Hospital

Osborne County Memorial Hospital

Osborne County Memorial Hospital in Osborne, KS publishes cash prices for 278 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 Kansas median for 140 of 274 procedures and above it for 125. By typical cash price it ranks #35 of 65 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

237 W Harrison Street Suite 100, Osborne, KS 67473 Collected Sep 27, 2026 Source price file (785) 346-2121

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171364 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Osborne County Memorial Hospital in Osborne, KS:

  • Apr 10, 2023 Met requirements
  • Aug 20, 2024 Warning notice
  • Sep 3, 2024 Case closed

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. 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

ProcedureCash price List priceInsurers payvs KansasOff list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Xr Ankle Complete Bilateral $181.00 $213.00 $23.00–$202.00 — 15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete Left $164.00 $193.00 $23.00–$183.00 26% below 15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Ankle Brachial Index $654.00 $769.00 $515.00–$731.00 8% above 15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagus $337.00 $397.00 $266.00–$377.00 25% below 15%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body $848.00 $998.00 $669.00–$948.00 23% below 15%
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Left Complete $196.00 $231.00 $78.00–$219.00 21% below 15%
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Right Complete $196.00 $231.00 $78.00–$219.00 21% below 15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Right Limited $163.00 $192.00 $60.00–$182.00 35% below 15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Left Limited $163.00 $192.00 $60.00–$182.00 35% below 15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W $1,428.00 $1,680.00 $367.00–$1,596.00 19% below 15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W/ + W/o Contrast $1,428.00 $1,680.00 $1,126.00–$1,596.00 19% below 15%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring $213.00 $250.00 $168.00–$238.00 1% above 15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen + Pelvis W/o Contrast $1,159.00 $1,364.00 $914.00–$1,296.00 10% below 15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $1,176.00 $1,384.00 $927.00–$1,315.00 22% below 15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen + Pelvis W/ + W/o Contrast $1,194.00 $1,405.00 $941.00–$1,335.00 36% below 15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Chest/abdomen/pelvis W/ Contrast $1,194.00 $1,405.00 $941.00–$1,335.00 36% below 15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Chest/abdomen/pelvis W + W/o Contrast $1,278.00 $1,504.00 $1,008.00–$1,429.00 31% below 15%
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast $926.00 $1,089.00 $730.00–$1,035.00 33% below 15%
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast $891.00 $1,048.00 $702.00–$996.00 23% below 15%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast $876.00 $1,031.00 $691.00–$979.00 13% below 15%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan $876.00 $1,031.00 $691.00–$979.00 17% below 15%
CT scan of the head with contrast CPT 70460 Ct Head Or Brain W/ Contrast $894.00 $1,052.00 $705.00–$999.00 22% below 15%
CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W/ + W/o Contrast $921.00 $1,083.00 $726.00–$1,029.00 27% below 15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast $876.00 $1,031.00 $691.00–$979.00 23% below 15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast $876.00 $1,031.00 $691.00–$979.00 13% below 15%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $894.00 $1,052.00 $705.00–$999.00 22% below 15%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Doppler Bilateral $842.00 $990.00 $311.00–$941.00 — 15%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views $184.00 $216.00 $145.00–$205.00 20% below 15%
Chest X-ray, single view CPT 71045 Xr Chest 1 View $145.00 $170.00 $114.00–$162.00 26% below 15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete $400.00 $470.00 $315.00–$447.00 3% below 15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa Axial Skeleton $342.00 $402.00 $269.00–$382.00 7% above 15%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bd Bone Density Dexa App Skeleton $119.00 $140.00 $94.00–$133.00 21% below 15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/o Contrast $876.00 $1,031.00 $691.00–$979.00 9% below 15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 Ct Thorax W/o Cntrst $1,278.00 $1,504.00 $223.00–$1,429.00 33% above 15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/ Contrast $894.00 $1,052.00 $705.00–$999.00 18% below 15%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts $201.00 $237.00 $123.00–$225.00 8% below 15%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast $197.00 $232.00 $123.00–$220.00 at median 15%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Le Arterial Duplex Bilateral $745.00 $876.00 $378.00–$832.00 — 15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Ue Venous Duplex Bilateral $745.00 $876.00 $587.00–$832.00 — 15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Le Venous Doppler Bilateral $745.00 $876.00 $295.00–$832.00 — 15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo 2d Comp W/ Color Flow Doppler $2,228.00 $2,621.00 $1,756.00–$2,490.00 14% above 15%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended $356.00 $419.00 $281.00–$398.00 at median 15%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography W/cpap 4+add Par 6+ $2,686.00 $3,160.00 $2,117.00–$3,002.00 at median 15%
Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3 Views Bilateral $210.00 $247.00 $25.00–$235.00 — 15%
Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left $201.00 $237.00 $25.00–$225.00 14% below 15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited $300.00 $353.00 $237.00–$335.00 5% below 15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Cancer Screening $746.00 $878.00 $588.00–$834.00 18% above 15%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint $1,247.00 $1,467.00 $452.00–$1,394.00 11% above 15%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 73723 Mri Le Joint W/ + W/o Contrast Bilateral $1,247.00 $1,467.00 $553.00–$1,408.00 — 15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Right $1,194.00 $1,405.00 $553.00–$1,408.00 29% below 15%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast $1,071.00 $1,260.00 $844.00–$1,197.00 15% below 15%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast $1,194.00 $1,405.00 $941.00–$1,335.00 28% below 15%
