Phoenix Children's Hospital
Phoenix Children's Hospital in Phoenix, AZ publishes cash prices for 336 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 173 of 331 procedures and above it for 154. By typical cash price it ranks #27 of 55 Arizona hospitals and #19 of 33 hospitals in the Phoenix, AZ area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1919 E Thomas Rd, Phoenix, AZ 85016 Collected Sep 22, 2026 Source price file (602) 933-1000
Children's hospital No emergency department CCN 033302 · CMS hospital register NPI 1760480503
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 2 actions for a hospital named Phoenix Children's Hospital in Phoenix, AZ:
- Apr 9, 2025 Warning notice
- May 23, 2025 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 Arizona | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST | $522.13 | $4,375.00 | $1,750.00–$3,500.00 | 68% below | 88% |
| Abdominal X-ray, 2 views CPT 74019 XRAY ABDOMEN 2 VIEW | $318.65 | $762.00 | $304.80–$609.60 | 55% above | 58% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $236.57 | — | $55.72–$263.93 | 8% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE | $318.65 | — | $75.05–$1,020.89 | 61% below | — |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE | $318.65 | $1,375.00 | $550.00–$1,100.00 | 51% above | 77% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED | $236.57 | $600.00 | $240.00–$480.00 | 33% above | 61% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO/VENOGRAM HEAD | $522.13 | $3,865.00 | $1,546.00–$3,092.00 | 62% below | 86% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO/VENOGRAM NECK | $522.13 | $4,186.00 | $1,674.40–$3,348.80 | 60% below | 88% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CONT 3D | $522.13 | $4,284.00 | $1,713.60–$3,427.20 | 66% below | 88% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W CA TEST WO CONT | $236.57 | $1,575.00 | $630.00–$1,260.00 | 53% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO CONTRAST | $672.94 | $4,301.00 | $1,720.40–$3,440.80 | 48% below | 84% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $975.37 | $5,015.00 | $2,006.00–$4,012.00 | 51% below | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/WO CONTR | $975.37 | $6,017.00 | $2,406.80–$4,813.60 | 58% below | 84% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $522.13 | $3,377.00 | $1,350.80–$2,701.60 | 63% below | 85% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $318.65 | $2,402.00 | $960.80–$1,921.60 | 66% below | 87% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST | $318.65 | $2,102.00 | $840.80–$1,681.60 | 63% below | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES -CONT | $318.65 | $2,102.00 | $840.80–$1,681.60 | 63% below | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONT STLTH | $318.65 | $2,102.00 | $840.80–$1,681.60 | 63% below | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX/FACE WO CONTRAST | $318.65 | $2,102.00 | $840.80–$1,681.60 | 63% below | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 64% below | 87% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $522.13 | $3,000.00 | $1,200.00–$2,400.00 | 57% below | 83% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $522.13 | $3,681.00 | $1,472.40–$2,944.80 | 64% below | 86% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 73% below | 87% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 71% below | 87% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $522.13 | $3,729.00 | $1,491.60–$2,983.20 | 60% below | 86% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST | $522.13 | $4,080.00 | $1,632.00–$3,264.00 | 69% below | 87% |
| Chest X-ray, 2 views CPT 71046 XRAY CHEST 2 VIEW | $236.57 | $694.00 | $277.60–$555.20 | 17% above | 66% |
| Chest X-ray, single view CPT 71045 XRAY CHEST 1 VIEW | $236.57 | $561.00 | $224.40–$448.80 | 69% above | 58% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE | $236.57 | — | $55.72–$263.93 | 23% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL | $318.65 | $979.00 | $391.60–$783.20 | 24% below | 67% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $318.65 | $2,630.00 | $1,052.00–$2,104.00 | 65% below | 88% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $522.13 | $3,450.00 | $1,380.00–$2,760.00 | 62% below | 85% |
| Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW | $236.57 | — | $55.72–$263.93 | 25% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW | $236.57 | — | $55.72–$263.93 | 57% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 67% below | 87% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT MASTOIDS WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 67% below | 87% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMPORAL WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 67% below | 87% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES 3+ VIEW | $318.65 | $578.00 | $231.20–$462.40 | 26% above | 45% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM | $236.57 | — | $55.72–$263.93 | 63% above | — |
| Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND | $318.65 | — | $75.05–$370.64 | 148% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL | $236.57 | — | $55.72–$263.93 | 107% above | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $236.57 | — | $55.72–$263.93 | 13% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $318.65 | — | $75.05–$370.64 | 8% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $318.65 | — | $75.05–$779.11 | 65% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $318.65 | $866.00 | $346.40–$692.80 | 28% below | 63% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $318.65 | — | $75.05–$817.99 | 146% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIB/FIB 2 VIEW | $236.57 | $473.00 | $189.20–$378.40 | 66% above | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA/MRV HEAD WO CONTRAST | $672.94 | $2,800.00 | $1,120.00–$2,240.00 | 40% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $672.94 | — | $158.50–$1,310.44 | 54% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,076.50 | — | $253.55–$2,681.81 | 45% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABD WO CONTRAST | $672.94 | $3,500.00 | $1,400.00–$2,800.00 | 41% below | 81% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST | $1,076.50 | $5,763.00 | $2,305.20–$4,610.40 | 51% below | 81% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $672.94 | $3,917.00 | $1,566.80–$3,133.60 | 52% below | 83% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI STLTH BRAIN W/WO CONT | $1,076.50 | $6,025.00 | $2,410.00–$4,820.00 | 46% below | 82% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE WO CONTRAST | $672.94 | $3,080.00 | $1,232.00–$2,464.00 | 57% below | 78% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONTRAST | $1,076.50 | $4,708.00 | $1,883.20–$3,766.40 | 57% below | 77% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE WO CONTRAST | $672.94 | $3,080.00 | $1,232.00–$2,464.00 | 55% below | 78% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST | $1,076.50 | $5,362.00 | $2,144.80–$4,289.60 | 57% below | 80% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO CONTRAST | $672.94 | $3,080.00 | $1,232.00–$2,464.00 | 54% below | 78% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $1,076.50 | $6,237.00 | $2,494.80–$4,989.60 | 49% below | 83% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $672.94 | $4,400.00 | $1,760.00–$3,520.00 | 48% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $672.94 | — | $158.50–$1,313.56 | 45% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY C-SPINE 4-5 VIEW | $318.65 | $500.00 | $200.00–$400.00 | 8% above | 36% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISS W CONT | $522.13 | $3,000.00 | $1,200.00–$2,400.00 | 54% below | 83% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISS WO CONT | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 65% below | 87% |
