Hospital Chico, CA

Oroville Hospital

Oroville Hospital in Oroville, CA publishes cash prices for 393 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 332 of 390 procedures and above it for 53. By typical cash price it ranks #23 of 174 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2767 Olive Highway, Oroville, CA 95966 Collected Sep 27, 2026 Source price file (530) 533-8500

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 050030 · CMS hospital register

CMS price transparency record

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

Sep 29, 2022 Warning notice
Apr 4, 2023 Corrective action plan requested
Jun 8, 2023 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Ankles-min 3v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Min 3v Lt	$263.00	$525.00	$85.00–$578.00	35% below	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Min 3v Rt	$263.00	$525.00	$85.00–$578.00	35% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Us Ankl Brach Indx Bilat	$718.00	$1,435.00	$164.00–$1,579.00	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ankle Brachial Indx Unil	$185.00	$370.00	$100.00–$407.00	67% below	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Ankl Brach Indx Unil	$478.00	$956.00	$124.00–$1,052.00	14% below	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus	$672.00	$1,344.00	$216.00–$1,478.00	29% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone/joint, Whole Body	$1,099.00	$2,198.00	$491.00–$2,418.00	48% below	50%
Breast ultrasound, complete, one breast both sides CPT 76641 Us Brst W/axla Comp Bilat	$756.00	$1,512.00	$129.00–$1,663.00	—	50%
Breast ultrasound, complete, one breast one side CPT 76641 Us Brst Uni W/axla Com Lt	$504.00	$1,008.00	$129.00–$1,109.00	9% below	50%
Breast ultrasound, complete, one breast one side CPT 76641 Us Brst Uni W/axla Com Rt	$504.00	$1,008.00	$129.00–$1,109.00	9% below	50%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Brst W/axla Lim Bilat	$394.00	$788.00	$107.00–$867.00	—	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Brst Uni W/axla Lim Lt	$263.00	$525.00	$107.00–$578.00	29% below	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Brst Uni W/axla Lim Rt	$263.00	$525.00	$107.00–$578.00	29% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest	$1,962.00	$3,923.00	$216.00–$4,315.00	37% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd/pelvis W/o Cont	$1,825.00	$3,649.00	$293.00–$4,014.00	35% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$3,008.00	$6,015.00	$429.00–$6,617.00	25% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/pelvis W/wo Cont	$3,008.00	$6,015.00	$429.00–$6,617.00	30% below	50%
CT scan of the abdomen with contrast CPT 74160 Ct Abd W/con	$1,962.00	$3,923.00	$216.00–$4,315.00	12% below	50%
CT scan of the abdomen without contrast CPT 74150 Ct Abd Wo Con	$922.00	$1,843.00	$129.00–$2,027.00	51% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Wo Con	$922.00	$1,843.00	$129.00–$2,027.00	56% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Ltd Sinus Study	$922.00	$1,843.00	$129.00–$2,027.00	56% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan	$922.00	$1,843.00	$129.00–$2,027.00	59% below	50%
CT scan of the head with contrast CPT 70460 Ct Head/brain W/con	$1,962.00	$3,923.00	$216.00–$4,315.00	26% below	50%
CT scan of the head without and with contrast CPT 70470 Ct Head/brain W&wo Con	$1,962.00	$3,923.00	$216.00–$4,315.00	30% below	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-spine Wo Contrst	$922.00	$1,843.00	$129.00–$2,027.00	66% below	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-spine Wo Con	$922.00	$1,843.00	$129.00–$2,027.00	68% below	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$1,962.00	$3,923.00	$216.00–$4,315.00	21% below	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid Duplex Scan	$1,077.00	$2,154.00	$293.00–$2,369.00	12% below	50%
Chest X-ray, 2 views CPT 71046 Chest 2v Ap/lat	$263.00	$525.00	$107.00–$578.00	32% below	50%
Chest X-ray, single view CPT 71045 Chest 1v Frontal	$263.00	$525.00	$107.00–$578.00	21% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroper Comp W/image	$677.00	$1,353.00	$129.00–$1,488.00	20% below	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Stdy Axial	$504.00	$1,008.00	$129.00–$1,109.00	7% above	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density Stdy-periph	$192.00	$384.00	$104.00–$422.00	28% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo Con	$922.00	$1,843.00	$129.00–$2,027.00	49% below	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/con	$1,962.00	$3,923.00	$216.00–$4,315.00	16% below	50%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts	$482.00	$964.00	$128.00–$1,060.00	16% above	50%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast	$322.00	$643.00	$174.00–$707.00	9% below	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Low Ext Art Bilateral	$1,077.00	$2,154.00	$293.00–$2,369.00	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Extremity Veins-bilat	$1,077.00	$2,154.00	$293.00–$2,369.00	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 Us Ext Vein Stdy Ven Insu	$1,077.00	$2,154.00	$293.00–$2,369.00	2% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo 2d,mmode W/doppl Pd	$1,623.00	$3,246.00	$672.00–$3,571.00	30% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/dplr Cmplt W/cont	$2,334.00	$4,668.00	$672.00–$5,135.00	1% above	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobil Sys Img	$1,100.00	$2,199.00	$491.00–$2,419.00	28% below	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Stdy Unatt&resp Eff	$449.00	$897.00	$242.00–$987.00	33% below	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography W/cpap	$2,255.00	$4,509.00	$1,056.00–$4,960.00	38% below	50%
