Doctors' Center Hospital - Manati
Doctors' Center Hospital - Manati publishes cash prices for 272 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Click a procedure to compare it with other hospitals nearby.
Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 342 of the 342 prices listed here, the cash price in Doctors' Center Hospital - Manati'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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle Complete | $27.00 | $27.00 | $28.00–$53.00 | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Doppler Low Ext Art Single Bil | $125.00 | $125.00 | $50.00–$82.00 | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Doppler Up/low Ext Art Sin Uni | $125.00 | $125.00 | $50.00–$82.00 | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagogram Barium Swall | $48.00 | $48.00 | $48.00–$108.00 | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone And/or Joint Whole Body | $163.00 | $163.00 | $140.00–$245.00 | — |
| Breast ultrasound, complete, one breast CPT 76641 Sonomamography Uni Or Bila | $63.00 | $63.00 | $58.00–$75.00 | — |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Uni Complete | $63.00 | $63.00 | $58.00–$75.00 | — |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Uni And Bila | $63.00 | $63.00 | $58.00–$75.00 | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Uni Limited | $63.00 | $63.00 | $30.00–$75.00 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Md | $300.00 | $300.00 | $108.00–$630.00 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest | $300.00 | $300.00 | $108.00–$630.00 | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Hrt Coronar Art W/3d Image | $300.00 | $300.00 | $214.00–$494.00 | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Hrt W/o Dye W/ca Test | $250.00 | $250.00 | $53.00–$55.00 | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen & Pelvis W/o Cont | $275.00 | $275.00 | $146.00–$450.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $275.00 | $275.00 | $214.00–$450.00 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdom & Pelvis W/o & W Cont | $275.00 | $275.00 | $214.00–$450.00 | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W Contrast | $250.00 | $250.00 | $108.00–$325.00 | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $250.00 | $250.00 | $64.00–$300.00 | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast | $250.00 | $250.00 | $64.00–$300.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $250.00 | $250.00 | $64.00–$300.00 | — |
| CT scan of the head with contrast CPT 70460 Ct Brain With Contrast | $250.00 | $250.00 | $108.00–$325.00 | — |
| CT scan of the head without and with contrast CPT 70470 Ct Brain W/o & W Contrast | $250.00 | $250.00 | $108.00–$325.00 | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/o Contrast | $250.00 | $250.00 | $64.00–$300.00 | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine W/o Contrast | $250.00 | $250.00 | $64.00–$300.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $250.00 | $250.00 | $108.00–$428.00 | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Carotid Bilateral | $125.00 | $125.00 | $140.00–$224.00 | — |
| Chest X-ray, 2 views CPT 71046 Chest With Fluoroscopy | $23.00 | $23.00 | $16.00–$53.00 | — |
| Chest X-ray, 2 views CPT 71046 Chest Lateral Decubitus | $30.00 | $30.00 | $16.00–$53.00 | — |
| Chest X-ray, 2 views CPT 71046 Chest Pa And Lateral Portable | $32.00 | $32.00 | $16.00–$53.00 | — |
| Chest X-ray, 2 views CPT 71046 Radiologic Exam, Chest 2 View | $32.00 | $32.00 | $16.00–$53.00 | — |
| Chest X-ray, single view CPT 71045 Chest Single View | $16.00 | $16.00 | $10.00–$53.00 | — |
| Chest X-ray, single view CPT 71045 Chest Ap (Portable) | $16.00 | $16.00 | $10.00–$53.00 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Sonogram Renal | $79.00 | $79.00 | $64.00–$100.00 | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Densitometria Osea | $85.00 | $85.00 | $34.00–$103.00 | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial | $135.00 | $135.00 | $34.00–$103.00 | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Single Fetus | $188.00 | $188.00 | $75.00–$146.00 | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest (Thorax) W/o Contrast | $250.00 | $250.00 | $64.00–$300.00 | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest (Thorax) W Contrast | $250.00 | $250.00 | $108.00–$325.00 | — |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $120.00 | $120.00 | $41.00–$158.00 | — |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $95.00 | $95.00 | $33.00–$125.00 | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Artery Lower Ext Bilate | $125.00 | $125.00 | $120.00–$180.00 | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Ext Vein Bila Lower | $125.00 | $125.00 | $75.00–$157.00 | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Noninvasive Ext Vein Comp Bila | $125.00 | $125.00 | $75.00–$157.00 | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Doppler Up Ext Vein Comp Bila | $125.00 | $125.00 | $75.00–$157.00 | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Ext Vein Bila Upper | $125.00 | $125.00 | $75.00–$157.00 | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo M-mode W Spectral Doppler | $350.00 | $350.00 | $175.00–$400.00 | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Liver Funtion Study/hepatobili | $98.00 | $98.00 | $82.00–$254.00 | — |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views | $24.00 | $24.00 | $26.00–$53.00 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdominal Single Organ | $58.00 | $58.00 | $35.00–$100.00 | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Low Dose Lung W/o Co | $250.00 | $250.00 | $64.00 | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Breast Mri W & W/o Con Cad Bil | $450.00 | $450.00 | $342.00–$750.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Lower Ext (Any) Without/with C | $425.00 | $425.00 | $214.00–$650.00 | — |
| MRI of the abdomen without contrast CPT 74181 Abdomen Mri Without Contrast | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Abdomen Mri Without With Contr | $425.00 | $425.00 | $214.00–$650.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Brain Without Contrast Mri | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $425.00 | $425.00 | $214.00–$750.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Spinal-lumbar Mri W/o And With | $425.00 | $425.00 | $214.00–$730.00 | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Spinal-thoracic Mri Without Co | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Spinal-cervical Mri Without/wi | $425.00 | $425.00 | $214.00–$730.00 | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Spinal-cervical Mri Without Co | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of the pelvis without and with contrast CPT 72197 Pelvis Mri Without/with Contra | $425.00 | $425.00 | $214.00–$650.00 | — |
| MRI of the pelvis, no contrast dye CPT 72195 Pelvis Mri Without Contrast | $400.00 | $400.00 | $146.00–$650.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Upper Extre Any Joint W/o Mri | $400.00 | $400.00 | $146.00–$650.00 | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Multi,rest And Or S | $375.00 | $375.00 | $275.00–$794.00 | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Tumor Image,pet/ct Skull Base | $1,250.00 | $1,250.00 | $877.00–$2,465.00 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Sonogram Pelvic Wall Limited | $63.00 | $63.00 | $20.00–$73.00 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Sonogram Pelvic | $66.00 | $66.00 | $40.00–$113.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $68.00 | $68.00 | $64.00–$106.00 | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks Single Fetus | $68.00 | $68.00 | $64.00–$75.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $100.00 | $100.00 | $59.00–$127.00 | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Complete (Portable) | $24.00 | $24.00 | $24.00–$53.00 | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Complete | $24.00 | $24.00 | $24.00–$53.00 | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography Monitoring | $15.00 | $15.00 | $206.00–$335.00 | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography,stress Comple | $125.00 | $125.00 | $206.00–$335.00 | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Testing Complete | $350.00 | $350.00 | $206.00–$335.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $50.00 | $50.00 | $40.00–$125.00 | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Sonogram Endovaginal Pregnant | $50.00 | $50.00 | $40.00–$125.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $93.00 | $93.00 | $64.00–$100.00 | — |
| Ultrasound of the scrotum and testicles CPT 76870 Sonogram Scrotum (Testicles) | $63.00 | $63.00 | $64.00–$82.00 | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Sonogram Head And Neck | $63.00 | $63.00 | $60.00–$75.00 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugis Complete With Kub | $105.00 | $105.00 | $75.00–$120.00 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugis Without Kub | $105.00 | $105.00 | $75.00–$120.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Ext Vein Uni/lim Lower | $125.00 | $125.00 | $64.00–$126.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Ext Vein Uni/lim Upper | $125.00 | $125.00 | $64.00–$126.00 | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist Complete | $32.00 | $32.00 | $28.00–$53.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Pelvis And Hip Infant Or Child | $32.00 | $32.00 | $15.00–$53.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hips 2 Views (Portable) | $32.00 | $32.00 | $15.00–$53.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilateral 2-3 Views | $32.00 | $32.00 | $15.00–$53.00 | — |