| Neck soft tissue X-ray CPT 70360 XRAY NECK SOFT TISSUE | $236.57 | $425.00 | $170.00–$340.00 | 19% above | 44% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST | $318.65 | $2,584.00 | $1,033.60–$2,067.20 | 71% below | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LTD | $318.65 | $542.00 | $216.80–$433.60 | 1% above | 41% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE | $318.65 | $850.00 | $340.00–$680.00 | 23% below | 63% |
| Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS | $236.57 | — | $55.72–$263.93 | 74% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST | $318.65 | — | $75.05–$370.64 | 20% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $236.57 | — | $55.72–$263.93 | 35% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUS 3+ VIEW | $236.57 | $813.00 | $325.20–$650.40 | 18% above | 71% |
| Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL <4V | $318.65 | $400.00 | $160.00–$320.00 | 42% above | 20% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $236.57 | — | $55.72–$263.93 | 29% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE WO CONTRAST | $318.65 | $2,500.00 | $1,000.00–$2,000.00 | 71% below | 87% |
| Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) | $236.57 | — | $55.72–$263.93 | 122% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $318.65 | $1,080.00 | $432.00–$864.00 | 43% below | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES | $318.65 | $948.00 | $379.20–$758.40 | 19% below | 66% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS | $236.57 | — | $55.72–$263.93 | 7% above | — |
| Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST | $236.57 | — | $55.72–$263.93 | 48% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $236.57 | — | $55.72–$263.93 | 11% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $236.57 | — | $55.72–$263.93 | 3% below | — |
| X-ray of the abdomen, 1 view CPT 74018 XRAY ABDOMEN 1 VIEW | $236.57 | $650.00 | $260.00–$520.00 | 27% above | 64% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $236.57 | — | $55.72–$263.93 | 48% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $236.57 | — | $55.72–$263.93 | 117% above | — |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $236.57 | — | $55.72–$263.93 | 143% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $236.57 | — | $55.72–$263.93 | 93% above | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $236.57 | — | $55.72–$263.93 | 20% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $236.57 | — | $55.72–$263.93 | 43% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LS-SPINE 3 VIEW | $318.65 | $400.00 | $160.00–$320.00 | 49% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LS-SPINE 2 VIEW | $318.65 | $400.00 | $160.00–$320.00 | 49% above | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY LS-SPINE 4+ VIEW | $318.65 | $975.00 | $390.00–$780.00 | 11% below | 67% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY T-SPINE 2 VIEW | $318.65 | $375.00 | $150.00–$300.00 | 20% above | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES 3+ VIEW | $236.57 | $644.00 | $257.60–$515.20 | 89% above | 63% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY C-SPINE 2-3 VIEW | $236.57 | $400.00 | $160.00–$320.00 | 2% below | 41% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1-2 VIEW | $318.65 | $500.00 | $200.00–$400.00 | 42% above | 36% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM COCCYX 2+ VW | $236.57 | $520.00 | $208.00–$416.00 | 66% above | 55% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH(ADRENOCORTICOTROPIC | $87.52 | $12.00 | $4.80–$9.60 | 25% below | -629% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMIN | $12.01 | $80.00 | $32.00–$64.00 | 64% below | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTATE AM | $11.75 | $90.00 | $36.00–$72.00 | 64% below | 87% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PNL | $107.93 | $510.00 | $204.00–$408.00 | 22% below | 79% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $11.22 | $59.00 | $23.60–$47.20 | 48% below | 81% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $92.33 | $17.00 | $6.80–$13.60 | 4% above | -443% |
| Aldosterone blood test CPT 82088 ALDOSTERONE TIMED URINE | $92.33 | $260.00 | $104.00–$208.00 | 4% above | 64% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL | $11.75 | $7.00 | $2.80–$5.60 | 56% below | -68% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $11.75 | $56.00 | $22.40–$44.80 | 56% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $11.84 | — | $4.96–$30.51 | at median | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN TUMOR | $37.99 | $220.00 | $88.00–$176.00 | 24% below | 83% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $37.99 | $224.00 | $89.60–$179.20 | 24% below | 83% |
| Ammonia blood test CPT 82140 AMMONIA | $33.02 | $225.00 | $90.00–$180.00 | 66% below | 85% |
| Amylase blood test CPT 82150 AMYLASE URINE TIME | $14.67 | $109.00 | $43.60–$87.20 | 37% below | 87% |
| Amylase blood test CPT 82150 AMYLASE RANDOM URINE | $14.67 | $109.00 | $43.60–$87.20 | 37% below | 87% |
| Amylase blood test CPT 82150 AMYLASE URINE 2HR | $14.67 | $109.00 | $43.60–$87.20 | 37% below | 87% |
| Amylase blood test CPT 82150 AMYLASE TOTAL | $14.67 | $140.00 | $56.00–$112.00 | 37% below | 90% |
| Amylase blood test CPT 82150 AMYLASE | $14.67 | $109.00 | $43.60–$87.20 | 37% below | 87% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $14.67 | $109.00 | $43.60–$87.20 | 37% below | 87% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CIT PEPTIDE AB | $29.35 | $23.00 | $9.20–$18.40 | 6% below | -28% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (A | $27.39 | $184.00 | $73.60–$147.20 | 1% below | 85% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $27.39 | $42.00 | $16.80–$33.60 | 1% below | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTICENTROMERE AB | $27.39 | $210.00 | $84.00–$168.00 | 1% below | 87% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $27.39 | $210.00 | $84.00–$168.00 | 1% below | 87% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $27.39 | $184.00 | $73.60–$147.20 | 1% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP | $88.97 | $346.00 | $138.40–$276.80 | 4% below | 74% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT BNP | $88.97 | $149.00 | $59.60–$119.20 | 4% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NASAL | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE UPPER RESPIRATOR | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL TRACT | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE STERILE BODY FL | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE (BACTERIA | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER SOURCE | $19.54 | $216.00 | $86.40–$172.80 | 71% below | 91% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $19.16 | $448.00 | $179.20–$358.40 | 81% below | 96% |
| Bilirubin blood test, total CPT 82247 VBG BILIRUBIN | $11.37 | $50.00 | $20.00–$40.00 | 57% below | 77% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN | $11.37 | $8.00 | $3.20–$6.40 | 57% below | -42% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL FLUID | $11.37 | $50.00 | $20.00–$40.00 | 57% below | 77% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $11.37 | $50.00 | $20.00–$40.00 | 57% below | 77% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL | $11.37 | $50.00 | $20.00–$40.00 | 57% below | 77% |
| Bilirubin blood test, total CPT 82247 CBG BILIRUBIN | $11.37 | $50.00 | $20.00–$40.00 | 57% below | 77% |
| Bilirubin blood test, total CPT 82247 ABG BILIRUBIN | $11.37 | $50.00 | $20.00–$40.00 | 57% below | 77% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV PATH EXAM GROSS | $81.75 | $794.00 | $317.60–$635.20 | 41% below | 90% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE QUANTITATN | $23.39 | $793.00 | $317.20–$634.40 | 84% below | 97% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $23.39 | $793.00 | $317.20–$634.40 | 84% below | 97% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $6.80 | — | $2.85–$14.24 | 63% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $8.91 | $62.00 | $24.80–$49.60 | 79% below | 86% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $8.91 | $62.00 | $24.80–$49.60 | 79% below | 86% |
