Parmer County Community Hospital
Parmer County Community Hospital in Friona, TX publishes cash prices for 156 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 143 of 155 procedures and above it for 12. By typical cash price it ranks #48 of 305 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1307 Cleveland Ave, Friona, TX 79035 Collected Sep 27, 2026 Source price file (806) 250-2754
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451300 · CMS hospital register NPI 1861475626
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS | $137.90 | $197.00 | $106.97–$197.00 | 65% below | 30% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS | $137.90 | $197.00 | $106.97–$197.00 | — | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS RT | $109.90 | $157.00 | $82.54–$125.60 | 71% below | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS LT | $109.90 | $157.00 | $82.54–$125.60 | 71% below | 30% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS RT | $109.90 | $157.00 | $82.54–$125.60 | — | 30% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS LT | $109.90 | $157.00 | $82.54–$125.60 | — | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/CONTRAST | $1,097.60 | $1,568.00 | $826.45 | 61% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W/CONTRAST | $1,097.60 | $1,568.00 | $826.45 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO CONTRAST | $1,746.50 | $2,495.00 | $1,106.45–$1,998.50 | 48% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO CONTRAST | $1,746.50 | $2,495.00 | $1,106.45–$1,998.50 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST | $1,891.40 | $2,702.00 | $1,413.80–$2,164.30 | 51% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS WITH CONTRAST | $1,891.40 | $2,702.00 | $1,413.80–$2,164.30 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST | $2,190.30 | $3,129.00 | $1,913.70–$2,432.64 | 48% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/WO CONTRAST | $2,190.30 | $3,129.00 | $1,913.70–$2,432.64 | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST | $818.30 | $1,169.00 | $657.57 | 51% below | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $873.60 | $1,248.00 | $657.57 | 48% below | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST | $818.30 | $1,169.00 | $657.57 | — | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $873.60 | $1,248.00 | $657.57 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $873.60 | $1,248.00 | $490.92–$998.40 | 54% below | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $873.60 | $1,248.00 | $490.92–$998.40 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O CONTRAST | $873.60 | $1,248.00 | $657.57–$759.06 | 57% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O CONTRAST | $873.60 | $1,248.00 | $657.57–$759.06 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SPINE W/O CONTRAST | $873.60 | $1,248.00 | $525.07–$970.01 | 59% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C SPINE W/O CONTRAST | $873.60 | $1,248.00 | $525.07–$970.01 | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $946.40 | $1,352.00 | $875.90 | 57% below | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $946.40 | $1,352.00 | $875.90 | — | 30% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $126.70 | $181.00 | $94.33–$140.18 | 68% below | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $126.70 | $181.00 | $94.33–$140.18 | — | 30% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $104.30 | $149.00 | $77.62–$141.12 | 68% below | 30% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $104.30 | $149.00 | $77.62–$141.12 | — | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE 2 VIEWS RT | $109.90 | $157.00 | $82.02 | 68% below | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE 2 VIEWS LT | $109.90 | $157.00 | $82.02 | 68% below | 30% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE 2 VIEWS LT | $109.90 | $157.00 | $82.02 | — | 30% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE 2 VIEWS RT | $109.90 | $157.00 | $82.02 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM NODES | $293.30 | $419.00 | $227.52–$297.83 | 60% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY-RETROPEROTONEAL COMPLETE | $315.00 | $450.00 | $227.52–$297.83 | 57% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM NODES | $293.30 | $419.00 | $227.52–$297.83 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEY-RETROPEROTONEAL COMPLETE | $315.00 | $450.00 | $227.52–$297.83 | — | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE MINERAL DENSITY T | $201.60 | $288.00 | $155.23–$190.20 | 52% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE MINERAL DENSITY T | $201.60 | $288.00 | $155.23–$190.20 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $873.60 | $1,248.00 | $116.80–$999.65 | 48% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST | $873.60 | $1,248.00 | $116.80–$999.65 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $946.40 | $1,352.00 | $187.28–$1,050.91 | 56% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST | $946.40 | $1,352.00 | $187.28–$1,050.91 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DUPLEX LOWER EXTR. BILATERAL | $407.40 | $582.00 | $355.95 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DUPLEX LOWER EXTR. BILATERAL | $407.40 | $582.00 | $355.95 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US 2D/M MODE ECHO | $854.00 | $1,220.00 | $638.83–$662.46 | 64% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US 2D/M MODE ECHO | $854.00 | $1,220.00 | $638.83–$662.46 | — | 30% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT | $109.90 | $157.00 | $82.54–$85.25 | 66% below | 30% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $109.90 | $157.00 | $82.54–$85.25 | 66% below | 30% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RT | $109.90 | $157.00 | $82.54–$85.25 | — | 30% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LT | $109.90 | $157.00 | $82.54–$85.25 | — | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT | $109.90 | $157.00 | $82.54 | 71% below | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $109.90 | $157.00 | $82.54 | 71% below | 30% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RT | $109.90 | $157.00 | $82.54 | — | 30% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LT | $109.90 | $157.00 | $82.54 | — | 30% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT | $119.70 | $171.00 | $90.14–$132.97 | 64% below | 30% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT | $119.70 | $171.00 | $90.14–$132.97 | 64% below | 30% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RT | $119.70 | $171.00 | $90.14–$132.97 | — | 30% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT | $119.70 | $171.00 | $90.14–$132.97 | — | 30% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT | $118.30 | $169.00 | $91.19–$104.78 | 71% below | 30% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT | $118.30 | $169.00 | $91.19–$104.78 | 71% below | 30% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT | $118.30 | $169.00 | $91.19–$104.78 | — | 30% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT | $118.30 | $169.00 | $91.19–$104.78 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O CONTRAST | $873.60 | $1,248.00 | $672.68–$677.67 | 51% below | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 * DO NOT USE CT HIP RT | $873.60 | $1,248.00 | $672.68–$677.67 | 51% below | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 *DO NOT USE CT HIP LT | $873.60 | $1,248.00 | $672.68–$677.67 | 51% below | 30% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O CONTRAST | $873.60 | $1,248.00 | $672.68–$677.67 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 * DO NOT USE CT HIP RT | $873.60 | $1,248.00 | $672.68–$677.67 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 *DO NOT USE CT HIP LT | $873.60 | $1,248.00 | $672.68–$677.67 | — | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS LT | $109.90 | $157.00 | $96.02 | 68% below | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS RT | $109.90 | $157.00 | $96.02 | 68% below | 30% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS LT | $109.90 | $157.00 | $96.02 | — | 30% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS RT | $109.90 | $157.00 | $96.02 | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $1,575.70 | $2,251.00 | $1,376.71 | 51% below | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST | $1,575.70 | $2,251.00 | $1,376.71 | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $1,575.70 | $2,251.00 | $1,186.45–$1,803.05 | 48% below | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $1,575.70 | $2,251.00 | $1,186.45–$1,803.05 | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O CONTRAST | $1,235.50 | $1,765.00 | $952.31–$1,079.47 | 46% below | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE W/O CONTRAST | $1,235.50 | $1,765.00 | $952.31–$1,079.47 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O CONTRAST | $1,235.50 | $1,765.00 | $1,079.47 | 42% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE W/O CONTRAST | $1,235.50 | $1,765.00 | $1,079.47 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O CONTRAST | $1,235.50 | $1,765.00 | $958.39 | 47% below | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O CONTRAST | $1,235.50 | $1,765.00 | $958.39 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONT-RIGHT | $1,235.50 | $1,765.00 | $930.16 | 45% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONT-LEFT | $1,235.50 | $1,765.00 | $930.16 | 45% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONT-RIGHT | $1,235.50 | $1,765.00 | $930.16 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JOINT W/O CONT-LEFT | $1,235.50 | $1,765.00 | $930.16 | — | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 VIEWS | $201.60 | $288.00 | $156.38 | 63% below | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4 VIEWS | $201.60 | $288.00 | $156.38 | — | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W CONTRAST | $946.40 | $1,352.00 | $712.42 | 54% below | 30% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TISSUE W CONTRAST | $946.40 | $1,352.00 | $712.42 | — | 30% |
| Neck soft tissue X-ray CPT 70360 XR NECK FOR SOFT TISSUE | $109.90 | $157.00 | $83.01 | 54% below | 30% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK FOR SOFT TISSUE | $109.90 | $157.00 | $83.01 | — | 30% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $873.60 | $1,248.00 | $224.13–$677.66 | 47% below | 30% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $873.60 | $1,248.00 | $224.13–$677.66 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC MASS B MODE | $314.30 | $449.00 | $243.81 | 64% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC MASS B MODE | $314.30 | $449.00 | $243.81 | — | 30% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS ONE SIDE 2 VIEWS LT | $118.30 | $169.00 | $88.40–$91.77 | 67% below | 30% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS ONE SIDE 2 VIEWS RT | $118.30 | $169.00 | $88.40–$91.77 | 67% below | 30% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS ONE SIDE 2 VIEWS LT | $118.30 | $169.00 | $88.40–$91.77 | — | 30% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS ONE SIDE 2 VIEWS RT | $118.30 | $169.00 | $88.40–$91.77 | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 * DO NOT USE XR CLAVICLE/SHOULDER | $104.30 | $149.00 | $86.24–$98.55 | 70% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 * DO NOT USE XR CLAVICLE/SHOULDER 2V RT | $104.30 | $149.00 | $86.24–$98.55 | 70% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS RT | $115.50 | $165.00 | $86.24–$98.55 | 66% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS LT | $115.50 | $165.00 | $86.24–$98.55 | 66% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RT | $126.70 | $181.00 | $86.24–$98.55 | 63% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LT | $126.70 | $181.00 | $86.24–$98.55 | 63% below | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 * DO NOT USE XR CLAVICLE/SHOULDER | $104.30 | $149.00 | $86.24–$98.55 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 * DO NOT USE XR CLAVICLE/SHOULDER 