Pacifica Hospital of the Valley
Pacifica Hospital of the Valley in Sun Valley, CA publishes cash prices for 298 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the California median for 160 of 298 procedures and above it for 136. By typical cash price it ranks #98 of 213 California hospitals and #27 of 54 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
9449 San Fernando Rd, Sun Valley, CA 91352 Collected Sep 27, 2026 Source price file (818) 767-3310
Acute care hospital Emergency department CCN 050378 · CMS hospital register
The price file shows no self-pay discount
For 436 of the 436 prices listed here, the cash price in Pacifica Hospital of the Valley's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
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 5 actions for a hospital named Pacifica Hospital of the Valley in Sun Valley, CA:
- Mar 17, 2023 Warning notice
- Nov 13, 2023 Case closed
- Aug 13, 2024 Corrective action plan requested
- Dec 19, 2024 Case closed
- Aug 12, 2025 Met requirements
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. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdm W/wo Contrast | $3,196.00 | $3,196.00 | $180.00–$3,196.00 | 13% above | — |
| Abdominal X-ray, 2 views CPT 74019 Abdomen Two Views | $347.00 | $347.00 | $107.00–$347.00 | 19% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Xray Ankle Comp Min Of 3 Views | $273.00 | $273.00 | $89.00–$273.00 | 49% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Complete Left 4 Views | $195.00 | $195.00 | $89.00–$195.00 | 64% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arterial Bil Upp/lower Extrem | $1,149.00 | $1,149.00 | $136.00–$1,149.00 | 106% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Extremity Upper W/o Contras | $1,679.00 | $1,679.00 | $107.00–$1,679.00 | 26% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus, Single Cont Study | $483.00 | $483.00 | $180.00–$483.00 | 20% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan Whole Body | $1,024.00 | $1,024.00 | $409.00–$1,024.00 | 52% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan,w.b. | $1,024.00 | $1,024.00 | $409.00–$1,024.00 | 52% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast,unilateral Complete | $675.00 | $675.00 | $107.00–$675.00 | 6% below | — |
| CT angiography (CTA) of the head CPT 70496 Ct Angio Head W/wo Contrast | $2,441.00 | $2,441.00 | $180.00–$2,441.00 | 21% below | — |
| CT angiography (CTA) of the neck CPT 70498 Ct Angio Neck W/wo Contrast | $2,941.00 | $2,941.00 | $180.00–$2,941.00 | 1% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest W/wo Contrast | $2,723.00 | $2,723.00 | $180.00–$2,723.00 | 19% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen & Pelvis W/o Contra | $6,378.00 | $6,378.00 | $244.00–$6,378.00 | 110% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $8,379.00 | $8,379.00 | $357.00–$8,379.00 | 104% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd&pelv W&w/o Contrast | $4,233.00 | $4,233.00 | $357.00–$4,233.00 | 5% below | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen With Contrast | $2,441.00 | $2,441.00 | $180.00–$2,441.00 | 3% below | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdm W/o Contrast | $1,431.00 | $1,431.00 | $107.00–$1,431.00 | 25% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Area Wo Contr | $1,854.00 | $1,854.00 | $107.00–$1,854.00 | 15% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,235.00 | $1,235.00 | $107.00–$1,235.00 | 46% below | — |
| CT scan of the head with contrast CPT 70460 Ct Head With Contrast Only | $1,375.00 | $1,375.00 | $180.00–$1,375.00 | 49% below | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head With And W/o Contrast | $1,979.00 | $1,979.00 | $180.00–$1,979.00 | 35% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-spine W/o Contrast | $3,010.00 | $3,010.00 | $107.00–$3,010.00 | 5% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-spine W/o | $1,635.00 | $1,635.00 | $107.00–$1,635.00 | 44% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Duplex Scan | $1,640.00 | $1,640.00 | $244.00–$1,640.00 | 39% above | — |
| Chest CT scan without and with contrast CPT 71270 Ct Chest W-w/o Contrast | $2,211.00 | $2,211.00 | $180.00–$2,211.00 | 29% below | — |
| Chest X-ray, 2 views CPT 71046 Portable Chest | $239.00 | $239.00 | $89.00–$239.00 | 41% below | — |
| Chest X-ray, 2 views CPT 71046 X-ray Chest 2 Views | $336.00 | $336.00 | $89.00–$336.00 | 18% below | — |
| Chest X-ray, single view CPT 71045 X-ray Chest 1 View | $260.00 | $260.00 | $89.00–$260.00 | 29% below | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle; Complete | $299.00 | $299.00 | $89.00–$299.00 | 38% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $964.00 | $964.00 | $107.00–$964.00 | 13% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us, Preg Uterus, Fetal Eval Si | $1,099.00 | $1,099.00 | $244.00–$1,099.00 | 22% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $1,590.00 | $1,590.00 | $107.00–$1,590.00 | 21% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest With Contrast | $1,750.00 | $1,750.00 | $180.00–$1,750.00 | 40% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Scan Bil Ext Complete | $3,189.00 | $3,189.00 | $244.00–$3,189.00 | 181% above | — |
| Elbow X-ray, 2 views CPT 73070 Elbow Limited 2 Views | $236.00 | $236.00 | $89.00–$236.00 | 40% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Elbow Complete Minimum 3 Views | $299.00 | $299.00 | $89.00–$299.00 | 37% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit/iac W/o Contrast | $1,506.00 | $1,506.00 | $107.00–$1,506.00 | 34% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray Facial Bones 3+ Views | $569.00 | $569.00 | $107.00–$569.00 | 15% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm, Two Views | $236.00 | $236.00 | $89.00–$236.00 | 41% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary | $1,739.00 | $1,739.00 | $409.00–$1,739.00 | 5% below | — |
| Hand X-ray, 2 views CPT 73120 Hand, 2 Views | $223.00 | $223.00 | $107.00–$223.00 | 45% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray Calcaneus(heel) Min 2vie | $451.00 | $451.00 | $89.00–$451.00 | 29% above | — |
