The Children's Hospital of Philadelphia
The Children's Hospital of Philadelphia in Philadelphia, PA publishes cash prices for 337 common procedures listed here, from its own machine-readable price file updated Dec 31, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 316 of 337 procedures and below it for 21. By typical cash price it ranks #108 of 108 Pennsylvania hospitals and #26 of 26 hospitals in the Philadelphia, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
3401 Civic Center Blvd. Philadelphia, PA 19104 Collected Sep 22, 2026 Source price file Check a bill from this hospital (215) 590-1000
Children's hospital Nonprofit hospital Emergency department CCN 393303 · CMS hospital register NPI 1215921457
The price file shows no self-pay discount
For 621 of the 621 prices listed here, the cash price in The Children's Hospital of Philadelphia's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
The Children's Hospital of Philadelphia is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W+WO Contrast | $7,466.15 | $7,466.15 | $150.53–$6,719.54 | 296% above | — |
| Abdominal X-ray, 2 views CPT 74019 Xr Abd 2 View | $1,469.65 | $1,469.65 | $22.25–$1,322.69 | 349% above | — |
| Abdominal X-ray, 2 views CPT 74019 Xr Abd Ap and Oblique & Cone Views | $1,469.65 | $1,469.65 | $22.25–$1,322.69 | 349% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle,Minimum 3 Views | $1,372.98 | $1,372.98 | $25.29–$1,235.68 | 278% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Aortic Pulse Wave Velocity | $1,478.11 | $1,478.11 | $50.10–$1,562.00 | 230% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Upper/Lowr Extrm Phys Study,Lmt | $2,379.80 | $2,379.80 | $50.10–$2,141.82 | 432% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Ue WO Contrast | $4,843.49 | $4,843.49 | $106.70–$4,359.14 | 311% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Fl Examination, Esophagus (Tbe) | $1,844.50 | $1,844.50 | $30.38–$1,660.05 | 301% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone/Joint Imaging Whole Body | $4,392.67 | $4,392.67 | $83.03–$3,953.40 | 257% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US Breast Complete | $2,038.30 | $2,038.30 | $72.13–$1,834.47 | 273% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Limited | $1,528.65 | $1,528.65 | $55.27–$1,375.79 | 232% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd and Pelv,W and W/O Contrast | $11,878.63 | $11,878.63 | $450.50–$10,690.77 | 298% above | — |
| CT angiography (CTA) of the head CPT 70496 Cta Head W+WO Contrast | $12,569.14 | $12,569.14 | $270.27–$11,312.23 | 636% above | — |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck W+WO Contrast | $13,069.50 | $13,069.50 | $270.27–$11,762.55 | 682% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W+WO Contrast | $9,406.83 | $9,406.83 | $292.68–$8,466.15 | 390% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Heart, Coronary Art, Sx, Morph | $10,297.54 | $10,297.54 | $279.54–$9,267.79 | 421% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart W/O Contrast W/Ca Scoring | $3,998.89 | $3,998.89 | $46.95–$3,599.00 | 2162% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd+Pelv WO Contrast | $4,403.19 | $4,403.19 | $136.44–$3,962.87 | 112% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd+Pelv W/Contrast | $7,445.38 | $7,445.38 | $260.19–$6,700.84 | 149% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd+Pelv W and WO Contrast | $8,936.48 | $8,936.48 | $343.85–$8,042.83 | 199% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/ Contrast | $6,244.54 | $6,244.54 | $121.50–$5,620.09 | 277% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO Contrast | $3,632.63 | $3,632.63 | $104.63–$3,269.37 | 222% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO Contr | $5,223.78 | $5,223.78 | $104.63–$4,701.40 | 364% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Contrast | $3,752.74 | $3,752.74 | $104.63–$3,377.47 | 247% above | — |
| CT scan of the head with contrast CPT 70460 CT Head/Brain W/Contrast | $4,903.56 | $4,903.56 | $108.00–$4,413.20 | 263% above | — |
| CT scan of the head without and with contrast CPT 70470 CT Head/Brain W+WO Contra | $4,753.45 | $4,753.45 | $135.00–$4,278.11 | 184% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-Spine WO Contrast | $4,873.51 | $4,873.51 | $118.94–$4,386.16 | 324% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-Spine WO Contrast | $4,933.56 | $4,933.56 | $112.19–$4,440.20 | 318% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast | $6,264.57 | $6,264.57 | $116.78–$5,638.11 | 270% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Scan, Extracranial Art, Bil | $6,125.11 | $6,125.11 | $161.11–$5,512.60 | 656% above | — |
| Chest CT scan without and with contrast CPT 71270 CT,Thorax,W and W/O Contrast | $7,605.51 | $7,605.51 | $139.73–$6,844.96 | 373% above | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest,Ap/Lateral+Oblique | $1,314.95 | $1,314.95 | $20.05–$1,183.46 | 308% above | — |
| Chest X-ray, 2 views CPT 71046 X/R Chest 2 View | $1,314.95 | $1,314.95 | $20.05–$1,183.46 | 308% above | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest,Ap/Lat+Aptical Lordotic | $1,314.95 | $1,314.95 | $20.05–$1,183.46 | 308% above | — |
| Chest X-ray, single view CPT 71045 Xr Chest,Single View,Frontal | $773.49 | $773.49 | $10.95–$696.14 | 311% above | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X/R Clavicle | $1,140.90 | $1,140.90 | $15.53–$1,026.81 | 298% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Contrast Enhanced Ultrasonography (Ceus) | $3,493.04 | $3,493.04 | $66.15–$3,143.74 | 381% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneum,Complete | $3,493.04 | $3,493.04 | $66.15–$3,143.74 | 381% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Usf Retroperitoneum,Complete | $3,493.04 | $3,493.04 | $66.15–$3,143.74 | 381% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Contrast Enhanced Voiding Urosonography (Cevus) | $3,493.04 | $3,493.04 | $66.15–$3,143.74 | 381% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA-Bone Density Study | $751.24 | $751.24 | $70.12–$676.12 | 176% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density Appendicular | $751.24 | $751.24 | $23.87–$676.12 | 315% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Preg Uter,Det Ftl Anat,Sngl/Frst | $2,619.23 | $2,619.23 | $123.42–$2,357.31 | 108% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Usf Preg Uter,Det Ftl Anat,Sngl/Frst | $2,619.23 | $2,619.23 | $123.42–$2,357.31 | 108% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT,Thorax,W/O Contrast | $4,863.53 | $4,863.53 | $112.19–$4,377.18 | 342% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT,Thorax,W/Contrast | $6,114.44 | $6,114.44 | $118.13–$5,503.00 | 329% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Usf Duplex Scan of Lower Extrem, Bil | $8,000.34 | $8,000.34 | $161.11–$7,200.31 | 870% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Scan of Lower Extrem, Bil | $8,000.34 | $8,000.34 | $161.11–$7,200.31 | 870% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Usf Duplex Scan, Extrem Veins, Comp/Bil | $6,339.16 | $6,339.16 | $154.17–$5,705.24 | 629% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Scan, Extrem Veins, Comp/Bil | $6,339.16 | $6,339.16 | $154.17–$5,705.24 | 629% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo 2d W/Spec/Color Noncong | $6,177.85 | $6,177.85 | $132.49–$5,560.07 | 229% above | — |
| Elbow X-ray, 2 views CPT 73070 Xr Elbow,2 Views | $1,140.90 | $1,140.90 | $15.53–$1,026.81 | 274% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Xr Elbow,Minimum 3 Views | $1,353.62 | $1,353.62 | $15.53–$1,218.26 | 292% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit/Ear/Fossa WO Con | $6,494.69 | $6,494.69 | $153.90–$5,845.22 | 498% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones,Min 3 Views | $1,624.37 | $1,624.37 | $30.38–$1,461.93 | 295% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Xr Forearm,2 Views | $1,082.85 | $1,082.85 | $15.53–$974.57 | 287% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Imaging | $7,055.53 | $7,055.53 | $289.53–$6,349.98 | 474% above | — |
| Hand X-ray, 2 views CPT 73120 Xr Hand,2 Views | $1,082.85 | $1,082.85 | $13.50–$974.57 | 287% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xr Calcaneus,Minimum 2 Vws | $1,140.90 | $1,140.90 | $15.53–$1,026.81 | 331% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysmngy W/Bipap >6 Hrs Age 6 & Up | $12,032.86 | $12,032.86 | $698.85–$10,829.57 | 283% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysmngy W/Bipap <6 Hrs Age 6 & Up | $12,032.86 | $12,032.86 | $698.85–$10,829.57 | 283% above | — |
