Hospital Dallas-Fort Worth-Arlington, TX

Texas Health Center for Diagnostics & Surgery Plano

Listed in its price file as “Physicians Medical Center LLC”.

Texas Health Center for Diagnostics & Surgery Plano in Plano, TX publishes cash prices for 319 common procedures listed here, from its own machine-readable price file updated Apr 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 173 of 316 procedures and below it for 96. By typical cash price it ranks #190 of 297 Texas hospitals and #54 of 82 hospitals in the Dallas, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

6020 W Parker Road, Plano, TX 75093 Collected Sep 23, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO CONT	$3,264.90	$5,441.50	$171.21–$5,120.45	13% above	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
Abdominal X-ray, 2 views CPT 74019 ABD 2 VIEWS	$404.40	$674.00	$36.75–$884.54	7% above	40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABD 2 VIEWS	$404.40	$674.00	$316.78–$634.23	—	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS MIN RT	$404.40	$674.00	$36.75–$722.00	13% above	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS MIN LT	$404.40	$674.00	$36.75–$722.00	13% above	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 VIEWS MIN RT	$404.40	$674.00	$316.78–$634.23	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3 VIEWS MIN LT	$404.40	$674.00	$316.78–$634.23	—	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPR RT WO CONT	$1,991.85	$3,319.75	$102.27–$3,123.88	21% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPR LT WO CONT	$1,991.85	$3,319.75	$102.27–$3,123.88	21% above	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPR LT WO CONT	$1,991.85	$3,319.75	$1,560.28–$3,123.88	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPR RT WO CONT	$1,991.85	$3,319.75	$1,560.28–$3,123.88	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 GI ESOPHAGUS BARIUM	$425.55	$709.25	$97.56–$1,438.08	15% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 GI ESOPHAGUS BARIUM	$425.55	$709.25	$333.35–$667.40	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT RT COMPLETE	$383.10	$638.50	$102.27–$884.54	13% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT LT COMPLETE	$383.10	$638.50	$102.27–$884.54	13% below	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT RT COMPLETE	$383.10	$638.50	$300.10–$600.83	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT LT COMPLETE	$383.10	$638.50	$300.10–$600.83	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LT LTD	$383.10	$638.50	$84.68–$629.86	11% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT RT LTD	$383.10	$638.50	$84.68–$629.86	11% above	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT RT LTD	$383.10	$638.50	$300.10–$600.83	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LT LTD	$383.10	$638.50	$300.10–$600.83	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN AND PELVIS ANGIO	$5,878.20	$9,797.00	$343.46–$9,218.98	46% above	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN AND PELVIS ANGIO	$5,878.20	$9,797.00	$4,604.59–$9,218.98	—	40%
CT angiography (CTA) of the head CPT 70496 CTA HEAD ANGIO	$2,830.05	$4,716.75	$171.21–$4,438.46	19% above	40%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD ANGIO	$2,830.05	$4,716.75	$2,216.87–$4,438.46	—	40%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W CON	$2,830.05	$4,716.75	$171.21–$4,438.46	19% above	40%
CT angiography (CTA) of the neck CPT 70498 CTA NECK ANGIO	$2,830.05	$4,716.75	$171.21–$4,438.46	19% above	40%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CON	$2,830.05	$4,716.75	$2,216.87–$4,438.46	—	40%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK ANGIO	$2,830.05	$4,716.75	$2,216.87–$4,438.46	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST THORAX ANGIO	$3,264.90	$5,441.50	$171.21–$5,120.45	27% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST THORAX ANGIO	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONT	$3,356.10	$5,593.50	$188.11–$5,263.48	18% above	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CONT	$3,356.10	$5,593.50	$2,628.95–$5,263.48	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CONT	$3,920.40	$6,534.00	$312.08–$6,148.49	3% above	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CONT	$3,920.40	$6,534.00	$3,070.98–$6,148.49	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W WO CONT	$4,407.45	$7,345.75	$343.46–$6,912.35	15% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS W WO CONT	$4,407.45	$7,345.75	$3,452.50–$6,912.35	—	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONT	$2,612.85	$4,354.75	$171.21–$4,097.82	1% above	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONT	$2,612.85	$4,354.75	$2,046.73–$4,097.82	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONT	$2,394.15	$3,990.25	$102.27–$3,754.83	19% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONT	$1,666.95	$2,778.25	$102.27–$2,614.33	1% above	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONT	$1,666.95	$2,778.25	$102.27–$2,614.33	1% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES WO CONT	$1,666.95	$2,778.25	$1,305.78–$2,614.33	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO CONT	$1,666.95	$2,778.25	$1,305.78–$2,614.33	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT STROKE ONSET	$2,057.70	$3,429.50	$102.27–$3,227.16	23% above	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT	$2,057.70	$3,429.50	$102.27–$3,227.16	23% above	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONT STROKE ONSET	$2,057.70	$3,429.50	$1,611.87–$3,227.16	—	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONT	$2,057.70	$3,429.50	$1,611.87–$3,227.16	—	40%
CT scan of the head with contrast CPT 70460 CT HEAD W CONT	$2,275.80	$3,793.00	$152.36–$3,569.21	35% above	40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONT	$2,275.80	$3,793.00	$1,782.71–$3,569.21	—	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONT	$2,720.70	$4,534.50	$171.21–$4,266.96	33% above	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO CONT	$2,720.70	$4,534.50	$2,131.22–$4,266.96	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONT	$2,394.15	$3,990.25	$102.27–$3,754.83	38% above	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CONT	$2,394.15	$3,990.25	$102.27–$3,754.83	17% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT	$2,612.85	$4,354.75	$171.21–$4,097.82	20% above	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT	$2,612.85	$4,354.75	$2,046.73–$4,097.82	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DOPLR ART CAROTID BILAT	$1,288.35	$2,147.25	$187.79–$2,020.56	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US DOPLR ART CAROTID BILAT	$1,288.35	$2,147.25	$1,009.21–$2,020.56	—	40%
Chest CT scan without and with contrast CPT 71270 CT CHEST THORAX W WO CONT	$3,264.90	$5,441.50	$171.21–$5,120.45	22% above	40%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST THORAX W WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$457.05	$761.75	$33.75–$722.00	17% above	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$457.05	$761.75	$358.02–$716.81	—	40%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$383.10	$638.50	$25.73–$722.00	18% above	40%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$383.10	$638.50	$300.10–$600.83	—	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT	$371.85	$619.75	$32.75–$722.00	24% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$371.85	$619.75	$32.75–$722.00	24% above	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$371.85	$619.75	$291.28–$583.18	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT	$371.85	$619.75	$291.28–$583.18	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL / KIDNEY BILAT	$742.20	$1,237.00	$102.27–$1,164.02	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMEN AORTA	$742.20	$1,237.00	$102.27–$1,164.02	7% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL	$742.20	$1,237.00	$102.27–$1,164.02	7% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US RENAL / KIDNEY BILAT	$742.20	$1,237.00	$581.39–$1,164.02	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABDOMEN AORTA	$742.20	$1,237.00	$581.39–$1,164.02	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL	$742.20	$1,237.00	$581.39–$1,164.02	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENS AXIAL	$415.80	$693.00	$39.09–$722.00	4% above	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENS AXIAL	$415.80	$693.00	$325.71–$652.11	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENS APPEN	$143.25	$238.75	$31.74–$722.00	35% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENS APPEN	$143.25	$238.75	$112.21–$224.66	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB PREG DETAIL SNGL FETUS	$641.40	$1,069.00	$177.76–$1,005.93	7% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB PREG DETAIL SNGL FETUS	$641.40	$1,069.00	$502.43–$1,005.93	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST THORAX WO CONT	$2,383.80	$3,973.00	$102.27–$3,738.59	57% above	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST THORAX WO CONT	$2,383.80	$3,973.00	$1,867.31–$3,738.59	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST THORAX W CONT	$2,656.20	$4,427.00	$171.21–$4,165.81	33% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST THORAX W CONT	$2,656.20	$4,427.00	$2,080.69–$4,165.81	—	40%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG DIG BIL	$366.15	$610.25	$87.69–$949.96	at median	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG DIG BIL	$366.15	$610.25	$286.82–$574.25	—	40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG DIG UNI RT	$366.15	$610.25	$87.69–$742.32	35% above	40%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG DIG UNI LT	$366.15	$610.25	$87.69–$742.32	35% above	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG DIG UNI LT	$366.15	$610.25	$286.82–$574.25	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG DIG UNI RT	$366.15	$610.25	$286.82–$574.25	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DOPLR ART EXT LWR BILAT	$985.20	$1,642.00	$232.47–$1,632.82	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DOPLR ART EXT LWR BILAT	$985.20	$1,642.00	$771.74–$1,545.12	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DOPLR VEIN EXT BILAT	$1,212.45	$2,020.75	$184.78–$1,901.53	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DOPLR VEIN EXT BILAT	$1,212.45	$2,020.75	$949.75–$1,901.53	—	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT	$351.00	$585.00	$29.40–$722.00	12% above	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT	$351.00	$585.00	$29.40–$722.00	12% above	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT	$351.00	$585.00	$274.95–$550.49	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT	$351.00	$585.00	$274.95–$550.49	—	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS MIN RT	$383.10	$638.50	$33.08–$722.00	at median	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS MIN LT	$383.10	$638.50	$33.08–$722.00	at median	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS MIN RT	$383.10	$638.50	$300.10–$600.83	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3 VIEWS MIN LT	$383.10	$638.50	$300.10–$600.83	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT MASTOID TEMP WO CONT	$2,046.60	$3,411.00	$102.27–$3,209.75	36% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS WO CONT	$2,046.60	$3,411.00	$102.27–$3,209.75	36% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA PITUITARY WO CONT	$2,046.60	$3,411.00	$102.27–$3,209.75	36% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC MIDDLE EAR WO CONT	$2,046.60	$3,411.00	$102.27–$3,209.75	36% above	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS WO CONT	$2,046.60	$3,411.00	$1,603.17–$3,209.75	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA PITUITARY WO CONT	$2,046.60	$3,411.00	$1,603.17–$3,209.75	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT MASTOID TEMP WO CONT	$2,046.60	$3,411.00	$1,603.17–$3,209.75	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC MIDDLE EAR WO CONT	$2,046.60	$3,411.00	$1,603.17–$3,209.75	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3 VIEWS MIN	$381.75	$636.25	$47.45–$884.54	3% below	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3 VIEWS MIN	$381.75	$636.25	$299.04–$598.71	—	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT	$404.40	$674.00	$29.40–$722.00	8% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT	$404.40	$674.00	$29.40–$722.00	8% above	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT	$404.40	$674.00	$316.78–$634.23	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT	$404.40	$674.00	$316.78–$634.23	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY	$1,602.75	$2,671.25	$303.06–$2,513.65	at median	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY	$1,602.75	$2,671.25	$1,255.49–$2,513.65	—	40%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$294.90	