igm(4) | $18.75 | $18.75 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibody Screen | $125.75 | $125.75 | — | 22% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody Screen | $125.75 | $125.75 | — | — | — |
| Mumps immunity blood test CPT 86735 Mumps Ab Igg (04) | $5.50 | $5.50 | — | 66% below | — |
| Mumps immunity blood test CPT 86735 Mumps Ab Igg (1) | $6.00 | $6.00 | — | 63% below | — |
| Mumps immunity blood test CPT 86735 Mumps Ab Igm (1) | $12.55 | $12.55 | — | 22% below | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Ab Igg (04) | $5.50 | $5.50 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Ab Igg (1) | $6.00 | $6.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Ab Igm (1) | $12.55 | $12.55 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay Of Psa Free | $81.75 | $81.75 | — | 36% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay Of Psa Free | $81.75 | $81.75 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay Of Psa Total | $177.75 | $177.75 | — | 197% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay Of Psa Total | $177.75 | $177.75 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath C/V Thin Layer | $122.75 | $122.75 | — | 35% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath C/V Thin Layer | $122.75 | $122.75 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay Of Parathormone | $400.00 | $400.00 | — | 264% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay Of Parathormone | $400.00 | $400.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $143.00 | $143.00 | — | 129% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $143.00 | $143.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Assay Of Phosphorus | $144.50 | $144.50 | — | 91% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Assay Of Phosphorus | $144.50 | $144.50 | — | — | — |
| Potassium blood test CPT 84132 Assay Of Serum Potassium - Poc | $27.25 | $27.25 | — | 63% below | — |
| Potassium blood test CPT 84132 Assay Of Serum Potassium | $97.50 | $97.50 | — | 33% above | — |
| Potassium blood test inpatient CPT 84132 Assay Of Serum Potassium - Poc | $27.25 | $27.25 | — | — | — |
| Potassium blood test inpatient CPT 84132 Assay Of Serum Potassium | $97.50 | $97.50 | — | — | — |
| Progesterone blood test CPT 84144 Progesterone Serum (1) | $24.25 | $24.25 | — | 71% below | — |
| Progesterone blood test inpatient CPT 84144 Progesterone Serum (1) | $24.25 | $24.25 | — | — | — |
| Prolactin blood test CPT 84146 Assay Of Prolactin | $225.50 | $225.50 | — | 111% above | — |
| Prolactin blood test inpatient CPT 84146 Assay Of Prolactin | $225.50 | $225.50 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (Poc) | $161.00 | $161.00 | — | 193% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $161.00 | $161.00 | — | 193% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (Poc) | $161.00 | $161.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $161.00 | $161.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Prsmv Dir Opt Obs | $122.50 | $122.50 | — | 45% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs | $122.50 | $122.50 | — | — | — |
| Rh blood typing CPT 86901 Blood Typing Serologic Rh(D) | $185.00 | $185.00 | — | 232% above | — |
| Rh blood typing inpatient CPT 86901 Blood Typing Serologic Rh(D) | $185.00 | $185.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant | $76.25 | $76.25 | — | 478% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant | $76.25 | $76.25 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab (1) | $10.88 | $10.88 | — | 79% below | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $16.00 | $16.00 | — | 68% below | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab (1) | $10.88 | $10.88 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody | $16.00 | $16.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc Sed Rate Automated | $39.50 | $39.50 | — | 29% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc Sed Rate Automated | $39.50 | $39.50 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Anal Vol/Count/Mot | $202.50 | $202.50 | — | 46% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Anal Vol/Count/Mot | $202.50 | $202.50 | — | — | — |
| Sodium blood test CPT 84295 Assay Of Serum Sodium | $27.50 | $27.50 | — | 58% below | — |
| Sodium blood test inpatient CPT 84295 Assay Of Serum Sodium | $27.50 | $27.50 | — | — | — |
| Stool ova and parasites exam CPT 87177 O&P Smear Conc Id (04) | $6.75 | $6.75 | — | 68% below | — |