| X-ray of the abdomen, 1 view CPT 74018 Kub Single | $19.00 | $19.00 | $8.00–$53.00 | — |
| X-ray of the abdomen, 1 view CPT 74018 Kub (Portable) | $19.00 | $19.00 | $8.00–$53.00 | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle Ap And Lateral Portable | $21.00 | $21.00 | $24.00–$53.00 | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle Ap And Lateral | $21.00 | $21.00 | $24.00–$53.00 | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger(s) 2+ Views | $15.00 | $15.00 | $16.00–$53.00 | — |
| X-ray of the foot, 2 views CPT 73620 Foot Ap & Lateral (Portable) | $27.00 | $27.00 | $24.00–$53.00 | — |
| X-ray of the foot, 2 views CPT 73620 Foot Ap And Lateral | $27.00 | $27.00 | $24.00–$53.00 | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot Comp 3 Views | $32.00 | $32.00 | $28.00–$53.00 | — |
| X-ray of the hand, 3 or more views CPT 73130 Hand Complete 3 Views | $25.00 | $25.00 | $28.00–$53.00 | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee Ap And Lateral | $27.00 | $27.00 | $24.00–$53.00 | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee Ap And Lateral (Portable) | $27.00 | $27.00 | $24.00–$53.00 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbosacral Spine Ap And Lat | $32.00 | $32.00 | $32.00–$64.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $20.00 | $20.00 | $46.00–$72.00 | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine Ap And Lateral | $32.00 | $32.00 | $24.00–$64.00 | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones | $32.00 | $32.00 | $24.00–$53.00 | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine (Portable) | $29.00 | $29.00 | $24.00–$53.00 | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine Ap And Lateral | $29.00 | $29.00 | $24.00–$53.00 | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis Ap | $21.00 | $21.00 | $23.00–$64.00 | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis (Portable) | $21.00 | $21.00 | $23.00–$64.00 | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx Complete | $27.00 | $27.00 | $24.00–$53.00 | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt & Alt | $22.00 | $22.00 | $5.00–$10.00 | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot And Ast | $22.00 | $22.00 | $5.00–$10.00 | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $80.00 | $80.00 | $48.00–$80.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige (Rast) | $20.00 | $20.00 | $5.00–$8.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Immunocap Food Prof | $260.00 | $260.00 | $5.00–$8.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aller Immunocap Childhd Prof | $260.00 | $260.00 | $5.00–$8.00 | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp (Ab) Cyclic Citrulline | $110.00 | $110.00 | $13.00–$100.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana (Antinuclear Ab) Test | $21.00 | $21.00 | $12.00–$28.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Fana Fluorescent Anti Nuc Ab | $300.00 | $300.00 | $12.00–$28.00 | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide | $120.00 | $120.00 | $39.00–$90.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $50.00 | $50.00 | $8.00–$40.00 | — |
| Blood culture for bacteria CPT 87040 Culture Bacteria Bld Aerobic | $30.00 | $30.00 | $10.00–$30.00 | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Veno Puncture | $5.00 | $5.00 | $9.00 | — |
| Blood glucose (sugar) test CPT 82947 Glucose (Fbs) Quantitative | $15.00 | $15.00 | $4.00–$8.00 | — |
| Blood lead test CPT 83655 Lead | $42.00 | $42.00 | $12.00–$36.00 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin Hcg Qualitative | $35.00 | $35.00 | $8.00–$21.00 | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $20.00 | $20.00 | $3.00–$7.00 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (Crp) | $38.00 | $38.00 | $5.00–$12.00 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crpv Quantitative | $38.00 | $38.00 | $5.00–$12.00 | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $90.00 | $90.00 | $17.00–$55.00 | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $76.00 | $76.00 | $17.00–$65.00 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infecti Agent Det Nucleic Acid | $75.00 | $75.00 | $51.00–$76.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Amp | $112.00 | $112.00 | $32.00–$68.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $76.00 | $76.00 | $13.00–$40.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $17.00 | $17.00 | $8.00–$11.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $20.00 | $20.00 | $6.00–$10.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $50.00 | $50.00 | $11.00–$55.00 | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrinogen D-dimer Quant | $54.00 | $54.00 | $10.00–$20.00 | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulf | $90.00 | $90.00 | $22.00–$178.00 | — |