| Knee X-ray, 3 views CPT 73562 X-ray; Knee 3 Views | $227.00 | $227.00 | $89.00–$227.00 | 51% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Knee Complete 4 Or More Views | $322.00 | $322.00 | $107.00–$322.00 | 45% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Complete Left 4 Views | $230.00 | $230.00 | $107.00–$230.00 | 61% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Ext W/o Contrast | $2,069.00 | $2,069.00 | $107.00–$2,069.00 | 3% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Appendix / Rlq Ultrasound | $602.00 | $602.00 | $107.00–$602.00 | 27% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/s, Abd, Realtime Limited | $873.00 | $873.00 | $107.00–$873.00 | 5% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Ltd Ultrasound | $873.00 | $873.00 | $107.00–$873.00 | 5% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdomen Limited | $1,033.00 | $1,033.00 | $107.00–$1,033.00 | 25% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us, Extremity, Non Vasc Limite | $176.00 | $176.00 | $88.00–$176.00 | 65% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound Extremity Limited | $455.00 | $455.00 | $107.00–$455.00 | 10% below | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Lower Leg (Tib-fib) 2 Views | $236.00 | $236.00 | $89.00–$236.00 | 45% below | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mri Angio Brain/head W/o Contr | $3,503.00 | $3,503.00 | $244.00–$3,503.00 | 19% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,764.00 | $1,764.00 | $244.00–$1,764.00 | 46% below | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $3,356.00 | $3,356.00 | $244.00–$3,356.00 | 21% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/wo Contrast | $3,356.00 | $3,356.00 | $357.00–$3,356.00 | 23% below | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Head W/o Cont | $2,714.00 | $2,714.00 | $244.00–$2,714.00 | 8% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $3,390.00 | $3,390.00 | $357.00–$3,390.00 | 23% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,714.00 | $2,714.00 | $244.00–$2,714.00 | 12% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri L-spine W/wo Contrast | $3,390.00 | $3,390.00 | $357.00–$3,390.00 | 26% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T-spine W/o Contrast | $3,390.00 | $3,390.00 | $244.00–$3,390.00 | 12% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri C-spine W/wo Contrast | $3,446.00 | $3,446.00 | $357.00–$3,446.00 | 22% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C-spine W/o Contrast | $2,714.00 | $2,714.00 | $244.00–$2,714.00 | 11% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Upper Ext W/jt W/o Contras | $1,764.00 | $1,764.00 | $244.00–$1,764.00 | 34% below | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck W/ Contras | $1,590.00 | $1,590.00 | $180.00–$1,590.00 | 38% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissueneck W/o Contras | $2,211.00 | $2,211.00 | $107.00–$2,211.00 | 8% above | — |
| Neck soft tissue X-ray CPT 70360 X-ray Neck/soft Tissues | $377.00 | $377.00 | $89.00–$377.00 | 17% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Rest. | $2,275.00 | $2,275.00 | $1,138.00–$2,275.00 | 44% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocard Spect Sngl | $2,275.00 | $2,275.00 | $1,138.00–$2,275.00 | 44% below | — |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/o Contrast | $1,413.00 | $1,413.00 | $107.00–$1,413.00 | 28% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us,pelvic Non Ob,real Time Com | $944.00 | $944.00 | $107.00–$944.00 | at median | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us, Preg Uterus, Sing Gest 1st | $918.00 | $918.00 | $107.00–$918.00 | 11% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us, Preg Uterus, Limited | $624.00 | $624.00 | $107.00–$624.00 | 3% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Ribs/pa Chest Unil Min 3 Views | $515.00 | $515.00 | $107.00–$515.00 | 16% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray Shoulder, Min 2 Views | $487.00 | $487.00 | $89.00–$487.00 | 13% below | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Paranasal Sinus Series Min 3 V | $700.00 | $700.00 | $89.00–$700.00 | 53% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray Skull < 4 Views | $514.00 | $514.00 | $107.00–$514.00 | 21% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur Minimum 2 Views | $383.00 | $383.00 | $89.00–$383.00 | 2% below | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct T-spine W/o Contrast | $2,948.00 | $2,948.00 | $107.00–$2,948.00 | 5% above | — |
| Toe X-ray, 2 or more views CPT 73660 Toe(s) Minimum 2 Views | $189.00 | $189.00 | $89.00–$189.00 | 43% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $907.00 | $907.00 | $107.00–$907.00 | 27% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Usob Preg Uterus Transvagin | $953.00 | $953.00 | $107.00–$953.00 | 41% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Pelvic Preg W/transvaginal U/s | $953.00 | $953.00 | $107.00–$953.00 | 41% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $1,147.00 | $1,147.00 | $107.00–$1,147.00 | 1% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents | $716.00 | $716.00 | $107.00–$716.00 | 20% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head & Neck | $801.00 | $801.00 | $107.00–$801.00 | 5% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gastro Series | $984.00 | $984.00 | $180.00–$984.00 | 60% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Humerus, Minimum 2 Views | $299.00 | $299.00 | $89.00–$299.00 | 30% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan Ext Uni/limited | $895.00 | $895.00 | $107.00–$895.00 | at median | — |
| Wrist X-ray, 2 views CPT 73100 X-ray, Wrist, 2 Views | $300.00 | $300.00 | $89.00–$300.00 | 23% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray, Wrist, Comp Min 3 Views | $470.00 | $470.00 | $89.00–$470.00 | 7% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip/pelvis Unil 2-3 Views | $433.00 | $433.00 | $89.00–$433.00 | 3% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen Single View | $236.00 | $236.00 | $89.00–$236.00 | 22% below | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle; 2 Views | $236.00 | $236.00 | $89.00–$236.00 | 40% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger(s), Minimum 2 Views | $222.00 | $222.00 | $89.00–$222.00 | 41% below | — |
