Northern Cochise Community Hospital
Northern Cochise Community Hospital in Willcox, AZ publishes cash prices for 353 common procedures listed here, from its own machine-readable price file updated Jul 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 237 of 350 procedures and above it for 109. By typical cash price it ranks #24 of 53 Arizona hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
900 Scott St, Willcox, AZ 85643 Collected Sep 23, 2026 Source price file Check a bill from this hospital (520) 384-3541
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 031302 · CMS hospital register NPI 1013060367
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Northern Cochise Community Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO/W CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 30% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD WO/W CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 XR ABD COMPLETE | $142.20 | $237.00 | $78.21–$213.30 | 34% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD COMPLETE | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE MIN 3 VWS | $142.20 | $237.00 | $58.65–$213.30 | 8% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE MIN 3 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI | $214.20 | $357.00 | $81.16–$321.30 | 43% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI | $214.20 | $357.00 | $214.20–$321.30 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UP EXT W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 28% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UP EXT W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RAD ESOPHAGUS | $210.84 | $351.40 | $115.96–$316.26 | 42% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RAD ESOPHAGUS | $210.84 | $351.40 | $210.84–$316.26 | — | 40% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI COMP | $216.00 | $360.00 | $79.00–$324.00 | 14% below | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI COMP | $216.00 | $360.00 | $216.00–$324.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI | $216.00 | $360.00 | $58.65–$324.00 | 5% above | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI | $216.00 | $360.00 | $216.00–$324.00 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL WO/W | $814.80 | $1,358.00 | $241.82–$1,222.20 | 51% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PEL WO/W | $814.80 | $1,358.00 | $814.80–$1,222.20 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 8% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 8% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST N/COR | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 18% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST N/COR | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY ART | $555.00 | $925.00 | $129.45–$832.50 | 33% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY ART | $555.00 | $925.00 | $555.00–$832.50 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORE | $29.40 | $49.00 | $16.17–$58.65 | 91% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE | $60.00 | $100.00 | $33.00–$90.00 | 82% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORE | $29.40 | $49.00 | $29.40–$44.10 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE | $60.00 | $100.00 | $60.00–$90.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONT | $666.00 | $1,110.00 | $166.84–$999.00 | 49% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONT | $1,081.20 | $1,802.00 | $241.82–$1,621.80 | 47% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV W/CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/WO CT | $1,081.20 | $1,802.00 | $241.82–$1,621.80 | 54% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W/WO CT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 14% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 24% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXOFAC W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 17% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXOFAC W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRN W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 28% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRN W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRN W/CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 8% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRN W/CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRN WO/W CON | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 24% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRN WO/W CON | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LSPINE W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 41% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LSPINE W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CSPINE W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 41% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CSPINE W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 3% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DUP EXTCRN ART BI | $360.00 | $600.00 | $166.84–$540.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US DUP EXTCRN ART BI | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX WO/W CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 21% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WO/W CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 19% below | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST/W DECUBS | $142.20 | $237.00 | $58.65–$213.30 | 19% below | 40% |
| Chest X-ray, 2 views CPT 71046 RAD COUNTY CHEST 2VW | $198.00 | $330.00 | $58.65–$297.00 | 13% above | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST/W DECUBS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 RAD COUNTY CHEST 2VW | $198.00 | $330.00 | $198.00–$297.00 | — | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VW | $142.20 | $237.00 | $58.65–$213.30 | 26% above | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VW | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE COMP 2 V | $142.20 | $237.00 | $58.65–$213.30 | 26% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE COMP 2 V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERI COMP | $360.00 | $600.00 | $79.00–$540.00 | 15% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERI COMP | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIEL SKELETON | $315.00 | $525.00 | $79.00–$472.50 | 3% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIEL SKELETON | $315.00 | $525.00 | $315.00–$472.50 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPENDICULAR | $205.80 | $343.00 | $58.65–$308.70 | at median | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CT BONE DEN PERI W/H | $252.03 | $420.04 | $58.65–$378.04 | 22% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPENDICULAR | $205.80 | $343.00 | $205.80–$308.70 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 CT BONE DEN PERI W/H | $252.03 | $420.04 | $252.02–$378.04 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DET SNGLE FETU | $367.59 | $612.64 | $166.84–$551.38 | 5% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DET SNGLE FETU | $367.59 | $612.64 | $367.58–$551.38 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 25% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 13% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO DIAG BILAT | $264.00 | $440.00 | $145.20–$396.00 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA MAMMO DIAG BILAT | $264.00 | $440.00 | $264.00–$396.00 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIAG UNILAT | $205.80 | $343.00 | $113.19–$308.70 | 18% below | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAMMO DIAG UNILAT | $205.80 | $343.00 | $205.80–$308.70 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUP LWR EX ART BI | $360.00 | $600.00 | $166.84–$540.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUP LWR EX ART BI | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUP EXT VNS BILAT | $360.00 | $600.00 | $166.84–$540.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US EXTR VNS COMP BIL | $304.20 | $507.00 | $166.84–$456.30 | 63% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUP EXT VNS BILAT | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXTR VNS COMP BIL | $304.20 | $507.00 | $304.20–$456.30 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO W/DOPP/ SPEC | $976.80 | $1,628.00 | $350.10–$1,465.20 | 3% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO W/DOPP/ SPEC | $976.80 | $1,628.00 | $976.80–$3,456.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Swing Bed | $976.80 | $1,628.00 | $976.80–$3,456.00 | — | 40% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 25% below | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW MIN 3 VWS | $142.20 | $237.00 | $58.65–$213.30 | 1% above | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW MIN 3 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR W/O CON | $666.00 | $1,110.00 | $79.00–$999.00 | 27% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR W/O CON | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL COMP MIN 3 | $236.40 | $394.00 | $79.00–$354.60 | 7% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL COMP MIN 3 | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 18% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Hand X-ray, 2 views CPT 73120 XR HAND 2 VWS | $142.20 | $237.00 | $78.21–$213.30 | 26% above | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEOUS MIN 2 | $142.20 | $237.00 | $58.65–$213.30 | 18% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEOUS MIN 2 | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM SLEEP CPAP | $1,996.50 | $3,327.50 | $666.87–$2,994.75 | 36% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM SLEEP CPAP | $1,996.50 | $3,327.50 | $1,996.50–$2,994.75 | — | 40% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VWS | $142.20 | $237.00 | $58.65–$213.30 | 31% below | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE COMP 4 VWS | $236.40 | $394.00 | $79.00–$354.60 | 14% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE COMP 4 VWS | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LWR EXT W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 38% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LWR EXT W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD | $360.00 | $600.00 | $79.00–$540.00 | 8% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMEITY LTD | $250.20 | $417.00 | $79.00–$375.30 | 29% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMEITY LTD | $250.20 | $417.00 | $250.20–$375.30 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREE | $139.20 | $232.00 | $76.56–$208.80 | at median | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREE | $139.20 | $232.00 | $139.20–$208.80 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIB/FIB 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 12% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIB/FIB 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 44% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI L EXT JT W/O CON | $640.80 | $1,068.00 | $166.84–$961.20 | 57% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI L EXT JT W/O CON | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI L EXT JT WO/W CN | $1,065.00 | $1,775.00 | $266.89–$1,597.50 | 49% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI L EXT JT WO/W CN | $1,065.00 | $1,775.00 | $1,065.00–$1,597.50 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 43% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WO/W CONT | $1,065.00 | $1,775.00 | $266.89–$1,597.50 | 52% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD WO/W CONT | $1,065.00 | $1,775.00 | $1,065.00–$1,597.50 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 51% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONT | $1,065.00 | $1,775.00 | $266.89–$1,597.50 | 43% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONT | $1,065.00 | $1,775.00 | $1,065.00–$1,597.50 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LSPINE W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 63% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LSPINE W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LSPINE WO/W CONT | $1,065.00 | $1,775.00 | $266.89–$1,597.50 | 57% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LSPINE WO/W CONT | $1,065.00 | $1,775.00 | $1,065.00–$1,597.50 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI TSPINE W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 65% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI TSPINE W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CSPINE WO/W CONT | $1,065.00 | $1,775.00 | $266.89–$1,597.50 | 52% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CSPINE WO/W CONT | $1,065.00 | $1,775.00 | $1,065.00–$1,597.50 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CSPINE W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 56% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CSPINE W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONT | $1,065.00 | $1,775.00 | $266.89–$1,597.50 | 46% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CONT | $1,065.00 | $1,775.00 | $1,065.00–$1,597.50 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $640.80 | $1,068.00 | $166.84–$961.20 | 49% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI U EXT JT W/O CON | $640.80 | $1,068.00 | $166.84–$961.20 | 56% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI U EXT JT W/O CON | $640.80 | $1,068.00 | $640.80–$961.20 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL 4-5 VW | $236.40 | $394.00 | $79.00–$354.60 | 15% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL 4-5 VW | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT NECK W/CONT | $1,081.20 | $1,802.00 | $129.45–$1,621.80 | 10% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT NECK W/CONT | $1,081.20 | $1,802.00 | $1,081.20–$1,621.80 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT NECK W/O CON | $666.00 | $1,110.00 | $79.00–$999.00 | 26% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT NECK W/O CON | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Neck soft tissue X-ray CPT 70360 XR SOFT TISSUE NECK | $142.20 | $237.00 | $58.65–$213.30 | 20% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 XR SOFT TISSUE NECK | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 37% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PEL NONOB LMT FWU | $150.00 | $250.00 | $79.00–$225.00 | 53% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLAD/PELV LTD | $216.00 | $360.00 | $79.00–$324.00 | 33% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PEL NONOB LMT FWU | $150.00 | $250.00 | $150.00–$225.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLAD/PELV LTD | $216.00 | $360.00 | $216.00–$324.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELV NONOB COMP | $360.00 | $600.00 | $79.00–$540.00 | 13% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELV NONOB COMP | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER >=14 WK | $360.00 | $600.00 | $79.00–$540.00 | 14% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTER >=14 WK | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14WKS,S FETUS | $360.00 | $600.00 | $79.00–$540.00 | 7% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14WKS,S FETUS | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTER LTD | $360.00 | $600.00 | $79.00–$540.00 | 13% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG UTER LTD | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Rib X-ray, one side, 2 views CPT 71100 XR RIBS UNI 2 VIEW | $142.20 | $237.00 | $58.65–$213.30 | at median | 40% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 XR RIBS UNI 2 VIEW | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS UNI W/PA CXR | $236.40 | $394.00 | $79.00–$354.60 | 22% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS UNI W/PA CXR | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN BIL | $102.60 | $171.00 | $56.43–$153.90 | 42% below | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN BIL | $102.60 | $171.00 | $102.60–$153.90 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER MIN 2 V | $142.20 | $237.00 | $58.65–$213.30 | 10% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER MIN 2 V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SIN/PARANAS 3V | $142.20 | $237.00 | $58.65–$213.30 | 16% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SIN/PARANAS 3V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL< 3 VWS LTD | $236.40 | $394.00 | $79.00–$354.60 | 6% above | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL< 3 VWS LTD | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM ATTEND TECH | $1,996.50 | $3,327.50 | $666.87–$2,994.75 | 28% below | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM ATTEND TECH | $1,996.50 | $3,327.50 | $1,996.50–$2,994.75 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 21% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT TSPINE W/O CONT | $666.00 | $1,110.00 | $79.00–$999.00 | 41% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT TSPINE W/O CONT | $666.00 | $1,110.00 | $666.00–$999.00 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 XR TOES MIN 2 VW | $142.20 | $237.00 | $58.65–$213.30 | 34% above | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES MIN 2 VW | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $360.00 | $600.00 | $79.00–$540.00 | 4% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAG,OBSTETIC | $183.00 | $305.00 | $79.00–$274.50 | 48% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAG,OBSTETIC | $183.00 | $305.00 | $183.00–$274.50 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMP | $360.00 | $600.00 | $79.00–$540.00 | 29% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMP | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENT | $360.00 | $600.00 | $79.00–$540.00 | 6% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENT | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TIS HEAD/NEC | $360.00 | $600.00 | $79.00–$540.00 | 9% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $360.00 | $600.00 | $79.00–$540.00 | 9% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TIS HEAD/NEC | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS MIN 2 VW | $142.20 | $237.00 | $58.65–$213.30 | 36% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS MIN 2 VW | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP SCAN EXT UNILATE | $234.65 | $391.08 | $79.00–$351.97 | 43% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUP EXT VNS UNI | $360.00 | $600.00 | $79.00–$540.00 | 13% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP SCAN EXT UNILATE | $234.65 | $391.08 | $234.65–$351.97 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUP EXT VNS UNI | $360.00 | $600.00 | $360.00–$540.00 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 8% below | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST COMP MIN 3V | $142.20 | $237.00 | $58.65–$213.30 | 35% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST COMP MIN 3V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP COMP MIN 2 V | $142.20 | $237.00 | $58.65–$213.30 | 42% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP COMP MIN 2 V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR SITZMARK PROCED | $142.20 | $237.00 | $58.65–$213.30 | 26% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP 1 VW | $142.20 | $237.00 | $58.65–$213.30 | 26% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR SITZMARK PROCED | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP 1 VW | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 2% below | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS MIN 2 VW | $142.20 | $237.00 | $58.65–$213.30 | 30% above | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGERS MIN 2 VW | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 55% above | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT MIN 3 VWS | $142.20 | $237.00 | $58.65–$213.30 | 22% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT MIN 3 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3 VWS | $142.20 | $237.00 | $58.65–$213.30 | 30% below | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND MIN 3 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 VWS | $142.20 | $237.00 | $58.65–$213.30 | 8% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 VWS | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR 2-3 VWS | $236.40 | $394.00 | $79.00–$354.60 | 23% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR 2-3 VWS | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBOSAC MIN 4 V | $236.40 | $394.00 | $79.00–$354.60 | 30% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBOSAC MIN 4 V | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC 2 VWS | $236.40 | $394.00 | $79.00–$354.60 | 4% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC 2 VWS | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3V | $142.20 | $237.00 | $58.65–$213.30 | 28% above | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERV AP/LAT 2-3 | $236.40 | $394.00 | $58.65–$354.60 | 9% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERV AP/LAT 2-3 | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 V | $236.40 | $394.00 | $79.00–$354.60 | 25% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 V | $236.40 | $394.00 | $236.40–$354.60 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUMCOC MIN 2 V | $142.20 | $237.00 | $58.65–$213.30 | 11% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUMCOC MIN 2 V | $142.20 | $237.00 | $142.20–$213.30 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH ADRENOCORTICOTR | $158.40 | $264.00 | $38.62–$237.60 | 87% above | 40% |