| Estradiol blood test CPT 82670 Estradiol | $120.00 | $120.00 | $28.00–$76.00 | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $65.00 | $65.00 | $19.00–$45.00 | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $300.00 | $300.00 | $20.00–$27.00 | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $35.00 | $35.00 | $14.00–$32.00 | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid Folate Blood | $54.00 | $54.00 | $10.00–$35.00 | — |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $45.00 | $45.00 | $17.00–$115.00 | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $60.00 | $60.00 | $9.00–$30.00 | — |
| Free testosterone test CPT 84402 Testosterone Free | $90.00 | $90.00 | $25.00–$170.00 | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $108.00 | $108.00 | $43.00–$90.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1hr Post Pandrial | $29.00 | $29.00 | $5.00–$8.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2hr Post Pandrial | $29.00 | $29.00 | $5.00–$8.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hrs | $29.00 | $29.00 | $5.00–$8.00 | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hrs | $38.00 | $38.00 | $13.00–$25.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Naiserria Gonorrhea | $33.00 | $33.00 | $18.00–$120.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus Naa | $104.00 | $104.00 | $18.00–$120.00 | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody | $160.00 | $160.00 | $17.00–$103.00 | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylory,stool Ant | $160.00 | $160.00 | $14.00–$50.00 | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1,quantification Dna,rna | $485.00 | $485.00 | $85.00–$200.00 | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1 & Hiv-2,single Assay | $105.00 | $105.00 | $14.00–$307.00 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ab/ag | $33.00 | $33.00 | $17.00–$40.00 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycated | $66.00 | $66.00 | $10.00–$25.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $64.00 | $64.00 | $11.00–$37.00 | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $65.00 | $65.00 | $10.00–$33.00 | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $64.00 | $64.00 | $14.00–$65.00 | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna Quant By Pcr | $533.00 | $533.00 | $40.00–$200.00 | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 Igm | $50.00 | $50.00 | $13.00–$43.00 | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 Igg | $50.00 | $50.00 | $13.00–$43.00 | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Igg | $75.00 | $75.00 | $18.00–$82.00 | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Igm | $75.00 | $75.00 | $18.00–$82.00 | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp Cardiac | $65.00 | $65.00 | $13.00–$110.00 | — |
| Homocysteine blood test CPT 83090 Homocystine | $60.00 | $60.00 | $18.00–$101.00 | — |
| Insulin blood test CPT 83525 Insulin Total | $78.00 | $78.00 | $11.00–$29.00 | — |
| Insulin blood test CPT 83525 Insulin Tolerance 3 Hrs | $78.00 | $78.00 | $11.00–$29.00 | — |
| Insulin blood test CPT 83525 Insulin Tolerance 4 Hrs | $78.00 | $78.00 | $11.00–$29.00 | — |
| Insulin blood test CPT 83525 Insulin Tolerance 2 Hrs | $78.00 | $78.00 | $11.00–$29.00 | — |
| Insulin blood test CPT 83525 Insulin Tolerance 5 Hrs | $78.00 | $78.00 | $11.00–$29.00 | — |
| Insulin blood test CPT 83525 Insulin Fasting And 2 Hrs | $78.00 | $78.00 | $11.00–$29.00 | — |
| Iron blood test (serum iron) CPT 83540 Iron | $19.00 | $19.00 | $6.00–$14.00 | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $35.00 | $35.00 | $9.00–$17.00 | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $45.00 | $45.00 | $9.00–$53.00 | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (Lh) | $63.00 | $63.00 | $19.00–$33.00 | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $24.00 | $24.00 | $7.00–$15.00 | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $42.00 | $42.00 | $8.00–$35.00 | — |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi,antibod | $80.00 | $80.00 | $17.00–$70.00 | — |
| Magnesium blood test CPT 83735 Magnesium | $18.00 | $18.00 | $7.00–$12.00 | — |
| Magnesium blood test CPT 83735 Magnesium Urine Spot | $18.00 | $18.00 | $7.00–$12.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab Measels Igm | $42.00 | $42.00 | $13.00–$55.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab Measles Igg | $42.00 | $42.00 | $13.00–$55.00 | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monotest (Heterophile Scrn | $25.00 | $25.00 | $5.00–$12.00 | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $160.00 | $160.00 | $48.00–$75.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $105.00 | $105.00 | $18.00–$145.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $50.00 | $50.00 | $18.00–$28.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth (Parathyroid Hormone) | $20.00 | $20.00 | $41.00–$104.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Parathormone Intact | $105.00 | $105.00 | $41.00–$104.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $25.00 | $25.00 | $6.00–$23.00 | — |
