Hospital Roseburg, OR

Commonspirit Oregon

Commonspirit Oregon in Roseburg, OR publishes cash prices for 266 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oregon median for 141 of 264 procedures and below it for 118. By typical cash price it ranks #26 of 42 Oregon hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2700 NW Stewart Parkway, Roseburg, OR 97471 Collected Sep 27, 2026 Source price file (541) 673-0611

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 380027 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP 3+VIEWS LT	$239.44	$449.00	$74.93–$431.04	3% below	47%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP 3+VIEWS LT	$239.44	$449.00	$336.75–$426.55	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HB TCPO2/ABI-BILAT 1-2 LEVELS	$336.49	$631.00	$109.69–$605.76	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 USMO VL UPPER EXT ART 1-2 LEV	$315.70	$592.00	$109.69–$568.32	37% below	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HB TCPO2/ABI-BILAT 1-2 LEVELS	$336.49	$631.00	$473.25–$599.45	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 USMO VL UPPER EXT ART 1-2 LEV	$315.70	$592.00	$444.00–$562.40	—	47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS-BA SWALLOW SINGLE	$341.83	$641.00	$151.50–$765.88	39% below	47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS-BA SWALLOW SINGLE	$341.83	$641.00	$480.75–$608.95	—	47%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN - WHOLE BODY	$1,012.67	$1,899.00	$341.96–$1,823.04	15% below	47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN - WHOLE BODY	$1,012.67	$1,899.00	$1,424.25–$1,804.05	—	47%
Breast ultrasound, complete, one breast one side CPT 76641 USM BREAST UNILAT COMP-LT	$263.44	$494.00	$90.49–$474.24	27% below	47%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 USM BREAST UNILAT COMP-LT	$263.44	$494.00	$370.50–$469.30	—	47%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 USM BREAST LIMITED-BILATERAL	$395.15	$741.00	$74.93–$711.36	—	47%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 USM BREAST UNILAT LIMITED-LT	$263.44	$494.00	$74.93–$474.24	15% below	47%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 USM BREAST LIMITED-BILATERAL	$395.15	$741.00	$555.75–$703.95	—	47%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USM BREAST UNILAT LIMITED-LT	$263.44	$494.00	$370.50–$469.30	—	47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CONTRAST	$1,804.56	$3,384.00	$151.50–$3,248.64	7% above	47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CONTRAST	$1,804.56	$3,384.00	$2,538.00–$3,214.80	—	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CARDIAC-W CONTRAST	$2,506.87	$4,701.00	$303.92–$4,512.96	80% above	47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CARDIAC-W CONTRAST	$2,506.87	$4,701.00	$3,525.75–$4,465.95	—	47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARD WO CON-CA SCORE SCREEN	$75.19	$141.00	$74.93–$368.96	43% below	47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARD WO CON-CA SCORE	$752.44	$1,411.00	$74.93–$1,354.56	468% above	47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARD WO CON-CA SCORE SCREEN	$75.19	$141.00	$105.75–$133.95	—	47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARD WO CON-CA SCORE	$752.44	$1,411.00	$1,058.25–$1,340.45	—	47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CTMO ABDOMEN AND PELVIS-WO CO	$2,929.21	$5,493.00	$205.71–$5,273.28	39% above	47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CTMO ABDOMEN AND PELVIS-WO CO	$2,929.21	$5,493.00	$4,119.75–$5,218.35	—	47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CTMO ABDOMEN AND PELVIS-W CO	$3,291.29	$6,172.00	$303.92–$5,925.12	48% above	47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CTMO ABDOMEN AND PELVIS-W CO	$3,291.29	$6,172.00	$4,629.00–$5,863.40	—	47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS-WWO 1OR2 REG	$2,896.68	$5,432.00	$303.92–$5,214.72	1% above	47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CTMO ABDOMEN/PELVIS-WWO 1OR2 R	$3,883.75	$7,283.00	$303.92–$6,991.68	35% above	47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS-WWO 1OR2 REG	$2,896.68	$5,432.00	$4,074.00–$5,160.40	—	47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CTMO ABDOMEN/PELVIS-WWO 1OR2 R	$3,883.75	$7,283.00	$5,462.25–$6,918.85	—	47%
CT scan of the abdomen with contrast CPT 74160 MX CT ABDOMEN W CONTRAST	$1,350.22	$2,532.00	$151.50–$2,430.72	4% below	47%
CT scan of the abdomen with contrast inpatient CPT 74160 MX CT ABDOMEN W CONTRAST	$1,350.22	$2,532.00	$1,899.00–$2,405.40	—	47%
CT scan of the abdomen without contrast CPT 74150 MX CT ABDOMEN WO CONTRAST	$1,140.65	$2,139.00	$90.49–$2,053.44	9% above	47%
CT scan of the abdomen without contrast inpatient CPT 74150 MX CT ABDOMEN WO CONTRAST	$1,140.65	$2,139.00	$1,604.25–$2,032.05	—	47%
CT scan of the face and sinuses, no contrast dye CPT 70486 MX CT MAXILLO-FAC/SINUS WO CON	$1,332.63	$2,499.00	$90.49–$2,399.04	30% above	47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MX CT MAXILLO-FAC/SINUS WO CON	$1,332.63	$2,499.00	$1,874.25–$2,374.05	—	47%
CT scan of the head or brain, no contrast dye CPT 70450 MX CT HEAD WO CONTRAST	$1,090.52	$2,045.00	$90.49–$1,963.20	11% above	47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 MX CT HEAD WO CONTRAST	$1,090.52	$2,045.00	$1,533.75–$1,942.75	—	47%
CT scan of the head with contrast CPT 70460 MX CT HEAD W CONTRAST	$1,319.83	$2,475.00	$151.50–$2,376.00	4% above	47%
CT scan of the head with contrast inpatient CPT 70460 MX CT HEAD W CONTRAST	$1,319.83	$2,475.00	$1,856.25–$2,351.25	—	47%
CT scan of the head without and with contrast CPT 70470 MX CT HEAD WWO CONTRAST	$1,592.32	$2,986.00	$151.50–$2,866.56	6% above	47%
CT scan of the head without and with contrast inpatient CPT 70470 MX CT HEAD WWO CONTRAST	$1,592.32	$2,986.00	$2,239.50–$2,836.70	—	47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 MX CT LUMBAR SPINE WO CONT	$1,109.72	$2,081.00	$90.49–$1,997.76	9% below	47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 MX CT LUMBAR SPINE WO CONT	$1,109.72	$2,081.00	$1,560.75–$1,976.95	—	47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 MX CT CERVICAL SPINE WO CONTR	$1,307.03	$2,451.00	$90.49–$2,352.96	9% above	47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 MX CT CERVICAL SPINE WO CONTR	$1,307.03	$2,451.00	$1,838.25–$2,328.45	—	47%
CT scan of the pelvis, with contrast dye CPT 72193 MX CT PELVIS W CONTRAST	$1,109.72	$2,081.00	$151.50–$1,997.76	23% below	47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 MX CT PELVIS W CONTRAST	$1,109.72	$2,081.00	$1,560.75–$1,976.95	—	47%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 MX VL CAROTID/CEREBRAL DUPLEX	$553.53	$1,038.00	$205.71–$996.48	47% below	47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 MX VL CAROTID/CEREBRAL DUPLEX	$553.53	$1,038.00	$778.50–$986.10	—	47%
Chest X-ray, 2 views CPT 71046 XR CHEST-2V	$253.84	$476.00	$74.93–$456.96	4% below	47%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST-2V	$253.84	$476.00	$357.00–$452.20	—	47%
Chest X-ray, single view CPT 71045 XR CHEST-1V	$195.18	$366.00	$74.93–$368.96	23% below	47%
Chest X-ray, single view inpatient CPT 71045 XR CHEST-1V	$195.18	$366.00	$274.50–$347.70	—	47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 MX US RETROPER RENAL-AORTA-NOD	$500.74	$939.00	$90.49–$901.44	9% below	47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 MX US RETROPER RENAL-AORTA-NOD	$500.74	$939.00	$704.25–$892.05	—	47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MX DEXA SCAN-BODY	$332.76	$624.00	$90.49–$599.04	13% below	47%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MX DEXA SCAN-BODY	$332.76	$624.00	$468.00–$592.80	—	47%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 MX DEXA SCAN-PERIPHERAL	$176.51	$331.00	$74.93–$368.96	31% below	47%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 MX DEXA SCAN-PERIPHERAL	$176.51	$331.00	$248.25–$314.45	—	47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 MX CT THORAX - SCREENING	$1,404.62	$2,634.00	$90.49–$2,528.64	20% above	47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 MX CT THORAX - SCREENING	$1,404.62	$2,634.00	$1,975.50–$2,502.30	—	47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CTMO CHEST-W CONTRAST	$1,577.93	$2,959.00	$151.50–$2,840.64	9% above	47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CTMO CHEST-W CONTRAST	$1,577.93	$2,959.00	$2,219.25–$2,811.05	—	47%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOST MAMMO DIRECT DIG-BIL	$428.21	$803.00	$438.41–$770.88	4% above	47%