| ACTH blood test inpatient CPT 82024 ACTH ADRENOCORTICOTR | $158.40 | $264.00 | $158.40–$237.60 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $15.00 | $25.00 | $5.30–$22.50 | 37% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $15.00 | $25.00 | $15.00–$22.50 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $14.40 | $24.00 | $5.18–$21.60 | 46% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $135.00 | $225.00 | $47.63–$202.50 | 42% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $135.00 | $225.00 | $135.00–$202.50 | — | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $13.80 | $23.00 | $4.95–$20.70 | 6% below | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $13.80 | $23.00 | $13.80–$20.70 | — | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE | $115.80 | $193.00 | $40.75–$173.70 | 37% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $166.20 | $277.00 | $40.75–$249.30 | 96% above | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE | $115.80 | $193.00 | $115.80–$173.70 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $166.20 | $277.00 | $166.20–$249.30 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE, ALKALIN | $53.40 | $89.00 | $5.18–$80.10 | 220% above | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE, ALKALIN | $53.40 | $89.00 | $53.40–$80.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COWS MILK IGE | $17.40 | $29.00 | $5.22–$26.10 | 47% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC FOOD ALLE | $45.00 | $75.00 | $5.22–$67.50 | 281% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IG E | $46.80 | $78.00 | $5.22–$70.20 | 296% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK PANEL | $97.80 | $163.00 | $5.22–$146.70 | 727% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL | $156.00 | $260.00 | $5.22–$234.00 | 1220% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ABPA PANEL | $304.20 | $507.00 | $5.22–$456.30 | 2474% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMPREHENSIVE ALLER | $453.60 | $756.00 | $5.22–$680.40 | 3738% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BASIC FOOD | $528.60 | $881.00 | $5.22–$792.90 | 4372% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ZONE 16 | $529.20 | $882.00 | $5.22–$793.80 | 4377% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGY TEST | $563.40 | $939.00 | $5.22–$845.10 | 4666% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COWS MILK IGE | $17.40 | $29.00 | $17.40–$26.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC FOOD ALLE | $45.00 | $75.00 | $45.00–$67.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IG E | $46.80 | $78.00 | $46.80–$70.20 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK PANEL | $97.80 | $163.00 | $97.80–$146.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL | $156.00 | $260.00 | $156.00–$234.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ABPA PANEL | $304.20 | $507.00 | $304.20–$456.30 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMPREHENSIVE ALLER | $453.60 | $756.00 | $453.60–$680.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BASIC FOOD | $528.60 | $881.00 | $528.60–$792.90 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ZONE 16 | $529.20 | $882.00 | $529.20–$793.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGY TEST | $563.40 | $939.00 | $563.40–$845.10 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN | $47.40 | $79.00 | $16.77–$71.10 | 20% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 QUAD SCRN 2ND TRI | $222.60 | $371.00 | $16.77–$333.90 | 463% above | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN | $47.40 | $79.00 | $47.40–$71.10 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 QUAD SCRN 2ND TRI | $222.60 | $371.00 | $222.60–$333.90 | — | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $41.40 | $69.00 | $14.57–$62.10 | 37% below | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $41.40 | $69.00 | $41.40–$62.10 | — | 40% |
| Amylase blood test CPT 82150 AMYLASE | $18.60 | $31.00 | $6.48–$27.90 | 43% above | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $18.60 | $31.00 | $18.60–$27.90 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $37.20 | $62.00 | $12.95–$55.80 | 27% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP | $38.40 | $64.00 | $12.95–$57.60 | 31% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $37.20 | $62.00 | $37.20–$55.80 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP | $38.40 | $64.00 | $38.40–$57.60 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASACADING REFLE | $34.20 | $57.00 | $12.09–$51.30 | 25% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $47.40 | $79.00 | $12.09–$71.10 | 73% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B AB | $51.00 | $85.00 | $12.09–$76.50 | 86% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CASACADING REFLE | $34.20 | $57.00 | $34.20–$51.30 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $47.40 | $79.00 | $47.40–$71.10 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B AB | $51.00 | $85.00 | $51.00–$76.50 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP STAT | $96.60 | $161.00 | $39.26–$144.90 | 25% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $96.60 | $161.00 | $39.26–$144.90 | 25% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP STAT | $96.60 | $161.00 | $96.60–$144.90 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $96.60 | $161.00 | $96.60–$144.90 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, OTHER SOURC | $24.60 | $41.00 | $8.62–$36.90 | 60% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, OTHER SOURC | $24.60 | $41.00 | $24.60–$36.90 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANE | $24.00 | $40.00 | $8.46–$36.00 | 67% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANE | $24.00 | $40.00 | $24.00–$36.00 | — | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL | $14.40 | $24.00 | $5.02–$21.60 | 29% below | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| Blood culture for bacteria CPT 87040 CULTURE, BACTERIAL B | $28.80 | $48.00 | $10.32–$43.20 | 77% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BACTERIAL B | $28.80 | $48.00 | $28.80–$43.20 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $10.80 | $18.00 | $3.00–$16.20 | 35% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $10.80 | $18.00 | $10.80–$16.20 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; BLOOD, QUAN | $11.40 | $19.00 | $3.93–$17.10 | 75% below | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; BLOOD, QUAN | $11.40 | $19.00 | $11.40–$17.10 | — | 40% |
| Blood lead test CPT 83655 LEAD | $34.20 | $57.00 | $12.11–$51.30 | 32% above | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $34.20 | $57.00 | $34.20–$51.30 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG; QUALITATIVE | $21.00 | $35.00 | $7.52–$31.50 | 69% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG; QUALITATIVE | $21.00 | $35.00 | $21.00–$31.50 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $37.80 | $63.00 | $2.99–$56.70 | 54% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $37.80 | $63.00 | $37.80–$56.70 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN, QUANTITATIVE | $11.40 | $19.00 | $3.95–$17.10 | 30% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN, QUANTITATIVE | $11.40 | $19.00 | $11.40–$17.10 | — | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $58.80 | $98.00 | $20.81–$88.20 | 3% above | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $58.80 | $98.00 | $58.80–$88.20 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 COAGULOPATHY PROFILE | $14.40 | $24.00 | $5.18–$21.60 | 70% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $14.40 | $24.00 | $5.18–$21.60 | 70% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 COAGULOPATHY PROFILE | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE | $156.60 | $261.00 | $37.27–$234.90 | 113% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE | $156.60 | $261.00 | $156.60–$234.90 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $58.80 | $98.00 | $20.81–$88.20 | 108% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $58.80 | $98.00 | $58.80–$88.20 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $58.80 | $98.00 | $20.81–$88.20 | 13% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $58.80 | $98.00 | $58.80–$88.20 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RAPID MOLEC | $99.00 | $165.00 | $51.31–$148.50 | 53% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 RAPID MOLEC | $99.00 | $165.00 | $99.00–$148.50 | — | 40% |
| Calcium blood test, total CPT 82310 CALCIUM; TOTAL | $14.40 | $24.00 | $5.16–$21.60 | 4% below | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM; TOTAL | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $53.40 | $89.00 | $18.96–$80.10 | 7% below | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $53.40 | $89.00 | $53.40–$80.10 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $36.60 | $61.00 | $12.88–$54.90 | 77% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB | $36.60 | $61.00 | $36.60–$54.90 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/AMP PROBO | $99.60 | $166.00 | $35.09–$149.40 | 61% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/AMP PROBO | $99.60 | $166.00 | $99.60–$149.40 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $47.40 | $79.00 | $13.39–$71.10 | 20% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $47.40 | $79.00 | $47.40–$71.10 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 BLD CT; CBC AUTO W/D | $21.60 | $36.00 | $7.77–$32.40 | 64% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLD CT; CBC AUTO W/D | $21.60 | $36.00 | $21.60–$32.40 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 BLD CT;ABC AUTO W/O | $18.60 | $31.00 | $6.47–$27.90 | 62% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLD CT;ABC AUTO W/O | $18.60 | $31.00 | $18.60–$27.90 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE MET. P | $30.00 | $50.00 | $10.56–$45.00 | 77% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE MET. P | $30.00 | $50.00 | $30.00–$45.00 | — | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL, TOTAL | $100.80 | $168.00 | $16.30–$151.20 | 146% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL | $100.80 | $168.00 | $100.80–$151.20 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK, CPK TOTAL | $18.60 | $31.00 | $6.51–$27.90 | 33% above | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK, CPK TOTAL | $18.60 | $31.00 | $18.60–$27.90 | — | 40% |