Knee X-ray, 3 views both sides CPT 73562 Knees-comp 3v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
Knee X-ray, 3 views one side CPT 73562 Knee Comp 3v Lt	$263.00	$525.00	$85.00–$578.00	35% below	50%
Knee X-ray, 3 views one side CPT 73562 Knee Comp 3v Rt	$263.00	$525.00	$85.00–$578.00	35% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Abdomen Limited	$236.00	$472.00	$127.00–$519.00	71% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Aorta	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abd Ltd Real Time	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Appendix	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Pyloric Stenosis	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Spleen	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Hernia	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Ascites Chk	$677.00	$1,353.00	$129.00–$1,488.00	17% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Low Dose	$1,000.00	$2,000.00	$129.00–$2,200.00	152% above	50%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast Wo/w Con Bilat	$3,008.00	$6,015.00	$271.00–$6,617.00	—	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint	$1,825.00	$3,649.00	$293.00–$4,014.00	24% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lwr Ext Jt Wo/w Rt	$3,008.00	$6,015.00	$429.00–$6,617.00	16% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lwr Ext Jt Wo/w Lt	$3,008.00	$6,015.00	$429.00–$6,617.00	16% below	50%
MRI of the abdomen without contrast CPT 74181 Mri Abd Wo Con	$1,825.00	$3,649.00	$293.00–$4,014.00	31% below	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abd W/o & W/contrast	$3,008.00	$6,015.00	$429.00–$6,617.00	30% below	50%
MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Con	$1,825.00	$3,649.00	$293.00–$4,014.00	30% below	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan	$3,008.00	$6,015.00	$429.00–$6,617.00	19% below	50%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal	$1,825.00	$3,649.00	$293.00–$4,014.00	27% below	50%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri L-spine W/wo Con	$3,008.00	$6,015.00	$429.00–$6,617.00	20% below	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T-spine W/o Con	$1,825.00	$3,649.00	$293.00–$4,014.00	24% below	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri C-spine Wo/w Cont	$3,008.00	$6,015.00	$429.00–$6,617.00	24% below	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C-spine W/o Cont	$1,825.00	$3,649.00	$293.00–$4,014.00	27% below	50%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wo & W Cntrast	$3,008.00	$6,015.00	$429.00–$6,617.00	5% below	50%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast	$1,825.00	$3,649.00	$293.00–$4,014.00	14% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Up Ext Jt Wo Con Bila	$2,737.00	$5,474.00	$293.00–$6,021.00	12% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Up Ext Jt Wo C Lt	$1,825.00	$3,649.00	$293.00–$4,014.00	25% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Up Ext Jt Wo C Rt	$1,825.00	$3,649.00	$293.00–$4,014.00	25% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myo Perf Stdy Spect Multi	$2,737.00	$5,473.00	$1,478.00–$6,020.00	26% below	50%
OCT scan of the retina (optical coherence tomography) CPT 92134 Cpt Ophth Dx Img Post Seg	$67.00	$134.00	$36.00–$147.00	at median	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/ct Skull Base To Thig	$4,384.00	$8,768.00	$1,758.00–$9,645.00	18% below	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/ct Psma	$4,384.00	$8,768.00	$1,758.00–$9,645.00	18% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis	$46.00	$91.00	$25.00–$212.00	91% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Exam Pelvic Limited	$236.00	$472.00	$127.00–$519.00	55% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Wall	$677.00	$1,353.00	$129.00–$1,488.00	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Buttocks	$677.00	$1,353.00	$129.00–$1,488.00	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Penis	$677.00	$1,353.00	$129.00–$1,488.00	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Perineum	$677.00	$1,353.00	$129.00–$1,488.00	30% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder	$677.00	$1,353.00	$129.00–$1,488.00	30% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelv Nonob Comp	$677.00	$1,353.00	$129.00–$1,488.00	28% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam Pelvic Complete	$677.00	$1,353.00	$129.00–$1,488.00	28% below	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus	$677.00	$1,353.00	$129.00–$1,488.00	7% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob Fet/mat 1st Trimes	$677.00	$1,353.00	$129.00–$1,488.00	3% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Preg Uterus Ltd	$677.00	$1,353.00	$129.00–$1,488.00	34% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Limited Ob	$677.00	$1,353.00	$129.00–$1,488.00	34% above	50%
Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral	$347.00	$693.00	$106.00–$762.00	—	50%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Shoulder Comp 2+v Bilat	$394.00	$788.00	$85.00–$867.00	—	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Comp 2+v Rt	$263.00	$525.00	$85.00–$578.00	48% below	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Comp 2+v Lt	$263.00	$525.00	$85.00–$578.00	48% below	50%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$2,255.00	$4,509.00	$1,056.00–$4,960.00	54% below	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Tte W/ Or W/wo Cont W/ecg	$1,626.00	$3,251.00	$672.00–$3,576.00	8% below	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Function	$672.00	$1,344.00	$216.00–$1,478.00	16% above	50%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$677.00	$1,353.00	$129.00–$1,488.00	21% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 Us Transvaginal Ob	$677.00	$1,353.00	$129.00–$1,488.00	17% above	50%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$677.00	$1,353.00	$129.00–$1,488.00	32% below	50%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotal	$677.00	$1,353.00	$129.00–$1,488.00	24% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tiss H&n W/image	$677.00	$1,353.00	$129.00–$1,488.00	18% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Neck Lymph Node/mass	$677.00	$1,353.00	$129.00–$1,488.00	18% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid	$677.00	$1,353.00	$129.00–$1,488.00	18% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Reg Ba	$64.00	$127.00	$34.00–$356.00	89% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi W/o Air Contrast	$672.00	$1,344.00	$216.00–$1,478.00	11% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Extremity Veins-unilat	$741.00	$1,482.00	$129.00–$1,630.00	12% below	50%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Wrists-min 3v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Min 3v Rt	$263.00	$525.00	$85.00–$578.00	39% below	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Min 3v Lt	$263.00	$525.00	$85.00–$578.00	39% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip/pelvis Uni 2-3vw Lt	$263.00	$525.00	$107.00–$578.00	31% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip/pelvis Uni 2-3vw Rt	$263.00	$525.00	$107.00–$578.00	31% below	50%
X-ray of the abdomen, 1 view CPT 74018 Abdomen-sgl Vw Kub	$263.00	$525.00	$107.00–$578.00	13% below	50%
X-ray of the ankle, 2 views both sides CPT 73600 Ankles-lmt 2v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
X-ray of the ankle, 2 views one side CPT 73600 Ankle Lmt 2v Rt	$263.00	$525.00	$85.00–$578.00	13% below	50%
X-ray of the ankle, 2 views one side CPT 73600 Ankle Lmt 2v Lt	$263.00	$525.00	$85.00–$578.00	13% below	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(s) Min 2v Lt	$263.00	$525.00	$85.00–$578.00	1% below	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(s) Min 2v Rt	$263.00	$525.00	$85.00–$578.00	1% below	50%
X-ray of the foot, 2 views both sides CPT 73620 Foot-2v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
X-ray of the foot, 2 views one side CPT 73620 Foot 2v Lt	$263.00	$525.00	$85.00–$578.00	13% below	50%
X-ray of the foot, 2 views one side CPT 73620 Foot 2v Rt	$263.00	$525.00	$85.00–$578.00	13% below	50%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Foot-min 3v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Min 3v Rt	$263.00	$525.00	$85.00–$578.00	33% below	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Min 3v Lt	$263.00	$525.00	$85.00–$578.00	33% below	50%
X-ray of the hand, 3 or more views both sides CPT 73130 Hands-min 3v-bilateral	$444.00	$887.00	$85.00–$976.00	—	50%
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3v Rt	$296.00	$591.00	$85.00–$650.00	30% below	50%
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3v Lt	$296.00	$591.00	$85.00–$650.00	30% below	50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Knees-1 Or 2v-bilateral	$394.00	$788.00	$85.00–$867.00	—	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2v Lt	$263.00	$525.00	$85.00–$578.00	22% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2v Rt	$263.00	$525.00	$85.00–$578.00	22% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-s Spine 2 Or 3v	$504.00	$1,008.00	$129.00–$1,109.00	10% above	50%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back	$504.00	$1,008.00	$129.00–$1,109.00	14% below	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2v	$504.00	$1,008.00	$129.00–$1,109.00	43% above	50%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3v	$263.00	$525.00	$107.00–$578.00	31% below	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-spine 2 Or 3v	$263.00	$525.00	$107.00–$578.00	39% below	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2v	$504.00	$1,008.00	$129.00–$1,109.00	