San Gorgonio Memorial Hospital
San Gorgonio Memorial Hospital in Banning, CA publishes cash prices for 144 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 California median for 132 of 142 procedures and above it for 9. By typical cash price it ranks #3 of 168 California hospitals and #1 of 20 hospitals in the Riverside, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
600 N Highland Springs Ave,Banning,CA,92220 Collected Sep 27, 2026 Source price file (951) 769-2101
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050054 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $549.88 | $2,749.42 | $255.14–$1,534.95 | 74% below | 80% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $190.00 | $950.00 | $105.81–$334.14 | 53% below | 80% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $1,162.96 | $5,814.82 | $213.26–$931.00 | 63% below | 80% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $2,397.55 | $11,987.74 | $225.00–$1,339.53 | 46% below | 80% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $121.53 | $607.65 | $26.99–$334.14 | 64% below | 80% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $684.87 | $3,424.36 | $127.11–$931.00 | 62% below | 80% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $708.84 | $3,544.22 | $127.11–$931.00 | 61% below | 80% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $136.95 | $684.74 | $45.45–$210.21 | — | 80% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $126.75 | $633.76 | $45.45–$210.21 | 69% below | 80% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $83.83 | $419.15 | $36.96–$164.20 | 76% below | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $263.41 | $1,317.06 | $125.45–$401.40 | 64% below | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $272.63 | $1,363.16 | $125.45–$401.40 | 63% below | 80% |
| 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 | $263.41 | $1,317.06 | $67.15–$401.40 | 62% below | 80% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $272.63 | $1,363.16 | $83.23–$401.40 | 46% below | 80% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $272.63 | $1,363.16 | $87.08–$401.40 | 67% below | 80% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $268.38 | $1,341.88 | $89.70–$673.44 | 56% below | 80% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $5.73 | $28.66 | $5.04–$28.66 | 87% below | 80% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $5.73 | $28.66 | $4.92–$28.66 | 87% below | 80% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $27.27 | $136.35 | $45.25–$142.89 | 89% below | 80% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $23.00 | $115.00 | $4.96–$115.00 | 176% above | 80% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $26.16 | $130.82 | $37.30–$130.82 | 85% below | 80% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $27.08 | $135.40 | $37.30–$135.40 | 85% below | 80% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $46.88 | $234.41 | $28.86–$234.41 | 69% below | 80% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $58.96 | $294.78 | $28.86–$294.78 | 61% below | 80% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $21.83 | $109.14 | $9.80–$109.14 | 91% below | 80% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $42.18 | $210.88 | $9.80–$210.88 | 82% below | 80% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $3.49 | $17.47 | $4.58–$28.02 | 86% below | 80% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $3.62 | $18.09 | $4.58–$28.02 | 85% below | 80% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $9.26 | $46.29 | $3.73–$46.29 | 75% below | 80% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $13.31 | $66.55 | $7.14–$66.55 | 91% below | 80% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $13.78 | $68.88 | $7.14–$68.88 | 91% below | 80% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $22.92 | $114.60 | $6.38–$510.84 | 70% below | 80% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $45.84 | $229.20 | $6.38–$510.84 | 40% below | 80% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $15.56 | $77.82 | $4.92–$77.82 | 67% below | 80% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $16.11 | $80.55 | $4.92–$80.55 | 66% below | 80% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $18.96 | $94.81 | $35.41–$111.81 | 88% below | 80% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $30.00 | $150.00 | $19.77–$150.00 | 68% below | 80% |
| 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 | $20.00 | $100.00 | $48.74–$153.93 | 71% below | 80% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $122.81 | $614.05 | $48.74–$614.05 | 75% above | 80% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $33.20 | $166.00 | $33.34–$166.00 | 39% below | 80% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $34.36 | $171.81 | $33.34–$171.81 | 37% below | 80% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $38.67 | $193.34 | $12.72–$193.34 | 62% below | 80% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $40.02 | $200.11 | $12.72–$200.11 | 61% below | 80% |
