Alleghany County Memorial Hospital
Alleghany County Memorial Hospital in Sparta, NC publishes cash prices for 218 common procedures listed here, from its own machine-readable price file updated Aug 12, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the North Carolina median for 164 of 214 procedures and above it for 48. By typical cash price it ranks #4 of 59 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
233 Doctors Street Sparta NC 28675 Collected Sep 27, 2026 Source price file (336) 372-5511
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 341320 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE 3+ VW | $119.50 | $239.00 | $22.66–$219.88 | 56% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC DX ANKLE 3+ VW | $119.50 | $239.00 | $200.76–$219.88 | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $105.00 | $210.00 | $61.06–$193.20 | 70% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $105.00 | $210.00 | $176.40–$193.20 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W/ CONTRAST | $1,238.00 | $2,476.00 | $528.78–$2,277.92 | 41% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W/ CONTRAST | $1,238.00 | $2,476.00 | $2,079.84–$2,277.92 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST | $1,583.00 | $3,166.00 | $151.74–$2,912.72 | 45% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST | $1,583.00 | $3,166.00 | $2,659.44–$2,912.72 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST | $1,833.00 | $3,666.00 | $289.52–$3,372.72 | 49% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST | $1,833.00 | $3,666.00 | $3,079.44–$3,372.72 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST | $1,982.50 | $3,965.00 | $382.68–$3,647.80 | 49% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST | $1,982.50 | $3,965.00 | $3,330.60–$3,647.80 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $934.50 | $1,869.00 | $296.48–$1,719.48 | 57% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $934.50 | $1,869.00 | $1,569.96–$1,719.48 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST | $794.00 | $1,588.00 | $244.78–$1,460.96 | 56% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST | $794.00 | $1,588.00 | $1,333.92–$1,460.96 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $928.50 | $1,857.00 | $204.61–$1,708.44 | 30% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $928.50 | $1,857.00 | $1,559.88–$1,708.44 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $854.00 | $1,708.00 | $204.61–$1,571.36 | 33% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $854.00 | $1,708.00 | $1,434.72–$1,571.36 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO | $1,254.00 | $2,508.00 | $306.35–$2,307.36 | 35% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO | $1,254.00 | $2,508.00 | $2,106.72–$2,307.36 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL | $923.00 | $1,846.00 | $255.90–$1,698.32 | 41% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL | $923.00 | $1,846.00 | $1,550.64–$1,698.32 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL | $885.00 | $1,770.00 | $255.90–$1,628.40 | 42% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL | $885.00 | $1,770.00 | $1,486.80–$1,628.40 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $1,018.00 | $2,036.00 | $296.48–$1,873.12 | 42% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $1,018.00 | $2,036.00 | $1,710.24–$1,873.12 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT | $495.50 | $991.00 | $143.42–$911.72 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT | $495.50 | $991.00 | $832.44–$911.72 | — | 50% |
| Chest X-ray, 2 views CPT 71046 HC DX EXAM CHEST 2 VIEWS | $132.00 | $264.00 | $22.02–$242.88 | 43% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HC DX EXAM CHEST 2 VIEWS | $132.00 | $264.00 | $221.76–$242.88 | — | 50% |
| Chest X-ray, single view CPT 71045 HC DX EXAM CHEST SINGLE VIEW | $115.00 | $230.00 | $11.96–$211.60 | 38% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 HC DX EXAM CHEST SINGLE VIEW | $115.00 | $230.00 | $193.20–$211.60 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE | $254.50 | $509.00 | $85.62–$468.28 | 54% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE | $254.50 | $509.00 | $427.56–$468.28 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA SCAN ONE OR MORE SITES | $187.00 | $374.00 | $82.55–$344.08 | 55% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA SCAN ONE OR MORE SITES | $187.00 | $374.00 | $314.16–$344.08 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $757.00 | $1,514.00 | $255.90–$1,392.88 | 44% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST | $757.00 | $1,514.00 | $1,271.76–$1,392.88 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/ CONTRAST | $921.50 | $1,843.00 | $306.35–$1,695.56 | 46% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/ CONTRAST | $921.50 | $1,843.00 | $1,548.12–$1,695.56 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL | $443.50 | $887.00 | $204.46–$816.04 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL | $443.50 | $887.00 | $745.08–$816.04 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL | $750.00 | $1,500.00 | $167.05–$1,380.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL | $750.00 | $1,500.00 | $1,260.00–$1,380.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE | $944.50 | $1,889.00 | $213.23–$1,737.88 | 44% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE | $944.50 | $1,889.00 | $1,586.76–$1,737.88 | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP STUDY UNATTENDED | $284.50 | $569.00 | $145.38–$523.48 | 29% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP STUDY UNATTENDED | $284.50 | $569.00 | $477.96–$523.48 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,381.50 | $4,763.00 | $599.09–$4,381.96 | 37% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,381.50 | $4,763.00 | $4,000.92–$4,381.96 | — | 50% |