| Knee X-ray, 3 views CPT 73562 Xr Knee, 3 Views | $1,527.66 | $1,527.66 | $22.28–$1,374.89 | 283% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Xr Knee,Minimum 4 Views | $1,759.72 | $1,759.72 | $30.27–$1,583.75 | 303% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Le WO Contrast | $4,863.53 | $4,863.53 | $106.70–$4,377.18 | 360% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Contrast Enhanced US Abdomen Single Organ | $2,983.42 | $2,983.42 | $50.63–$2,685.08 | 392% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US Abdomen, Limited With Contrast | $2,983.42 | $2,983.42 | $50.63–$2,685.08 | 392% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen,Limited | $2,983.42 | $2,983.42 | $50.63–$2,685.08 | 392% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US Abdomen, Limited | $2,983.42 | $2,983.42 | $50.63–$2,685.08 | 392% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Usf Abdomen, Limited | $2,983.42 | $2,983.42 | $50.63–$2,685.08 | 392% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Non Vascular Limited | $1,301.15 | $1,301.15 | $10.60–$1,171.04 | 230% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 IR US Upper Extremity Non Vascular Limited | $1,301.15 | $1,301.15 | $10.60–$1,171.04 | 230% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 IR US Upper Extremity Non Vascular Limited With Contrast | $1,301.15 | $1,301.15 | $10.60–$1,171.04 | 230% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xr Tibia Fibula,2 Views | $1,044.21 | $1,044.21 | $22.28–$939.79 | 213% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head WO Contrast | $11,411.45 | $11,411.45 | $361.00–$10,270.31 | 534% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Le Joint WO Contrast | $9,801.06 | $9,801.06 | $363.15–$8,820.95 | 381% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Le Joint W+WO Contras | $12,365.73 | $12,365.73 | $637.78–$11,129.16 | 251% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO Contrast | $8,707.69 | $8,707.69 | $363.15–$7,836.92 | 341% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W+WO Contrast | $13,319.94 | $13,319.94 | $637.55–$11,987.95 | 278% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $8,106.86 | $8,106.86 | $363.15–$7,296.17 | 345% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W+WO Contrast | $12,733.49 | $12,733.49 | $363.15–$11,460.14 | 339% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine W/O Contrast | $8,657.97 | $8,657.97 | $252.72–$7,792.17 | 384% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-Spine W+WO Contrast | $12,395.50 | $12,395.50 | $363.15–$11,155.95 | 279% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-Spine W/O Contrast | $8,687.80 | $8,687.80 | $252.72–$7,819.02 | 320% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-Spine W+WO Contrast | $12,455.14 | $12,455.14 | $363.15–$11,209.63 | 327% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine W/O Contrast | $8,667.90 | $8,667.90 | $363.15–$7,801.11 | 394% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W+WO Contrast | $13,260.36 | $13,260.36 | $637.55–$11,934.32 | 276% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO Contrast | $10,069.51 | $10,069.51 | $352.51–$9,062.56 | 414% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Ue Joint WO Contrast | $9,542.67 | $9,542.67 | $363.15–$8,588.40 | 350% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Spine,Cervical 4 or 5 Views | $2,030.45 | $2,030.45 | $35.78–$1,827.41 | 361% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck W/ Contrast | $6,074.40 | $6,074.40 | $111.38–$5,466.96 | 349% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck WO Contrast | $4,843.49 | $4,843.49 | $106.65–$4,359.14 | 347% above | — |
| Neck soft tissue X-ray CPT 70360 Xr Neck,Any View(S) | $1,044.21 | $1,044.21 | $13.50–$939.79 | 273% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Ht Muscle Image (Spect) Mult | $8,526.56 | $8,526.56 | $375.76–$7,673.90 | 117% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet W CT Scan Skull Base to Thigh | $15,497.28 | $15,497.28 | $1,629.79–$13,947.55 | 114% above | — |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis WO Contrast | $3,682.66 | $3,682.66 | $91.13–$3,314.39 | 237% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Usf Pelvic, Limited | $2,952.88 | $2,952.88 | $25.65–$2,657.59 | 561% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic, Limited | $2,952.88 | $2,952.88 | $25.65–$2,657.59 | 561% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 IR US Pelvic, Limited With Contrast | $2,952.88 | $2,952.88 | $25.65–$2,657.59 | 561% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 IR US Pelvic , Limited | $2,952.88 | $2,952.88 | $25.65–$2,657.59 | 561% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Contrast Enhanced US Ovaries | $2,952.88 | $2,952.88 | $25.65–$2,657.59 | 561% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic,Complete, Non-Obs | $2,952.88 | $2,952.88 | $62.78–$2,657.59 | 407% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Usf Pelvic,Complete, Non-Obs | $2,952.88 | $2,952.88 | $62.78–$2,657.59 | 407% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Usf OB Scan >= 14wks Sngl/First Gest | $3,077.89 | $3,077.89 | $62.78–$2,770.10 | 401% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Preg Uter,<14 Wks,Sng/Frst Gst | $3,719.90 | $3,719.90 | $51.83–$3,347.91 | 563% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Usf Preg Uter,<14 Wks,Sng/Frst Gst | $3,719.90 | $3,719.90 | $51.83–$3,347.91 | 563% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Usf OB Scan (Limited) | $1,834.48 | $1,834.48 | $52.65–$1,651.03 | 244% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr Ribs,Unilateral 2 Views | $1,160.24 | $1,160.24 | $22.28–$1,044.22 | 245% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs,Incl Ap Chest,Min 3 Views | $1,430.96 | $1,430.96 | $22.28–$1,287.86 | 248% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder, Min 2 Vws | $1,160.24 | $1,160.24 | $22.28–$1,044.22 | 243% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Xr Paranasal Sinuses,Min 3 Vws | $1,450.29 | $1,450.29 | $30.38–$1,305.26 | 242% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr Skull,<4 Views | $1,372.98 | $1,372.98 | $28.35–$1,235.68 | 285% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysmngy <6 Hrs Age 6 & Up | $10,307.07 | $10,307.07 | $364.93–$9,276.36 | 198% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysmngy >6 Hrs Age 6 & Up | $10,307.07 | $10,307.07 | $364.93–$9,276.36 | 198% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Fl Swallowing Fx With Cine/Video | $1,748.80 | $1,748.80 | $37.80–$1,573.92 | 196% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xr Femur; Minimum 2 Views | $685.04 | $685.04 | $23.02–$616.54 | 72% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-Spine WO Contrast | $4,903.56 | $4,903.56 | $122.31–$4,413.20 | 318% above | — |
| Toe X-ray, 2 or more views CPT 73660 Xr Toes,Minimum 2 Views | $1,314.95 | $1,314.95 | $12.15–$1,183.46 | 370% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal Scan | $2,670.10 | $2,670.10 | $62.78–$2,403.09 | 377% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Usf Uterus, Non-OB, Transvaginal | $2,670.10 | $2,670.10 | $62.78–$2,403.09 | 377% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US, Transvaginal, Nonobstetic | $2,670.10 | $2,670.10 | $62.78–$2,403.09 | 377% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US Preg Uterus, Transvaginal | $2,549.65 | $2,549.65 | $71.59–$2,294.69 | 361% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Fetal Transvaginal Echo | $2,549.65 | $2,549.65 | $71.59–$2,294.69 | 361% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Usf Uterus, OB, Transvaginal | $2,549.65 | $2,549.65 | $71.59–$2,294.69 | 361% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen, Complete | $2,983.42 | $2,983.42 | $77.63–$2,685.08 | 281% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Usf Abdomen, Complete | $2,983.42 | $2,983.42 | $77.63–$2,685.08 | 281% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum | $2,670.18 | $2,670.18 | $59.40–$2,403.16 | 334% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Contrast Enhanced US Scrotum | $3,391.07 | $3,391.07 | $430.00–$3,051.96 | 451% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 IR US Neck Soft Tissue With Contrast | $3,501.02 | $3,501.02 | $68.82–$3,150.92 | 512% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue-Head/Neck | $3,501.02 | $3,501.02 | $68.82–$3,150.92 | 512% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 IR US Neck Soft Tissue | $3,501.02 | $3,501.02 | $68.82–$3,150.92 | 512% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Fl X-Ray Exam Ugi, W Kub | $3,584.76 | $3,584.76 | $52.65–$3,226.28 | 470% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Fl X-Ray Ugi+Sm Intes,Mult | $3,584.76 | $3,584.76 | $52.65–$3,226.28 | 470% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Xr Humerus,Minimum 2 Views | $1,121.55 | $1,121.55 | $15.53–$1,009.40 | 305% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan, Extrem Veins,Lmt/Uni | $4,127.59 | $4,127.59 | $106.11–$3,714.83 | 544% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan, Extrem Veins, Lmt/Uni | $4,127.59 | $4,127.59 | $106.11–$3,714.83 | 544% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Usf Duplex Scan, Extrem Veins,Lmt/Uni | $4,127.59 | $4,127.59 | $106.11–$3,714.83 | 544% above | — |