| Blood lead test CPT 83655 HEAVY METAL LEAD URINE | $27.43 | $10.00 | $4.00–$8.00 | 6% above | -174% |
| Blood lead test CPT 83655 HEAVY METAL LEAD | $27.43 | $80.00 | $32.00–$64.00 | 6% above | 66% |
| Blood lead test CPT 83655 HEAVY METAL LEAD BLOOD | $27.43 | $7.00 | $2.80–$5.60 | 6% above | -292% |
| Blood lead test CPT 83655 LEAD BLOOD | $27.43 | $7.00 | $2.80–$5.60 | 6% above | -292% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM PREG QUAL | $17.05 | $139.00 | $55.60–$111.20 | 75% below | 88% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BODY FLUID | $8.95 | $159.00 | $63.60–$127.20 | 61% below | 94% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANT BLOO | $8.95 | $159.00 | $63.60–$127.20 | 61% below | 94% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $47.15 | $11.00 | $4.40–$8.80 | 24% below | -329% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $11.75 | $113.00 | $45.20–$90.40 | 68% below | 90% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD SGI CRP | $11.75 | $130.00 | $52.00–$104.00 | 68% below | 91% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $11.75 | $130.00 | $52.00–$104.00 | 68% below | 91% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN NAA | $84.46 | $225.00 | $90.00–$180.00 | at median | 62% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 SERUM | $47.15 | $11.00 | $4.40–$8.80 | 12% above | -329% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $47.15 | $11.00 | $4.40–$8.80 | 52% below | -329% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP | $116.27 | $43.00 | $17.20–$34.40 | 100% above | -170% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMPPB | $116.27 | $140.00 | $56.00–$112.00 | 100% above | 17% |
| Calcium blood test, total CPT 82310 CALCIUM RANDOM URINE | $11.68 | $73.00 | $29.20–$58.40 | 56% below | 84% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $11.68 | $73.00 | $29.20–$58.40 | 56% below | 84% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $42.97 | $11.00 | $4.40–$8.80 | 22% below | -291% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY IGM | $29.19 | $11.00 | $4.40–$8.80 | at median | -165% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IMMUNE SCRN | $29.19 | $16.00 | $6.40–$12.80 | at median | -82% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGG | $29.19 | $8.00 | $3.20–$6.40 | at median | -265% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROB | $79.51 | $22.00 | $8.80–$17.60 | 28% above | -261% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PRB | $79.51 | $204.00 | $81.60–$163.20 | 28% above | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA | $79.51 | $14.00 | $5.60–$11.20 | 28% above | -468% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DNA PROBE C. TRACHOMATIS | $79.51 | $230.00 | $92.00–$184.00 | 28% above | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $30.34 | $204.00 | $81.60–$163.20 | 40% below | 85% |
| Complete blood count (CBC) with differential CPT 85025 CBC & PLT (AUTO DIFF) | $17.60 | $190.00 | $76.00–$152.00 | 74% below | 91% |
| Complete blood count (CBC) with differential CPT 85025 CBC & PLATELET /AUTO DIFF | $17.60 | $190.00 | $76.00–$152.00 | 74% below | 91% |
| Complete blood count (CBC), no differential CPT 85027 CBC & PLATELET | $14.65 | $98.00 | $39.20–$78.40 | 69% below | 85% |
| Complete blood count (CBC), no differential CPT 85027 CBC & PLATELET /MAN DIFF | $14.65 | $98.00 | $39.20–$78.40 | 69% below | 85% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PNL | $23.94 | $1,115.00 | $446.00–$892.00 | 85% below | 98% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $36.94 | $198.00 | $79.20–$158.40 | 28% below | 81% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL SERUM | $36.94 | $220.00 | $88.00–$176.00 | 28% below | 83% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK) TOT | $14.76 | $112.00 | $44.80–$89.60 | 23% below | 87% |
| Creatinine blood test CPT 82565 CREATININE ENZYMATIC | $11.59 | $71.00 | $28.40–$56.80 | 51% below | 84% |
| Creatinine blood test CPT 82565 BG CREATININE POC | $11.59 | $71.00 | $28.40–$56.80 | 51% below | 84% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $11.59 | $71.00 | $28.40–$56.80 | 51% below | 84% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG | $32.60 | $10.00 | $4.00–$8.00 | 4% below | -226% |
| Cytomegalovirus (CMV) antibody test CPT 86644 BSL CMV | $32.60 | $15.00 | $6.00–$12.00 | 4% below | -117% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IG SONORA | $32.60 | $56.00 | $22.40–$44.80 | 4% below | 42% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ANTIBODY | $32.60 | $152.00 | $60.80–$121.60 | 4% below | 79% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $23.08 | $263.00 | $105.20–$210.40 | 77% below | 91% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (ELISA) | $23.08 | $300.00 | $120.00–$240.00 | 77% below | 92% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $50.38 | $11.00 | $4.40–$8.80 | 24% below | -358% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC TOTAL | $140.80 | $59.00 | $23.60–$47.20 | 67% above | -139% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN-INHOUSE | $140.80 | $277.00 | $110.80–$221.60 | 67% above | 49% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GS/MC SCREEN | $140.80 | $207.00 | $82.80–$165.60 | 67% above | 32% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM | $140.80 | $169.00 | $67.60–$135.20 | 67% above | 17% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UR SO(CLA) | $140.80 | $320.00 | $128.00–$256.00 | 67% above | 56% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN UR | $140.80 | $95.00 | $38.00–$76.00 | 67% above | -48% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN UR | $140.80 | $95.00 | $38.00–$76.00 | 67% above | -48% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PNL | $15.88 | $137.00 | $54.80–$109.60 | 77% below | 88% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA | $41.10 | $130.00 | $52.00–$104.00 | 44% above | 68% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGM | $41.10 | $8.00 | $3.20–$6.40 | 44% above | -414% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGG | $41.10 | $8.00 | $3.20–$6.40 | 44% above | -414% |
| Estradiol blood test CPT 82670 ESTRADIOL FREE | $63.32 | $210.00 | $84.00–$168.00 | 19% below | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL | $63.32 | $24.00 | $9.60–$19.20 | 19% below | -164% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORM | $42.11 | $10.00 | $4.00–$8.00 | 73% below | -321% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL | $44.48 | $90.00 | $36.00–$72.00 | 8% below | 51% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $30.89 | $213.00 | $85.20–$170.40 | 65% below | 85% |
| Fibrinogen blood test CPT 85384 TEG-FIBRINOGEN ACTIVITY | $22.02 | $175.00 | $70.00–$140.00 | 62% below | 87% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $22.02 | $175.00 | $70.00–$140.00 | 62% below | 87% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN SPECL COAG | $22.02 | $200.00 | $80.00–$160.00 | 62% below | 89% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $33.31 | $13.00 | $5.20–$10.40 | 69% below | -156% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 DIALYSIS | $38.39 | $190.00 | $76.00–$152.00 | 18% below | 80% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE (TRIDOTHYRONINE | $38.39 | $8.00 | $3.20–$6.40 | 18% below | -380% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE | $20.44 | $149.00 | $59.60–$119.20 | 67% below | 86% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $57.71 | $6.00 | $2.40–$4.80 | 13% below | -862% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYLTRANSFERASE | $16.32 | $92.00 | $36.80–$73.60 | 63% below | 82% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOS | $10.76 | $114.00 | $45.60–$91.20 | 88% below | 91% |