$491.50	$31.74–$884.54	7% below	40%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$294.90	$491.50	$31.74–$884.54	7% below	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT	$294.90	$491.50	$231.01–$462.50	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT	$294.90	$491.50	$231.01–$462.50	—	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS (HEEL) RT	$289.65	$482.75	$28.74–$722.00	1% above	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS (HEEL) LT	$289.65	$482.75	$28.74–$722.00	1% above	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS (HEEL) RT	$289.65	$482.75	$226.89–$454.27	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS (HEEL) LT	$289.65	$482.75	$226.89–$454.27	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 FULL POLYSOMNOGRAM CPAP	$7,244.10	$12,073.50	$772.42–$11,361.16	70% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 FULL POLYSOMNOGRAM CPAP	$7,244.10	$12,073.50	$5,674.55–$11,361.16	—	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$404.40	$674.00	$41.10–$722.00	8% above	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$404.40	$674.00	$41.10–$722.00	8% above	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$404.40	$674.00	$316.78–$634.23	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$404.40	$674.00	$316.78–$634.23	—	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS MIN LT	$425.55	$709.25	$47.45–$884.54	at median	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS MIN RT	$425.55	$709.25	$47.45–$884.54	at median	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS MIN RT	$425.55	$709.25	$333.35–$667.40	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS MIN LT	$425.55	$709.25	$333.35–$667.40	—	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LWR LT WO CONT	$2,394.15	$3,990.25	$102.27–$3,754.83	42% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LWR RT WO CONT	$2,394.15	$3,990.25	$102.27–$3,754.83	42% above	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LWR RT WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LWR LT WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$545.55	$909.25	$87.21–$884.54	10% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER (HEPATIC)	$545.55	$909.25	$87.21–$884.54	10% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$545.55	$909.25	$87.21–$884.54	10% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$545.55	$909.25	$87.21–$884.54	10% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SOFT TISSUE US ABDOMEN WALL	$545.55	$909.25	$87.21–$884.54	10% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$545.55	$909.25	$87.21–$884.54	10% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER (HEPATIC)	$545.55	$909.25	$427.35–$855.60	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$545.55	$909.25	$427.35–$855.60	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$545.55	$909.25	$427.35–$855.60	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SOFT TISSUE US ABDOMEN WALL	$545.55	$909.25	$427.35–$855.60	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD	$545.55	$909.25	$427.35–$855.60	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$545.55	$909.25	$427.35–$855.60	—	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASC LTD RT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US UPPER EXTREMITY RT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US UPPER EXTREMITY LT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASC LTD LT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US AXILLA RT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US AXILLA LT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US GROIN RT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US GROIN LT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US LOWER EXTREMITY RT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 SOFT TISSUE US LOWER EXTREMITY LT	$277.80	$463.00	$30.35–$884.54	32% below	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US AXILLA RT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US LOWER EXTREMITY LT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US LOWER EXTREMITY RT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US GROIN LT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US GROIN RT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US UPPER EXTREMITY RT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US UPPER EXTREMITY LT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 SOFT TISSUE US AXILLA LT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VASC LTD LT	$277.80	$463.00	$217.61–$435.68	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VASC LTD RT	$277.80	$463.00	$217.61–$435.68	—	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA 2 VIEWS LT	$345.75	$576.25	$31.74–$722.00	at median	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA 2 VIEWS RT	$345.75	$576.25	$31.74–$722.00	at median	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA 2 VIEWS LT	$345.75	$576.25	$270.84–$542.25	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA 2 VIEWS RT	$345.75	$576.25	$270.84–$542.25	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD ANGIO WO CONT	$2,394.15	$3,990.25	$222.20–$3,754.83	32% above	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD ANGIO WO CONT	$2,394.15	$3,990.25	$222.20–$3,754.83	32% above	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD ANGIO WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD ANGIO WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LWR RT JOINT WO CONT	$3,264.90	$5,441.50	$208.84–$5,120.45	48% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LWR LT JOINT WO CONT	$3,264.90	$5,441.50	$208.84–$5,120.45	48% above	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LWR LT JOINT WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LWR RT JOINT WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LWR LT JOINT W WO CONT	$3,700.05	$6,166.75	$343.46–$5,802.91	23% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LWR RT JOINT W WO CONT	$3,700.05	$6,166.75	$343.46–$5,802.91	23% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LWR LT JOINT W WO CONT	$3,700.05	$6,166.75	$2,898.37–$5,802.91	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LWR RT JOINT W WO CONT	$3,700.05	$6,166.75	$2,898.37–$5,802.91	—	40%
MRI of the abdomen without contrast CPT 74181 MRI MRCP	$2,394.15	$3,990.25	$201.81–$3,754.83	9% above	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONT	$2,394.15	$3,990.25	$201.81–$3,754.83	9% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W WO CONT	$3,264.90	$5,441.50	$343.46–$5,120.45	7% above	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT	$2,504.25	$4,173.75	$202.15–$3,927.50	32% above	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONT	$2,504.25	$4,173.75	$1,961.66–$3,927.50	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W WO CONT	$2,830.05	$4,716.75	$328.11–$4,438.46	at median	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W WO CONT	$2,830.05	$4,716.75	$2,216.87–$4,438.46	—	40%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONT	$2,394.15	$3,990.25	$197.14–$3,754.83	9% above	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W WO CONT	$3,264.90	$5,441.50	$329.13–$5,120.45	2% above	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONT	$2,394.15	$3,990.25	$196.14–$3,754.83	18% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W WO CONT	$3,264.90	$5,441.50	$329.79–$5,120.45	at median	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CONT	$2,394.15	$3,990.25	$196.48–$3,754.83	6% above	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W WO CONT	$3,482.70	$5,804.50	$343.46–$5,462.03	10% above	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W WO CONT	$3,482.70	$5,804.50	$2,728.12–$5,462.03	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONT	$2,830.05	$4,716.75	$232.47–$4,438.46	20% above	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONT	$2,830.05	$4,716.75	$2,216.87–$4,438.46	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPR RT JOINT WO CONT	$3,264.90	$5,441.50	$209.16–$5,120.45	82% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPR LT JOINT WO CONT	$3,264.90	$5,441.50	$209.16–$5,120.45	82% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPR RT JOINT WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPR LT JOINT WO CONT	$3,264.90	$5,441.50	$2,557.51–$5,120.45	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4-5 VIEWS	$545.55	$909.25	$53.80–$884.54	at median	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4-5 VIEWS	$545.55	$909.25	$427.35–$855.60	—	40%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W CONT	$2,394.15	$3,990.25	$171.21–$3,754.83	21% above	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TISSUE W CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE WO CONT	$2,068.50	$3,447.50	$102.27–$3,244.10	34% above	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TISSUE WO CONT	$2,068.50	$3,447.50	$1,620.33–$3,244.10	—	40%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$175.80	$293.00	$31.41–$722.00	26% below	40%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$175.80	$293.00	$137.71–$275.71	—	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONT	$2,081.55	$3,469.25	$102.27–$3,264.56	28% above	40%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONT	$2,081.55	$3,469.25	$1,630.55–$3,264.56	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER	$383.10	$638.50	$50.79–$884.54	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED	$383.10	$638.50	$50.79–$884.54	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SOFT TISSUE US PELVIC WALL	$383.10	$638.50	$50.79–$884.54	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SOFT TISSUE US PERINEUM	$383.10	$638.50	$50.79–$884.54	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SOFT TISSUE US BUTTOCK	$383.10	$638.50	$50.79–$884.54	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SOFT TISSUE US PENILE	$383.10	$638.50	$50.79–$884.54	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SOFT TISSUE US PENILE	$383.10	$638.50	$300.10–$600.83	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SOFT TISSUE US PERINEUM	$383.10	$638.50	$300.10–$600.83	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SOFT TISSUE US PELVIC WALL	$383.10	$638.50	$300.10–$600.83	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED	$383.10	$638.50	$300.10–$600.83	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US URINARY BLADDER	$383.10	$638.50	$300.10–$600.83	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SOFT TISSUE US BUTTOCK	$383.10	$638.50	$300.10–$600.83	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC EVALUATION	$861.45	$1,435.75	$96.28–$1,351.04	13% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC EVALUATION PORT	$861.45	$1,435.75	$96.28–$1,351.04	13% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC EVALUATION	$861.45	$1,435.75	$674.80–$1,351.04	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC EVALUATION PORT	$861.45	$1,435.75	$674.80–$1,351.04	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE SNGL FETUS	$381.75	$636.25	$102.27–$722.43	37% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE SNGL FETUS	$381.75	$636.25	$299.04–$598.71	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS SNGL FETUS	$393.00	$655.00	$102.27–$616.36	33% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 WKS SNGL FETUS	$393.00	$655.00	$307.85–$616.36	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB FETAL AGE DETERM	$381.75	$636.25	$81.20–$884.54	17% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED SONOGRAM	$381.75	$636.25	$81.20–$884.54	17% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PREGNANCY LTD	$381.75	$636.25	$81.20–$884.54	17% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB FETAL AGE DETERM	$381.75	$636.25	$299.04–$598.71	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB PREGNANCY LTD	$381.75	$636.25	$299.04–$598.71	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED SONOGRAM	$381.75	$636.25	$299.04–$598.71	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT RT W PA CHEST	$294.90	$491.50	$42.44–$884.54	25% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT LT W PA CHEST	$294.90	$491.50	$42.44–$884.54	25% below	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT LT W PA CHEST	$294.90	$491.50	$231.01–$462.50	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT RT W PA CHEST	$294.90	$491.50	$231.01–$462.50	—	40%