| X-ray of the foot, 2 views CPT 73620 Foot; 2 Views | $185.00 | $185.00 | $89.00–$185.00 | 54% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray Foot Comp Min 3 Views | $273.00 | $273.00 | $89.00–$273.00 | 47% below | — |
| X-ray of the hand, 3 or more views CPT 73130 Hand Minimum 3 Views | $273.00 | $273.00 | $89.00–$273.00 | 46% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray, Knee 1 Or 2 Views | $247.00 | $247.00 | $89.00–$247.00 | 35% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-s Spine 2 Or 3 Views | $458.00 | $458.00 | $107.00–$458.00 | 8% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $876.00 | $876.00 | $107.00–$876.00 | 30% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray Nasal Bones Min 3 Views | $574.00 | $574.00 | $89.00–$574.00 | 27% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray C Spine 2 Or 3 Views | $680.00 | $680.00 | $89.00–$680.00 | 49% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray Pelvis, 1 Or 2 Views | $433.00 | $433.00 | $107.00–$433.00 | 9% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx Min 2 Views | $319.00 | $319.00 | $89.00–$319.00 | 34% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Acth, Plasma -L12 | $61.00 | $61.00 | $31.00–$61.00 | 10% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt | $89.00 | $89.00 | $4.00–$89.00 | 106% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot | $95.00 | $95.00 | $4.00–$95.00 | 109% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel,ref | $358.00 | $358.00 | $38.00–$358.00 | 32% above | — |
| Albumin blood test CPT 82040 Albumin Serum -Lab | $95.00 | $95.00 | $4.00–$95.00 | 281% above | — |
| Aldosterone blood test CPT 82088 Aldosteron Serum L-12 | $42.00 | $42.00 | $21.00–$51.00 | 5% above | — |
| Aldosterone blood test CPT 82088 Aldosteron Urine -L01 | $66.00 | $66.00 | $33.00–$66.00 | 65% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos,serum Lab | $76.00 | $76.00 | $4.00–$76.00 | 106% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy-rast,1-5 | $67.00 | $67.00 | $4.00–$67.00 | 705% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Feto Protein,ref | $18.00 | $18.00 | $9.00–$21.00 | 81% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Fetoprotein Se-l01 | $204.00 | $204.00 | $13.00–$204.00 | 117% above | — |
| Ammonia blood test CPT 82140 Ammonia,blood -Lab | $155.00 | $155.00 | $12.00–$155.00 | 14% below | — |
| Amylase blood test CPT 82150 Amylase,urine -Lab | $7.00 | $7.00 | $4.00–$8.00 | 89% below | — |
| Amylase blood test CPT 82150 Amylase,serum -Lab | $125.00 | $125.00 | $5.00–$125.00 | 88% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $104.00 | $104.00 | $10.00–$104.00 | 336% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide | $273.00 | $273.00 | $31.00–$273.00 | 31% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat -Lab | $133.00 | $133.00 | $7.00–$133.00 | at median | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Exudate -Lab | $133.00 | $133.00 | $7.00–$133.00 | at median | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Misc Rout-lab | $170.00 | $170.00 | $7.00–$170.00 | 28% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $269.00 | $269.00 | $7.00–$269.00 | 39% above | — |
| Bilirubin blood test, total CPT 82247 Bili-amniotic Fl-lab | $23.00 | $23.00 | $4.00–$23.00 | 49% below | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Urine | $33.00 | $33.00 | $4.00–$33.00 | 27% below | — |
| Bilirubin blood test, total CPT 82247 Bilirubin,serum-lab | $40.00 | $40.00 | $4.00–$40.00 | 12% below | — |
| Bilirubin blood test, total CPT 82247 Bili T&d | $117.00 | $117.00 | $4.00–$117.00 | 159% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level 4, Surg Path Gross Ref | $191.00 | $191.00 | $53.00–$191.00 | 47% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cytology Fl-butt-lab | $205.00 | $205.00 | $53.00–$205.00 | 58% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Level Iv | $258.00 | $258.00 | $53.00–$258.00 | 98% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Ex&bi | $435.00 | $435.00 | $53.00–$435.00 | 235% above | — |
| Blood culture for bacteria CPT 87040 Culture Blood -Lab | $168.00 | $168.00 | $8.00–$168.00 | 38% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture-lab | $23.00 | $23.00 | $7.00–$23.00 | 15% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Quant Ur-lab | $68.00 | $68.00 | $3.00–$68.00 | 81% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose, Body Fluid | $75.00 | $75.00 | $3.00–$75.00 | 100% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Quan Bl-lab | $82.00 | $82.00 | $3.00–$82.00 | 119% above | — |
| Blood glucose (sugar) test CPT 82947 Csf-panel | $329.00 | $329.00 | $3.00–$329.00 | 777% above | — |
| Blood lead test CPT 83655 Lead W/osha (B) | $9.00 | $9.00 | $5.00–$15.00 | 25% below | — |
| Blood lead test CPT 83655 Lead Urine/bld -Lab | $18.00 | $18.00 | $9.00–$18.00 | 50% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum | $57.00 | $57.00 | $6.00–$57.00 | 67% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Typing Bld Rbc Abo | $50.00 | $50.00 | $2.00–$50.00 | 52% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Group Blood -Lab | $57.00 | $57.00 | $2.00–$57.00 | 46% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Typing -Lab | $86.00 | $86.00 | $2.00–$86.00 | 18% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Rhogam Study Panel | $139.00 | $139.00 | $2.00–$139.00 | 32% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Bun Body Fluid Ref | $11.00 | $11.00 | $3.00–$11.00 | 70% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 Bun, Serum -Lab Urea Quant | $95.00 | $95.00 | $3.00–$95.00 | 159% above | — |