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast $1,159.00 $1,364.00 $914.00–$1,296.00 10% below 15%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan $1,194.00 $1,405.00 $941.00–$1,335.00 30% below 15%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal $1,159.00 $1,364.00 $914.00–$1,296.00 5% below 15%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast $1,194.00 $1,405.00 $941.00–$1,335.00 33% below 15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast $1,159.00 $1,364.00 $914.00–$1,296.00 at median 15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast $1,194.00 $1,405.00 $941.00–$1,335.00 29% below 15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast $1,159.00 $1,364.00 $914.00–$1,296.00 at median 15%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast $1,194.00 $1,405.00 $941.00–$1,335.00 28% below 15%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast $1,159.00 $1,364.00 $914.00–$1,296.00 1% above 15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Right $1,159.00 $1,364.00 $452.00–$1,296.00 2% above 15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Left $1,159.00 $1,364.00 $452.00–$1,296.00 2% above 15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Multi Rest/stress $2,790.00 $3,282.00 $2,199.00–$3,118.00 2% above 15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis Non Ob Limited $475.00 $559.00 $375.00–$531.00 41% above 15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob Complete $496.00 $584.00 $391.00–$555.00 43% above 15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus $355.00 $418.00 $280.00–$397.00 4% below 15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Pregnancy 1st Trimester $290.00 $341.00 $228.00–$324.00 9% below 15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnancy Limited $338.00 $398.00 $267.00–$378.00 7% above 15%
Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral $201.00 $237.00 $131.00–$225.00 — 15%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Xr Shoulder Complete Bilateral $184.00 $216.00 $25.00–$205.00 — 15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete Left $167.00 $196.00 $25.00–$186.00 23% below 15%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study $2,376.00 $2,795.00 $1,873.00–$2,655.00 at median 15%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina $289.00 $340.00 $228.00–$323.00 9% below 15%
Transvaginal ultrasound during pregnancy CPT 76817 Us Transvaginal Ob $426.00 $501.00 $62.00–$476.00 19% above 15%
Transvaginal ultrasound during pregnancy CPT 76817 Us Pregnancy Transvaginal $426.00 $501.00 $336.00–$476.00 19% above 15%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen $496.00 $583.00 $391.00–$554.00 12% above 15%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents) $300.00 $353.00 $237.00–$335.00 12% below 15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/neck Soft Tissue $700.00 $824.00 $552.00–$783.00 15% above 15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr Upper Gi Single Contrast Study $532.00 $626.00 $62.00–$595.00 1% below 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Right $700.00 $824.00 $202.00–$783.00 5% above 15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Left $700.00 $824.00 $202.00–$783.00 5% above 15%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Xr Wrist Complete Bilateral $228.00 $268.00 $23.00–$255.00 — 15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete Left $210.00 $247.00 $23.00–$235.00 9% below 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip 2-3 Viewleft $213.00 $250.00 $45.00–$238.00 17% below 15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Lt W/ Pelvis $213.00 $250.00 $168.00–$238.00 17% below 15%
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 View $168.00 $198.00 $133.00–$188.00 22% below 15%
X-ray of the ankle, 2 views both sides CPT 73600 Xr Ankle 2 Views Bilateral $150.00 $177.00 $21.00–$168.00 — 15%
X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left $150.00 $177.00 $21.00–$168.00 21% below 15%
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit Right $133.00 $156.00 $18.00–$148.00 21% below 15%
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Thumb 1 View Right $133.00 $156.00 $18.00–$148.00 21% below 15%
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit Left $133.00 $156.00 $18.00–$148.00 21% below 15%
X-ray of the foot, 2 views both sides CPT 73620 Xr Foot 2 Views Bilateral $182.00 $214.00 $21.00–$203.00 — 15%
X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left $165.00 $194.00 $21.00–$184.00 13% below 15%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Xr Foot Complete Bilateral $223.00 $262.00 $23.00–$249.00 — 15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete Left $205.00 $241.00 $23.00–$229.00 6% below 15%
X-ray of the hand, 3 or more views both sides CPT 73130 Xr Hand Complete Bilateral $217.00 $255.00 $23.00–$242.00 — 15%
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete Left $200.00 $235.00 $23.00–$223.00 9% below 15%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Xr Knee 1 Or 2 Views Bilateral $182.00 $214.00 $23.00–$203.00 — 15%
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left $173.00 $204.00 $23.00–$194.00 9% below 15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views $201.00 $237.00 $159.00–$225.00 27% below 15%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back $309.00 $364.00 $244.00–$346.00 22% below 15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views $156.00 $183.00 $123.00–$174.00 30% below 15%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones Minimum 3 Views $201.00 $237.00 $159.00–$225.00 14% below 15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views $201.00 $237.00 $159.00–$225.00 19% below 15%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views $157.00 $185.00 $124.00–$176.00 24% below 15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx Minimum 2 Views $201.00 $237.00 $159.00–$225.00 13% below 15%