| Progesterone blood test CPT 84144 Progesterone | $90.00 | $90.00 | $21.00–$55.00 | — |
| Prolactin blood test CPT 84146 Prolactin | $60.00 | $60.00 | $19.00–$40.00 | — |
| Prolactin blood test CPT 84146 Thyrotropin Rele Hyperprolact | $94.00 | $94.00 | $19.00–$40.00 | — |
| Prolactin blood test CPT 84146 Macroprolactin | $150.00 | $150.00 | $19.00–$40.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $24.00 | $24.00 | $4.00–$10.00 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Panel 5 | $25.00 | $25.00 | $13.00 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Metabolic Screenig | $25.00 | $25.00 | $13.00 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Panel 10 | $68.00 | $68.00 | $13.00 | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Ag Type A & B | $35.00 | $35.00 | $15.00–$52.00 | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus Group A | $36.00 | $36.00 | $17.00–$40.00 | — |
| Rheumatoid factor (RF) test CPT 86431 Ra Latex Quantitative | $25.00 | $25.00 | $6.00–$11.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igg | $40.00 | $40.00 | $14.00–$28.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Ab For Torch Pan | $40.00 | $40.00 | $14.00–$28.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igm | $40.00 | $40.00 | $14.00–$28.00 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate Automated | $30.00 | $30.00 | $3.00–$8.00 | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Complete | $70.00 | $70.00 | $10.00–$62.00 | — |
| Stool ova and parasites exam CPT 87177 Ova Parasite,direct Smears | $12.00 | $12.00 | $4.00–$9.00 | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Feces,1-3 Determi | $12.00 | $12.00 | $4.00–$19.00 | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood | $25.00 | $25.00 | $10.00–$48.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Serology Qual. Vdrl | $25.00 | $25.00 | $4.00–$12.00 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test,cell Media A | $180.00 | $180.00 | $50.00–$100.00 | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $125.00 | $125.00 | $26.00–$75.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal (Lkm) | $120.00 | $120.00 | $15.00–$40.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antib Thyr/liver | $120.00 | $120.00 | $15.00–$40.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $54.00 | $54.00 | $17.00–$40.00 | — |
| Uric acid blood test CPT 84550 Uric Acid Blood | $15.00 | $15.00 | $5.00–$10.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $10.00 | $10.00 | $3.00–$8.00 | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $10.00 | $10.00 | $4.00–$8.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $24.00 | $24.00 | $2.00–$8.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $12.00 | $12.00 | $3.00–$7.00 | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine | $30.00 | $30.00 | $3.00–$30.00 | — |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnacy Test | $20.00 | $20.00 | $7.00–$9.00 | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12 (Cyanocobalamin) | $17.00 | $17.00 | $15.00–$45.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamina D 125 (Calcitriol) | $80.00 | $80.00 | $30.00–$120.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Calcifediol(25-oh Vita D-3) | $150.00 | $150.00 | $30.00–$120.00 | — |
| Zinc blood test CPT 84630 Zinc | $78.00 | $78.00 | $11.00–$60.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Hcg Quantitative | $75.00 | $75.00 | $15.00–$49.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy W Rotator Cuff | $3,000.00 | $3,000.00 | $4,448.00 | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx 1st Lesion Stereotac Guidan | $1,000.00 | $1,000.00 | $1,012.00 | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cheilectomy | $150.00 | $150.00 | $2,006.00 | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Artery/ventricle Angio | $2,200.00 | $2,200.00 | $1,680.00–$2,205.00 | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Lt Heart Catherization Retro | $2,200.00 | $2,200.00 | $1,680.00–$2,205.00 | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Ele Electric Ext | $870.00 | $870.00 | $130.00–$405.00 | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhyth | $1,900.00 | $1,900.00 | $130.00–$405.00 | — |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $125.00 | $125.00 | $1,415.00 | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 O R Serv | $125.00 | $125.00 | $1,281.00 | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Newborn | $150.00 | $150.00 | $427.00 | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $700.00 | $700.00 | $85.00–$734.00 | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $150.00 | $150.00 | $85.00–$570.00 | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 O R Serv | $75.00 | $75.00 | $427.00 | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilatation And Curettage | $150.00 | $150.00 | $1,984.00 | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Diag Thera Cerv/thor W Img | $300.00 | $300.00 | $433.00 | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Facet Inj Lumb/sac 1st W/img | $300.00 | $300.00 | $542.00 | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible Diag | $500.00 | $500.00 | $570.00 | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Sonohysterography Saline Infus | $200.00 | $200.00 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterosalpingogram | $300.00 | $300.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision And Drainage Of Absce | $75.00 | $75.00 | $123.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $125.00 | $125.00 | $2,195.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Major Joint Or Bursa W/o Us | $300.00 | $300.00 | $188.00 | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inter Joint Or Bursa W/o Us | $300.00 | $300.00 | $188.00–$475.00 | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small Joint Or Bursa W/e Us | $300.00 | $300.00 | $188.00–$475.00 | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $150.00 | $150.00 | $2,006.00 | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Left Knee Anthroscopy | $150.00 | $150.00 | $2,006.00 | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Clos Of Wounds Of Scalp | $75.00 | $75.00 | $249.00 | — |
| Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosis | $2,200.00 | $2,200.00 | $1,680.00–$2,205.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $300.00 | $300.00 | $433.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $300.00 | $300.00 | $542.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $300.00 | $300.00 | $542.00 | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Benign Lesion Except | $75.00 | $75.00 | $434.00 | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Other Benign Lesion | $75.00 | $75.00 | $434.00 | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate Partial | $75.00 | $75.00 | $123.00 | — |
| Occipital nerve block (injection for headaches) CPT 64405 Greater Occupital Nerve | $150.00 | $150.00 | $188.00 | — |
| Pacemaker implant (dual chamber) CPT 33208 Insrt Heart Pm Atrial & Vent | $2,000.00 | $2,000.00 | $6,407.00 | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/imaging | $500.00 | $500.00 | $556.00 | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/imaging Md | $500.00 | $500.00 | $556.00 | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail And Matrix Pa | $75.00 | $75.00 | $249.00 | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $400.00 | $400.00 | $13.00–$50.00 | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destr Lumbar/sacral Single Fac | $300.00 | $300.00 | $1,197.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $700.00 | $700.00 | $2,400.00 | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision And Removal Of Foreig | $75.00 | $75.00 | $249.00 | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Extracorporeal Sho | $3,500.00 | $3,500.00 | $2,161.00–$6,000.00 | — |
| Short arm splint (forearm and hand) CPT 29125 Application Of Short Arm Splin | $50.00 | $50.00 | $82.00 | — |
| Short leg cast (below the knee) CPT 29405 Application Short Cast Leg | $50.00 | $50.00 | $171.00 | — |
| Short leg splint (calf to foot) CPT 29515 Application Of Short Leg Splin | $50.00 | $50.00 | $100.00 | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Arthroscopy Biceps Tenodesis | $1,000.00 | $1,000.00 | $2,006.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $700.00 | $700.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Superficial Woun | $50.00 | $50.00 | $123.00 | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Malignant Lesion Trun | $75.00 | $75.00 | $434.00 | — |
| Skin tag removal, up to 15 tags CPT 11200 Excision Skin Tags Multiple Fi | $75.00 | $75.00 | $123.00 | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Pundture Lumbar Diag Md | $1.00 | $1.00 | $14.00–$433.00 | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap | $150.00 | $150.00 | $14.00–$433.00 | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnos | $600.00 | $600.00 | $14.00–$433.00 | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2 6 Cm 7 5 Cm | $75.00 | $75.00 | $123.00 | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Of Super Wounds | $50.00 | $50.00 | $123.00 | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle Cath Guid | $100.00 | $100.00 | $23.00–$385.00 | — |