Diagnostic mammogram, both breasts inpatient CPT 77066 DIAGNOST MAMMO DIRECT DIG-BIL	$428.21	$803.00	$602.25–$762.85	—	47%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOST MAMMO DIRECT DIG-LEFT	$261.30	$490.00	$318.50–$470.40	19% below	47%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOST MAMMO DIRECT DIG-LEFT	$261.30	$490.00	$367.50–$465.50	—	47%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL DUPLEX ARTERIAL BILAT LOWER	$398.35	$747.00	$205.71–$991.71	—	47%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL DUPLEX ARTERIAL BILAT LOWER	$398.35	$747.00	$560.25–$709.65	—	47%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DUPLEX BILAT COMPLETE	$796.70	$1,494.00	$205.71–$1,434.24	—	47%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DUPLEX BILAT COMPLETE	$796.70	$1,494.00	$1,120.50–$1,419.30	—	47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D/MM/COLOR/DOP	$1,446.21	$2,712.00	$466.61–$2,603.52	6% below	47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D/MM/COLOR/DOP	$1,446.21	$2,712.00	$2,034.00–$2,576.40	—	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM IMAGIN	$1,305.43	$2,448.00	$341.96–$2,350.08	1% below	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM IMAGIN	$1,305.43	$2,448.00	$1,836.00–$2,325.60	—	47%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 UNATTENDED SLEEP STUDY W/CPAP	$537.00	$1,007.00	$133.15–$966.72	10% below	47%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 UNATTENDED SLEEP STUDY W/CPAP	$537.00	$1,007.00	$755.25–$956.65	—	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLITTECH	$2,652.45	$4,974.00	$865.80–$4,775.04	25% below	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING W/BIPAP	$2,779.90	$5,213.00	$865.80–$5,004.48	21% below	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLITTECH	$2,652.45	$4,974.00	$3,730.50–$4,725.30	—	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STAGING W/BIPAP	$2,779.90	$5,213.00	$3,909.75–$4,952.35	—	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 MX US ABDOMEN SURVEY-LIMITED	$433.01	$812.00	$90.49–$779.52	10% below	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 MX US ABDOMEN SURVEY-LIMITED	$433.01	$812.00	$609.00–$771.40	—	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST SCREEN LDCT-INITIAL	$410.62	$770.00	$90.49–$739.20	51% above	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST SCREEN LDCT-INITIAL	$410.62	$770.00	$577.50–$731.50	—	47%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR EXT LOWER/W JNT-WO CONT-RT	$1,794.43	$3,365.00	$205.71–$3,230.40	5% above	47%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR EXT LOWER/W JNT-WO CONT-RT	$1,794.43	$3,365.00	$2,523.75–$3,196.75	—	47%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR EXT LOWER/W JNT-WWO CONT-RT	$2,745.77	$5,149.00	$303.92–$4,943.04	10% below	47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR EXT LOWER/W JNT-WWO CONT-RT	$2,745.77	$5,149.00	$3,861.75–$4,891.55	—	47%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN-WO CONTRAST	$1,953.87	$3,664.00	$205.71–$3,517.44	9% above	47%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN-WO CONTRAST	$1,953.87	$3,664.00	$2,748.00–$3,480.80	—	47%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN-WWO CONTRAST	$2,873.75	$5,389.00	$303.92–$5,173.44	4% above	47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN-WWO CONTRAST	$2,873.75	$5,389.00	$4,041.75–$5,119.55	—	47%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$1,774.70	$3,328.00	$205.71–$3,194.88	2% below	47%
MRI of the brain, no contrast dye CPT 70551 MX MR HEAD-WO CONTRAST	$1,774.70	$3,328.00	$205.71–$3,194.88	2% below	47%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$1,774.70	$3,328.00	$2,496.00–$3,161.60	—	47%
MRI of the brain, no contrast dye inpatient CPT 70551 MX MR HEAD-WO CONTRAST	$1,774.70	$3,328.00	$2,496.00–$3,161.60	—	47%
MRI of the brain, with and without contrast dye CPT 70553 MX MR HEAD-WWO CONTRAST	$3,168.64	$5,942.00	$303.92–$5,704.32	6% above	47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MX MR HEAD-WWO CONTRAST	$3,168.64	$5,942.00	$4,456.50–$5,644.90	—	47%
MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE-LIMITED	$1,989.60	$3,731.00	$205.71–$3,581.76	10% above	47%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR SPINE-LIMITED	$1,989.60	$3,731.00	$2,798.25–$3,544.45	—	47%
MRI of the lower back, without and then with contrast dye CPT 72158 MX MR LUMBAR SPINE-WWO CONTR	$3,024.66	$5,672.00	$303.92–$5,445.12	3% above	47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MX MR LUMBAR SPINE-WWO CONTR	$3,024.66	$5,672.00	$4,254.00–$5,388.40	—	47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MX MR THORACIC SPINE-WO CONTR	$1,989.60	$3,731.00	$205.71–$3,581.76	7% above	47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC SPINE-LIMITED	$1,989.60	$3,731.00	$205.71–$3,581.76	7% above	47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MX MR THORACIC SPINE-WO CONTR	$1,989.60	$3,731.00	$2,798.25–$3,544.45	—	47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR THORACIC SPINE-LIMITED	$1,989.60	$3,731.00	$2,798.25–$3,544.45	—	47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MX MR CERVICAL SPINE-WWO CONTR	$3,024.66	$5,672.00	$303.92–$5,445.12	7% above	47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MX MR CERVICAL SPINE-WWO CONTR	$3,024.66	$5,672.00	$4,254.00–$5,388.40	—	47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MX MR CERVICAL SPINE-WO CONTR	$1,989.60	$3,731.00	$205.71–$3,581.76	12% above	47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL SPINE-LIMITED	$1,989.60	$3,731.00	$205.71–$3,581.76	12% above	47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MX MR CERVICAL SPINE-WO CONTR	$1,989.60	$3,731.00	$2,798.25–$3,544.45	—	47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR CERVICAL SPINE-LIMITED	$1,989.60	$3,731.00	$2,798.25–$3,544.45	—	47%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS-WWO CONTRAST	$2,526.06	$4,737.00	$303.92–$4,547.52	5% below	47%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS-WWO CONTRAST	$2,526.06	$4,737.00	$3,552.75–$4,500.15	—	47%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS-WO CONTRAST	$1,717.64	$3,221.00	$205.71–$3,092.16	3% below	47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS-WO CONTRAST	$1,717.64	$3,221.00	$2,415.75–$3,059.95	—	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MX MR EXT UP/W JNT-WO CONT-RT	$1,794.43	$3,365.00	$205.71–$3,230.40	10% above	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MX MR EXT UP/W JNT-WO CONT-RT	$1,794.43	$3,365.00	$2,523.75–$3,196.75	—	47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF SPECT-MULTI	$2,382.62	$4,468.00	$1,110.97–$5,636.75	29% below	47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF SPECT-MULTI	$2,382.62	$4,468.00	$3,351.00–$4,244.60	—	47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT-SKULLBASE TO MIDTHIGH	$3,902.95	$7,319.00	$1,241.26–$7,026.24	16% below	47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT-SKULLBASE TO MIDTHIGH	$3,902.95	$7,319.00	$5,489.25–$6,953.05	—	47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 MX US PELVIC (NONOB)-LIMITED-F	$299.16	$561.00	$90.49–$538.56	3% below	47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 MX US PELVIC (NONOB)-LIMITED-F	$299.16	$561.00	$420.75–$532.95	—	47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 MX US PELVIC (NONOB)-COMPLETE	$433.01	$812.00	$90.49–$779.52	17% below	47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 MX US PELVIC (NONOB)-COMPLETE	$433.01	$812.00	$609.00–$771.40	—	47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 MX US PREGNANT UTERUS-COMPLETE	$513.00	$962.00	$90.49–$923.52	1% below	47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS COMP-SINGLE	$562.60	$1,055.00	$90.49–$1,012.80	9% above	47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 MX US PREGNANT UTERUS-COMPLETE	$513.00	$962.00	$721.50–$913.90	—	47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS COMP-SINGLE	$562.60	$1,055.00	$791.25–$1,002.25	—	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MX US PREGNANT UTERUS-1ST TRI	$356.22	$668.00	$90.49–$641.28	24% below	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 MX US PREGNANT UTERUS-1ST TRI	$356.22	$668.00	$501.00–$634.60	—	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 MX US PREGNANT UTERUS-LIMITED	$222.38	$417.00	$90.49–$453.90	41% below	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS-LIMITED	$243.17	$456.00	$90.49–$453.90	36% below	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 MX US PREGNANT UTERUS-LIMITED	$222.38	$417.00	$312.75–$396.15	—	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS-LIMITED	$243.17	$456.00	$342.00–$433.20	—	47%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMO DIRECT DIG-BIL	$314.63	$590.00	$363.61–$566.40	6% below	47%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO DIRECT DIG-LT	$261.30	$490.00	$318.50–$470.40	22% below	47%
Screening mammogram, both breasts inpatient CPT 77067 SCREENING MAMMO DIRECT DIG-BIL	$314.63	$590.00	$442.50–$560.50	—	47%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO DIRECT DIG-LT	$261.30	$490.00	$367.50–$465.50	—	47%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+VIEWS RT	$214.38	$402.00	$74.93–$385.92	13% below	47%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+VIEWS RT	$214.38	$402.00	$301.50–$381.90	—	47%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4><6 PARAMTRS TE	$2,423.14	$4,544.00	$865.80–$4,362.24	22% below	47%
Sleep study in a lab (polysomnography) CPT 95810 MULTITECH	$2,550.59	$4,783.00	$865.80–$4,591.68	18% below	47%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STAGING 4><6 PARAMTRS TE	$2,423.14	$4,544.00	$3,408.00–$4,316.80	—	47%
Sleep study in a lab (polysomnography) inpatient CPT 95810 MULTITECH	$2,550.59	$4,783.00	$3,587.25–$4,543.85	—	47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR PHARYNX & ESOP CINE	$292.23	$548.00	$151.50–$765.88	47% below	47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR PHARYNX & ESOP CINE	$292.23	$548.00	$411.00–$520.60	—	47%
Transvaginal pelvic ultrasound CPT 76830 MX US TRANSVAGINAL-NON OB	$335.43	$629.00	$90.49–$603.84	29% below	47%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL - NON OB	$368.49	$691.00	$90.49–$663.36	22% below	47%
Transvaginal pelvic ultrasound inpatient CPT 76830 MX US TRANSVAGINAL-NON OB	$335.43	$629.00	$471.75–$597.55	—	47%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL - NON OB	$368.49	$691.00	$518.25–$656.45	—	47%