Lab tests

ProcedureCash price List priceInsurers payvs KansasOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase $42.00 $49.00 $6.00–$47.00 13% above 14%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase $42.00 $49.00 $6.00–$47.00 15% above 14%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) Ige Qst $26.00 $30.00 $6.00–$29.00 13% below 13%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide (Ccp) Ab (Igg) Qst $116.00 $137.00 $16.00–$130.00 7% above 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 Lupus (12) Panel Qst- Ana $55.00 $65.00 $18.00–$62.00 22% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Multiplex, W/ Rflx To Dsdnaqst $55.00 $65.00 $18.00–$62.00 22% below 15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Ifa Screen W/refl To Titer And Pattern, Ifa Qst $85.00 $100.00 $18.00–$95.00 21% above 15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide $250.00 $294.00 $41.00–$279.00 95% above 15%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel $85.00 $100.00 $10.00–$95.00 4% above 15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology Level 4 $214.00 $252.00 $46.00–$239.00 5% below 15%
Blood culture for bacteria CPT 87040 Culture, Blood Qst $95.00 $112.00 $18.00–$106.00 24% above 15%
Blood culture for bacteria CPT 87040 Culture, Blood With Reflex To Molecular Idqst $95.00 $112.00 $18.00–$106.00 24% above 15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipuncture $18.00 $21.00 $6.00–$20.00 at median 14%
Blood glucose (sugar) test CPT 82947 .Glucose Fingerstick Poc Re $20.00 $24.00 $6.00–$23.00 36% below 17%
Blood glucose (sugar) test CPT 82947 Glucose Level $32.00 $38.00 $6.00–$36.00 3% above 16%
Blood lead test CPT 83655 83655 Heavy Metals Panel, 24 Hour Urine Qst $68.00 $80.00 $12.00–$76.00 30% above 15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Rapid Pregnancy Test With Qc $79.00 $93.00 $11.00–$88.00 38% above 15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Aborh Gl $237.00 $279.00 $6.00–$265.00 146% above 15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein Qst $42.00 $49.00 $10.00–$47.00 13% below 14%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein $49.00 $58.00 $10.00–$55.00 2% above 16%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Toxin B,ql Real Time Pcr Qst $128.00 $150.00 $47.00–$143.00 13% above 15%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Qst $120.00 $141.00 $27.00–$134.00 15% above 15%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 Qst $121.00 $142.00 $27.00–$135.00 31% above 15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Rna, Tma Qst $110.00 $129.00 $52.00–$123.00 4% below 15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids $109.00 $128.00 $18.00–$122.00 22% above 15%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated $55.00 $65.00 $18.00–$62.00 35% above 15%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated $49.00 $58.00 $17.00–$55.00 11% above 16%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $139.00 $163.00 $13.00–$155.00 33% above 15%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer, Quantitative Qst $121.00 $142.00 $29.00–$135.00 4% above 15%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer $128.00 $150.00 $29.00–$143.00 10% above 15%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate Qst $105.00 $124.00 $28.00–$118.00 18% below 15%
Estradiol blood test CPT 82670 Estradiol Qst $164.00 $193.00 $22.00–$183.00 3% below 15%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh Qst $107.00 $126.00 $23.00–$120.00 7% below 15%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool Qst $235.00 $277.00 $23.00–$263.00 2% above 15%
Ferritin blood test (iron stores) CPT 82728 Ferritin Qst $68.00 $80.00 $17.00–$76.00 20% below 15%
Folate (folic acid) blood test CPT 82746 Folate Level $71.00 $84.00 $19.00–$80.00 28% below 15%
Folate (folic acid) blood test CPT 82746 Folate, Serum Qst $94.00 $111.00 $19.00–$105.00 4% below 15%
Free T3 thyroid hormone test CPT 84481 T3, Free Qst $121.00 $142.00 $25.00–$135.00 5% below 15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine Index $60.00 $70.00 $14.00–$67.00 3% below 14%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free Qst $60.00 $70.00 $14.00–$67.00 3% below 14%
Free testosterone test CPT 84402 Testosterone, Freeqst $98.00 $115.00 $26.00–$109.00 32% below 15%
Free testosterone test CPT 84402 Testosterone, Free, Lc/ms/ms Qst $295.00 $347.00 $26.00–$330.00 105% above 15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gluc 1 Hr Post $27.00 $32.00 $8.00–$30.00 43% below 16%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag, Eia, Stool Qst $240.00 $282.00 $17.00–$268.00 118% above 15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Antigen/antibody,fourth Generation W/rfl Qst $83.00 $98.00 $31.00–$93.00 11% below 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Qst $45.00 $53.00 $13.00–$50.00 30% below 15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c $78.00 $92.00 $13.00–$87.00 21% above 15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Ql Qst $75.00 $88.00 $16.00–$84.00 1% above 15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis Panel, Acute W/reflex To Confirmation Qst $31.00 $36.00 $19.00–$34.00 48% below 14%
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 Hepatitis Panel, General Qst $54.00 $64.00 $19.00–$61.00 9% below 16%
Hepatitis C antibody blood test (screening) CPT 86803 86803 Rl Hepatitis C Antibody (Bill Item Id: 4435538) $55.00 $65.00 $25.00–$62.00 27% below 15%
Hepatitis C antibody blood test (screening) CPT 86803 86803 Hepatitis Panel, General Qst $68.00 $80.00 $25.00–$76.00 10% below 15%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna, Quantitative Real Time Pcr Qst $234.00 $275.00 $53.00–$261.00 2% below 15%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1/2 Igg,type Specific Ab Herpeselect Qst $85.00 $100.00 $23.00–$95.00 10% below 15%
Herpes blood test, HSV-2 antibody CPT 86696 86696 Hsv 1/2 Ab (Igm), Ifa W/rfl To Titer Qst $87.00 $102.00 $23.00–$97.00 1% above 15%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hs-crpqst $77.00 $90.00 $12.00–$86.00 15% below 14%
Homocysteine blood test CPT 83090 Homocysteine Qst $220.00 $259.00 $13.00–$246.00 at median 15%
Insulin blood test CPT 83525 Insulin Qst $73.00 $86.00 $18.00–$82.00 9% below 15%