| Stool ova and parasites exam inpatient CPT 87177 O&P Smear Conc Id (04) | $6.75 | $6.75 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Feces 1-3 Det Ca Scrn | $79.00 | $79.00 | — | 103% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Feces 1-3 Det Ca Scrn | $79.00 | $79.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual | $92.25 | $92.25 | — | 587% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual | $92.25 | $92.25 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold | $773.75 | $773.75 | — | 812% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon Tb Gold | $773.75 | $773.75 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay Of Total Testosterone | $112.00 | $112.00 | — | 180% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Of Total Testosterone | $112.00 | $112.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Igg(4) | $22.00 | $22.00 | — | 4% below | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Igg(4) | $22.00 | $22.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay Thyroid Stim Hormone | $177.75 | $177.75 | — | 92% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay Thyroid Stim Hormone | $177.75 | $177.75 | — | — | — |
| Total IgE blood test CPT 82785 Assay Of Ige | $39.75 | $39.75 | — | 37% below | — |
| Total IgE blood test inpatient CPT 82785 Assay Of Ige | $39.75 | $39.75 | — | — | — |
| Total cholesterol blood test CPT 82465 Assay Bld/Serum Cholesterol | $82.50 | $82.50 | — | 96% above | — |
| Total cholesterol blood test inpatient CPT 82465 Assay Bld/Serum Cholesterol | $82.50 | $82.50 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif | $210.50 | $210.50 | — | 115% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif | $210.50 | $210.50 | — | — | — |
| Triglycerides blood test CPT 84478 Assay Of Triglycerides | $157.75 | $157.75 | — | 284% above | — |
| Triglycerides blood test inpatient CPT 84478 Assay Of Triglycerides | $157.75 | $157.75 | — | — | — |
| Troponin test, quantitative CPT 84484 Assay Of Troponin Quant | $267.50 | $267.50 | — | 49% above | — |
| Troponin test, quantitative inpatient CPT 84484 Assay Of Troponin Quant | $267.50 | $267.50 | — | — | — |
| Uric acid blood test CPT 84550 Assay Of Blood/Uric Acid | $76.50 | $76.50 | — | 16% above | — |
| Uric acid blood test inpatient CPT 84550 Assay Of Blood/Uric Acid | $76.50 | $76.50 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Scope | $144.00 | $144.00 | — | 74% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope | $144.00 | $144.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope | $61.00 | $61.00 | — | 9% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope | $61.00 | $61.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $44.25 | $44.25 | — | 29% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $44.25 | $44.25 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture/Colony Count | $358.75 | $358.75 | — | 157% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count | $358.75 | $358.75 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Ur Albumin Quantitative | $56.00 | $56.00 | — | 53% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Ur Albumin Quantitative | $56.00 | $56.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Poc | $232.25 | $232.25 | — | 164% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test Poc | $232.25 | $232.25 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 | $181.25 | $181.25 | — | 93% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 | $181.25 | $181.25 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $211.75 | $211.75 | — | 231% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $211.75 | $211.75 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test | $229.25 | $229.25 | — | 28% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test | $229.25 | $229.25 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $1,198.50 | $1,198.50 | — | 36% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine | $1,198.50 | $1,198.50 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast 1St Lesion Strtctc Rt | $6,008.75 | $6,008.75 | — | 38% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast 1St Lesion Strtctc Lt | $6,989.25 | $6,989.25 | — | 61% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx Breast 1St Lesion Strtctc Rt | $6,008.75 | $6,008.75 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx Breast 1St Lesion Strtctc Lt | $6,989.25 | $6,989.25 | — | — | — |
| Cervical biopsy CPT 57500 Biopsy Of Cervix | $6,420.00 | $6,420.00 | — | 230% above | — |
| Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix | $6,420.00 | $6,420.00 | — | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days | $8,908.50 | $8,908.50 | — | 92% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision Age >28 Days | $8,908.50 | $8,908.50 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy And Biopsy | $3,474.25 | $3,474.25 | — | 49% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy And Biopsy | $3,474.25 | $3,474.25 | — | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Of Cervix W/Scope Leep | $11,292.00 | $11,292.00 | — | 142% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx Of Cervix W/Scope Leep | $11,292.00 | $11,292.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/Curett Of Cervix W/Scope | $4,058.50 | $4,058.50 | — | 329% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/Curett Of Cervix W/Scope | $4,058.50 | $4,058.50 | — | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent | $13,232.50 | $13,232.50 | — | 77% above | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Cysto W/Insert Ureteral Stent | $13,232.50 | $13,232.50 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $6,366.25 | $6,366.25 | — | 294% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy | $6,366.25 | $6,366.25 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage | $11,292.00 | $11,292.00 | — | 167% above | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation And Curettage | $11,292.00 | $11,292.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1St | $772.75 | $772.75 | — | 141% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1St | $772.75 | $772.75 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unil | $438.75 | $438.75 | — | 147% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unil | $438.75 | $438.75 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $255.25 | $255.25 | — | 35% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $255.25 | $255.25 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx | $1,462.50 | $1,462.50 | — | 168% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx | $1,462.50 | $1,462.50 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl Sinus Ndsc Max Antrost W Rmvl Tiss Max Sinus | $27,953.25 | $27,953.25 | — | 209% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Nsl Sinus Ndsc Max Antrost W Rmvl Tiss Max Sinus | $27,953.25 | $27,953.25 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc | $5,786.50 | $5,786.50 | — | 137% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc | $5,786.50 | $5,786.50 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $2,578.25 | $2,578.25 | — | 25% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level Lt | $3,437.75 | $3,437.75 | — | 67% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $2,578.25 | $2,578.25 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level Lt | $3,437.75 | $3,437.75 | — | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Smpl Ligature | $3,472.75 | $3,472.75 | — | 86% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Smpl Ligature | $3,472.75 | $3,472.75 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device | $13,596.00 | $13,596.00 | — | 2214% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device | $13,596.00 | $13,596.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision + Drainage Abscess Simple/Single | $772.75 | $772.75 | — | 65% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision + Drainage Abscess Simple/Single | $772.75 | $772.75 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) both sides CPT 20550 Inj Tendon Sheath/Ligament Bi | $998.00 | $998.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath Ligament Aponeurosis | $1,198.75 | $1,198.75 | — | 82% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient both sides CPT 20550 Inj Tendon Sheath/Ligament Bi | $998.00 | $998.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath Ligament Aponeurosis | $1,198.75 | $1,198.75 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir+/Inj Major Jt/Bursa W/O Us | $2,406.75 | $2,406.75 | — | 153% 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 | $2,406.75 | $2,406.75 | — | 153% 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 | $2,406.75 | $2,406.75 | — | 153% 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 | $2,406.75 | $2,406.75 | — | — | — |
| 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 | $2,406.75 | $2,406.75 | — | — | — |