| 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 | $11.71 | $58.57 | $7.38–$58.57 | 89% below | 80% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $12.12 | $60.62 | $7.38–$60.62 | 89% below | 80% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $6.26 | $31.31 | $6.15–$31.31 | 92% below | 80% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $6.48 | $32.41 | $6.15–$32.41 | 91% below | 80% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $27.08 | $135.40 | $10.03–$135.40 | 89% below | 80% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $52.33 | $261.64 | $10.03–$261.64 | 80% below | 80% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $14.81 | $74.06 | $9.67–$74.06 | 88% below | 80% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $15.33 | $76.66 | $9.67–$76.66 | 87% below | 80% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $39.20 | $196.00 | $18.65–$196.00 | 46% below | 80% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $21.09 | $105.44 | $12.95–$105.44 | 75% below | 80% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $21.83 | $109.14 | $12.95–$109.14 | 74% below | 80% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $15.20 | $76.00 | $13.96–$76.00 | 82% below | 80% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $15.73 | $78.66 | $13.96–$78.66 | 82% below | 80% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $16.10 | $80.50 | $8.57–$80.50 | 76% below | 80% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $11.89 | $59.47 | $4.51–$59.47 | 73% below | 80% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $14.25 | $71.24 | $12.23–$71.24 | 88% below | 80% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $16.72 | $83.61 | $16.01–$83.61 | 85% below | 80% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $8.17 | $40.84 | $13.02–$41.13 | 80% below | 80% |
| HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS | $20.57 | $102.84 | $13.02–$102.84 | 51% below | 80% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $14.77 | $73.83 | $22.88–$73.83 | 76% below | 80% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $22.00 | $110.00 | $22.88–$110.00 | 64% below | 80% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $15.56 | $77.82 | $9.22–$77.82 | 76% below | 80% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $16.11 | $80.55 | $9.22–$80.55 | 75% below | 80% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $9.53 | $47.63 | $10.20–$47.63 | 75% below | 80% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $9.86 | $49.30 | $10.20–$49.30 | 74% below | 80% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $9.53 | $47.63 | $9.81–$47.63 | 85% below | 80% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $9.86 | $49.30 | $9.81–$49.30 | 84% below | 80% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $9.17 | $45.86 | $13.56–$45.86 | 82% below | 80% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $12.53 | $62.65 | $12.53–$62.65 | 33% below | 80% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $16.78 | $83.92 | $6.15–$83.92 | 62% below | 80% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $48.65 | $243.24 | $6.15–$243.24 | 10% above | 80% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $8.82 | $44.08 | $8.30–$44.08 | 84% below | 80% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $15.49 | $77.46 | $6.55–$77.46 | 79% below | 80% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $16.04 | $80.18 | $6.55–$80.18 | 79% below | 80% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $16.22 | $81.08 | $7.76–$81.08 | 88% below | 80% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $16.78 | $83.92 | $7.76–$83.92 | 87% below | 80% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $15.99 | $79.96 | $6.36–$79.96 | 72% below | 80% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $16.55 | $82.76 | $6.36–$82.76 | 71% below | 80% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $22.00 | $110.00 | $12.24–$110.00 | 5% above | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $18.45 | $92.24 | $17.47–$92.24 | 61% below | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $13.31 | $66.55 | $5.71–$66.55 | 65% below | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $13.78 | $68.88 | $5.71–$68.88 | 63% below | 80% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $553.00 | $2,765.00 | $668.43–$2,765.00 | 68% below | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $10.76 | $53.79 | $4.08–$53.79 | 77% below | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $11.14 | $55.68 | $4.08–$55.68 | 77% below | 80% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $10.62 | $53.11 | $11.97–$53.11 | 87% below | 80% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $12.00 | $60.00 | $13.67–$60.00 | 70% below | 80% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $29.00 | $145.00 | $8.46–$145.00 | 62% above | 80% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $8.14 | $40.71 | $4.16–$40.71 | 79% below | 80% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $8.43 | $42.14 | $4.16–$42.14 | 78% below | 80% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $20.25 | $101.26 | $5.37–$101.26 | 44% below | 80% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $14.90 | $74.52 | $4.06–$74.52 | at median | 80% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $55.00 | $275.00 | $58.88–$275.00 | 22% below | 80% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $30.80 | $154.00 | $13.82–$154.00 | 35% above | 80% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $16.95 | $84.74 | $15.96–$84.74 | 80% below | 80% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $17.54 | $87.71 | $15.96–$87.71 | 79% below | 80% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $8.94 | $44.72 | $4.29–$44.72 | 85% below | 80% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $9.26 | $46.29 | $4.29–$46.29 | 85% below | 80% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $14.76 | $73.80 | $3.01–$73.80 | 82% below | 80% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $15.28 | $76.39 | $3.01–$76.39 | 82% below | 80% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $2.23 | $11.13 | $3.82–$12.06 | 95% below | 80% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $11.67 | $58.34 | $7.67–$58.34 | 92% below | 80% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $13.78 | $68.88 | $8.18–$68.88 | 84% below | 80% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $15.20 | $76.00 | $14.33–$76.00 | 75% below | 80% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $15.73 | $78.66 | $14.33–$78.66 | 75% below | 80% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $21.89 | $109.46 | $14.30–$109.46 | 84% below | 80% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $22.66 | $113.30 | $14.30–$113.30 | 84% below | 80% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $2,042.54 | $10,212.70 | $1,208.00–$6,341.46 | 52% below | 80% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,114.03 | $10,570.15 | $1,208.00–$6,341.46 | 50% below | 80% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $1,314.49 | $6,572.43 | $803.61–$2,537.73 | 27% below | 80% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,360.49 | $6,802.47 | $803.61–$2,537.73 | 24% below | 80% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE | $344.89 | $1,724.45 | $390.37–$3,653.00 | — | 80% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $768.66 | $3,843.30 | $873.00–$3,570.66 | 63% below | 80% |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $835.27 | $4,176.36 | $1,208.00–$13,534.47 | 85% below | 80% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $243.52 | $1,217.61 | $71.72–$873.00 | 39% above | 80% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $618.69 | $3,093.46 | $858.26–$2,710.29 | 68% below | 80% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,027.95 | $5,139.73 | $858.26–$2,710.29 | 46% below | 80% |
| 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 | $2,091.00 | $10,454.99 | $1,611.00–$24,856.83 | 72% below | 80% |
| 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 | $4,239.20 | $21,195.99 | $1,611.00–$13,747.29 | 7% below | 80% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $2,662.41 | $13,312.03 | $4,294.00–$23,212.38 | 80% below | 80% |
| 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 | $5,027.36 | $25,136.79 | $4,294.00–$23,212.38 | 40% below | 80% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $2,700.80 | $13,504.02 | $976.30–$3,083.04 | 27% above | 80% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $1,312.83 | $6,564.17 | $1,611.00–$10,657.41 | 71% below | 80% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $1,423.23 | $7,116.15 | $2,080.00–$19,207.38 | 78% below | 80% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $1,085.64 | $5,428.19 | $1,208.00–$12,429.24 | 85% below | 80% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $861.21 | $4,306.04 | — | 47% above | 80% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $243.52 | $1,217.61 | $111.01–$1,208.00 | 48% below | 80% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $1,568.24 | $7,841.18 | $2,080.00–$13,747.29 | 78% below | 80% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $392.54 | $1,962.71 | $373.22–$1,178.58 | 41% below | 80% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $168.14 | $840.72 | $373.22–$1,611.00 | 77% below | 80% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $252.05 | $1,260.23 | $373.22–$1,611.00 | 65% below | 80% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $167.09 | $835.47 | $373.22–$1,208.00 | 71% below | 80% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $392.00 | $1,960.01 | $373.22–$1,208.00 | 31% below | 80% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $2,613.76 | $13,068.80 | $1,611.00–$23,212.38 | 67% below | 80% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $1,304.10 | $6,520.50 | $12,924.51–$40,814.25 | 89% below | 80% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $6,946.71 | $34,733.55 | $2,818.00–$40,814.25 | 37% below | 80% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $3,747.79 | $18,738.95 | $2,080.00–$23,212.38 | 76% below | 80% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $5,836.46 | $29,182.28 | $2,415.00–$23,212.38 | 34% below | 80% |
| 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 | $252.05 | $1,260.23 | $494.28–$1,560.87 | 71% below | 80% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $835.27 | $4,176.36 | $858.26–$2,710.29 | 50% below | 80% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,027.95 | $5,139.73 | $858.26–$2,710.29 | 38% below | 80% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $835.27 | $4,176.36 | $1,611.00–$12,429.24 | 81% below | 80% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $358.46 | $1,792.31 | $1,102.77–$3,482.43 | 80% below | 80% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $1,957.72 | $9,788.61 | $1,102.77–$3,482.43 | 10% above | 80% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL | $252.05 | $1,260.23 | $494.28–$1,560.87 | 80% below | 80% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $252.05 | $1,260.23 | $215.60–$1,560.87 | 67% below | 80% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $252.05 | $1,260.23 | $161.77–$873.00 | 38% below | 80% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $243.52 | $1,217.61 | $197.58–$873.00 | 51% below | 80% |
| 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 | $243.52 | $1,217.61 | $243.95–$1,208.00 | 45% below | 80% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $237.79 | $1,188.96 | $858.26–$2,710.29 | 81% below | 80% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $258.25 | $1,291.26 | $858.26–$2,710.29 | 79% below | 80% |
| 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 | $243.52 | $1,217.61 | $243.95–$1,208.00 | 64% below | 80% |
