Harrison Community Hospital
Harrison Community Hospital in Cadiz, OH publishes cash prices for 268 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 203 of 267 procedures and above it for 62. By typical cash price it ranks #6 of 116 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
951 E Market St,Cadiz,OH,43907 Collected Sep 27, 2026 Source price file (740) 942-8625
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 361311 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $198.00 | $396.00 | — | 38% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $1,173.00 | $2,346.00 | — | 17% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $1,243.50 | $2,487.00 | — | 12% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $1,442.00 | $2,884.00 | — | 8% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $1,529.00 | $3,058.00 | — | 3% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $1,905.00 | $3,810.00 | — | 1% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,019.50 | $4,039.00 | — | 5% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $2,374.50 | $4,749.00 | — | 13% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $2,517.00 | $5,034.00 | — | 20% above | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $1,093.00 | $2,186.00 | — | 2% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,159.00 | $2,318.00 | — | 4% above | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $931.50 | $1,863.00 | — | 11% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $987.50 | $1,975.00 | — | 6% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $858.00 | $1,716.00 | — | 2% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $909.50 | $1,819.00 | — | 4% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $800.50 | $1,601.00 | — | 4% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $849.00 | $1,698.00 | — | 2% above | 50% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $1,153.50 | $2,307.00 | — | 6% above | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,223.00 | $2,446.00 | — | 13% above | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $1,032.00 | $2,064.00 | — | 2% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $1,094.00 | $2,188.00 | — | 4% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $1,042.50 | $2,085.00 | — | 1% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $1,105.50 | $2,211.00 | — | 7% above | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $949.00 | $1,898.00 | — | 15% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,006.00 | $2,012.00 | — | 10% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $641.00 | $1,282.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $599.00 | $1,198.00 | — | 17% below | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $181.50 | $363.00 | — | 30% below | 50% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $132.00 | $264.00 | — | 39% below | 50% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $140.00 | $280.00 | — | 35% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $434.50 | $869.00 | — | 36% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $461.00 | $922.00 | — | 32% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $293.00 | $586.00 | — | 35% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $311.00 | $622.00 | — | 31% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $900.50 | $1,801.00 | — | at median | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $955.00 | $1,910.00 | — | 6% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $1,044.00 | $2,088.00 | — | 6% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $1,107.00 | $2,214.00 | — | 1% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $626.00 | $1,252.00 | — | 31% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $664.00 | $1,328.00 | — | 27% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $652.50 | $1,305.00 | — | 23% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $698.50 | $1,397.00 | — | 17% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $1,142.50 | $2,285.00 | — | 32% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,211.50 | $2,423.00 | — | 28% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $264.50 | $529.00 | — | 61% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT | $299.50 | $599.00 | — | 56% below | 50% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $257.00 | $514.00 | — | 25% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $351.50 | $703.00 | — | 36% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $373.00 | $746.00 | — | 32% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $120.00 | $240.00 | — | 55% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,858.00 | $3,716.00 | — | 34% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,243.00 | $4,486.00 | — | 4% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,858.00 | $3,716.00 | — | 14% above | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $2,109.50 | $4,219.00 | — | 3% above | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $2,236.50 | $4,473.00 | — | 9% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $1,626.00 | $3,252.00 | — | 15% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,724.00 | $3,448.00 | — | 22% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $2,116.00 | $4,232.00 | — | 5% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $2,243.00 | $4,486.00 | — | 11% above | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,649.00 | $3,298.00 | — | 26% above | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,748.00 | $3,496.00 | — | 34% above | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $2,112.00 | $4,224.00 | — | at median | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $2,239.00 | $4,478.00 | — | 6% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $1,649.00 | $3,298.00 | — | 16% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,748.00 | $3,496.00 | — | 23% above | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $2,092.00 | $4,184.00 | — | 4% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $2,218.00 | $4,436.00 | — | 2% above | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $1,649.00 | $3,298.00 | — | 21% above | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,748.00 | $3,496.00 | — | 29% above | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $2,005.00 | $4,010.00 | — | 6% above | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $219.00 | $438.00 | — | 84% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $1,195.00 | $2,390.00 | — | 14% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $1,451.00 | $2,902.00 | — | 15% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,538.50 | $3,077.00 | — | 22% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $1,983.00 | $3,966.00 | — | 59% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $280.00 | $560.00 | — | 33% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $314.00 | $628.00 | — | 25% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $397.00 | $794.00 | — | 17% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $421.00 | $842.00 | — | 12% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $333.00 | $666.00 | — | 33% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $353.00 | $706.00 | — | 29% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $295.00 | $590.00 | — | 38% below | 50% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $195.50 | $391.00 | — | 12% above | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $190.50 | $381.00 | — | 44% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $422.00 | $844.00 | — | 21% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $447.50 | $895.00 | — | 17% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $278.00 | $556.00 | — | 42% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $295.00 | $590.00 | — | 38% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $492.50 | $985.00 | — | 13% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $522.50 | $1,045.00 | — | 8% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $455.00 | $910.00 | — | 10% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $482.50 | $965.00 | — | 4% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $436.50 | $873.00 | — | 21% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $463.00 | $926.00 | — | 16% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $296.00 | $592.00 | — | 59% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $209.00 | $418.00 | — | 39% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $198.00 | $396.00 | — | 38% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $161.50 | $323.00 | — | 35% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $171.50 | $343.00 | — | 30% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $151.00 | $302.00 | — | 41% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $131.50 | $263.00 | — | 46% below | 50% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $169.50 | $339.00 | — | 26% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $192.50 | $385.00 | — | 38% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $193.50 | $387.00 | — | 42% below | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $172.50 | $345.00 | — | 36% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $209.50 | $419.00 | — | 29% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $222.50 | $445.00 | — | 25% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $284.50 | $569.00 | — | 34% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $302.00 | $604.00 | — | 30% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $210.50 | $421.00 | — | 28% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $181.50 | $363.00 | — | 36% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $200.50 | $401.00 | — | 32% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $182.00 | $364.00 | — | 27% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $205.00 | $410.00 | — | 28% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $41.00 | $82.00 | $2.62 | 49% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $41.00 | $82.00 | $2.56 | 63% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $221.00 | $442.00 | $23.52 | 3% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $4.90 | $9.80 | $2.58 | 79% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $69.00 | $138.00 | $2.58 | 195% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $25.00 | $50.00 | $6.39 | 57% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $202.00 | $404.00 | $6.39 | 249% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $16.00 | $32.00 | $5.97 | 70% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $141.50 | $283.00 | $16.76 | 1% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $145.50 | $291.00 | $16.76 | 2% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $39.00 | $78.00 | $4.18 | 34% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $40.00 | $80.00 | $18.21 | 78% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $125.00 | $250.00 | $18.21 | 31% below | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $79.50 | $159.00 | $5.10 | 15% below | 50% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $159.00 | $318.00 | $5.10 | 70% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $15.00 | $30.00 | $1.20 | 1% above | 50% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $20.50 | $41.00 | $1.94 | 2% below | 50% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $42.50 | $85.00 | $1.94 | 103% above | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $17.00 | $34.00 | $5.98 | 58% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $55.00 | $110.00 | $3.72 | 12% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $47.50 | $95.00 | $1.48 | 3% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $95.00 | $190.00 | $1.48 | 95% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $24.00 | $48.00 | $2.56 | 45% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $42.50 | $85.00 | $2.56 | 2% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $115.50 | $231.00 | $17.33 | 11% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $146.50 | $293.00 | $10.28 | 117% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $62.00 | $124.00 | $10.28 | 34% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $37.00 | $74.00 | $17.33 | 60% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $79.00 | $158.00 | $17.33 | 14% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $62.50 | $125.00 | $9.04 | 20% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $49.00 | $98.00 | $3.84 | 40% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $52.00 | $104.00 | $3.84 | 48% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $67.00 | $134.00 | $3.19 | 107% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $71.50 | $143.00 | $3.19 | 121% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $49.00 | $98.00 | $5.22 | 19% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $80.00 | $160.00 | $5.02 | 15% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $241.50 | $483.00 | $10.98 | 146% above | 50% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $187.50 | $375.00 | $13.80 | 80% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $33.00 | $66.00 | $9.18 | 61% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $176.50 | $353.00 | $9.18 | 109% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $148.50 | $297.00 | $9.70 | 1% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $161.50 | $323.00 | $6.73 | 114% above | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $161.50 | $323.00 | $7.26 | 146% above | 50% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $76.50 | $153.00 | $8.37 | 12% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $51.50 | $103.00 | $4.45 | 28% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $138.00 | $276.00 | $12.58 | 47% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $177.50 | $355.00 | $17.36 | 20% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $43.50 | $87.00 | $2.34 | 49% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $117.50 | $235.00 | $6.36 | 103% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $56.50 | $113.00 | $17.33 | 39% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $78.50 | $157.00 | $17.33 | 16% below | 50% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $304.00 | $608.00 | $7.10 | 358% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $245.50 | $491.00 | $42.02 | 27% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $83.00 | $166.00 | $11.89 | 26% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $50.00 | $100.00 | $17.33 | 56% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $94.50 | $189.00 | $17.33 | 16% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $95.50 | $191.00 | $4.80 | 118% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $42.00 | $84.00 | $5.30 | 13% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $22.50 | $45.00 | $5.10 | 51% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $65.50 | $131.00 | $7.04 | 3% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $329.50 | $659.00 | $21.15 | 71% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $25.00 | $50.00 | $6.51 | 58% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $132.00 | $264.00 | $6.51 | 123% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $25.00 | $50.00 | $9.56 | 62% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $109.50 | $219.00 | $9.56 | 65% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $68.50 | $137.00 | $6.39 | 15% above | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $112.50 | $225.00 | $8.33 | 44% above | 50% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $108.50 | $217.00 | $5.64 | 111% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $65.00 | $130.00 | $3.20 | 91% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $11.00 | $22.00 | $4.32 | 72% below | 50% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $40.00 | $80.00 | $4.29 | 36% below | 50% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $74.00 | $148.00 | $9.14 | 23% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $27.00 | $54.00 | $3.40 | 47% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $67.00 | $134.00 | $3.40 | 31% above | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $38.00 | $76.00 | $4.04 | 32% below | 50% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $27.50 | $55.00 | $8.41 | 64% below | 50% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $13.50 | $27.00 | $3.31 | 57% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $53.00 | $106.00 | $3.31 | 67% above | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $40.50 | $81.00 | $6.36 | 23% below | 50% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $79.00 | $158.00 | $6.36 | 50% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $46.50 | $93.00 | $2.56 | 10% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $113.00 | $226.00 | $9.08 | 40% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $88.00 | $176.00 | $9.08 | 15% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $93.50 | $187.00 | $9.08 | 22% above | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $107.50 | $215.00 | $15.01 | 14% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $50.00 | $100.00 | $11.48 | 44% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $132.50 | $265.00 | $20.38 | 4% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $48.50 | $97.00 | $2.97 | 39% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $51.50 | $103.00 | $2.97 | 48% above | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $21.50 | $43.00 | $10.30 | 70% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $210.50 | $421.00 | $9.57 | 159% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $45.00 | $90.00 | $1.94 | 92% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $48.00 | $96.00 | $1.94 | 105% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION | $6.00 | $12.00 | $5.38 | 90% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $30.00 | $60.00 | $6.62 | 54% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $26.50 | $53.00 | $6.61 | 54% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $62.00 | $124.00 | $2.80 | 98% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $83.50 | $167.00 | $7.11 | 143% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $45.00 | $90.00 | $1.33 | 37% above | 50% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $50.00 | $100.00 | $4.40 | 26% above | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $113.00 | $226.00 | $4.40 | 185% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $26.00 | $52.00 | $1.75 | 3% above | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $48.50 | $97.00 | $7.86 | 4% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $42.50 | $85.00 | $2.11 | 125% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $71.00 | $142.00 | $30.61 | 36% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $92.00 | $184.00 | $12.75 | 6% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $42.50 | $85.00 | $7.18 | 28% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $124.50 | $249.00 | $7.18 | 112% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $48.00 | $96.00 | $8.30 | 30% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $79.50 | $159.00 | $8.30 | 15% above | 50% |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $27.00 | $54.00 | $17.33 | 68% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $76.00 | $152.00 | $17.33 | 11% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $41.00 | $82.00 | $2.23 | 20% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $33.50 | $67.00 | $1.57 | 27% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $36.00 | $72.00 | $1.57 | 36% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $21.00 | $42.00 | $1.11 | 8% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $22.50 | $45.00 | $1.11 | 1% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $5.00 | $10.00 | $1.39 | 68% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $21.00 | $42.00 | $3.98 | 62% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $9.50 | $19.00 | $3.44 | 79% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $161.50 | $323.00 | $7.44 | 125% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $71.50 | $143.00 | $16.78 | 9% below | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $42.50 | $85.00 | $5.62 | 1% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $83.00 | $166.00 | $7.44 | 23% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $297.00 | $594.00 | — | 18% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION | $441.00 | $882.00 | — | 10% above | 50% |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $4,270.00 | $8,540.00 | — | 32% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $571.00 | $1,142.00 | — | 71% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $185.50 | $371.00 | — | 8% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $196.50 | $393.00 | — | 3% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $90.50 | $181.00 | — | 41% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $96.00 | $192.00 | — | 38% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $72.50 | $145.00 | — | 53% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $77.00 | $154.00 | — | 50% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $196.00 | $392.00 | — | 48% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $133.00 | $266.00 | — | 61% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $139.50 | $279.00 | — | 59% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $119.00 | $238.00 | — | 69% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $192.50 | $385.00 | — | 49% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $294.00 | $588.00 | — | 13% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $341.50 | $683.00 | — | 51% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $644.00 | $1,288.00 | — | 7% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $128.00 | $256.00 | — | 71% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $139.00 | $278.00 | — | 68% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $341.50 | $683.00 | — | 45% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $322.00 | $644.00 | — | 35% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $330.00 | $660.00 | — | 33% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $425.00 | $850.00 | — | 21% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $885.00 | $1,770.00 | — | 57% below | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $847.00 | $1,694.00 | — | 48% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $684.50 | $1,369.00 | — | 50% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS | $901.00 | $1,802.00 | — | 34% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $275.50 | $551.00 | — | 14% below | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $294.00 | $588.00 | — | 71% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $388.50 | $777.00 | — | 50% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $356.00 | $712.00 | — | 45% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $389.50 | $779.00 | — | 40% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $186.50 | $373.00 | — | 35% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $227.50 | $455.00 | — | 25% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $242.00 | $484.00 | — | 27% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $257.00 | $514.00 | — | 22% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $356.00 | $712.00 | — | 21% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $389.50 | $779.00 | — | 13% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $179.00 | $358.00 | — | 39% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $692.00 | $1,384.00 | — | 136% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $242.00 | $484.00 | — | 31% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $257.00 | $514.00 | — | 27% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $242.00 | $484.00 | — | 24% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $257.00 | $514.00 | — | 19% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH | $271.00 | $542.00 | — | 10% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $389.50 | $779.00 | — | 30% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $601.00 | $1,202.00 | — | 67% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $373.00 | $746.00 | — | 49% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $611.50 | $1,223.00 | — | 17% below | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $185.50 | $371.00 | — | 31% below | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $192.00 | $384.00 | — | 29% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $506.00 | $1,012.00 | — | 35% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $548.50 | $1,097.00 | — | 30% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $598.00 | $1,196.00 | — | 49% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $640.00 | $1,280.00 | — | 45% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $122.50 | $245.00 | $2,730.57–$12,172.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $230.00 | $460.00 | $2,730.57–$12,172.00 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $427.50 | $855.00 | — | 43% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,010.00 | $2,020.00 | — | 66% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $107.50 | $215.00 | — | 42% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $115.50 | $231.00 | — | 38% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $196.00 | $392.00 | $1,200.00 | 32% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $208.00 | $416.00 | $1,200.00 | 28% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $263.50 | $527.00 | $1,200.00 | 48% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $279.50 | $559.00 | $1,200.00 | 45% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $487.50 | $975.00 | $1,200.00 | 43% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $517.00 | $1,034.00 | $1,200.00 | 39% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $704.50 | $1,409.00 | $1,200.00 | 47% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $747.00 | $1,494.00 | $1,200.00 | 44% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $971.50 | $1,943.00 | $1,200.00 | 38% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,030.00 | $2,060.00 | $1,200.00 | 35% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $436.50 | $873.00 | — | 51% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $290.50 | $581.00 | $336.96 | 30% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $308.00 | $616.00 | $336.96 | 26% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $285.00 | $570.00 | — | 34% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $332.50 | $665.00 | — | 23% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $65.50 | $131.00 | — | 55% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $70.00 | $140.00 | — | 52% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $77.00 | $154.00 | — | 28% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $63.00 | $126.00 | — | 37% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $93.50 | $187.00 | — | 32% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $84.50 | $169.00 | — | 56% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $84.50 | $169.00 | — | 7% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $39.50 | $79.00 | — | 39% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $167.00 | $334.00 | — | 36% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $150.50 | $301.00 | — | 49% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $171.50 | $343.00 | — | 35% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $178.00 | $356.00 | — | 36% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $71.50 | $143.00 | — | 33% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $65.50 | $131.00 | — | 41% below | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $109.50 | $219.00 | — | 8% below | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $116.50 | $233.00 | — | 3% below | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $142.50 | $285.00 | — | 4% below | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $151.50 | $303.00 | — | 2% above | 50% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $105.00 | $210.00 | — | 33% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS) | $71.50 | $143.00 | — | 43% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $75.50 | $151.00 | — | 40% below | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS) | $73.50 | $147.00 | — | 45% below | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $77.50 | $155.00 | — | 42% below | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) | $73.50 | $147.00 | — | 43% below | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $77.50 | $155.00 | — | 40% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $25.50 | $51.00 | — | 41% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $27.50 | $55.00 | — | 36% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $98.00 | $196.00 | — | 42% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $84.50 | $169.00 | — | 22% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $102.50 | $205.00 | — | 28% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $84.50 | $169.00 | — | 13% below | 50% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $297.00 | $594.00 | — | 6% below | 50% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $182.00 | $364.00 | — | 21% below | 50% |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $161.00 | $322.00 | — | 44% below | 50% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $207.00 | $414.00 | — | 28% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $342.00 | $684.00 | — | 40% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $363.00 | $726.00 | — | 36% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $49.50 | $99.00 | — | 60% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula | $87.00 | $174.00 | — | 16% above | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluzone High-Dose 2025-2026 Formula | $87.00 | $174.00 | — | 16% above | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $109.50 | $219.00 | — | 46% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2025-2026 Ages 12 and up | $147.50 | $295.00 | $240.77 | 29% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2024-2025 Formula Ages 12 and up | $147.50 | $295.00 | $240.77 | 29% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $186.00 | $372.00 | $240.77 | 10% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $150.50 | $301.00 | $216.32 | 55% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 ProQuad | $261.00 | $522.00 | $344.92 | 28% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $274.00 | $548.00 | $344.92 | 24% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $19.50 | $39.00 | $21.07 | 57% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE | $21.00 | $42.00 | $21.07 | 54% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula | $21.00 | $42.00 | $21.07 | 54% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluad 2025-2026 Formula | $21.00 | $42.00 | $21.07 | 54% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS | $21.00 | $42.00 | $21.07 | 54% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2024-2025 Formula PFS | $21.00 | $42.00 | $21.07 | 54% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 PFS | $411.50 | $823.00 | $569.07 | 21% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $435.50 | $871.00 | $569.07 | 16% below | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $143.00 | $286.00 | $213.39 | 53% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $102.00 | $204.00 | $115.93 | 47% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B Adult PFS | $66.50 | $133.00 | $116.13 | 57% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $69.50 | $139.00 | $116.13 | 55% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluad 2025-2026 Formula | $101.50 | $203.00 | $121.11 | 9% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluad 2024-2025 Formula | $101.50 | $203.00 | $121.11 | 9% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula | $101.50 | $203.00 | $121.11 | 9% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $119.00 | $238.00 | $121.11 | 7% above | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $116.50 | $233.00 | $182.39 | 44% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $125.50 | $251.00 | $182.39 | 40% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 ProQuad | $125.50 | $251.00 | $182.39 | 40% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo | $152.00 | $304.00 | $299.95 | 52% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Bexsero PFS | $152.00 | $304.00 | $299.95 | 52% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $156.50 | $313.00 | $299.95 | 51% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $229.00 | $458.00 | $411.10 | 59% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $363.50 | $727.00 | $476.29 | 45% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 PFS | $157.00 | $314.00 | $220.23 | 42% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $158.00 | $316.00 | $220.23 | 42% below | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $789.00 | $1,578.00 | $1,578.00 | 42% below | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $406.00 | $812.00 | $584.10 | 44% below | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM | $342.00 | $684.00 | $554.40 | at median | 50% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $489.48 | $978.96 | $535.82 | 49% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $569.00 | $1,138.00 | $535.82 | 40% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE | $574.50 | $1,149.00 | $535.82 | 40% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $261.50 | $523.00 | — | 48% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $69.50 | $139.00 | $50.06 | 22% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS | $51.34 | $102.68 | $63.21 | 54% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $51.50 | $103.00 | $63.21 | 53% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $68.00 | $136.00 | $63.21 | 38% below | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $212.50 | $425.00 | $180.23 | 26% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $36.00 | $72.00 | — | 10% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $40.00 | $80.00 | — | at median | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $10.50 | $21.00 | — | 70% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $24.50 | $49.00 | — | 30% below | 50% |
Source file: https://wvumedicine.org/wp-content/uploads/2026/08/341571750_Harrison-Community-Hospital-Inc._standardcharges.csv