| 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 | $2,406.75 | $2,406.75 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant | $812.50 | $812.50 | — | 186% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant | $812.50 | $812.50 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us | $1,500.00 | $1,500.00 | — | 147% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Rt | $1,500.00 | $1,500.00 | — | 147% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Lt | $1,500.00 | $1,500.00 | — | 147% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us | $1,500.00 | $1,500.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Rt | $1,500.00 | $1,500.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 Arthrocentesis Aspir+/Inj Interm Jt/Burs W/O Us Lt | $1,500.00 | $1,500.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Arthrocentesis Aspir+/Inj Small Jt/Bursa W/O Us Lt | $1,500.00 | $1,500.00 | — | 106% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 Arthrocentesis Aspir+/Inj Small Jt/Bursa W/O Us Lt | $1,500.00 | $1,500.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Rpr S/A/T/Ext 2.5 Cm/< | $1,487.50 | $1,487.50 | — | 71% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/A/T/E 2.5 Cm/< | $1,487.50 | $1,487.50 | — | 71% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/A/T/E 2.5 Cm/< | $1,487.50 | $1,487.50 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd Rpr S/A/T/Ext 2.5 Cm/< | $1,487.50 | $1,487.50 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac | $6,222.75 | $6,222.75 | — | 180% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac | $6,222.75 | $6,222.75 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $3,576.00 | $3,576.00 | — | 100% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $3,576.00 | $3,576.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level | $6,927.75 | $6,927.75 | — | 239% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa+/Strd Tfrml Epi Lumbar/Sacral 1 Level | $6,927.75 | $6,927.75 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm< | $2,678.25 | $2,678.25 | — | 102% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm< | $2,678.25 | $2,678.25 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-Mm B9+Marg 0.5 Cm/< | $2,854.50 | $2,854.50 | — | 93% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9+Marg 0.5 Cm/< | $2,854.50 | $2,854.50 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Njx Aa+/Strd Gr Ocpl Nrv | $1,418.50 | $1,418.50 | — | 61% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx Aa+/Strd Gr Ocpl Nrv | $1,418.50 | $1,418.50 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging | $3,455.50 | $3,455.50 | — | 88% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging | $3,455.50 | $3,455.50 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $1,487.50 | $1,487.50 | — | 15% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed | $1,487.50 | $1,487.50 | — | — | — |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach | $7,706.00 | $7,706.00 | — | 27% above | — |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach | $7,706.00 | $7,706.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $8,000.25 | $8,000.25 | — | 68% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $8,000.25 | $8,000.25 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120-Remv Foreign Body | $1,239.64 | $1,239.64 | — | 26% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision + Removal Foreign Body Subq Tiss Simple | $1,487.50 | $1,487.50 | — | 51% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120-Remv Foreign Body | $1,239.64 | $1,239.64 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision + Removal Foreign Body Subq Tiss Simple | $1,487.50 | $1,487.50 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Zzcolorectal Scrn; Hi Risk Ind | $4,789.75 | $4,789.75 | — | 99% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Zzcolorectal Scrn; Hi Risk Ind | $4,789.75 | $4,789.75 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint | $648.00 | $648.00 | — | 31% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Apply Short Leg Splint | $648.00 | $648.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr S/N/Ax/Gen/Trnk 2.5Cm/< | $823.75 | $823.75 | — | 49% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr S/N/Ax/Gen/Trnk 2.5Cm/< | $823.75 | $823.75 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $1,487.50 | $1,487.50 | — | 106% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion | $1,487.50 | $1,487.50 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mal+Marg 0.5 Cm/< | $2,854.50 | $2,854.50 | — | 45% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mal+Marg 0.5 Cm/< | $2,854.50 | $2,854.50 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags <W/15 | $4,116.25 | $4,116.25 | — | 942% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags <W/15 | $4,116.25 | $4,116.25 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Diag Spinal Lumbar Puncture | $2,733.00 | $2,733.00 | — | 107% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diag Spinal Lumbar Puncture | $2,733.00 | $2,733.