Transvaginal ultrasound during pregnancy CPT 76817 MX US TRANSVAGINAL-OBSTETRICAL	$264.50	$496.00	$90.49–$476.16	31% below	47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 MX US TRANSVAGINAL-OBSTETRICAL	$264.50	$496.00	$372.00–$471.20	—	47%
Ultrasound of the abdomen, complete CPT 76700 MX US ABDOMEN SURVEY-COMPLETE	$705.51	$1,323.00	$90.49–$1,270.08	17% above	47%
Ultrasound of the abdomen, complete inpatient CPT 76700 MX US ABDOMEN SURVEY-COMPLETE	$705.51	$1,323.00	$992.25–$1,256.85	—	47%
Ultrasound of the scrotum and testicles CPT 76870 MX US SCROTUM & CONTENTS	$431.95	$810.00	$90.49–$777.60	19% below	47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 MX US SCROTUM & CONTENTS	$431.95	$810.00	$607.50–$769.50	—	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 MX US SOFT TISSUE HEAD-NECK	$397.28	$745.00	$90.49–$715.20	16% below	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 MX US SOFT TISSUE HEAD-NECK	$397.28	$745.00	$558.75–$707.75	—	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$559.93	$1,050.00	$151.50–$1,008.00	at median	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$559.93	$1,050.00	$787.50–$997.50	—	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UNILAT/LIM LT	$573.79	$1,076.00	$90.49–$1,032.96	6% below	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX UNILAT/LIM LT	$573.79	$1,076.00	$807.00–$1,022.20	—	47%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+VIEWS RT	$232.51	$436.00	$74.93–$418.56	4% below	47%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+VIEWS RT	$232.51	$436.00	$327.00–$414.20	—	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W/PELVIS 2-3V-RT	$359.96	$675.00	$74.93–$648.00	68% above	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W/PELVIS 2-3V-RT	$359.96	$675.00	$506.25–$641.25	—	47%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN-1V	$194.65	$365.00	$74.93–$368.96	22% below	47%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN-1V	$194.65	$365.00	$273.75–$346.75	—	47%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 1 VIEW RT	$210.64	$395.00	$74.93–$379.20	14% below	47%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 1 VIEW RT	$210.64	$395.00	$296.25–$375.25	—	47%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 2 VIEWS LH TH	$217.04	$407.00	$74.93–$390.72	2% above	47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) 2 VIEWS LH TH	$217.04	$407.00	$305.25–$386.65	—	47%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEW-BILATERAL	$325.83	$611.00	$74.93–$586.56	—	47%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$216.51	$406.00	$74.93–$389.76	5% above	47%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT 2 VIEW-BILATERAL	$325.83	$611.00	$458.25–$580.45	—	47%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$216.51	$406.00	$304.50–$385.70	—	47%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT 3V-BILATERAL	$348.76	$654.00	$74.93–$627.84	—	47%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+VIEWS LT	$232.51	$436.00	$74.93–$418.56	1% below	47%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT 3V-BILATERAL	$348.76	$654.00	$490.50–$621.30	—	47%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+VIEWS LT	$232.51	$436.00	$327.00–$414.20	—	47%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND 3 VIEW-BILAT	$326.89	$613.00	$74.93–$588.48	—	47%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+VIEWS RT	$279.43	$524.00	$74.93–$503.04	10% above	47%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND 3 VIEW-BILAT	$326.89	$613.00	$459.75–$582.35	—	47%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+VIEWS RT	$279.43	$524.00	$393.00–$497.80	—	47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE-LUMBAR 2-3 VIEWS	$270.37	$507.00	$90.49–$486.72	11% below	47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE-LUMBAR 2-3 VIEWS	$270.37	$507.00	$380.25–$481.65	—	47%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE-LUMBAR COMP W/ OBLIQU	$457.01	$857.00	$90.49–$822.72	14% above	47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE-LUMBAR COMP W/ OBLIQU	$457.01	$857.00	$642.75–$814.15	—	47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THOR AP & LAT	$234.64	$440.00	$90.49–$453.90	19% below	47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THOR AP & LAT	$234.64	$440.00	$330.00–$418.00	—	47%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$199.44	$374.00	$74.93–$368.96	10% below	47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$199.44	$374.00	$280.50–$355.30	—	47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE-CERVICAL 2 OR 3V	$260.77	$489.00	$74.93–$469.44	2% above	47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE-CERVICAL 2 OR 3V	$260.77	$489.00	$366.75–$464.55	—	47%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V	$261.30	$490.00	$90.49–$470.40	at median	47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V	$261.30	$490.00	$367.50–$465.50	—	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+VIEWS	$169.58	$318.00	$74.93–$368.96	32% below	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2+VIEWS	$169.58	$318.00	$238.50–$302.10	—	47%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$27.73	$52.00	$4.19–$49.92	16% above	47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$27.73	$52.00	$39.00–$49.40	—	47%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$32.00	$60.00	$4.09–$57.60	21% above	47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$32.00	$60.00	$45.00–$57.00	—	47%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL SOURCE	$222.38	$417.00	$37.63–$400.32	2% above	47%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL SOURCE	$222.38	$417.00	$312.75–$396.15	—	47%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST IGE (OML)	$17.07	$32.00	$4.12–$30.72	34% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE	$23.47	$44.00	$4.12–$42.24	84% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BRAZIL NUT	$27.20	$51.00	$4.12–$48.96	113% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SESAME SEED	$31.47	$59.00	$4.12–$56.64	147% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 RASTIGE	$34.67	$65.00	$4.12–$62.40	172% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST	$43.20	$81.00	$4.12–$77.76	239% above	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST IGE (OML)	$17.07	$32.00	$24.00–$30.40	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE	$23.47	$44.00	$33.00–$41.80	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BRAZIL NUT	$27.20	$51.00	$38.25–$48.45	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SESAME SEED	$31.47	$59.00	$44.25–$56.05	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASTIGE	$34.67	$65.00	$48.75–$61.75	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST	$43.20	$81.00	$60.75–$76.95	—	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT	$35.20	$66.00	$10.23–$63.36	32% below	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT IGG	$146.12	$274.00	$10.23–$263.04	182% above	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT	$35.20	$66.00	$49.50–$62.70	—	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT IGG	$146.12	$274.00	$205.50–$260.30	—	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$79.46	$149.00	$9.55–$143.04	51% above	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$79.46	$149.00	$111.75–$141.55	—	47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$122.66	$230.00	$31.02–$220.80	22% below	47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$122.66	$230.00	$172.50–$218.50	—	47%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$39.47	$74.00	$6.68–$71.04	16% below	47%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$39.47	$74.00	$55.50–$70.30	—	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS+MICRO LEVEL IV-MD CLIENT	$61.73	$115.75	$45.47–$212.95	68% below	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV (LAB)	$153.58	$288.00	$45.47–$276.48	21% below	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW ASP CELL BLOCK PRE	$221.84	$416.00	$45.47–$399.36	15% above	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV	$243.71	$457.00	$45.47–$438.72	26% above	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS+MICRO LEVEL IV-MD CLIENT	$61.73	$115.75	$86.82–$109.97	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV (LAB)	$153.58	$288.00	$216.00–$273.60	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW ASP CELL BLOCK PRE	$221.84	$416.00	$312.00–$395.20	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV	$243.71	$457.00	$342.75–$434.15	—	47%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$59.73	$112.00	$8.15–$107.52	46% below	47%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$59.73	$112.00	$84.00–$106.40	—	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$27.73	$52.00	$7.18–$49.92	38% above	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER VENOUS BLOOD DRAW	$27.73	$52.00	$7.18–$49.92	38% above	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$27.73	$52.00	$39.00–$49.40	—	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER VENOUS BLOOD DRAW	$27.73	$52.00	$39.00–$49.40	—	47%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$22.40	$42.00	$3.10–$40.32	1% above	47%
Blood glucose (sugar) test CPT 82947 GLUCOSE BEDSIDE	$28.27	$53.00	$3.10–$50.88	27% above	47%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$22.40	$42.00	$31.50–$39.90	—	47%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BEDSIDE	$28.27	$53.00	$39.75–$50.35	—	47%
Blood lead test CPT 83655 LEAD WHOLE BLOOD	$53.33	$100.00	$9.57–$96.00	32% above	47%
Blood lead test CPT 83655 LEAD SERUM	$96.53	$181.00	$9.57–$173.76	140% above	47%
Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD	$53.33	$100.00	$75.00–$95.00	—	47%
Blood lead test inpatient CPT 83655 LEAD SERUM	$96.53	$181.00	$135.75–$171.95	—	47%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM PREGNANCY TEST	$69.86	$131.00	$5.94–$125.76	4% above	47%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM PREGNANCY TEST	$69.86	$131.00	$98.25–$124.45	—	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$120.52	$226.00	$109.69–$493.12	120% above	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$120.52	$226.00	$169.50–$214.70	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP/C-REACTIVE PROTEIN	$57.06	$107.00	$4.09–$102.72	51% above	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP/C-REACTIVE PROTEIN	$57.06	$107.00	$80.25–$101.65	—	47%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE EPI	$89.59	$168.00	$29.44–$161.28	42% below	47%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE BY DNA AMP	$133.85	$251.00	$29.44–$240.96	13% below	47%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE BY PCR	$155.18	$291.00	$29.44–$279.36	1% above	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE EPI	$89.59	$168.00	$126.00–$159.60	—	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE BY DNA AMP	$133.85	$251.00	$188.25–$238.45	—	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE BY PCR	$155.18	$291.00	$218.25–$276.45	—	47%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$120.52	$226.00	$16.44–$216.96	43% above	47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$120.52	$226.00	$169.50–$214.70	—	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$110.92	$208.00	$16.44–$199.68	8% above	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$110.92	$208.00	$156.00–$197.60	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA	$94.39	$177.00	$27.72–$169.92	1% above	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS TMA	$159.45	$299.00	$27.72–$287.04	70% above	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA	$94.39	$177.00	$132.75–$168.15	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS TMA	$159.45	$299.00	$224.25–$284.05	—	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$75.19	$141.00	$10.58–$135.36	38% above	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$75.19	$141.00	$105.75–$133.95	—	47%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTODIFF	$73.60	$138.00	$6.14–$132.48	89% above	47%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTODIFF	$73.60	$138.00	$103.50–$131.10	—	47%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM WITH PLATELET	$57.60	$108.00	$5.11–$103.68	87% above	47%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM WITH PLATELET	$57.60	$108.00	$81.00–$102.60	—	47%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$59.73	$112.00	$8.34–$107.52	30% above	47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$59.73	$112.00	$84.00–$106.40	—	47%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE	$132.79	$249.00	$8.04–$239.04	at median	47%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE	$132.79	$249.00	$186.75–$236.55	—	47%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA - S	$124.25	$233.00	$17.56–$223.68	67% above	47%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA - S	$124.25	$233.00	$174.75–$221.35	—	47%
Estradiol blood test CPT 82670 ESTRADIOL	$122.12	$229.00	$22.07–$219.84	21% above	47%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$122.12	$229.00	$171.75–$217.55	—	47%
FSH (follicle-stimulating hormone) test CPT 83001 FSH BLOOD	$101.32	$190.00	$14.68–$182.40	35% above	47%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH BLOOD	$101.32	$190.00	$142.50–$180.50	—	47%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$361.56	$678.00	$15.51–$650.88	275% above	47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$361.56	$678.00	$508.50–$644.10	—	47%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$74.66	$140.00	$10.77–$134.40	35% above	47%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$74.66	$140.00	$105.00–$133.00	—	47%
Folate (folic acid) blood test CPT 82746 FOLATE	$81.06	$152.00	$11.61–$145.92	7% below	47%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$81.06	$152.00	$114.00–$144.40	—	47%
Free T3 thyroid hormone test CPT 84481 FREE T3	$106.12	$199.00	$13.38–$191.04	58% above	47%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$106.12	$199.00	$149.25–$189.05	—	47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$63.46	$119.00	$7.13–$114.24	40% above	47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$63.46	$119.00	$89.25–$113.05	—	47%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$114.12	$214.00	$20.12–$205.44	133% above	47%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$114.12	$214.00	$160.50–$203.30	—	47%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$185.58	$348.00	$157.50–$334.08	1% below	47%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$185.58	$348.00	$261.00–$330.60	—	47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$36.80	$69.00	$3.75–$66.24	7% above	47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$36.80	$69.00	$51.75–$65.55	—	47%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE	$72.53	$136.00	$10.17–$130.56	7% below	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE	$72.53	$136.00	$102.00–$129.20	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA	$90.66	$170.00	$27.72–$163.20	1% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE TMA	$153.58	$288.00	$27.72–$276.48	67% above	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA	$90.66	$170.00	$127.50–$161.50	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE TMA	$153.58	$288.00	$216.00–$273.60	—	47%
H. pylori antibody blood test CPT 86677 HELICOBATER PYLORI IGM	$48.00	$90.00	$13.31–$86.40	33% below	47%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGA	$118.39	$222.00	$13.31–$213.12	65% above	47%
H. pylori antibody blood test inpatient CPT 86677 HELICOBATER PYLORI IGM	$48.00	$90.00	$67.50–$85.50	—	47%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGA	$118.39	$222.00	$166.50–$210.90	—	47%
H. pylori stool antigen test CPT 87338 HELICOBACTOR PYLORI ANTIGENST	$78.39	$147.00	$11.36–$141.12	25% above	47%
H. pylori stool antigen test CPT 87338 H. PYLORI STOOL	$98.66	$185.00	$11.36–$177.60	58% above	47%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTOR PYLORI ANTIGENST	$78.39	$147.00	$110.25–$139.65	—	47%
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI STOOL	$98.66	$185.00	$138.75–$175.75	—	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT BY PCR	$251.70	$472.00	$67.23–$453.12	6% below	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ULTRASENSITIVE	$349.29	$655.00	$67.23–$628.80	30% above	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT BY PCR	$251.70	$472.00	$354.00–$448.40	—	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV ULTRASENSITIVE	$349.29	$655.00	$491.25–$622.25	—	47%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1/2 SINGLE ASSAY	$78.39	$147.00	$10.83–$141.12	19% above	47%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1/2 SINGLE ASSAY	$78.39	$147.00	$110.25–$139.65	—	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1+2 AG/AB	$154.12	$289.00	$19.02–$277.44	94% above	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1+2 AG/AB	$154.12	$289.00	$216.75–$274.55	—	47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA PROBE	$121.59	$228.00	$27.72–$218.88	38% above	47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA PROBE	$121.59	$228.00	$171.00–$216.60	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO-HGB (A1C)	$69.33	$130.00	$7.67–$124.80	50% above	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CM CYLCO-HGB(A1C)	$84.26	$158.00	$7.67–$151.68	83% above	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO-HGB (A1C)	$69.33	$130.00	$97.50–$123.50	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CM CYLCO-HGB(A1C)	$84.26	$158.00	$118.50–$150.10	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SCREEN HIGH RISK INDIV	$76.79	$144.00	$8.48–$138.24	22% above	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SCREEN HIGH RISK INDIV	$76.79	$144.00	$108.00–$136.80	—	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITS B SURFACE AG	$83.73	$157.00	$8.16–$150.72	65% above	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITS B SURFACE AG	$83.73	$157.00	$117.75–$149.15	—	47%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY SOURCE	$108.26	$203.00	$11.27–$194.88	54% above	47%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY SOURCE	$108.26	$203.00	$152.25–$192.85	—	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR	$243.71	$457.00	$33.84–$438.72	24% above	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR	$243.71	$457.00	$342.75–$434.15	—	47%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN IGG	$90.13	$169.00	$10.42–$162.24	62% above	47%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES ANTIBODY TYPE 1	$99.19	$186.00	$10.42–$178.56	79% above	47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN IGG	$90.13	$169.00	$126.75–$160.55	—	47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES ANTIBODY TYPE 1	$99.19	$186.00	$139.50–$176.70	—	47%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 GLYCOPRTEIN IGG	$90.13	$169.00	$15.29–$162.24	24% above	47%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$99.19	$186.00	$15.29–$178.56	37% above	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 GLYCOPRTEIN IGG	$90.13	$169.00	$126.75–$160.55	—	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$99.19	$186.00	$139.50–$176.70	—	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$61.86	$116.00	$10.23–$111.36	2% above	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$61.86	$116.00	$87.00–$110.20	—	47%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA	$91.73	$172.00	$14.16–$165.12	15% above	47%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA	$91.73	$172.00	$129.00–$163.40	—	47%