| Glucose tolerance test, 3 samples CPT 82951 3 SPECIMEN TOLERANCE | $29.17 | $130.00 | $52.00–$104.00 | 72% below | 78% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEA DNA AMP PROB | $79.51 | $14.00 | $5.60–$11.20 | 43% above | -468% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY TMA | $79.51 | $11.00 | $4.40–$8.80 | 43% above | -623% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DNA PROBE N. GONORRHEAE | $79.51 | $220.00 | $88.00–$176.00 | 43% above | 64% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PRB | $79.51 | $204.00 | $81.60–$163.20 | 43% above | 61% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PRB | $79.51 | $20.00 | $8.00–$16.00 | 43% above | -298% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB | $38.19 | $90.00 | $36.00–$72.00 | 3% below | 58% |
| H. pylori stool antigen test CPT 87338 H-PYLORI ANTIG STOOL | $32.58 | $119.00 | $47.60–$95.20 | 26% below | 73% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT PLASMA | $192.83 | $89.00 | $35.60–$71.20 | 57% above | -117% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 BSL HIV 1 NAT | $192.83 | $450.00 | $180.00–$360.00 | 57% above | 57% |
| HIV-1 and HIV-2 antibody test CPT 86703 BSL HIV 1/2 | $31.06 | $27.00 | $10.80–$21.60 | 45% below | -15% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1HIV-2 ANTIBODY SCRN | $31.06 | $180.00 | $72.00–$144.00 | 45% below | 83% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY I/II | $31.06 | $86.00 | $34.40–$68.80 | 45% below | 64% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV I/II RAPID POC | $31.06 | $86.00 | $34.40–$68.80 | 45% below | 64% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB COMBO | $54.56 | $195.00 | $78.00–$156.00 | 21% above | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB 4TH GEN | $54.56 | $53.00 | $21.20–$42.40 | 21% above | -3% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $79.51 | — | $33.34–$266.11 | 39% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN A1C | $22.00 | $127.00 | $50.80–$101.60 | 59% below | 83% |
| Hemoglobin blood test CPT 85018 VBG HEMOGLOBIN | $5.37 | $57.00 | $22.80–$45.60 | 72% below | 91% |
| Hemoglobin blood test CPT 85018 ABG HEMOGLOBIN | $5.37 | $57.00 | $22.80–$45.60 | 72% below | 91% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $5.37 | $57.00 | $22.80–$45.60 | 72% below | 91% |
| Hemoglobin blood test CPT 85018 CBG HEMOGLOBIN | $5.37 | $57.00 | $22.80–$45.60 | 72% below | 91% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTA | $27.30 | $9.00 | $3.60–$7.20 | 11% below | -203% |
| Hepatitis B core antibody test (total) CPT 86704 BSL HBC | $27.30 | $15.00 | $6.00–$12.00 | 11% below | -82% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB QN | $24.33 | $9.00 | $3.60–$7.20 | 53% below | -170% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $24.33 | $200.00 | $80.00–$160.00 | 53% below | 88% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB | $24.33 | $176.00 | $70.40–$140.80 | 53% below | 86% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG | $23.41 | $32.00 | $12.80–$25.60 | 56% below | 27% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 BSL HBSAG | $23.41 | $15.00 | $6.00–$12.00 | 56% below | -56% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG | $23.41 | $232.00 | $92.80–$185.60 | 56% below | 90% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $32.34 | $386.00 | $154.40–$308.80 | 36% below | 92% |
| Hepatitis C antibody blood test (screening) CPT 86803 BSL HCV | $32.34 | $15.00 | $6.00–$12.00 | 36% below | -116% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $97.09 | $80.00 | $32.00–$64.00 | 9% above | -21% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGM TITER | $29.90 | $120.00 | $48.00–$96.00 | 6% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV IGM TYPE 1 | $29.90 | $120.00 | $48.00–$96.00 | 6% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES ANTIBODY TYPE I | $29.90 | $9.00 | $3.60–$7.20 | 6% below | -232% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGM TITER | $43.85 | $150.00 | $60.00–$120.00 | 31% above | 71% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES ANTIBODY TYPE II | $43.85 | $9.00 | $3.60–$7.20 | 31% above | -387% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV IGM TYPE 2 | $43.85 | $150.00 | $60.00–$120.00 | 31% above | 71% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $29.35 | — | $12.30–$75.56 | 58% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $40.61 | $15.00 | $6.00–$12.00 | 71% below | -171% |
| Insulin blood test CPT 83525 INSULIN SERUM | $25.89 | $8.00 | $3.20–$6.40 | 13% below | -224% |
| Iron blood test (serum iron) CPT 83540 IRON | $14.65 | $109.00 | $43.60–$87.20 | 65% below | 87% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $19.80 | $100.00 | $40.00–$80.00 | 81% below | 80% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PNL | $19.67 | $260.00 | $104.00–$208.00 | 80% below | 92% |
| LH (luteinizing hormone) test CPT 83002 LH 3RD GENERATION | $41.98 | $15.00 | $6.00–$12.00 | 55% below | -180% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $41.98 | $9.00 | $3.60–$7.20 | 55% below | -366% |
| Lactate (lactic acid) blood test CPT 83605 CBG LACTIC ACID | $26.22 | $448.00 | $179.20–$358.40 | 48% below | 94% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $26.22 | $448.00 | $179.20–$358.40 | 48% below | 94% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE CSF | $26.22 | $110.00 | $44.00–$88.00 | 48% below | 76% |
| Lactate (lactic acid) blood test CPT 83605 ABG LACTIC ACID | $26.22 | $448.00 | $179.20–$358.40 | 48% below | 94% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $26.22 | $448.00 | $179.20–$358.40 | 48% below | 94% |
| Lactate (lactic acid) blood test CPT 83605 VBG LACTIC ACID | $26.22 | $448.00 | $179.20–$358.40 | 48% below | 94% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD TOTAL BF | $13.68 | $8.00 | $3.20–$6.40 | 65% below | -71% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD | $13.68 | $94.00 | $37.60–$75.20 | 65% below | 85% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE BO | $13.68 | $94.00 | $37.60–$75.20 | 65% below | 85% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE CS | $13.68 | $94.00 | $37.60–$75.20 | 65% below | 85% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD TOTAL | $13.68 | $11.00 | $4.40–$8.80 | 65% below | -24% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $15.62 | $173.00 | $69.20–$138.40 | 77% below | 91% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID | $15.62 | $173.00 | $69.20–$138.40 | 77% below | 91% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL | $18.52 | $214.00 | $85.60–$171.20 | 82% below | 91% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGM | $38.59 | $90.00 | $36.00–$72.00 | 5% above | 57% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGG | $38.59 | $90.00 | $36.00–$72.00 | 5% above | 57% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE TIMED | $15.18 | $265.00 | $106.00–$212.00 | 24% below | 94% |
| Magnesium blood test CPT 83735 MAGNESIUM | $15.18 | $265.00 | $106.00–$212.00 | 24% below | 94% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM | $15.18 | $265.00 | $106.00–$212.00 | 24% below | 94% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG | $29.19 | $9.00 | $3.60–$7.20 | 47% above | -224% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IMMUNE SCRN IG | $29.19 | $18.00 | $7.20–$14.40 | 47% above | -62% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGM | $29.19 | $14.00 | $5.60–$11.20 | 47% above | -109% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE SCRN (MONOS | $11.75 | $112.00 | $44.80–$89.60 | 83% below | 90% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT, POC | $11.75 | $112.00 | $44.80–$89.60 | 83% below | 90% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGG | $29.57 | $8.00 | $3.20–$6.40 | 6% below | -270% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGM | $29.57 | $10.00 | $4.00–$8.00 | 6% below | -196% |