Screening mammogram, both breasts CPT 77067 MAMMO SCRN DIG BIL	$313.35	$522.25	$75.05–$785.02	5% above	40%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCRN DIG BIL	$313.35	$522.25	$245.46–$491.44	—	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS MIN RT	$282.15	$470.25	$35.09–$722.00	13% below	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS MIN LT	$282.15	$470.25	$35.09–$722.00	13% below	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS MIN LT	$282.15	$470.25	$221.02–$442.51	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS MIN RT	$282.15	$470.25	$221.02–$442.51	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3 VIEWS MIN	$404.40	$674.00	$37.76–$722.00	2% below	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3 VIEWS MIN	$404.40	$674.00	$316.78–$634.23	—	40%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS	$351.00	$585.00	$36.09–$884.54	10% above	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS	$351.00	$585.00	$274.95–$550.49	—	40%
Sleep study in a lab (polysomnography) CPT 95810 FULL POLYSOMN 4>PARAM	$4,830.30	$8,050.50	$734.88–$7,575.52	17% above	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 FULL POLYSOMN 4>PARAM	$4,830.30	$8,050.50	$3,783.74–$7,575.52	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 GI MOD BAR SWAL W/SPEECH	$601.05	$1,001.75	$124.96–$1,438.08	at median	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 GI MOD BAR SWAL W/SPEECH	$601.05	$1,001.75	$470.82–$942.65	—	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS MIN RT	$351.00	$585.00	$35.75–$722.00	8% above	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS MIN LT	$351.00	$585.00	$35.75–$722.00	8% above	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS MIN LT	$351.00	$585.00	$274.95–$550.49	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS MIN RT	$351.00	$585.00	$274.95–$550.49	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO CONT	$2,394.15	$3,990.25	$102.27–$3,754.83	27% above	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO CONT	$2,394.15	$3,990.25	$1,875.42–$3,754.83	—	40%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) 2-3 VIEWS LT	$313.35	$522.25	$29.40–$722.00	15% above	40%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) 2-3 VIEWS RT	$313.35	$522.25	$29.40–$722.00	15% above	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2-3 VIEWS LT	$313.35	$522.25	$245.46–$491.44	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2-3 VIEWS RT	$313.35	$522.25	$245.46–$491.44	—	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$589.80	$983.00	$102.27–$925.00	2% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB	$589.80	$983.00	$462.01–$925.00	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB	$589.80	$983.00	$92.89–$925.00	16% above	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB	$589.80	$983.00	$462.01–$925.00	—	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$785.55	$1,309.25	$102.27–$1,232.00	at median	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$785.55	$1,309.25	$615.35–$1,232.00	—	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM / TESTICLE	$568.35	$947.25	$100.24–$891.36	7% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM / TESTICLE	$568.35	$947.25	$445.21–$891.36	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE US NECK	$601.05	$1,001.75	$102.27–$942.65	5% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID OR NECK	$601.05	$1,001.75	$102.27–$942.65	5% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE US NECK	$601.05	$1,001.75	$470.82–$942.65	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID OR NECK	$601.05	$1,001.75	$470.82–$942.65	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RAD EXM UPR GI TRC W/KUB	$643.95	$1,073.25	$122.96–$1,438.08	11% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W SOLID FOOD	$643.95	$1,073.25	$122.96–$1,438.08	11% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD EXM UPR GI TRC W/KUB	$643.95	$1,073.25	$504.43–$1,009.93	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W SOLID FOOD	$643.95	$1,073.25	$504.43–$1,009.93	—	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS MIN RT	$351.00	$585.00	$32.08–$722.00	at median	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS MIN LT	$351.00	$585.00	$32.08–$722.00	at median	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS MIN LT	$351.00	$585.00	$274.95–$550.49	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS MIN RT	$351.00	$585.00	$274.95–$550.49	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DOPLR VEIN EXT UNI RT	$652.20	$1,087.00	$102.27–$1,022.87	17% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DOPLR VEIN EXT UNI LT	$652.20	$1,087.00	$102.27–$1,022.87	17% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DOPLR VEIN EXT UNI LT	$652.20	$1,087.00	$510.89–$1,022.87	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DOPLR VEIN EXT UNI RT	$652.20	$1,087.00	$510.89–$1,022.87	—	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT	$328.35	$547.25	$34.09–$722.00	11% above	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT	$328.35	$547.25	$34.09–$722.00	11% above	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT	$328.35	$547.25	$257.21–$514.96	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT	$328.35	$547.25	$257.21–$514.96	—	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT	$502.05	$836.75	$41.44–$787.38	36% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT	$502.05	$836.75	$41.44–$787.38	36% above	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS LT	$502.05	$836.75	$393.27–$787.38	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS RT	$502.05	$836.75	$393.27–$787.38	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP JOINT 2-3 VIEW RT W/PELVIS	$404.40	$674.00	$47.78–$722.00	10% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP JOINT 2-3 VIEW LT W/PELVIS	$404.40	$674.00	$47.78–$722.00	10% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP JOINT 2-3 VIEW RT W/PELVIS	$404.40	$674.00	$316.78–$634.23	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP JOINT 2-3 VIEW LT W/PELVIS	$404.40	$674.00	$316.78–$634.23	—	40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$339.15	$565.25	$30.40–$722.00	at median	40%
X-ray of the abdomen, 1 view CPT 74018 KUB	$339.15	$565.25	$30.40–$722.00	at median	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB	$339.15	$565.25	$265.67–$531.90	—	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$339.15	$565.25	$265.67–$531.90	—	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT	$317.85	$529.75	$32.41–$722.00	7% above	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT	$317.85	$529.75	$32.41–$722.00	7% above	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT	$317.85	$529.75	$248.98–$498.49	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT	$317.85	$529.75	$248.98–$498.49	—	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) 2 VIEWS MIN LT	$241.05	$401.75	$38.43–$722.00	at median	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) 2 VIEWS MIN RT	$241.05	$401.75	$38.43–$722.00	at median	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) 2 VIEWS MIN RT	$241.05	$401.75	$188.82–$378.05	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) 2 VIEWS MIN LT	$241.05	$401.75	$188.82–$378.05	—	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT	$333.00	$555.00	$28.74–$722.00	at median	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT	$333.00	$555.00	$28.74–$722.00	at median	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT	$333.00	$555.00	$260.85–$522.26	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT	$333.00	$555.00	$260.85–$522.26	—	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS MIN RT	$371.85	$619.75	$34.41–$722.00	at median	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS MIN LT	$371.85	$619.75	$34.41–$722.00	at median	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEWS MIN LT	$371.85	$619.75	$291.28–$583.18	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEWS MIN RT	$371.85	$619.75	$291.28–$583.18	—	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS MIN RT	$404.40	$674.00	$37.43–$722.00	6% above	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS MIN LT	$404.40	$674.00	$37.43–$722.00	6% above	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS MIN RT	$404.40	$674.00	$316.78–$634.23	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS MIN LT	$404.40	$674.00	$316.78–$634.23	—	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS LT	$383.10	$638.50	$34.41–$722.00	30% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS RT	$383.10	$638.50	$34.41–$722.00	30% above	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEWS RT	$383.10	$638.50	$300.10–$600.83	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEWS LT	$383.10	$638.50	$300.10–$600.83	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2-3 VIEWS	$524.40	$874.00	$40.10–$884.54	18% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2-3 VIEWS	$524.40	$874.00	$410.78–$822.43	—	40%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 4 VIEWS MIN	$652.50	$1,087.50	$52.13–$1,023.34	16% above	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR 4 VIEWS MIN	$652.50	$1,087.50	$511.13–$1,023.34	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS	$404.40	$674.00	$33.08–$884.54	at median	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS	$404.40	$674.00	$316.78–$634.23	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$274.65	$457.75	$37.76–$722.00	at median	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$274.65	$457.75	$215.14–$430.74	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS	$364.80	$608.00	$39.76–$722.00	at median	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS	$364.80	$608.00	$285.76–$572.13	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS	$371.85	$619.75	$28.06–$884.54	19% above	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS	$371.85	$619.75	$291.28–$583.18	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM / COCCYX	$307.05	$511.75	$32.75–$722.00	at median	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM / COCCYX	$307.05	$511.75	$240.52–$481.56	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTH REF1	$51.75	$86.25	$32.44–$226.35	76% below	40%
ACTH blood test inpatient CPT 82024 ACTH REF1	$51.75	$86.25	$40.54–$81.16	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT	$148.65	$247.75	$4.45–$233.13	190% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT	$148.65	$247.75	$116.44–$233.13	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT	$158.10	$263.50	$4.35–$247.95	206% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST SGOT	$158.10	$263.50	$123.85–$247.95	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$401.10	$668.50	$40.01–$629.06	5% above	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$401.10	$668.50	$314.20–$629.06	—	40%
Albumin blood test CPT 82040 ALBUMIN SR REF1	$37.20	$62.00	$4.16–$58.34	at median	40%
Albumin blood test CPT 82040 ALBUMIN	$92.85	$154.75	$4.16–$145.62	150% above	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SR REF1	$37.20	$62.00	$29.14–$58.34	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN	$92.85	$154.75	$72.73–$145.62	—	40%
Aldosterone blood test CPT 82088 ALDOSTERONE REF1	$40.65	$67.75	$31.84–$238.84	69% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE UR REF1	$40.65	$67.75	$31.84–$238.84	69% below	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE REF1	$40.65	$67.75	$31.84–$63.75	—	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE UR REF1	$40.65	$67.75	$31.84–$63.75	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$189.60	$316.00	$4.35–$297.36	289% above	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$189.60	$316.00	$148.52–$297.36	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS IGE SPECIFIC EA REF1	$12.60	$21.00	$4.38–$30.59	48% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SCREENING PROFILE	$509.70	$849.50	$4.38–$799.38	2024% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS IGE SPECIFIC EA REF1	$12.60	$21.00	$9.87–$19.76	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SCREENING PROFILE	$509.70	$849.50	$399.27–$799.38	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUM MAR	$159.75	$266.25	$14.09–$250.54	34% above	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUM MAR	$159.75	$266.25	$125.14–$250.54	—	40%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$165.90	$276.50	$12.24–$260.19	17% above	40%
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$165.90	$276.50	$129.96–$260.19	—	40%
Amylase blood test CPT 82150 AMYLASE UR	$275.25	$458.75	$5.44–$431.68	261% above	40%
Amylase blood test CPT 82150 AMYLASE	$275.25	$458.75	$5.44–$431.68	261% above	40%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$275.25	$458.75	$5.44–$431.68	261% above	40%