Iron blood test (serum iron) CPT 83540 Iron And Total Iron Binding Capacity Qst $42.00 $49.00 $6.00–$47.00 2% below 14%
Iron blood test (serum iron) CPT 83540 Iron Level $60.00 $70.00 $6.00–$67.00 40% above 14%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity $58.00 $68.00 $8.00–$65.00 9% below 15%
Iron-binding capacity (TIBC) test CPT 83550 83550 Iron And Total Iron Binding Capacity Qst $60.00 $71.00 $8.00–$67.00 6% below 15%
Kidney function blood test panel CPT 80069 Kidney function panel test $83.00 $98.00 $11.00–$93.00 15% above 15%
LH (luteinizing hormone) test CPT 83002 Lh Qst $107.00 $126.00 $23.00–$120.00 3% below 15%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level $39.00 $46.00 $11.00–$44.00 37% below 15%
Liver function blood test panel CPT 80076 Liver function blood test $83.00 $98.00 $9.00–$93.00 1% above 15%
Lyme disease antibody test CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease Qst (5885251) $88.00 $103.00 $26.00–$98.00 28% below 15%
Lyme disease antibody test CPT 86618 Lyme Disease Ab W/refl To Blot (Igg, Igm) Qst $96.00 $113.00 $26.00–$107.00 21% below 15%
Magnesium blood test CPT 83735 Magnesium Level $32.00 $38.00 $7.00–$36.00 38% below 16%
Magnesium blood test CPT 83735 Magnesium, 24-hour Urine (W/o Creatinine) Qst $46.00 $54.00 $7.00–$51.00 11% below 15%
Measles (rubeola) antibody test CPT 86765 86765 Mmr (Igg) Panel (Measles, Mumps, Rubella) Qst $132.00 $155.00 $26.00–$147.00 32% above 15%
Mono test (heterophile antibody, Monospot) CPT 86308 Rapid Mono Screen With Qc $56.00 $66.00 $9.00–$63.00 26% above 15%
Mono test (heterophile antibody, Monospot) CPT 86308 .Mono Screen Fingerstick Poc Re $64.00 $75.00 $9.00–$71.00 44% above 15%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test $9.00 $10.00 $7.00–$44.00 90% below 10%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test $107.00 $126.00 $23.00–$120.00 2% above 15%
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact (Without Calcium) Qst $183.00 $215.00 $37.00–$204.00 9% below 15%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test $60.00 $70.00 $16.00–$67.00 42% above 14%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatalqst $2,872.00 $3,379.00 $1,163.00–$3,210.00 26% above 15%
Progesterone blood test CPT 84144 Progesterone Qst $85.00 $100.00 $23.00–$95.00 23% below 15%
Prolactin blood test CPT 84146 Prolactin Qst $105.00 $124.00 $23.00–$118.00 18% below 15%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $28.00 $33.00 $12.00–$31.00 9% below 15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 U Drug Scrn W Qc $179.00 $210.00 $20.00–$200.00 224% above 15%
Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza A And B With Qc $128.00 $150.00 $23.00–$143.00 88% above 15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Screen With Qc $68.00 $80.00 $23.00–$76.00 5% below 15%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor $45.00 $53.00 $11.00–$50.00 6% below 15%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Qst $45.00 $53.00 $11.00–$50.00 6% below 15%
Rheumatoid factor (RF) test CPT 86431 86431 Lupus (12) Panel Qstrheumatoid Factor $237.00 $279.00 $11.00–$265.00 398% above 15%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies (Igg, Igm) Diagnostic Qst $38.00 $45.00 $12.00–$43.00 34% below 16%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate $54.00 $63.00 $12.00–$60.00 65% above 14%
Stool ova and parasites exam CPT 87177 Ova And Parasites, Stool Conc And Perm Smear Qst $49.00 $58.00 $20.00–$55.00 19% below 16%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Gastroccult $15.00 $18.00 $5.00–$17.00 44% below 17%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood Screen X3 With Qc $111.00 $131.00 $23.00–$124.00 115% above 15%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Rapid Occult Blood Screen Stool With Qc $111.00 $131.00 $23.00–$124.00 115% above 15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (Dx) W/refl Titer And Confirmatory Testing Qst $36.00 $42.00 $7.00–$40.00 1% below 14%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-tb Gold Plus, 1 Tubeqst $192.00 $226.00 $76.00–$215.00 at median 15%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 Testosterone, Fr(dialysis) And Total(lc/ms/ms) Qst $72.00 $85.00 $22.00–$81.00 50% below 15%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Males (Adult), Ia Qst $154.00 $181.00 $22.00–$172.00 7% above 15%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Lupus (12) Panel Qstmicrosomal Ab's $101.00 $119.00 $22.00–$113.00 29% above 15%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies Qst $106.00 $125.00 $22.00–$119.00 35% above 15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $68.00 $80.00 $20.00–$76.00 22% below 15%
Uric acid blood test CPT 84550 Uric Acid $40.00 $47.00 $6.00–$45.00 10% above 15%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope $18.00 $21.00 $5.00–$20.00 45% below 14%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope $18.00 $21.00 $5.00–$20.00 24% below 14%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test $31.00 $36.00 $4.00–$34.00 37% above 14%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis test $17.00 $20.00 $4.00–$19.00 6% below 15%
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine, Routine Qst $49.00 $58.00 $16.00–$55.00 8% below 16%
Urine pregnancy test, read by color change CPT 81025 Rapid Pregnancy Test Urine With Qc $56.00 $66.00 $8.00–$63.00 24% above 15%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy (81025) $64.00 $75.00 $8.00–$71.00 41% above 15%
Urine pregnancy test, read by color change CPT 81025 .Pregnancy Test Urine Poc Re $72.00 $85.00 $8.00–$81.00 59% above 15%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Qst $69.00 $81.00 $19.00–$77.00 22% below 15%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level $69.00 $81.00 $19.00–$77.00 22% below 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Cardio Iq Vitamin D, 25-hydroxyqst $79.00 $93.00 $35.00–$165.00 68% below 15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Questassured 25-oh Vit D, (D2,d3), Lc/ms/ms Qst $273.00 $321.00 $35.00–$305.00 11% above 15%
Zinc blood test CPT 84630 Zinc Qst $77.00 $90.00 $19.00–$86.00 32% above 14%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Quad Screen Qst $71.00 $84.00 $19.00–$80.00 25% below 15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Bhcg Quant $93.00 $109.00 $19.00–$104.00 2% below 15%