| 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 | $243.52 | $1,217.61 | $243.95–$1,208.00 | 63% below | 80% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $141.12 | $705.60 | $494.28–$1,560.87 | 74% below | 80% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $847.93 | $4,239.63 | $1,208.00–$6,341.46 | 73% below | 80% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,404.23 | $17,021.16 | $1,208.00–$6,341.46 | 10% above | 80% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,139.61 | $5,698.07 | $1,102.77–$3,482.43 | 36% below | 80% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $422.87 | $2,114.33 | $1,102.77–$3,482.43 | 77% below | 80% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $211.19 | $1,055.96 | $536.41–$1,693.92 | 76% below | 80% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $715.68 | $3,578.42 | $536.41–$1,693.92 | 18% below | 80% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $65.32 | $326.60 | $390.37–$3,653.00 | — | 80% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $724.74 | $3,623.68 | $390.37–$3,653.00 | — | 80% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $2,018.61 | $10,093.04 | $649.00–$3,171.60 | 59% below | 80% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $191.90 | $959.50 | $33.72–$226.50 | 43% below | 80% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $556.23 | $2,781.15 | $33.72–$226.50 | 65% above | 80% |
| 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 | $59.80 | $299.00 | $97.00–$649.00 | 85% below | 80% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $61.89 | $309.47 | $97.00–$649.00 | 84% below | 80% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $144.20 | $721.00 | $97.00–$649.00 | 81% below | 80% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $149.25 | $746.24 | $97.00–$649.00 | 80% below | 80% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $228.62 | $1,143.08 | $229.00–$1,048.11 | 81% below | 80% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $236.62 | $1,183.09 | $229.00–$1,048.11 | 80% below | 80% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $638.50 | $3,192.52 | $507.34–$2,095.00 | 67% below | 80% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $660.85 | $3,304.26 | $507.34–$2,095.00 | 66% below | 80% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,003.41 | $5,017.06 | $649.00–$3,108.00 | 69% below | 80% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,038.53 | $5,192.66 | $649.00–$3,108.00 | 68% below | 80% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $611.21 | $3,056.04 | $110.84–$829.05 | 49% below | 80% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $82.01 | $410.07 | $258.62–$816.69 | 82% below | 80% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $84.89 | $424.43 | $258.62–$816.69 | 81% below | 80% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $93.97 | $469.85 | $258.62–$816.69 | 80% below | 80% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $163.25 | $816.24 | $258.62–$816.69 | 66% below | 80% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $168.96 | $844.81 | $390.37–$3,653.00 | — | 80% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $42.97 | $214.85 | $87.54–$276.45 | 73% below | 80% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $44.47 | $222.37 | $87.54–$276.45 | 72% below | 80% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $80.86 | $404.32 | $32.77–$165.00 | 37% below | 80% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $34.12 | $170.62 | $26.09–$82.38 | 66% below | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $80.86 | $404.32 | $29.07–$165.00 | 37% below | 80% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $59.84 | $299.20 | $123.00–$714.33 | 87% below | 80% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $32.48 | $162.38 | $32.08–$829.05 | 90% below | 80% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $137.11 | $685.54 | $70.95–$1,432.77 | 82% below | 80% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $46.28 | $231.38 | $35.35–$165.00 | 66% below | 80% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax | $196.58 | $982.90 | $34.88 | 37% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone 2014-2015 Formula | $30.62 | $153.08 | $14.89 | 76% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone Quadrivalent 2022-2023 Formula | $44.65 | $223.26 | $14.89 | 64% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone Quadrivalent 2021-2022 Formula | $44.66 | $223.28 | $14.89 | 64% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone 2024-2025 Formula PFS | $48.72 | $243.59 | $14.89 | 61% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2021-2022 Formula | $65.27 | $326.33 | $14.89 | 48% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2019-2020 Formula | $102.21 | $511.04 | $14.89 | 19% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2022-2023 Formula | $118.56 | $592.80 | $14.89 | 5% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula | $150.76 | $753.78 | $14.89 | 20% above | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula | $176.67 | $883.33 | $14.89 | 41% above | 80% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 PFS | $488.76 | $2,443.80 | $128.27 | 3% below | 80% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $239.04 | $1,195.19 | $9.39 | 48% above | 80% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $674.06 | $3,370.32 | $78.76–$945.66 | 5% below | 80% |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies | $801.11 | $4,005.54 | $78.76–$945.66 | 13% above | 80% |
| Rabies vaccine, one dose CPT 90675 Acetaminophen | $826.23 | $4,131.17 | $78.76–$945.66 | 17% above | 80% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS | $101.44 | $507.19 | $22.21 | 21% above | 80% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $101.44 | $507.19 | $22.21 | 21% above | 80% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $22.21 | $111.05 | $87.54–$276.45 | 78% below | 80% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $22.99 | $114.94 | $87.54–$276.45 | 77% below | 80% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $4.63 | $23.16 | — | 93% below | 80% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $4.80 | $23.98 | — | 93% below | 80% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/8488f242c158e777c19a25c23da04087/charges/mrf