Amylase blood test inpatient CPT 82150 AMYLASE UR	$275.25	$458.75	$215.61–$431.68	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$275.25	$458.75	$215.61–$431.68	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE	$275.25	$458.75	$215.61–$431.68	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY IGG AND IGA R1	$27.00	$45.00	$10.88–$75.90	49% below	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY IGG AND IGA R1	$27.00	$45.00	$21.15–$42.35	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$235.65	$392.75	$10.16–$369.58	206% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$235.65	$392.75	$184.59–$369.58	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$214.95	$358.25	$32.98–$337.11	38% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$214.95	$358.25	$168.38–$337.11	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT FLUID NOT CSF	$179.70	$299.50	$7.24–$281.83	168% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TISSUE OR BONE	$179.70	$299.50	$7.24–$281.83	168% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FOREIGN BODY OR DEVICE	$193.65	$322.75	$7.24–$303.71	189% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT SPINAL FLUID	$198.60	$331.00	$7.24–$311.47	196% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT GENITAL	$198.60	$331.00	$7.24–$311.47	196% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT EAR OR EYE	$198.60	$331.00	$7.24–$311.47	196% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT RESPIRATORY	$198.60	$331.00	$7.24–$311.47	196% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT WOUND SUPERFICIAL	$210.00	$350.00	$7.24–$329.35	213% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT WOUND DEEP ABSCESS	$210.00	$350.00	$7.24–$329.35	213% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CATH TIP	$210.00	$350.00	$7.24–$329.35	213% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BONE MARROW	$239.10	$398.50	$7.24–$374.99	257% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT FLUID NOT CSF	$179.70	$299.50	$140.77–$281.83	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT TISSUE OR BONE	$179.70	$299.50	$140.77–$281.83	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FOREIGN BODY OR DEVICE	$193.65	$322.75	$151.69–$303.71	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT SPINAL FLUID	$198.60	$331.00	$155.57–$311.47	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT GENITAL	$198.60	$331.00	$155.57–$311.47	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT RESPIRATORY	$198.60	$331.00	$155.57–$311.47	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT EAR OR EYE	$198.60	$331.00	$155.57–$311.47	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CATH TIP	$210.00	$350.00	$164.50–$329.35	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT WOUND SUPERFICIAL	$210.00	$350.00	$164.50–$329.35	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT WOUND DEEP ABSCESS	$210.00	$350.00	$164.50–$329.35	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BONE MARROW	$239.10	$398.50	$187.30–$374.99	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL	$255.15	$425.25	$7.11–$400.16	22% above	40%
Basic metabolic panel (blood test) CPT 80048 BMP- QW	$265.50	$442.50	$7.11–$416.39	27% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL	$255.15	$425.25	$199.87–$400.16	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP- QW	$265.50	$442.50	$207.98–$416.39	—	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$201.00	$335.00	$4.22–$315.24	252% above	40%
Bilirubin blood test, total CPT 82247 NEONATAL BILIRUBIN	$201.00	$335.00	$4.22–$315.24	252% above	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$201.00	$335.00	$157.45–$315.24	—	40%
Bilirubin blood test, total inpatient CPT 82247 NEONATAL BILIRUBIN	$201.00	$335.00	$157.45–$315.24	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEV 4 GROSS/MICR	$308.40	$514.00	$35.38–$483.67	4% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$361.05	$601.75	$35.38–$566.25	22% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL IV	$361.05	$601.75	$35.38–$566.25	22% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOPSY 1 REF2	$576.00	$960.00	$35.38–$903.36	94% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEV 4 GROSS/MICR	$308.40	$514.00	$241.58–$483.67	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$361.05	$601.75	$282.82–$566.25	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEVEL IV	$361.05	$601.75	$282.82–$566.25	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOPSY 1 REF2	$576.00	$960.00	$451.20–$903.36	—	40%
Blood culture for bacteria CPT 87040 CULT BLOOD	$239.10	$398.50	$8.67–$374.99	17% above	40%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$239.10	$398.50	$187.30–$374.99	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$23.85	$39.75	$3.00–$37.40	32% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$23.85	$39.75	$18.68–$37.40	—	40%
Blood glucose (sugar) test CPT 82947 POC GLUCOSE (ISTAT)	$41.70	$69.50	$3.30–$65.40	at median	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$80.70	$134.50	$3.30–$126.56	94% above	40%
Blood glucose (sugar) test inpatient CPT 82947 POC GLUCOSE (ISTAT)	$41.70	$69.50	$32.67–$65.40	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$80.70	$134.50	$63.22–$126.56	—	40%
Blood lead test CPT 83655 LEAD WB CAPILLARY REF1	$17.40	$29.00	$10.17–$70.98	63% below	40%
Blood lead test CPT 83655 LEAD UR REF1	$17.40	$29.00	$10.17–$70.98	63% below	40%
Blood lead test CPT 83655 LEAD BLOOD_REF1	$17.40	$29.00	$10.17–$70.98	63% below	40%
Blood lead test inpatient CPT 83655 LEAD UR REF1	$17.40	$29.00	$13.63–$27.29	—	40%
Blood lead test inpatient CPT 83655 LEAD WB CAPILLARY REF1	$17.40	$29.00	$13.63–$27.29	—	40%
Blood lead test inpatient CPT 83655 LEAD BLOOD_REF1	$17.40	$29.00	$13.63–$27.29	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC PREGNANCY TEST UR	$180.45	$300.75	$6.32–$283.01	32% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SR	$187.20	$312.00	$6.32–$293.59	37% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC PREGNANCY TEST UR	$180.45	$300.75	$141.35–$283.01	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SR	$187.20	$312.00	$146.64–$293.59	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP BY BLD CTR	$88.35	$147.25	$2.51–$639.02	at median	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP CORD	$107.25	$178.75	$2.51–$639.02	21% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE DISCREP BLD CTR	$119.85	$199.75	$2.51–$639.02	36% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP DONOR UNIT	$126.45	$210.75	$2.51–$639.02	43% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$132.60	$221.00	$2.51–$639.02	50% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP BY BLD CTR	$88.35	$147.25	$69.21–$138.56	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP CORD	$107.25	$178.75	$84.01–$168.20	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE DISCREP BLD CTR	$119.85	$199.75	$93.88–$187.96	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP DONOR UNIT	$126.45	$210.75	$99.05–$198.32	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$132.60	$221.00	$103.87–$207.96	—	40%
Blood urea nitrogen (BUN) test CPT 84520 POC BUN	$80.70	$134.50	$3.32–$126.56	48% above	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$133.20	$222.00	$3.32–$208.90	145% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 POC BUN	$80.70	$134.50	$63.22–$126.56	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$133.20	$222.00	$104.34–$208.90	—	40%
C-peptide blood test CPT 84681 C PEPTIDE__REF1	$67.95	$113.25	$17.48–$121.97	7% below	40%
C-peptide blood test inpatient CPT 84681 C PEPTIDE__REF1	$67.95	$113.25	$53.23–$106.57	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$123.90	$206.50	$4.35–$194.32	143% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$123.90	$206.50	$97.06–$194.32	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE AMPLIFIE	$233.25	$388.75	$31.31–$365.81	33% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE AMPLIFIE	$233.25	$388.75	$182.71–$365.81	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 REF1	$19.80	$33.00	$15.51–$121.97	85% below	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9 REF1	$19.80	$33.00	$15.51–$31.05	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 REF1	$160.50	$267.50	$17.48–$251.72	5% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 CANCER ANTIGEN	$330.45	$550.75	$17.48–$518.26	117% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 REF1	$160.50	$267.50	$125.73–$251.72	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 CANCER ANTIGEN	$330.45	$550.75	$258.85–$518.26	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$129.90	$216.50	$43.10–$300.73	46% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 (COVID-19)	$140.00	$233.33	$43.10–$300.73	57% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$129.90	$216.50	$101.76–$203.73	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 (COVID-19)	$140.00	$233.33	$109.67–$219.56	—	40%
Calcium blood test, total CPT 82310 CALCIUM	$158.10	$263.50	$4.33–$247.95	170% above	40%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$158.10	$263.50	$123.85–$247.95	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$150.00	$250.00	$15.93–$235.25	12% above	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$150.00	$250.00	$117.50–$235.25	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB ACU	$140.40	$234.00	$10.82–$220.19	124% above	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG AB ACU	$140.40	$234.00	$109.98–$220.19	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE REF1	$39.45	$65.75	$29.48–$205.66	68% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE	$230.40	$384.00	$29.48–$361.34	85% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE REF1	$39.45	$65.75	$30.90–$61.87	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE	$230.40	$384.00	$180.48–$361.34	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC LIPID PROFILE	$358.50	$597.50	$11.25–$562.25	142% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$391.80	$653.00	$11.25–$614.47	164% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$391.80	$653.00	$11.25–$614.47	164% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC LIPID PROFILE	$358.50	$597.50	$280.83–$562.25	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$391.80	$653.00	$306.91–$614.47	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$391.80	$653.00	$306.91–$614.47	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC HEMOGRAM W AUTO DIFF	$134.70	$224.50	$6.53–$211.25	47% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC HEMOGRAM W AUTO DIFF	$134.70	$224.50	$105.52–$211.25	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$120.30	$200.50	$5.43–$188.67	29% above	40%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/PLTS	$120.30	$200.50	$5.43–$188.67	29% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/PLTS	$120.30	$200.50	$94.24–$188.67	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$120.30	$200.50	$94.24–$188.67	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PNL	$391.80	$653.00	$8.87–$614.47	56% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PNL	$391.80	$653.00	$306.91–$614.47	—	40%
Cortisol blood test, total CPT 82533 CORTISOL REF1	$22.20	$37.00	$13.69–$95.53	73% below	40%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 60 MINUTES	$161.85	$269.75	$13.69–$253.83	94% above	40%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 0 MINUTES	$161.85	$269.75	$13.69–$253.83	94% above	40%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 30 MINUTES	$161.85	$269.75	$13.69–$253.83	94% above	40%
Cortisol blood test, total CPT 82533 CORTISOL	$396.00	$660.00	$13.69–$621.06	374% above	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL REF1	$22.20	$37.00	$17.39–$34.82	—	40%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION 30 MINUTES	$161.85	$269.75	$126.78–$253.83	—	40%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION 60 MINUTES	$161.85	$269.75	$126.78–$253.83	—	40%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION 0 MINUTES	$161.85	$269.75	$126.78–$253.83	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$396.00	$660.00	$310.20–$621.06	—	40%
Creatine kinase (CK) blood test, total CPT 82550 CKMB PCT R1	$9.90	$16.50	$5.47–$38.16	85% below	40%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL REF1	$94.95	$158.25	$5.47–$148.91	48% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CK	$236.40	$394.00	$5.47–$370.75	270% above	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CKMB PCT R1	$9.90	$16.50	$7.76–$15.53	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL REF1	$94.95	$158.25	$74.38–$148.91	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$236.40	$394.00	$185.18–$370.75	—	40%
Creatinine blood test CPT 82565 POC CREATININE	$166.20	$277.00	$4.30–$260.66	210% above	40%
Creatinine blood test CPT 82565 CREATININE BLOOD	$166.20	$277.00	$4.30–$260.66	210% above	40%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$166.20	$277.00	$130.19–$260.66	—	40%