Surgery and procedures

ProcedureCash price List priceInsurers payvs KansasOff list
Botox injections for chronic migraine CPT 64615 Anes Crna 64615 Chemodenerv Musc Migraine $171.00 $201.00 $96.00–$191.00 50% below 15%
Botox injections for chronic migraine CPT 64615 Tr 64615 Chemodenerv Musc Migraine Charge $496.00 $583.00 $198.00–$554.00 44% above 15%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Er 27786 Clsd Tx Distal Fibula Wo Mn $2,473.00 $2,909.00 $444.00–$2,764.00 458% above 15%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Er 28470 Clsd Trmt Metatarsal Pro Wo Mn $1,816.00 $2,136.00 $310.00–$2,029.00 368% above 15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Er 92960 Cardioversion Elective $1,275.00 $1,500.00 $482.00–$1,425.00 113% above 15%
Carpal tunnel release, open surgery CPT 64721 Or 64721 Carpal Tunnel Surgery $1,935.00 $2,277.00 $596.00–$2,163.00 23% above 15%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Or 54150 Circumcision W/regionl Block Charge $400.00 $470.00 $315.00–$2,561.00 4% below 15%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope $1,771.00 $2,084.00 $825.00–$1,980.00 49% above 15%
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope $1,576.00 $1,854.00 $795.00–$1,761.00 4% above 15%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope $1,576.00 $1,854.00 $320.00–$1,761.00 75% above 15%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Or 52000 Cystourethroscopy Charge $1,576.00 $1,854.00 $326.00–$1,761.00 50% above 15%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Or 58120 Dilate & Curettage Diag Non Ob $2,484.00 $2,922.00 $402.00–$3,974.00 82% above 15%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Tr 58120 Dilation & Curettage Dx&/ther Nonobstetric $3,221.00 $3,789.00 $402.00–$3,974.00 136% above 15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Cl 17000 Destruct Any Method 1st Lesion $361.00 $425.00 $109.00–$404.00 215% above 15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Tr 17000 Destruct Any Meth 1st Lesion Charge $378.00 $445.00 $109.00–$423.00 229% above 15%
Earwax removal with instruments, one ear CPT 69210 Er 69210 Remove Impact Ear Wax W Instrmt $571.00 $672.00 $75.00–$638.00 474% above 15%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Tr 58100 Biopsy Of Uterine Lining $350.00 $412.00 $176.00–$391.00 47% above 15%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Or 62321 Inject Spine Crv/thrc W/img $1,200.00 $1,412.00 $349.00–$1,341.00 5% above 15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Or 64493 Inj Pvrt Facet Jnt L/s Single $694.00 $817.00 $243.00–$1,113.00 24% below 15%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Or 45330 Sigmoidoscopy Flexible Diag $963.00 $1,133.00 $259.00–$1,140.00 10% above 15%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope $6,386.00 $7,513.00 $1,077.00–$7,293.00 16% above 15%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Or 47563 Lap Chole W/cholangio $7,013.00 $8,251.00 $1,159.00–$7,838.00 23% above 15%
Incision and drainage of a simple or single skin abscess CPT 10060 Tr 10060 I&d Abscess Simple Single $368.00 $433.00 $169.00–$411.00 67% above 15%
Incision and drainage of a simple or single skin abscess CPT 10060 Or 10060 I&d Abscess Simple Single $944.00 $1,111.00 $169.00–$1,055.00 329% above 15%
Incision and drainage of a simple or single skin abscess CPT 10060 Cl 10060 Incis & Drain Abscess Simple $944.00 $1,111.00 $169.00–$1,055.00 329% above 15%
Incision and drainage of a simple or single skin abscess CPT 10060 Er 10060 I&d Abscess Simple/single $989.00 $1,164.00 $169.00–$1,106.00 350% above 15%
Incision and drainage of a simple or single skin abscess CPT 10060 Obs 10060 Incision & Drainage Abscess Simple/single $1,751.00 $2,060.00 $169.00–$1,957.00 697% above 15%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older $4,542.00 $5,343.00 $727.00–$5,076.00 19% above 15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Er 20550 Inj Tendon Sheath/ligament $178.00 $209.00 $90.00–$199.00 4% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Anes Crna 20610 Drn/inj Maj Joint/bursa Wo $472.00 $555.00 $37.00–$527.00 71% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Tr 20610 Drn/inj Maj Jnt/bursa Wo Us Charge $497.00 $585.00 $107.00–$556.00 80% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Or 20610 Drain/inj Joint/bursa Wo Us $497.00 $585.00 $107.00–$556.00 80% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Cl 20610 Drn/inj Major Joint/bursa Wo Us $497.00 $585.00 $107.00–$556.00 80% above 15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Er 20610 Drn/inj Major Joint/bursa Wo Us $524.00 $616.00 $107.00–$585.00 90% above 15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Or 20605 Arthrocent/asp/inj Int Jnt Wo Us Charge $434.00 $510.00 $88.00–$485.00 85% above 15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Anes Crna 20605 Drain/inj Jnt/bursa W/o Us $472.00 $555.00 $88.00–$527.00 102% above 15%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Or 44970 Laparoscopic Appendectomy $6,496.00 $7,642.00 $841.00–$7,293.00 39% above 15%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Or 49650 Lap Ing Hernia Repair Init $8,573.00 $10,086.00 $623.00–$9,582.00 249% above 15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Cl 12031 Int Rpr S/a/t/ext 2.5 Cm/< $1,242.00 $1,461.00 $361.00–$1,388.00 228% above 15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Er 12031 Intrmd Rpr Sate 2.5cm Or Less $1,301.00 $1,531.00 $361.00–$1,454.00 243% above 15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Or 12031 Intmd Rpr S/a/t/ext 2.5 Cm/< Charge $1,576.00 $1,854.00 $361.00–$1,761.00 316% above 15%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance $1,200.00 $1,412.00 $344.00–$1,341.00 2% above 15%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance $801.00 $942.00 $213.00–$895.00 at median 15%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance $691.00 $813.00 $545.00–$1,113.00 28% below 15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Cl 11400 Excis Benign Les Tal 0.5cm Or < $1,323.00 $1,557.00 $166.00–$1,479.00 602% above 15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Or 11440 Excis Ben Les Fel 0.5 Or Less $949.00 $1,117.00 $202.00–$1,061.00 401% above 15%