38% above	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx 2v	$263.00	$525.00	$107.00–$578.00	38% below	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 *Hcv Fibrosure-alt/sgpt	$12.00	$24.00	$6.00–$26.00	72% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt, (Alt)	$22.00	$44.00	$5.00–$48.00	49% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chempanel W/alt (Sgpt)	$22.00	$44.00	$5.00–$48.00	49% below	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot, (Ast)	$22.00	$44.00	$5.00–$48.00	50% below	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Pnl Comp W/ C Ahp	$385.00	$770.00	$48.00–$847.00	41% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F100	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F49	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F44	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F56	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F105	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F83	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Childhood Allergy Profil	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F27	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F45	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F19	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F9	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F2	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F72	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F8	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F114	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F85	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F7	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F4	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F29	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F28	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Fppd 24, F26	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F30	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F35	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F6	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-comp Food 24, F25	$3.00	$5.00	$1.00–$13.00	64% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-f2 Milk(cow)	$4.00	$8.00	$2.00–$13.00	52% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, M10	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, G17	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, I-6	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, D1 D	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, D2	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, M1	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, M2	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, M6	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, W14	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, W25	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, W11	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, W65	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, W2	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, W20	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, G11	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, G5	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, G2	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, T22	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, T18	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, T7	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast,t11	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, T10	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast,t3	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast,t70	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast Ige Q	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, E1 C	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-reg Ca Coast, M4	$6.00	$11.00	$3.00–$13.00	28% below	45%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-egg(whole) Ige	$10.00	$19.00	$5.00–$21.00	20% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -12lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -4lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -13lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -14lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -7lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -5lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -6lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -8lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -9lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -10lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -11lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -5lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -6lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -7lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -2lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -4lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -3lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -2lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Allergens (12) -12lcrpfs	