| Wrist X-ray, 2 views CPT 73100 Xr Wrist, 2 Views | $1,276.29 | $1,276.29 | $15.53–$1,148.66 | 365% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist,Minimum 3 Views | $1,585.69 | $1,585.69 | $15.53–$1,427.12 | 393% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip, Unilateral, With Pelvis When Performed; 2-3 Views | $1,547.00 | $1,547.00 | $30.19–$1,392.30 | 337% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen, Ap View | $831.50 | $831.50 | $18.59–$748.35 | 197% above | — |
| X-ray of the ankle, 2 views CPT 73600 Xr Ankle,2 Views | $1,140.90 | $1,140.90 | $15.53–$1,026.81 | 238% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Xr Fingers,Minimum 2 Views | $1,469.65 | $1,469.65 | $12.15–$1,322.69 | 508% above | — |
| X-ray of the foot, 2 views CPT 73620 Xr Foot,2 Views | $1,121.55 | $1,121.55 | $13.50–$1,009.40 | 246% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot,Minimum 3 Views | $1,276.29 | $1,276.29 | $15.53–$1,148.66 | 250% above | — |
| X-ray of the hand, 3 or more views CPT 73130 Xr Hand,Minimum 3 Views | $1,314.95 | $1,314.95 | $15.53–$1,183.46 | 342% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee,Maximum 2 Views | $1,198.92 | $1,198.92 | $22.28–$1,079.03 | 325% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X/R Spine Lmsac 2 or 3 VI | $1,643.69 | $1,643.69 | $30.38–$1,479.32 | 351% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine Comple | $2,185.13 | $2,185.13 | $30.38–$1,966.62 | 382% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine,Thoracic,2 Views | $1,218.24 | $1,218.24 | $27.26–$1,096.42 | 234% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones,Min 3 Views | $1,353.62 | $1,353.62 | $15.53–$1,218.26 | 399% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine,Cervical,Max 3 Vws | $1,547.00 | $1,547.00 | $22.28–$1,392.30 | 365% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X/R Pelvis, 1 or 2 Vws | $966.86 | $966.86 | $13.50–$870.17 | 230% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X/R Sacrum/Coccyx, Min 2 Vws | $1,102.27 | $1,102.27 | $22.28–$992.04 | 229% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $398.08 | $398.08 | $54.00–$358.27 | 79% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt -Sgpt- Transaminase | $467.28 | $467.28 | $9.72–$420.55 | 1184% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast-Sgot-Transaminase | $467.28 | $467.28 | $9.63–$420.55 | 1191% above | — |
| Albumin blood test CPT 82040 Albumin, Serum,Plasma, Blood | $62.05 | $62.05 | $4.93–$55.85 | 94% above | — |
| Albumin blood test CPT 82040 Albumin ( Testosterone Prof) | $306.00 | $306.00 | $4.93–$275.40 | 857% above | — |
| Albumin blood test CPT 82040 Albumin, Serum | $467.28 | $467.28 | $4.93–$420.55 | 1361% above | — |
| Aldosterone blood test CPT 82088 Aldosterone | $1,053.11 | $1,053.11 | $35.10–$947.80 | 405% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phosphatase (Iso Panel) | $46.41 | $46.41 | $7.66–$41.77 | 28% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase, Ser | $467.28 | $467.28 | $8.60–$420.55 | 1184% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ige-Routine Extract,Each-Imm | $44.84 | $44.84 | $7.40–$72.20 | 39% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Quant, Ea#3 | $75.57 | $75.57 | $9.73–$72.20 | 134% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Quant, Ea#2 | $75.57 | $75.57 | $9.73–$72.20 | 134% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Quant, Ea#1 | $75.57 | $75.57 | $9.73–$72.20 | 134% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Individual Allergens | $319.98 | $319.98 | $9.73–$287.98 | 889% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Total | $944.81 | $944.81 | $27.00–$850.33 | 758% above | — |
| Ammonia blood test CPT 82140 Ammonia, Blood | $278.04 | $278.04 | $6.75–$250.24 | 205% above | — |
| Amylase blood test CPT 82150 Amylase, Urine | $272.09 | $272.09 | $6.75–$244.88 | 522% above | — |
| Amylase blood test CPT 82150 Amylase (Body Fluid) | $272.09 | $272.09 | $6.75–$244.88 | 522% above | — |
| Amylase blood test CPT 82150 Amylase, Serum | $278.04 | $278.04 | $6.75–$250.24 | 536% above | — |
| Amylase blood test CPT 82150 Amylase Isoenzyme | $914.58 | $914.58 | $6.75–$823.12 | 1991% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Pept | $267.06 | $267.06 | $19.53–$240.35 | 213% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Antibody-Scr | $487.38 | $487.38 | $20.25–$438.64 | 555% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $692.82 | $692.82 | $51.22–$623.54 | 248% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Probnp, Hup | $722.92 | $722.92 | $51.22–$650.63 | 263% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture | $58.91 | $58.91 | $9.32–$53.02 | 13% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture | $60.96 | $60.96 | $9.32–$54.86 | 17% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Helicobacter Pylori, Culture-Arup | $99.96 | $99.96 | $9.32–$89.96 | 91% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult-Catheter Tip | $121.48 | $121.48 | $9.32–$109.33 | 133% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Bacterial, Aerobic, Isol & ID | $220.07 | $220.07 | $9.32–$198.06 | 322% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult-Respiratory Deep | $273.34 | $273.34 | $9.32–$246.01 | 424% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult-Genital | $370.15 | $370.15 | $9.32–$333.14 | 609% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sterile Body Fluid Culture | $569.24 | $569.24 | $9.32–$512.32 | 990% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Stem Cell Sterility, Culture | $808.11 | $808.11 | $9.32–$727.30 | 1448% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $343.42 | $343.42 | $12.64–$309.08 | 343% above | — |
| Bilirubin blood test, total CPT 82247 Global Maps Urine-Baylor #33 | $52.72 | $52.72 | $8.70–$47.45 | 65% above | — |
| Bilirubin blood test, total CPT 82247 Global Maps Plasma-Baylor #21 | $69.83 | $69.83 | $9.36–$62.85 | 118% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid Totl | $136.04 | $136.04 | $9.36–$122.44 | 325% above | — |
| Bilirubin blood test, total CPT 82247 Bilirubin-Total | $467.28 | $467.28 | $9.36–$420.55 | 1361% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path-Level 4 | $960.28 | $960.28 | $45.90–$864.25 | 442% above | — |
| Blood culture for bacteria CPT 87040 Culture, Blood- Hup | $694.98 | $694.98 | $18.90–$625.48 | 720% above | — |
| Blood culture for bacteria CPT 87040 Cult-Blood | $694.98 | $694.98 | $18.90–$625.48 | 720% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Fee | $50.38 | $50.38 | $7.15–$45.34 | 236% above | — |
| Blood glucose (sugar) test CPT 82947 Global Maps Urine-Baylor #44 | $52.72 | $52.72 | $5.40–$47.45 | 104% above | — |
| Blood glucose (sugar) test CPT 82947 Global Maps Plasma-Baylor #32 | $69.83 | $69.83 | $5.40–$62.85 | 171% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose-Nova | $136.04 | $136.04 | $5.40–$122.44 | 428% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose-Icu | $418.01 | $418.01 | $5.40–$376.21 | 1521% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose, Chem8 | $467.28 | $467.28 | $5.40–$420.55 | 1713% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose- Epoc | $467.28 | $467.28 | $5.40–$420.55 | 1713% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose, Serum | $467.28 | $467.28 | $5.40–$420.55 | 1713% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose | $467.28 | $467.28 | $5.40–$420.55 | 1713% above | — |
| Blood lead test CPT 83655 LEAD | $302.32 | $302.32 | $13.50–$272.09 | 288% above | — |
| Blood lead test CPT 83655 Lead, Blood | $562.84 | $562.84 | $13.50–$506.56 | 622% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg-Qualitative | $188.54 | $188.54 | $10.83–$169.69 | 277% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Pregnancy, Qual | $361.96 | $361.96 | $10.83–$325.76 | 623% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg-Chorionic Gonadotropi | $361.96 | $361.96 | $10.83–$325.76 | 623% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Hcg by Clinitek | $361.96 | $361.96 | $10.83–$325.76 | 623% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group-a and B (Reve | $591.27 | $591.27 | $5.56–$532.14 | 345% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Grouping - a,B,a,B | $676.43 | $676.43 | $5.56–$608.79 | 409% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen,Chem8 | $37.30 | $37.30 | $6.15–$33.57 | 38% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen-Bf(Quant) | $239.36 | $239.36 | $7.34–$215.42 | 787% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen, Quant | $467.28 | $467.28 | $7.34–$420.55 | 1631% above | — |
