Huggins Hospital
Huggins Hospital in Wolfeboro, NH publishes cash prices for 288 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New Hampshire median for 166 of 282 procedures and above it for 73. By typical cash price it ranks #8 of 15 New Hampshire hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
240 S Main St,Wolfeboro,NH,03894 Collected Sep 27, 2026 Source price file (603) 569-7500
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 301312 · 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 4 actions for a hospital named Huggins Hospital in Wolfeboro, NH:
- Feb 10, 2023 Warning notice
- May 16, 2023 Case closed
- Apr 15, 2026 Warning notice
- May 11, 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 New Hampshire | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $318.50 | $637.00 | — | 31% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $368.00 | $736.00 | $716.82 | 41% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $386.50 | $773.00 | $716.82 | 38% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $1,293.50 | $2,587.00 | $2,375.77 | 45% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $1,358.00 | $2,716.00 | $2,375.77 | 42% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $261.50 | $523.00 | $523.00 | 20% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $277.50 | $555.00 | $535.05 | 15% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $1,423.50 | $2,847.00 | $1,790.27 | 28% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $1,494.50 | $2,989.00 | $1,790.27 | 25% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $250.00 | $500.00 | $500.00 | 5% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $2,307.50 | $4,615.00 | $1,080.17 | at median | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $2,423.00 | $4,846.00 | $1,080.17 | 5% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $2,539.00 | $5,078.00 | $2,336.25 | at median | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,666.00 | $5,332.00 | $2,336.25 | 5% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $2,995.00 | $5,990.00 | $2,635.91 | 1% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $3,145.00 | $6,290.00 | $2,635.91 | 4% above | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $1,548.00 | $3,096.00 | $1,790.65 | 8% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,625.50 | $3,251.00 | $1,790.65 | 3% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $1,374.50 | $2,749.00 | $861.66 | at median | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,443.00 | $2,886.00 | $861.66 | 5% above | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $1,712.50 | $3,425.00 | $932.35 | at median | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,798.00 | $3,596.00 | $932.35 | 5% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,331.50 | $2,663.00 | $703.39 | at median | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,398.00 | $2,796.00 | $703.39 | 5% above | 50% |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $1,331.50 | $2,663.00 | $1,006.50 | 16% below | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $1,398.00 | $2,796.00 | $1,006.50 | 12% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,053.50 | $4,107.00 | $1,211.48 | at median | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $1,290.00 | $2,580.00 | $875.09 | 39% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $1,354.50 | $2,709.00 | $875.09 | 36% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $1,290.00 | $2,580.00 | $881.90 | 36% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $1,354.50 | $2,709.00 | $881.90 | 33% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $1,462.50 | $2,925.00 | $1,790.65 | 12% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,535.50 | $3,071.00 | $1,790.65 | 8% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,336.00 | $2,672.00 | $1,625.77 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $1,272.50 | $2,545.00 | $1,625.77 | 66% below | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $275.50 | $551.00 | $235.29 | 17% below | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $289.50 | $579.00 | $235.29 | 13% below | 50% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $244.50 | $489.00 | $174.67 | 1% below | 50% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $256.50 | $513.00 | $174.67 | 4% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $371.50 | $743.00 | $743.00 | 44% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $390.00 | $780.00 | $750.58 | 41% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $283.00 | $566.00 | $289.20 | 36% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $297.00 | $594.00 | $289.20 | 33% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT | $149.50 | $299.00 | $218.51 | 61% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $932.00 | $1,864.00 | $875.09 | 42% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $978.50 | $1,957.00 | $875.09 | 39% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $1,019.00 | $2,038.00 | $1,187.89 | 39% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $1,070.00 | $2,140.00 | $1,187.89 | 36% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $609.50 | $1,219.00 | $1,124.29 | — | 50% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $580.50 | $1,161.00 | $1,124.29 | 16% above | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $996.50 | $1,993.00 | $1,633.06 | 77% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,046.50 | $2,093.00 | $1,633.06 | 76% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $1,429.50 | $2,859.00 | — | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,501.00 | $3,002.00 | — | 6% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $1,540.50 | $3,081.00 | $2,705.84 | 16% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $302.00 | $604.00 | $604.00 | 42% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $317.00 | $634.00 | $609.10 | 39% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $1,304.50 | $2,609.00 | $922.28 | 42% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $1,369.50 | $2,739.00 | $922.28 | 49% above | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $1,473.50 | $2,947.00 | $2,527.33 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $1,069.00 | $2,138.00 | $1,366.39 | 47% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,122.50 | $2,245.00 | $1,366.39 | 44% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $2,255.50 | $4,511.00 | $2,527.33 | 42% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $2,368.50 | $4,737.00 | $2,527.33 | 39% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $1,069.00 | $2,138.00 | $1,349.51 | 54% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,122.50 | $2,245.00 | $1,349.51 | 51% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $1,781.00 | $3,562.00 | $2,261.34 | 63% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,870.00 | $3,740.00 | $2,261.34 | 61% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,116.00 | $2,232.00 | $1,299.06 | 55% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,172.00 | $2,344.00 | $1,299.06 | 52% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $1,781.00 | $3,562.00 | $2,271.41 | 62% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $1,870.00 | $3,740.00 | $2,271.41 | 61% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $1,069.00 | $2,138.00 | $1,292.25 | 47% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,122.50 | $2,245.00 | $1,292.25 | 45% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $1,781.00 | $3,562.00 | $2,278.12 | 58% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $1,870.00 | $3,740.00 | $2,278.12 | 56% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $1,069.00 | $2,138.00 | $1,292.25 | 57% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,122.50 | $2,245.00 | $1,292.25 | 54% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $2,255.50 | $4,511.00 | $2,513.90 | 48% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $2,368.50 | $4,737.00 | $2,513.90 | 45% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $1,069.00 | $2,138.00 | $1,716.60 | 46% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $1,122.50 | $2,245.00 | $1,716.60 | 43% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $2,198.00 | $4,396.00 | $3,657.56 | 21% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,308.00 | $4,616.00 | $3,657.56 | 17% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $117.00 | $234.00 | $234.00 | 69% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $123.00 | $246.00 | $246.00 | 67% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $454.50 | $909.00 | $740.41 | 29% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $477.00 | $954.00 | $740.41 | 25% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $442.50 | $885.00 | $885.00 | 28% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $464.50 | $929.00 | $898.30 | 24% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $357.00 | $714.00 | $714.00 | 44% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $375.00 | $750.00 | $720.27 | 42% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $266.00 | $532.00 | $511.45 | 36% below | 50% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $504.50 | $1,009.00 | $932.35 | — | 50% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $480.50 | $961.00 | $932.35 | 22% above | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION | $506.50 | $1,013.00 | $1,013.00 | 15% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $532.00 | $1,064.00 | $1,030.00 | 11% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $422.50 | $845.00 | $845.00 | 39% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $443.50 | $887.00 | $881.90 | 36% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $286.50 | $573.00 | $573.00 | 46% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $301.00 | $602.00 | $578.79 | 43% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $397.50 | $795.00 | $795.00 | 57% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $417.50 | $835.00 | $797.68 | 55% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $360.50 | $721.00 | $716.82 | 39% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $378.50 | $757.00 | $716.82 | 36% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $426.50 | $853.00 | $853.00 | 16% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $448.00 | $896.00 | $854.94 | 11% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $427.50 | $855.00 | $855.00 | 37% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $449.00 | $898.00 | $875.09 | 34% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $202.50 | $405.00 | $215.05 | 25% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $212.50 | $425.00 | $215.05 | 21% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS | $146.50 | $293.00 | $293.00 | 19% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $154.00 | $308.00 | $308.00 | 15% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $290.00 | $580.00 | $295.92 | 15% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $304.50 | $609.00 | $295.92 | 11% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $354.00 | $708.00 | $393.56 | 8% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $371.50 | $743.00 | $393.56 | 3% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $290.00 | $580.00 | $235.29 | at median | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $304.50 | $609.00 | $235.29 | 5% above | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS | $216.00 | $432.00 | $302.63 | 20% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $227.00 | $454.00 | $302.63 | 16% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $251.50 | $503.00 | $292.56 | 10% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $264.00 | $528.00 | $292.56 | 5% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $211.50 | $423.00 | $198.27 | 19% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $222.00 | $444.00 | $198.27 | 15% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS | $235.50 | $471.00 | $245.37 | 20% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $247.50 | $495.00 | $245.37 | 16% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $94.50 | $189.00 | $46.60 | 37% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $99.00 | $198.00 | $46.60 | 43% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $73.50 | $147.00 | $45.54 | 10% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $77.00 | $154.00 | $45.54 | 15% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $404.50 | $809.00 | $418.74 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $12.50 | $25.00 | $25.00 | 61% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $13.00 | $26.00 | $26.00 | 59% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $132.50 | $265.00 | $113.85 | at median | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $139.00 | $278.00 | $113.85 | 5% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $96.50 | $193.00 | $106.29 | 20% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $163.00 | $326.00 | $106.29 | 34% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $213.00 | $426.00 | $345.16 | at median | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $235.50 | $471.00 | $345.16 | 11% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $67.50 | $135.00 | $74.38 | 4% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $71.00 | $142.00 | $74.38 | 1% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $222.50 | $445.00 | — | at median | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $233.50 | $467.00 | — | 5% above | 50% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $157.50 | $315.00 | $90.73 | at median | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $234.00 | $468.00 | $90.73 | 49% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $12.50 | $25.00 | $25.00 | 37% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $14.50 | $29.00 | $29.00 | 27% below | 50% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $104.00 | $208.00 | $34.55 | 160% above | 50% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $109.00 | $218.00 | $34.55 | 172% above | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $153.50 | $307.00 | $106.47 | 14% above | 50% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $161.00 | $322.00 | $106.47 | 19% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $70.00 | $140.00 | $66.11 | 29% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $92.50 | $185.00 | $66.11 | 6% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $50.00 | $100.00 | $26.29 | 17% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $52.50 | $105.00 | $26.29 | 13% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $63.50 | $127.00 | $45.54 | 24% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $66.50 | $133.00 | $45.54 | 21% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $179.50 | $359.00 | $327.66 | 14% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $188.50 | $377.00 | $327.66 | 10% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $143.00 | $286.00 | $182.95 | 32% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $150.00 | $300.00 | $182.95 | 28% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $122.00 | $244.00 | $182.95 | 46% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $128.00 | $256.00 | $182.95 | 44% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $195.50 | $391.00 | $391.00 | 26% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $212.00 | $424.00 | $424.00 | 37% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $176.00 | $352.00 | $308.50 | at median | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $193.00 | $386.00 | $308.50 | 10% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $68.00 | $136.00 | $117.72 | 35% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $71.50 | $143.00 | $117.72 | 32% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $40.50 | $81.00 | $68.31 | 15% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $44.50 | $89.00 | $68.31 | 6% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $34.00 | $68.00 | $56.88 | 42% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $35.50 | $71.00 | $56.88 | 39% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $58.00 | $116.00 | $92.84 | 41% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $66.50 | $133.00 | $92.84 | 33% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $189.00 | $378.00 | $89.50 | 44% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $198.50 | $397.00 | $89.50 | 52% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $151.50 | $303.00 | $195.44 | at median | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $159.00 | $318.00 | $195.44 | 5% above | 50% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $158.50 | $317.00 | $245.64 | 1% below | 50% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $166.50 | $333.00 | $245.64 | 4% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $91.00 | $182.00 | $163.35 | 31% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $95.50 | $191.00 | $163.35 | 28% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $177.50 | $355.00 | $172.58 | 28% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $186.50 | $373.00 | $172.58 | 25% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $93.50 | $187.00 | $119.83 | at median | 50% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $98.00 | $196.00 | $119.83 | 5% above | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $92.00 | $184.00 | $129.24 | at median | 50% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $96.50 | $193.00 | $129.24 | 5% above | 50% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $210.00 | $420.00 | $148.93 | at median | 50% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $220.50 | $441.00 | $148.93 | 5% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $181.50 | $363.00 | $79.30 | 58% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $190.50 | $381.00 | $79.30 | 65% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $245.50 | $491.00 | $223.92 | 21% above | 50% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $258.00 | $516.00 | $223.92 | 27% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $269.50 | $539.00 | $433.78 | 16% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $99.00 | $198.00 | $41.76 | 90% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $104.00 | $208.00 | $41.76 | 100% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $139.00 | $278.00 | $113.15 | 14% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $146.00 | $292.00 | $113.15 | 9% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $176.00 | $352.00 | $308.50 | 10% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $187.00 | $374.00 | $308.50 | 5% below | 50% |