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -8lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -9lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -10lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Rast-soybean	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -24lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -23lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -22lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -21lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -20lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -19lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -18lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -11lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -3lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -17lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -16lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige+allerg(36) -15lcrrwp	$11.00	$22.00	$6.00–$24.00	32% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -2lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -7lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -3lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -4lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -5lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -6lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -11lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -10lcrsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -9lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *Ige-allerg(11) -8lcrpsc	$12.00	$24.00	$6.00–$26.00	44% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 *K082 Latex	$13.00	$26.00	$7.00–$29.00	56% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 *Antinuclear Ab (Ana)	$13.00	$26.00	$7.00–$29.00	61% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 *Natriuretic Peptide	$39.00	$78.00	$21.00–$86.00	77% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Pep	$79.00	$157.00	$39.00–$173.00	54% below	50%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel	$63.00	$125.00	$8.00–$138.00	67% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tiss Exam By Pathologist	$72.00	$143.00	$37.00–$157.00	47% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Micro Diag	$159.00	$318.00	$64.00–$350.00	17% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Biop Interprt	$182.00	$364.00	$64.00–$400.00	34% above	50%
Blood culture for bacteria CPT 87040 Culture, Blood	$178.00	$355.00	$10.00–$391.00	25% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$8.00	$16.00	$4.00–$18.00	65% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phlebotomy, Venipuncture	$17.00	$33.00	$5.00–$36.00	26% below	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phleb,venipcture Nrse Hom	$21.00	$42.00	$5.00–$46.00	9% below	50%
Blood glucose (sugar) test CPT 82947 Assay Glucose Blood Quant	$13.00	$26.00	$4.00–$29.00	65% below	50%
Blood glucose (sugar) test CPT 82947 Glucose, 1 Hr P.p.	$21.00	$42.00	$4.00–$46.00	44% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Blood	$24.00	$48.00	$4.00–$53.00	36% below	50%
Blood glucose (sugar) test CPT 82947 Glucose, Random	$24.00	$48.00	$4.00–$53.00	36% below	50%
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$24.00	$48.00	$4.00–$53.00	36% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Quantitative Bld	$24.00	$48.00	$4.00–$53.00	36% below	50%
Blood lead test CPT 83655 *Hvy Mel I-bld-2lchmbl	$11.00	$21.00	$6.00–$29.00	8% below	48%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Serum Pregnancy Test	$95.00	$189.00	$8.00–$208.00	36% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 *Abo Rh	$16.00	$32.00	$9.00–$270.00	79% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Group And Rh Ip	$30.00	$59.00	$3.00–$65.00	61% below	49%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo Group	$49.00	$98.00	$3.00–$108.00	37% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein	$75.00	$150.00	$5.00–$165.00	54% above	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile Amp. Dna	$203.00	$406.00	$37.00–$447.00	33% above	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 *Tumor Ag Ca 125	$49.00	$97.00	$26.00–$107.00	48% below	49%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$120.00	$239.00	$21.00–$263.00	26% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Cov19 Amp Prb Ht Wi 2d	$13.00	$25.00	$7.00–$85.00	81% below	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 *Sarscov2/covid19 Non-cdc	$26.00	$51.00	$14.00–$56.00	63% below	49%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sarscov2/cov19 Any Htp	$50.00	$100.00	$27.00–$110.00	29% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sarscov2/cov19 Dna/rna Ht	$75.00	$150.00	$41.00–$165.00	7% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sarscov2/covid19 Non-cdc	$75.00	$150.00	$41.00–$165.00	7% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 *Chlamydia Naa	$13.00	$25.00	$7.00–$85.00	76% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia By Dna Probe	$57.00	$113.00	$31.00–$124.00	7% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Amp Chlamydia	$203.00	$406.00	$85.00–$447.00	281% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids	$81.00	$162.00	$13.00–$178.00	20% below	50%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated	$55.00	$110.00	$8.00–$121.00	50% below	50%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated	$55.00	$110.00	$6.00–$121.00	28% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$70.00	$140.00	$11.00–$154.00	73% below	50%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer Titer	$135.00	$270.00	$10.00–$297.00	6% below	50%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer, Quantitative	$251.00	$502.00	$10.00–$552.00	75% above	50%