| Trigger finger release surgery CPT 26055 Tendon Sh Inc F Trigger Finger | $150.00 | $150.00 | $986.00 | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trig Pt Inj Sing/multi1-2 Musc | $300.00 | $300.00 | $188.00 | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Add Lesion Stereotac Guidan | $500.00 | $500.00 | $1,012.00 | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx 1st Lesion Ultrasound Guid | $1,000.00 | $1,000.00 | $1,012.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $150.00 | $150.00 | $85.00–$556.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $150.00 | $150.00 | $85.00–$556.00 | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Ablat Ther 1st Vein | $300.00 | $300.00 | $1,200.00–$2,000.00 | — |
| Wart removal, up to 14 warts CPT 17110 Exission Of Mass | $150.00 | $150.00 | $123.00 | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Skin And Subcutaneous Tissue | $75.00 | $75.00 | $249.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $109.00 | $109.00 | $30.00–$270.00 | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/blood Compon | $1,000.00 | $1,000.00 | $30.00–$270.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $10.00 | $10.00 | $20.00–$134.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metered Dose Inhaler | $15.00 | $15.00 | $20.00–$134.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inline Power Neb | $50.00 | $50.00 | $20.00–$134.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inline Power Neb Atroven | $56.00 | $56.00 | $20.00–$134.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $63.00 | $63.00 | $15.00–$30.00 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Trancing Only | $32.00 | $32.00 | $36.00 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing Only | $63.00 | $63.00 | $36.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Trauma | $250.00 | $250.00 | $52.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room (Nivel 1) | $250.00 | $250.00 | $52.00 | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Trauma | $250.00 | $250.00 | $94.00 | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room (Nivel 2) | $250.00 | $250.00 | $94.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Trauma | $250.00 | $250.00 | $167.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room (Nivel 3) | $250.00 | $250.00 | $167.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room (Nivel 4) | $250.00 | $250.00 | $256.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Trauma | $250.00 | $250.00 | $256.00 | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Trauma | $250.00 | $250.00 | $365.00 | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room (Nivel 5) | $250.00 | $250.00 | $365.00 | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only W/o I | $225.00 | $225.00 | $27.00–$150.00 | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg Monit/recordin Up To 48 Hr | $441.00 | $441.00 | $140.00–$205.00 | — |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion For Terapy | $25.00 | $25.00 | $130.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Injection | $40.00 | $40.00 | $44.00 | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reducation- | $40.00 | $40.00 | $33.00 | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $200.00 | $200.00 | $30.00–$178.00 | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $200.00 | $200.00 | $30.00–$238.00 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Evaluation | $96.00 | $96.00 | $98.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techniques- | $48.00 | $48.00 | $28.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $40.00 | $40.00 | $29.00 | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient Visit Est | $200.00 | $200.00 | $25.00–$193.00 | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient Visit Est | $200.00 | $200.00 | $40.00–$96.00 | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Evaluation Patient | $110.00 | $110.00 | $22.00–$136.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $200.00 | $200.00 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $200.00 | $200.00 | $45.00–$50.00 | — |
| Spirometry (breathing test) CPT 94010 Incentive Spirometry | $30.00 | $30.00 | $12.00–$132.00 | — |
| Spirometry (breathing test) CPT 94010 Spirometry Study | $160.00 | $160.00 | $12.00–$132.00 | — |
| Spirometry before and after a bronchodilator CPT 94060 Pre & Post Broncodilatador | $50.00 | $50.00 | $30.00–$229.00 | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities- | $48.00 | $48.00 | $35.00 | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $350.00 | $350.00 | $82.00 | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Stress Test | $225.00 | $225.00 | $74.00–$233.00 | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus/diphtheria Vacc No Pre | $40.00 | $40.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-diphtheria 0.5ml | $42.00 | $42.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus And Diphtheria Tox/pf | $118.00 | $118.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration | $37.00 | $37.00 | $44.00 | — |