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr S/N/Ax/Gen/Trnk2.6-7.5Cm | $823.75 | $823.75 | — | 10% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr S/N/Ax/Gen/Trnk2.6-7.5Cm | $823.75 | $823.75 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr F/E/E/N/L/M 2.5 Cm/< | $823.75 | $823.75 | — | 25% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr F/E/E/N/L/M 2.5 Cm/< | $823.75 | $823.75 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $994.75 | $994.75 | — | 80% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion | $994.75 | $994.75 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging | $3,786.25 | $3,786.25 | — | 86% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging | $3,786.25 | $3,786.25 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl | $1,198.75 | $1,198.75 | — | 88% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl | $1,198.75 | $1,198.75 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Rt | $6,055.00 | $6,055.00 | — | 88% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Lt | $6,055.00 | $6,055.00 | — | 88% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Rt | $6,055.00 | $6,055.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Bx Breast W/Device 1St Lesion Ultrasound Guid Lt | $6,055.00 | $6,055.00 | — | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero W/Lithotripsy | $18,988.25 | $18,988.25 | — | 137% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero W/Lithotripsy | $18,988.25 | $18,988.25 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct(S) | $8,023.00 | $8,023.00 | — | 188% above | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal Of Sperm Duct(S) | $8,023.00 | $8,023.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up To 14 | $772.75 | $772.75 | — | 116% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up To 14 | $772.75 | $772.75 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debr Skin/Sc Tiss 1St 20Sqcm | $1,585.50 | $1,585.50 | — | 133% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debr Skin/Sc Tiss 1St 20Sqcm | $1,585.50 | $1,585.50 | — | — | — |
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 Service | $1,807.75 | $1,807.75 | — | 107% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Admin Lab | $1,807.75 | $1,807.75 | — | 107% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Service | $1,807.75 | $1,807.75 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Admin Lab | $1,807.75 | $1,807.75 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment | $328.75 | $328.75 | — | 2% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment | $328.75 | $328.75 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion 1 Hr | $2,155.25 | $2,155.25 | — | 147% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion 1 Hr | $2,155.25 | $2,155.25 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake/Drowsy | $3,207.25 | $3,207.25 | — | 213% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake/Drowsy | $3,207.25 | $3,207.25 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing | $719.50 | $719.50 | — | 113% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing | $719.50 | $719.50 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Strs Tst Xers&/Or Rx Cont Ecg Trcg Only | $5,128.50 | $5,128.50 | — | 264% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Strs Tst Xers&/Or Rx Cont Ecg Trcg Only | $5,128.50 | $5,128.50 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Init | $1,151.25 | $1,151.25 | — | 131% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Iv Infusion Init | $1,151.25 | $1,151.25 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Ther/Proph/Diag Iv Inf Init | $1,337.50 | $1,337.50 | — | 128% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Proph/Diag Iv Inf Init | $1,337.50 | $1,337.50 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Ther/Proph/Diag Inj Iv Push | $820.50 | $820.50 | — | 132% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Ther/Proph/Diag Inj Iv Push | $820.50 | $820.50 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im | $262.00 | $262.00 | — | 46% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im | $262.00 | $262.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 E+M-New Patient-Lvl Iii | $437.50 | $437.50 | — | 104% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 E+M-New Patient-Lvl Iii | $437.50 | $437.50 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 E+M-New Patient-Lvl Iv | $595.25 | $595.25 | — | 143% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 E+M-New Patient-Lvl Iv | $595.25 | $595.25 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 E+M-New Patient-Lvl V | $743.75 | $743.75 | — | 117% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 E+M-New Patient-Lvl V | $743.75 | $743.75 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 E+M New Patient Lvl Ii | $415.75 | $415.75 | — | 198% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E+M New Patient Lvl Ii | $415.75 | $415.75 | — | — | — |