| C-peptide blood test CPT 84681 C Peptide | $100.77 | $100.77 | $16.63–$90.69 | 7% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $494.08 | $494.08 | $4.05–$444.67 | 1282% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C.Difficile,Toxin Gene, Amp Probe | $760.93 | $760.93 | $54.30–$684.84 | 267% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19- 9 Ca G-1 | $206.60 | $206.60 | $31.06–$185.94 | 55% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125- Cancer Antigen | $718.03 | $718.03 | $31.06–$646.23 | 448% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 | $219.00 | $219.00 | $36.14–$197.10 | 140% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Pcr_Arup | $219.00 | $219.00 | $36.14–$197.10 | 140% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid - 19, Rapid | $219.00 | $219.00 | $36.14–$197.10 | 140% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 (Sars-Cov-2)-Hup | $219.00 | $219.00 | $36.14–$197.10 | 140% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19, Cobas | $219.00 | $219.00 | $36.14–$197.10 | 140% above | — |
| Calcium blood test, total CPT 82310 Calcium, Serum | $467.28 | $467.28 | $9.60–$420.55 | 1292% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea-Carcinoembryonic Anti | $758.36 | $758.36 | $22.95–$682.52 | 540% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab,Igm | $105.40 | $105.40 | $17.39–$94.86 | 24% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Serology-Varicella Antibo | $530.25 | $530.25 | $24.04–$477.23 | 526% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Virus Ab, Igg-Arup | $530.25 | $530.25 | $24.04–$477.23 | 526% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Ab,Igg-Asses Panel-Arup | $530.25 | $530.25 | $24.04–$477.23 | 526% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.Trachomatis-Arup | $718.58 | $718.58 | $31.31–$646.72 | 266% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Amp Prb | $718.58 | $718.58 | $31.31–$646.72 | 266% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Panel(Lipo Elect Panel) | $82.97 | $82.97 | $13.69–$74.67 | 7% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Profile | $345.20 | $345.20 | $18.90–$310.68 | 286% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Differential-Ebola Testing | $353.23 | $353.23 | $8.10–$317.91 | 591% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc,Platelet- With Diff | $454.33 | $454.33 | $8.10–$408.90 | 789% above | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc,Platlet- No Diff | $352.75 | $352.75 | $10.15–$317.48 | 716% above | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc W/O Differential-Ebola Testing | $353.23 | $353.23 | $10.15–$317.91 | 717% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp Metabolic Panel | $342.73 | $342.73 | $15.78–$308.46 | 287% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metab Panel-Piccolo | $479.86 | $479.86 | $15.78–$431.87 | 442% above | — |
| Cortisol blood test, total CPT 82533 Global Maps Urine-Baylor #38 | $52.72 | $52.72 | $8.70–$61.37 | 49% below | — |
| Cortisol blood test, total CPT 82533 Global Maps Plasma-Baylor #26 | $69.83 | $69.83 | $11.52–$62.85 | 32% below | — |
| Cortisol blood test, total CPT 82533 Cortisol, Salivary | $267.06 | $267.06 | $16.20–$240.35 | 159% above | — |
| Cortisol blood test, total CPT 82533 Cortisol-Specimen #6 | $384.27 | $384.27 | $16.20–$345.84 | 273% above | — |
| Cortisol blood test, total CPT 82533 Cortisol-Specimen #1 | $415.71 | $415.71 | $16.20–$374.14 | 304% above | — |
| Cortisol blood test, total CPT 82533 Cortisol-Total | $415.71 | $415.71 | $16.20–$374.14 | 304% above | — |
| Cortisol blood test, total CPT 82533 Cortisol-Specimen #4 | $415.71 | $415.71 | $16.20–$374.14 | 304% above | — |
| Cortisol blood test, total CPT 82533 Cortisol-Specimen #3 | $415.71 | $415.71 | $16.20–$374.14 | 304% above | — |
| Cortisol blood test, total CPT 82533 Cortisol-Specimen #2 | $415.71 | $415.71 | $16.20–$374.14 | 304% above | — |
| Cortisol blood test, total CPT 82533 Cortisol (Single) Total | $415.71 | $415.71 | $16.20–$374.14 | 304% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase, Arup | $39.85 | $39.85 | $6.58–$35.87 | 11% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk Total (Iso Panel) | $46.41 | $46.41 | $7.66–$41.77 | 3% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk-Creatine Kinase | $257.78 | $257.78 | $9.71–$232.00 | 473% above | — |
| Creatinine blood test CPT 82565 Global Maps Urine-Baylor #39 | $52.72 | $52.72 | $8.65–$47.45 | 56% above | — |
| Creatinine blood test CPT 82565 Global Maps Plasma-Baylor #27 | $69.83 | $69.83 | $8.65–$62.85 | 107% above | — |
| Creatinine blood test CPT 82565 Creatinine, Chem 8 | $193.99 | $193.99 | $8.65–$174.59 | 474% above | — |
| Creatinine blood test CPT 82565 Creatinine-Body Fluid | $193.99 | $193.99 | $8.65–$174.59 | 474% above | — |
| Creatinine blood test CPT 82565 Creatine Disorders Creatinine, Mayo | $208.69 | $208.69 | $8.65–$187.82 | 517% above | — |
| Creatinine blood test CPT 82565 Creatinine, Serum | $247.65 | $247.65 | $8.65–$222.89 | 633% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Ab Donor Mkbc | $199.05 | $199.05 | $26.77–$179.15 | 130% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Ab, Igg-Arup | $530.03 | $530.03 | $26.77–$477.03 | 513% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Serology-Cmv | $530.03 | $530.03 | $26.77–$477.03 | 513% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant | $816.02 | $816.02 | $14.31–$734.42 | 1093% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate, Serum | $576.96 | $576.96 | $28.35–$519.26 | 330% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UR, Buprenorphine Screen | $96.63 | $96.63 | $15.94–$228.87 | 47% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UR, Oxycodone Screen | $108.58 | $108.58 | $17.92–$228.87 | 40% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Tricyclic Antidepressant,Serum | $130.04 | $130.04 | $21.46–$228.87 | 29% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen Analysis-Hup | $195.95 | $195.95 | $32.33–$228.87 | 8% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Phencyclidine Confirmation,UR-Hup | $195.95 | $195.95 | $32.33–$228.87 | 8% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Analysis,Pain Manage-Hup | $247.96 | $247.96 | $40.91–$228.87 | 36% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine-Amphetamine Screen | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine-Opiate Screen | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Screen | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine-Cocaine Screen | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine-Cannabinoid Screen | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine-Barbiturate Screen | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine-Benzodiazepine Scre | $254.46 | $254.46 | $41.99–$229.01 | 40% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Serum Drug Screen, Core Lab | $1,891.25 | $1,891.25 | $86.20–$1,702.13 | 939% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen, Core Lab | $2,035.71 | $2,035.71 | $86.20–$1,832.14 | 1019% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes, Chem8 | $352.67 | $352.67 | $9.45–$317.40 | 568% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Profile | $352.67 | $352.67 | $9.45–$317.40 | 568% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv-Viral Capsid Igg | $533.14 | $533.14 | $33.84–$479.83 | 365% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca Ab Igg- Arup | $533.14 | $533.14 | $33.84–$479.83 | 365% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv-Viral Capsid Igm | $629.71 | $629.71 | $33.84–$566.74 | 449% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca Ab Igm- Arup | $629.71 | $629.71 | $33.84–$566.74 | 449% above | — |
| Estradiol blood test CPT 82670 Estradiol | $758.36 | $758.36 | $29.03–$682.52 | 356% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Ultra Sensitivity | $385.45 | $385.45 | $23.63–$346.91 | 223% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Specimen #1 | $571.90 | $571.90 | $23.63–$514.71 | 379% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Specimen #6 | $571.90 | $571.90 | $23.63–$514.71 | 379% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Specimen #5 | $571.90 | $571.90 | $23.63–$514.71 | 379% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Specimen #4 | $571.90 | $571.90 | $23.63–$514.71 | 379% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Specimen #3 | $571.90 | $571.90 | $23.63–$514.71 | 379% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Specimen #2 | $571.90 | $571.90 | $23.63–$514.71 | 379% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh (Single) | $620.48 | $620.48 | $23.63–$558.43 | 420% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin | $859.99 | $859.99 | $29.62–$773.99 | 565% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $581.99 | $581.99 | $16.20–$523.79 | 572% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $707.94 | $707.94 | $13.38–$637.15 | 971% above | — |
| Folate (folic acid) blood test CPT 82746 Global Maps Urine-Baylor #42 | $52.72 | $52.72 | $8.70–$47.45 | 39% below | — |
