Frye Regional Medical Center
Frye Regional Medical Center in Hickory, NC publishes cash prices for 302 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 above the North Carolina median for 208 of 287 procedures and below it for 74. By typical cash price it ranks #46 of 59 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
420 N Center Street Hickory NC 28601 Collected Sep 27, 2026 Source price file (828) 322-6070
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 340116 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 6 actions for a hospital named Frye Regional Medical Center in Hickory, NC:
- Oct 27, 2021 Warning notice
- Mar 21, 2022 Case closed
- Jun 27, 2025 Warning notice
- Sep 26, 2025 Case closed
- Apr 14, 2026 Warning notice
- Jul 20, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $469.56 | $1,173.91 | $31.73–$469.89 | 71% above | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $527.62 | $1,319.04 | $120.85–$534.21 | 48% above | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $538.29 | $1,345.72 | $128.26–$422.72 | 27% above | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $2,008.98 | $5,022.44 | $266.11–$1,089.87 | 44% above | 60% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $689.70 | $1,724.25 | $99.34–$505.90 | 33% above | 60% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE | $689.70 | $1,724.25 | $267.64 | — | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $532.58 | $1,331.45 | $82.11–$785.56 | 54% above | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED | $484.16 | $1,210.41 | $133.82 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $2,545.59 | $6,363.98 | $167.17–$1,107.33 | 22% above | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST | $2,545.59 | $6,363.98 | $513.72 | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $2,634.40 | $6,586.00 | $167.69–$2,670.32 | 49% above | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $2,634.40 | $6,586.00 | $392.96 | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $2,294.81 | $5,737.03 | $65.86–$3,384.85 | 861% above | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $4,141.76 | $10,354.41 | $212.97–$1,160.36 | 44% above | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST | $4,431.66 | $11,079.16 | $305.00–$1,327.20 | 23% above | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W/CONTRAST | $4,431.66 | $11,079.16 | $437.72 | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $5,227.29 | $13,068.22 | $335.36–$1,331.22 | 35% above | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE | $2,215.84 | $5,539.61 | $167.17–$686.98 | 3% above | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE | $2,070.88 | $5,177.19 | $101.33–$540.00 | 16% above | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,285.84 | $3,214.60 | $100.33–$438.69 | 3% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,806.22 | $4,515.56 | $99.34–$556.00 | 42% above | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,377.89 | $5,944.72 | $166.03–$763.77 | 22% above | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $2,245.96 | $5,614.91 | $99.34–$610.90 | 44% above | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $2,584.74 | $6,461.84 | $100.33–$658.25 | 71% above | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $2,157.20 | $5,393.00 | $168.84–$624.46 | 23% above | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,215.90 | $3,039.76 | $223.63–$1,793.46 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,215.90 | $3,039.76 | $835.93 | — | 60% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $440.55 | $1,101.38 | $45.74–$649.81 | 90% above | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $400.50 | $1,001.25 | $90.68 | — | 60% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $293.36 | $733.39 | $72.53–$297.02 | 57% above | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $763.04 | $1,907.61 | $99.70–$309.00 | 38% above | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP | $763.04 | $1,907.61 | $142.74 | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $657.20 | $1,642.99 | $68.46–$594.76 | 59% above | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL | $597.45 | $1,493.63 | $105.00 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE | $1,944.66 | $4,861.66 | $99.34–$1,018.34 | 44% above | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O DYE | $1,767.88 | $4,419.69 | $283.81 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE | $2,217.47 | $5,543.67 | $166.03–$564.72 | 30% above | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/DYE | $2,217.47 | $5,543.67 | $449.39 | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $384.56 | $961.39 | $95.08–$567.22 | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $384.56 | $961.39 | $166.92 | — | 60% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $274.69 | $686.73 | $67.92–$306.74 | 13% above | 60% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI | $249.72 | $624.30 | $131.12 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $411.24 | $1,028.10 | $103.71–$427.52 | 17% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,056.21 | $2,640.53 | $223.63–$1,069.41 | 43% above | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY | $1,056.21 | $2,640.53 | $726.15 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $2,574.87 | $6,437.17 | $483.90–$3,201.03 | 54% above | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $2,574.87 | $6,437.17 | $1,726.33–$1,770.22 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $2,119.34 | $5,298.35 | $380.14 | 47% above | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $973.36 | $2,433.40 | $142.56–$1,117.15 | 141% above | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $973.36 | $2,433.40 | $652.59–$669.19 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $4,405.46 | $11,013.66 | $944.78–$3,028.76 | 17% above | 60% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $417.91 | $1,044.77 | $73.60–$105.40 | 51% above | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $654.73 | $1,636.83 | $92.41–$895.35 | 15% above | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $654.73 | $1,636.83 | $142.74 | — | 60% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $3,573.35 | $8,933.38 | $427.78–$3,618.02 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $2,580.67 | $6,451.67 | $221.42–$1,086.87 | 34% above | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $2,346.06 | $5,865.15 | $508.17 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $3,849.42 | $9,623.54 | $338.17–$1,715.18 | 32% above | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O DYE | $2,925.94 | $7,314.84 | $223.63–$1,086.87 | 29% above | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE | $3,826.60 | $9,566.51 | $335.36–$1,715.18 | 23% above | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $2,629.52 | $6,573.81 | $221.42–$3,267.18 | 16% above | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE | $2,629.52 | $6,573.81 | $508.17 | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,939.80 | $9,849.50 | $335.36–$2,022.77 | 34% above | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,939.80 | $9,849.50 | $786.50 | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $2,789.12 | $6,972.81 | $226.98–$1,141.52 | 24% above | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $3,307.05 | $8,267.63 | $333.15–$2,007.69 | 13% above | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $2,592.87 | $6,482.17 | $223.63–$1,086.87 | 23% above | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $3,163.74 | $7,909.34 | $335.36–$1,715.18 | 7% above | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $2,712.59 | $6,781.47 | $223.63–$1,086.87 | 19% above | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE | $2,712.59 | $6,781.47 | $508.17 | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $3,518.78 | $8,796.95 | $335.36–$8,796.95 | 1% above | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $2,451.98 | $6,129.96 | $221.42–$1,086.87 | 40% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $2,708.51 | $6,771.27 | $223.63–$1,086.87 | 40% above | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $3,868.75 | $9,671.88 | $531.50–$3,266.89 | 5% above | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $3,868.75 | $9,671.88 | $1,131.63 | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $694.63 | $1,736.58 | $91.25–$309.00 | 97% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $722.33 | $1,805.82 | $95.28–$420.03 | 12% above | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,025.34 | $2,563.34 | $142.74–$284.47 | 85% above | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $342.76 | $856.90 | $95.09–$265.34 | 27% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $472.32 | $1,180.80 | $116.79–$131.04 | 48% above | 60% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $347.25 | $868.13 | $81.22–$512.20 | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $347.25 | $868.13 | $138.50 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $500.68 | $1,251.70 | $32.20–$286.76 | 79% above | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $3,778.34 | $9,445.84 | $934.19–$2,597.61 | 19% above | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $434.04 | $1,085.11 | $107.33–$248.60 | 14% above | 60% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $639.25 | $1,598.12 | $99.34–$371.72 | 17% above | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $263.55 | $658.88 | $61.43–$173.35 | 42% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,088.79 | $2,721.97 | $99.34–$309.00 | 57% above | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $606.70 | $1,516.74 | $30.00–$829.66 | 12% above | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $596.91 | $1,492.28 | $96.87–$309.00 | 2% above | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $614.01 | $1,535.03 | $117.64–$422.72 | 18% above | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $824.92 | $2,062.30 | $99.34–$1,024.96 | 48% above | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY | $824.92 | $2,062.30 | $567.13 | — | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $418.78 | $1,046.94 | $32.20–$239.85 | 77% above | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $474.76 | $1,186.89 | $73.90–$257.56 | 105% above | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $474.76 | $1,186.89 | $88.77 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $272.81 | $682.02 | $0.13–$276.22 | 21% above | 60% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $387.69 | $969.23 | $60.24–$222.05 | 68% above | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $335.85 | $839.62 | $69.18–$186.78 | 79% above | 60% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $342.11 | $855.27 | $51.34–$195.94 | 69% above | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $435.35 | $1,088.37 | $31.17–$249.35 | 61% above | 60% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY EXAM OF FOOT | $395.77 | $989.43 | $65.26 | — | 60% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $397.56 | $993.90 | $31.17–$503.86 | 49% above | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $344.20 | $860.49 | $30.06–$201.19 | 53% above | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $518.30 | $1,295.75 | $39.30–$644.34 | 67% above | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $518.30 | $1,295.75 | $65.26 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $815.79 | $2,039.48 | $55.12–$467.24 | 78% above | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $353.48 | $883.69 | $36.74–$202.45 | 19% above | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $434.41 | $1,086.03 | $254.13 | 21% above | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $486.16 | $1,215.39 | $36.74–$263.74 | 56% above | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $417.76 | $1,044.40 | $89.40–$239.27 | 57% above | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $427.08 | $1,067.69 | $74.64–$231.69 | 56% above | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $64.24 | $160.60 | $5.35–$20.00 | 44% above | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $55.81 | $139.53 | $19.17 | 29% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $80.73 | $201.82 | $4.57–$841.86 | 325% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $118.89 | $297.23 | $11.35–$23.61 | 55% above | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $68.93 | $172.32 | $10.59–$45.69 | 37% above | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $62.66 | $156.65 | $10.59 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $187.22 | $468.04 | $29.74–$189.77 | 54% above | 60% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $157.04 | $392.59 | $7.42–$195.22 | 1% above | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $142.76 | $356.90 | $7.42 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $378.22 | $945.56 | $20.73–$966.65 | 112% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST | $343.84 | $859.60 | $20.73 | — | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $168.16 | $420.40 | $9.04–$170.26 | 12% above | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $17.11 | $42.77 | $0.01–$17.89 | 83% above | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $15.55 | $38.88 | $1.80 | — | 60% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $23.74 | $59.35 | $3.97–$14.55 | 38% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $119.96 | $299.90 | $6.58–$27.82 | 10% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $72.80 | $182.00 | $2.61–$122.06 | 32% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $102.30 | $255.75 | $4.54–$19.55 | 69% above | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $184.05 | $460.13 | $37.27–$92.66 | 38% above | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $167.32 | $418.30 | $30.16 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $173.86 | $434.65 | $30.79–$227.60 | 104% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $129.75 | $324.37 | $30.75–$1,901.00 | 10% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $144.42 | $361.04 | $11.74–$71.29 | 60% above | 60% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $129.44 | $323.61 | $6.81–$144.81 | 26% above | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $117.68 | $294.19 | $6.81 | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $125.43 | $313.57 | $5.67–$131.13 | 94% above | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $114.02 | $285.06 | $5.67 | — | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $187.31 | $468.27 | $9.26–$195.83 | 16% above | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $159.50 | $398.74 | $8.91–$161.67 | 10% above | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $139.25 | $348.12 | $82.35–$84.00 | 34% above | 60% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL | $143.33 | $358.33 | $90.02 | 7% above | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $72.32 | $180.80 | $70.21 | 22% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $183.22 | $458.06 | $17.20–$185.51 | 10% above | 60% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $148.08 | $370.19 | $13.63–$51.49 | 63% above | 60% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $118.15 | $295.38 | $14.85–$54.46 | 26% above | 60% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $159.49 | $398.73 | $30.90–$64.03 | 89% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $147.04 | $367.59 | $9.02–$34.06 | 104% above | 60% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $88.76 | $221.90 | $47.82–$96.22 | 22% above | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $129.75 | $324.37 | $30.75–$46.07 | 15% above | 60% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $144.14 | $360.35 | $12.60–$54.32 | 29% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $153.99 | $384.98 | $99.87 | 34% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $116.22 | $290.54 | $21.87–$43.57 | 68% above | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $61.81 | $154.53 | $24.08–$87.74 | 17% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $66.03 | $165.08 | $8.50–$66.93 | 25% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $38.67 | $96.68 | $12.89–$39.78 | 49% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $131.92 | $329.80 | $9.05–$35.18 | 51% above | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $188.03 | $470.08 | $14.27–$52.90 | 48% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $161.47 | $403.68 | $42.84–$61.18 | 3% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $121.42 | $303.54 | $12.95 | 62% above | 60% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $213.95 | $534.87 | $18.10 | 189% above | 60% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $108.08 | $270.21 | $42.33 | 94% above | 60% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $67.85 | $169.62 | $6.47–$24.48 | 5% above | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $109.50 | $273.75 | $8.77–$29.67 | 3% below | 60% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $92.03 | $230.07 | $69.97 | 6% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $126.62 | $316.56 | $6.89–$26.04 | 12% above | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $168.04 | $420.11 | $7.16–$85.97 | 4% above | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $80.56 | $201.39 | $54.84 | at median | 60% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $80.11 | $200.27 | $5.87–$99.59 | 83% above | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $42.54 | $106.35 | $23.96 | 10% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $101.41 | $253.53 | $19.17 | 1% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $55.81 | $139.52 | $18.76–$69.52 | 46% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $108.30 | $270.75 | $41.28–$155.94 | 18% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $103.08 | $257.71 | $5.26–$43.67 | 88% above | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL | $93.71 | $234.28 | $5.26 | — | 60% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $132.75 | $331.88 | $78.84 | 53% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $81.58 | $203.94 | $3.44–$34.56 | 83% above | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $74.16 | $185.40 | $3.44 | — | 60% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $84.15 | $210.38 | $4.97–$21.03 | 93% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $60.42 | $151.04 | $26.72 | 33% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $58.98 | $147.46 | $2.36–$10.22 | 22% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $93.64 | $234.11 | $7.79–$33.62 | 140% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $58.80 | $146.99 | $3.74–$24.91 | at median | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $109.93 | $274.82 | $61.98–$234.18 | 7% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $88.76 | $221.90 | $48.50–$97.57 | 1% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $117.94 | $294.86 | $51.34–$52.37 | 155% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $130.96 | $327.40 | $16.80–$132.60 | 71% above | 60% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $37.85 | $94.63 | $4.52–$17.09 | 36% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $101.68 | $254.20 | $2.78–$18.38 | 109% above | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $73.47 | $183.67 | $1.97–$8.32 | 49% above | 60% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $57.46 | $143.64 | $7.07–$30.48 | 55% above | 60% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $83.07 | $207.68 | $5.54–$32.14 | 16% above | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $123.70 | $309.24 | $15.23–$56.94 | 69% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $231.28 | $578.20 | $25.93–$111.89 | 66% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $176.22 | $440.54 | $15.96–$102.66 | 15% above | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $2,012.24 | $5,030.59 | $355.10–$1,587.00 | 58% below | 60% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOV BEL C2 | $4,350.65 | $10,876.63 | $599.30–$30,279.72 | — | 60% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $6,474.34 | $16,185.84 | $1,251.24–$9,971.00 | 44% below | 60% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOP ROTATOR CUFF REPR | $6,167.83 | $15,419.57 | $448.61–$10,557.00 | 52% below | 60% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $455.77 | $1,139.42 | $112.70–$1,250.00 | 22% above | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $3,735.38 | $9,338.44 | $519.46–$5,203.05 | 21% above | 60% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS | $7,115.28 | $17,788.20 | $3,095.15 | 25% above | 60% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $9,587.60 | $23,969.00 | $2,317.71–$18,297.98 | 14% below | 60% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $16,911.72 | $42,279.29 | $8,160.00 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,034.23 | $2,585.57 | $255.71–$3,857.20 | 1% below | 60% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $5,148.53 | $12,871.33 | $1,216.86–$5,815.00 | 47% above | 60% |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $30,324.00 | $75,810.00 | $2,334.02–$58,050.62 | 50% below | 60% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $26,949.62 | $67,374.05 | $11,145.00 | — | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $6,638.81 | $16,597.02 | $1,181.00–$5,815.00 | 128% above | 60% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,317.64 | $5,794.10 | $209.81–$5,073.00 | 36% above | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,686.45 | $6,716.12 | $5,073.00 | — | 60% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,367.98 | $3,419.96 | $209.81–$5,073.00 | 17% below | 60% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,515.85 | $3,789.63 | $309.93–$5,073.00 | 3% above | 60% |
| Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL | $15,099.75 | $37,749.37 | $7,323.38 | 26% above | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $4,217.65 | $10,544.12 | $441.50–$3,303.49 | 7% below | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $4,386.02 | $10,965.04 | $2,061.43 | 833% above | 60% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,886.07 | $9,715.17 | $658.46–$2,098.71 | 75% above | 60% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $2,179.65 | $5,449.13 | $355.10–$2,536.50 | 28% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $2,639.91 | $6,599.78 | $696.28 | 1587% above | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $3,252.37 | $8,130.93 | $820.23 | 895% above | 60% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $1,145.93 | $2,864.82 | $250.00–$1,610.86 | 76% below | 60% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $865.38 | $2,163.45 | $406.73 | 78% below | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,228.14 | $3,070.36 | $1.03–$2,567.00 | 17% below | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $2,954.40 | $7,386.00 | $395.65–$3,431.75 | 128% above | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $918.70 | $2,296.75 | $427.90–$834.14 | 25% below | 60% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $8,441.21 | $21,103.03 | $1,216.75–$13,274.94 | 35% below | 60% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $10,030.63 | $25,076.57 | $9,971.00 | — | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $9,401.84 | $23,504.59 | $2,350.60–$11,049.00 | 20% below | 60% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $2,966.76 | $7,416.89 | $1,394.38 | 37% below | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $4,147.94 | $10,369.84 | $820.31–$2,891.48 | 529% above | 60% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $4,824.62 | $12,061.55 | $1,216.75–$6,459.87 | 33% above | 60% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $23,271.59 | $58,178.98 | $6,819.39 | — | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $548.17 | $1,370.42 | $138.24–$361.38 | 148% above | 60% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $5,106.50 | $12,766.25 | $1,192.89–$17,186.00 | at median | 60% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $5,081.23 | $12,703.07 | $1,193.00–$17,186.00 | 67% above | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $2,225.06 | $5,562.66 | $658.46–$1,313.36 | 673% above | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $1,854.08 | $4,635.20 | $89.37–$1,389.65 | 365% above | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS | $437.29 | $1,093.23 | $624.50 | — | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $7,789.66 | $19,474.14 | $133.11–$5,706.75 | 12% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,017.89 | $2,544.73 | $251.67–$1,250.00 | 143% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $1,202.97 | $3,007.42 | $279.97–$652.38 | 218% above | 60% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $7,590.13 | $18,975.32 | $714.24–$10,557.00 | 4% above | 60% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $5,083.80 | $12,709.51 | $720.27–$10,557.00 | 50% below | 60% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $5,711.49 | $14,278.72 | $985.18–$10,768.00 | 53% below | 60% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $5,393.45 | $13,483.64 | $1,053.53–$3,054.81 | — | 60% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $14,673.58 | $36,683.95 | $2,519.35–$5,111.93 | — | 60% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $6,395.20 | $15,988.00 | $1,702.49–$9,971.00 | at median | 60% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $8,673.96 | $21,684.91 | $4,076.76–$9,394.70 | — | 60% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $18,232.59 | $45,581.47 | $8,569.32 | 75% above | 60% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $16,446.99 | $41,117.48 | $2,118.00–$23,682.66 | 56% above | 60% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $7,424.83 | $18,562.08 | $1,396.06–$13,805.81 | 43% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $9,892.76 | $24,731.91 | $2,932.81–$7,154.44 | — | 60% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECUR | $5,210.28 | $13,025.70 | $9,482.00 | — | 60% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $6,917.87 | $17,294.69 | $1,179.55–$13,274.94 | 31% above | 60% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $11,869.58 | $29,673.94 | $3,620.37–$5,224.73 | — | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $2,132.29 | $5,330.72 | $183.76–$842.25 | 436% above | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,228.14 | $3,070.36 | $303.66–$2,567.00 | 1% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $2,018.93 | $5,047.31 | $172.25–$3,265.31 | 27% above | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,568.68 | $3,921.69 | $2,567.00 | — | 60% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $10,698.03 | $26,745.07 | $2,359.10–$9,971.00 | — | 60% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LOW BACK DISK SURGERY | $10,103.28 | $25,258.20 | $9,962.00 | — | 60% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVE SPINE LAMINA 1 LMBR | $9,485.15 | $23,712.87 | $1,382.00–$16,459.29 | — | 60% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $5,927.46 | $14,818.65 | $636.93–$8,769.62 | 1% above | 60% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $2,821.08 | $7,052.71 | $915.75–$7,609.00 | 79% below | 60% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $4,361.22 | $10,903.04 | $804.15–$2,061.43 | 180% above | 60% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $4,824.62 | $12,061.55 | $5,815.00 | — | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $2,613.25 | $6,533.12 | $646.13 | 325% above | 60% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $1,183.89 | $2,959.72 | $568.20 | 480% above | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $646.01 | $1,615.02 | $142.20–$506.25 | 11% above | 60% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $13,529.93 | $33,824.82 | $5,442.72–$17,908.58 | 56% above | 60% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,660.81 | $4,152.03 | $418.87–$3,849.90 | 29% above | 60% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $18,015.26 | $45,038.16 | $7,154.27–$12,011.70 | — | 60% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARO RADICAL PROSTATECTOMY | $14,498.35 | $36,245.86 | $4,346.23–$23,682.66 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $3,002.66 | $7,506.65 | $508.56–$4,620.84 | 12% below | 60% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $6,324.07 | $15,810.18 | $1,193.00–$8,814.63 | 37% above | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $6,405.25 | $16,013.13 | $363.92–$1,250.00 | 1392% above | 60% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $9,000.52 | $22,501.30 | $3,040.17–$5,420.32 | at median | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $1,515.85 | $3,789.63 | $374.83–$4,528.00 | 13% above | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $1,774.74 | $4,436.84 | $370.73–$2,102.74 | 46% above | 60% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $3,170.13 | $7,925.33 | $406.73–$5,815.00 | 44% below | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $14,347.62 | $35,869.06 | $6,137.00 | 205% above | 60% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHOULDER ARTHROSCOPY/SURGERY | $9,469.44 | $23,673.61 | $2,388.15 | 34% above | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $3,775.55 | $9,438.88 | $448.61–$3,121.98 | 26% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $592.78 | $1,481.96 | $232.67–$637.40 | 30% below | 60% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $7,372.25 | $18,430.61 | $1,179.95–$4,813.76 | 6% above | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $328.99 | $822.48 | $184.53 | 53% above | 60% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,660.81 | $4,152.02 | $290.29–$1,257.56 | 25% above | 60% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $3,405.62 | $8,514.04 | $739.60–$7,407.34 | 44% below | 60% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 REMOVE TONSILS AND ADENOIDS | $2,639.91 | $6,599.78 | $5,810.00 | — | 60% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $3,024.75 | $7,561.87 | $732.42–$13,473.24 | 40% below | 60% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $3,103.98 | $7,759.94 | $734.83–$5,815.00 | 33% below | 60% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $2,139.46 | $5,348.64 | $367.43–$5,815.00 | 58% below | 60% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $18,219.70 | $45,549.25 | $2,444.87–$12,324.11 | 7% below | 60% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY | $21,859.89 | $54,649.72 | $11,325.00 | — | 60% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $15,690.29 | $39,225.72 | $322.62–$16,883.45 | 13% below | 60% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $11,674.90 | $29,187.26 | $749.81–$17,441.68 | 33% below | 60% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,557.64 | $8,894.10 | $720.20–$2,484.50 | 4% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $667.88 | $1,669.71 | $165.13–$1,250.00 | 45% above | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $3,519.52 | $8,798.80 | $223.48–$3,833.95 | 81% above | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $2,190.70 | $5,476.74 | $495.15–$5,073.00 | 10% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,682.89 | $4,207.22 | $413.66–$5,073.00 | 2% above | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $1,920.81 | $4,802.03 | $495.15–$1,796.29 | 21% below | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $1,724.22 | $4,310.55 | $195.28–$879.00 | 46% above | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,565.92 | $3,914.79 | $187.52–$5,073.00 | 2% above | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,378.05 | $3,445.12 | $5,073.00 | — | 60% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $7,102.19 | $17,755.47 | $2,747.84–$6,290.14 | 49% above | 60% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $7,951.91 | $19,879.77 | $7.00–$14,941.88 | 23% below | 60% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $12,849.32 | $32,123.30 | $7,954.00 | — | 60% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $6,189.58 | $15,473.95 | $1,884.42–$3,182.94 | 457% above | 60% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $4,329.08 | $10,822.71 | $1,218.51–$2,937.91 | 24% above | 60% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $9,541.36 | $23,853.41 | $6,003.90 | 6007% above | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $600.16 | $1,500.39 | $88.88–$1,250.00 | 44% above | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $437.30 | $1,093.24 | $1,249.00 | — | 60% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $1,426.06 | $3,565.16 | $670.25 | 87% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $816.15 | $2,040.37 | $183.40–$998.75 | 11% above | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $130.99 | $327.48 | $32.39–$194.66 | 32% above | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $805.41 | $2,013.53 | $199.14–$798.00 | 13% above | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $15,602.54 | $39,006.34 | $1,056.27–$11,480.15 | 559% above | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $15,602.54 | $39,006.34 | $1,056.27–$11,480.15 | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $698.65 | $1,746.62 | $190.03–$388.54 | 15% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $276.76 | $691.90 | $55.27–$3,960.36 | 45% above | 60% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $759.78 | $1,899.45 | $374.19–$690.00 | 56% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT | $245.69 | $614.22 | $35.84–$371.58 | 38% above | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT | $245.69 | $614.22 | $35.84–$371.58 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT | $576.95 | $1,442.37 | $65.55–$1,265.00 | 63% above | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT | $576.95 | $1,442.37 | $65.55–$1,265.00 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT | $1,800.21 | $4,500.53 | $88.72–$33,072.51 | 100% above | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT | $1,800.21 | $4,500.53 | $88.72–$33,072.51 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT | $5,265.12 | $13,162.80 | $220.97–$7,777.02 | 327% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT | $5,265.12 | $13,162.80 | $220.97–$7,777.02 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT | $9,522.67 | $23,806.67 | $257.82–$21,318.62 | 466% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT | $9,522.67 | $23,806.67 | $257.82–$21,318.62 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $1,063.54 | $2,658.84 | $262.96–$1,078.04 | at median | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $1,063.54 | $2,658.84 | $713.05–$731.18 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $370.62 | $926.55 | $76.69–$413.24 | 18% above | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $361.43 | $903.57 | $74.79–$498.55 | 5% above | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $156.92 | $392.30 | $37.27–$158.88 | 52% above | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $88.84 | $222.10 | $16.00–$222.10 | 10% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $88.84 | $222.10 | $100.67 | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW | $295.43 | $738.57 | $73.04–$198.07 | at median | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $66.07 | $165.18 | $16.24–$284.95 | 38% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN | $64.40 | $160.99 | $43.18–$44.27 | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $230.45 | $576.13 | $56.98–$523.75 | 28% above | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $1,307.02 | $3,267.55 | $95.05–$329.62 | 331% above | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $140.67 | $351.67 | $38.26–$351.67 | 30% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $154.74 | $386.84 | $302.00 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $364.00 | $910.01 | $90.00–$202.44 | 43% above | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $107.34 | $268.36 | $17.69–$302.00 | 12% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 1/> REGIONS | $118.08 | $295.20 | $75.50–$181.20 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $91.80 | $229.51 | $20.93–$704.67 | 2% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $100.98 | $252.46 | $151.00 | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $87.87 | $219.67 | $26.19–$219.67 | 297% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST | $279.88 | $699.69 | $69.20–$192.41 | 8% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST | $467.55 | $1,168.88 | $115.60–$133.25 | 33% above | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST | $239.28 | $598.20 | $59.16–$164.51 | 5% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT VISIT EST | $239.28 | $598.20 | $164.51 | — | 60% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $358.32 | $895.81 | $88.60–$334.30 | 1% above | 60% |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY | $315.48 | $788.71 | $63.06–$302.00 | 79% above | 60% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $208.35 | $520.87 | $51.51–$307.31 | 11% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $983.71 | $2,459.27 | $243.22–$1,096.83 | 88% above | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $92.54 | $231.36 | $25.17–$302.00 | 9% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $101.80 | $254.50 | $302.00 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $218.70 | $546.74 | $82.03–$117.74 | 3% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $1,371.08 | $3,427.69 | $262.50–$3,308.31 | 3% below | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $60.13 | $150.33 | $14.87–$74.75 | 16% below | 60% |