Insulin blood test CPT 83525 INSULIN	$79.46	$149.00	$9.03–$143.04	66% above	47%
Insulin blood test inpatient CPT 83525 INSULIN	$79.46	$149.00	$111.75–$141.55	—	47%
Iron blood test (serum iron) CPT 83540 IRON	$42.67	$80.00	$5.11–$76.80	22% above	47%
Iron blood test (serum iron) CPT 83540 QUANTITATIVE IRON	$163.18	$306.00	$5.11–$293.76	367% above	47%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$42.67	$80.00	$60.00–$76.00	—	47%
Iron blood test (serum iron) inpatient CPT 83540 QUANTITATIVE IRON	$163.18	$306.00	$229.50–$290.70	—	47%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP TOTAL (TIBC)	$52.80	$99.00	$6.90–$95.04	24% above	47%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAP TOTAL (TIBC)	$52.80	$99.00	$74.25–$94.05	—	47%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$40.53	$76.00	$6.86–$72.96	15% below	47%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$40.53	$76.00	$57.00–$72.20	—	47%
LH (luteinizing hormone) test CPT 83002 LH BLOOD	$101.32	$190.00	$14.63–$182.40	25% above	47%
LH (luteinizing hormone) test inpatient CPT 83002 LH BLOOD	$101.32	$190.00	$142.50–$180.50	—	47%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$65.60	$123.00	$5.44–$118.08	4% above	47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$65.60	$123.00	$92.25–$116.85	—	47%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$40.00	$75.00	$6.45–$72.00	4% below	47%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$40.00	$75.00	$56.25–$71.25	—	47%
Lyme disease antibody test CPT 86618 LYME ANTIBODIES IGG	$38.40	$72.00	$13.45–$69.12	12% below	47%
Lyme disease antibody test CPT 86618 LYME ANTIBODIES	$76.79	$144.00	$13.45–$138.24	76% above	47%
Lyme disease antibody test CPT 86618 LYME (STONY BROOK)	$167.98	$315.00	$13.45–$302.40	285% above	47%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODIES IGG	$38.40	$72.00	$54.00–$68.40	—	47%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODIES	$76.79	$144.00	$108.00–$136.80	—	47%
Lyme disease antibody test inpatient CPT 86618 LYME (STONY BROOK)	$167.98	$315.00	$236.25–$299.25	—	47%
Magnesium blood test CPT 83735 MG 24HR URINE	$32.00	$60.00	$5.29–$57.60	at median	47%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$52.80	$99.00	$5.29–$95.04	65% above	47%
Magnesium blood test inpatient CPT 83735 MG 24HR URINE	$32.00	$60.00	$45.00–$57.00	—	47%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$52.80	$99.00	$74.25–$94.05	—	47%
Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS BY ELISA	$39.47	$74.00	$10.18–$71.04	33% below	47%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG	$43.73	$82.00	$10.18–$78.72	26% below	47%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA VIRUS BY ELISA	$39.47	$74.00	$55.50–$70.30	—	47%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG	$43.73	$82.00	$61.50–$77.90	—	47%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$50.66	$95.00	$4.09–$91.20	2% above	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$50.66	$95.00	$71.25–$90.25	—	47%
Obstetric blood test panel CPT 80055 PRENATAL II(OBSTETRIC PANEL)	$194.65	$365.00	$37.77–$350.40	13% above	47%
Obstetric blood test panel inpatient CPT 80055 PRENATAL II(OBSTETRIC PANEL)	$194.65	$365.00	$273.75–$346.75	—	47%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSAFREE	$101.32	$190.00	$14.53–$182.40	44% above	47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSAFREE	$101.32	$190.00	$142.50–$180.50	—	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN	$101.32	$190.00	$14.53–$182.40	40% above	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN	$101.32	$190.00	$142.50–$180.50	—	47%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP LIQUID AUTO DIAG	$100.79	$189.00	$21.02–$181.44	11% above	47%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP LIQUID AUTO DIAG	$100.79	$189.00	$141.75–$179.55	—	47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP FLUID BASED DIAGNOSTIC	$101.32	$190.00	$16.01–$182.40	27% above	47%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP FLUID BASED DIAGNOSTIC	$101.32	$190.00	$142.50–$180.50	—	47%
Parathyroid hormone (PTH) blood test CPT 83970 PTH BIO INTACT	$148.25	$278.00	$32.61–$266.88	9% below	47%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH BIO INTACT	$148.25	$278.00	$208.50–$264.10	—	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$69.86	$131.00	$4.75–$125.76	27% above	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$69.86	$131.00	$98.25–$124.45	—	47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$1,214.77	$2,278.00	$599.65–$3,028.61	3% below	47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$1,214.77	$2,278.00	$1,708.50–$2,164.10	—	47%
Progesterone blood test CPT 84144 PROGESTERONE	$101.32	$190.00	$16.48–$182.40	18% above	47%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$101.32	$190.00	$142.50–$180.50	—	47%
Prolactin blood test CPT 84146 PROLACTIN	$101.32	$190.00	$15.31–$182.40	30% above	47%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$101.32	$190.00	$142.50–$180.50	—	47%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$43.73	$82.00	$3.39–$78.72	52% above	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$43.73	$82.00	$61.50–$77.90	—	47%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$101.32	$190.00	$13.07–$182.40	53% above	47%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$101.32	$190.00	$142.50–$180.50	—	47%
Rheumatoid factor (RF) test CPT 86431 RF ISOTYPES IGG	$43.20	$81.00	$4.48–$77.76	4% above	47%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER	$44.27	$83.00	$4.48–$79.68	7% above	47%
Rheumatoid factor (RF) test inpatient CPT 86431 RF ISOTYPES IGG	$43.20	$81.00	$60.75–$76.95	—	47%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER	$44.27	$83.00	$62.25–$78.85	—	47%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGM	$54.40	$102.00	$11.37–$97.92	27% above	47%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG	$59.73	$112.00	$11.37–$107.52	40% above	47%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGM	$54.40	$102.00	$76.50–$96.90	—	47%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG	$59.73	$112.00	$84.00–$106.40	—	47%
Stool ova and parasites exam CPT 87177 OVA & PARASITE (DIR & CONC)	$85.86	$161.00	$7.03–$154.56	59% above	47%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE (DIR & CONC)	$85.86	$161.00	$120.75–$152.95	—	47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD GUAIAC SCRN	$6.94	$13.00	$3.46–$17.48	80% below	47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SCREENING OCCULT BLOOD	$35.20	$66.00	$3.46–$63.36	2% above	47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD GUAIAC SCRN	$6.94	$13.00	$9.75–$12.35	—	47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SCREENING OCCULT BLOOD	$35.20	$66.00	$49.50–$62.70	—	47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMMUNOASSAY DIAG	$54.93	$103.00	$12.58–$98.88	1% below	47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMMUNOASSAY SCRN	$69.33	$130.00	$12.58–$124.80	25% above	47%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD IMMUNOASSAY DIAG	$54.93	$103.00	$77.25–$97.85	—	47%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD IMMUNOASSAY SCRN	$69.33	$130.00	$97.50–$123.50	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$32.53	$61.00	$3.37–$58.56	13% above	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$32.53	$61.00	$45.75–$57.95	—	47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TESTCELL MEDIATED IMMUNITY	$198.91	$373.00	$48.96–$358.08	21% above	47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TESTCELL MEDIATED IMMUNITY	$198.91	$373.00	$279.75–$354.35	—	47%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$113.06	$212.00	$20.39–$203.52	82% above	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$113.06	$212.00	$159.00–$201.40	—	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AUTOAB	$68.26	$128.00	$11.49–$122.88	9% above	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTO AB(LC-1)	$81.59	$153.00	$11.49–$146.88	30% above	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ABS (LIVER/KIDNEY)	$93.33	$175.00	$11.49–$168.00	49% above	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AUTOAB	$68.26	$128.00	$96.00–$121.60	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AUTO AB(LC-1)	$81.59	$153.00	$114.75–$145.35	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ABS (LIVER/KIDNEY)	$93.33	$175.00	$131.25–$166.25	—	47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$77.33	$145.00	$13.27–$139.20	10% above	47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$77.33	$145.00	$108.75–$137.75	—	47%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS PCR	$26.13	$49.00	$27.72–$140.01	46% below	47%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS (TMA)	$76.26	$143.00	$27.72–$140.01	59% above	47%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS PCR	$26.13	$49.00	$36.75–$46.55	—	47%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS (TMA)	$76.26	$143.00	$107.25–$135.85	—	47%
Uric acid blood test CPT 84550 URIC ACID	$31.47	$59.00	$3.57–$56.64	23% above	47%
Uric acid blood test inpatient CPT 84550 URIC ACID	$31.47	$59.00	$44.25–$56.05	—	47%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC	$23.47	$44.00	$2.50–$42.24	23% below	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC	$23.47	$44.00	$33.00–$41.80	—	47%