| Folate (folic acid) blood test CPT 82746 Global Maps Plasma-Baylor #30 | $69.83 | $69.83 | $11.52–$62.85 | 20% below | — |
| Folate (folic acid) blood test CPT 82746 Folate, Serum | $564.39 | $564.39 | $16.20–$507.95 | 550% above | — |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $125.40 | $125.40 | $20.69–$112.86 | 17% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4-Thyroxine | $571.90 | $571.90 | $10.80–$514.71 | 853% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt (Gamma Glutamyl Trans | $241.80 | $241.80 | $12.64–$217.62 | 408% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; Post Glucose Dos | $467.28 | $467.28 | $8.82–$420.55 | 1158% above | — |
| Glucose tolerance test, 3 samples CPT 82951 2 Hr Glucose Tol;3 Spec + | $467.28 | $467.28 | $16.88–$420.55 | 476% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae-Arup | $718.58 | $718.58 | $31.31–$646.72 | 291% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. Gonorrhoeae, Amp Probe | $718.58 | $718.58 | $31.31–$646.72 | 291% above | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Igg Ab-Labcorp | $402.13 | $402.13 | $27.07–$361.92 | 248% above | — |
| H. pylori stool antigen test CPT 87338 H. Pylori Antigen | $396.57 | $396.57 | $29.42–$356.91 | 311% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Detection Quant | $862.35 | $862.35 | $142.29–$776.12 | 74% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quantitative Naat,Plasma-Arup | $862.35 | $862.35 | $142.29–$776.12 | 74% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv I/II Donor Mkbc | $199.05 | $199.05 | $25.25–$179.15 | 93% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv- 1/2 Antibody Scrn | $597.73 | $597.73 | $36.86–$537.96 | 322% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $277.14 | $277.14 | $9.45–$249.43 | 443% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin by Hemocue | $123.44 | $123.44 | $4.33–$111.10 | 620% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin-Icu | $138.58 | $138.58 | $4.33–$124.72 | 709% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $363.03 | $363.03 | $4.33–$326.73 | 2018% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hbc Ab Donor Mkbc | $196.51 | $196.51 | $20.25–$176.86 | 133% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis-B Core Antibody | $694.50 | $694.50 | $20.25–$625.05 | 724% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis-B Surface Antib | $676.63 | $676.63 | $17.79–$608.97 | 824% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbs Ag Donor Mkbc | $201.56 | $201.56 | $19.13–$181.40 | 190% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis-B Surface Antig | $868.32 | $868.32 | $19.13–$781.49 | 1148% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Donor Mkbc | $221.73 | $221.73 | $25.65–$199.56 | 123% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $652.62 | $652.62 | $25.65–$587.36 | 556% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Qnt Arup | $1,320.21 | $1,320.21 | $53.53–$1,188.19 | 364% above | — |
| Homocysteine blood test CPT 83090 Homocystine | $737.79 | $737.79 | $25.18–$664.01 | 517% above | — |
| Insulin blood test CPT 83525 Insulin-Spec #4 | $398.08 | $398.08 | $14.85–$358.27 | 449% above | — |
| Insulin blood test CPT 83525 Insulin-Spec #1 | $398.08 | $398.08 | $14.85–$358.27 | 449% above | — |
| Insulin blood test CPT 83525 Insulin-Spec #2 | $398.08 | $398.08 | $14.85–$358.27 | 449% above | — |
| Insulin blood test CPT 83525 Insulin-Spec #3 | $398.08 | $398.08 | $14.85–$358.27 | 449% above | — |
| Insulin blood test CPT 83525 Insulin-Spec #5 | $398.08 | $398.08 | $14.85–$358.27 | 449% above | — |
| Insulin blood test CPT 83525 Insulin-Spec #6 | $398.08 | $398.08 | $14.85–$358.27 | 449% above | — |
| Insulin blood test CPT 83525 Insulin - Single | $679.61 | $679.61 | $14.85–$611.65 | 837% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $278.04 | $278.04 | $11.41–$250.24 | 510% above | — |
| Iron blood test (serum iron) CPT 83540 Iron,Liver Disease | $687.82 | $687.82 | $11.41–$619.04 | 1408% above | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $2,065.89 | $2,065.89 | $12.96–$1,859.30 | 2920% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Ultra Sensit | $385.45 | $385.45 | $22.95–$346.91 | 223% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Specimen #6 | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Specimen #5 | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Specimen #4 | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Specimen #3 | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Specimen #2 | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh-Specimen #1 | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh (Single) | $571.90 | $571.90 | $22.95–$514.71 | 379% above | — |
| Lactate (lactic acid) blood test CPT 83605 Global Maps Urine-Baylor #47 | $52.72 | $52.72 | $8.70–$54.15 | 31% below | — |
| Lactate (lactic acid) blood test CPT 83605 Global Maps Plasma-Baylor #35 | $69.83 | $69.83 | $10.80–$62.85 | 9% below | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate, CSF | $161.23 | $161.23 | $10.80–$145.11 | 110% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate, Plasma | $278.04 | $278.04 | $10.80–$250.24 | 262% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate- Epoc | $423.34 | $423.34 | $10.80–$381.01 | 451% above | — |
| Lactate (lactic acid) blood test CPT 83605 Istat4 Lactate | $423.34 | $423.34 | $10.80–$381.01 | 451% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate -Icu- | $423.34 | $423.34 | $10.80–$381.01 | 451% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate | $715.92 | $715.92 | $10.80–$644.33 | 832% above | — |
| Lactate (lactic acid) blood test CPT 83605 D-Lactate Plasma-Mayo | $821.24 | $821.24 | $10.80–$739.12 | 969% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase-Ie Panel-Arup | $49.48 | $49.48 | $8.16–$44.53 | 35% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh-Lactate Dehydrogenase | $257.78 | $257.78 | $9.71–$232.00 | 601% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh (Body Fluid) | $581.99 | $581.99 | $9.71–$523.79 | 1484% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Serum | $278.04 | $278.04 | $6.75–$250.24 | 493% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $314.95 | $314.95 | $6.75–$283.46 | 572% above | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $312.11 | $312.11 | $12.19–$280.90 | 300% above | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel-Piccolo | $479.86 | $479.86 | $12.19–$431.87 | 515% above | — |
| Lyme disease antibody test CPT 86618 Lymes Vlse1/Pepc10 Ab, CSF,Ttl Arup | $155.80 | $155.80 | $25.71–$140.22 | 64% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Titer | $571.90 | $571.90 | $31.78–$514.71 | 503% above | — |
| Lyme disease antibody test CPT 86618 Lyme Igg/Igm Screen-Elisa | $1,294.20 | $1,294.20 | $31.78–$1,164.78 | 1265% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody Ind | $2,209.55 | $2,209.55 | $31.78–$1,988.60 | 2231% above | — |
| Magnesium blood test CPT 83735 Magnesium, Serum | $257.78 | $257.78 | $9.79–$232.00 | 520% above | — |
| Magnesium blood test CPT 83735 Magnesium-Urine | $342.65 | $342.65 | $9.79–$308.39 | 724% above | — |
| Measles (rubeola) antibody test CPT 86765 Measles Virus Ab,Igg-as Panel-Arup | $586.86 | $586.86 | $15.93–$528.17 | 628% above | — |
| Measles (rubeola) antibody test CPT 86765 Measles Ab, Igg- Arup | $586.86 | $586.86 | $15.93–$528.17 | 628% above | — |
| Measles (rubeola) antibody test CPT 86765 Serology-Measles | $586.86 | $586.86 | $15.93–$528.17 | 628% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Ab, Screening | $53.56 | $53.56 | $8.84–$48.20 | 44% above | — |
| Mumps immunity blood test CPT 86735 Mumps Antibody | $581.99 | $581.99 | $54.15–$523.79 | 615% above | — |
| Mumps immunity blood test CPT 86735 Serology-Mumps | $584.49 | $584.49 | $54.15–$526.04 | 618% above | — |
| Mumps immunity blood test CPT 86735 Mumps Virus Ab,Igg-Asses Panel-Arup | $584.49 | $584.49 | $54.15–$526.04 | 618% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytology, Thin Prep Pap Smear | $354.29 | $354.29 | $21.60–$318.86 | 479% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth-Intact | $415.71 | $415.71 | $57.38–$374.14 | 90% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Intra-Operative Pth | $535.43 | $535.43 | $57.38–$481.89 | 145% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt-Partial Thromboplasti | $511.52 | $511.52 | $10.13–$460.37 | 1138% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus, Serum | $257.78 | $257.78 | $8.84–$232.00 | 692% above | — |
| Potassium blood test CPT 84132 Potassium-Body Fluid | $287.24 | $287.24 | $8.56–$258.52 | 801% above | — |
| Potassium blood test CPT 84132 Potassium- Epoc | $413.37 | $413.37 | $8.56–$372.03 | 1196% above | — |
| Potassium blood test CPT 84132 Potassium | $413.37 | $413.37 | $8.56–$372.03 | 1196% above | — |
| Potassium blood test CPT 84132 Potassium-Icu(Blood) | $413.37 | $413.37 | $8.56–$372.03 | 1196% above | — |