| Knee X-ray, 3 views CPT 73562 HC DX KNEE 3 VIEW | $159.00 | $318.00 | $24.88–$292.56 | 43% below | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 HC DX KNEE 3 VIEW | $159.00 | $318.00 | $267.12–$292.56 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $334.50 | $669.00 | $61.85–$615.48 | 41% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $334.50 | $669.00 | $561.96–$615.48 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SONO PELVIS LIMITED | $127.00 | $254.00 | $67.14–$233.68 | 64% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SONO PELVIS LIMITED | $127.00 | $254.00 | $213.36–$233.68 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NONOBSTETRIC) | $405.00 | $810.00 | $66.16–$745.20 | 37% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC (NONOBSTETRIC) | $405.00 | $810.00 | $680.40–$745.20 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $106.50 | $213.00 | $72.42–$195.96 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $106.50 | $213.00 | $178.92–$195.96 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2+ VW | $126.50 | $253.00 | $24.88–$232.76 | 55% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC DX SHOULDER 2+ VW | $126.50 | $253.00 | $212.52–$232.76 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,393.50 | $4,787.00 | $292.40–$4,404.04 | 25% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,393.50 | $4,787.00 | $4,021.08–$4,404.04 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL ULTRASOUND | $486.50 | $973.00 | $66.16–$895.16 | 11% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC TRANSVAGINAL ULTRASOUND | $486.50 | $973.00 | $817.32–$895.16 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE | $401.50 | $803.00 | $85.62–$738.76 | 42% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE | $401.50 | $803.00 | $674.52–$738.76 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US ECHO SCROTUM & CONTENTS | $211.00 | $422.00 | $66.16–$388.24 | 61% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US ECHO SCROTUM & CONTENTS | $211.00 | $422.00 | $354.48–$388.24 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUES REAL TIME | $232.00 | $464.00 | $61.85–$426.88 | 60% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK TISSUES REAL TIME | $232.00 | $464.00 | $389.76–$426.88 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD | $451.50 | $903.00 | $120.50–$830.76 | 19% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD | $451.50 | $903.00 | $758.52–$830.76 | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC DX WRIST 3+ VW | $118.00 | $236.00 | $22.66–$217.12 | 50% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC DX WRIST 3+ VW | $118.00 | $236.00 | $198.24–$217.12 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $106.50 | $213.00 | $33.52–$195.96 | 54% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $106.50 | $213.00 | $178.92–$195.96 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1 VIEW | $100.00 | $200.00 | $20.41–$184.00 | 55% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC DX ABDOMEN 1 VIEW | $100.00 | $200.00 | $168.00–$184.00 | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC DX ANKLE 2 VW | $111.00 | $222.00 | $20.99–$204.24 | 52% below | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC DX ANKLE 2 VW | $111.00 | $222.00 | $186.48–$204.24 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC DX EXAM OF FINGER(S) | $90.50 | $181.00 | $17.65–$166.52 | 52% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC DX EXAM OF FINGER(S) | $90.50 | $181.00 | $152.04–$166.52 | — | 50% |
| X-ray of the foot, 2 views CPT 73620 HC DX FOOT 2 VW | $109.50 | $219.00 | $20.99–$201.48 | 46% below | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC DX FOOT 2 VW | $109.50 | $219.00 | $183.96–$201.48 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT 3+ VW | $119.00 | $238.00 | $22.66–$218.96 | 56% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC DX FOOT 3+ VW | $119.00 | $238.00 | $199.92–$218.96 | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC DX HAND 3+ VW | $118.00 | $236.00 | $22.66–$217.12 | 56% below | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC DX HAND 3+ VW | $118.00 | $236.00 | $198.24–$217.12 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2 VIEW | $103.00 | $206.00 | $22.24–$189.52 | 54% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC DX KNEE 1 OR 2 VIEW | $103.00 | $206.00 | $173.04–$189.52 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS | $134.50 | $269.00 | $29.05–$247.48 | 57% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS | $134.50 | $269.00 | $225.96–$247.48 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $186.50 | $373.00 | $39.61–$343.16 | 59% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $186.50 | $373.00 | $313.32–$343.16 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DX THORACIC SPINE 2 VW | $126.50 | $253.00 | $28.22–$232.76 | 57% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC DX THORACIC SPINE 2 VW | $126.50 | $253.00 | $212.52–$232.76 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC DX NASAL BONES | $116.00 | $232.00 | $22.24–$213.44 | 68% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC DX NASAL BONES | $116.00 | $232.00 | $194.88–$213.44 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS | $126.00 | $252.00 | $23.32–$231.84 | 60% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS | $126.00 | $252.00 | $211.68–$231.84 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1/2 VW | $119.00 | $238.00 | $22.24–$218.96 | 55% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC DX PELVIS 1/2 VW | $119.00 | $238.00 | $199.92–$218.96 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DX SACRUM/COCCYX 2+ VW | $101.50 | $203.00 | $24.88–$186.76 | 63% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC DX SACRUM/COCCYX 2+ VW | $101.50 | $203.00 | $170.52–$186.76 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $23.00 | $46.00 | $4.81–$42.32 | 49% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $23.00 | $46.00 | $38.64–$42.32 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $21.00 | $42.00 | $9.43–$38.64 | 52% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $21.00 | $42.00 | $35.28–$38.64 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE | $161.00 | $322.00 | $42.32–$296.24 | 52% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE | $161.00 | $322.00 | $270.48–$296.24 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TESTING SPEC IGE | $11.00 | $22.00 | $4.75–$20.24 | 42% below | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TESTING SPEC IGE | $11.00 | $22.00 | $18.48–$20.24 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY | $73.50 | $147.00 | $11.76–$135.24 | 4% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY | $73.50 | $147.00 | $123.48–$135.24 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $66.00 | $132.00 | $10.98–$121.44 | 31% above | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $66.00 | $132.00 | $110.88–$121.44 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) | $89.50 | $179.00 | $30.83–$164.68 | 26% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) | $89.50 | $179.00 | $150.36–$164.68 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE | $86.00 | $172.00 | $7.28–$158.24 | 45% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE | $86.00 | $172.00 | $144.48–$158.24 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV | $44.50 | $89.00 | $30.26–$120.76 | 75% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV | $44.50 | $89.00 | $74.76–$81.88 | — | 50% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $67.50 | $135.00 | $9.37–$124.20 | 55% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $67.50 | $135.00 | $113.40–$124.20 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD | $5.00 | $10.00 | $3.40–$16.34 | 47% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD | $5.00 | $10.00 | $8.40–$9.20 | — | 50% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE | $6.00 | $12.00 | $4.08–$20.21 | 84% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE | $6.00 | $12.00 | $10.08–$11.04 | — | 50% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $51.50 | $103.00 | $10.99–$94.76 | 41% above | 50% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD | $51.50 | $103.00 | $86.52–$94.76 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE | $17.00 | $34.00 | $6.82–$42.14 | 87% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE | $17.00 | $34.00 | $28.56–$31.28 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $67.00 | $134.00 | $2.71–$123.28 | 22% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $67.00 | $134.00 | $112.56–$123.28 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN CRP | $49.00 | $98.00 | $4.70–$90.16 | 19% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN CRP | $49.00 | $98.00 | $82.32–$90.16 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $53.50 | $107.00 | $18.90–$98.44 | 38% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $53.50 | $107.00 | $89.88–$98.44 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 | $58.00 | $116.00 | $18.90–$106.72 | 31% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 | $58.00 | $116.00 | $97.44–$106.72 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST | $94.50 | $189.00 | $51.31–$173.88 | 11% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST | $94.50 | $189.00 | $158.76–$173.88 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $140.00 | $280.00 | $22.27–$257.60 | 18% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $140.00 | $280.00 | $235.20–$257.60 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL BUNDLED CHARGE | $52.00 | $104.00 | $12.17–$95.68 | 43% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL BUNDLED CHARGE | $52.00 | $104.00 | $87.36–$95.68 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $31.50 | $63.00 | $14.17–$57.96 | 69% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $31.50 | $63.00 | $52.92–$57.96 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC | $28.50 | $57.00 | $11.81–$52.44 | 56% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC | $28.50 | $57.00 | $47.88–$52.44 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE | $119.50 | $239.00 | $7.67–$219.88 | 26% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE | $119.50 | $239.00 | $200.76–$219.88 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE | $89.50 | $179.00 | $8.37–$164.68 | 38% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE | $89.50 | $179.00 | $150.36–$164.68 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE | $29.50 | $59.00 | $20.06–$85.14 | 72% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE | $29.50 | $59.00 | $49.56–$54.28 | — | 50% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL | $185.00 | $370.00 | $21.63–$340.40 | 38% above | 50% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL | $185.00 | $370.00 | $310.80–$340.40 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH | $93.00 | $186.00 | $16.88–$171.12 | at median | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH | $93.00 | $186.00 | $156.24–$171.12 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $142.00 | $284.00 | $17.82–$261.28 | 14% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $142.00 | $284.00 | $238.56–$261.28 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $87.00 | $174.00 | $12.37–$160.08 | 4% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN | $87.00 | $174.00 | $146.16–$160.08 | — | 50% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $70.00 | $140.00 | $13.35–$128.80 | 25% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM | $70.00 | $140.00 | $117.60–$128.80 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE | $184.50 | $369.00 | $15.39–$339.48 | 118% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE | $184.50 | $369.00 | $309.96–$339.48 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE T4 | $86.00 | $172.00 | $8.19–$158.24 | 19% above | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE T4 | $86.00 | $172.00 | $144.48–$158.24 | — | 50% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE | $68.00 | $136.00 | $23.12–$125.12 | 6% below | 50% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE | $68.00 | $136.00 | $114.24–$125.12 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $76.00 | $152.00 | $22.27–$139.84 | 33% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $76.00 | $152.00 | $127.68–$139.84 | — | 50% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG IGA | $129.50 | $259.00 | $13.18–$238.28 | at median | 50% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG IGA | $129.50 | $259.00 | $217.56–$238.28 | — | 50% |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL | $66.50 | $133.00 | $13.07–$122.36 | 40% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL | $66.50 | $133.00 | $111.72–$122.36 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR | $146.50 | $293.00 | $48.28–$490.20 | 37% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR | $146.50 | $293.00 | $246.12–$269.56 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY | $84.50 | $169.00 | $21.81–$155.48 | 13% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY | $84.50 | $169.00 | $141.96–$155.48 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HPV HIGH RISK POOLED RESULT | $44.00 | $88.00 | $21.70–$80.96 | 70% below | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HPV HIGH RISK POOLED RESULT | $44.00 | $88.00 | $73.92–$80.96 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $62.50 | $125.00 | $17.70–$115.00 | 29% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $62.50 | $125.00 | $105.00–$115.00 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $16.00 | $32.00 | $9.76–$32.68 | 79% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $16.00 | $32.00 | $26.88–$29.44 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $54.50 | $109.00 | $8.45–$100.28 | 38% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $54.50 | $109.00 | $91.56–$100.28 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY TEST | $70.00 | $140.00 | $12.96–$128.80 | 45% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY TEST | $70.00 | $140.00 | $117.60–$128.80 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION | $335.00 | $670.00 | $29.58–$616.40 | 101% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION | $335.00 | $670.00 | $562.80–$616.40 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY | $96.00 | $192.00 | $11.98–$176.64 | 112% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY | $96.00 | $192.00 | $161.28–$176.64 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY | $96.00 | $192.00 | $17.58–$176.64 | 38% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY | $96.00 | $192.00 | $161.28–$176.64 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY | $19.00 | $38.00 | $11.76–$34.96 | 75% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY | $19.00 | $38.00 | $31.92–$34.96 | — | 50% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE | $36.50 | $73.00 | $15.32–$67.16 | 51% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE | $36.50 | $73.00 | $61.32–$67.16 | — | 50% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $61.50 | $123.00 | $10.39–$113.16 | 10% above | 50% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL | $61.50 | $123.00 | $103.32–$113.16 | — | 50% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $46.00 | $92.00 | $5.88–$84.64 | 29% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON | $46.00 | $92.00 | $77.28–$84.64 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $56.00 | $112.00 | $7.94–$103.04 | 10% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST | $56.00 | $112.00 | $94.08–$103.04 | — | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE | $20.00 | $40.00 | $7.28–$36.80 | 82% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE | $20.00 | $40.00 | $33.60–$36.80 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH | $86.50 | $173.00 | $16.82–$159.16 | 11% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH | $86.50 | $173.00 | $145.32–$159.16 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $42.50 | $85.00 | $6.25–$78.20 | 62% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE | $42.50 | $85.00 | $71.40–$78.20 | — | 50% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE | $42.50 | $85.00 | $7.28–$78.20 | 74% below | 50% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE | $42.50 | $85.00 | $71.40–$78.20 | — | 50% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $107.50 | $215.00 | $13.18–$197.80 | 33% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY | $107.50 | $215.00 | $180.60–$197.80 | — | 50% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $34.00 | $68.00 | $6.08–$62.56 | 22% below | 50% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM | $34.00 | $68.00 | $57.12–$62.56 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $48.00 | $96.00 | $11.70–$88.32 | 1% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY | $48.00 | $96.00 | $80.64–$88.32 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS | $36.50 | $73.00 | $9.44–$67.16 | 64% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS | $36.50 | $73.00 | $61.32–$67.16 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE | $24.00 | $48.00 | $16.32–$44.16 | 62% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE | $24.00 | $48.00 | $40.32–$44.16 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $53.00 | $106.00 | $16.71–$97.52 | 49% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $53.00 | $106.00 | $89.04–$97.52 | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH CV AUTO FLUID REDO CER VAG | $69.50 | $139.00 | $23.60–$127.88 | 31% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH CV AUTO FLUID REDO CER VAG | $69.50 | $139.00 | $116.76–$127.88 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT | $246.50 | $493.00 | $37.49–$453.56 | 87% above | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT | $246.50 | $493.00 | $414.12–$453.56 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $40.50 | $81.00 | $5.45–$74.52 | 26% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL | $40.50 | $81.00 | $68.04–$74.52 | — | 50% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE | $40.50 | $81.00 | $18.95–$76.54 | 53% below | 50% |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE | $40.50 | $81.00 | $68.04–$74.52 | — | 50% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $100.50 | $201.00 | $17.60–$184.92 | 28% below | 50% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN | $100.50 | $201.00 | $168.84–$184.92 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $33.50 | $67.00 | $7.17–$61.64 | 25% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $33.50 | $67.00 | $56.28–$61.64 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $25.50 | $51.00 | $9.72–$46.92 | 74% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $25.50 | $51.00 | $42.84–$46.92 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN | $23.00 | $46.00 | $10.41–$42.32 | 54% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN | $23.00 | $46.00 | $38.64–$42.32 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $25.50 | $51.00 | $17.34–$78.26 | 56% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC | $25.50 | $51.00 | $42.84–$46.92 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $24.50 | $49.00 | $5.15–$45.08 | 44% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $24.50 | $49.00 | $41.16–$45.08 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM | $45.00 | $90.00 | $13.05–$82.80 | 1% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGM | $45.00 | $90.00 | $75.60–$82.80 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED | $33.50 | $67.00 | $2.45–$61.64 | 56% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED | $33.50 | $67.00 | $56.28–$61.64 | — | 50% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $20.00 | $40.00 | $8.08–$51.60 | 49% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS | $20.00 | $40.00 | $33.60–$36.80 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT BY PEROXID FECES | $20.00 | $40.00 | $5.93–$36.80 | 21% above | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT BY PEROXID FECES | $20.00 | $40.00 | $33.60–$36.80 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB 1 - 3 TEST | $21.00 | $42.00 | $11.76–$50.78 | 62% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB 1 - 3 TEST | $21.00 | $42.00 | $35.28–$38.64 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $43.00 | $86.00 | $3.87–$79.12 | 27% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $43.00 | $86.00 | $72.24–$79.12 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON | $164.50 | $329.00 | $56.28–$302.68 | 40% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON | $164.50 | $329.00 | $276.36–$302.68 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $69.50 | $139.00 | $23.45–$127.88 | 22% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $69.50 | $139.00 | $116.76–$127.88 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $52.00 | $104.00 | $12.58–$95.68 | 12% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY | $52.00 | $104.00 | $87.36–$95.68 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMONE | $59.50 | $119.00 | $14.80–$109.48 | 23% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIMULATING HORMONE | $59.50 | $119.00 | $99.96–$109.48 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE | $43.00 | $86.00 | $21.75–$79.12 | 28% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE | $43.00 | $86.00 | $72.24–$79.12 | — | 50% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID | $48.00 | $96.00 | $4.10–$88.32 | 19% below | 50% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID | $48.00 | $96.00 | $80.64–$88.32 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO | $25.00 | $50.00 | $5.78–$46.00 | 49% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO | $25.00 | $50.00 | $42.00–$46.00 | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINE SINGLE XZ | $5.50 | $11.00 | $3.74–$17.63 | 86% below | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINE SINGLE XZ | $5.50 | $11.00 | $9.24–$10.12 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $18.50 | $37.00 | $4.10–$34.04 | 62% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $18.50 | $37.00 | $31.08–$34.04 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O MICRO | $4.50 | $9.00 | $3.06–$14.62 | 84% below | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O MICRO | $4.50 | $9.00 | $7.56–$8.28 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT | $11.00 | $22.00 | $7.48–$36.12 | 70% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE, COLONY COUNT | $11.00 | $22.00 | $18.48–$20.24 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $17.00 | $34.00 | $10.75–$31.28 | 76% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $17.00 | $34.00 | $28.56–$31.28 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $73.00 | $146.00 | $13.69–$134.32 | at median | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $73.00 | $146.00 | $122.64–$134.32 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D 25 | $48.00 | $96.00 | $26.88–$143.62 | 65% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VITAMIN D 25 | $48.00 | $96.00 | $80.64–$88.32 | — | 50% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $68.50 | $137.00 | $10.34–$126.04 | 87% above | 50% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC | $68.50 | $137.00 | $115.08–$126.04 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD | $32.00 | $64.00 | $7.94–$66.22 | 79% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD | $32.00 | $64.00 | $53.76–$58.88 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN | $277.50 | $555.00 | $188.70–$510.60 | 25% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN | $277.50 | $555.00 | $466.20–$510.60 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN | $277.50 | $555.00 | $188.70–$510.60 | 19% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN | $277.50 | $555.00 | $466.20–$510.60 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL | $735.50 | $1,471.00 | $344.00–$1,353.32 | 29% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL | $735.50 | $1,471.00 | $1,235.64–$1,353.32 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX | $277.50 | $555.00 | $188.70–$510.60 | 34% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX | $277.50 | $555.00 | $466.20–$510.60 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION | $97.50 | $195.00 | $14.33–$179.40 | 8% below | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION | $97.50 | $195.00 | $163.80–$179.40 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 HC ER REMOVAL CERUMEN IMPACTED | $69.50 | $139.00 | $44.72–$127.88 | 56% below | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC ER REMOVAL CERUMEN IMPACTED | $69.50 | $139.00 | $116.76–$127.88 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG | $1,074.00 | $2,148.00 | $136.43–$1,976.16 | 12% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG | $1,074.00 | $2,148.00 | $1,804.32–$1,976.16 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE | $278.50 | $557.00 | $94.60–$512.44 | 30% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE | $278.50 | $557.00 | $467.88–$512.44 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $160.00 | $320.00 | $77.37–$294.40 | 62% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $160.00 | $320.00 | $268.80–$294.40 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT | $160.00 | $320.00 | $63.68–$294.40 | 58% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT | $160.00 | $320.00 | $268.80–$294.40 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $450.50 | $901.00 | $197.65–$828.92 | 13% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $450.50 | $901.00 | $756.84–$828.92 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE | $111.50 | $223.00 | $75.82–$205.16 | 45% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE | $111.50 | $223.00 | $187.32–$205.16 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE | $195.00 | $390.00 | $100.62–$358.80 | 55% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE | $195.00 | $390.00 | $327.60–$358.80 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC ER APPLICATION SHORT ARM SPLINT | $150.50 | $301.00 | $69.66–$276.92 | 41% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC ER APPLICATION SHORT ARM SPLINT | $150.50 | $301.00 | $252.84–$276.92 | — | 50% |
| Short leg cast (below the knee) CPT 29405 HC ER APPLICATION SHORT LEG CAST | $135.50 | $271.00 | $91.20–$249.32 | 63% below | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 HC ER APPLICATION SHORT LEG CAST | $135.50 | $271.00 | $227.64–$249.32 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HC ER APPLICATION SHORT LEG SPLINT | $82.50 | $165.00 | $56.10–$151.80 | 63% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC ER APPLICATION SHORT LEG SPLINT | $82.50 | $165.00 | $138.60–$151.80 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ER RESUPERF WND BODY <2.5CM | $199.00 | $398.00 | $132.44–$366.16 | 46% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ER RESUPERF WND BODY <2.5CM | $199.00 | $398.00 | $334.32–$366.16 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $317.00 | $634.00 | $143.08–$583.28 | 13% above | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $317.00 | $634.00 | $532.56–$583.28 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ER SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $796.50 | $1,593.00 | $138.46–$1,465.56 | 6% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ER SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $796.50 | $1,593.00 | $1,338.12–$1,465.56 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ER RESUP NPTERF WND BODY 2.6-7.5 CM | $166.00 | $332.00 | $112.88–$305.44 | 55% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ER RESUP NPTERF WND BODY 2.6-7.5 CM | $166.00 | $332.00 | $278.88–$305.44 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ER RESUPERF WND FACE <2.5 CM | $199.00 | $398.00 | $135.32–$366.16 | 40% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ER RESUPERF WND FACE <2.5 CM | $199.00 | $398.00 | $334.32–$366.16 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES | $334.50 | $669.00 | $61.95–$615.48 | 27% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES | $334.50 | $669.00 | $561.96–$615.48 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM | $469.00 | $938.00 | $93.68–$862.96 | 13% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM | $469.00 | $938.00 | $787.92–$862.96 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $515.00 | $1,030.00 | $43.78–$947.60 | 30% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $515.00 | $1,030.00 | $865.20–$947.