Creatinine blood test inpatient CPT 82565 POC CREATININE	$166.20	$277.00	$130.19–$260.66	—	40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QT	$407.55	$679.25	$8.55–$639.17	140% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QT	$407.55	$679.25	$319.25–$639.17	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE REF1	$82.95	$138.25	$18.67–$130.29	45% below	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE REF1	$82.95	$138.25	$64.98–$130.09	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TCA DETECTION REF1	$33.30	$55.50	$24.38–$364.20	46% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL 9A URINE REF1	$73.80	$123.00	$52.20–$364.20	19% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9 PANEL BLOOD R1	$110.70	$184.50	$52.20–$364.20	78% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM REF1	$165.00	$275.00	$52.20–$364.20	166% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QUAL URINE REF1	$179.70	$299.50	$52.20–$364.20	189% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE	$196.05	$326.75	$52.20–$364.20	215% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD SCREEN REF1	$214.05	$356.75	$52.20–$364.20	244% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD URINE SCREEN REF1	$224.10	$373.50	$52.20–$364.20	261% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TOXICOLOGY SCREEN URINE REF2	$310.80	$518.00	$52.20–$487.44	400% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TOXICOLOGY SCREEN SERUM REF2	$411.00	$685.00	$52.20–$644.59	561% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TCA DETECTION REF1	$33.30	$55.50	$26.09–$52.23	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL 9A URINE REF1	$73.80	$123.00	$57.81–$115.74	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 9 PANEL BLOOD R1	$110.70	$184.50	$86.72–$173.61	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SERUM REF1	$165.00	$275.00	$129.25–$258.78	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QUAL URINE REF1	$179.70	$299.50	$140.77–$281.83	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE	$196.05	$326.75	$153.57–$307.47	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD SCREEN REF1	$214.05	$356.75	$167.67–$335.70	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD URINE SCREEN REF1	$224.10	$373.50	$175.55–$351.46	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOXICOLOGY SCREEN URINE REF2	$310.80	$518.00	$243.46–$487.44	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOXICOLOGY SCREEN SERUM REF2	$411.00	$685.00	$321.95–$644.59	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PNL	$193.35	$322.25	$5.89–$303.24	21% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PNL	$193.35	$322.25	$151.46–$303.24	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM	$72.75	$121.25	$15.24–$114.10	16% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM VCA REF1	$110.55	$184.25	$15.24–$173.38	28% above	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM	$72.75	$121.25	$56.99–$114.10	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM VCA REF1	$110.55	$184.25	$86.60–$173.38	—	40%
Estradiol blood test CPT 82670 ESTRADIOL REF1	$30.90	$51.50	$23.47–$163.76	75% below	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL REF1	$30.90	$51.50	$24.21–$48.46	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH REF1	$160.05	$266.75	$15.61–$251.01	3% above	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH REF1	$160.05	$266.75	$125.37–$251.01	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN_REF1	$38.40	$64.00	$11.45–$79.89	54% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$76.65	$127.75	$11.45–$120.21	8% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN_REF1	$38.40	$64.00	$30.08–$60.22	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$76.65	$127.75	$60.04–$120.21	—	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY TEG ANGL	$129.45	$215.75	$8.16–$203.02	50% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$246.00	$410.00	$8.16–$385.81	184% above	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY TEG ANGL	$129.45	$215.75	$101.40–$203.02	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$246.00	$410.00	$192.70–$385.81	—	40%
Folate (folic acid) blood test CPT 82746 FOLATE SR	$128.10	$213.50	$12.35–$200.90	60% above	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SR	$128.10	$213.50	$100.35–$200.90	—	40%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE (FT3) R1	$139.50	$232.50	$14.23–$218.78	at median	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$324.00	$540.00	$14.23–$508.14	132% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE (FT3) R1	$139.50	$232.50	$109.28–$218.78	—	40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$324.00	$540.00	$253.80–$508.14	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE (FT4)	$284.70	$474.50	$7.58–$446.50	280% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE (FT4)	$284.70	$474.50	$223.02–$446.50	—	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE MALE REF1	$110.55	$184.25	$21.39–$173.38	4% above	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE MALE REF1	$110.55	$184.25	$86.60–$173.38	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$161.85	$269.75	$6.05–$253.83	175% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$161.85	$269.75	$126.78–$253.83	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$638.70	$1,064.50	$47.28–$1,001.69	43% above	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$638.70	$1,064.50	$500.32–$1,001.69	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLER 1 HR	$168.45	$280.75	$3.99–$264.19	115% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLER 1 HR	$168.45	$280.75	$131.95–$264.19	—	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HOUR	$135.45	$225.75	$10.81–$212.43	11% below	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2 HOUR	$135.45	$225.75	$106.10–$212.43	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE REF1	$82.95	$138.25	$29.48–$205.66	36% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE	$183.30	$305.50	$29.48–$287.48	41% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMP PROBE REF1	$82.95	$138.25	$64.98–$130.09	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMP PROBE	$183.30	$305.50	$143.59–$287.48	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QT BY PCR REF1	$295.20	$492.00	$71.48–$498.77	3% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT BY NAAT	$307.95	$513.25	$71.48–$498.77	1% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QT BY PCR REF1	$295.20	$492.00	$231.24–$462.97	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT BY NAAT	$307.95	$513.25	$241.23–$482.97	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 2 COMBO AB R1	$184.95	$308.25	$11.52–$290.06	128% above	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 2 COMBO AB R1	$184.95	$308.25	$144.88–$290.06	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB AG COMBO	$174.90	$291.50	$20.23–$274.30	29% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AB AG COMBO	$174.90	$291.50	$137.01–$274.30	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$113.55	$189.25	$8.16–$178.08	34% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$113.55	$189.25	$88.95–$178.08	—	40%
Hemoglobin blood test CPT 85018 INTRAUTERINE CORD BLOOD H\H	$53.70	$89.50	$1.99–$84.22	24% above	40%
Hemoglobin blood test CPT 85018 POC HEMOGLOBIN	$63.15	$105.25	$1.99–$99.04	45% above	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$63.15	$105.25	$1.99–$99.04	45% above	40%
Hemoglobin blood test inpatient CPT 85018 INTRAUTERINE CORD BLOOD H\H	$53.70	$89.50	$42.07–$84.22	—	40%
Hemoglobin blood test inpatient CPT 85018 POC HEMOGLOBIN	$63.15	$105.25	$49.47–$99.04	—	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$63.15	$105.25	$49.47–$99.04	—	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL	$157.95	$263.25	$10.12–$247.72	116% above	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL	$157.95	$263.25	$123.73–$247.72	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$192.45	$320.75	$9.02–$301.83	201% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$192.45	$320.75	$150.75–$301.83	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG MATERNAL	$169.50	$282.50	$8.68–$265.83	142% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG	$169.50	$282.50	$8.68–$265.83	142% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG	$169.50	$282.50	$132.78–$265.83	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF AG MATERNAL	$169.50	$282.50	$132.78–$265.83	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB REF1	$87.00	$145.00	$11.99–$136.45	1% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$192.45	$320.75	$11.99–$301.83	123% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB REF1	$87.00	$145.00	$68.15–$136.45	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$192.45	$320.75	$150.75–$301.83	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QT REF1	$258.30	$430.50	$35.99–$405.10	8% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT BY NAAT	$334.20	$557.00	$35.99–$524.14	39% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR QT REF1	$258.30	$430.50	$202.34–$405.10	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT BY NAAT	$334.20	$557.00	$261.79–$524.14	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG ELISA REF1	$87.00	$145.00	$11.08–$136.45	21% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG ELISA REF1	$87.00	$145.00	$68.15–$136.45	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG ELISA REF1	$93.15	$155.25	$16.25–$146.09	12% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG ELISA REF1	$93.15	$155.25	$72.97–$146.09	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY REF1	$47.55	$79.25	$10.88–$75.90	40% below	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY REF1	$47.55	$79.25	$37.25–$74.57	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL	$332.40	$554.00	$15.05–$521.31	122% above	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE TOTAL	$332.40	$554.00	$260.38–$521.31	—	40%
Insulin blood test CPT 83525 INSULIN REF1	$22.14	$36.90	$9.60–$66.99	68% below	40%
Insulin blood test inpatient CPT 83525 INSULIN REF1	$22.14	$36.90	$17.34–$34.72	—	40%
Iron blood test (serum iron) CPT 83540 IRON SR	$217.80	$363.00	$5.43–$341.58	208% above	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON SR	$217.80	$363.00	$170.61–$341.58	—	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON/TRANSFERRIN/% SATUR	$255.15	$425.25	$7.34–$400.16	185% above	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON/TRANSFERRIN/% SATUR	$255.15	$425.25	$199.87–$400.16	—	40%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE	$151.20	$252.00	$15.56–$237.13	7% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE	$151.20	$252.00	$118.44–$237.13	—	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$193.65	$322.75	$9.72–$303.71	102% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$193.65	$322.75	$151.69–$303.71	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID	$201.00	$335.00	$5.07–$315.24	351% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$201.00	$335.00	$5.07–$315.24	351% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$201.00	$335.00	$157.45–$315.24	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID	$201.00	$335.00	$157.45–$315.24	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$136.95	$228.25	$5.79–$214.78	105% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$160.50	$267.50	$5.79–$251.72	141% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$136.95	$228.25	$107.28–$214.78	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$160.50	$267.50	$125.73–$251.72	—	40%
Liver function blood test panel CPT 80076 LIVER PANEL	$316.20	$527.00	$6.86–$495.91	63% above	40%
Liver function blood test panel CPT 80076 LIVER PROFILE	$370.20	$617.00	$6.86–$580.60	91% above	40%
Liver function blood test panel inpatient CPT 80076 LIVER PANEL	$316.20	$527.00	$247.69–$495.91	—	40%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$370.20	$617.00	$289.99–$580.60	—	40%
Lyme disease antibody test CPT 86618 LYME ANTIBODIES_REF1	$57.00	$95.00	$14.31–$99.81	31% below	40%
Lyme disease antibody test CPT 86618 REFLEX LYME MTTT 3006188 R1	$61.50	$102.50	$14.31–$99.81	26% below	40%
Lyme disease antibody test CPT 86618 LYME STTTC 86618 R1	$123.00	$205.00	$14.31–$192.91	49% above	40%
Lyme disease antibody test CPT 86618 LYME MITTT 3006053 R1	$135.60	$226.00	$14.31–$212.67	64% above	40%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODIES_REF1	$57.00	$95.00	$44.65–$89.40	—	40%
Lyme disease antibody test inpatient CPT 86618 REFLEX LYME MTTT 3006188 R1	$61.50	$102.50	$48.18–$96.45	—	40%
Lyme disease antibody test inpatient CPT 86618 LYME STTTC 86618 R1	$123.00	$205.00	$96.35–$192.91	—	40%
Lyme disease antibody test inpatient CPT 86618 LYME MITTT 3006053 R1	$135.60	$226.00	$106.22–$212.67	—	40%
Magnesium blood test CPT 83735 MAGNESIUM UR 24 HOUR	$136.95	$228.25	$5.63–$214.78	211% above	40%
Magnesium blood test CPT 83735 MAGNESIUM UR RANDOM	$136.95	$228.25	$5.63–$214.78	211% above	40%