| Potassium blood test CPT 84132 Potassium, Serum | $467.28 | $467.28 | $8.56–$420.55 | 1365% above | — |
| Progesterone blood test CPT 84144 Progesterone | $627.32 | $627.32 | $22.95–$564.59 | 357% above | — |
| Prolactin blood test CPT 84146 Prolactin-Single | $675.24 | $675.24 | $32.40–$607.72 | 441% above | — |
| Prolactin blood test CPT 84146 Prolactin-Spec #1 | $781.03 | $781.03 | $32.40–$702.93 | 526% above | — |
| Prolactin blood test CPT 84146 Prolactin-Sjpec #5 | $781.03 | $781.03 | $32.40–$702.93 | 526% above | — |
| Prolactin blood test CPT 84146 Prolactin-Spec #4 | $781.03 | $781.03 | $32.40–$702.93 | 526% above | — |
| Prolactin blood test CPT 84146 Prolactin-Spec #6 | $781.03 | $781.03 | $32.40–$702.93 | 526% above | — |
| Prolactin blood test CPT 84146 Prolactin-Spec #2 | $781.03 | $781.03 | $32.40–$702.93 | 526% above | — |
| Prolactin blood test CPT 84146 Prolactin-Spec #3 | $781.03 | $781.03 | $32.40–$702.93 | 526% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-Inr | $362.82 | $362.82 | $5.40–$326.54 | 1173% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Testing, Qual Screen | $32.80 | $32.80 | $5.41–$29.52 | 41% below | — |
| Renin blood test CPT 84244 Renin Activity | $907.01 | $907.01 | $16.20–$816.31 | 528% above | — |
| Rh blood typing CPT 86901 Blood Grouping - Rh (D) | $638.97 | $638.97 | $5.63–$575.07 | 1021% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor- Quant | $451.84 | $451.84 | $10.44–$406.66 | 1056% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Virus Ab,Igg-as Panel-Arup | $609.49 | $609.49 | $26.51–$548.54 | 622% above | — |
| Rubella antibody test (immunity check) CPT 86762 Serology-Rubella | $609.49 | $609.49 | $26.51–$548.54 | 622% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, Igg-Arup | $609.49 | $609.49 | $26.51–$548.54 | 622% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igm Antibody | $1,990.34 | $1,990.34 | $26.51–$1,791.31 | 2258% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $365.03 | $365.03 | $4.05–$328.53 | 1588% above | — |
| Sodium blood test CPT 84295 Sodium (Body Fluid) | $287.24 | $287.24 | $8.78–$258.52 | 787% above | — |
| Sodium blood test CPT 84295 Sodium-Icu(Blood) | $467.28 | $467.28 | $8.78–$420.55 | 1342% above | — |
| Sodium blood test CPT 84295 Sodium, Serum | $467.28 | $467.28 | $8.78–$420.55 | 1342% above | — |
| Sodium blood test CPT 84295 Sodium | $467.28 | $467.28 | $8.78–$420.55 | 1342% above | — |
| Sodium blood test CPT 84295 Sodium- Epoc | $467.28 | $467.28 | $8.78–$420.55 | 1342% above | — |
| Stool ova and parasites exam CPT 87177 Crypto Coccidia Fecal Exam Arup | $43.34 | $43.34 | $7.15–$39.01 | 26% below | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasite- Arup | $471.91 | $471.91 | $10.13–$424.72 | 704% above | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasites | $471.91 | $471.91 | $10.13–$424.72 | 704% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab,Tp-Pa-Arup | $73.24 | $73.24 | $12.08–$65.92 | 2% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab-Fta-Abs | $105.40 | $105.40 | $17.39–$94.86 | 41% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 T. Pallidium Donor Mkbc | $128.46 | $128.46 | $5.40–$115.61 | 357% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF-Vdrl | $153.68 | $153.68 | $5.40–$138.31 | 447% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr -Qualitative- | $578.48 | $578.48 | $5.40–$520.63 | 1960% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Gold-Arup | $459.68 | $459.68 | $75.85–$413.71 | 48% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Profile | $306.00 | $306.00 | $36.45–$275.40 | 88% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone-Total | $1,027.98 | $1,027.98 | $36.45–$925.18 | 531% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Tpo Antibody | $136.04 | $136.04 | $10.68–$122.44 | 81% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Elisa (Anti Lkm 1) | $573.67 | $573.67 | $10.68–$516.30 | 662% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh (Single) | $500.17 | $500.17 | $31.33–$450.15 | 399% above | — |
| Total IgE blood test CPT 82785 Immunoglobulin Ige-Total | $675.04 | $675.04 | $23.63–$607.54 | 551% above | — |
| Total cholesterol blood test CPT 82465 Global Maps Urine-Baylor #36 | $52.72 | $52.72 | $8.11–$47.45 | 74% above | — |
| Total cholesterol blood test CPT 82465 Global Maps Plasma-Baylor #24 | $69.83 | $69.83 | $8.11–$62.85 | 130% above | — |
| Total cholesterol blood test CPT 82465 Cholestrol (Body Fluid) | $214.16 | $214.16 | $8.11–$192.74 | 607% above | — |
| Total cholesterol blood test CPT 82465 Cholestrol, Serum | $257.78 | $257.78 | $8.11–$232.00 | 751% above | — |
| Total thyroxine (T4) blood test CPT 84436 Total T4(Thyroxine) | $216.69 | $216.69 | $12.83–$195.02 | 380% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 Tt-3 (Triiodothyronine)To | $468.60 | $468.60 | $10.80–$421.74 | 384% above | — |
| Transferrin blood test CPT 84466 Transferrin | $498.68 | $498.68 | $22.95–$448.81 | 480% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis-Arup | $483.79 | $483.79 | $51.71–$435.41 | 163% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Rapid Test | $483.79 | $483.79 | $51.71–$435.41 | 163% above | — |
| Triglycerides blood test CPT 84478 Triglycerides, Serum | $257.78 | $257.78 | $9.71–$232.00 | 551% above | — |
| Triglycerides blood test CPT 84478 Triglyceride (Body Fluid) | $262.00 | $262.00 | $9.71–$235.80 | 561% above | — |
| Troponin test, quantitative CPT 84484 Troponin I Ax | $677.39 | $677.39 | $13.32–$609.65 | 723% above | — |
| Uric acid blood test CPT 84550 Global Maps Urine-Baylor #13 | $52.72 | $52.72 | $8.42–$47.45 | 66% above | — |
| Uric acid blood test CPT 84550 Global Maps Plasma-Baylor#12 | $69.83 | $69.83 | $8.42–$62.85 | 120% above | — |
| Uric acid blood test CPT 84550 Uric Acid-Serum | $257.78 | $257.78 | $8.42–$232.00 | 713% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urine W/Micro (Automated) | $214.16 | $214.16 | $4.05–$192.74 | 550% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Ua_Auto_W_Microscopic | $250.70 | $250.70 | $4.05–$225.63 | 661% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Urine W/Micro(Non-Automat | $214.16 | $214.16 | $4.33–$192.74 | 624% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick 10 | $35.27 | $35.27 | $4.19–$31.74 | 98% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick 10- Ebola | $35.27 | $35.27 | $4.19–$31.74 | 98% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine WO Micro(Automated) | $115.90 | $115.90 | $4.19–$104.31 | 549% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urine WO Micro(Non-Automa | $115.90 | $115.90 | $3.61–$104.31 | 452% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UGK | $249.69 | $249.69 | $3.61–$224.72 | 1089% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture-Urine | $270.67 | $270.67 | $10.80–$243.60 | 377% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Urine | $576.96 | $576.96 | $10.80–$519.26 | 1357% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $457.00 | $457.00 | $17.55–$411.30 | 386% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, Serum-Arup | $103.54 | $103.54 | $17.08–$108.30 | 31% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Oh | $701.46 | $701.46 | $55.23–$631.31 | 370% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D-1,25-Dihydroxy | $330.37 | $330.37 | $54.51–$297.33 | 38% above | — |
| Zinc blood test CPT 84630 Zinc-Serum | $473.62 | $473.62 | $17.89–$426.26 | 555% above | — |
| Zinc blood test CPT 84630 ZINC | $473.62 | $473.62 | $17.89–$426.26 | 555% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-Hcg,Quant-Tumor,CSF-Arup | $71.93 | $71.93 | $11.87–$64.74 | 20% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg-T Marker | $571.90 | $571.90 | $22.17–$514.71 | 538% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 Cath Place Cor Ang Inj,S&I W/Lhc | $16,046.21 | $16,046.21 | $1,492.45–$14,441.59 | 82% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Elective Cardioversion | $5,909.80 | $5,909.80 | $975.12–$6,399.00 | 303% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive Ep Eval Abltj Atr Fib | $48,429.81 | $48,429.81 | $1,516.67–$43,586.83 | 56% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abcess; Simple or Single | $567.14 | $567.14 | $31.73–$700.00 | 11% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inject/Aspirate Joint - Large | $1,797.46 | $1,797.46 | $31.73–$1,617.71 | 284% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 It Arthrocent,Asp or Inj: Large Jt | $1,797.46 | $1,797.46 | $473.09–$9,018.00 | 284% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR Arthrocent,Asp or Inj: Intermed Jt | $1,313.48 | $1,313.48 | $345.71–$9,018.00 | 271% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 IR Arthrocent,Asp or Inj: Small Jt | $1,264.39 | $1,264.39 | $332.79–$9,018.00 | 208% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermed S/a/T/Ex <2.5cm | $707.00 | $707.00 | $33.08–$700.00 | 21% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath W/Lv Inj and S&I | $12,866.89 | $12,866.89 | $1,199.00–$11,580.20 | 97% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Dx/Ther, Lumbar/Sacral | $3,876.61 | $3,876.61 | $1,020.32–$9,018.00 | 85% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Simple Nail Plate Removal; Single | $198.70 | $198.70 | $32.79–$700.00 | 58% below | — |