| Mumps immunity blood test CPT 86735 MUMPS IMMUNE SCREEN | $29.57 | $16.00 | $6.40–$12.80 | 6% below | -85% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $108.33 | — | $45.42–$278.95 | 82% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $41.67 | — | $17.47–$107.36 | 32% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $41.67 | — | $17.47–$107.36 | 47% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $60.30 | — | $25.28–$209.41 | 37% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $45.91 | — | $19.25–$159.39 | 43% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT (ICMA) | $93.54 | $341.00 | $136.40–$272.80 | 22% below | 73% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH (ICMA) | $93.54 | $370.00 | $148.00–$296.00 | 22% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT REF LAB | $13.62 | $12.00 | $4.80–$9.60 | 60% below | -14% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT RATIO TREATED | $13.62 | $34.00 | $13.60–$27.20 | 60% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PART | $13.62 | $132.00 | $52.80–$105.60 | 60% below | 90% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT BASELINE | $13.62 | $150.00 | $60.00–$120.00 | 60% below | 91% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC BL | $10.74 | $238.00 | $95.20–$190.40 | 62% below | 95% |
| Potassium blood test CPT 84132 CBG POTASSIUM | $10.78 | $89.00 | $35.60–$71.20 | 64% below | 88% |
| Potassium blood test CPT 84132 POTASSIUM BLOOD | $10.78 | $89.00 | $35.60–$71.20 | 64% below | 88% |
| Potassium blood test CPT 84132 ABG POTASSIUM | $10.78 | $89.00 | $35.60–$71.20 | 64% below | 88% |
| Potassium blood test CPT 84132 VBG POTASSIUM | $10.78 | $89.00 | $35.60–$71.20 | 64% below | 88% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $1,720.00 | — | $721.10–$5,017.14 | 33% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $47.28 | $150.00 | $60.00–$120.00 | 54% below | 68% |
| Prolactin blood test CPT 84146 PROLACTIN | $43.91 | $12.00 | $4.80–$9.60 | 45% below | -266% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.72 | $85.00 | $34.00–$68.00 | 66% below | 89% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT BASELINE | $9.72 | $100.00 | $40.00–$80.00 | 66% below | 90% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT REF LAB | $9.72 | $6.00 | $2.40–$4.80 | 66% below | -62% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $28.56 | — | $11.97–$73.55 | 69% above | — |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA TEST | $37.51 | $200.00 | $80.00–$160.00 | 34% above | 81% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP GROUP A RAPID | $37.47 | $111.00 | $44.40–$88.80 | 1% below | 66% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP GRP A RAPID | $37.47 | $111.00 | $44.40–$88.80 | 1% below | 66% |
| Renin blood test CPT 84244 RENIN | $49.83 | $16.00 | $6.40–$12.80 | 24% below | -211% |
| Rh blood typing CPT 86901 POST RH | $6.78 | $85.00 | $34.00–$68.00 | 83% below | 92% |
| Rh blood typing CPT 86901 PRE RH | $6.78 | $85.00 | $34.00–$68.00 | 83% below | 92% |
| Rh blood typing CPT 86901 RH | $6.78 | $85.00 | $34.00–$68.00 | 83% below | 92% |
| Rh blood typing CPT 86901 BSL RH | $6.78 | $15.00 | $6.00–$12.00 | 83% below | 55% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGA | $12.85 | $75.00 | $30.00–$60.00 | 19% below | 83% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGM | $12.85 | $75.00 | $30.00–$60.00 | 19% below | 83% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $12.85 | $75.00 | $30.00–$60.00 | 19% below | 83% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGM | $32.60 | $9.00 | $3.60–$7.20 | 8% above | -262% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG | $32.60 | $90.00 | $36.00–$72.00 | 8% above | 64% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $32.60 | $9.00 | $3.60–$7.20 | 8% above | -262% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE SCRN IG | $32.60 | $18.00 | $7.20–$14.40 | 8% above | -81% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE WESTE | $6.12 | $83.00 | $33.20–$66.40 | 89% below | 93% |
| Sodium blood test CPT 84295 VBG SODIUM | $10.89 | $79.00 | $31.60–$63.20 | 58% below | 86% |
| Sodium blood test CPT 84295 SODIUM BLOOD | $10.89 | $79.00 | $31.60–$63.20 | 58% below | 86% |
| Sodium blood test CPT 84295 ABG SODIUM | $10.89 | $79.00 | $31.60–$63.20 | 58% below | 86% |
| Sodium blood test CPT 84295 CBG SODIUM | $10.89 | $79.00 | $31.60–$63.20 | 58% below | 86% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES EXAM | $20.17 | $60.00 | $24.00–$48.00 | 30% below | 66% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $9.92 | — | $4.16–$25.54 | 67% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $36.08 | — | $15.12–$92.91 | 73% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 BSL SYPHILIS MHA-TP | $30.01 | $15.00 | $6.00–$12.00 | at median | -100% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $30.01 | $11.00 | $4.40–$8.80 | at median | -173% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $9.68 | $6.00 | $2.40–$4.80 | 27% below | -61% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR RAPID PLASMA REAGIN | $9.68 | $6.00 | $2.40–$4.80 | 27% below | -61% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $140.45 | $40.00 | $16.00–$32.00 | 48% above | -251% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY TOTAL TESTOSTERONE | $58.48 | $12.00 | $4.80–$9.60 | 45% above | -387% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $58.48 | $15.00 | $6.00–$12.00 | 45% above | -290% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $32.98 | $18.00 | $7.20–$14.40 | 34% above | -83% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME AB | $32.98 | $14.00 | $5.60–$11.20 | 34% above | -136% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMO | $38.06 | $240.00 | $96.00–$192.00 | 57% below | 84% |
| Total IgE blood test CPT 82785 IGE TOTAL | $37.29 | $130.00 | $52.00–$104.00 | 15% above | 71% |
| Total IgE blood test CPT 82785 IGE | $37.29 | $130.00 | $52.00–$104.00 | 15% above | 71% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM | $9.86 | $190.00 | $76.00–$152.00 | 65% below | 95% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BLOOD | $9.86 | $143.00 | $57.20–$114.40 | 65% below | 93% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL | $15.58 | $131.00 | $52.40–$104.80 | 57% below | 88% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $15.58 | $200.00 | $80.00–$160.00 | 57% below | 92% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $32.14 | $7.00 | $2.80–$5.60 | 71% below | -359% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $28.91 | $23.00 | $9.20–$18.40 | 50% below | -26% |
| Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA | $79.51 | $60.00 | $24.00–$48.00 | 44% above | -33% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE BODY FLUID | $13.00 | $129.00 | $51.60–$103.20 | 45% below | 90% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $13.00 | $129.00 | $51.60–$103.20 | 45% below | 90% |