| H. pylori antibody blood test CPT 86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI (GASTROINTESTINAL BACTERIA) | $136.50 | $273.00 | $148.14 | 25% below | 50% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $261.00 | $522.00 | $148.14 | 42% above | 50% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $230.00 | $460.00 | $126.42 | 80% above | 50% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $241.50 | $483.00 | $126.42 | 89% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $540.00 | $1,080.00 | $748.17 | at median | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $567.00 | $1,134.00 | $748.17 | 5% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $196.00 | $392.00 | $308.50 | at median | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $322.50 | $645.00 | $308.50 | 65% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $79.50 | $159.00 | $85.37 | at median | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $83.50 | $167.00 | $85.37 | 5% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $122.00 | $244.00 | $94.42 | at median | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $128.00 | $256.00 | $94.42 | 5% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $66.00 | $132.00 | $90.82 | 36% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $69.50 | $139.00 | $90.82 | 33% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $215.50 | $431.00 | $125.46 | 32% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $226.50 | $453.00 | $125.46 | 38% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $481.50 | $963.00 | $376.63 | 9% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $505.50 | $1,011.00 | $376.63 | 4% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $171.50 | $343.00 | $115.96 | 17% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $180.00 | $360.00 | $115.96 | 23% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $171.50 | $343.00 | $170.12 | at median | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $180.00 | $360.00 | $170.12 | 5% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $103.50 | $207.00 | $113.85 | at median | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $108.50 | $217.00 | $113.85 | 5% above | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $171.50 | $343.00 | $157.55 | at median | 50% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $180.00 | $360.00 | $157.55 | 5% above | 50% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $144.50 | $289.00 | $100.49 | at median | 50% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $151.50 | $303.00 | $100.49 | 5% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $104.00 | $208.00 | $56.88 | 28% above | 50% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $109.00 | $218.00 | $56.88 | 34% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $141.00 | $282.00 | $76.84 | 174% above | 50% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $152.00 | $304.00 | $76.31 | 38% above | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $159.50 | $319.00 | $76.31 | 45% above | 50% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $162.00 | $324.00 | $162.82 | at median | 50% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $170.00 | $340.00 | $162.82 | 5% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $74.50 | $149.00 | $60.57 | 1% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $78.00 | $156.00 | $60.57 | 4% above | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $54.50 | $109.00 | $71.83 | 44% below | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $57.00 | $114.00 | $71.83 | 41% below | 50% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $110.50 | $221.00 | $149.72 | 3% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $189.00 | $378.00 | $149.72 | 65% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $43.00 | $86.00 | $58.90 | 17% below | 50% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $45.00 | $90.00 | $58.90 | 13% below | 50% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $90.00 | $180.00 | $113.24 | 33% below | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $94.50 | $189.00 | $113.24 | 30% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $181.00 | $362.00 | $161.68 | at median | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $190.00 | $380.00 | $161.68 | 5% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $106.50 | $213.00 | $161.68 | at median | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $112.00 | $224.00 | $161.68 | 5% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING | $114.00 | $228.00 | $178.12 | 13% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $123.00 | $246.00 | $178.12 | 22% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $210.50 | $421.00 | $362.92 | 9% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $221.00 | $442.00 | $362.92 | 4% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $69.50 | $139.00 | $52.84 | at median | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $73.00 | $146.00 | $52.84 | 5% above | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $200.50 | $401.00 | $183.39 | at median | 50% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $210.50 | $421.00 | $183.39 | 5% above | 50% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $247.00 | $494.00 | $170.38 | 3% above | 50% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $259.50 | $519.00 | $170.38 | 8% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $76.50 | $153.00 | $37.72 | 52% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $80.50 | $161.00 | $37.72 | 60% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $27.50 | $55.00 | $55.00 | 2% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION | $39.50 | $79.00 | $79.00 | 41% above | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $105.50 | $211.00 | $49.85 | 47% above | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $111.00 | $222.00 | $49.85 | 55% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $70.50 | $141.00 | $126.51 | 19% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $74.00 | $148.00 | $126.51 | 15% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EVALUATION VOLUME; SPERM COUNT; MOTILITY AND ANALYSIS | $181.00 | $362.00 | $108.22 | 48% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $190.00 | $380.00 | $108.22 | 45% below | 50% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $111.00 | $222.00 | $78.25 | at median | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $116.50 | $233.00 | $78.25 | 5% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $6.00 | $12.00 | $12.00 | 88% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $45.50 | $91.00 | $37.54 | 4% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $48.00 | $96.00 | $37.54 | 9% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $311.00 | $622.00 | $544.90 | 43% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $326.50 | $653.00 | $544.90 | 51% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $232.00 | $464.00 | $226.91 | at median | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $243.50 | $487.00 | $226.91 | 5% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $145.00 | $290.00 | $127.92 | at median | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $152.50 | $305.00 | $127.92 | 5% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $88.00 | $176.00 | $147.70 | 28% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $95.00 | $190.00 | $147.70 | 23% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $98.00 | $196.00 | $39.74 | 59% above | 50% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $103.00 | $206.00 | $39.74 | 67% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $80.00 | $160.00 | $27.87 | 23% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $84.00 | $168.00 | $27.87 | 29% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $25.50 | $51.00 | $19.78 | at median | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $36.00 | $72.00 | $19.78 | 41% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $4.50 | $9.00 | $9.00 | 76% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $87.00 | $174.00 | $70.95 | at median | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $11.00 | $22.00 | $22.00 | 75% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $98.00 | $196.00 | $132.58 | 2% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $103.00 | $206.00 | $132.58 | 3% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $146.00 | $292.00 | $260.23 | 15% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $153.50 | $307.00 | $260.23 | 11% below | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $191.50 | $383.00 | $100.14 | 66% above | 50% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $201.00 | $402.00 | $100.14 | 74% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $247.00 | $494.00 | $132.31 | 32% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $259.50 | $519.00 | $132.31 | 39% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $626.00 | $1,252.00 | — | 47% above | 50% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $657.50 | $1,315.00 | — | 54% above | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,283.00 | $4,566.00 | — | 22% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $252.50 | $505.00 | — | 12% above | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $246.00 | $492.00 | — | 7% above | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $250.00 | $500.00 | — | 75% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $262.50 | $525.00 | — | 74% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $263.00 | $526.00 | — | at median | 50% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $2,186.50 | $4,373.00 | — | 65% above | 50% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,186.50 | $4,373.00 | — | 65% above | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,854.50 | $3,709.00 | — | 48% above | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE | $78.50 | $157.00 | — | 67% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $43.00 | $86.00 | — | 47% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $20.00 | $40.00 | — | 78% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $27.00 | $54.00 | — | 66% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $111.00 | $222.00 | — | 41% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS | $56.00 | $112.00 | — | 72% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $1,271.50 | $2,543.00 | — | 9% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,335.00 | $2,670.00 | — | 14% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,487.00 | $2,974.00 | — | 5% above | 50% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $8,034.00 | $16,068.00 | — | 744% above | 50% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE | $18,532.00 | $37,064.00 | — | — | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $3,588.00 | $7,176.00 | — | 547% above | 50% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $7,144.00 | $14,288.00 | — | 620% above | 50% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $6,486.00 | $12,972.00 | — | 621% above | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $984.00 | $1,968.00 | — | 161% above | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $9,516.00 | $19,032.00 | — | 1330% above | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $224.50 | $449.00 | — | 30% below | 50% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $8,910.00 | $17,820.00 | — | — | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $3,420.00 | $6,840.00 | — | 268% above | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $35.50 | $71.00 | — | 92% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $60.50 | $121.00 | — | 72% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $263.00 | $526.00 | — | 23% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $438.50 | $877.00 | — | 49% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $473.50 | $947.00 | — | 44% above | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $70.50 | $141.00 | — | 32% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $438.50 | $877.00 | — | 96% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $438.50 | $877.00 | — | 89% above | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $7,878.00 | $15,756.00 | — | 939% above | 50% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $12,690.00 | $25,380.00 | — | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $521.00 | $1,042.00 | — | 90% above | 50% |
| 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/< | $547.00 | $1,094.00 | — | 100% above | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,017.50 | $2,035.00 | — | at median | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,068.50 | $2,137.00 | — | 5% above | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $649.50 | $1,299.00 | — | 27% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,164.50 | $2,329.00 | — | at median | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $1,222.50 | $2,445.00 | — | 5% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $65.50 | $131.00 | — | 79% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $71.50 | $143.00 | — | 78% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL | $175.00 | $350.00 | — | 14% above | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $184.00 | $368.00 | — | 20% above | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $408.50 | $817.00 | — | 5% above | 50% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $539.00 | $1,078.00 | — | 52% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $566.00 | $1,132.00 | — | 50% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $741.50 | $1,483.00 | — | 37% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $2,418.50 | $4,837.00 | — | 23% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,539.50 | $5,079.00 | — | 29% above | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $80.00 | $160.00 | — | 71% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $441.00 | $882.00 | — | 60% above | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,297.50 | $6,595.00 | $3,266.30 | 134% above | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,854.50 | $3,709.00 | — | 77% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $45.50 | $91.00 | — | 65% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $432.00 | $864.00 | — | 230% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $34.50 | $69.00 | — | 77% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $195.00 | $390.00 | — | 32% above | 50% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $432.00 | $864.00 | — | 80% above | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $38.00 | $76.00 | — | 69% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $195.00 | $390.00 | — | 60% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $209.50 | $419.00 | — | 25% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $220.00 | $440.00 | — | 31% above | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $65.50 | $131.00 | — | 61% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $1,638.00 | $3,276.00 | — | 867% above | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $101.00 | $202.00 | — | 63% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $46.00 | $92.00 | — | 69% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $837.50 | $1,675.00 | — | 41% above | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $879.50 | $1,759.00 | — | 48% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $57.00 | $114.00 | — | 70% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $220.00 | $440.00 | — | 17% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $57.50 | $115.00 | — | 67% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $220.00 | $440.00 | — | 28% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH | $52.00 | $104.00 | — | 48% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $858.50 | $1,717.00 | — | 21% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $901.50 | $1,803.00 | — | 17% below | 50% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $298.00 | $596.00 | — | 60% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $408.50 | $817.00 | — | 48% above | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $1,815.50 | $3,631.00 | — | 32% above | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,729.00 | $3,458.00 | — | 78% above | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,729.00 | $3,458.00 | — | 25% above | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,443.00 | $2,886.00 | — | 18% above | 50% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $165.00 | $330.00 | — | — | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $59.00 | $118.00 | — | 19% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $457.50 | $915.00 | — | 39% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $480.50 | $961.00 | — | 46% above | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $377.00 | $754.00 | — | 63% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $396.00 | $792.00 | — | 61% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $25.00 | $50.00 | — | 90% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $66.50 | $133.00 | $4,366.43 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $70.00 | $140.00 | $4,366.43 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $428.00 | $856.00 | — | 20% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $449.50 | $899.00 | — | 16% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $1,587.50 | $3,175.00 | — | 24% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,667.00 | $3,334.00 | — | 20% below | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH INTERPRETATION AND REPORT | $24.00 | $48.00 | — | 67% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $175.50 | $351.00 | — | at median | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $184.50 | $369.00 | — | 5% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $79.00 | $158.00 | — | 60% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $83.00 | $166.00 | — | 58% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $139.50 | $279.00 | — | 51% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $146.50 | $293.00 | — | 49% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $384.00 | $768.00 | — | 28% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $403.00 | $806.00 | — | 24% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $602.50 | $1,205.00 | — | 36% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $632.50 | $1,265.00 | — | 33% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $788.50 | $1,577.00 | — | 39% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $828.00 | $1,656.00 | — | 36% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $535.00 | $1,070.00 | — | 42% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $562.00 | $1,124.00 | — | 39% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $377.00 | $754.00 | — | at median | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $398.00 | $796.00 | — | 6% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $373.00 | $746.00 | — | 12% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $393.00 | $786.00 | — | 18% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $40.00 | $80.00 | — | 44% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $42.00 | $84.00 | — | 42% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $55.00 | $110.00 | — | 66% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $58.00 | $116.00 | — | 64% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $83.50 | $167.00 | — | 61% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $103.00 | $206.00 | — | 62% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $38.00 | $76.00 | — | 68% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $40.00 | $80.00 | — | 66% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $73.50 | $147.00 | — | 3% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $140.00 | $280.00 | — | 97% above | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $68.50 | $137.00 | — | 33% below | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $76.50 | $153.00 | — | at median | 50% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $83.00 | $166.00 | — | 39% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS) | $59.50 | $119.00 | — | 33% below | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $63.50 | $127.00 | — | at median | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) | $68.50 | $137.00 | — | 33% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $7.00 | $14.00 | — | 80% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $72.50 | $145.00 | — | 65% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $231.00 | $462.00 | — | 13% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $37.00 | $74.00 | — | 63% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $136.00 | $272.00 | — | 34% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $54.50 | $109.00 | — | 63% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $169.00 | $338.00 | — | 14% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $22.50 | $45.00 | — | 72% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $23.50 | $47.00 | — | 71% below | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $60.50 | $121.00 | — | 9% above | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $89.50 | $179.00 | — | 13% below | 50% |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $285.00 | $570.00 | — | 41% above | 50% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $299.50 | $599.00 | — | 48% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $437.00 | $874.00 | — | 31% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $459.00 | $918.00 | — | 38% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $91.00 | $182.00 | — | 79% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $95.50 | $191.00 | — | 78% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE; INACTIVATED | $47.50 | $95.00 | $95.00 | 30% below | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flucelvax 2025-2026 Formula PFS | $47.50 | $95.00 | $95.00 | 30% below | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula | $47.50 | $95.00 | $95.00 | 30% below | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2024-2025 Formula | $47.50 | $95.00 | $95.00 | 30% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $146.50 | $293.00 | $293.00 | 4% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2024-2025 Formula Ages 12 and up | $146.50 | $293.00 | $293.00 | 4% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $142.50 | $285.00 | $285.00 | 21% above | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $122.00 | $244.00 | $159.99–$244.00 | 34% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax | $256.63 | $513.25 | $159.99–$513.25 | 38% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $17.50 | $35.00 | $35.00 | 84% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $225.00 | $450.00 | $268.77–$450.00 | 19% below | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $111.00 | $222.00 | $121.40–$222.00 | 3% above | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix Pediatric | $73.25 | $146.50 | $71.85–$146.50 | at median | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $76.50 | $153.00 | $71.85–$153.00 | 4% above | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE | $76.50 | $153.00 | $71.85–$153.00 | 4% above | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix PFS | $165.25 | $330.50 | $71.85–$330.50 | 125% above | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $58.50 | $117.00 | $70.38–$117.00 | 27% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B | $110.10 | $220.20 | $70.38–$220.20 | 38% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2019-2020 Formula | $47.50 | $95.00 | $69.94–$95.00 | 57% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2023-2024 Formula | $47.50 | $95.00 | $69.94–$95.00 | 57% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $65.50 | $131.00 | $89.87–$131.00 | 40% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $153.33 | $306.65 | $89.87–$306.65 | 41% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo | $125.00 | $250.00 | $148.49–$250.00 | 3% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $125.00 | $250.00 | $148.49–$250.00 | 3% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra | $245.95 | $491.90 | $148.49–$491.90 | 102% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $156.50 | $313.00 | $211.32–$313.00 | at median | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 PFS | $223.50 | $447.00 | $288.66–$447.00 | 66% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $223.50 | $447.00 | $288.66–$447.00 | 66% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $96.00 | $192.00 | $133.47–$192.00 | 57% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $96.00 | $192.00 | $133.47–$192.00 | 57% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 PFS | $209.30 | $418.60 | $133.47–$418.60 | 6% below | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM | $244.00 | $488.00 | $488.00 | — | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $260.50 | $521.00 | $329.99–$521.00 | 54% below | 50% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $534.58 | $1,069.15 | $329.99–$1,069.15 | 5% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $165.00 | $330.00 | $183.41–$330.00 | 9% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix | $165.00 | $330.00 | $183.41–$330.00 | 9% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA AND TETANUS VACCINE (7 YEARS OR OLDER) | $54.00 | $108.00 | $31.05–$108.00 | 12% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX | $54.00 | $108.00 | $31.05–$108.00 | 12% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $62.00 | $124.00 | $31.05–$124.00 | 1% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac | $84.03 | $168.05 | $31.05–$168.05 | 37% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac PFS | $92.25 | $184.50 | $31.05–$180.06 | 50% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $45.00 | $90.00 | $38.75–$90.00 | 15% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel | $85.70 | $171.40 | $38.75–$171.40 | 62% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS | $91.33 | $182.65 | $38.75–$182.65 | 73% above | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim Vi | $78.50 | $157.00 | $84.31–$157.00 | at median | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $78.50 | $157.00 | $84.31–$157.00 | at median | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim Vi PFS | $214.05 | $428.10 | $84.31–$428.10 | 173% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $35.50 | $71.00 | — | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $37.50 | $75.00 | — | 38% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $17.00 | $34.00 | — | 63% below | 50% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/731ef0e972451ae12e17d777e7ad6cc9/charges/mrf