Urinalysis with microscope exam, manual CPT 81000 ER URINE DIPSTICK	$74.66	$140.00	$3.18–$134.40	146% above	47%
Urinalysis with microscope exam, manual inpatient CPT 81000 ER URINE DIPSTICK	$74.66	$140.00	$105.00–$133.00	—	47%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$25.07	$47.00	$1.78–$45.12	29% above	47%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO	$27.73	$52.00	$1.78–$49.92	42% above	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$25.07	$47.00	$35.25–$44.65	—	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO	$27.73	$52.00	$39.00–$49.40	—	47%
Urinalysis without microscope exam, manual CPT 81002 SPEC GRAVIT	$20.27	$38.00	$2.75–$36.48	16% below	47%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPEC GRAVIT	$20.27	$38.00	$28.50–$36.10	—	47%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$88.53	$166.00	$6.38–$159.36	68% above	47%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$88.53	$166.00	$124.50–$157.70	—	47%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE (PREG TEST)	$53.86	$101.00	$6.80–$96.96	at median	47%
Urine pregnancy test, read by color change CPT 81025 ER URINE HCG	$125.32	$235.00	$6.80–$225.60	133% above	47%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE (PREG TEST)	$53.86	$101.00	$75.75–$95.95	—	47%
Urine pregnancy test, read by color change inpatient CPT 81025 ER URINE HCG	$125.32	$235.00	$176.25–$223.25	—	47%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$82.13	$154.00	$11.91–$147.84	9% above	47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$82.13	$154.00	$115.50–$146.30	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 D3 25-HYDROXY	$108.26	$203.00	$23.38–$194.88	19% above	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$146.12	$274.00	$23.38–$263.04	61% above	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 D3 25-HYDROXY	$108.26	$203.00	$152.25–$192.85	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$146.12	$274.00	$205.50–$260.30	—	47%
Zinc blood test CPT 84630 ZINC URINE	$82.13	$154.00	$9.00–$147.84	188% above	47%
Zinc blood test inpatient CPT 84630 ZINC URINE	$82.13	$154.00	$115.50–$146.30	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$120.52	$226.00	$11.89–$216.96	85% above	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$120.52	$226.00	$169.50–$214.70	—	47%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MX STEREO BRST BX 1ST LESION-L	$2,282.36	$4,280.00	$1,378.83–$6,368.40	43% below	47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MX STEREO BRST BX 1ST LESION-L	$2,282.36	$4,280.00	$3,210.00–$4,066.00	—	47%
Cardiac catheterization with coronary angiogram CPT 93458 LHC LV INJ W CORONARY ANGIO	$8,122.11	$15,231.00	$2,737.18–$14,621.76	17% below	47%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC LV INJ W CORONARY ANGIO	$8,122.11	$15,231.00	$11,423.25–$14,469.45	—	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER CARDIOVERSION - ELECTIVE	$1,365.15	$2,560.00	$556.88–$2,497.74	7% below	47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - ELECTIVE	$1,365.15	$2,560.00	$556.88–$2,497.74	7% below	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - ELECTIVE	$1,365.15	$2,560.00	$1,920.00–$2,432.00	—	47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER CARDIOVERSION - ELECTIVE	$1,365.15	$2,560.00	$1,920.00–$2,432.00	—	47%
Coronary stent placement, one artery CPT 92928 STNT BM COR MAJ ART/BR	$10,873.74	$20,391.00	$9,650.87–$45,081.89	37% below	47%
Coronary stent placement, one artery inpatient CPT 92928 STNT BM COR MAJ ART/BR	$10,873.74	$20,391.00	$15,293.25–$19,371.45	—	47%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ER CYSTOSCOPY	$594.59	$1,115.00	$568.02–$2,655.74	1% below	47%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 ER CYSTOSCOPY	$594.59	$1,115.00	$836.25–$1,059.25	—	47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ER DESTRUCTION OF LESION	$108.79	$204.00	$132.60–$766.92	36% below	47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 ER DESTRUCTION OF LESION	$108.79	$204.00	$153.00–$193.80	—	47%
Earwax removal by irrigation (rinsing), one ear CPT 69209 WC IRRIGATE IMPACTED EAR	$120.52	$226.00	$50.55–$244.11	53% above	47%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM CERUMEN IMPACTD IRR UNILAT	$118.92	$223.00	$50.55–$244.11	51% above	47%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 WC IRRIGATE IMPACTED EAR	$120.52	$226.00	$169.50–$214.70	—	47%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM CERUMEN IMPACTD IRR UNILAT	$118.92	$223.00	$167.25–$211.85	—	47%
Earwax removal with instruments, one ear CPT 69210 ER CERUMEN REMOVAL	$104.52	$196.00	$50.55–$244.11	7% below	47%
Earwax removal with instruments, one ear CPT 69210 WC INSTRMNT IMPACTED EAR	$106.66	$200.00	$50.55–$244.11	5% below	47%
Earwax removal with instruments, one ear inpatient CPT 69210 ER CERUMEN REMOVAL	$104.52	$196.00	$147.00–$186.20	—	47%
Earwax removal with instruments, one ear inpatient CPT 69210 WC INSTRMNT IMPACTED EAR	$106.66	$200.00	$150.00–$190.00	—	47%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR ESI INJ LUMBAR OR SACRAL SN	$875.62	$1,642.00	$757.64–$3,619.09	58% below	47%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR ESI INJ LUMBAR OR SACRAL SN	$875.62	$1,642.00	$1,231.50–$1,559.90	—	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR CATH & INTRO CONTRAST HSG	$195.18	$366.00	$237.90–$351.36	30% below	47%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR CATH & INTRO CONTRAST HSG	$195.18	$366.00	$274.50–$347.70	—	47%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS - SIMPLE	$275.70	$517.00	$169.09–$766.92	18% below	47%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I & D ABCESS - SIMPLE	$275.70	$517.00	$169.09–$766.92	18% below	47%
Incision and drainage of a simple or single skin abscess CPT 10060 WC I&D ABCESS - SIMPLE	$277.30	$520.00	$169.09–$766.92	17% below	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ER I & D ABCESS - SIMPLE	$275.70	$517.00	$387.75–$491.15	—	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABCESS - SIMPLE	$275.70	$517.00	$387.75–$491.15	—	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WC I&D ABCESS - SIMPLE	$277.30	$520.00	$390.00–$494.00	—	47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ER TRIGGER POINT TENDON SHEAT	$244.24	$458.00	$251.20–$1,154.67	9% above	47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 US INJ SGL TENDON SHEATH/LIG	$244.24	$458.00	$251.20–$1,154.67	9% above	47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ER TRIGGER POINT TENDON SHEAT	$244.24	$458.00	$343.50–$435.10	—	47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 US INJ SGL TENDON SHEATH/LIG	$244.24	$458.00	$343.50–$435.10	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/INJECT-MAJOR JOINT	$446.88	$838.00	$251.20–$1,154.67	43% above	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER JOINT - LARGE	$446.88	$838.00	$251.20–$1,154.67	43% above	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION/INJECT-MAJOR JOINT	$446.88	$838.00	$628.50–$796.10	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ER JOINT - LARGE	$446.88	$838.00	$628.50–$796.10	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJECT-INTERM JOINT	$308.76	$579.00	$251.20–$1,154.67	10% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ER JOINT - INTERMEDIATE	$308.76	$579.00	$251.20–$1,154.67	10% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ER JOINT - INTERMEDIATE	$308.76	$579.00	$434.25–$550.05	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION/INJECT-INTERM JOINT	$308.76	$579.00	$434.25–$550.05	—	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION/INJECT-SMALL JOINT	$268.24	$503.00	$251.20–$1,154.67	16% below	47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATION/INJECT-SMALL JOINT	$268.24	$503.00	$377.25–$477.85	—	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER INT LAC <2.5CM SCALP-BODY	$691.11	$1,296.00	$340.00–$1,584.39	at median	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ER INT LAC <2.5CM SCALP-BODY	$691.11	$1,296.00	$972.00–$1,231.20	—	47%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH W/ LV INJ	$6,250.90	$11,722.00	$2,737.18–$12,564.23	24% below	47%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH W/ LV INJ	$6,250.90	$11,722.00	$8,791.50–$11,135.90	—	47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER EXCISION LESION <5CM TRUNK	$393.02	$737.00	$479.05–$2,756.09	40% below	47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ER EXCISION LESION <5CM TRUNK	$393.02	$737.00	$552.75–$700.15	—	47%
Nail removal (partial or complete), one nail CPT 11730 ER AVULSION NAIL PLATE	$175.45	$329.00	$169.09–$766.92	18% below	47%
Nail removal (partial or complete), one nail CPT 11730 WC AVULSION NAIL PLATE	$235.71	$442.00	$169.09–$766.92	10% above	47%
Nail removal (partial or complete), one nail inpatient CPT 11730 ER AVULSION NAIL PLATE	$175.45	$329.00	$246.75–$312.55	—	47%
Nail removal (partial or complete), one nail inpatient CPT 11730 WC AVULSION NAIL PLATE	$235.71	$442.00	$331.50–$419.90	—	47%
Occipital nerve block (injection for headaches) CPT 64405 ER INJECTION OCCIPITAL NERVE	$575.39	$1,079.00	$251.20–$1,154.67	3% below	47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ER INJECTION OCCIPITAL NERVE	$575.39	$1,079.00	$809.25–$1,025.05	—	47%