| Creatinine blood test CPT 82565 CREATININE, BLOOD | $14.40 | $24.00 | $5.12–$21.60 | 4% below | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE, BLOOD | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS (CMV | $40.80 | $68.00 | $14.39–$61.20 | 32% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS (CMV | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, SEMIQUANT/Q | $84.00 | $140.00 | $10.18–$126.00 | 17% below | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, SEMIQUANT/Q | $84.00 | $140.00 | $84.00–$126.00 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $63.00 | $105.00 | $22.23–$94.50 | 19% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE | $63.00 | $105.00 | $63.00–$94.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC TOTAL | $40.80 | $68.00 | $22.44–$62.14 | 52% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE (URINE) | $42.00 | $70.00 | $23.10–$63.00 | 50% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE PDM | $43.20 | $72.00 | $23.76–$64.80 | 49% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL PDM | $87.00 | $145.00 | $47.85–$130.50 | 3% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL UDS | $88.20 | $147.00 | $48.51–$132.30 | 5% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE ALCOHOL METABO | $120.00 | $200.00 | $62.14–$180.00 | 42% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PDM AMPHETAMINES W/C | $210.60 | $351.00 | $62.14–$315.90 | 150% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE SCREEN 7 | $436.20 | $727.00 | $62.14–$654.30 | 417% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PDM PROFILE | $485.40 | $809.00 | $62.14–$728.10 | 475% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC TOTAL | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE (URINE) | $42.00 | $70.00 | $42.00–$63.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE PDM | $43.20 | $72.00 | $43.20–$64.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL PDM | $87.00 | $145.00 | $87.00–$130.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL UDS | $88.20 | $147.00 | $88.20–$132.30 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE ALCOHOL METABO | $120.00 | $200.00 | $120.00–$180.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PDM AMPHETAMINES W/C | $210.60 | $351.00 | $210.60–$315.90 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE SCREEN 7 | $436.20 | $727.00 | $436.20–$654.30 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PDM PROFILE | $485.40 | $809.00 | $485.40–$728.10 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $19.80 | $33.00 | $7.01–$29.70 | 65% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $19.80 | $33.00 | $19.80–$29.70 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EB VCA | $330.60 | $551.00 | $18.14–$495.90 | 1431% above | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VCA | $330.60 | $551.00 | $330.60–$495.90 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $79.20 | $132.00 | $27.94–$118.80 | 24% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL FREE | $199.20 | $332.00 | $27.94–$298.80 | 213% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $79.20 | $132.00 | $79.20–$118.80 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE | $199.20 | $332.00 | $199.20–$298.80 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $52.80 | $88.00 | $18.58–$79.20 | 10% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $52.80 | $88.00 | $52.80–$79.20 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $215.40 | $359.00 | $19.63–$323.10 | 333% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $215.40 | $359.00 | $215.40–$323.10 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $38.40 | $64.00 | $13.63–$57.60 | 51% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $38.40 | $64.00 | $38.40–$57.60 | — | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY | $24.00 | $40.00 | $9.72–$36.00 | 51% below | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $27.00 | $45.00 | $9.72–$40.50 | 45% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN; ACTIVITY | $24.00 | $40.00 | $24.00–$36.00 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $27.00 | $45.00 | $27.00–$40.50 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $41.40 | $69.00 | $14.70–$62.10 | 51% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM | $41.40 | $69.00 | $41.40–$62.10 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 T3; FREE | $48.00 | $80.00 | $16.94–$72.00 | 19% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3; FREE | $48.00 | $80.00 | $48.00–$72.00 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE | $25.80 | $43.00 | $9.02–$38.70 | 52% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE | $25.80 | $43.00 | $25.80–$38.70 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE; FREE | $130.80 | $218.00 | $25.47–$196.20 | 195% above | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE; FREE | $130.80 | $218.00 | $130.80–$196.20 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA G.T. | $20.40 | $34.00 | $7.20–$30.60 | 29% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA G.T. | $20.40 | $34.00 | $20.40–$30.60 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $99.60 | $166.00 | $54.78–$149.40 | 84% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $99.60 | $166.00 | $99.60–$149.40 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; BLOOD POST | $13.20 | $22.00 | $4.75–$19.80 | 85% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; BLOOD POST | $13.20 | $22.00 | $13.20–$19.80 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3HR | $36.60 | $61.00 | $12.87–$54.90 | 64% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3HR | $36.60 | $61.00 | $36.60–$54.90 | — | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGA | $40.80 | $68.00 | $16.85–$61.20 | 3% above | 40% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM | $40.80 | $68.00 | $16.85–$61.20 | 3% above | 40% |
| H. pylori antibody blood test CPT 86677 H. PYLORI | $40.80 | $68.00 | $16.85–$61.20 | 3% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| H. pylori stool antigen test CPT 87338 H. PYLORI, STOOL ANT | $49.20 | $82.00 | $14.38–$73.80 | 14% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI, STOOL ANT | $49.20 | $82.00 | $49.20–$73.80 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR | $358.20 | $597.00 | $85.10–$537.30 | 194% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR | $358.20 | $597.00 | $358.20–$537.30 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & HIV 2 SING A | $39.00 | $65.00 | $13.71–$58.50 | 2% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & HIV 2 SING A | $39.00 | $65.00 | $39.00–$58.50 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN AND | $82.80 | $138.00 | $24.08–$124.20 | 102% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 ANTIGEN AND | $82.80 | $138.00 | $82.80–$124.20 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCATED | $27.60 | $46.00 | $9.71–$41.40 | 43% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN; GLYCATED | $27.60 | $46.00 | $27.60–$41.40 | — | 40% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLO | $6.60 | $11.00 | $2.37–$9.90 | 74% below | 40% |
| Hemoglobin blood test inpatient CPT 85018 BLOOD COUNT; HEMOGLO | $6.60 | $11.00 | $6.60–$9.90 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY | $34.20 | $57.00 | $12.05–$51.30 | 25% above | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY | $34.20 | $57.00 | $34.20–$51.30 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBO | $30.60 | $51.00 | $10.74–$45.90 | 5% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBO | $30.60 | $51.00 | $30.60–$45.90 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B AG (HBSAG) | $28.80 | $48.00 | $10.33–$43.20 | 30% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B AG (HBSAG) | $28.80 | $48.00 | $28.80–$43.20 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $40.20 | $67.00 | $14.27–$60.30 | 5% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $40.20 | $67.00 | $40.20–$60.30 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD | $458.40 | $764.00 | $42.84–$687.60 | 416% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD | $458.40 | $764.00 | $458.40–$687.60 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE I | $66.60 | $111.00 | $13.19–$99.90 | 116% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES TYPE I | $66.60 | $111.00 | $66.60–$99.90 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE 2 | $54.60 | $91.00 | $19.35–$81.90 | 65% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES TYPE 2 | $54.60 | $91.00 | $54.60–$81.90 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PRO, HS | $37.20 | $62.00 | $12.95–$55.80 | 33% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PRO, HS | $37.20 | $62.00 | $37.20–$55.80 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $47.40 | $79.00 | $17.92–$71.10 | 66% below | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $47.40 | $79.00 | $47.40–$71.10 | — | 40% |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $32.40 | $54.00 | $11.43–$48.60 | 19% above | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL | $32.40 | $54.00 | $32.40–$48.60 | — | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $18.60 | $31.00 | $6.47–$27.90 | 51% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $18.60 | $31.00 | $18.60–$27.90 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC (TOT IRON BINDI | $80.40 | $134.00 | $8.74–$120.60 | 1% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (TOT IRON BINDI | $80.40 | $134.00 | $80.40–$120.60 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $24.60 | $41.00 | $8.68–$36.90 | 72% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $24.60 | $41.00 | $24.60–$36.90 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORM | $52.20 | $87.00 | $18.52–$78.30 | 13% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORM | $52.20 | $87.00 | $52.20–$78.30 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $30.60 | $51.00 | $11.57–$45.90 | 8% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $30.60 | $51.00 | $30.60–$45.90 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $17.40 | $29.00 | $6.04–$26.10 | 46% below | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $17.40 | $29.00 | $17.40–$26.10 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $19.80 | $33.00 | $6.89–$29.70 | 27% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $19.80 | $33.00 | $19.80–$29.70 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $23.40 | $39.00 | $8.17–$35.10 | 71% below | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN | $23.40 | $39.00 | $23.40–$35.10 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME'S DISEASE AB | $48.00 | $80.00 | $17.03–$72.00 | 37% above | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME'S DISEASE AB | $48.00 | $80.00 | $48.00–$72.00 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $19.20 | $32.00 | $6.70–$28.80 | 39% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM RBS | $134.40 | $224.00 | $6.70–$201.60 | 873% above | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $19.20 | $32.00 | $19.20–$28.80 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBS | $134.40 | $224.00 | $134.40–$201.60 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $78.60 | $131.00 | $12.88–$117.90 | 371% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $78.60 | $131.00 | $78.60–$117.90 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREENING | $14.40 | $24.00 | $5.18–$21.60 | 81% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREENING | $14.40 | $24.00 | $14.40–$21.60 | — | 40% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $37.20 | $62.00 | $13.05–$55.80 | 26% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY | $37.20 | $62.00 | $37.20–$55.80 | — | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $135.60 | $226.00 | $47.81–$203.40 | 78% below | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $135.60 | $226.00 | $135.60–$203.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA; FREE | $83.40 | $139.00 | $18.39–$125.10 | 52% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA; FREE | $83.40 | $139.00 | $83.40–$125.10 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL | $83.40 | $139.00 | $18.39–$125.10 | 41% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA; TOTAL | $83.40 | $139.00 | $83.40–$125.10 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $117.00 | $195.00 | $41.28–$175.50 | 49% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE | $117.00 | $195.00 | $117.00–$175.50 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME | $17.40 | $29.00 | $6.01–$26.10 | 8% below | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME | $17.40 | $29.00 | $17.40–$26.10 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $13.20 | $22.00 | $4.74–$19.80 | 41% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $13.20 | $22.00 | $13.20–$19.80 | — | 40% |
| Potassium blood test CPT 84132 POTASSIUM; SERUM | $13.20 | $22.00 | $4.76–$19.80 | 48% below | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM | $13.20 | $22.00 | $13.20–$19.80 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $59.40 | $99.00 | $20.86–$89.10 | 29% below | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $59.40 | $99.00 | $59.40–$89.10 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $54.60 | $91.00 | $19.38–$81.90 | 5% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN MONOMERIC | $195.60 | $326.00 | $19.38–$293.40 | 276% above | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $54.60 | $91.00 | $54.60–$81.90 | — | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN MONOMERIC | $195.60 | $326.00 | $195.60–$293.40 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT | $11.40 | $19.00 | $4.29–$17.10 | 40% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT APTT MIX STUDY | $11.40 | $19.00 | $4.29–$17.10 | 40% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 VALPROIC ACID FREE | $63.60 | $106.00 | $4.29–$95.40 | 237% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT | $11.40 | $19.00 | $11.40–$17.10 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT APTT MIX STUDY | $11.40 | $19.00 | $11.40–$17.10 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 VALPROIC ACID FREE | $63.60 | $106.00 | $63.60–$95.40 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN, QUALITA | $145.20 | $242.00 | $12.60–$217.80 | 762% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN, QUALITA | $145.20 | $242.00 | $145.20–$217.80 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA, A OR B, E | $33.60 | $56.00 | $16.55–$50.40 | 42% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA, A OR B, E | $33.60 | $56.00 | $33.60–$50.40 | — | 40% |
| Renin blood test CPT 84244 RENIN | $156.00 | $260.00 | $21.99–$234.00 | 160% above | 40% |
| Renin blood test inpatient CPT 84244 RENIN | $156.00 | $260.00 | $156.00–$234.00 | — | 40% |
| Rh blood typing CPT 86901 RH (D) | $45.60 | $76.00 | $2.99–$68.40 | 2% above | 40% |
| Rh blood typing inpatient CPT 86901 RH (D) | $45.60 | $76.00 | $45.60–$68.40 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR, QUANTITAT | $15.60 | $26.00 | $5.67–$23.40 | 1% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR, QUANTITAT | $15.60 | $26.00 | $15.60–$23.40 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SP OB | $40.80 | $68.00 | $14.39–$61.20 | 50% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $40.80 | $68.00 | $14.39–$61.20 | 50% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SP OB | $40.80 | $68.00 | $40.80–$61.20 | — | 40% |
| Sodium blood test CPT 84295 SODIUM; SERUM | $13.80 | $23.00 | $4.81–$20.70 | 29% below | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM; SERUM | $13.80 | $23.00 | $13.80–$20.70 | — | 40% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $30.00 | $50.00 | $8.90–$45.00 | 6% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $30.00 | $50.00 | $30.00–$45.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FECES X2 | $9.00 | $15.00 | $4.38–$13.50 | 67% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECES | $9.00 | $15.00 | $4.38–$13.50 | 67% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT | $31.20 | $52.00 | $4.38–$46.80 | 14% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FECES X2 | $9.00 | $15.00 | $9.00–$13.50 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD, FECES | $9.00 | $15.00 | $9.00–$13.50 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT | $31.20 | $52.00 | $31.20–$46.80 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMMUNO | $45.00 | $75.00 | $15.92–$67.50 | 146% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD IMMUNO | $45.00 | $75.00 | $45.00–$67.50 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS | $85.80 | $143.00 | $13.24–$128.70 | 231% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS | $85.80 | $143.00 | $85.80–$128.70 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL | $12.00 | $20.00 | $4.27–$18.00 | 8% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST, QUAL | $12.00 | $20.00 | $12.00–$18.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $248.40 | $414.00 | $61.98–$372.60 | 242% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $248.40 | $414.00 | $248.40–$372.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL | $97.20 | $162.00 | $25.81–$145.80 | 181% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL | $97.20 | $162.00 | $97.20–$145.80 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTITHYRD | $81.00 | $135.00 | $14.55–$121.50 | 257% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KID MICRO LKM | $123.00 | $205.00 | $14.55–$184.50 | 442% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTITHYRD | $81.00 | $135.00 | $81.00–$121.50 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KID MICRO LKM | $123.00 | $205.00 | $123.00–$184.50 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $47.40 | $79.00 | $16.80–$71.10 | 23% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $47.40 | $79.00 | $47.40–$71.10 | — | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN, IGE | $46.80 | $78.00 | $16.46–$70.20 | 72% above | 40% |
| Total IgE blood test CPT 82785 ALLERGEN, AZ DESERT | $158.40 | $264.00 | $16.46–$237.60 | 481% above | 40% |
| Total IgE blood test CPT 82785 ALLERGEN AZ DESERT A | $226.20 | $377.00 | $16.46–$339.30 | 730% above | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN, IGE | $46.80 | $78.00 | $46.80–$70.20 | — | 40% |
| Total IgE blood test inpatient CPT 82785 ALLERGEN, AZ DESERT | $158.40 | $264.00 | $158.40–$237.60 | — | 40% |
| Total IgE blood test inpatient CPT 82785 ALLERGEN AZ DESERT A | $226.20 | $377.00 | $226.20–$339.30 | — | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL, SERUM | $12.60 | $21.00 | $4.35–$18.90 | 40% below | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, SERUM | $12.60 | $21.00 | $12.60–$18.90 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL | $19.20 | $32.00 | $6.87–$28.80 | 39% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE; TOTAL | $19.20 | $32.00 | $19.20–$28.80 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL (TT3) | $40.20 | $67.00 | $14.18–$60.30 | 61% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL (TT3) | $40.20 | $67.00 | $40.20–$60.30 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $36.60 | $61.00 | $12.76–$54.90 | 40% below | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $36.60 | $61.00 | $36.60–$54.90 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALI | $78.60 | $131.00 | $35.09–$117.90 | 57% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALI | $78.60 | $131.00 | $78.60–$117.90 | — | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $16.80 | $28.00 | $5.74–$25.20 | 4% below | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $16.80 | $28.00 | $16.80–$25.20 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN; QUANTITATI | $27.60 | $46.00 | $12.47–$41.40 | 43% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $27.60 | $46.00 | $12.47–$41.40 | 43% below | 40% |
| Troponin test, quantitative CPT 84484 HIGH SENSITIVE TROPO | $45.00 | $75.00 | $12.47–$67.50 | 7% below | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN; QUANTITATI | $27.60 | $46.00 | $27.60–$41.40 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T | $27.60 | $46.00 | $27.60–$41.40 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVE TROPO | $45.00 | $75.00 | $45.00–$67.50 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $12.60 | $21.00 | $4.52–$18.90 | 82% below | 40% |
| Uric acid blood test CPT 84550 PRE ECLEMPSIA PROFIL | $139.20 | $232.00 | $4.52–$208.80 | 97% above | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD | $12.60 | $21.00 | $12.60–$18.90 | — | 40% |