Estradiol blood test CPT 82670 *Estradiol (E2)	$19.00	$38.00	$10.00–$67.00	69% below	50%
Estradiol blood test CPT 82670 Estradiol, E2	$107.00	$213.00	$28.00–$234.00	76% above	50%
Estradiol blood test CPT 82670 *Estradiol, Urine	$170.00	$339.00	$67.00–$373.00	180% above	50%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$98.00	$195.00	$19.00–$215.00	11% above	50%
Fecal calprotectin (stool inflammation test) CPT 83993 *Calprotectin, Fecal	$50.00	$100.00	$27.00–$110.00	31% below	50%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$115.00	$230.00	$14.00–$253.00	37% above	50%
Folate (folic acid) blood test CPT 82746 Folate	$114.00	$228.00	$15.00–$251.00	33% above	50%
Free T3 thyroid hormone test CPT 84481 *Free T3	$13.00	$26.00	$7.00–$41.00	80% below	50%
Free T3 thyroid hormone test CPT 84481 T3 Free, Triidothyron	$123.00	$245.00	$17.00–$270.00	87% above	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$113.00	$226.00	$9.00–$249.00	66% above	50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$70.00	$140.00	$38.00–$154.00	75% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 2 Hr P.p.	$45.00	$89.00	$5.00–$98.00	3% above	49%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, Post 50 Gm Gluc.	$45.00	$89.00	$5.00–$98.00	3% above	49%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 6 Hrs	$49.00	$98.00	$13.00–$108.00	55% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2 Hr	$49.00	$98.00	$13.00–$108.00	55% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hrs	$55.00	$110.00	$13.00–$121.00	49% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 5 Hours	$55.00	$110.00	$13.00–$121.00	49% below	50%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 4 Hours	$55.00	$110.00	$13.00–$121.00	49% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 *Gonococcus Naa	$15.00	$30.00	$8.00–$85.00	71% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Amp Gc	$203.00	$406.00	$85.00–$447.00	287% above	50%
H. pylori antibody blood test CPT 86677 *H. Pylori Igm Ab	$11.00	$21.00	$6.00–$35.00	90% below	48%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Igg	$110.00	$220.00	$17.00–$242.00	3% below	50%
H. pylori stool antigen test CPT 87338 *H.pylori Stool Antigen	$17.00	$33.00	$9.00–$36.00	77% below	48%
H. pylori stool antigen test CPT 87338 Helicobacter Exam	$64.00	$127.00	$14.00–$140.00	14% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 *Hiv Rna Pcr Quant	$49.00	$98.00	$26.00–$205.00	42% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 *Hiv Genotype	$58.00	$115.00	$31.00–$205.00	32% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 *Hiv Rna Pcr Uq/s	$73.00	$145.00	$39.00–$205.00	14% below	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 *Hiv Ultra Rna Quant	$165.00	$330.00	$89.00–$363.00	94% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv1 Rna,pcr,quant	$189.00	$378.00	$85.00–$416.00	122% above	50%
HIV-1 and HIV-2 antibody test CPT 86703 Antibody Detection-eia	$48.00	$96.00	$14.00–$106.00	15% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/hiv-1&2 Ab	$100.00	$200.00	$24.00–$220.00	65% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 *Human Papilloma Virus	$50.00	$99.00	$27.00–$109.00	63% below	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin	$73.00	$145.00	$10.00–$160.00	13% above	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surf Antigen	$94.00	$187.00	$10.00–$206.00	51% above	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$100.00	$200.00	$14.00–$220.00	92% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 *Hcv Quantasure Plus	$61.00	$122.00	$33.00–$134.00	22% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 *Hcv Rna Bdna 3.0	$66.00	$132.00	$36.00–$145.00	16% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 *Hep C Rna Pcr Quant	$79.00	$158.00	$43.00–$174.00	1% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Revrs Trnscrpt	$86.00	$171.00	$43.00–$188.00	10% above	50%
Herpes blood test, HSV-1 antibody CPT 86695 *Hsv I/ii Specific Igg	$8.00	$16.00	$4.00–$32.00	56% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 *Torch Pnl Hsv 1 Igg	$10.00	$19.00	$5.00–$32.00	45% below	47%
Herpes blood test, HSV-1 antibody CPT 86695 *Torch Pnl Hsv 1 Igm	$10.00	$19.00	$5.00–$32.00	45% below	47%
Herpes blood test, HSV-2 antibody CPT 86696 *Hsv I/ii Sp Igg-2lchsvc	$8.00	$16.00	$4.00–$47.00	66% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 *Antibody Hsv Type 2	$10.00	$19.00	$5.00–$47.00	57% below	47%
Herpes blood test, HSV-2 antibody CPT 86696 *Hsv Type 2 Igg Ab	$29.00	$57.00	$15.00–$63.00	25% above	49%
High-sensitivity CRP (hs-CRP) test CPT 86141 Ultrasensitive Crp	$75.00	$150.00	$13.00–$165.00	60% above	50%