Pacemaker implant (dual chamber) CPT 33208 PACER INSERT/REPLC DUAL-AT/	$5,702.70	$10,694.00	$6,951.10–$43,865.02	64% below	47%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACER INSERT/REPLC DUAL-AT/	$5,702.70	$10,694.00	$8,020.50–$10,159.30	—	47%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,739.50	$3,262.00	$797.87–$3,505.85	84% above	47%
Paracentesis with imaging guidance CPT 49083 ER ABD PARACENTESIS W/ IMAGE	$1,739.50	$3,262.00	$797.87–$3,505.85	84% above	47%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,739.50	$3,262.00	$2,446.50–$3,098.90	—	47%
Paracentesis with imaging guidance inpatient CPT 49083 ER ABD PARACENTESIS W/ IMAGE	$1,739.50	$3,262.00	$2,446.50–$3,098.90	—	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 WC EXCISION OF NAIL	$639.39	$1,199.00	$340.00–$1,584.39	2% below	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER EXCISION OF NAIL	$662.32	$1,242.00	$340.00–$1,584.39	2% above	47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 WC EXCISION OF NAIL	$639.39	$1,199.00	$899.25–$1,139.05	—	47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ER EXCISION OF NAIL	$662.32	$1,242.00	$931.50–$1,179.90	—	47%
Removal of a foreign object under the skin, simple CPT 10120 FB SKIN-SIMPLE MED	$489.01	$917.00	$340.00–$1,584.39	22% above	47%
Removal of a foreign object under the skin, simple CPT 10120 ER FB SKIN-SIMPLE	$489.01	$917.00	$340.00–$1,584.39	22% above	47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB SKIN-SIMPLE MED	$489.01	$917.00	$687.75–$871.15	—	47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ER FB SKIN-SIMPLE	$489.01	$917.00	$687.75–$871.15	—	47%
Short arm splint (forearm and hand) CPT 29125 OT APP OF SHT ARM STAT SPLNT	$273.03	$512.00	$109.69–$493.12	72% above	47%
Short arm splint (forearm and hand) CPT 29125 PT APP SHORT ARM STATIC SPLINT	$273.03	$512.00	$109.69–$493.12	72% above	47%
Short arm splint (forearm and hand) CPT 29125 ER SHORT ARM SPLINT STATIC	$273.03	$512.00	$109.69–$493.12	72% above	47%
Short arm splint (forearm and hand) inpatient CPT 29125 OT APP OF SHT ARM STAT SPLNT	$273.03	$512.00	$384.00–$486.40	—	47%
Short arm splint (forearm and hand) inpatient CPT 29125 PT APP SHORT ARM STATIC SPLINT	$273.03	$512.00	$384.00–$486.40	—	47%
Short arm splint (forearm and hand) inpatient CPT 29125 ER SHORT ARM SPLINT STATIC	$273.03	$512.00	$384.00–$486.40	—	47%
Short leg splint (calf to foot) CPT 29515 ORSC SHORT LEG SPLINT	$353.02	$662.00	$134.28–$635.52	77% above	47%
Short leg splint (calf to foot) CPT 29515 ER SHORT LEG SPLINT	$353.02	$662.00	$134.28–$635.52	77% above	47%
Short leg splint (calf to foot) inpatient CPT 29515 ORSC SHORT LEG SPLINT	$353.02	$662.00	$496.50–$628.90	—	47%
Short leg splint (calf to foot) inpatient CPT 29515 ER SHORT LEG SPLINT	$353.02	$662.00	$496.50–$628.90	—	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER SIM REP LAC<2.5CM SCALP/BO	$558.86	$1,048.00	$169.09–$1,006.08	64% above	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ER SIM REP LAC<2.5CM SCALP/BO	$558.86	$1,048.00	$786.00–$995.60	—	47%
Skin biopsy, punch, one lesion CPT 11104 WC PUNCH BX SGL SKIN LESION	$463.41	$869.00	$340.00–$1,584.39	78% above	47%
Skin biopsy, punch, one lesion inpatient CPT 11104 WC PUNCH BX SGL SKIN LESION	$463.41	$869.00	$651.75–$825.55	—	47%
Skin tag removal, up to 15 tags CPT 11200 ER REMOVE SKIN TAGS	$154.12	$289.00	$169.09–$766.92	39% below	47%
Skin tag removal, up to 15 tags inpatient CPT 11200 ER REMOVE SKIN TAGS	$154.12	$289.00	$216.75–$274.55	—	47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER SPINAL PUNCTURE LUMBAR DIAG	$864.95	$1,622.00	$589.34–$2,736.42	13% below	47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX	$864.95	$1,622.00	$589.34–$2,736.42	13% below	47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ER SPINAL PUNCTURE LUMBAR DIAG	$864.95	$1,622.00	$1,216.50–$1,540.90	—	47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DX	$864.95	$1,622.00	$1,216.50–$1,540.90	—	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER SIM REP LAC2.6-7.5CMSCLP/	$637.25	$1,195.00	$169.09–$1,147.20	63% above	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ER SIM REP LAC2.6-7.5CMSCLP/	$637.25	$1,195.00	$896.25–$1,135.25	—	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER SIM LAC <2.5CM FACE-EAR	$602.59	$1,130.00	$169.09–$1,084.80	78% above	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER SIM LAC <2.5CM FACE-EAR	$602.59	$1,130.00	$847.50–$1,073.50	—	47%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 WC BX TANGEN SKIN SGL	$232.51	$436.00	$169.09–$766.92	at median	47%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WC BX TANGEN SKIN SGL	$232.51	$436.00	$327.00–$414.20	—	47%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH GUIDANCE	$1,358.22	$2,547.00	$526.14–$2,456.80	11% below	47%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WITH GUIDANCE	$1,358.22	$2,547.00	$1,910.25–$2,419.65	—	47%
Trigger point injections, 1 or 2 muscles CPT 20552 ER TRIGGER POINT INJ 1-2 MUSCL	$338.09	$634.00	$251.20–$1,154.67	41% above	47%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUSCL	$338.09	$634.00	$251.20–$1,154.67	41% above	47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ER TRIGGER POINT INJ 1-2 MUSCL	$338.09	$634.00	$475.50–$602.30	—	47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUSCL	$338.09	$634.00	$475.50–$602.30	—	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 USM BR NDL CORE BX 1STLESION-L	$2,282.36	$4,280.00	$1,378.83–$6,368.40	16% below	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 USM BR NDL CORE BX 1STLESION-L	$2,282.36	$4,280.00	$3,210.00–$4,066.00	—	47%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$4,639.91	$8,701.00	$2,678.53–$12,651.33	at median	47%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN	$4,639.91	$8,701.00	$6,525.75–$8,265.95	—	47%
Wart removal, up to 14 warts CPT 17110 ER DESTRUCT BENIGN LESION <15	$122.12	$229.00	$148.85–$766.92	53% below	47%
Wart removal, up to 14 warts inpatient CPT 17110 ER DESTRUCT BENIGN LESION <15	$122.12	$229.00	$171.75–$217.55	—	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEBRIDEMENT SUBQ<20CM	$487.41	$914.00	$340.00–$1,584.39	16% above	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRIDEMENT SUBQ <20CM	$505.00	$947.00	$340.00–$1,584.39	20% above	47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEBRIDEMENT SUBQ<20CM	$487.41	$914.00	$685.50–$868.30	—	47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ER DEBRIDEMENT SUBQ <20CM	$505.00	$947.00	$710.25–$899.65	—	47%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN PER DAY	$824.96	$1,547.00	$372.04–$1,731.66	2% below	47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN PER DAY	$824.96	$1,547.00	$1,160.25–$1,469.65	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT MDI/NEB/IPPB TRTMT INITIAL	$117.32	$220.00	$143.00–$813.28	5% below	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT MDI/NEB/IPPB TRTMT INITIAL	$117.32	$220.00	$165.00–$209.00	—	47%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN INFUS TECH TO 1 HR	$420.75	$789.00	$282.27–$1,412.58	45% below	47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN INFUS TECH TO 1 HR	$420.75	$789.00	$591.75–$749.55	—	47%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE-1ST 30-74 MIN	$2,567.66	$4,815.00	$717.07–$4,622.40	19% above	47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE-1ST 30-74 MIN	$2,567.66	$4,815.00	$3,611.25–$4,574.25	—	47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$666.05	$1,249.00	$265.01–$1,199.04	25% below	47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$666.05	$1,249.00	$936.75–$1,186.55	—	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD - TRACING ONLY	$167.45	$314.00	$50.55–$301.44	31% below	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD - TRACING ONLY	$167.45	$314.00	$235.50–$298.30	—	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FACILITY LEVEL 1	$238.37	$447.00	$74.93–$429.12	74% above	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FACILITY LEVEL 1	$238.37	$447.00	$335.25–$424.65	—	47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FACILITY LEVEL 2	$541.80	$1,016.00	$134.77–$975.36	110% above	47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER FACILITY LEVEL 2	$541.80	$1,016.00	$762.00–$965.20	—	47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FACILITY LEVEL 3	$910.28	$1,707.00	$235.63–$1,638.72	9% above	47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER FACILITY LEVEL 3	$910.28	$1,707.00	$1,280.25–$1,621.65	—	47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FACILITY LEVEL 4	$1,365.69	$2,561.00	$362.37–$2,458.56	55% above	47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER FACILITY LEVEL 4	$1,365.69	$2,561.00	$1,920.75–$2,432.95	—	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER SA TEAM INTERVENTION	$1,018.53	$1,910.00	$521.75–$2,327.77	23% below	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FACILITY LEVEL 5	$2,167.18	$4,064.00	$521.75–$3,901.44	64% above	47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER SA TEAM INTERVENTION	$1,018.53	$1,910.00	$1,432.50–$1,814.50	—	47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER FACILITY LEVEL 5	$2,167.18	$4,064.00	$3,048.00–$3,860.80	—	47%
Exercise stress test, tracing only, the hospital charge CPT 93017 EC EKG STRESS TEST-TRACING ONL	$631.39	$1,184.00	$265.01–$1,189.38	6% below	47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EC EKG STRESS TEST-TRACING ONL	$631.39	$1,184.00	$888.00–$1,124.80	—	47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INF HYDRATION 1S HR	$287.97	$540.00	$179.30–$877.28	27% below	47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 1ST HR	$287.97	$540.00	$179.30–$877.28	27% below	47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER IV INF HYDRATION 1S HR	$287.97	$540.00	$405.00–$513.00	—	47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 1ST HR	$287.97	$540.00	$405.00–$513.00	—	47%