| Uric acid blood test inpatient CPT 84550 PRE ECLEMPSIA PROFIL | $139.20 | $232.00 | $139.20–$208.80 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UA DIP AUTO SP OB | $9.00 | $15.00 | $3.17–$13.50 | 77% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UA DIPSTICK AUTO W/M | $9.00 | $15.00 | $3.17–$13.50 | 77% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA DIPSTICK AUTO W/M | $9.00 | $15.00 | $9.00–$13.50 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA DIP AUTO SP OB | $9.00 | $15.00 | $9.00–$13.50 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON AUTO W/MICRO | $9.00 | $15.00 | $4.02–$13.50 | 55% below | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON AUTO W/MICRO | $9.00 | $15.00 | $9.00–$13.50 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 UA DIPSTCK AUTO W/O | $6.60 | $11.00 | $2.25–$9.90 | 66% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIPSTCK AUTO W/O | $6.60 | $11.00 | $6.60–$9.90 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE, QUANT | $23.40 | $39.00 | $8.07–$35.10 | 57% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE, QUANT | $23.40 | $39.00 | $23.40–$35.10 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE, | $16.80 | $28.00 | $5.78–$25.20 | 34% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE, | $16.80 | $28.00 | $16.80–$25.20 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $21.00 | $35.00 | $8.61–$31.50 | 60% below | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $21.00 | $35.00 | $21.00–$31.50 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (B-12 | $43.20 | $72.00 | $15.08–$64.80 | 33% below | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (B-12 | $43.20 | $72.00 | $43.20–$64.80 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY | $84.00 | $140.00 | $29.60–$126.00 | 24% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25 HYDROXY | $84.00 | $140.00 | $84.00–$126.00 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXY VIT D125 | $109.20 | $182.00 | $38.50–$163.80 | 31% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D PROFILE | $109.20 | $182.00 | $38.50–$163.80 | 31% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D PROFILE | $109.20 | $182.00 | $109.20–$163.80 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXY VIT D125 | $109.20 | $182.00 | $109.20–$163.80 | — | 40% |
| Zinc blood test CPT 84630 ZINC | $34.20 | $57.00 | $11.39–$51.30 | 41% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC | $34.20 | $57.00 | $34.20–$51.30 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG; QUANTITATIVE | $43.20 | $72.00 | $15.05–$64.80 | 61% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR MARK | $43.20 | $72.00 | $15.05–$64.80 | 61% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT TUMOR MARK | $43.20 | $72.00 | $43.20–$64.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG; QUANTITATIVE | $43.20 | $72.00 | $43.20–$64.80 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TOE FX W/O MAN (META | $359.40 | $599.00 | $149.49–$539.10 | 72% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TOE FX W/O MAN (META | $359.40 | $599.00 | $359.40–$539.10 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION/DEFIB | $973.20 | $1,622.00 | $407.38–$1,459.80 | 5% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION/DEFIB | $973.20 | $1,622.00 | $973.20–$1,459.80 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $430.20 | $717.00 | $214.92–$645.30 | 70% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $430.20 | $717.00 | $430.20–$645.30 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RAD HEAD FX W | $495.00 | $825.00 | $149.49–$742.50 | 69% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DISTAL RAD HEAD FX W | $495.00 | $825.00 | $495.00–$742.50 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/REMOVA | $1,219.20 | $2,032.00 | $670.56–$1,828.80 | 58% below | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Swing Bed | $1,219.20 | $2,032.00 | $1,219.20–$3,456.00 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/REMOVA | $1,219.20 | $2,032.00 | $1,219.20–$3,456.00 | — | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY | $1,219.20 | $2,032.00 | $670.56–$1,828.80 | 60% below | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Swing Bed | $1,219.20 | $2,032.00 | $1,219.20–$3,456.00 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY | $1,219.20 | $2,032.00 | $1,219.20–$3,456.00 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOST | $927.60 | $1,546.00 | $510.18–$1,391.40 | 59% below | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOST | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Swing Bed | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BIOPSY | $212.34 | $353.90 | $116.79–$318.51 | 95% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BIOPSY | $212.34 | $353.90 | $212.34–$3,456.00 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Swing Bed | $212.34 | $353.90 | $212.34–$3,456.00 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACT CERUM | $116.40 | $194.00 | $40.35–$174.60 | 74% below | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACT CERUM | $116.40 | $194.00 | $116.40–$174.60 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR | $116.40 | $194.00 | $40.35–$174.60 | 71% below | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR | $116.40 | $194.00 | $116.40–$174.60 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY, DX | $927.60 | $1,546.00 | $510.18–$1,391.40 | 65% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Swing Bed | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY, DX | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY SIM | $741.00 | $1,235.00 | $407.55–$1,111.50 | 44% below | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY SIM | $741.00 | $1,235.00 | $741.00–$1,111.50 | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE | $268.20 | $447.00 | $147.51–$402.30 | 94% below | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE | $268.20 | $447.00 | $268.20–$402.30 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SKIN ABCESS SI | $245.40 | $409.00 | $130.17–$368.10 | 41% below | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SKIN ABCESS SI | $245.40 | $409.00 | $245.40–$368.10 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON/LIG | $58.20 | $97.00 | $32.01–$189.35 | 85% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION TENDON/LIG | $58.20 | $97.00 | $58.20–$87.30 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT MAJOR J | $466.80 | $778.00 | $189.35–$700.20 | 18% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN. MAJOR JNT | $466.80 | $778.00 | $189.35–$700.20 | 18% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT MAJOR J | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN. MAJOR JNT | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT INTERN | $466.80 | $778.00 | $189.35–$700.20 | 6% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN. INTERM | $466.80 | $778.00 | $189.35–$700.20 | 6% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN. INTERM | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT INTERN | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN. MAJOR JNT | $466.80 | $778.00 | $189.35–$700.20 | 29% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTH ASP INJECT | $466.80 | $778.00 | $189.35–$700.20 | 29% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN. MAJOR JNT | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTH ASP INJECT | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR 2.5CM OR LESS | $334.20 | $557.00 | $183.81–$501.30 | 66% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REPAIR 2.5 | $469.80 | $783.00 | $250.73–$704.70 | 52% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR 2.5CM OR LESS | $334.20 | $557.00 | $334.20–$501.30 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMED REPAIR 2.5 | $469.80 | $783.00 | $469.80–$704.70 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR EXT<0.5CM | $281.40 | $469.00 | $154.77–$450.93 | 57% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR EXT<0.5CM | $281.40 | $469.00 | $281.40–$422.10 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL SINGLE | $121.20 | $202.00 | $66.66–$214.92 | 50% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE | $245.40 | $409.00 | $130.17–$368.10 | 1% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL SINGLE | $121.20 | $202.00 | $121.20–$181.80 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE | $245.40 | $409.00 | $245.40–$368.10 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACETIS/IMAGIN | $433.80 | $723.00 | $238.59–$650.70 | 71% below | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACETIS/IMAGIN | $433.80 | $723.00 | $433.80–$650.70 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL PRT/COMP | $246.60 | $411.00 | $135.63–$369.90 | 57% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXXISION OF NAIL | $475.80 | $793.00 | $250.73–$713.70 | 18% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL PRT/COMP | $246.60 | $411.00 | $246.60–$369.90 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXXISION OF NAIL | $475.80 | $793.00 | $475.80–$713.70 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INC/REMOV FB-SUB TIS | $112.20 | $187.00 | $61.71–$250.73 | 86% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVE SIMP | $647.40 | $1,079.00 | $250.73–$971.10 | 19% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC/REMOV FB-SUB TIS | $112.20 | $187.00 | $112.20–$168.30 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVE SIMP | $647.40 | $1,079.00 | $647.40–$971.10 | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY | $927.60 | $1,546.00 | $510.18–$1,391.40 | 60% below | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Swing Bed | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLON SCREEN HRISK | $927.60 | $1,546.00 | $510.18–$1,391.40 | 62% below | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLON CANCER SCREEN | $927.60 | $1,546.00 | $510.18–$1,391.40 | 62% below | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Swing Bed | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLON SCREEN HRISK | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLON CANCER SCREEN | $927.60 | $1,546.00 | $927.60–$3,456.00 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $190.20 | $317.00 | $81.16–$285.30 | 82% below | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $190.20 | $317.00 | $190.20–$285.30 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 APPL OF SHORT SPLINT | $108.60 | $181.00 | $59.73–$214.92 | 69% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLI | $249.00 | $415.00 | $102.36–$373.50 | 29% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPL OF SHORT SPLINT | $108.60 | $181.00 | $108.60–$162.90 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLI | $249.00 | $415.00 | $249.00–$373.50 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REPAIR 2.5 OR L | $245.40 | $409.00 | $130.17–$368.10 | 9% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP REPAIR 2.5 OR L | $245.40 | $409.00 | $245.40–$368.10 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN LESION | $111.60 | $186.00 | $61.38–$250.73 | 78% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN LESION | $111.60 | $186.00 | $111.60–$167.40 | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMV SKN TAGS MLT FIB | $192.00 | $320.00 | $105.60–$288.00 | 20% below | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 RMV SKN TAGS MLT FIB | $192.00 | $320.00 | $192.00–$288.00 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP | $1,219.20 | $2,032.00 | $460.08–$1,828.80 | 88% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP | $1,219.20 | $2,032.00 | $1,219.20–$1,828.80 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REPAIR 206-7.5 | $245.40 | $409.00 | $130.17–$368.10 | 22% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMP REPAIR 206-7.5 | $245.40 | $409.00 | $245.40–$368.10 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP RPR FACE 2.5 CM | $245.40 | $409.00 | $130.17–$368.10 | 84% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMP RPR FACE 2.5 CM | $245.40 | $409.00 | $245.40–$368.10 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W GUID | $430.80 | $718.00 | $236.94–$646.20 | 63% below | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W GUID | $430.80 | $718.00 | $430.80–$646.20 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER PT 1 | $466.80 | $778.00 | $189.35–$700.20 | 6% above | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER PT 1 | $466.80 | $778.00 | $466.80–$700.20 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATI | $1,854.00 | $3,090.00 | $1,019.70–$2,781.00 | 52% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATI | $1,854.00 | $3,090.00 | $1,854.00–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Swing Bed | $1,854.00 | $3,090.00 | $1,854.00–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $1,212.00 | $2,020.00 | $586.96–$1,818.00 | 50% below | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY | $1,212.00 | $2,020.00 | $1,212.00–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Swing Bed | $1,212.00 | $2,020.00 | $1,212.00–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJ | $930.60 | $1,551.00 | $511.83–$1,395.90 | 52% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W SUBMUC INJECT | $972.60 | $1,621.00 | $534.93–$1,458.90 | 50% below | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W/SUBMUCOSAL INJ | $930.60 | $1,551.00 | $930.60–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Swing Bed | $930.60 | $1,551.00 | $930.60–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W SUBMUC INJECT | $972.60 | $1,621.00 | $972.60–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/POLYPECTOMY; S | $1,854.00 | $3,090.00 | $1,019.70–$2,781.00 | 48% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Swing Bed | $1,854.00 | $3,090.00 | $1,854.00–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/POLYPECTOMY; S | $1,854.00 | $3,090.00 | $1,854.00–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W DIL BY SAVARY | $972.60 | $1,621.00 | $534.93–$1,458.90 | 34% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Swing Bed | $972.60 | $1,621.00 | $972.60–$3,456.00 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W DIL BY SAVARY | $972.60 | $1,621.00 | $972.60–$3,456.00 | — | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $972.60 | $1,621.00 | $534.93–$1,458.90 | 55% below | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Swing Bed | $972.60 | $1,621.00 | $972.60–$3,456.00 | — | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD | $972.60 | $1,621.00 | $972.60–$3,456.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE TIS 20SQ> | $134.40 | $224.00 | $73.92–$250.73 | 81% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ TI | $469.80 | $783.00 | $250.73–$704.70 | 35% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE TIS 20SQ> | $134.40 | $224.00 | $134.40–$201.60 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBQ TI | $469.80 | $783.00 | $469.80–$704.70 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION | $229.80 | $383.00 | $126.39–$344.70 | 58% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $496.20 | $827.00 | $272.91–$744.30 | 8% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - | $615.60 | $1,026.00 | $287.87–$923.40 | 14% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION | $229.80 | $383.00 | $229.80–$344.70 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $496.20 | $827.00 | $496.20–$744.30 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION - | $615.60 | $1,026.00 | $615.60–$923.40 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB SUBSEQUENT TX | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INITIAL TX | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB SUBSEQUENT | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $311.40 | $519.00 | $136.21–$467.10 | 20% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB INITIAL TX | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQUENT | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB SUBSEQUENT | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB SUBSEQUENT TX | $311.40 | $519.00 | $311.40–$467.10 | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARIN | $39.00 | $65.00 | $21.45–$214.92 | 94% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARIN | $39.00 | $65.00 | $39.00–$58.50 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 | $1,388.40 | $2,314.00 | $502.19–$2,082.60 | 50% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 | $1,388.40 | $2,314.00 | $1,388.40–$2,082.60 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $405.00 | $675.00 | $191.73–$607.50 | 31% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY | $405.00 | $675.00 | $405.00–$607.50 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD | $24.60 | $41.00 | $13.53–$214.92 | 43% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG 12 LEAD | $24.60 | $41.00 | $24.60–$36.90 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-TRACING ONLY | $116.40 | $194.00 | $25.99–$174.60 | 10% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-TRACING ONLY | $116.40 | $194.00 | $116.40–$174.60 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY LEVEL I | $123.60 | $206.00 | $67.98–$185.40 | 50% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY LEVEL I | $123.60 | $206.00 | $123.60–$185.40 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY LEVEL II | $228.60 | $381.00 | $125.73–$342.90 | 40% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY LEVEL II | $228.60 | $381.00 | $228.60–$342.90 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY LEVEL III | $408.00 | $680.00 | $224.40–$612.00 | 41% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY LEVEL III | $408.00 | $680.00 | $408.00–$612.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY LEVEL IV | $681.60 | $1,136.00 | $374.88–$1,022.40 | 40% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY LEVEL IV | $681.60 | $1,136.00 | $681.60–$1,022.40 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY LEVEL V | $1,012.80 | $1,688.00 | $557.04–$1,519.20 | 39% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY LEVEL V | $1,012.80 | $1,688.00 | $1,012.80–$1,519.20 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS TEST ONLY | $475.20 | $792.00 | $191.73–$712.80 | 26% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS TEST W/O | $528.60 | $881.00 | $191.73–$792.90 | 18% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Swing Bed | $475.20 | $792.00 | $475.20–$3,456.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG STRESS TEST ONLY | $475.20 | $792.00 | $475.20–$3,456.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG STRESS TEST W/O | $528.60 | $881.00 | $528.60–$3,456.00 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERP W/PAT | $507.00 | $845.00 | $96.88–$760.50 | 227% above | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERP W/PAT | $507.00 | $845.00 | $507.00–$760.50 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER W/O PAT | $483.00 | $805.00 | $96.88–$724.50 | 211% above | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER W/O PAT | $483.00 | $805.00 | $483.00–$724.50 | — | 40% |
| Group psychotherapy session CPT 90853 GROUP THERP 1 HOUR | $1,185.00 | $1,975.00 | $54.28–$1,777.50 | 792% above | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERP 1 HOUR | $1,185.00 | $1,975.00 | $1,185.00–$1,777.50 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATIO | $187.20 | $312.00 | $77.79–$280.80 | at median | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRAT 1 | $192.60 | $321.00 | $77.79–$288.90 | 3% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Swing Bed | $187.20 | $312.00 | $187.20–$3,456.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATIO | $187.20 | $312.00 | $187.20–$3,456.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRAT 1 | $192.60 | $321.00 | $192.60–$288.90 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INF; PROPHYLAXIS/ | $245.40 | $409.00 | $134.97–$368.10 | 5% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THERP PROP | $361.20 | $602.00 | $147.54–$541.80 | 40% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Swing Bed | $245.40 | $409.00 | $245.40–$3,456.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF; PROPHYLAXIS/ | $245.40 | $409.00 | $245.40–$3,456.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS THERP PROP | $361.20 | $602.00 | $361.20–$541.80 | — | 40% |
| IV push of a medicine, first drug CPT 96374 INJECTION/IV | $135.60 | $226.00 | $74.58–$203.40 | 17% below | 40% |
| IV push of a medicine, first drug CPT 96374 THERP PROP INTRA PUS | $135.60 | $226.00 | $74.58–$203.40 | 17% below | 40% |