| C-peptide blood test CPT 84681 C-peptide | $74.00 | $74.00 | $17.00–$74.00 | 16% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Prot -Lab | $68.00 | $68.00 | $4.00–$68.00 | 1% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (Inhouse) | $87.00 | $87.00 | $4.00–$87.00 | 27% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Antigen Ca-19-9 | $24.00 | $24.00 | $12.00–$26.00 | 57% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19/sars-cov-2 | $150.00 | $150.00 | $41.00–$150.00 | 63% above | — |
| Calcium blood test, total CPT 82310 Calcium Rout Ur-lab | $75.00 | $75.00 | $4.00–$75.00 | 21% above | — |
| Calcium blood test, total CPT 82310 Calcium,serum-lab | $75.00 | $75.00 | $4.00–$75.00 | 21% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea Plas-roche-lab | $51.00 | $51.00 | $15.00–$51.00 | 52% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster-l01 | $48.00 | $48.00 | $10.00–$48.00 | 27% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Encephalitis, Csf | $106.00 | $106.00 | $10.00–$106.00 | 180% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Herpes Zoster Ab-l01 | $154.00 | $154.00 | $10.00–$154.00 | 306% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomat Dna Sda Rf | $41.00 | $41.00 | $21.00–$44.00 | 25% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $310.00 | $310.00 | $11.00–$310.00 | 171% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $94.00 | $94.00 | $6.00–$94.00 | 15% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $443.00 | $443.00 | $8.00–$443.00 | 73% above | — |
| Cortisol blood test, total CPT 82533 Cortisol P.m. | $14.00 | $14.00 | $7.00–$20.00 | 86% below | — |
| Cortisol blood test, total CPT 82533 Cortisol Plasma-lab | $18.00 | $18.00 | $9.00–$20.00 | 82% below | — |
| Cortisol blood test, total CPT 82533 Cortisol A.m. | $24.00 | $24.00 | $12.00–$24.00 | 76% below | — |
| Cortisol blood test, total CPT 82533 Cortisone,serum-l01 | $35.00 | $35.00 | $13.00–$35.00 | 65% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine,serum-l01 | $20.00 | $20.00 | $5.00–$20.00 | 77% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine,urine | $83.00 | $83.00 | $5.00–$83.00 | 5% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk,serum-lab | $104.00 | $104.00 | $5.00–$104.00 | 19% above | — |
| Creatinine blood test CPT 82565 Creatinine,serum | $75.00 | $75.00 | $4.00–$75.00 | 57% above | — |
| Creatinine blood test CPT 82565 I-stat Chem 8 | $136.00 | $136.00 | $4.00–$136.00 | 185% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Ab 1gg, 1gm, Serum | $40.00 | $40.00 | $12.00–$40.00 | 28% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Surcharge | $52.00 | $52.00 | $12.00–$52.00 | 66% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-sul Plasma-l12 | $41.00 | $41.00 | $18.00–$41.00 | 59% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Presumptive Analyzer | $142.00 | $142.00 | $50.00–$142.00 | 99% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $249.00 | $249.00 | $6.00–$249.00 | 185% above | — |
| Estradiol blood test CPT 82670 Estradiol,plasma-l12 | $67.00 | $67.00 | $22.00–$67.00 | 27% below | — |
| Estradiol blood test CPT 82670 Estradiol,urine-l01 | $67.00 | $67.00 | $22.00–$67.00 | 27% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Urine-lab | $35.00 | $35.00 | $15.00–$35.00 | 66% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Plasma Or Se-lab | $51.00 | $51.00 | $15.00–$51.00 | 51% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Serum -L01 | $35.00 | $35.00 | $11.00–$35.00 | 67% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Serum (Inhouse) | $87.00 | $87.00 | $11.00–$87.00 | 19% below | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Plasm-lab | $95.00 | $95.00 | $8.00–$95.00 | 34% below | — |
| Folate (folic acid) blood test CPT 82746 Folate Serum-lab | $52.00 | $52.00 | $12.00–$52.00 | 52% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T3 (Inhouse) | $87.00 | $87.00 | $7.00–$87.00 | 28% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T-4 Spec-se-l01 | $93.00 | $93.00 | $7.00–$93.00 | 37% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 (Inhouse) | $128.00 | $128.00 | $7.00–$128.00 | 88% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $137.00 | $137.00 | $7.00–$137.00 | 101% above | — |
| Free testosterone test CPT 84402 Testostron Free | $65.00 | $65.00 | $20.00–$65.00 | 118% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt Serum -Lab | $101.00 | $101.00 | $6.00–$101.00 | 127% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerence 3hr Gtt Ref | $13.00 | $13.00 | $7.00–$16.00 | 91% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Lactose Toleranc-l01 (1st/3) | $73.00 | $73.00 | $10.00–$73.00 | 47% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Gluc Tol Ora 1hr-lab (3 Spec) | $100.00 | $100.00 | $10.00–$100.00 | 27% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neiseria Gonorhoeae Dna Sda Rf | $41.00 | $41.00 | $21.00–$44.00 | 38% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae Dna Amp Prob | $126.00 | $126.00 | $28.00–$126.00 | 91% above | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylon Iga,ref | $25.00 | $25.00 | $13.00–$25.00 | 78% below | — |
| H. pylori antibody blood test CPT 86677 H. Pylori Antibody Igg | $126.00 | $126.00 | $13.00–$126.00 | 11% above | — |
| H. pylori antibody blood test CPT 86677 H. Pylori Antibody Igm | $126.00 | $126.00 | $13.00–$126.00 | 11% above | — |
| H. pylori antibody blood test CPT 86677 H. Pylori Antibody Iga | $138.00 | $138.00 | $13.00–$138.00 | 21% above | — |
| H. pylori stool antigen test CPT 87338 H-pylori Ag Eia Stool | $170.00 | $170.00 | $12.00–$170.00 | 102% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Qn Pcr | $178.00 | $178.00 | $68.00–$178.00 | 62% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Viral Blood Rna/pcrqt Ref | $265.00 | $265.00 | $68.00–$265.00 | 141% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Rapid Hiv | $167.00 | $167.00 | $84.00–$167.00 | 179% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin-l25 | $73.00 | $73.00 | $8.00–$73.00 | 12% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c (Inhouse) | $128.00 | $128.00 | $8.00–$128.00 | 96% above | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $37.00 | $37.00 | $2.00–$37.00 | 8% below | — |