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ | $216.00 | $432.00 | $13.90–$397.44 | 118% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $216.00 | $432.00 | $13.90–$397.44 | 118% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $216.00 | $432.00 | $362.88–$397.44 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ | $216.00 | $432.00 | $362.88–$397.44 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1 HR | $415.00 | $830.00 | $190.79–$763.60 | 42% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION 1 HR | $415.00 | $830.00 | $697.20–$763.60 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES | $1,292.50 | $2,585.00 | $281.07–$2,378.20 | 45% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES | $1,292.50 | $2,585.00 | $2,171.40–$2,378.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $51.00 | $102.00 | $19.32–$93.84 | 73% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING | $51.00 | $102.00 | $85.68–$93.84 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $133.00 | $266.00 | $19.09–$500.00 | 25% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $133.00 | $266.00 | $223.44–$244.72 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY | $225.50 | $451.00 | $32.01–$750.00 | 36% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY | $225.50 | $451.00 | $378.84–$414.92 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY | $379.00 | $758.00 | $71.26–$1,000.00 | 58% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY | $379.00 | $758.00 | $636.72–$697.36 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY | $625.00 | $1,250.00 | $110.85–$1,150.00 | 49% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY | $625.00 | $1,250.00 | $1,050.00–$1,150.00 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $913.00 | $1,826.00 | $173.50–$1,679.92 | 46% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $913.00 | $1,826.00 | $1,533.84–$1,679.92 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN | $238.00 | $476.00 | $69.60–$437.92 | 24% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN | $238.00 | $476.00 | $399.84–$437.92 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL 1ST HOUR | $238.00 | $476.00 | $85.22–$437.92 | 31% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL 1ST HOUR | $238.00 | $476.00 | $399.84–$437.92 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM OR SUBCUT | $98.50 | $197.00 | $20.99–$181.24 | 4% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM OR SUBCUT | $98.50 | $197.00 | $165.48–$181.24 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $66.00 | $132.00 | $20.77–$121.44 | 33% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $66.00 | $132.00 | $110.88–$121.44 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $130.00 | $260.00 | $58.83–$239.20 | 57% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $130.00 | $260.00 | $218.40–$239.20 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $130.00 | $260.00 | $58.83–$239.20 | 36% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $130.00 | $260.00 | $218.40–$239.20 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $130.00 | $260.00 | $58.83–$239.20 | 49% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $130.00 | $260.00 | $218.40–$239.20 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN | $58.50 | $117.00 | $19.16–$107.64 | 52% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN | $58.50 | $117.00 | $98.28–$107.64 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $33.50 | $67.00 | $20.59–$61.64 | 64% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $33.50 | $67.00 | $56.28–$61.64 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $31.00 | $62.00 | $14.10–$57.04 | 40% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $31.00 | $62.00 | $52.08–$57.04 | — | 50% |
| Speech and language evaluation CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $350.50 | $701.00 | $139.64–$644.92 | 1% below | 50% |
| Speech and language evaluation inpatient CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $350.50 | $701.00 | $588.84–$644.92 | — | 50% |
| Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL | $215.00 | $430.00 | $70.98–$395.60 | 22% above | 50% |
| Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL | $215.00 | $430.00 | $361.20–$395.60 | — | 50% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST | $294.50 | $589.00 | $26.41–$541.88 | 25% above | 50% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST | $294.50 | $589.00 | $494.76–$541.88 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS | $431.00 | $862.00 | $44.20–$793.04 | 18% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS | $431.00 | $862.00 | $724.08–$793.04 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $62.50 | $125.00 | $21.01–$115.00 | 38% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $62.50 | $125.00 | $105.00–$115.00 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $100.50 | $201.00 | $18.90–$184.92 | 55% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $100.50 | $201.00 | $168.84–$184.92 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $645.03 | $1,290.05 | $145.92–$1,186.85 | 152% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $645.03 | $1,290.05 | $1,083.64–$1,186.85 | — | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $1,143.33 | $2,286.65 | $198.59–$2,103.72 | 254% above | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $1,143.33 | $2,286.65 | $1,920.79–$2,103.72 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $155.30 | $310.60 | $105.60–$285.75 | 144% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $159.98 | $319.95 | $268.76–$294.35 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $2,007.78 | $4,015.55 | $327.65–$3,694.31 | 384% above | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $2,007.78 | $4,015.55 | $3,373.06–$3,694.31 | — | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $855.93 | $1,711.85 | $143.58–$1,574.90 | 342% above | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $855.93 | $1,711.85 | $1,437.95–$1,574.90 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $610.13 | $1,220.25 | $89.88–$1,122.63 | 369% above | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $610.13 | $1,220.25 | $1,025.01–$1,122.63 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $404.13 | $808.25 | $76.04–$743.59 | 179% above | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $557.43 | $1,114.85 | $76.04–$1,025.66 | 285% above | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $561.48 | $1,122.95 | $76.04–$1,033.11 | 288% above | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $404.13 | $808.25 | $678.93–$743.59 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $557.43 | $1,114.85 | $936.47–$1,025.66 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $561.48 | $1,122.95 | $943.28–$1,033.11 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $422.00 | $844.00 | $73.40–$776.48 | 308% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $422.00 | $844.00 | $708.96–$776.48 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $647.80 | $1,295.60 | $105.01–$1,191.95 | 196% above | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT | $674.40 | $1,348.80 | $105.01–$1,240.90 | 208% above | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $647.80 | $1,295.60 | $1,088.30–$1,191.95 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT | $674.40 | $1,348.80 | $1,132.99–$1,240.90 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $1,077.58 | $2,155.15 | $179.24–$1,982.74 | 379% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $1,077.58 | $2,155.15 | $179.24–$1,982.74 | 379% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $1,077.58 | $2,155.15 | $179.24–$1,982.74 | 379% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $1,077.58 | $2,155.15 | $1,810.33–$1,982.74 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $1,077.58 | $2,155.15 | $1,810.33–$1,982.74 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $1,077.58 | $2,155.15 | $1,810.33–$1,982.74 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $1,470.63 | $2,941.25 | $254.93–$2,705.95 | 386% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $1,470.63 | $2,941.25 | $2,470.65–$2,705.95 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,774.80 | $3,549.60 | $298.08–$3,265.63 | 132% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,774.80 | $3,549.60 | $2,981.66–$3,265.63 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $715.40 | $1,430.80 | $133.48–$1,316.34 | 177% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $764.18 | $1,528.35 | $133.48–$1,406.08 | 196% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $715.40 | $1,430.80 | $1,201.87–$1,316.34 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $764.18 | $1,528.35 | $1,283.81–$1,406.08 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $3,324.58 | $6,649.15 | $536.38–$6,117.22 | 189% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $3,324.58 | $6,649.15 | $5,585.29–$6,117.22 | — | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,922.40 | $3,844.80 | $336.30–$3,537.22 | 105% above | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,922.40 | $3,844.80 | $3,229.63–$3,537.22 | — | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $1,880.58 | $3,761.15 | $319.20–$3,460.26 | 131% above | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT | $1,880.58 | $3,761.15 | $3,159.37–$3,460.26 | — | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $2,348.68 | $4,697.35 | $471.86–$4,321.56 | 66% above | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $2,883.28 | $5,766.55 | $471.86–$5,305.23 | 103% above | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $2,348.68 | $4,697.35 | $3,945.77–$4,321.56 | — | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $2,883.28 | $5,766.55 | $4,843.90–$5,305.23 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $1,405.23 | $2,810.45 | $225.60–$2,585.61 | 388% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $1,405.23 | $2,810.45 | $2,360.78–$2,585.61 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $288.30 | $576.60 | $31.91–$530.47 | 164% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $288.30 | $576.60 | $31.91–$530.47 | 164% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $288.30 | $576.60 | $484.34–$530.47 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $288.30 | $576.60 | $484.34–$530.47 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $337.33 | $674.65 | $53.60–$620.68 | 137% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $345.45 | $690.90 | $53.60–$635.63 | 143% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $351.58 | $703.15 | $53.60–$646.90 | 147% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $351.58 | $703.15 | $53.60–$646.90 | 147% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $337.33 | $674.65 | $566.71–$620.68 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $345.45 | $690.90 | $580.36–$635.63 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $351.58 | $703.15 | $590.65–$646.90 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $351.58 | $703.15 | $590.65–$646.90 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN SINGLE | $69.50 | $139.00 | $9.04–$127.88 | 3% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN SINGLE | $69.50 | $139.00 | $116.76–$127.88 | — | 50% |