| Spirometry (breathing test) CPT 94010 Breathing Capacity Test | $927.25 | $927.25 | — | 143% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test | $927.25 | $927.25 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre+Post-Brncdilat Admn | $1,850.75 | $1,850.75 | — | 131% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Brncdilat Rspse Spmtry Pre+Post-Brncdilat Admn | $1,850.75 | $1,850.75 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities 15 Min - Pta | $257.25 | $257.25 | — | 87% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 15 Min - Pta | $257.25 | $257.25 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $699.50 | $699.50 | — | 117% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $699.50 | $699.50 | — | — | — |
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 CPT 90653 Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04) | $307.59 | $307.59 | — | 118% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04) | $307.59 | $307.59 | — | — | — |
| 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 (Moderna), age 12 and older CPT 91322 Covid-19 Mrna Vaccine, 50 Mcg/0.5 Ml Inj Susp (Spikevax) 2023-2024 | $543.90 | $543.90 | — | 125% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Covid-19 Mrna Vaccine, 50 Mcg/0.5 Ml Inj Susp (Spikevax) 2023-2024 | $543.90 | $543.90 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Covid-19 Mrna Vaccine, 30 Mcg/0.3 Ml Inj Susp (Comirnaty) 2023-2024 | $483.00 | $483.00 | — | 107% above | — |
| 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) 2023-2024 | $483.00 | $483.00 | — | — | — |
| 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 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $451.05 | $451.05 | — | 44% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine Injection | $451.05 | $451.05 | — | 44% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vaccine Injection | $451.05 | $451.05 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $451.05 | $451.05 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Diphth/Pert,Acel/Tetanus/Polio Pf 0.5 Ml Injection | $230.51 | $230.51 | — | 39% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Diphth/Pert,Acel/Tetanus/Polio Pf 0.5 Ml Injection | $230.51 | $230.51 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Diphtheria/Hepb/Pertussis,Acel/Polio/Tetanus Inj Susp; 0.5 Ml | $346.72 | $346.72 | — | 111% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Diphtheria/Hepb/Pertussis,Acel/Polio/Tetanus Inj Susp; 0.5 Ml | $346.72 | $346.72 | — | — | — |
| 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 CPT 90656 Afluria: 10 Syringe, Glass In 1 Carton (33332-024-03) / .5 Ml In 1 Syringe, Glass (33332-024-04) | $90.17 | $90.17 | — | 111% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Afluria: 10 Syringe, Glass In 1 Carton (33332-024-03) / .5 Ml In 1 Syringe, Glass (33332-024-04) | $90.17 | $90.17 | — | — | — |
| 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 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $776.16 | $776.16 | — | 100% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $776.16 | $776.16 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A And B Vaccine 720 Units-20 Mcg/Ml Pf Injection | $457.43 | $457.43 | — | 113% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A And B Vaccine 720 Units-20 Mcg/Ml Pf Injection | $457.43 | $457.43 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine 1440 Unit/Ml Injection; 1 Ml Adult | $280.23 | $280.23 | — | 101% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine 1440 Unit/Ml Injection; 1 Ml Adult | $280.23 | $280.23 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine 20 Mcg/Ml Injection; 1 Ml Adult | $229.63 | $229.63 | — | 87% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine Adult 10 Mcg/Ml | $229.63 | $229.63 | — | 87% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine Adult 10 Mcg/Ml | $229.63 | $229.63 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine 20 Mcg/Ml Injection; 1 Ml Adult | $229.63 | $229.63 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01) | $455.17 | $455.17 | — | 78% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B Vaccine 20 Mcg/0.5 Ml Injection; 0.5 Ml Adult | $455.17 | $455.17 | — | 78% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepatitis B Vaccine 20 Mcg/0.5 Ml Injection; 0.5 Ml Adult | $455.17 | $455.17 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01) | $455.17 | $455.17 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .5 Ml In 1 Vial (58160-816-03) * .85 Ml In 1 Syringe (58160-817-02) | $91.25 | $91.25 | — | 118% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus B Conjugate (Prp-T) Vaccine Injection | $91.25 | $91.25 | — | 118% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $91.25 | $91.25 | — | 118% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $91.25 | $91.25 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haemophilus B Conjugate (Prp-T) Vaccine Injection | $91.25 | $91.25 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .5 Ml In 1 Vial (58160-816-03) * .85 Ml In 1 Syringe (58160-817-02) | $91.25 | $91.25 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Virus Vaccine, Inactivated High-Dose Pf Quadrivalent (Fluzone Hd) 2021-2022 | $224.67 | $224.67 | — | 79% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-123-65) / .7 mL in 1 SYRINGE, GLASS (49281-123-88) | $224.67 | $224.67 | — | 79% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Virus Vaccine, High-Dose Inactivated Pf Quadrivalent (Fluzone Hd) 2023-2024 | $224.67 | $224.67 | — | 79% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Virus Vaccine, Inactivated High-Dose Pf Quadrivalent (Fluzone Hd) 2021-2022 | $224.67 | $224.67 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-123-65) / .7 mL in 1 SYRINGE, GLASS (49281-123-88) | $224.67 | $224.67 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Virus Vaccine, High-Dose Inactivated Pf Quadrivalent (Fluzone Hd) 2023-2024 | $224.67 | $224.67 | — | — | — |
| 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) | $243.14 | $243.14 | — | 74% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/Mumps/Rubella Virus Vaccine Injection | $243.14 | $243.14 | — | 74% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/Mumps/Rubella Virus Vaccine Injection | $243.14 | $243.14 | — | — | — |
| 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) | $243.14 | $243.14 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A/C/Y/W-135) Diphtheria Conjugate Vaccine (Menveo) | $587.51 | $587.51 | — | 125% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra: 5 Vial, Single-Dose In 1 Package (49281-589-05) / .5 Ml In 1 Vial, Single-Dose (49281-589-58) | $832.39 | $832.39 | — | 218% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A/C/Y/W-135) Diphtheria Conjugate Vaccine - Soln | $832.39 | $832.39 | — | 218% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A/C/Y/W-135) Diphtheria Conjugate Vaccine (Menveo) | $587.51 | $587.51 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A/C/Y/W-135) Diphtheria Conjugate Vaccine - Soln | $832.39 | $832.39 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menactra: 5 Vial, Single-Dose In 1 Package (49281-589-05) / .5 Ml In 1 Vial, Single-Dose (49281-589-58) | $832.39 | $832.39 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menquadfi: 5 Vial, Single-Dose In 1 Carton (49281-590-05) / .5 Ml In 1 Vial, Single-Dose (49281-590-58) | $624.04 | $624.04 | — | 134% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal (A/C/Y/W-135) Diphtheria Conjugate Vaccine (Menquadfi) | $624.06 | $624.06 | — | 134% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Menquadfi: 5 Vial, Single-Dose In 1 Carton (49281-590-05) / .5 Ml In 1 Vial, Single-Dose (49281-590-58) | $624.04 | $624.04 | — | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 Meningococcal (A/C/Y/W-135) Diphtheria Conjugate Vaccine (Menquadfi) | $624.06 | $624.06 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 NDC Description Not Available | $752.33 | $752.33 | — | 70% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Group B Vaccine Recombinant, Omv, Adjuvanted Inj; 0.5 Ml | $752.33 | $752.33 | — | 70% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal Group B Vaccine Recombinant, Omv, Adjuvanted Inj; 0.5 Ml | $752.33 | $752.33 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 NDC Description Not Available | $752.33 | $752.33 | — | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 Trumenba: 5 Syringe In 1 Carton (0005-0100-05) / .5 Ml In 1 Syringe (0005-0100-01) | $588.74 | $588.74 | — | 192% above | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 Meningococcal Group B Vaccine Recombinant; 0.5 Ml | $588.74 | $588.74 | — | 192% above | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Trumenba: 5 Syringe In 1 Carton (0005-0100-05) / .5 Ml In 1 Syringe (0005-0100-01) | $588.74 | $588.74 | — | — | — |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 Meningococcal Group B Vaccine Recombinant; 0.5 Ml | $588.74 | $588.74 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13: 10 Syringe In 1 Carton (0005-1971-02) / .5 Ml In 1 Syringe (0005-1971-01) | $844.07 | $844.07 | — | 170% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13-Valent Conj Vaccine Inj 0.5 Ml | $844.07 | $844.07 | — | 170% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13: 10 Syringe In 1 Carton (0005-1971-02) / .5 Ml In 1 Syringe (0005-1971-01) | $844.07 | $844.07 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13-Valent