| Hemoglobin blood test CPT 85018 Hemoglobin Bld -Lab | $37.00 | $37.00 | $2.00–$37.00 | 8% below | — |
| Hemoglobin blood test CPT 85018 Hemoglobin Plasm-lab | $89.00 | $89.00 | $2.00–$89.00 | 121% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hb Core Antibody | $76.00 | $76.00 | $10.00–$76.00 | 101% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab | $182.00 | $182.00 | $10.00–$182.00 | 382% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab Quant | $10.00 | $10.00 | $5.00–$13.00 | 77% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb S Antibody | $43.00 | $43.00 | $9.00–$43.00 | 1% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab | $167.00 | $167.00 | $9.00–$167.00 | 291% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag | $168.00 | $168.00 | $8.00–$168.00 | 134% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus, | $76.00 | $76.00 | $11.00–$76.00 | 29% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simp | $14.00 | $14.00 | $7.00–$16.00 | 28% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Iqm | $17.00 | $17.00 | $9.00–$17.00 | 12% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Igg & Igm | $26.00 | $26.00 | $11.00–$26.00 | 34% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 H.s. C-react Protein (Inhouse) | $87.00 | $87.00 | $10.00–$87.00 | 28% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio Crp | $87.00 | $87.00 | $10.00–$87.00 | 28% above | — |
| Homocysteine blood test CPT 83090 Hemocysteine,ref Quant | $50.00 | $50.00 | $14.00–$50.00 | 30% below | — |
| Homocysteine blood test CPT 83090 Homocysteine Cardio | $213.00 | $213.00 | $14.00–$213.00 | 199% above | — |
| Homocysteine blood test CPT 83090 Methylmolonic Acid Hemocystein | $413.00 | $413.00 | $14.00–$413.00 | 480% above | — |
| Insulin blood test CPT 83525 Insulin Tol Addi-l01 Total | $20.00 | $20.00 | $9.00–$20.00 | 56% below | — |
| Insulin blood test CPT 83525 Insulin Serum -L12 Total | $61.00 | $61.00 | $9.00–$61.00 | 36% above | — |
| Iron blood test (serum iron) CPT 83540 Iron/serum | $82.00 | $82.00 | $5.00–$82.00 | 40% above | — |
| Iron blood test (serum iron) CPT 83540 Fe-iron Level (Inhouse) | $83.00 | $83.00 | $5.00–$83.00 | 42% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Uibc (Inhouse) | $62.00 | $62.00 | $7.00–$62.00 | 16% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Tot Bndg Cap | $82.00 | $82.00 | $7.00–$82.00 | 11% above | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $387.00 | $387.00 | $7.00–$387.00 | 172% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh Plasma-lab | $227.00 | $227.00 | $15.00–$227.00 | 109% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Bl-lab | $34.00 | $34.00 | $9.00–$34.00 | 76% below | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Blood (Inhouse) | $94.00 | $94.00 | $9.00–$94.00 | 34% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Csf,ref | $7.00 | $7.00 | $4.00–$8.00 | 79% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Other Fluids-lab | $72.00 | $72.00 | $5.00–$72.00 | 114% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh, Synovial Fluid | $72.00 | $72.00 | $5.00–$72.00 | 114% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Urine-lab | $93.00 | $93.00 | $5.00–$93.00 | 176% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh, Serum -Lab | $95.00 | $95.00 | $5.00–$95.00 | 182% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pertioneal Fluid | $8.00 | $8.00 | $4.00–$9.00 | 93% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipas Pleural Fluid | $8.00 | $8.00 | $4.00–$9.00 | 93% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum-lab | $137.00 | $137.00 | $6.00–$137.00 | 24% above | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $378.00 | $378.00 | $7.00–$378.00 | 150% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibodies Csf,rf | $22.00 | $22.00 | $11.00–$22.00 | 5% below | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody Igm,ref | $22.00 | $22.00 | $11.00–$22.00 | 5% below | — |
| Magnesium blood test CPT 83735 Magnesium Rbc,ref | $27.00 | $27.00 | $5.00–$27.00 | 66% below | — |
| Magnesium blood test CPT 83735 Magnesium Urine-lab | $117.00 | $117.00 | $5.00–$117.00 | 47% above | — |
| Magnesium blood test CPT 83735 Magnesium Serum-lab | $133.00 | $133.00 | $5.00–$133.00 | 68% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola | $57.00 | $57.00 | $10.00–$57.00 | 71% above | — |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody Igm Ref | $204.00 | $204.00 | $10.00–$204.00 | 513% above | — |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody Igg Ref | $204.00 | $204.00 | $10.00–$204.00 | 513% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Spot | $83.00 | $83.00 | $4.00–$83.00 | 21% below | — |
| Mumps immunity blood test CPT 86735 Mumps Hi Ab -L01 | $52.00 | $52.00 | $10.00–$52.00 | 168% above | — |
| Mumps immunity blood test CPT 86735 Mumps Antibody | $61.00 | $61.00 | $10.00–$61.00 | 214% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $103.00 | $103.00 | $15.00–$103.00 | 79% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $37.00 | $37.00 | $15.00–$37.00 | 37% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Surepath Pap Test Hpv Ref | $31.00 | $31.00 | $16.00–$31.00 | 66% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Pap Test Ref | $31.00 | $31.00 | $16.00–$31.00 | 66% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth-intact/c-ter L10 | $68.00 | $68.00 | $33.00–$68.00 | 38% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone,se -L12 | $86.00 | $86.00 | $33.00–$86.00 | 22% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $89.00 | $89.00 | $5.00–$89.00 | 34% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum | $81.00 | $81.00 | $4.00–$81.00 | 7% above | — |
| Potassium blood test CPT 84132 Potassium Fluid (Plural) | $9.00 | $9.00 | $4.00–$9.00 | 88% below | — |
| Potassium blood test CPT 84132 Potassium Serum -Lab | $83.00 | $83.00 | $4.00–$83.00 | 13% above | — |