Magnesium blood test CPT 83735 MAGNESIUM	$160.50	$267.50	$5.63–$251.72	265% above	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR 24 HOUR	$136.95	$228.25	$107.28–$214.78	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR RANDOM	$136.95	$228.25	$107.28–$214.78	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$160.50	$267.50	$125.73–$251.72	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM REF1	$25.10	$41.82	$10.82–$75.49	18% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG REF1	$25.10	$41.82	$10.82–$75.49	18% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG AB	$210.00	$350.00	$10.82–$329.35	587% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG REF1	$25.10	$41.82	$19.66–$39.35	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM REF1	$25.10	$41.82	$19.66–$39.35	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG AB	$210.00	$350.00	$164.50–$329.35	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$134.70	$224.50	$4.35–$211.25	58% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$134.70	$224.50	$105.52–$211.25	—	40%
Mumps immunity blood test CPT 86735 MUMPS AB IGG_ REF1	$22.14	$36.90	$10.96–$76.49	63% below	40%
Mumps immunity blood test CPT 86735 MUMPS AB IGM_REF1	$22.14	$36.90	$10.96–$76.49	63% below	40%
Mumps immunity blood test CPT 86735 MUMPS IGG AB	$498.60	$831.00	$10.96–$781.97	731% above	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGG_ REF1	$22.14	$36.90	$17.34–$34.72	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGM_REF1	$22.14	$36.90	$17.34–$34.72	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG AB	$498.60	$831.00	$390.57–$781.97	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$127.05	$211.75	$15.45–$199.26	48% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$127.05	$211.75	$99.52–$199.26	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE EXTRA R1	$233.25	$388.75	$34.68–$365.81	14% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTRAOP	$233.25	$388.75	$34.68–$365.81	14% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HOR INTRAOP	$233.25	$388.75	$34.68–$365.81	14% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$273.30	$455.50	$34.68–$428.63	33% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HOR INTRAOP	$233.25	$388.75	$182.71–$365.81	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE EXTRA R1	$233.25	$388.75	$182.71–$365.81	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTRAOP	$233.25	$388.75	$182.71–$365.81	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$273.30	$455.50	$214.09–$428.63	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$130.65	$217.75	$5.05–$204.90	161% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$130.65	$217.75	$102.34–$204.90	—	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$160.50	$267.50	$3.98–$251.72	158% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$160.50	$267.50	$125.73–$251.72	—	40%
Potassium blood test CPT 84132 POC POTASSIUM	$80.70	$134.50	$4.00–$126.56	35% above	40%
Potassium blood test CPT 84132 POTASSIUM	$142.50	$237.50	$4.00–$223.49	138% above	40%
Potassium blood test inpatient CPT 84132 POC POTASSIUM	$80.70	$134.50	$63.22–$126.56	—	40%
Potassium blood test inpatient CPT 84132 POTASSIUM	$142.50	$237.50	$111.63–$223.49	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY R1	$870.00	$1,450.00	$636.99–$4,448.79	at median	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL ANEUPLOIDY SCRN R1	$870.00	$1,450.00	$636.99–$4,448.79	at median	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY R1	$870.00	$1,450.00	$681.50–$1,364.45	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL ANEUPLOIDY SCRN R1	$870.00	$1,450.00	$681.50–$1,364.45	—	40%
Progesterone blood test CPT 84144 PROGESTERONE	$30.75	$51.25	$17.52–$122.26	70% below	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$30.75	$51.25	$24.09–$48.23	—	40%
Prolactin blood test CPT 84146 PROLACTIN REF1	$25.95	$43.25	$16.28–$113.59	76% below	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN REF1	$25.95	$43.25	$20.33–$40.70	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME W/INR	$91.05	$151.75	$3.60–$142.80	98% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME	$105.60	$176.00	$3.60–$165.62	130% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$119.10	$198.50	$3.60–$186.79	159% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME W/INR	$91.05	$151.75	$71.32–$142.80	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME	$105.60	$176.00	$82.72–$165.62	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$119.10	$198.50	$93.30–$186.79	—	40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN	$121.80	$203.00	$13.90–$191.02	31% above	40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN	$121.80	$203.00	$13.90–$191.02	31% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B ANTIGEN	$121.80	$203.00	$95.41–$191.02	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A ANTIGEN	$121.80	$203.00	$95.41–$191.02	—	40%
Renin blood test CPT 84244 RENIN PLASMA ACTIVITY REF1	$102.60	$171.00	$18.47–$160.91	at median	40%
Renin blood test inpatient CPT 84244 RENIN PLASMA ACTIVITY REF1	$102.60	$171.00	$80.37–$160.91	—	40%
Rh blood typing CPT 86901 RH TYPE	$66.00	$110.00	$2.51–$195.93	3% above	40%
Rh blood typing CPT 86901 RH TYPE BY BLD CTR	$84.90	$141.50	$2.51–$195.93	32% above	40%
Rh blood typing inpatient CPT 86901 RH TYPE	$66.00	$110.00	$51.70–$103.51	—	40%
Rh blood typing inpatient CPT 86901 RH TYPE BY BLD CTR	$84.90	$141.50	$66.51–$133.15	—	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN REF1	$21.60	$36.00	$4.76–$33.88	53% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN	$180.45	$300.75	$4.76–$283.01	296% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN REF1	$21.60	$36.00	$16.92–$33.88	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN	$180.45	$300.75	$141.35–$283.01	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG REF1	$22.20	$37.00	$12.09–$84.34	52% below	40%
Rubella antibody test (immunity check) CPT 86762 TORCH - RUBELLA AB IGM 3017749 R1	$23.85	$39.75	$12.09–$84.34	48% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$123.30	$205.50	$12.09–$193.38	168% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG REF1	$22.20	$37.00	$17.39–$34.82	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH - RUBELLA AB IGM 3017749 R1	$23.85	$39.75	$18.68–$37.40	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$123.30	$205.50	$96.59–$193.38	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTO	$84.00	$140.00	$2.27–$131.74	37% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE AUTO	$84.00	$140.00	$65.80–$131.74	—	40%
Sodium blood test CPT 84295 POC SODIUM	$80.70	$134.50	$4.04–$126.56	30% above	40%
Sodium blood test CPT 84295 SODIUM	$135.45	$225.75	$4.04–$212.43	118% above	40%
Sodium blood test inpatient CPT 84295 POC SODIUM	$80.70	$134.50	$63.22–$126.56	—	40%
Sodium blood test inpatient CPT 84295 SODIUM	$135.45	$225.75	$106.10–$212.43	—	40%
Stool ova and parasites exam CPT 87177 O&P EXAM REF1	$64.80	$108.00	$7.48–$101.63	5% below	40%
Stool ova and parasites exam inpatient CPT 87177 O&P EXAM REF1	$64.80	$108.00	$50.76–$101.63	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB REF1	$79.05	$131.75	$11.12–$123.98	79% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB REF1	$79.05	$131.75	$61.92–$123.98	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF REF1	$13.80	$23.00	$3.59–$25.03	66% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$112.65	$187.75	$3.59–$176.67	175% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$127.05	$211.75	$3.59–$199.26	210% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF REF1	$13.80	$23.00	$10.81–$21.64	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$112.65	$187.75	$88.24–$176.67	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$127.05	$211.75	$99.52–$199.26	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB IMMUNE RESPONSE	$115.50	$192.50	$52.06–$363.26	41% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB IMMUNE RESPONSE ASSAY R1	$221.40	$369.00	$52.06–$363.26	12% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB IMMUNE RESPONSE	$115.50	$192.50	$90.48–$181.14	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB IMMUNE RESPONSE ASSAY R1	$221.40	$369.00	$173.43–$347.23	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE ADLT MALE REF1	$31.05	$51.75	$21.68–$151.27	69% below	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE ADLT MALE REF1	$31.05	$51.75	$24.32–$48.70	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB REF1	$34.95	$58.25	$12.22–$85.28	58% below	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB REF1	$34.95	$58.25	$27.38–$54.81	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 3RD GENERATION REF1	$130.35	$217.25	$14.11–$204.43	18% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$324.00	$540.00	$14.11–$508.14	195% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH 3RD GENERATION REF1	$130.35	$217.25	$102.11–$204.43	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$324.00	$540.00	$253.80–$508.14	—	40%
Total IgE blood test CPT 82785 ALLERGENS REGION IGE 10 PNL R1	$12.00	$20.00	$9.40–$96.47	85% below	40%
Total IgE blood test CPT 82785 IGE REF1	$79.05	$131.75	$13.83–$123.98	3% below	40%
Total IgE blood test inpatient CPT 82785 ALLERGENS REGION IGE 10 PNL R1	$12.00	$20.00	$9.40–$18.82	—	40%
Total IgE blood test inpatient CPT 82785 IGE REF1	$79.05	$131.75	$61.92–$123.98	—	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$87.75	$146.25	$3.65–$137.62	57% above	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$87.75	$146.25	$68.74–$137.62	—	40%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE	$110.40	$184.00	$5.77–$173.14	38% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE	$110.40	$184.00	$86.48–$173.14	—	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL REF1	$94.95	$158.25	$11.91–$148.91	24% below	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$188.70	$314.50	$11.91–$295.94	51% above	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL REF1	$94.95	$158.25	$74.38–$148.91	—	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$188.70	$314.50	$147.82–$295.94	—	40%
Transferrin blood test CPT 84466 TRANSFERRIN	$243.00	$405.00	$10.72–$381.11	104% above	40%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$243.00	$405.00	$190.35–$381.11	—	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NAAT	$87.45	$145.75	$29.48–$205.66	at median	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NAAT	$87.45	$145.75	$68.50–$137.15	—	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$265.20	$442.00	$4.82–$415.92	284% above	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$265.20	$442.00	$207.74–$415.92	—	40%
Troponin test, quantitative CPT 84484 HIGH SENSITIVITY TROPONIN I	$88.50	$147.50	$10.47–$138.80	22% below	40%
Troponin test, quantitative CPT 84484 TROPONIN I	$339.75	$566.25	$10.47–$532.84	198% above	40%
Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVITY TROPONIN I	$88.50	$147.50	$69.33–$138.80	—	40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$339.75	$566.25	$266.14–$532.84	—	40%
Uric acid blood test CPT 84550 URIC ACID	$130.65	$217.75	$3.80–$204.90	67% above	40%
Uric acid blood test inpatient CPT 84550 URIC ACID	$130.65	$217.75	$102.34–$204.90	—	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUTINE	$107.85	$179.75	$2.66–$169.14	15% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUTINE	$107.85	$179.75	$84.48–$169.14	—	40%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY UR	$91.35	$152.25	$1.89–$143.27	88% above	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS SCRN W RFLX MICRO	$107.85	$179.75	$1.89–$169.14	122% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY UR	$91.35	$152.25	$71.56–$143.27	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS SCRN W RFLX MICRO	$107.85	$179.75	$84.48–$169.14	—	40%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$210.00	$350.00	$6.78–$329.35	62% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE	$210.00	$350.00	$164.50–$329.35	—	40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE REF1	$51.00	$85.00	$4.86–$79.99	at median	40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE	$159.75	$266.25	$4.86–$250.54	213% above	40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE REF1	$51.00	$85.00	$39.95–$79.99	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM URINE	$159.75	$266.25	$125.14–$250.54	—	40%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$21.15	$35.25	$7.23–$50.46	74% below	40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST UR	$187.20	$312.00	$7.23–$293.59	131% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$21.15	$35.25	$16.57–$33.17	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST UR	$187.20	$312.00	$146.64–$293.59	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 0070150 REF1	$90.75	$151.25	$12.67–$142.33	at median	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$177.60	$296.00	$12.67–$278.54	96% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 0070150 REF1	$90.75	$151.25	$71.09–$142.33	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$177.60	$296.00	$139.12–$278.54	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY REF1	$123.15	$205.25	$24.86–$193.14	3% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$267.15	$445.25	$24.86–$418.98	124% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY REF1	$123.15	$205.25	$96.47–$193.14	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$267.15	$445.25	$209.27–$418.98	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D125-DIHYDROXY 80385 R1	$60.75	$101.25	$32.34–$225.65	61% below	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D125-DIHYDROXY 80385 R1	$60.75	$101.25	$47.59–$95.28	—	40%