Conj Vaccine Inj 0.5 Ml | $844.07 | $844.07 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $1,509.26 | $1,509.26 | — | 190% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $1,509.26 | $1,509.26 | — | 190% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $1,509.26 | $1,509.26 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $1,509.26 | $1,509.26 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $649.01 | $649.01 | — | 301% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23-Valent Vaccine Injection 0.5 Ml | $649.01 | $649.01 | — | 301% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $649.01 | $649.01 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23-Valent Vaccine Injection 0.5 Ml | $649.01 | $649.01 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine, Inactivated - Inj Susp; 0.5 Ml | $161.28 | $161.28 | — | 78% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $161.28 | $161.28 | — | 78% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $161.28 | $161.28 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus Vaccine, Inactivated - Inj Susp; 0.5 Ml | $161.28 | $161.28 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $123.90 | $123.90 | — | 67% below | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Vaccine, Pref A-Pref B, Recombinant Preservative-Free 60 Mcg-60 Mcg Inject | $123.90 | $123.90 | — | 67% below | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Pref3, Recombinant Vaccine Pf 120 Mcg Inj 0.5Ml | $1,176.00 | $1,176.00 | — | 212% above | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv Vaccine, Pref A-Pref B, Recombinant Preservative-Free 60 Mcg-60 Mcg Inject | $123.90 | $123.90 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $123.90 | $123.90 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv Pref3, Recombinant Vaccine Pf 120 Mcg Inj 0.5Ml | $1,176.00 | $1,176.00 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03) | $1,042.72 | $1,042.72 | — | 380% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster Vaccine, Inactivated Adjuvanted Powder; 0.5 Ml | $1,042.72 | $1,042.72 | — | 380% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03) | $1,042.72 | $1,042.72 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster Vaccine, Inactivated Adjuvanted Powder; 0.5 Ml | $1,042.72 | $1,042.72 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids 5 Units-2Units/0.5 Ml Susp Ud | $176.02 | $176.02 | — | 116% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids 5 Unit-2Unit/0.5 Ml Injection; 5 Ml | $176.02 | $176.02 | — | 116% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids 5 Unit-2Unit/0.5 Ml Injection; 5 Ml | $176.02 | $176.02 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids 5 Units-2Units/0.5 Ml Susp Ud | $176.02 | $176.02 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 5 Syringe In 1 Package (49281-400-20) / .5 Ml In 1 Syringe (49281-400-89) | $310.53 | $310.53 | — | 168% above | — |
| 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 | $310.53 | $310.53 | — | 168% 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) | $310.53 | $310.53 | — | 168% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 5 Syringe In 1 Package (49281-400-20) / .5 Ml In 1 Syringe (49281-400-89) | $310.53 | $310.53 | — | — | — |
| 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) | $310.53 | $310.53 | — | — | — |
| 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 | $310.53 | $310.53 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine, Inactivated Inj Soln; 0.5 Ml | $357.85 | $357.85 | — | 105% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine, Inactivated Inj Soln; 0.5 Ml | $357.85 | $357.85 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq Id Subq/Im Njxs 1 Vaccine-Rsch | $223.50 | $223.50 | — | 114% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq Id Subq/Im Njxs 1 Vaccine | $223.50 | $223.50 | — | 114% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Adm Prq Id Subq/Im Njxs 1 Vaccine | $223.50 | $223.50 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Adm Prq Id Subq/Im Njxs 1 Vaccine-Rsch | $223.50 | $223.50 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq Id Subq/Im Njxs Ea Addl Vaccine | $158.50 | $158.50 | — | 98% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq Id Subq/Im Njxs Ea Addl Vaccine-Rsch | $158.50 | $158.50 | — | 98% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Im Adm Prq Id Subq/Im Njxs Ea Addl Vaccine | $158.50 | $158.50 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Im Adm Prq Id Subq/Im Njxs Ea Addl Vaccine-Rsch | $158.50 | $158.50 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://hospitalpricedisclosure.com/download.aspx?pi=ksKjyMbyRELl8UdC2a3rOg*-*