| Prolactin blood test CPT 84146 Prolactin Plasma-l12 | $62.00 | $62.00 | $16.00–$62.00 | 42% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $89.00 | $89.00 | $3.00–$89.00 | 35% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Presumptive Optical | $27.00 | $27.00 | $10.00–$27.00 | 68% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Scr Rout | $72.00 | $72.00 | $10.00–$72.00 | 15% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen,ref | $8.00 | $8.00 | $4.00–$21.00 | 93% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Screen,ref | $18.00 | $18.00 | $9.00–$21.00 | 84% below | — |
| Renin blood test CPT 84244 Renin Plasma | $41.00 | $41.00 | $18.00–$41.00 | 66% above | — |
| Rh blood typing CPT 86901 Rh Typing-d-bld -Lab | $52.00 | $52.00 | $2.00–$52.00 | 27% below | — |
| Rh blood typing CPT 86901 Rhogam For Admin. | $465.00 | $465.00 | $38.00–$465.00 | 555% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer,ref | $16.00 | $16.00 | $5.00–$16.00 | 21% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Titer,ref | $18.00 | $18.00 | $9.00–$18.00 | 68% below | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella 1gg | $20.00 | $20.00 | $10.00–$20.00 | 64% below | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab-cf,se-l01 | $160.00 | $160.00 | $12.00–$160.00 | 185% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Bld -Lab | $60.00 | $60.00 | $2.00–$60.00 | 7% above | — |
| Sodium blood test CPT 84295 Sodium Fluid | $5.00 | $5.00 | $3.00–$6.00 | 92% below | — |
| Sodium blood test CPT 84295 Sodium, Body Fluid | $68.00 | $68.00 | $4.00–$68.00 | 4% above | — |
| Sodium blood test CPT 84295 Sodium Serum -Lab | $83.00 | $83.00 | $4.00–$83.00 | 27% above | — |
| Stool ova and parasites exam CPT 87177 Wt + Dry Mt Ova Para | $26.00 | $26.00 | $7.00–$26.00 | 25% above | — |
| Stool ova and parasites exam CPT 87177 Micro Ova-paras-lab | $27.00 | $27.00 | $7.00–$27.00 | 29% above | — |
| Stool ova and parasites exam CPT 87177 Tick Identification,ref | $34.00 | $34.00 | $7.00–$34.00 | 63% above | — |
| Stool ova and parasites exam CPT 87177 Oval & Parasite Exam | $152.00 | $152.00 | $7.00–$152.00 | 628% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Fe (1-3 Determ) | $69.00 | $69.00 | $4.00–$69.00 | 77% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $51.00 | $51.00 | $3.00–$51.00 | 143% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf | $98.00 | $98.00 | $3.00–$98.00 | 367% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Gold Quantiferon | $94.00 | $94.00 | $47.00–$94.00 | 3% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone 24hr Urine Total | $57.00 | $57.00 | $21.00–$57.00 | 16% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total | $92.00 | $92.00 | $21.00–$92.00 | 87% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodytpo | $14.00 | $14.00 | $7.00–$18.00 | 39% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Ab,ref | $23.00 | $23.00 | $12.00–$23.00 | 1% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Serum | $151.00 | $151.00 | $12.00–$151.00 | 560% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $137.00 | $137.00 | $13.00–$137.00 | 26% above | — |
| Total IgE blood test CPT 82785 Ige Assay Serum-lab | $37.00 | $37.00 | $13.00–$37.00 | 42% below | — |
| Total cholesterol blood test CPT 82465 Cholesterol,se-lab | $85.00 | $85.00 | $3.00–$85.00 | 93% above | — |
| Total thyroxine (T4) blood test CPT 84436 T-4 Ria Serum | $39.00 | $39.00 | $5.00–$39.00 | 1% below | — |
| Total thyroxine (T4) blood test CPT 84436 T4 Thyroxine Total (Inhouse) | $93.00 | $93.00 | $5.00–$93.00 | 137% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $25.00 | $25.00 | $11.00–$25.00 | 68% below | — |
| Total triiodothyronine (T3) blood test CPT 84480 Total T3 (Inhouse) | $93.00 | $93.00 | $11.00–$93.00 | 19% above | — |
| Transferrin blood test CPT 84466 Transferrin Se -Lab | $51.00 | $51.00 | $10.00–$51.00 | 19% below | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif | $126.00 | $126.00 | $28.00–$126.00 | 26% above | — |
| Triglycerides blood test CPT 84478 Triglycerides Se | $108.00 | $108.00 | $5.00–$108.00 | 162% above | — |
| Troponin test, quantitative CPT 84484 Troponini | $98.00 | $98.00 | $10.00–$98.00 | 46% below | — |
| Troponin test, quantitative CPT 84484 Troponin I, Quant | $193.00 | $193.00 | $10.00–$193.00 | 7% above | — |
| Uric acid blood test CPT 84550 Uric Acid Serum Lab | $82.00 | $82.00 | $4.00–$82.00 | 26% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $83.00 | $83.00 | $3.00–$83.00 | at median | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $33.00 | $33.00 | $2.00–$33.00 | 41% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine -Lab | $158.00 | $158.00 | $6.00–$158.00 | 13% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Ref | $76.00 | $76.00 | $5.00–$76.00 | 113% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine (Inhouse) | $81.00 | $81.00 | $5.00–$81.00 | 127% above | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Urine Test- Ucc | $24.00 | $24.00 | $7.00–$24.00 | 73% below | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test | $24.00 | $24.00 | $7.00–$24.00 | 73% below | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Urine | $24.00 | $24.00 | $7.00–$24.00 | 73% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 Se-lab | $48.00 | $48.00 | $12.00–$48.00 | 48% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Methylmalonic Ac-l01, Vit B12 | $237.00 | $237.00 | $12.00–$237.00 | 155% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D 25-hydroxy-ref | $31.00 | $31.00 | $16.00–$37.00 | 53% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 250h-l03 | $111.00 | $111.00 | $24.00–$111.00 | 70% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 1,25 | $170.00 | $170.00 | $24.00–$170.00 | 160% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Camplylobacter Jej | $181.00 | $181.00 | $24.00–$181.00 | 177% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D | $109.00 | $109.00 | $31.00–$109.00 | 61% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit. D 25-oh, Total -Ref | $246.00 | $246.00 | $31.00–$246.00 | 263% above | — |