| Pacemaker implant (dual chamber) CPT 33208 Insrt Perm Pcmr W.Elect (Atrial/Vent) | $28,632.56 | $28,632.56 | $4,085.00–$25,769.30 | 125% above | — |
| Paracentesis with imaging guidance CPT 49083 Aspiration-Paracentesis (Initial) | $4,131.47 | $4,131.47 | $1,087.40–$9,018.00 | 145% above | — |
| Paracentesis with imaging guidance CPT 49083 IR Paracentesis, US Guidance With Contrast | $4,131.47 | $4,131.47 | $1,087.40–$9,018.00 | 145% above | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis, With Imaging Guidance | $4,131.47 | $4,131.47 | $1,087.40–$9,018.00 | 145% above | — |
| Paracentesis with imaging guidance CPT 49083 Paracentesis With US Guide | $4,131.47 | $4,131.47 | $1,087.40–$9,018.00 | 145% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Subq Tiss Simpl | $976.22 | $976.22 | $41.18–$878.60 | 80% above | — |
| Short arm cast (elbow to hand) CPT 29075 Applic Short Arm Cast Plaster | $420.76 | $420.76 | $61.43–$4,472.00 | 1% above | — |
| Short arm cast (elbow to hand) CPT 29075 Application Cast - Short Arm | $420.76 | $420.76 | $61.43–$700.00 | 1% above | — |
| Short arm cast (elbow to hand) CPT 29075 Applic Short Arm Cast Fiberglass | $420.76 | $420.76 | $61.43–$4,472.00 | 1% above | — |
| Short arm splint (forearm and hand) CPT 29125 Scotch Cast Splint Appl | $150.58 | $150.58 | $24.85–$4,472.00 | 52% below | — |
| Short leg cast (below the knee) CPT 29405 Apply St Leg Cast(Non-Amb | $262.00 | $262.00 | $43.23–$4,481.59 | 50% below | — |
| Short leg cast (below the knee) CPT 29405 Application Cast - Short Leg | $262.00 | $262.00 | $43.23–$700.00 | 50% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Superficial Wounds <2.5cm | $297.43 | $297.43 | $33.08–$700.00 | 42% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion | $1,576.76 | $1,576.76 | $54.58–$4,481.59 | 140% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture-Dx | $5,033.88 | $5,033.88 | $1,324.92–$9,018.00 | 312% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture, Lumbar Diagnostic | $5,033.88 | $5,033.88 | $56.70–$4,530.49 | 312% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lp/Myelo, Lp Diagnostic | $5,033.88 | $5,033.88 | $1,324.92–$9,018.00 | 312% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Superficial Wounds 2.6-7.5cm | $297.43 | $297.43 | $47.93–$700.00 | 44% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Simple Face/Mm <2.5cm | $297.43 | $297.43 | $42.53–$700.00 | 42% below | — |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis W/Imaging | $4,319.28 | $4,319.28 | $1,136.83–$9,018.00 | 193% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thora Ndle/Cth Pleura W/Imaging | $4,319.28 | $4,319.28 | $1,136.83–$9,018.00 | 193% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point | $1,193.84 | $1,193.84 | $41.93–$4,481.59 | 121% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Ugi Include Jejunum for Dil | $5,965.92 | $5,965.92 | $358.40–$5,369.33 | 141% above | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st, Vein | $9,955.49 | $9,955.49 | $1,642.66–$8,959.94 | 6% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin < 2 Hrs | $2,986.66 | $2,986.66 | $37.58–$2,687.99 | 217% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 2 Hrs | $3,142.86 | $3,142.86 | $37.58–$2,828.57 | 234% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 2.5 Hrs | $3,306.63 | $3,306.63 | $37.58–$2,975.97 | 251% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 3 Hrs | $3,626.61 | $3,626.61 | $37.58–$3,263.95 | 285% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 3.5 Hrs | $4,274.09 | $4,274.09 | $37.58–$3,846.68 | 354% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 4 Hrs | $4,425.28 | $4,425.28 | $37.58–$3,982.75 | 370% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 4.5 Hrs | $4,596.59 | $4,596.59 | $37.58–$4,136.93 | 388% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 5 Hrs | $4,921.63 | $4,921.63 | $37.58–$4,429.47 | 423% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin 5.5 Hrs | $5,241.58 | $5,241.58 | $37.58–$4,717.42 | 457% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin >= 6 Hrs | $5,566.58 | $5,566.58 | $37.58–$5,009.92 | 491% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Initi | $252.81 | $252.81 | $41.71–$227.53 | 13% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Tx | $252.81 | $252.81 | $41.71–$227.53 | 13% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aero Tx | $252.81 | $252.81 | $41.71–$227.53 | 13% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpress Inhalation Tx | $252.81 | $252.81 | $41.71–$227.53 | 13% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ipv Tx | $252.81 | $252.81 | $41.71–$227.53 | 13% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Admin via Inf, Init, Up to 1 Hr | $2,230.77 | $2,230.77 | $168.48–$2,007.69 | 208% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry Eval | $969.97 | $969.97 | $39.15–$872.97 | 169% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 30-74 Mins | $7,909.02 | $7,909.02 | $204.70–$7,118.12 | 321% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg: Awake 20-40 Min | $1,123.53 | $1,123.53 | $18.23–$1,011.18 | 48% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg With Rhythm Strip | $251.35 | $251.35 | $14.12–$226.22 | 44% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram | $251.35 | $251.35 | $14.12–$226.22 | 44% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Triage W/WO Services | $358.77 | $358.77 | $97.94–$1,401.00 | 18% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Level 1 | $358.77 | $358.77 | $97.94–$1,401.00 | 18% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Level 2 | $771.83 | $771.83 | $44.52–$1,401.00 | 61% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Level 3 | $1,463.35 | $1,463.35 | $76.48–$1,472.00 | 97% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Level 4 | $2,545.02 | $2,545.02 | $128.70–$2,942.00 | 108% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Level 5 | $6,179.80 | $6,179.80 | $187.30–$5,561.82 | 287% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test 1 | $2,786.51 | $2,786.51 | $62.78–$2,507.86 | 194% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Procainamide Drug Challenge | $2,786.51 | $2,786.51 | $62.78–$2,507.86 | 194% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Pt - 15 Min | $104.39 | $104.39 | $17.22–$119.83 | 66% below | — |
| Group psychotherapy session CPT 90853 15 Min - Group Psychotherapy Other Than Multiple Families | $104.39 | $104.39 | $17.22–$93.95 | 27% below | — |
| Group psychotherapy session CPT 90853 Group Psychotherapy Other Than Multiple Families | $417.58 | $417.58 | $30.59–$375.82 | 191% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, 31 Min to 1 Hr | $1,895.70 | $1,895.70 | $42.70–$1,706.13 | 335% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV Inf W Med, Init, Up to 1 Hr | $2,150.21 | $2,150.21 | $53.06–$1,935.19 | 377% above | — |
| IV push of a medicine, first drug CPT 96374 IV Push; Ther, Pro, Diag; Init/Sing | $566.87 | $566.87 | $41.88–$510.18 | 73% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im/Sq; Ther, Pro, Diag | $181.41 | $181.41 | $17.15–$163.27 | 47% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im/Sq; Ther,Pro,Diag | $181.41 | $181.41 | $17.15–$163.27 | 47% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ED-15min (Th) | $181.41 | $181.41 | $22.61–$163.27 | 41% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ED-15min | $181.41 | $181.41 | $22.61–$163.27 | 41% above | — |
| New patient office visit, about 30 minutes CPT 99203 HB Clinic-New/Level 3 | $1,020.41 | $1,020.41 | $168.37–$918.37 | 327% above | — |
| New patient office visit, about 45 minutes CPT 99204 HB Clinic-New/Level 4 | $1,330.31 | $1,330.31 | $219.50–$1,197.28 | 343% above | — |