| Triglycerides blood test CPT 84478 TRYGLYCERIDES, FLUID | $13.00 | $9.00 | $3.60–$7.20 | 45% below | -44% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $28.25 | $278.00 | $111.20–$222.40 | 64% below | 90% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $10.25 | $119.00 | $47.60–$95.20 | 77% below | 91% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $7.19 | $80.00 | $32.00–$64.00 | 84% below | 91% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MC | $7.19 | $80.00 | $32.00–$64.00 | 84% below | 91% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $7.19 | $80.00 | $32.00–$64.00 | 84% below | 91% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON-AUTO W/MICRO | $9.11 | $46.00 | $18.40–$36.80 | 54% below | 80% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NON-AUTO W/MC | $9.11 | $46.00 | $18.40–$36.80 | 54% below | 80% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO | $5.10 | $66.00 | $26.40–$52.80 | 79% below | 92% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO | $5.10 | $66.00 | $26.40–$52.80 | 79% below | 92% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $5.10 | $66.00 | $26.40–$52.80 | 79% below | 92% |
| Urinalysis without microscope exam, automated CPT 81003 PH- URINE | $5.10 | $66.00 | $26.40–$52.80 | 79% below | 92% |
| Urinalysis without microscope exam, automated CPT 81003 KETONE URINE | $5.10 | $66.00 | $26.40–$52.80 | 79% below | 92% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY | $5.10 | $66.00 | $26.40–$52.80 | 79% below | 92% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $7.88 | $44.00 | $17.60–$35.20 | 9% above | 82% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $18.28 | $133.00 | $53.20–$106.40 | 73% below | 86% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URIN | $13.09 | $140.00 | $56.00–$112.00 | 50% below | 91% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE | $13.09 | $2.00 | $0.80–$1.60 | 50% below | -555% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUL CLR | $19.51 | $119.00 | $47.60–$95.20 | 57% below | 84% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL | $34.17 | $9.00 | $3.60–$7.20 | 55% below | -280% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $34.17 | $9.00 | $3.60–$7.20 | 55% below | -280% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH | $67.08 | $204.00 | $81.60–$163.20 | 4% below | 67% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 DIHYDROXY | $87.25 | $24.00 | $9.60–$19.20 | at median | -264% |
| Zinc blood test CPT 84630 ZINC TIMED URINE | $25.81 | $110.00 | $44.00–$88.00 | 4% above | 77% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $25.81 | $20.00 | $8.00–$16.00 | 4% above | -29% |
| Zinc blood test CPT 84630 ZINC BLOOD | $25.81 | $7.00 | $2.80–$5.60 | 4% above | -269% |
| Zinc blood test CPT 84630 ZINC URINE | $25.81 | $110.00 | $44.00–$88.00 | 4% above | 77% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TOTAL CSF | $34.10 | $17.00 | $6.80–$13.60 | 12% below | -101% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE ONCO | $34.10 | $280.00 | $112.00–$224.00 | 12% below | 88% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC Q | $34.10 | $220.00 | $88.00–$176.00 | 12% below | 85% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $36,011.71 | — | $8,481.79–$36,011.71 | 76% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LES STRTAC GD | $4,114.46 | $3,327.00 | $1,330.80–$2,661.60 | 31% above | -24% |
| Catheter ablation for atrial fibrillation CPT 93656 EPS EVAL COMPLETE | $62,767.80 | $40,082.00 | $16,032.80–$32,065.60 | 82% above | -57% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $29,368.28 | — | $6,452.43–$29,368.28 | 110% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMVE IMPACTED EARWAX-UNI | $162.76 | $866.00 | $346.40–$692.80 | 63% below | 81% |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPCT CERUMEN | $162.76 | $1,496.00 | $598.40–$1,196.80 | 53% below | 89% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ THER CERV/THOR W/ IMG | $1,855.72 | $1,987.00 | $794.80–$1,589.60 | 32% above | 7% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $10,357.58 | — | $2,192.57–$10,357.58 | 2% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $10,357.58 | — | $2,192.57–$10,357.58 | 7% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $10,357.58 | $1,480.00 | $592.00–$1,184.00 | 19% below | -600% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $36,011.71 | — | $8,481.79–$36,011.71 | 129% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELVR IMPLANT | $327.36 | $681.00 | $272.40–$544.80 | 38% above | 52% |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE | $26,048.42 | — | $6,135.15–$26,048.42 | — | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $9,170.24 | — | $2,159.85–$13,000.06 | 94% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ THRPTIC/LUMB/W IMAGE | $1,855.72 | $2,324.00 | $929.60–$1,859.20 | 41% above | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ THRPTIC/LUMB/WO IMAGE | $1,855.72 | $1,892.00 | $756.80–$1,513.60 | 71% above | 2% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $36,011.71 | — | $10,929.17–$36,011.71 | 8% above | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM | $46,402.73 | — | $10,929.17–$46,402.73 | 23% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $26,048.42 | — | $6,135.15–$26,048.42 | 100% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNGL LESION | $1,011.32 | $720.00 | $288.00–$576.00 | 62% above | -40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANG BX SKIN SNGL LESION | $525.03 | $425.00 | $170.00–$340.00 | 5% above | -24% |
| Thoracentesis with imaging guidance CPT 32555 THORACENT W/IMAGE UNI | $1,583.82 | $3,048.00 | $1,219.20–$2,438.40 | 53% above | 48% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $36,011.71 | — | $8,481.79–$36,011.71 | 59% above | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $36,011.71 | — | $8,481.79–$36,011.71 | 52% above | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $36,011.71 | — | $8,481.79–$36,011.71 | 37% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BRST 1ST LES W/US&IMG | $4,114.46 | $3,327.00 | $1,330.80–$2,661.60 | 101% above | -24% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> | $347.25 | — | $56.05–$926.63 | 116% above | — |
| Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> | $347.25 | — | $51.30–$725.64 | 86% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREH HEARING EVAL | $408.08 | $655.00 | $262.00–$524.00 | 26% below | 38% |
| Critical care, first 30 to 74 minutes CPT 99291 LEV 6 CRITCARE<74MIN | $2,025.58 | $14,124.00 | $889.95–$5,618.00 | 4% below | 86% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEV 1 ED VISIT | $213.58 | $716.00 | $94.07–$3,393.63 | 18% below | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEV 2 ED VISIT | $348.02 | $1,489.00 | $153.28–$3,393.63 | 7% below | 77% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEV 3 ED VISIT | $693.42 | $2,405.00 | $305.42–$3,393.63 | 7% above | 71% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEV 4 ED VISIT | $1,109.44 | $3,909.00 | $488.66–$3,393.63 | 2% below | 72% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEV 5 ED VISIT | $1,667.31 | $6,405.00 | $734.38–$3,393.63 | at median | 74% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS EKG REC | $773.34 | $2,438.00 | $975.20–$1,950.40 | 25% above | 68% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG DURING STRESS TEST | $773.34 | $2,438.00 | $975.20–$1,950.40 | 25% above | 68% |
| Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT | $347.25 | — | $39.42–$472.48 | 157% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $390.76 | $551.00 | $220.40–$440.80 | 138% above | 29% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50MN | $390.76 | $473.00 | $189.20–$378.40 | 152% above | 17% |