| Zinc blood test CPT 84630 Zinc Serum | $20.00 | $20.00 | $9.00–$20.00 | 44% above | — |
| Zinc blood test CPT 84630 Zinc Urine | $24.00 | $24.00 | $9.00–$24.00 | 72% above | — |
| Zinc blood test CPT 84630 Zinc (P) | $34.00 | $34.00 | $9.00–$34.00 | 144% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant | $106.00 | $106.00 | $12.00–$106.00 | 41% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Pregnancy-se Quant | $108.00 | $108.00 | $12.00–$108.00 | 40% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Sub Qt Se Ur | $230.00 | $230.00 | $12.00–$230.00 | 29% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $27,945.00 | $27,945.00 | $2,363.00–$27,945.00 | 454% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $61,772.00 | $61,772.00 | $1,225.00–$61,772.00 | 2600% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $61,772.00 | $61,772.00 | $1,225.00–$61,772.00 | 2870% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $5,873.00 | $5,873.00 | $952.00–$5,873.00 | 182% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Impacted Cerumen Removal,irrig | $171.00 | $171.00 | $60.00–$171.00 | 4% below | — |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen W/ins | $190.00 | $190.00 | $60.00–$190.00 | 8% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmodoscopy Dx | $1,166.00 | $1,166.00 | $583.00–$1,488.00 | 28% below | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $25,236.00 | $25,236.00 | $6,190.00–$25,236.00 | 91% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Subcut Abscess Simple | $458.00 | $458.00 | $205.00–$458.00 | 2% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $18,765.00 | $18,765.00 | $3,666.00–$18,765.00 | 170% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Asp/injinterm J | $543.00 | $543.00 | $272.00–$543.00 | 11% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Asp/inj Sm Jnt/ | $362.00 | $362.00 | $181.00–$491.00 | 50% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $18,342.00 | $18,342.00 | $3,350.00–$18,342.00 | 256% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $1,550.00 | $1,550.00 | $723.00–$1,550.00 | 30% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $1,550.00 | $1,550.00 | $775.00–$1,550.00 | 6% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $1,550.00 | $1,550.00 | $775.00–$1,550.00 | 20% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Single | $263.00 | $263.00 | $132.00–$321.00 | 46% below | — |
| Paracentesis with imaging guidance CPT 49083 Paracentesis Abdomen W/imaging | $2,993.00 | $2,993.00 | $929.00–$2,993.00 | 63% above | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $13,033.00 | $13,033.00 | $6,517.00–$13,033.00 | 225% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope | $69,592.00 | $69,592.00 | $10,884.00–$69,592.00 | 82% above | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $15,293.00 | $15,293.00 | $4,009.00–$15,293.00 | 264% above | — |
| Short arm splint (forearm and hand) CPT 29125 Splint App Arm Short-static | $358.00 | $358.00 | $136.00–$358.00 | 12% below | — |
| Short leg splint (calf to foot) CPT 29515 Splint App Leg Short | $293.00 | $293.00 | $147.00–$293.00 | 41% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $18,342.00 | $18,342.00 | $9,171.00–$18,342.00 | 325% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Repair Simple | $312.00 | $312.00 | $156.00–$321.00 | 43% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture,diagnostic | $1,337.00 | $1,337.00 | $669.00–$1,337.00 | 1% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Rpr Sclp/nk/ax/gen/tr/ext | $762.00 | $762.00 | $205.00–$762.00 | 2% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Smpl Rpr Fc/ear/eyld/ns/lip/mm | $758.00 | $758.00 | $205.00–$758.00 | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/imaging | $1,553.00 | $1,553.00 | $642.00–$1,553.00 | 24% below | — |
| Total hip replacement CPT 27130 Hiptotal | $5,646.00 | $5,646.00 | $2,823.00–$20,540.00 | 38% below | — |
| Total knee replacement CPT 27447 Kneetotal | $7,087.00 | $7,087.00 | $3,544.00–$20,540.00 | 72% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $8,190.00 | $8,190.00 | $929.00–$8,190.00 | 363% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $61,772.00 | $61,772.00 | $929.00–$61,772.00 | 3200% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administr-lab | $856.00 | $856.00 | $428.00–$856.00 | 2% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/blood Compon | $1,160.00 | $1,160.00 | $452.00–$1,160.00 | 33% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment | $232.00 | $232.00 | $116.00–$350.00 | 28% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 Iv Chemo Up To The 1st Hour | $1,019.00 | $1,019.00 | $338.00–$1,019.00 | 17% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Room Charge | $1,019.00 | $1,019.00 | $338.00–$1,019.00 | 17% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care, 1st Hour | $5,422.00 | $5,422.00 | $846.00–$5,422.00 | 17% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg,tracing W/o Interpretation | $183.00 | $183.00 | $60.00–$183.00 | 46% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Triage | $318.00 | $318.00 | $86.00–$318.00 | 24% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Treatment Rm Level 1 | $549.00 | $549.00 | $86.00–$549.00 | 31% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Treatment Rm Level 2 | $902.00 | $902.00 | $157.00–$902.00 | 3% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Treatment Rm Level 3 | $1,431.00 | $1,431.00 | $280.00–$1,431.00 | 6% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Treatment Rm Level 4 | $1,822.00 | $1,822.00 | $427.00–$1,822.00 | 33% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Treatment Rm Level 5 | $3,877.00 | $3,877.00 | $610.00–$3,877.00 | 9% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $388.00 | $388.00 | $182.00–$388.00 | 13% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $374.00 | $374.00 | $182.00–$374.00 | 9% above | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $278.00 | $278.00 | $104.00–$278.00 | at median | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration,in 31-60 | $588.00 | $588.00 | $218.00–$588.00 | 19% above | — |