2V RT | $104.30 | $149.00 | $86.24–$98.55 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS RT | $115.50 | $165.00 | $86.24–$98.55 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS LT | $115.50 | $165.00 | $86.24–$98.55 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS RT | $126.70 | $181.00 | $86.24–$98.55 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS LT | $126.70 | $181.00 | $86.24–$98.55 | — | 30% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS LT | $104.30 | $149.00 | $77.62–$91.13 | 70% below | 30% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS RT | $104.30 | $149.00 | $77.62–$91.13 | 70% below | 30% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS LT | $104.30 | $149.00 | $77.62–$91.13 | — | 30% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 VIEWS RT | $104.30 | $149.00 | $77.62–$91.13 | — | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T- SPINE W/O CONTRAST | $873.60 | $1,248.00 | $657.57 | 56% below | 30% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T- SPINE W/O CONTRAST | $873.60 | $1,248.00 | $657.57 | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $297.50 | $425.00 | $223.72–$340.43 | 66% below | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US GALLBLADDER B MODE | $317.10 | $453.00 | $223.72–$340.43 | 63% below | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $297.50 | $425.00 | $223.72–$340.43 | — | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US GALLBLADDER B MODE | $317.10 | $453.00 | $223.72–$340.43 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK | $154.00 | $220.00 | $115.66–$192.22 | 76% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID B MODE | $255.50 | $365.00 | $115.66–$192.22 | 59% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK | $154.00 | $220.00 | $115.66–$192.22 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID B MODE | $255.50 | $365.00 | $115.66–$192.22 | — | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS RT | $109.90 | $157.00 | $82.02–$121.75 | 69% below | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 VIEWS LT | $109.90 | $157.00 | $82.02–$121.75 | 69% below | 30% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS RT | $109.90 | $157.00 | $82.02–$121.75 | — | 30% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 VIEWS LT | $109.90 | $157.00 | $82.02–$121.75 | — | 30% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT | $109.90 | $157.00 | $85.52–$121.75 | 65% below | 30% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $109.90 | $157.00 | $85.52–$121.75 | 65% below | 30% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS RT | $109.90 | $157.00 | $85.52–$121.75 | — | 30% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LT | $109.90 | $157.00 | $85.52–$121.75 | — | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 VIEWS LT | $109.90 | $157.00 | $82.54–$148.96 | 71% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 VIEWS RT | $109.90 | $157.00 | $82.54–$148.96 | 71% below | 30% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 VIEWS LT | $109.90 | $157.00 | $82.54–$148.96 | — | 30% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 VIEWS RT | $109.90 | $157.00 | $82.54–$148.96 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP JOINT 2 VIEWS RT | $118.30 | $169.00 | $89.05–$112.03 | 71% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP JOINT 2 VIEWS LT | $118.30 | $169.00 | $89.05–$112.03 | 71% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP JOINT 2 VIEWS LT | $118.30 | $169.00 | $89.05–$112.03 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP JOINT 2 VIEWS RT | $118.30 | $169.00 | $89.05–$112.03 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $109.90 | $157.00 | $81.93–$148.96 | 68% below | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $109.90 | $157.00 | $81.93–$148.96 | — | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 1 OR 2 VIEWS RT | $109.90 | $157.00 | $96.02 | 63% below | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 1 OR 2 VIEWS LT | $109.90 | $157.00 | $96.02 | 63% below | 30% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 1 OR 2 VIEWS RT | $109.90 | $157.00 | $96.02 | — | 30% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 1 OR 2 VIEWS LT | $109.90 | $157.00 | $96.02 | — | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT | $109.90 | $157.00 | $85.25 | 58% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT | $109.90 | $157.00 | $85.25 | 58% below | 30% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT | $109.90 | $157.00 | $85.25 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT | $109.90 | $157.00 | $85.25 | — | 30% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 1 OR 2 VIEWS RT | $109.90 | $157.00 | $85.25–$96.02 | 67% below | 30% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 1 OR 2 VIEWS LT | $109.90 | $157.00 | $85.25–$96.02 | 67% below | 30% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 1 OR 2 VIEWS RT | $109.90 | $157.00 | $85.25–$96.02 | — | 30% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 1 OR 2 VIEWS LT | $109.90 | $157.00 | $85.25–$96.02 | — | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS RT | $109.90 | $157.00 | $82.54–$125.76 | 70% below | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS LT | $109.90 | $157.00 | $82.54–$125.76 | 70% below | 30% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS RT | $109.90 | $157.00 | $82.54–$125.76 | — | 30% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS LT | $109.90 | $157.00 | $82.54–$125.76 | — | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS LT | $109.90 | $157.00 | $82.54–$103.83 | 72% below | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS RT | $109.90 | $157.00 | $82.54–$103.83 | 72% below | 30% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS LT | $109.90 | $157.00 | $82.54–$103.83 | — | 30% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS RT | $109.90 | $157.00 | $82.54–$103.83 | — | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS RT | $109.90 | $157.00 | $82.54–$85.49 | 63% below | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS LT | $109.90 | $157.00 | $82.54–$85.49 | 63% below | 30% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEWS LT | $109.90 | $157.00 | $82.54–$85.49 | — | 30% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 2 VIEWS RT | $109.90 | $157.00 | $82.54–$85.49 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2 OR 3 VIEWS | $201.60 | $288.00 | $151.50–$230.69 | 57% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 2 OR 3 VIEWS | $201.60 | $288.00 | $151.50–$230.69 | — | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 * DO NOT USE XR SPINE LUMBAR 4 VIEWS | $201.60 | $288.00 | $151.50 | 68% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 * DO NOT USE XR SPINE LUMBAR 5 VIEWS | $212.10 | $303.00 | $151.50 | 66% below | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 * DO NOT USE XR SPINE LUMBAR 4 VIEWS | $201.60 | $288.00 | $151.50 | — | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 * DO NOT USE XR SPINE LUMBAR 5 VIEWS | $212.10 | $303.00 | $151.50 | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS | $201.60 | $288.00 | $152.33–$156.97 | 50% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS | $201.60 | $288.00 | $152.33–$156.97 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $115.50 | $165.00 | $86.88 | 69% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $115.50 | $165.00 | $86.88 | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $171.50 | $245.00 | $128.69–$240.10 | 54% below | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS | $171.50 | $245.00 | $128.69–$240.10 | — | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $230.30 | $329.00 | $199.91 | 3% below | 30% |
| ACTH blood test inpatient CPT 82024 ACTH | $230.30 | $329.00 | $199.91 | — | 30% |
| Albumin blood test CPT 82040 ALBUMIN | $46.20 | $66.00 | $51.20 | 24% above | 30% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $46.20 | $66.00 | $51.20 | — | 30% |
| Ammonia blood test CPT 82140 AMMONIA NH | $88.20 | $126.00 | $67.91–$76.56 | 40% below | 30% |
| Ammonia blood test CPT 82140 ***AMMONIA | $88.90 | $127.00 | $67.91–$76.56 | 39% below | 30% |
| Ammonia blood test inpatient CPT 82140 AMMONIA NH | $88.20 | $126.00 | $67.91–$76.56 | — | 30% |
| Ammonia blood test inpatient CPT 82140 ***AMMONIA | $88.90 | $127.00 | $67.91–$76.56 | — | 30% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $61.60 | $88.00 | $45.81–$83.30 | 37% below | 30% |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $61.60 | $88.00 | $45.81–$83.30 | — | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $126.70 | $181.00 | $97.56 | 106% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP | $126.70 | $181.00 | $97.56 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA- ANTINUCLEAR AB | $61.60 | $88.00 | $24.01–$70.49 | 30% below | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA- ANTINUCLEAR AB | $61.60 | $88.00 | $24.01–$70.49 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $138.60 | $198.00 | $103.49–$194.04 | 25% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP | $138.60 | $198.00 | $103.49–$194.04 | 25% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP | $138.60 | $198.00 | $103.49–$194.04 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $138.60 | $198.00 | $103.49–$194.04 | — | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THROAT | $61.60 | $88.00 | $60.37–$92.92 | 11% below | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $81.20 | $116.00 | $60.37–$92.92 | 17% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $81.20 | $116.00 | $60.37–$92.92 | 17% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ROUTINE (OTHER | $81.20 | $116.00 | $60.37–$92.92 | 17% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, THROAT | $61.60 | $88.00 | $60.37–$92.92 | — | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL | $81.20 | $116.00 | $60.37–$92.92 | — | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $81.20 | $116.00 | $60.37–$92.92 | — | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ROUTINE (OTHER | $81.20 | $116.00 | $60.37–$92.92 | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $58.10 | $83.00 | $43.12–$82.17 | 76% below | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $58.10 | $83.00 | $43.12–$82.17 | — | 30% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $88.90 | $127.00 | $66.30–$77.17 | 63% below | 30% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $88.90 | $127.00 | $66.30–$77.17 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB ONE DRAWING FEE | $9.80 | $14.00 | $8.62–$16.83 | 51% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB DRAWING FEE | $11.90 | $17.00 | $8.62–$16.83 | 40% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LAB ONE DRAWING FEE | $9.80 | $14.00 | $8.62–$16.83 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LAB DRAWING FEE | $11.90 | $17.00 | $8.62–$16.83 | — | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $46.20 | $66.00 | $38.73–$51.26 | 4% above | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $46.20 | $66.00 | $38.73–$51.26 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE | $62.30 | $89.00 | $47.98 | 29% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE | $62.30 | $89.00 | $47.98 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $77.00 | $110.00 | $57.13–$107.80 | 32% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $77.00 | $110.00 | $57.13–$107.80 | — | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF DO NOT USE | $105.00 | $150.00 | $80.85–$116.15 | 41% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF TOXIN DNA | $105.00 | $150.00 | $80.85–$116.15 | 41% below | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF TOXIN DNA | $105.00 | $150.00 | $80.85–$116.15 | — | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF DO NOT USE | $105.00 | $150.00 | $80.85–$116.15 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA, QUAL PCR | $70.70 | $101.00 | $64.14–$120.78 | 21% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CEPHEID-SARS