| New patient office visit, about 60 minutes CPT 99205 HB Clinic-New/Level 5 | $1,587.25 | $1,587.25 | $261.90–$1,428.53 | 205% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB Clinic-New/Level 1 | $340.15 | $340.15 | $56.12–$306.14 | 86% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB Clinic-New/Level 2 | $677.75 | $677.75 | $111.83–$609.98 | 270% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition-Initial Assessment, per 15 Min | $191.75 | $191.75 | $20.25–$172.58 | 280% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition-Initial Assessment, per 15 Min(Th) | $191.75 | $191.75 | $20.25–$172.58 | 280% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation, Low Complexity (Th) | $596.31 | $596.31 | $70.00–$536.68 | 78% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation, Low Complexity | $596.31 | $596.31 | $70.00–$536.68 | 78% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation, High Complexity (Th) | $1,280.12 | $1,280.12 | $70.00–$1,152.11 | 277% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation, High Complexity | $1,280.12 | $1,280.12 | $70.00–$1,152.11 | 277% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation, Low Complexity | $568.37 | $568.37 | $70.00–$511.53 | 92% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation, Low Complexity (Th) | $568.37 | $568.37 | $70.00–$511.53 | 92% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation, Moderate Complexity (Th) | $844.88 | $844.88 | $70.00–$760.39 | 151% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation, Moderate Complexity | $844.88 | $844.88 | $70.00–$760.39 | 151% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Myfascial Release/15min | $181.41 | $181.41 | $28.39–$163.27 | 38% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Joint Mobilization/15min | $181.41 | $181.41 | $28.39–$163.27 | 38% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy/Joint Mobilization | $181.41 | $181.41 | $28.39–$163.27 | 38% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc/ 15 Min | $181.41 | $181.41 | $11.31–$163.27 | 37% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc/15 Min | $181.41 | $181.41 | $11.31–$163.27 | 37% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Cybex Exercise/15 Min | $181.41 | $181.41 | $11.31–$163.27 | 37% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc/ 15 Min (Th) | $181.41 | $181.41 | $11.31–$163.27 | 37% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychothrpy Pt and/or Family 60 Min | $498.85 | $498.85 | $82.31–$729.00 | 65% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min | $498.85 | $498.85 | $82.31–$448.97 | 65% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB Clinic-Est/Level 5 | $1,232.00 | $1,232.00 | $203.28–$1,108.80 | 353% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB Clinic-Est/Level 3 | $652.54 | $652.54 | $107.67–$587.29 | 253% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB Clinic-Est/Level 4 | $977.54 | $977.54 | $161.29–$879.79 | 385% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Clinic-Est/Level 2 | $395.55 | $395.55 | $65.27–$356.00 | 144% above | — |
| Speech and language evaluation CPT 92523 Eval Speech/Language (Th) | $1,610.12 | $1,610.12 | $70.00–$1,449.11 | 202% above | — |
| Speech and language evaluation CPT 92523 Eval Speech/Language � With Tuning | $1,610.12 | $1,610.12 | $70.00–$1,449.11 | 202% above | — |
| Speech and language evaluation CPT 92523 Eval Speech/Language | $1,610.12 | $1,610.12 | $70.00–$1,449.11 | 202% above | — |
| Speech therapy session, individual CPT 92507 Speech/Lang Therapy(Non Group) - Th | $673.38 | $673.38 | $29.30–$606.04 | 121% above | — |
| Speech therapy session, individual CPT 92507 Speech/Lang Therapy(Non-G | $673.38 | $673.38 | $29.30–$606.04 | 121% above | — |
| Speech therapy session, individual CPT 92507 Speech/Lang Therapy(Non-G) With Tuning | $673.38 | $673.38 | $29.30–$606.04 | 121% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry-Sgl(Pre) | $1,256.68 | $1,256.68 | $12.15–$1,131.01 | 317% above | — |
| Spirometry (breathing test) CPT 94010 Pulm Func Test A | $1,256.68 | $1,256.68 | $12.15–$1,131.01 | 317% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry-Multi (Pre/POS | $1,592.32 | $1,592.32 | $15.39–$1,433.09 | 145% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities | $181.41 | $181.41 | $17.55–$163.27 | 41% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities (Th) | $181.41 | $181.41 | $17.55–$163.27 | 41% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therap Activities/15 Min (Th) | $181.41 | $181.41 | $17.55–$163.27 | 41% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therap Activities/15 Min | $181.41 | $181.41 | $17.55–$163.27 | 41% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Ther Phlebotomy | $403.14 | $403.14 | $13.50–$362.83 | 75% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $403.14 | $403.14 | $13.50–$362.83 | 75% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $1,222.95 | $1,222.95 | $13.50–$1,100.66 | 494% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $1,222.95 | $1,222.95 | $13.50–$1,100.66 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $268.72 | $268.72 | $13.50–$241.85 | 686% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $268.72 | $268.72 | $13.50–$241.85 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $726.89 | $726.89 | $13.50–$654.20 | 776% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $726.89 | $726.89 | $13.50–$654.20 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $1,996.77 | $1,996.77 | $13.50–$1,797.09 | 687% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $1,996.77 | $1,996.77 | $13.50–$1,797.09 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY | $621.51 | $621.51 | $13.50–$559.36 | 597% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY | $621.51 | $621.51 | $13.50–$559.36 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY | $329.49 | $329.49 | $13.50–$296.54 | 344% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY | $329.49 | $329.49 | $13.50–$296.54 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $268.16 | $268.16 | $13.50–$241.34 | 466% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $268.16 | $268.16 | $13.50–$241.34 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR | $168.27 | $168.27 | $13.50–$151.44 | 438% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR | $168.27 | $168.27 | $13.50–$151.44 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $676.16 | $676.16 | $13.50–$608.54 | 934% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $676.16 | $676.16 | $13.50–$608.54 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN | $1,122.01 | $1,122.01 | $13.50–$1,009.81 | 1099% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN | $1,122.01 | $1,122.01 | $13.50–$1,009.81 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $1,559.06 | $1,559.06 | $13.50–$1,403.15 | 712% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $1,559.06 | $1,559.06 | $13.50–$1,403.15 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,845.24 | $1,845.24 | $13.50–$1,660.72 | 472% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,845.24 | $1,845.24 | $13.50–$1,660.72 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY | $814.38 | $814.38 | $13.50–$732.94 | 534% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY | $814.38 | $814.38 | $13.50–$732.94 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP | $364.30 | $364.30 | $13.50–$327.87 | 507% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP | $364.30 | $364.30 | $13.50–$327.87 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $3,540.87 | $3,540.87 | $13.50–$3,186.78 | 196% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $3,540.87 | $3,540.87 | $13.50–$3,186.78 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $3,540.87 | $3,540.87 | $13.50–$3,186.78 | 295% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $3,540.87 | $3,540.87 | $13.50–$3,186.78 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $2,888.98 | $2,888.98 | $13.50–$2,600.08 | 383% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $2,888.98 | $2,888.98 | $13.50–$2,600.08 | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT OR SOLN | $655.24 | $655.24 | $27.00–$589.72 | 689% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT OR SOLN | $655.24 | $655.24 | $27.00–$589.72 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $1,425.59 | $1,425.59 | $13.50–$1,283.03 | 438% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $1,425.59 | $1,425.59 | $13.50–$1,283.03 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $336.03 | $336.03 | $13.50–$302.43 | 502% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $336.03 | $336.03 | $13.50–$302.43 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $387.67 | $387.67 | $13.50–$348.90 | 592% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $387.67 | $387.67 | $13.50–$348.90 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $997.47 | $997.47 | $13.50–$897.72 | 1102% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $997.47 | $997.47 | $13.50–$897.72 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin �Inj 1 Vaccine | $63.46 | $63.46 | $10.47–$57.11 | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration (First) | $63.46 | $63.46 | $10.47–$700.00 | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Inj 1 Vaccine | $63.46 | $63.46 | $10.47–$57.11 | at median | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Inj �Add�L Vaccine | $57.14 | $57.14 | $9.43–$51.43 | 113% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Inj Addl Vaccine | $57.14 | $57.14 | $9.43–$700.00 | 113% above | — |
Source file: https://media.chop.edu/data/files/finance/23-1352166_ChildrensHospitalofPhiladelphia_standardcharges.csv