IV infusion of a medicine, first hour CPT 96365 ER IV INFUSION OF DRUG 1ST HR	$317.30	$595.00	$179.30–$877.28	23% below	47%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION DRUG 1ST HR	$317.30	$595.00	$179.30–$877.28	23% below	47%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION DRUG 1ST HR	$317.30	$595.00	$446.25–$565.25	—	47%
IV infusion of a medicine, first hour inpatient CPT 96365 ER IV INFUSION OF DRUG 1ST HR	$317.30	$595.00	$446.25–$565.25	—	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION IM/SQ	$116.26	$218.00	$60.57–$286.52	32% above	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION - SQ/IM	$116.26	$218.00	$60.57–$286.52	32% above	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ	$116.26	$218.00	$60.57–$286.52	32% above	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION - SQ/IM	$116.26	$218.00	$163.50–$207.10	—	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INJECTION IM/SQ	$116.26	$218.00	$163.50–$207.10	—	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ	$116.26	$218.00	$163.50–$207.10	—	47%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED EA 15 MIN	$84.79	$159.00	$103.35–$152.64	12% below	47%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUC-15MIN	$89.06	$167.00	$108.55–$160.32	7% below	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-ED EA 15 MIN	$84.79	$159.00	$119.25–$151.05	—	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUC-15MIN	$89.06	$167.00	$125.25–$158.65	—	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRIT TX-INIT-EA 15 MINS	$65.06	$122.00	$27.82–$144.28	7% below	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRIT TX-INIT-EA 15 MINS	$65.06	$122.00	$91.50–$115.90	—	47%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$203.18	$381.00	$247.65–$393.78	21% below	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$203.18	$381.00	$285.75–$361.95	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$259.70	$487.00	$316.55–$467.52	14% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY	$259.70	$487.00	$365.25–$462.65	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$196.78	$369.00	$239.85–$393.78	22% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$196.78	$369.00	$276.75–$350.55	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD COMPLEXITY	$228.24	$428.00	$278.20–$410.88	27% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD COMPLEXITY	$228.24	$428.00	$321.00–$406.60	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN	$82.66	$155.00	$100.75–$148.80	10% below	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MOBILIZATION JOINT EA 15MIN	$82.66	$155.00	$100.75–$148.80	10% below	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SP MANUAL THERAPY TECH-15 MIN	$83.73	$157.00	$102.05–$150.72	9% below	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MOBILIZATION JOINT EA 15MIN	$82.66	$155.00	$116.25–$147.25	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY EA 15 MIN	$82.66	$155.00	$116.25–$147.25	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SP MANUAL THERAPY TECH-15 MIN	$83.73	$157.00	$117.75–$149.15	—	47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EA 15	$85.86	$161.00	$104.65–$154.56	at median	47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE EA 15	$85.86	$161.00	$120.75–$152.95	—	47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION EDU 3-10 MIN	$27.20	$51.00	$25.35–$126.04	19% below	47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 WC SMOKE CESS INTRMED 3-10 MIN	$32.00	$60.00	$25.35–$126.04	5% below	47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION EDU 3-10 MIN	$27.20	$51.00	$38.25–$48.45	—	47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 WC SMOKE CESS INTRMED 3-10 MIN	$32.00	$60.00	$45.00–$57.00	—	47%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT LEVEL 5	$1,008.94	$1,892.00	$1,229.80–$1,816.32	145% above	47%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT LEVEL 5	$1,008.94	$1,892.00	$1,419.00–$1,797.40	—	47%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EVALUATION LEVEL 3	$217.04	$407.00	$264.55–$390.72	15% above	47%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3	$389.82	$731.00	$475.15–$701.76	106% above	47%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EVALUATION LEVEL 3	$217.04	$407.00	$305.25–$386.65	—	47%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LEVEL 3	$389.82	$731.00	$548.25–$694.45	—	47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EVAL & MANAGEMENT LEVEL 4	$287.43	$539.00	$350.35–$517.44	3% above	47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4	$638.32	$1,197.00	$778.05–$1,149.12	129% above	47%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EVAL & MANAGEMENT LEVEL 4	$287.43	$539.00	$404.25–$512.05	—	47%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT LEVEL 4	$638.32	$1,197.00	$897.75–$1,137.15	—	47%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVALUATION LEVEL 2	$179.18	$336.00	$218.40–$322.56	78% above	47%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2	$235.71	$442.00	$287.30–$424.32	135% above	47%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EVALUATION LEVEL 2	$179.18	$336.00	$252.00–$319.20	—	47%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LEVEL 2	$235.71	$442.00	$331.50–$419.90	—	47%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$261.84	$491.00	$319.15–$891.26	32% below	47%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$261.84	$491.00	$368.25–$466.45	—	47%
Speech therapy session, individual CPT 92507 SP COMMUN TREAT - BASIC	$195.18	$366.00	$237.90–$351.36	31% below	47%
Speech therapy session, individual inpatient CPT 92507 SP COMMUN TREAT - BASIC	$195.18	$366.00	$274.50–$347.70	—	47%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$207.44	$389.00	$133.15–$617.61	7% below	47%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$207.44	$389.00	$291.75–$369.55	—	47%
Spirometry before and after a bronchodilator CPT 94060 RT BRONCHOSPASM EVAL SPIRO	$686.31	$1,287.00	$265.01–$1,235.52	30% above	47%
Spirometry before and after a bronchodilator inpatient CPT 94060 RT BRONCHOSPASM EVAL SPIRO	$686.31	$1,287.00	$965.25–$1,222.65	—	47%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAP. ACT. EA 15 MIN	$77.33	$145.00	$94.25–$145.69	12% below	47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAP. ACT. EA 15 MIN	$77.33	$145.00	$108.75–$137.75	—	47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$129.05	$242.00	$109.69–$493.12	36% below	47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$129.05	$242.00	$181.50–$229.90	—	47%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACC/PF 1350 UNIT/0.5 ML	$320.68	$601.34	$390.88–$577.29	8% above	47%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACC/PF 1350 UNIT/0.5 ML	$320.68	$601.34	$451.01–$571.28	—	47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2024-25(6MOS UP)/PF 45 MCG/0.5 ML SYRINGE	$59.17	$110.94	$17.53–$106.51	51% above	47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2024-25(6MOS UP)/PF 45 MCG/0.5 ML SYRINGE	$59.17	$110.94	$17.53–$105.40	—	47%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE/PF 50 UNIT/ML SYR	$147.40	$276.41	$179.67–$265.36	54% above	47%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE 1440 UNITS/ML VIAL	$157.45	$295.24	$191.91–$283.44	64% above	47%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE/PF 50 UNIT/ML SYR	$147.40	$276.41	$207.31–$262.59	—	47%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE 1440 UNITS/ML VIAL	$157.45	$295.24	$221.43–$280.48	—	47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE 0.5 ML VIAL	$193.74	$363.31	$236.16–$348.78	2% above	47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE 0.5 ML VIAL	$193.74	$363.31	$272.49–$345.15	—	47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOC VAC ACYW-135/PF 50 MCG VIAL	$318.59	$597.42	$388.33–$573.53	75% above	47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOC VAC ACYW-135/PF 50 MCG VIAL	$318.59	$597.42	$448.07–$567.55	—	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOXOID 0.5 ML INJ	$75.56	$141.68	$92.10–$136.02	63% above	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOXOID 0.5 ML INJ	$75.56	$141.68	$106.26–$134.60	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC 0.5 ML VIAL	$110.71	$207.60	$134.94–$199.30	51% above	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC 0.5 ML VIAL	$110.71	$207.60	$155.70–$197.22	—	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN - OTHER	$84.26	$158.00	$60.57–$286.52	46% above	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF IMMUNIZATION	$94.93	$178.00	$60.57–$286.52	64% above	47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN - OTHER	$84.26	$158.00	$118.50–$150.10	—	47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF IMMUNIZATION	$94.93	$178.00	$133.50–$169.10	—	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN - OTHER EA ADDL	$49.60	$93.00	$60.45–$89.28	22% above	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER ADDITIONAL VACCINE EACH	$56.00	$105.00	$68.25–$100.80	37% above	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN - OTHER EA ADDL	$49.60	$93.00	$69.75–$88.35	—	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ER ADDITIONAL VACCINE EACH	$56.00	$105.00	$78.75–$99.75	—	47%

Source file: https://price.chimercyhealth.org/930386868-1477590198_commonspirit-oregon_standardcharges.json