CoV-2 PCR | $85.40 | $122.00 | $64.14–$120.78 | 4% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA, QUAL PCR | $70.70 | $101.00 | $64.14–$120.78 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CEPHEID-SARS CoV-2 PCR | $85.40 | $122.00 | $64.14–$120.78 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA GEN PROBE RN | $73.50 | $105.00 | $84.11 | 42% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA GEN PROBE RN | $73.50 | $105.00 | $84.11 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $88.90 | $127.00 | $66.30–$125.73 | 54% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $88.90 | $127.00 | $66.30–$125.73 | — | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFF | $54.60 | $78.00 | $40.42–$76.44 | 40% below | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO DIFF | $54.60 | $78.00 | $40.42–$76.44 | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFF | $54.60 | $78.00 | $40.42–$75.00 | 43% below | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC-NO DIFF | $54.60 | $78.00 | $40.42–$75.00 | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $92.40 | $132.00 | $68.99–$129.36 | 69% below | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $92.40 | $132.00 | $68.99–$129.36 | — | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $84.70 | $121.00 | $73.52 | 8% below | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL-TOTAL | $84.70 | $121.00 | $73.52 | 8% below | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL AM | $84.70 | $121.00 | $73.52 | 8% below | 30% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL-TOTAL | $84.70 | $121.00 | $73.52 | — | 30% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL AM | $84.70 | $121.00 | $73.52 | — | 30% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PM | $84.70 | $121.00 | $73.52 | — | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 CK (CPK) | $46.20 | $66.00 | $34.50–$64.68 | 35% below | 30% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) | $46.20 | $66.00 | $34.50–$64.68 | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $84.00 | $120.00 | $62.52–$113.68 | 52% below | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $84.00 | $120.00 | $62.52–$113.68 | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 **FERRITIN | $77.00 | $110.00 | $57.14–$104.73 | 26% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (IH) | $77.00 | $110.00 | $57.14–$104.73 | 26% below | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (IH) | $77.00 | $110.00 | $57.14–$104.73 | — | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 **FERRITIN | $77.00 | $110.00 | $57.14–$104.73 | — | 30% |
| Folate (folic acid) blood test CPT 82746 FOLATE - SERUM | $77.00 | $110.00 | $57.13–$59.29 | 19% below | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE - SERUM | $77.00 | $110.00 | $57.13–$59.29 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $84.70 | $121.00 | $63.06–$119.79 | 4% below | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $84.70 | $121.00 | $63.06–$119.79 | — | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $134.40 | $192.00 | $148.99 | 22% above | 30% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $134.40 | $192.00 | $148.99 | — | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $231.00 | $330.00 | $264.33 | 48% below | 30% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $231.00 | $330.00 | $264.33 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA GEN PROBE RNA | $73.50 | $105.00 | $84.11 | 48% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA GEN PROBE RNA | $73.50 | $105.00 | $84.11 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C GLYCO HGB (HEMOGLOBIN A1C) | $57.40 | $82.00 | $42.58–$81.18 | 38% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C GLYCO HGB (HEMOGLOBIN A1C) | $57.40 | $82.00 | $42.58–$81.18 | — | 30% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $23.10 | $33.00 | $17.25 | 51% below | 30% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $23.10 | $33.00 | $17.25 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.40 | $92.00 | $49.59 | 17% below | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.40 | $92.00 | $49.59 | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $107.80 | $154.00 | $83.01 | 24% above | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C | $107.80 | $154.00 | $83.01 | — | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL | $100.80 | $144.00 | $77.62 | 33% below | 30% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL | $100.80 | $144.00 | $77.62 | — | 30% |
| Insulin blood test CPT 83525 INSULIN | $77.70 | $111.00 | $57.68 | 8% below | 30% |
| Insulin blood test inpatient CPT 83525 INSULIN | $77.70 | $111.00 | $57.68 | — | 30% |
| Iron blood test (serum iron) CPT 83540 IRON | $39.20 | $56.00 | $29.11–$53.35 | 55% below | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $39.20 | $56.00 | $29.11–$53.35 | — | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 UIBC (IRON BINDING CAPACITY) | $54.60 | $78.00 | $40.43–$47.39 | 44% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $54.60 | $78.00 | $40.43–$47.39 | 44% below | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC (IRON BINDING CAPACITY) | $54.60 | $78.00 | $40.43–$47.39 | — | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $54.60 | $78.00 | $40.43–$47.39 | — | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $66.50 | $95.00 | $49.59–$94.05 | 63% below | 30% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $66.50 | $95.00 | $49.59–$94.05 | — | 30% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE | $86.10 | $123.00 | $64.14–$120.54 | 12% below | 30% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE | $86.10 | $123.00 | $64.14–$120.54 | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $61.60 | $88.00 | $45.81–$83.30 | 35% below | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $61.60 | $88.00 | $45.81–$83.30 | — | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $69.30 | $99.00 | $6.61–$79.30 | 68% below | 30% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $69.30 | $99.00 | $6.61–$79.30 | — | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM | $61.60 | $88.00 | $45.81–$84.15 | 24% above | 30% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $61.60 | $88.00 | $45.81–$84.15 | — | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (REF LAB ONLY) | $81.20 | $116.00 | $60.37–$92.92 | 9% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATIC SPECIFIC ANTIGEN) | $81.20 | $116.00 | $60.37–$92.92 | 9% below | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (REF LAB ONLY) | $81.20 | $116.00 | $60.37–$92.92 | — | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (PROSTATIC SPECIFIC ANTIGEN) | $81.20 | $116.00 | $60.37–$92.92 | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (P | $100.80 | $144.00 | $111.20–$139.00 | 53% below | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE (P | $100.80 | $144.00 | $111.20–$139.00 | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $61.60 | $88.00 | $45.81–$83.30 | 14% above | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $61.60 | $88.00 | $45.81–$83.30 | — | 30% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $46.20 | $66.00 | $35.57–$64.00 | 27% below | 30% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $46.20 | $66.00 | $35.57–$64.00 | — | 30% |
| Potassium blood test CPT 84132 POTASSIUM | $46.20 | $66.00 | $34.50 | 29% below | 30% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $46.20 | $66.00 | $34.50 | — | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR | $54.60 | $78.00 | $40.42–$73.50 | 16% above | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/INR | $54.60 | $78.00 | $40.42–$73.50 | — | 30% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $31.50 | $45.00 | $73.00 | 67% below | 30% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B | $54.60 | $78.00 | $40.42–$76.44 | 43% below | 30% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $54.60 | $78.00 | $40.42–$76.44 | 43% below | 30% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC | $31.50 | $45.00 | $73.00 | — | 30% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $54.60 | $78.00 | $40.42–$76.44 | — | 30% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A & B | $54.60 | $78.00 | $40.42–$76.44 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCREEN W/OPTIC | $29.40 | $42.00 | $94.00 | 70% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP TEST (RAPID) | $54.60 | $78.00 | $40.42–$60.08 | 45% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A SCREEN W/OPTIC | $29.40 | $42.00 | $94.00 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP TEST (RAPID) | $54.60 | $78.00 | $40.42–$60.08 | — | 30% |
| Rh blood typing CPT 86901 RH | $41.30 | $59.00 | $31.81 | 36% below | 30% |
| Rh blood typing inpatient CPT 86901 RH | $41.30 | $59.00 | $31.81 | — | 30% |
| Rheumatoid factor (RF) test CPT 86431 RF | $44.80 | $64.00 | $33.42–$51.26 | 19% below | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF | $44.80 | $64.00 | $33.42–$51.26 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR-SEDIMENTATION RATE | $68.60 | $98.00 | $51.20–$96.04 | 22% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR-SEDIMENTATION RATE | $68.60 | $98.00 | $51.20–$96.04 | — | 30% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $76.30 | $109.00 | $84.11 | 14% below | 30% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $76.30 | $109.00 | $84.11 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD DIAGNOSTIC | $33.60 | $48.00 | $24.79–$45.08 | 51% below | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD DIAGNOSTIC | $33.60 | $48.00 | $24.79–$45.08 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (VDRL) | $31.50 | $45.00 | $24.25 | 40% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (VDRL) | $31.50 | $45.00 | $24.25 | — | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $111.30 | $159.00 | $127.36–$157.41 | 10% above | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $111.30 | $159.00 | $127.36–$157.41 | — | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER KIDNEY MICROSOME | $73.50 | $105.00 | $79.60–$104.80 | 18% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO- THYROID PEROXIDASE AB | $91.70 | $131.00 | $79.60–$104.80 | 3% above | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LIVER KIDNEY MICROSOME | $73.50 | $105.00 | $79.60–$104.80 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO- THYROID PEROXIDASE AB | $91.70 | $131.00 | $79.60–$104.80 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $84.00 | $120.00 | $63.06–$118.80 | 32% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $84.00 | $120.00 | $63.06–$118.80 | — | 30% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 | $58.10 | $83.00 | $50.44 | 54% below | 30% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 | $58.10 | $83.00 | $50.44 | — | 30% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $46.20 | $66.00 | $51.26–$63.23 | 47% below | 30% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $46.20 | $66.00 | $51.26–$63.23 | — | 30% |
| Troponin test, quantitative CPT 84484 TROPONIN T HS GEN 5 | $92.40 | $132.00 | $68.99–$125.44 | 32% below | 30% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T HS GEN 5 | $92.40 | $132.00 | $68.99–$125.44 | — | 30% |