Zinc blood test CPT 84630 ZINC REF1	$79.05	$131.75	$9.57–$123.98	16% above	40%
Zinc blood test inpatient CPT 84630 ZINC REF1	$79.05	$131.75	$61.92–$123.98	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG TUMOR MARKER REF1	$32.10	$53.50	$12.64–$88.21	71% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QN	$325.95	$543.25	$12.64–$511.20	190% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG TUMOR MARKER REF1	$32.10	$53.50	$25.15–$50.34	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QN	$325.95	$543.25	$255.33–$511.20	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$442.20	$737.00	$59.25–$1,568.00	21% below	40%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$442.20	$737.00	$346.39–$693.52	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BC BREAST BX STEREO 1ST LESION	$3,497.40	$5,829.00	$486.45–$5,485.09	at median	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BC BREAST BX STEREO 1ST LESION	$3,497.40	$5,829.00	$2,739.63–$5,485.09	—	40%
Colonoscopy with polyp removal CPT 45385 W/BY SNARE (COLON)	$760.95	$1,268.25	$429.26–$8,391.26	42% below	40%
Colonoscopy with polyp removal inpatient CPT 45385 W/BY SNARE (COLON)	$760.95	$1,268.25	$596.08–$1,193.42	—	40%
Colonoscopy with tissue sample CPT 45380 W/BIOPSY (COLON)	$760.95	$1,268.25	$429.26–$8,391.26	47% below	40%
Colonoscopy with tissue sample inpatient CPT 45380 W/BIOPSY (COLON)	$760.95	$1,268.25	$596.08–$1,193.42	—	40%
Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY	$1,818.30	$3,030.50	$328.50–$2,851.70	18% above	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$1,899.00	$3,165.00	$328.50–$6,382.98	23% above	40%
Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY	$1,818.30	$3,030.50	$1,424.34–$2,851.70	—	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY	$1,899.00	$3,165.00	$1,487.55–$2,978.27	—	40%
Cystoscopy with ureteral stent placement CPT 52332 SP URETERAL STENT	$5,257.95	$8,763.25	$1,142.90–$25,222.92	21% above	40%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY W STENT INS	$5,355.90	$8,926.50	$1,142.90–$25,222.92	23% above	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 SP URETERAL STENT	$5,257.95	$8,763.25	$4,118.73–$8,246.22	—	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSCOPY W STENT INS	$5,355.90	$8,926.50	$4,195.46–$8,399.84	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$1,594.35	$2,657.25	$238.15–$14,300.00	41% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$1,594.35	$2,657.25	$1,248.91–$2,500.47	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ ANES CERV/TH EPI W IMG	$1,438.95	$2,398.25	$262.86–$5,222.92	at median	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ ANES CERV/TH EPI W IMG	$1,438.95	$2,398.25	$1,127.18–$2,256.75	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARA FAC JT LUMB/SAC SNG	$1,482.45	$2,470.75	$340.77–$6,785.49	15% below	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARA FAC JT LUMB/SAC SNG	$1,482.45	$2,470.75	$1,161.25–$2,324.98	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY	$1,094.55	$1,824.25	$130.67–$3,076.00	27% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY	$1,094.55	$1,824.25	$857.40–$1,716.62	—	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID BANDING	$890.85	$1,484.75	$163.62–$3,076.00	at median	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID BANDING	$890.85	$1,484.75	$697.83–$1,397.15	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM INJ	$508.50	$847.50	$121.79–$797.50	35% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM INJ	$508.50	$847.50	$398.33–$797.50	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 SP DRN SIMPLE ABS CYST	$467.85	$779.75	$65.06–$733.74	4% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 SP DRN SIMPLE ABS CYST	$467.85	$779.75	$366.48–$733.74	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$441.30	$735.50	$23.54–$1,568.00	10% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$441.30	$735.50	$345.69–$692.11	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SP ARTHROCENTESIS LARGE JNT	$416.40	$694.00	$27.96–$1,568.00	30% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FLUORO ASPIR BURSA JOINT MAJOR	$441.30	$735.50	$27.96–$1,568.00	26% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASPIR/INJ MAJ JNT	$441.30	$735.50	$27.96–$1,568.00	26% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIR LT BURSA JT MAJOR	$441.30	$735.50	$27.96–$1,568.00	26% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIR RT BURSA JT MAJOR	$441.30	$735.50	$27.96–$1,568.00	26% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SP ARTHROCENTESIS LARGE JNT	$416.40	$694.00	$326.18–$653.05	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASPIR/INJ MAJ JNT	$441.30	$735.50	$345.69–$692.11	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 FLUORO ASPIR BURSA JOINT MAJOR	$441.30	$735.50	$345.69–$692.11	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASPIR RT BURSA JT MAJOR	$441.30	$735.50	$345.69–$692.11	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASPIR LT BURSA JT MAJOR	$441.30	$735.50	$345.69–$692.11	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MED JOINT	$926.10	$1,543.50	$23.54–$1,568.00	57% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESISMED JOINT	$926.10	$1,543.50	$23.54–$1,452.43	57% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS MED JOINT	$926.10	$1,543.50	$725.45–$1,452.43	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHROCENTESISMED JOINT	$926.10	$1,543.50	$725.45–$1,452.43	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 LAC INTRM (<1")	$449.25	$748.75	$143.08–$704.57	15% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 LAC INTRM (<1")	$449.25	$748.75	$351.91–$704.57	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,001.25	$1,668.75	$262.86–$5,222.92	40% below	40%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ ANES LUM/SAC EPI W IMG	$1,001.25	$1,668.75	$262.86–$5,222.92	40% below	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ ANES LUM/SAC EPI W IMG	$1,001.25	$1,668.75	$784.31–$1,570.29	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,001.25	$1,668.75	$784.31–$1,570.29	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ ANES LUM/SAC EPI W/O IMG	$1,001.25	$1,668.75	$262.86–$5,222.92	19% below	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ ANES LUM/SAC EPI W/O IMG	$1,001.25	$1,668.75	$784.31–$1,570.29	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TFRML EPI INJ LUMBAR/SACRAL 1 LEVEL	$1,482.45	$2,470.75	$340.77–$6,785.49	1% above	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TFRML EPI INJ LUMBAR/SACRAL 1 LEVEL	$1,482.45	$2,470.75	$1,161.25–$2,324.98	—	40%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGT GT OCCIP NRV	$427.05	$711.75	$30.18–$1,568.00	at median	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGT GT OCCIP NRV	$427.05	$711.75	$334.52–$669.76	—	40%
Prostate biopsy CPT 55700 BX PROSTATE SNG/MULT	$3,009.45	$5,015.75	$652.80–$14,803.07	15% above	40%
Prostate biopsy inpatient CPT 55700 BX PROSTATE SNG/MULT	$3,009.45	$5,015.75	$2,357.40–$4,719.82	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTRCT FACET NRV L/S 1LV W/IG	$3,138.15	$5,230.25	$659.94–$14,366.89	12% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTRCT FACET NRV L/S 1LV W/IG	$3,138.15	$5,230.25	$2,458.22–$4,921.67	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY	$18,406.05	$30,676.75	$1,142.90–$28,866.82	165% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY	$18,406.05	$30,676.75	$14,418.07–$28,866.82	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 LAC-SIMP (<1")	$312.90	$521.50	$74.94–$490.73	14% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 LAC-SIMP (<1")	$312.90	$521.50	$245.11–$490.73	—	40%
Skin biopsy, punch, one lesion CPT 11104 BX PUNCH SKIN SINGLE LES	$458.25	$763.75	$79.46–$718.69	4% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX PUNCH SKIN SINGLE LES	$458.25	$763.75	$358.96–$718.69	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$1,045.65	$1,742.75	$262.86–$1,639.93	at median	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE INJ	$1,045.65	$1,742.75	$262.86–$5,222.92	at median	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$1,045.65	$1,742.75	$819.09–$1,639.93	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE INJ	$1,045.65	$1,742.75	$819.09–$1,639.93	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 LAC-SMP-EENT/MM (<1")	$312.90	$521.50	$74.94–$490.73	20% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 LAC-SMP-EENT/MM (<1")	$312.90	$521.50	$245.11–$490.73	—	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGING	$938.70	$1,564.50	$223.75–$5,268.54	33% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WITH IMAGING	$938.70	$1,564.50	$735.32–$1,472.19	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PNT 1/2 MUSC GRP	$441.30	$735.50	$23.26–$1,568.00	at median	40%
Trigger point injections, 1 or 2 muscles CPT 20552 US INJ TRIG PNT 1/2 MUSC GRP	$441.30	$735.50	$23.26–$1,568.00	at median	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PNT 1/2 MUSC GRP	$441.30	$735.50	$345.69–$692.11	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 US INJ TRIG PNT 1/2 MUSC GRP	$441.30	$735.50	$345.69–$692.11	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 ENDOSCOPY W BX (EGD)	$731.70	$1,219.50	$334.95–$6,567.15	38% below	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ENDOSCOPY W BX (EGD)	$731.70	$1,219.50	$573.17–$1,147.55	—	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 W/SUBMUCOSAL INJECTIONS (EGD)	$731.70	$1,219.50	$334.95–$6,567.15	at median	40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 W/SUBMUCOSAL INJECTIONS (EGD)	$731.70	$1,219.50	$573.17–$1,147.55	—	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 W/RMVL BY SNARE (EGD)	$1,138.20	$1,897.00	$564.97–$13,013.63	at median	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 W/RMVL BY SNARE (EGD)	$1,138.20	$1,897.00	$891.59–$1,785.08	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,824.75	$3,041.25	$334.95–$6,567.15	25% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$1,824.75	$3,041.25	$1,429.39–$2,861.82	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$18,681.30	$31,135.50	$1,689.43–$35,359.42	151% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$18,681.30	$31,135.50	$14,633.69–$29,298.51	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRID SKN & SUBCU TIS	$1,115.25	$1,858.75	$171.51–$1,749.08	10% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRID SKN & SUBCU TIS	$1,115.25	$1,858.75	$873.61–$1,749.08	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRANSFUSION LESS 2 HRS	$761.40	$1,269.00	$30.73–$2,135.00	at median	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRANSFUSION 2 TO 4 HRS	$1,176.60	$1,961.00	$30.73–$2,135.00	54% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRANSFUSION 4 TO 6 HRS	$1,568.55	$2,614.25	$30.73–$2,460.01	105% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRANSFUSION MORE THAN 6 HRS	$2,352.15	$3,920.25	$30.73–$3,688.96	207% above	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRANSFUSION LESS 2 HRS	$761.40	$1,269.00	$596.43–$1,194.13	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRANSFUSION 2 TO 4 HRS	$1,176.60	$1,961.00	$921.67–$1,845.30	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRANSFUSION 4 TO 6 HRS	$1,568.55	$2,614.25	$1,228.70–$2,460.01	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRANSFUSION MORE THAN 6 HRS	$2,352.15	$3,920.25	$1,842.52–$3,688.96	—	40%