Nail removal (partial or complete), one nail CPT 11730 Er 11730 Avulsn Nail Plate Part/com Simp $166.00 $195.00 $131.00–$248.00 17% above 15%
Nail removal (partial or complete), one nail CPT 11730 Tr 11730 Avulsn Nail Plate Part/comp Simp Charge $355.00 $418.00 $153.00–$397.00 150% above 15%
Occipital nerve block (injection for headaches) CPT 64405 Anes Crna 64405 Inj Great Occipital Nerve $110.00 $129.00 $86.00–$319.00 69% below 15%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Or 64635 Destroy Lumb/sac Facet Jnt $2,022.00 $2,379.00 $597.00–$2,441.00 10% above 15%
Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure $2,834.00 $3,334.00 $720.00–$4,787.00 20% above 15%
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple $150.00 $177.00 $119.00–$1,076.00 46% below 15%
Removal of a foreign object under the skin, simple CPT 10120 Er 10120 I&r Frgn Body Subcu Tiss Simple $1,314.00 $1,546.00 $201.00–$1,469.00 374% above 15%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Or G0121 Screen Colonoscopy Not High Risk $1,401.00 $1,648.00 $1,104.00–$1,566.00 48% above 15%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Or G0105 Screen Colonoscopy High Risk $1,401.00 $1,648.00 $1,104.00–$1,566.00 38% above 15%
Short arm cast (elbow to hand) CPT 29075 Tr 29075 Application Forearm Cast $540.00 $635.00 $123.00–$603.00 124% above 15%
Short arm cast (elbow to hand) CPT 29075 Er 29075 Application Of Forearm Cast $540.00 $635.00 $123.00–$603.00 124% above 15%
Short arm splint (forearm and hand) CPT 29125 29125 Application Of Short Arm Splint; Static $255.00 $300.00 $96.00–$285.00 47% above 15%
Short arm splint (forearm and hand) CPT 29125 Tr 29125 Apply Forearm Splint $266.00 $313.00 $96.00–$297.00 53% above 15%
Short arm splint (forearm and hand) CPT 29125 Er 29125 Apply Forearm Splint $366.00 $430.00 $96.00–$409.00 111% above 15%
Short leg cast (below the knee) CPT 29405 Er 29405 Apply Short Leg Walking Cast $347.00 $408.00 $127.00–$388.00 42% above 15%
Short leg splint (calf to foot) CPT 29515 Er 29515 Application Lower Leg Splint $282.00 $332.00 $102.00–$315.00 67% above 15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Tr 12001 Repair Spl Sthf 2.5cm Or Less Charge $625.00 $735.00 $222.00–$698.00 162% above 15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Er 12001 Simple Rpr Sthf 2.5cm Or Less $650.00 $765.00 $222.00–$727.00 172% above 15%
Skin biopsy, punch, one lesion CPT 11104 Tr 11104 Punch Bx Skin Single Lesion $762.00 $896.00 $170.00–$851.00 107% above 15%
Skin biopsy, punch, one lesion CPT 11104 Or 11104 Punch Bx Skin Single Lesion $762.00 $896.00 $170.00–$851.00 107% above 15%
Skin biopsy, punch, one lesion CPT 11104 Cl 11104 Punch Bx Skin Single Lesion $762.00 $896.00 $170.00–$851.00 107% above 15%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Cl 11600 11600 Excis Mal Les Tal 0.5cm Or Less $772.00 $908.00 $265.00–$863.00 209% above 15%
Skin tag removal, up to 15 tags CPT 11200 Or 11200 Removal Of Skin Tags Up To 15 $762.00 $896.00 $129.00–$851.00 441% above 15%
Skin tag removal, up to 15 tags CPT 11200 Cl 11200 Removal Of Skin Tags Up To 15 $806.00 $948.00 $129.00–$901.00 472% above 15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Anes Crna 62270 Spinal Puncture Diag $110.00 $129.00 $86.00–$433.00 80% below 15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Or 12002 Rpr S/n/ax/gen/trnk 2.6-7.5cm $545.00 $641.00 $237.00–$609.00 96% above 15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Er 12002 Simple Rpr Sthf 2.6cm-7.5cm $571.00 $672.00 $237.00–$638.00 105% above 15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Or 12011 Rpr F/e/e/n/l/m 2.5 Cm/< $567.00 $667.00 $235.00–$634.00 100% above 15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Er 12011 Simple Rpr Face 2.5cm Or Less $594.00 $699.00 $235.00–$664.00 110% above 15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Cl 11102 Tangntl Bx Skin Single Les $762.00 $896.00 $135.00–$851.00 176% above 15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Er 11102 Tangntl Bx Skin Single Les $798.00 $939.00 $135.00–$892.00 189% above 15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Or 11102 Tangntl Bx Skin Single Les $811.00 $954.00 $135.00–$906.00 194% above 15%
Thoracentesis with imaging guidance CPT 32555 Tr 32555 Aspirate Pleura W/ Imaging $1,077.00 $1,267.00 $849.00–$1,204.00 23% above 15%
Thoracentesis with imaging guidance CPT 32555 Or 32555 Aspirate Pleura With Imaging $1,457.00 $1,714.00 $859.00–$1,628.00 66% above 15%
Trigger point injections, 1 or 2 muscles CPT 20552 Anes Crna 20552 Inj Trigger Points 1 Or 2 $425.00 $500.00 $84.00–$475.00 103% above 15%
Trigger point injections, 1 or 2 muscles CPT 20552 Er 20552 Inj Trigger Point 1 Or 2 Muscl $434.00 $511.00 $84.00–$485.00 107% above 15%
Trigger point injections, 1 or 2 muscles CPT 20552 Tr 20552 Inj Trigger Point 1 Or 2 Muscl Charge $553.00 $650.00 $84.00–$618.00 164% above 15%
Trigger point injections, 1 or 2 muscles CPT 20552 Or 20552 Inj Single/mlt Trigger Point 1/2 Muscles $1,428.00 $1,680.00 $84.00–$1,596.00 582% above 15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 Us Biopsy Breast Bilateral $2,048.00 $2,409.00 $896.00–$2,289.00 — 15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Cl 19083 Bx Breast W/device 1st Lesion Ultrasound Guid $1,954.00 $2,299.00 $896.00–$2,184.00 at median 15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Or 19083 Breast 1st Lesion Us Imag $1,954.00 $2,299.00 $896.00–$2,184.00 at median 15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Us Biopsy Breast Right $2,048.00 $2,409.00 $896.00–$2,289.00 5% above 15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Us Biopsy Breast Left $2,048.00 $2,409.00 $896.00–$2,289.00 5% above 15%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Or 43249 Egd Esoph Dilate <30mm $3,026.00 $3,560.00 $1,588.00–$3,382.00 67% above 15%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope $1,374.00 $1,617.00 $535.00–$1,536.00 3% above 15%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Or 43248 Egd W/guidewire Ins Fl Dilation $1,300.00 $1,529.00 $561.00–$1,453.00 38% above 15%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope $1,298.00 $1,527.00 $463.00–$1,451.00 7% above 15%
Wart removal, up to 14 warts CPT 17110 Or 17110 Destruct B9 Lesion 1-14 $1,183.00 $1,392.00 $148.00–$1,322.00 526% above 15%