| Uric acid blood test CPT 84550 URIC ACID | $46.20 | $66.00 | $34.50–$65.34 | 49% below | 30% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $46.20 | $66.00 | $34.50–$65.34 | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS CHEMICAL & | $51.10 | $73.00 | $37.73–$70.00 | 53% below | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS CHEMICAL & | $51.10 | $73.00 | $37.73–$70.00 | — | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS CHEMICAL | $16.80 | $24.00 | $12.40–$22.54 | 67% below | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS CHEMICAL | $16.80 | $24.00 | $12.40–$22.54 | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $61.60 | $88.00 | $45.81–$85.00 | 56% below | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $61.60 | $88.00 | $45.81–$85.00 | — | 30% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE (IH) | $42.00 | $60.00 | $31.26–$59.40 | 18% below | 30% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN RANDOM U | $42.00 | $60.00 | $31.26–$59.40 | 18% below | 30% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN RANDOM U | $42.00 | $60.00 | $31.26–$59.40 | — | 30% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE (IH) | $42.00 | $60.00 | $31.26–$59.40 | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE QUALT | $54.60 | $78.00 | $60.00–$62.48 | 36% below | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST - URINE QUALT | $54.60 | $78.00 | $60.00–$62.48 | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $88.90 | $127.00 | $66.30–$125.73 | 2% below | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $88.90 | $127.00 | $66.30–$125.73 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D -25 OH (S/O) | $164.50 | $235.00 | $122.89–$232.65 | 34% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH | $164.50 | $235.00 | $122.89–$232.65 | 34% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH | $164.50 | $235.00 | $122.89–$232.65 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D -25 OH (S/O) | $164.50 | $235.00 | $122.89–$232.65 | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 3-4 HOURS | $658.70 | $941.00 | $507.20 | 25% below | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 1-2 HOURS | $658.70 | $941.00 | $507.20 | 25% below | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION > 4 HOURS | $842.10 | $1,203.00 | $507.20 | 4% below | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 3-4 HOURS | $658.70 | $941.00 | $507.20 | — | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 1-2 HOURS | $658.70 | $941.00 | $507.20 | — | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION > 4 HOURS | $842.10 | $1,203.00 | $507.20 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY TREATMENT 1 ONLY (NEBS, MDI) | $113.40 | $162.00 | $85.25–$87.97 | 44% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY TREATMENT MORE THAN 1 (NEBS, | $113.40 | $162.00 | $85.25–$87.97 | 44% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY TREATMENT MORE THAN 1 (NEBS, | $113.40 | $162.00 | $85.25–$87.97 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY TREATMENT 1 ONLY (NEBS, MDI) | $113.40 | $162.00 | $85.25–$87.97 | — | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MINS | $1,042.30 | $1,489.00 | $802.58 | 60% below | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MINS | $1,042.30 | $1,489.00 | $802.58 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG NURSING 12 LEAD RHYTHM ST | $135.10 | $193.00 | $100.80–$154.59 | 52% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD RHYTHM ST | $135.10 | $193.00 | $100.80–$154.59 | 52% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG NURSING 12 LEAD RHYTHM ST | $135.10 | $193.00 | $100.80–$154.59 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD RHYTHM ST | $135.10 | $193.00 | $100.80–$154.59 | — | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED INTERVENTION BASED ACUITY LEVEL 1 | $112.00 | $160.00 | $106.95 | 57% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED INTERVENTION BASED ACUITY LEVEL 1 | $112.00 | $160.00 | $106.95 | — | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED INTERVENTION BASED ACUITY LEVEL 2 | $223.30 | $319.00 | $167.79–$255.52 | 52% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED INTERVENTION BASED ACUITY LEVEL 2 | $223.30 | $319.00 | $167.79–$255.52 | — | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED INTERVENTION BASED ACUITY LEVEL 3 | $445.90 | $637.00 | $334.41–$607.84 | 46% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED INTERVENTION BASED ACUITY LEVEL 3 | $445.90 | $637.00 | $334.41–$607.84 | — | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED INTERVENTION BASED ACUITY LEVEL 4 | $594.30 | $849.00 | $445.44–$834.22 | 55% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED INTERVENTION BASED ACUITY LEVEL 4 | $594.30 | $849.00 | $445.44–$834.22 | — | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED INTERVENTION BASED ACUITY LEVEL 5 | $891.80 | $1,274.00 | $667.51–$990.04 | 56% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED INTERVENTION BASED ACUITY LEVEL 5 | $891.80 | $1,274.00 | $667.51–$990.04 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HYDRATION UP TO 1 HOUR | $245.70 | $351.00 | $183.26–$333.20 | 45% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HYDRATION UP TO 1 HOUR | $245.70 | $351.00 | $183.26–$333.20 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 INITIAL INFUSION | $275.10 | $393.00 | $205.36–$385.14 | 41% below | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INITIAL INFUSION | $275.10 | $393.00 | $205.36–$385.14 | — | 30% |
| IV push of a medicine, first drug CPT 96374 INITIAL IV PUSH OR INFUSION < 16 MINS | $135.80 | $194.00 | $101.34–$190.12 | 41% below | 30% |
| IV push of a medicine, first drug inpatient CPT 96374 INITIAL IV PUSH OR INFUSION < 16 MINS | $135.80 | $194.00 | $101.34–$190.12 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMINISTRATION | $11.20 | $16.00 | $16.00 | 93% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION | $49.00 | $70.00 | $36.12–$56.07 | 68% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ADMINISTRATION | $11.20 | $16.00 | $16.00 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION | $49.00 | $70.00 | $36.12–$56.07 | — | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 OTA NEURO RE-ED PER 15MIN | $52.50 | $75.00 | $39.10–$40.46 | 53% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-ED 15 | $52.50 | $75.00 | $38.81–$60.00 | 53% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED 15 | $52.50 | $75.00 | $38.81–$60.00 | 53% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE-ED PER 15MIN | $52.50 | $75.00 | $39.10–$40.46 | 53% below | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO RE-ED PER 15MIN | $52.50 | $75.00 | $39.10–$40.46 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR RE-ED 15 | $52.50 | $75.00 | $38.81–$60.00 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-ED 15 | $52.50 | $75.00 | $38.81–$60.00 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEURO RE-ED PER 15MIN | $52.50 | $75.00 | $39.10–$40.46 | — | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION, LOW | $175.00 | $250.00 | $131.41–$134.85 | 28% below | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION, LOW | $175.00 | $250.00 | $131.41–$134.85 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION: HIGH COM | $175.00 | $250.00 | $152.00 | 43% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION: HIGH COM | $175.00 | $250.00 | $152.00 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION: LOW COMP | $175.00 | $250.00 | $130.54–$200.00 | 13% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION: LOW COMP | $175.00 | $250.00 | $130.54–$200.00 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION: MODERATE | $175.00 | $250.00 | $131.41–$135.75 | 31% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION: MODERATE | $175.00 | $250.00 | $131.41–$135.75 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY PER 15 | $65.10 | $93.00 | $48.87–$56.88 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY PER 15 | $65.10 | $93.00 | $48.87–$56.88 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MYOFASCIAL RELEASE PER | $65.10 | $93.00 | $48.51–$89.10 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY PER 15M | $65.10 | $93.00 | $48.51–$89.10 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA JOINT MOBILIZATION PER | $65.10 | $93.00 | $48.51–$89.10 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JOINT MOBILIZATION PER | $65.10 | $93.00 | $48.51–$89.10 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MYOFASCIAL RELEASE PER | $65.10 | $93.00 | $48.51–$89.10 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY PER 15M | $65.10 | $93.00 | $48.51–$89.10 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JOINT MOBILIZATION PER | $65.10 | $93.00 | $48.51–$89.10 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY PER 15M | $65.10 | $93.00 | $48.51–$89.10 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY PER 15 | $65.10 | $93.00 | $48.87–$56.88 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA JOINT MOBILIZATION PER | $65.10 | $93.00 | $48.51–$89.10 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY PER 15 | $65.10 | $93.00 | $48.87–$56.88 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MYOFASCIAL RELEASE PER | $65.10 | $93.00 | $48.51–$89.10 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY PER 15M | $65.10 | $93.00 | $48.51–$89.10 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MYOFASCIAL RELEASE PER | $65.10 | $93.00 | $48.51–$89.10 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.67–$54.30 | 38% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.67–$54.30 | 38% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.32–$95.84 | 38% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.32–$95.84 | 38% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.67–$54.30 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.67–$54.30 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.32–$95.84 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EXERCISE 1 | $70.00 | $100.00 | $52.32–$95.84 | — | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE EST 15 MIN | $70.70 | $101.00 | $17.23–$250.45 | 65% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE EST 15 MIN | $70.70 | $101.00 | $17.23–$250.45 | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE EST 25 MIN | $91.70 | $131.00 | $238.80–$264.74 | 57% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE EST 25 MIN | $91.70 | $131.00 | $238.80–$264.74 | — | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES | $53.20 | $76.00 | $39.64–$41.07 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 1 | $53.20 | $76.00 | $39.64–$41.27 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITY 1 | $53.20 | $76.00 | $39.64–$41.27 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPEUTIC ACTIVITIES | $53.20 | $76.00 | $39.64–$41.07 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES | $53.20 | $76.00 | $39.64–$41.07 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPEUTIC ACTIVITIES | $53.20 | $76.00 | $39.64–$41.07 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITY 1 | $53.20 | $76.00 | $39.64–$41.27 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 1 | $53.20 | $76.00 | $39.64–$41.27 | — | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (dip+pert+tet; Tdap) inj 0.5ml | $67.20 | $96.00 | $50.50–$74.49 | 56% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (Tdap) inj 0.5ml | $67.20 | $96.00 | $50.50–$74.49 | 56% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (Tdap) inj 0.5ml | $67.20 | $96.00 | $50.50–$74.49 | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (dip+pert+tet; Tdap) inj 0.5ml | $67.20 | $96.00 | $50.50–$74.49 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INITIAL VACCINE | $46.20 | $66.00 | $34.75–$51.26 | 38% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INITIAL VACCINE COMPONENT--ADULT | $46.20 | $66.00 | $34.75–$51.26 | 38% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INITAL VACCINE | $46.20 | $66.00 | $34.75–$51.26 | 38% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INITAL VACCINE | $46.20 | $66.00 | $34.75–$51.26 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INITIAL VACCINE | $46.20 | $66.00 | $34.75–$51.26 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INITIAL VACCINE COMPONENT--ADULT | $46.20 | $66.00 | $34.75–$51.26 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDITIONAL VACCINE | $46.20 | $66.00 | $34.75–$51.27 | 14% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDITIONAL VACCINE COMPONENT--ADULT | $46.20 | $66.00 | $34.75–$51.27 | 14% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDITIONAL VACCINE | $46.20 | $66.00 | $34.75–$51.27 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDITIONAL VACCINE COMPONENT--ADULT | $46.20 | $66.00 | $34.75–$51.27 | — | 30% |