| IV infusion of a medicine, first hour CPT 96365 Iv Therapy Room Charge | $588.00 | $588.00 | $218.00–$588.00 | at median | — |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion, Init 1st Hour | $588.00 | $588.00 | $218.00–$588.00 | at median | — |
| IV push of a medicine, first drug CPT 96374 Ed Inj Iv Ther Prophylactic/dx | $264.00 | $264.00 | $132.00–$340.00 | 25% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Antibiotic | $128.00 | $128.00 | $64.00–$128.00 | 29% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Sc/im | $128.00 | $128.00 | $64.00–$128.00 | 29% below | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation | $477.00 | $477.00 | $182.00–$477.00 | 13% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromusc. Re-ed | $168.00 | $168.00 | $29.00–$168.00 | 32% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $395.00 | $395.00 | $103.00–$395.00 | 84% above | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $604.00 | $604.00 | $155.00–$604.00 | 147% above | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $763.00 | $763.00 | $206.00–$763.00 | 159% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Assessment W/pt 15mins | $40.00 | $40.00 | $20.00–$51.00 | 60% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation-low Complexity | $253.00 | $253.00 | $89.00–$253.00 | 3% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity | $396.00 | $396.00 | $87.00–$396.00 | 6% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 P.t. Evallow Complexity | $419.00 | $419.00 | $87.00–$419.00 | 77% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity | $396.00 | $396.00 | $87.00–$396.00 | 11% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Myofascial Release | $168.00 | $168.00 | $24.00–$168.00 | 40% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Joint Mobilization | $168.00 | $168.00 | $24.00–$168.00 | 40% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $140.00 | $140.00 | $26.00–$140.00 | 8% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/med Srvcs | $545.00 | $545.00 | $182.00–$545.00 | 65% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis,60 Min(30-74 Min) | $489.00 | $489.00 | $182.00–$489.00 | 43% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $257.00 | $257.00 | $129.00–$284.00 | 19% below | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $342.00 | $342.00 | $171.00–$342.00 | 7% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $511.00 | $511.00 | $182.00–$511.00 | 39% above | — |
| Speech and language evaluation CPT 92523 Speech/language Eval | $575.00 | $575.00 | $200.00–$575.00 | 26% above | — |
| Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen | $575.00 | $575.00 | $200.00–$575.00 | 26% above | — |
| Speech therapy session, individual CPT 92507 Sp Therapy | $107.00 | $107.00 | $54.00–$107.00 | 61% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation Responsiveness | $396.00 | $396.00 | $198.00–$597.00 | 51% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Inc Spiro Treat | $396.00 | $396.00 | $198.00–$597.00 | 51% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Spiro Pre/post Loops | $396.00 | $396.00 | $198.00–$597.00 | 51% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity | $132.00 | $132.00 | $31.00–$132.00 | 4% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Kinetic Therapeutic Act 15min | $132.00 | $132.00 | $31.00–$132.00 | 4% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Indiv Treatmt 15min | $132.00 | $132.00 | $31.00–$132.00 | 4% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Transfer/asst Train | $132.00 | $132.00 | $31.00–$132.00 | 4% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Training | $132.00 | $132.00 | $31.00–$132.00 | 4% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Depo Provera 150mg/ml Inj 1ml | $56.00 | $56.00 | $28.00–$56.00 | 49% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13 0.5ml | $456.00 | $456.00 | $228.00–$456.00 | 46% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Igg Vaccine Resp | $114.00 | $114.00 | $57.00–$114.00 | 30% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine | $119.00 | $119.00 | $60.00–$119.00 | 26% below | — |
| Rabies vaccine, one dose CPT 90675 Rabies Vacc Pf Chick-emb Cell | $853.00 | $853.00 | $266.00–$853.00 | 21% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Diphther Toxoid 0.5 Ml | $20.00 | $20.00 | $10.00–$20.00 | 75% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 0.5 Ml Vial | $148.00 | $148.00 | $74.00–$148.00 | 27% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Colace 100mg Capsule | $6.00 | $6.00 | $3.00–$115.00 | 94% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Buspar 5mg | $6.00 | $6.00 | $3.00–$115.00 | 94% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Glucophage 500mg Tablet | $6.00 | $6.00 | $3.00–$115.00 | 94% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Lasix 40mg Tablet | $10.00 | $10.00 | $5.00–$115.00 | 90% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Prednisone | $10.00 | $10.00 | $5.00–$115.00 | 90% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Methotrexate 2.5mg Tablet | $20.00 | $20.00 | $10.00–$115.00 | 81% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization 1 Vaccine | $100.00 | $100.00 | $50.00–$115.00 | 4% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Hepatitis B Vaccine | $221.00 | $221.00 | $74.00–$221.00 | 112% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Cogentin 0.5 Mg Tablet | $6.00 | $6.00 | $3.00–$6.00 | 92% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 K-dur 20 Meq Tab | $6.00 | $6.00 | $3.00–$6.00 | 92% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Klonopin 0.5mg Tablet | $6.00 | $6.00 | $3.00–$6.00 | 92% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Cipro 500mg Tablet | $6.00 | $6.00 | $3.00–$6.00 | 92% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Wellbutrin Sr 100mg | $10.00 | $10.00 | $5.00–$10.00 | 87% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Trileptal 150mg Tablet | $10.00 | $10.00 | $5.00–$10.00 | 87% below | — |