Critical care, first 30 to 74 minutes CPT 99291 LVL-6 CRITICAL CARE-1ST 30-74M	$1,929.60	$3,216.00	$462.14–$45,861.00	24% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LVL-6 CRITICAL CARE-1ST 30-74M	$1,929.60	$3,216.00	$1,511.52–$3,026.26	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W O INTERP	$205.35	$342.25	$49.18–$438.00	24% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W O INTERP	$205.35	$342.25	$160.86–$322.06	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERG DEPT LV 1	$184.50	$307.50	$44.19–$1,564.00	21% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERG DEPT LV 1	$184.50	$307.50	$144.53–$289.36	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERG DEPT LV 2	$298.65	$497.75	$71.53–$5,556.00	31% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERG DEPT LV 2	$298.65	$497.75	$233.94–$468.38	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERG DEPT LV 3	$579.15	$965.25	$138.71–$9,653.00	25% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERG DEPT LV 3	$579.15	$965.25	$453.67–$908.30	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERG DEPT LV 4	$845.10	$1,408.50	$202.40–$24,138.00	35% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERG DEPT LV 4	$845.10	$1,408.50	$662.00–$1,325.40	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERG DEPT LV 5	$1,591.20	$2,652.00	$381.09–$45,861.00	10% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERG DEPT LV 5	$1,591.20	$2,652.00	$1,246.44–$2,495.53	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDR INTL31M TO 1HR	$449.55	$749.25	$56.57–$1,399.00	3% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV HYDR INTL31M TO 1HR	$449.55	$749.25	$352.15–$705.04	—	40%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF INITIAL 1ST HR	$449.55	$749.25	$106.80–$1,399.00	at median	40%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INF INITIAL 1ST HR	$449.55	$749.25	$352.15–$705.04	—	40%
IV push of a medicine, first drug CPT 96374 96374 INJ IV PUSH SNGL/INTL	$192.15	$320.25	$46.02–$301.36	16% below	40%
IV push of a medicine, first drug CPT 96374 96374 INJ IV PUSH SNGL AND INTL	$192.15	$320.25	$46.02–$1,399.00	16% below	40%
IV push of a medicine, first drug inpatient CPT 96374 96374 INJ IV PUSH SNGL/INTL	$192.15	$320.25	$150.52–$301.36	—	40%
IV push of a medicine, first drug inpatient CPT 96374 96374 INJ IV PUSH SNGL AND INTL	$192.15	$320.25	$150.52–$301.36	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ SUBQ/IM	$146.85	$244.75	$35.17–$230.31	at median	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ SUBQ OR IM	$146.85	$244.75	$35.17–$1,399.00	at median	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ SUBQ/IM	$146.85	$244.75	$115.03–$230.31	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ SUBQ OR IM	$146.85	$244.75	$115.03–$230.31	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND STUDY 7-8 STUDIES	$233.40	$389.00	$55.90–$1,021.00	68% below	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE COND STUDY 7-8 STUDIES	$233.40	$389.00	$182.83–$366.05	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE ED 15M	$113.70	$189.50	$27.23–$401.00	1% above	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE ED 15M	$113.70	$189.50	$89.07–$178.32	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 INITIAL EVAL HIGH COMP LEVEL 1	$123.90	$206.50	$29.67–$710.26	57% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 INITIAL EVAL HIGH COMP LEVEL 3	$246.00	$410.00	$58.92–$710.26	15% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 INITIAL EVAL HIGH COMP LEVEL 1	$123.90	$206.50	$97.06–$194.32	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 INITIAL EVAL HIGH COMP LEVEL 3	$246.00	$410.00	$192.70–$385.81	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 INITIAL EVAL LOW COMP LEVEL 1	$123.90	$206.50	$29.67–$710.26	39% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 INITIAL EVAL LOW COMP LEVEL 2	$164.55	$274.25	$39.41–$710.26	19% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 INITIAL EVAL LOW COMP LEVEL 1	$123.90	$206.50	$97.06–$194.32	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 INITIAL EVAL LOW COMP LEVEL 2	$164.55	$274.25	$128.90–$258.07	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 INITIAL EVAL MOD COMP LEVEL 1	$123.90	$206.50	$29.67–$710.26	49% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 INITIAL EVAL MOD COMP LEVEL 2	$169.80	$283.00	$40.67–$710.26	30% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 INITIAL EVAL MOD COMP LEVEL 1	$123.90	$206.50	$97.06–$194.32	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 INITIAL EVAL MOD COMP LEVEL 2	$169.80	$283.00	$133.01–$266.30	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M	$110.70	$184.50	$26.44–$401.00	at median	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15M	$110.70	$184.50	$86.72–$173.61	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB	$167.70	$279.50	$40.16–$895.35	25% below	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEB	$167.70	$279.50	$131.37–$263.01	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML INTRAMUSC SUSP [9189]	$60.63	$101.05	$14.52–$257.57	33% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML INTRAMUSC SYRG [95610]	$66.90	$111.49	$16.02–$257.57	26% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML INTRAMUSC SUSP [96430]	$68.19	$113.65	$16.33–$257.57	24% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML INTRAMUSC SUSP [9189]	$60.63	$101.05	$34.94–$95.09	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML INTRAMUSC SYRG [95610]	$66.90	$111.49	$38.55–$104.91	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML INTRAMUSC SUSP [96430]	$68.19	$113.65	$39.30–$106.94	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT(A)-TET-POLIO-HIB (PF) 15 LF UNIT-20 MCG-5 LF/0.5 ML INTRAMUSC KIT [97177]	$221.24	$368.73	$52.99–$1,047.41	21% below	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIP-PERT(A)-TET-POLIO-HIB (PF) 15 LF UNIT-20 MCG-5 LF/0.5 ML INTRAMUSC KIT [97177]	$221.24	$368.73	$127.51–$346.97	—	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSC SYRG [91780]	$183.04	$305.06	$43.84–$625.39	1% below	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSC SUSP [96822]	$186.01	$310.01	$44.55–$625.39	at median	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSC SYRG [91417]	$192.15	$320.25	$46.02–$625.39	3% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSC SYRG [91780]	$183.04	$305.06	$105.49–$287.06	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSC SUSP [96822]	$186.01	$310.01	$107.20–$291.72	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSC SYRG [91417]	$192.15	$320.25	$110.74–$301.36	—	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML INTRAMUSC SYRG [89581]	$93.90	$156.49	$22.49–$355.81	at median	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML INTRAMUSC SYRG [89581]	$93.90	$156.49	$54.11–$147.26	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/ML INTRAMUSC SUSP [96824]	$152.78	$254.63	$36.59–$529.85	9% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML INTRAMUSC SYRG [90931]	$160.86	$268.09	$38.52–$529.85	5% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML INTRAMUSC SUSP [92968]	$160.86	$268.09	$38.52–$529.85	5% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/ML INTRAMUSC SUSP [96824]	$152.78	$254.63	$88.05–$239.61	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML INTRAMUSC SUSP [92968]	$160.86	$268.09	$92.71–$252.27	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML INTRAMUSC SYRG [90931]	$160.86	$268.09	$92.71–$252.27	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 5 MCG/0.5 ML INTRAMUSC SUSP [96825]	$66.45	$110.74	$15.91–$212.59	21% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML INTRAMUSC SYRG [91235]	$69.74	$116.22	$16.70–$212.59	17% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 5 MCG/0.5 ML INTRAMUSC SUSP [96825]	$66.45	$110.74	$38.29–$104.21	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML INTRAMUSC SYRG [91235]	$69.74	$116.22	$40.19–$109.36	—	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMPH B POLYSAC CONJ-MENIN PF 7.5 MCG/0.5 ML INTRAMUSC SOLN [96316]	$72.98	$121.63	$17.48–$273.03	at median	40%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMPH B POLYSAC CONJ-MENIN PF 7.5 MCG/0.5 ML INTRAMUSC SOLN [96316]	$72.98	$121.63	$42.06–$114.45	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML INTRAMUSC SOLR [96226]	$33.30	$55.50	$7.98–$118.17	29% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML INTRAMUSC SOLR [96226]	$33.30	$55.50	$19.19–$52.23	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGHDOSE QUAD 23-24 PF 240 MCG/0.7 ML INTRAMUSC SYRG [157414]	$149.21	$248.68	$35.74–$401.63	at median	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGHDOSE QUAD 23-24 PF 240 MCG/0.7 ML INTRAMUSC SYRG [157414]	$149.21	$248.68	$85.99–$234.01	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLR [96729]	$194.93	$324.88	$46.69–$654.26	18% below	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLR [96729]	$194.93	$324.88	$112.34–$305.71	—	40%
Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS B,LIPID FHBP RC 120 MCG/0.5 ML INTRAMUSC SYRG [127525]	$409.35	$682.24	$98.04–$1,520.09	45% below	40%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS B,LIPID FHBP RC 120 MCG/0.5 ML INTRAMUSC SYRG [127525]	$409.35	$682.24	$235.92–$641.99	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [105422]	$487.47	$812.45	$116.75–$1,720.86	at median	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [105422]	$487.47	$812.45	$280.95–$764.52	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]	$563.36	$938.92	$134.92–$2,308.26	at median	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML INTRAMUSC SYRG [151102]	$563.36	$938.92	$324.68–$883.52	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJECTION SOLN [19801]	$252.90	$421.49	$60.57–$1,091.55	at median	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJECTION SYRG [25379]	$252.90	$421.49	$60.57–$1,091.55	at median	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJECTION SOLN [19801]	$252.90	$421.49	$145.75–$396.62	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJECTION SYRG [25379]	$252.90	$421.49	$145.75–$396.62	—	40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777]	$980.10	$1,633.50	$234.73–$5,121.77	at median	40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSC SYRG [157777]	$980.10	$1,633.50	$564.86–$1,537.12	—	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSC SYRG [157776]	$980.10	$1,633.50	$234.73–$5,121.77	at median	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSC SYRG [157776]	$980.10	$1,633.50	$564.86–$1,537.12	—	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]	$637.20	$1,062.00	$152.61–$2,025.27	at median	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML INTRAMUSC SOLR [157495]	$637.20	$1,062.00	$367.24–$999.34	—	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT INTRAMUSC SUSR [24855]	$818.73	$1,364.54	$196.08–$2,757.47	20% below	40%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSC SOLR [96691]	$858.95	$1,431.57	$205.72–$2,757.47	16% below	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT INTRAMUSC SUSR [24855]	$818.73	$1,364.54	$471.86–$1,284.03	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSC SOLR [96691]	$858.95	$1,431.57	$495.04–$1,347.11	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTA 2 ML ORAL SOLN [79990]	$102.83	$171.38	$24.63–$920.96	at median	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTA 2 ML ORAL SOLN [79990]	$102.83	$171.38	$59.26–$161.27	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML INTRAMUSC SUSP [31383]	$70.53	$117.54	$16.89–$172.64	36% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML INTRAMUSC SYRG [96452]	$89.72	$149.53	$21.49–$172.64	18% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML INTRAMUSC SUSP [96453]	$89.72	$149.52	$21.49–$172.64	18% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML INTRAMUSC SUSP [31383]	$70.53	$117.54	$40.65–$110.61	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML INTRAMUSC SUSP [96453]	$89.72	$149.52	$51.70–$140.70	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML INTRAMUSC SYRG [96452]	$89.72	$149.53	$51.71–$140.71	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INTRAMUSC SUSP [38658]	$105.64	$176.06	$25.30–$368.01	19% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INTRAMUSC SYRG [38657]	$105.64	$176.06	$25.30–$368.01	19% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML INTRAMUSC SUSP [96454]	$106.66	$177.76	$25.54–$368.01	18% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INTRAMUSC SYRG [38657]	$105.64	$176.06	$60.88–$165.67	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML INTRAMUSC SUSP [38658]	$105.64	$176.06	$60.88–$165.67	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML INTRAMUSC SUSP [96454]	$106.66	$177.76	$61.47–$167.27	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA ADMIN	$109.20	$182.00	$25.00–$496.58	48% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNZ ADMN	$113.70	$189.50	$25.00–$496.58	54% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA ADMIN	$109.20	$182.00	$85.54–$171.26	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNZ ADMN	$113.70	$189.50	$89.07–$178.32	—	40%

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://sthpiprd.blob.core.windows.net/machine-readable-files/13788/481281376_physicians-medical-center-llc_standardcharges.csv