| Group psychotherapy session CPT 90853 GROUP THERAPY | $218.94 | $202.00 | $80.80–$161.60 | 67% above | -8% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVALUATION | $390.76 | $572.00 | $228.80–$457.60 | 91% above | 32% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EG NCV 7-8 STUDIES | $773.34 | $2,031.00 | $812.40–$1,624.80 | 287% above | 62% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EG NVC 7-8 STUDIES | $773.34 | $2,031.00 | $812.40–$1,624.80 | 287% above | 62% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEV 3 | $219.98 | $267.00 | $106.80–$213.60 | 18% above | 18% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEV 4 | $219.98 | $351.00 | $140.40–$280.80 | 2% below | 37% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEV 5 | $219.98 | $520.00 | $208.00–$416.00 | 22% below | 58% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEV 2 | $219.98 | $203.00 | $81.20–$162.40 | 69% above | -8% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $540.76 | — | $25.85–$540.76 | 281% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DX EVAL W/MED SRVCS | $390.76 | $590.00 | $236.00–$472.00 | 75% above | 34% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVL PHYS 1ST | $773.34 | $910.00 | $364.00–$728.00 | 114% above | 15% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $390.76 | $372.00 | $148.80–$297.60 | 152% above | -5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $390.76 | $388.00 | $155.20–$310.40 | 122% above | -1% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $390.76 | $569.00 | $227.60–$455.20 | 98% above | 31% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEV 5 | $219.98 | $390.00 | $156.00–$312.00 | 1% below | 44% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEV 3 | $219.98 | $211.00 | $84.40–$168.80 | 48% above | -4% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEV 4 | $219.98 | $293.00 | $117.20–$234.40 | 7% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEV 2 | $219.98 | $117.00 | $46.80–$93.60 | 60% above | -88% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $408.08 | $504.00 | $201.60–$403.20 | 130% above | 19% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLN | $773.34 | $871.00 | $348.40–$696.80 | 80% above | 11% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY TX | $327.36 | $693.00 | $277.20–$554.40 | 33% above | 53% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $408.23 | — | $83.49–$480.10 | 131% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine 0.5 mL Inj | $624.82 | $7,246.00 | $2,712.18–$7,246.00 | 197% above | 91% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $624.82 | $0.01 | $0.01 | 197% above | -6248100% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine 1:100 Dilution | $624.82 | $14,492.00 | $5,424.36–$14,492.00 | 197% above | 96% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine VFC 0.5 mL | $624.82 | $61.73 | $23.11–$61.73 | 197% above | -912% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 KINRIX VACCINE | $460.31 | $0.01 | $0.01 | 373% above | -4603000% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP/IPV VFC Vaccine 0.5 mL (Kinrix VFC) | $460.31 | $64.34 | $24.08–$64.34 | 373% above | -615% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP/IPV Vaccine 0.5 mL (Kinrix) | $460.31 | $405.00 | $151.59–$405.00 | 373% above | -14% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTaP/IPV VFC Vaccine 0.5 mL (Quadracel VFC) | $460.31 | $77.48 | $29.00–$77.48 | 373% above | -494% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria Tet Acell Pertuss (DTaP) Vaccine 0.5 mL (Daptacel) | $216.11 | $267.00 | $99.94–$267.00 | 223% above | 19% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $216.11 | $0.01 | $0.01 | 223% above | -2161000% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria Tet Acell Pertuss(DTaP) VFC Vaccine 0.5 mL (Daptacel VFC) | $216.11 | $42.44 | $15.89–$42.44 | 223% above | -409% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria Tet Acell Pertuss (DTaP) Vaccine 1:100 Dilution | $216.11 | $267.00 | $99.94–$267.00 | 223% above | 19% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria Tetanus Acell Pertuss VFC Vaccine 0.5 mL (Infanrix VFC) | $216.11 | $35.51 | $13.29–$35.51 | 223% above | -509% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria Tetanus Acell Pertuss Vaccine 0.5 mL (Infanrix) | $216.11 | $224.00 | $83.84–$224.00 | 223% above | 4% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM | $473.48 | $0.01 | $0.01 | 48% above | -4734700% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTaP/IPV/Hep B Vaccine 0.5 mL Inj | $473.48 | $783.00 | $293.08–$783.00 | 48% above | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTaP/IPV/Hib Vaccine VFC 0.5 mL (Pentacel VFC) | $432.54 | $61.83 | $23.14–$61.83 | 432% above | -600% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $432.54 | $0.01 | $0.01 | 432% above | -4325300% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTaP/IPV/Hib Vaccine 0.5 mL (Pentacel) | $432.54 | $389.00 | $145.60–$389.00 | 432% above | -11% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTaP/IPV/HiB/HepB Vaccine 0.5 mL Inj (Vaxelis) | $514.67 | $1,101.00 | $412.10–$1,101.00 | 224% above | 53% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACC IM | $514.67 | $0.01 | $0.01 | 224% above | -5146600% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Meningococcal polysacc vaccine VFC 0.5 mL | $514.67 | $73.83 | $27.63–$73.83 | 224% above | -597% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTaP/IPV/HiB/HepB Vaccine VFC 0.5 mL (Vaxelis) | $514.67 | $175.01 | $65.51–$175.01 | 224% above | -194% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 meningococcal polysaccharide vaccine | $514.67 | $465.00 | $174.05–$465.00 | 224% above | -11% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACC 6-35 MO PF | $313.61 | $0.01 | $0.01 | 1% above | -3136000% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine 0.5 mL Inj (Fluarix) VFC trivalent | $149.16 | $23.53 | $8.81–$23.53 | 105% above | -534% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV .5ML IM | $149.16 | $0.01 | $0.01 | 105% above | -1491500% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine Trivalent 1:100 Dilution (skin test) | $149.16 | $314.00 | $117.53–$314.00 | 105% above | 52% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine 0.5 mL Inj (Fluzone) VFC trivalent | $149.16 | $49.81 | $18.64–$49.81 | 105% above | -199% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine 0.5 mL Inj trivalent | $149.16 | $157.00 | $58.77–$157.00 | 105% above | 5% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human papillomavirus vaccine 9-valent inj | $2,099.99 | $2,484.00 | $929.76–$2,484.00 | 401% above | 15% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $2,099.99 | $0.01 | $0.01 | 401% above | -20999800% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human papillomavirus VFC vaccine 9-valent 0.5 mL | $2,099.99 | $194.81 | $72.92–$194.81 | 401% above | -978% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $473.48 | — | $125.81–$1,157.80 | 277% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A ped vaccine 720 units/0.5 mL PF Inj (Havrix) | $268.86 | $296.00 | $110.79–$296.00 | 196% above | 9% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A ped vaccine VFC 720 units/0.5 mL PF Susp (Havrix VFC) | $268.86 | $46.95 | $17.57–$46.95 | 196% above | -473% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A ped vaccine VFC 25 units/0.5 mL Inj (Vaqta VFC) | $311.06 | $47.84 | $17.91–$47.84 | 546% above | -550% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP VACC PED/ADOL 2DOS IM | $311.06 | $0.01 | $0.01 | 546% above | -3110500% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A ped vaccine 25 units/0.5 mL Inj (Vaqta) | $311.06 | $301.00 | $112.66–$301.00 | 546% above | -3% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $269.68 | — | $66.86–$635.79 | 230% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $582.71 | — | $168.68–$1,357.10 | 163% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 PED/ADOL IM | $110.20 | $0.01 | $0.01 | 74% above | -1101900% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Ped vaccine 5 MCG/0.5 mL VFC | $110.20 | $34.97 | $13.09–$34.97 | 74% above | -215% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Ped Vaccine 5 MCG/0.5 mL Inj | $110.20 | $220.00 | $82.35–$220.00 | 74% above | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Ped Vaccine 10 MCG/0.5 mL Inj | $110.20 | $164.00 | $61.39–$164.00 | 74% above | 33% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus B Conj (PRP-OMP) Vaccine 0.5 mL Inj - VFC | $224.66 | $37.62 | $14.08–$37.62 | 308% above | -497% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus B Conj (PRP-OMP) Vaccine 0.5 mL Inj | $224.66 | $237.00 | $88.71–$237.00 | 308% above | 5% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 IM | $224.66 | $0.01 | $0.01 | 308% above | -2246500% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus B Conj Vaccine 0.5 mL Inj | $48.16 | $1,084.00 | $405.74–$1,084.00 | 30% above | 96% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 IM | $48.16 | $0.01 | $0.01 | 30% above | -481500% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCRSD AG IM | $282.11 | $0.01 | $0.01 | 319% above | -2821000% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Virus Vaccine 0.5 mL Inj (Fluzone High-Dose) | $282.11 | $20.95 | $7.84–$20.95 | 319% above | -1247% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/mumps/rubella virus vaccine 0.5 mL Inj | $349.78 | $369.00 | $138.12–$369.00 | 132% above | 5% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/mumps/rubella virus vaccine 1:100 Dilution | $349.78 | $696.00 | $260.51–$696.00 | 132% above | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $349.78 | $0.01 | $0.01 | 132% above | -3497700% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles/mumps/rubella/varicella vaccine 0.5 mL Inj | $516.30 | $1,090.00 | $407.99–$1,090.00 | 101% above | 53% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC | $516.30 | $0.01 | $0.01 | 101% above | -5162900% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (MenACWY-D) (Menactra) | $579.85 | $1,069.00 | $400.13–$1,069.00 | 65% above | 46% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (MenACWY-CRM) (Menveo) - VFC | $579.85 | $0.90 | $0.34–$0.90 | 65% above | -64328% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (MenACWY-CRM) (Menveo) | $579.85 | $630.00 | $235.81–$630.00 | 65% above | 8% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENCWYCRM VAC IM | $579.85 | $0.01 | $0.01 | 65% above | -5798400% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (MenACWY-D) (Menactra) - VFC | $579.85 | $169.89 | $63.59–$169.89 | 65% above | -241% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM | $1,219.33 | $0.01 | $0.01 | 102% above | -12193200% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal (MenACWY-TT) (Menquadfi) - VFC | $1,219.33 | $206.36 | $77.24–$206.36 | 102% above | -491% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal (MenACWY-TT) (Menquadfi) | $1,219.33 | $1,299.00 | $486.22–$1,299.00 | 102% above | 6% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $1,650.90 | $0.01 | $0.01 | 310% above | -16508900% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal B (MenB-4C) (Bexsero) Inj | $1,650.90 | $1,790.00 | $670.00–$1,790.00 | 310% above | 8% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal B (MenB-4C) (Bexsero) - VFC | $1,650.90 | $284.55 | $106.51–$284.55 | 310% above | -480% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $1,403.73 | — | $196.95–$1,813.74 | 229% above | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 FLUMIST VACC | $92.77 | $0.01 | $0.01 | 51% above | -927600% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13 Conj Vaccine 0.5 mL Inj | $988.57 | $1,709.00 | $639.68–$1,709.00 | 396% above | 42% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM | $943.38 | — | $248.09–$2,044.58 | 643% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $1,087.15 | $0.01 | $0.01 | 96% above | -10871400% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20 Conj Vaccine 0.5 mL Inj VFC | $1,087.15 | $328.62 | $123.00–$328.62 | 96% above | -231% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20 Conj Vaccine 0.5 mL Inj | $1,087.15 | $2,068.00 | $774.05–$2,068.00 | 96% above | 47% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23 -polyvalent vaccine 0.5 mL VFC | $511.46 | $140.50 | $52.59–$140.50 | 505% above | -264% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC 2 YRS+ SUBQ/IM | $511.46 | $0.01 | $0.01 | 505% above | -5114500% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23-polyvalent vaccine 0.5 mL Inj | $511.46 | $884.00 | $330.88–$884.00 | 505% above | 42% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated 1:100 Dilution | $31.66 | $321.00 | $120.15–$321.00 | 33% below | 90% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated 0.5 mL Inj VFC | $31.66 | $31.49 | $11.79–$31.49 | 33% below | -1% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM | $31.66 | $0.01 | $0.01 | 33% below | -316500% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated 0.5 mL Inj | $31.66 | $199.00 | $74.49–$199.00 | 33% below | 84% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine human diploid 2.5 units/1 mL Inj - CMS | $1,146.20 | $3,406.00 | $1,274.87–$3,406.00 | 213% above | 66% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine 2.5 intl units/1 mL Inj (RabAvert) | $1,146.20 | $3,281.00 | $1,228.08–$3,281.00 | 213% above | 65% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine human diploid 2.5 units/1 mL Inj (Imovax) | $1,146.20 | $20.95 | $7.84–$20.95 | 213% above | -5371% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $1,146.20 | $0.01 | $0.01 | 213% above | -11461900% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL | $526.04 | — | $117.52–$1,322.08 | 368% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus vaccine Live VFC | $181.87 | $118.43 | $44.33–$118.43 | 97% above | -54% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus vaccine Live | $181.87 | $775.00 | $290.08–$775.00 | 97% above | 77% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $181.87 | $0.01 | $0.01 | 97% above | -1818600% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $716.83 | — | $204.73–$2,163.10 | 160% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-diphth toxoids (Td) 5 units-2 units/0.5 mL Inj | $106.44 | $20.95 | $7.84–$20.95 | 6% above | -408% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC NO PRESV 7 YRS+ IM | $106.44 | $0.01 | $0.01 | 6% above | -1064300% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphth toxoids (Td) 2 units-2 units/0.5 mL Inj | $106.44 | $20.40 | $7.64–$20.40 | 6% above | -422% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet/diph/pertuss VFC (Tdap) adult/adol 0.5 mL Inj (Adacel VFC) | $143.68 | $56.95 | $21.32–$56.95 | 18% above | -152% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $143.68 | $0.01 | $0.01 | 18% above | -1436700% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet/diph/pertuss (Tdap) adult/adol Inj (Boostrix) | $143.68 | $368.00 | $137.74–$368.00 | 18% above | 61% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet/diph/pertuss (Tdap) adult/adol 0.5 mL Inj (Adacel) | $143.68 | $372.00 | $139.24–$372.00 | 18% above | 61% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 1:100 Dilution (Skin Test) | $143.68 | $359.00 | $134.37–$359.00 | 18% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 1:10 Dilution (Skin Test) | $143.68 | $359.00 | $134.37–$359.00 | 18% above | 60% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine 25 MCG/0.5 mL inj | $659.03 | $2,324.00 | $869.87–$2,324.00 | 113% above | 72% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $659.03 | $0.01 | $0.01 | 113% above | -6590200% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VACCINE ORAL | $96.95 | — | $90.25–$1,156.35 | — | — |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ | $702.06 | — | $176.58–$1,798.88 | — | — |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony | $4,075.06 | — | $959.79–$4,075.06 | — | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr | $4,075.06 | — | $959.79–$4,075.06 | — | — |
Source file: https://phoenixchildrens.pt.panaceainc.com/MRFDownload/phoenixchildrens/phoenixchildrens