| IV push of a medicine, first drug CPT 96374 THERP PROP IV PUSH | $192.60 | $321.00 | $77.79–$288.90 | 18% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION/IV | $135.60 | $226.00 | $135.60–$203.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 THERP PROP INTRA PUS | $135.60 | $226.00 | $135.60–$203.40 | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 THERP PROP IV PUSH | $192.60 | $321.00 | $192.60–$288.90 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION/SQ OR IM | $69.60 | $116.00 | $38.28–$104.40 | 1% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ANTIBIOTIC IM | $87.60 | $146.00 | $44.93–$131.40 | 27% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ | $87.60 | $146.00 | $44.93–$131.40 | 27% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERP PROPHYLACTIC I | $108.60 | $181.00 | $44.93–$162.90 | 57% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION/IM ANTIBIO | $150.60 | $251.00 | $44.93–$225.90 | 118% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION/SQ OR IM | $69.60 | $116.00 | $69.60–$104.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ANTIBIOTIC IM | $87.60 | $146.00 | $87.60–$131.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SUBQ | $87.60 | $146.00 | $87.60–$131.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERP PROPHYLACTIC I | $108.60 | $181.00 | $108.60–$162.90 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION/IM ANTIBIO | $150.60 | $251.00 | $150.60–$225.90 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HOSPITAL OUTPATIENT | $57.00 | $95.00 | $31.35–$96.88 | 74% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HOSPITAL OUTPATIENT | $57.00 | $95.00 | $57.00–$85.50 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO REDUCT 15 MIN | $26.40 | $44.00 | $14.52–$39.60 | 84% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED | $70.80 | $118.00 | $38.94–$106.20 | 58% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO REDUCT 15 MIN | $26.40 | $44.00 | $26.40–$39.60 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED | $70.80 | $118.00 | $70.80–$106.20 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSES 15 MIN | $29.70 | $49.50 | $16.34–$44.55 | 80% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT ASSES 15 MIN | $29.70 | $49.50 | $29.70–$44.55 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COM 30M | $132.60 | $221.00 | $72.93–$198.90 | 68% below | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COM 30M | $132.60 | $221.00 | $132.60–$198.90 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMP 45 | $174.00 | $290.00 | $95.70–$261.00 | 70% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMP 45 | $174.00 | $290.00 | $174.00–$261.00 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP 20M | $137.40 | $229.00 | $75.57–$206.10 | 61% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMP 20M | $137.40 | $229.00 | $137.40–$206.10 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP 30M | $161.40 | $269.00 | $88.77–$242.10 | 68% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMP 30M | $161.40 | $269.00 | $161.40–$242.10 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 | $46.20 | $77.00 | $25.41–$69.30 | 68% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 | $46.20 | $77.00 | $46.20–$69.30 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERP PROC 15 MIN | $28.80 | $48.00 | $15.84–$214.92 | 83% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT TREATMENT EA 15 M | $67.20 | $112.00 | $36.96–$100.80 | 61% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX EA 15 | $67.20 | $112.00 | $36.96–$100.80 | 61% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERP PROC 15 MIN | $28.80 | $48.00 | $28.80–$43.20 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX EA 15 | $67.20 | $112.00 | $67.20–$100.80 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT TREATMENT EA 15 M | $67.20 | $112.00 | $67.20–$100.80 | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 EVAL/DIAG W MED SVS | $225.00 | $375.00 | $96.88–$337.50 | 1% below | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 EVAL/DIAG W MED SVS | $225.00 | $375.00 | $225.00–$337.50 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 IND THERP 20-30 MIN | $366.00 | $610.00 | $96.88–$549.00 | 136% above | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 IND THERP 20-30 MIN | $366.00 | $610.00 | $366.00–$549.00 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 IND THERP 45-50MIN | $453.00 | $755.00 | $96.88–$679.50 | 149% above | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 IND THERP 45-50MIN | $453.00 | $755.00 | $453.00–$679.50 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 IND THERP 75-80 MIN | $462.00 | $770.00 | $96.88–$693.00 | 123% above | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 IND THERP 75-80 MIN | $462.00 | $770.00 | $462.00–$693.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 3-10 MIN INTER SMOKE | $26.40 | $44.00 | $14.52–$214.92 | 15% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE CESS 3-10 MIN | $56.40 | $94.00 | $31.02–$84.60 | 82% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 3-10 MIN INTER SMOKE | $26.40 | $44.00 | $26.40–$39.60 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE CESS 3-10 MIN | $56.40 | $94.00 | $56.40–$84.60 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 IND THERP W/EM 75-80 | $72.60 | $121.00 | $39.93–$108.90 | 48% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 IND THERP W/EM 75-80 | $72.60 | $121.00 | $72.60–$108.90 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 IND THERP W/EM 21-40 | $72.60 | $121.00 | $39.93–$108.90 | 48% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 IND THERP W/EM 21-40 | $72.60 | $121.00 | $72.60–$108.90 | — | 40% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG EA ENCOU | $166.20 | $277.00 | $91.41–$249.30 | 49% below | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG EA ENCOU | $166.20 | $277.00 | $166.20–$249.30 | — | 40% |
| Spirometry (breathing test) CPT 94010 PRE | $233.55 | $389.25 | $101.17–$350.33 | 21% above | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $270.60 | $451.00 | $101.17–$405.90 | 40% above | 40% |
| Spirometry (breathing test) CPT 94010 BASIC SPIROMETRY | $270.60 | $451.00 | $101.17–$405.90 | 40% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 PRE | $233.55 | $389.25 | $233.55–$350.33 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $270.60 | $451.00 | $270.60–$405.90 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 BASIC SPIROMETRY | $270.60 | $451.00 | $270.60–$405.90 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 PRE AND POST | $198.00 | $330.00 | $108.90–$297.00 | 35% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST | $459.00 | $765.00 | $191.73–$688.50 | 50% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PRE AND POST | $198.00 | $330.00 | $198.00–$297.00 | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE/POST | $459.00 | $765.00 | $459.00–$688.50 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPUTIC ACTS EA 1 | $72.60 | $121.00 | $39.93–$108.90 | 63% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPUTIC ACTS EA 1 | $72.60 | $121.00 | $72.60–$108.90 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPUT | $93.60 | $156.00 | $51.48–$140.40 | 66% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPUT | $93.60 | $156.00 | $93.60–$140.40 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC PRSV 0.5ML | $22.80 | $38.00 | $12.54–$214.92 | 74% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC PRSV 0.5ML | $22.80 | $38.00 | $22.80–$34.20 | — | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DO | $79.20 | $132.00 | $43.56–$520.64 | 82% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 DO | $79.20 | $132.00 | $79.20–$118.80 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML | $123.60 | $206.00 | $67.98–$185.40 | 27% above | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML | $123.60 | $206.00 | $123.60–$185.40 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML | $88.20 | $147.00 | $48.51–$132.30 | 16% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML | $88.20 | $147.00 | $88.20–$132.30 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 INJ HIB/4 DOSE SCHED | $64.80 | $108.00 | $11.94–$214.92 | 73% above | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 INJ HIB/4 DOSE SCHED | $64.80 | $108.00 | $64.80–$97.20 | — | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE | $150.00 | $250.00 | $82.50–$225.00 | 44% below | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE | $150.00 | $250.00 | $150.00–$225.00 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENI A,C,Y, W135 | $127.20 | $212.00 | $69.96–$214.92 | 67% below | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENI A,C,Y, W135 | $127.20 | $212.00 | $127.20–$190.80 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE | $64.80 | $108.00 | $35.64–$409.30 | 89% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C VACC 2 DOSE | $64.80 | $108.00 | $64.80–$97.20 | — | 40% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 D | $52.20 | $87.00 | $28.71–$348.02 | 88% below | 40% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENB-FHBP VACC 2/3 D | $52.20 | $87.00 | $52.20–$78.30 | — | 40% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 NASAL MIST FLU | $81.00 | $135.00 | $23.00–$214.92 | 32% above | 40% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 NASAL MIST FLU | $81.00 | $135.00 | $81.00–$121.50 | — | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13-Valent Conjugate Vaccine Inj | $243.60 | $406.00 | $133.98–$365.40 | 3% above | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13-Valent Conjugate Vaccine Inj | $243.60 | $406.00 | $243.60–$365.40 | — | 40% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine, PCEC For Inj | $366.60 | $611.00 | $201.63–$549.90 | at median | 40% |
| Rabies vaccine, one dose CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp | $468.60 | $781.00 | $257.73–$702.90 | 28% above | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, PCEC For Inj | $366.60 | $611.00 | $366.60–$549.90 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp | $468.60 | $781.00 | $468.60–$702.90 | — | 40% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE | $24.00 | $40.00 | $13.20–$130.42 | 80% below | 40% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 RV1 VACC 2 DOSE LIVE | $24.00 | $40.00 | $24.00–$36.00 | — | 40% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE | $24.00 | $40.00 | $13.20–$45.09 | 78% below | 40% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 RV5 VACC 3 DOSE LIVE | $24.00 | $40.00 | $24.00–$36.00 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $49.80 | $83.00 | $18.83–$74.70 | 53% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $49.80 | $83.00 | $49.80–$74.70 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION/VACCINE | $49.80 | $83.00 | $27.39–$74.70 | 9% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $87.60 | $146.00 | $44.93–$131.40 | 59% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION/VACCINE | $49.80 | $83.00 | $49.80–$74.70 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $87.60 | $146.00 | $87.60–$131.40 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADDIT | $75.60 | $126.00 | $26.05–$113.40 | 113% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EA ADDIT | $75.60 | $126.00 | $75.60–$113.40 | — | 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.