Wart removal, up to 14 warts CPT 17110 Cl 17110 Destruct Benign Lesion 1-14 $1,183.00 $1,392.00 $148.00–$1,322.00 526% above 15%
Wart removal, up to 14 warts CPT 17110 Er 17110 Destruct B9 Lesion 1-14 $1,239.00 $1,458.00 $148.00–$1,385.00 556% above 15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Cl 11042 Debride Subq Tissue 1st 20sqcm/< $275.00 $324.00 $178.00–$451.00 11% below 15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Er 11042 Debride Subq Tissue 20 Sq Cm/< $348.00 $409.00 $178.00–$451.00 12% above 15%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs KansasOff list
Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-12hrs (Per Day) $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-4hrs (Per Day) $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-8hrs (Per Day) $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Obsrv Blood Admin 1st Hr Charge $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Obsrv Blood Admin Ea Addl Hr $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-4hrs (Per Day) $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-8hrs (Per Day) $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-12hrs (Per Day) $643.00 $757.00 $58.00–$719.00 11% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-16 Hrs (Per Day) $876.00 $1,030.00 $58.00–$979.00 51% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-16hrs (Per Day) $923.00 $1,086.00 $58.00–$1,032.00 60% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-24hrs (Per Day) $1,068.00 $1,257.00 $58.00–$1,194.00 85% above 15%
Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-24hrs (Per Day) $1,151.00 $1,354.00 $58.00–$1,286.00 99% above 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/nopress Inhalation Trmt $138.00 $162.00 $23.00–$254.00 20% above 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Obs Inhalation Trmt (Aerosol/neb) Charge $327.00 $385.00 $23.00–$366.00 185% above 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tr 94640 Inhalation Trmt (Aerosol/neb) Charge $327.00 $385.00 $23.00–$366.00 185% above 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn/mdi Treatment $327.00 $385.00 $23.00–$366.00 185% above 15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Er 94640 Pressurized/nopress Inhal Trmt $434.00 $510.00 $23.00–$485.00 278% above 15%
Chemotherapy IV infusion, first hour CPT 96413 Er 96413 Iv Infu Chemo Intital Up To 1 Hr $447.00 $526.00 $242.00–$500.00 11% above 15%
Chemotherapy IV infusion, first hour CPT 96413 Tr 96413 Chemo Therapeutic Initial Charge $447.00 $526.00 $242.00–$500.00 11% above 15%
Chemotherapy IV infusion, first hour CPT 96413 Obsrv Iv Inf Chem/comp Ini To 1hr Charge $447.00 $526.00 $242.00–$500.00 11% above 15%
Critical care, first 30 to 74 minutes CPT 99291 99291critical Care $2,029.00 $2,387.00 $358.00–$2,268.00 174% above 15%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report $621.00 $730.00 $31.00–$694.00 661% above 15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg (Resp) $215.00 $253.00 $28.00–$240.00 23% above 15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281level 1 $263.00 $309.00 $30.00–$294.00 93% above 15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282level 2 $527.00 $620.00 $58.00–$589.00 154% above 15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283level 3 $810.00 $953.00 $91.00–$905.00 186% above 15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284level 4 $1,381.00 $1,625.00 $168.00–$1,544.00 226% above 15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285level 5 $2,146.00 $2,525.00 $249.00–$2,399.00 214% above 15%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Trace Only Wo Int & Rpt $445.00 $523.00 $117.00–$497.00 22% below 15%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min $111.00 $130.00 $87.00–$185.00 61% below 15%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min $98.00 $115.00 $77.00–$152.00 58% below 15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360- Hydration, First Hour $286.00 $337.00 $82.00–$320.00 13% above 15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Tr 96360 Iv Hydra. Initial 31-90 Min Charge $286.00 $337.00 $82.00–$320.00 13% above 15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Obs Iv Infus Hydrat Init 31 Min-1hr Charge $286.00 $337.00 $82.00–$320.00 13% above 15%
IV infusion of a medicine, first hour CPT 96365 Tr Iv Infusion Initial Non-cvrd Charge 16-90 Min $286.00 $337.00 $100.00–$320.00 6% above 15%
IV infusion of a medicine, first hour CPT 96365 Tr Iv Inf Therp 1st Hr Repeat Visit Charge 16-90 Min $286.00 $337.00 $100.00–$320.00 6% above 15%
IV infusion of a medicine, first hour CPT 96365 96365- Iv Therapy Initial 16-90 Min $286.00 $337.00 $100.00–$320.00 6% above 15%
IV infusion of a medicine, first hour CPT 96365 Obs Iv Infu Ther Initial 16-90 Min Charge $286.00 $337.00 $100.00–$320.00 6% above 15%
IV infusion of a medicine, first hour CPT 96365 Tr 96365 Iv Ther. Initial 16-90 Min Charge $315.00 $371.00 $100.00–$352.00 17% above 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Obs Im Or Sq Injection Per Stick Charge $87.00 $102.00 $32.00–$97.00 30% above 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Obs Im Or Sq Inj With Iv Charge $87.00 $102.00 $32.00–$97.00 30% above 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Er 96372 Im Or Sq Inj With Iv $87.00 $102.00 $32.00–$97.00 30% above 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Dnu96372- Subq/im Injection $87.00 $102.00 $32.00–$97.00 30% above 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tr 96372 Im Or Sq Injection Per Stick $119.00 $140.00 $32.00–$133.00 78% above 15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tr Im/sq With Iv Charge $119.00 $140.00 $32.00–$133.00 78% above 15%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Units 97112 $75.00 $88.00 $46.00–$84.00 4% below 15%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Charges 97112 $76.00 $89.00 $46.00–$85.00 3% below 15%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min $136.00 $160.00 $101.00–$152.00 10% below 15%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min $167.00 $196.00 $101.00–$214.00 17% below 15%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min $197.00 $232.00 $155.00–$294.00 27% below 15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Cl 99202 Op Specialty New Pt Level Ii Or 15-29 Min $105.00 $124.00 $68.00–$118.00 8% below 15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutrtn Ther Initial Assess 15mn $30.00 $35.00 $15.00–$53.00 1% above 14%
Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complex Units 97165 $149.00 $175.00 $117.00–$166.00 10% below 15%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt High Complex Units 97163 $148.00 $174.00 $117.00–$165.00 29% below 15%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Low Complex Units 97161 $148.00 $174.00 $117.00–$165.00 10% below 15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Moderate Complex Units 97162 $148.00 $174.00 $117.00–$165.00 19% below 15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units 97140 $75.00 $88.00 $41.00–$84.00 1% below 15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Charge Units 97140 $76.00 $89.00 $41.00–$85.00 1% above 15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise $75.00 $88.00 $44.00–$84.00 4% below 15%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min $55.00 $65.00 $44.00–$100.00 63% below 15%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min $76.00 $89.00 $60.00–$133.00 58% below 15%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min $102.00 $120.00 $80.00–$199.00 58% below 15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/tobacco Cessation 3-10min $39.00 $46.00 $21.00–$44.00 31% above 15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Tr 99215 Wound Care 76 Sq Cm > $383.00 $450.00 $241.00–$428.00 69% above 15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Tr 99215 Eval Level 5 Or 40-54 Min $383.00 $450.00 $241.00–$428.00 69% above 15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Cl 99215 Op Specialty Est Visit Level V Or 40-54 Min $434.00 $511.00 $241.00–$485.00 92% above 15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Cl 99213 Op Specialty Est Visit Level Iii Or 20-29 Min $167.00 $196.00 $121.00–$186.00 24% above 15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tr 99213 Eval Level 3 Or 20-29 Min $298.00 $350.00 $121.00–$333.00 121% above 15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tr 99213 Wound Care 26-50 Sq Cm $298.00 $350.00 $121.00–$333.00 121% above 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl 99214 Pm Visit Level 4 Moderate Or 30-39 Min $96.00 $113.00 $76.00–$189.00 42% below 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl 99214 Op Specialty Est Visit Level Iv Or 30-39 Min $114.00 $134.00 $90.00–$189.00 31% below 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pulmonary Rehab Exercise $125.00 $147.00 $98.00–$189.00 24% below 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pulmonary Rehab Comp Eval $125.00 $147.00 $98.00–$189.00 24% below 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214b Physical Icc $170.00 $200.00 $134.00–$190.00 3% above 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tr 99214 Eval Level 4 Or 30-39 Min $340.00 $400.00 $172.00–$380.00 106% above 15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tr 99214 Wound Care 51-75 Sq Cm $340.00 $400.00 $172.00–$380.00 106% above 15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Cl 99212 Op Specialty Est Visit Level Ii Or 10-19 Min $75.00 $88.00 $59.00–$85.00 25% below 15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Tr 99212 Wound Care 11-25 Sq Cm Charge $255.00 $300.00 $74.00–$285.00 155% above 15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Tr 99212 Eval Level 2 Or 10-19 Min $255.00 $300.00 $74.00–$285.00 155% above 15%
Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen Eval Units 92523 $210.00 $247.00 $116.00–$324.00 11% below 15%
Speech therapy session, individual CPT 92507 Treatment Of Speech,lang,voice Units 92507 $200.00 $235.00 $78.00–$223.00 44% above 15%
Spirometry (breathing test) CPT 94010 Pf Breathing Capacity Test $376.00 $442.00 $296.00–$420.00 25% above 15%
Spirometry before and after a bronchodilator CPT 94060 Pf Bronchodilation Responsiveness Pre & Post Medication $434.00 $510.00 $342.00–$485.00 1% below 15%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge 97530 $74.00 $87.00 $56.00–$83.00 6% below 15%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Units $74.00 $87.00 $56.00–$83.00 6% below 15%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Charges 97530 $75.00 $88.00 $56.00–$84.00 5% below 15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy $86.00 $101.00 $68.00–$133.00 31% below 15%

Vaccines

ProcedureCash price List priceInsurers payvs KansasOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tr Admin Influenza Vaccine Charge $24.00 $28.00 $8.00–$32.00 38% below 14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0010 Admin Hepatitis Badmin Charge (Hepatitis B Vaccine) $24.00 $28.00 $8.00–$32.00 38% below 14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0008 Admin Influenzaadmin Charge (Influenza Vaccine) $24.00 $28.00 $8.00–$32.00 38% below 14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tr 90471 Admin Immunization One Vaccine $27.00 $32.00 $8.00–$32.00 31% below 16%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Im/sqadmin Charge (Vaccine) $31.00 $36.00 $8.00–$34.00 21% below 14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Obs Immunization Admin One Vaccine Charge $31.00 $36.00 $8.00–$34.00 21% below 14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Er Immunization Admin One Vaccine $42.00 $49.00 $8.00–$47.00 8% above 14%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0009 Admin Pneumococcaladmin Charge (Pneumococcal Vaccine) $65.00 $77.00 $8.00–$73.00 67% above 16%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Obs Admin Pneumococcal Vaccine Charge $70.00 $82.00 $8.00–$78.00 79% above 15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Admin Im Addladmin Charge (Vaccine) $26.00 $31.00 $8.00–$29.00 6% above 16%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Tr 90472 Immunization Admin Addl Vaccine Charge $26.00 $31.00 $8.00–$29.00 6% above 16%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Er 90472 Immunization Admin Addl Vacc $40.00 $47.00 $8.00–$45.00 63% above 15%

Source file: https://secure.claraprice.net/price-transparency/ODWZ-1742940756322/machine-readable/480640918_osborne-county-memorial-hospital_standardcharges.json