Homocysteine blood test CPT 83090 Homocysteine	$142.00	$283.00	$18.00–$311.00	228% above	50%
Insulin blood test CPT 83525 *Insulin, Fasting	$9.00	$17.00	$5.00–$28.00	69% below	47%
Insulin blood test CPT 83525 *Insulin Tol'rnce 3hr3	$15.00	$30.00	$8.00–$33.00	49% below	50%
Insulin blood test CPT 83525 Insulin	$48.00	$96.00	$11.00–$106.00	63% above	50%
Iron blood test (serum iron) CPT 83540 Diagnostic Chmstry-iron	$47.00	$93.00	$6.00–$102.00	6% above	49%
Iron blood test (serum iron) CPT 83540 Iron	$47.00	$93.00	$6.00–$102.00	6% above	49%
Iron-binding capacity (TIBC) test CPT 83550 Tibc	$11.00	$21.00	$6.00–$23.00	81% below	48%
Iron-binding capacity (TIBC) test CPT 83550 Diagnostic Plus Tibc	$24.00	$48.00	$9.00–$53.00	59% below	50%
Kidney function blood test panel CPT 80069 Kidney function panel test	$61.00	$122.00	$9.00–$134.00	56% below	50%
LH (luteinizing hormone) test CPT 83002 *Amenorrhea Pnl Lh	$12.00	$24.00	$6.00–$45.00	85% below	50%
LH (luteinizing hormone) test CPT 83002 Lh, Lutenizing Hormone	$98.00	$195.00	$19.00–$215.00	23% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$60.00	$120.00	$7.00–$132.00	31% below	50%
Liver function blood test panel CPT 80076 Liver function blood test	$63.00	$126.00	$8.00–$139.00	53% below	50%
Lyme disease antibody test CPT 86618 *Lyme Igg/igm	$16.00	$31.00	$8.00–$41.00	32% below	48%
Lyme disease antibody test CPT 86618 *Lyme Ab, Total/igm	$24.00	$47.00	$13.00–$52.00	3% above	49%
Magnesium blood test CPT 83735 Diagnostic Chmstry, Mg	$25.00	$50.00	$7.00–$55.00	50% below	50%
Magnesium blood test CPT 83735 Chempanel W/magnesium	$25.00	$50.00	$7.00–$55.00	50% below	50%
Magnesium blood test CPT 83735 Magnesium, 24 Hour Urine	$38.00	$76.00	$7.00–$84.00	25% below	50%
Magnesium blood test CPT 83735 Magnesium, Random Urine	$38.00	$76.00	$7.00–$84.00	25% below	50%
Measles (rubeola) antibody test CPT 86765 Measles Igg	$48.00	$96.00	$13.00–$106.00	118% above	50%
Measles (rubeola) antibody test CPT 86765 *Measles Igm	$54.00	$107.00	$29.00–$118.00	145% above	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Monotest, Heterophile Ab	$56.00	$111.00	$5.00–$122.00	35% below	50%
Obstetric blood test panel CPT 80055 Obstetric blood test panel	$230.00	$460.00	$48.00–$506.00	7% below	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test	$124.00	$248.00	$18.00–$273.00	258% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test	$124.00	$248.00	$18.00–$273.00	165% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 *Pth (C-terminal)	$25.00	$49.00	$13.00–$99.00	76% below	49%
Parathyroid hormone (PTH) blood test CPT 83970 Ca+pth Intact	$103.00	$205.00	$41.00–$226.00	at median	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test	$94.00	$188.00	$6.00–$207.00	150% above	50%
Progesterone blood test CPT 84144 Progesterone	$120.00	$239.00	$21.00–$263.00	101% above	50%
Prolactin blood test CPT 84146 *Amenorrhea Pnl Prolactn	$12.00	$24.00	$6.00–$47.00	86% below	50%
Prolactin blood test CPT 84146 Prolactin	$94.00	$187.00	$19.00–$206.00	7% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$47.00	$93.00	$4.00–$102.00	13% above	49%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drg Scrn Prsmv Dir Opt Ob	$22.00	$44.00	$12.00–$48.00	74% below	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza Assay W/optic	$18.00	$35.00	$9.00–$39.00	76% below	49%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Eia	$55.00	$110.00	$17.00–$121.00	27% below	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Eia	$55.00	$110.00	$17.00–$121.00	27% below	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/optic	$28.00	$56.00	$15.00–$62.00	69% below	50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant.	$55.00	$110.00	$6.00–$121.00	323% above	50%
Rheumatoid factor (RF) test CPT 86431 *Radx6 Profile	$311.00	$621.00	$14.00–$683.00	2292% above	50%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, Igg	$59.00	$117.00	$14.00–$129.00	67% above	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc Sed Rate Automated	$43.00	$85.00	$3.00–$94.00	at median	49%
Stool ova and parasites exam CPT 87177 Ova & Parasites	$48.00	$96.00	$9.00–$106.00	168% above	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood 1 Slide	$15.00	$29.00	$4.00–$32.00	62% below	48%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screening	$16.00	$32.00	$4.00–$35.00	59% below	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Immunoassay	$75.00	$149.00	$16.00–$164.00	109% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr	$48.00	$96.00	$4.00–$106.00	226% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone,total	$161.00	$321.00	$26.00–$353.00	302% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 *Lvr-kidney Microsomal Ab	$7.00	$14.00	$4.00–$35.00	69% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$100.00	$200.00	$17.00–$220.00	20% above	50%
Trichomonas test (NAAT) CPT 87661 *Trich Vag By Naa	$61.00	$122.00	$33.00–$134.00	23% below	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Pcr	$203.00	$406.00	$35.00–$447.00	155% above	50%
Uric acid blood test CPT 84550 Uric Acid	$24.00	$47.00	$5.00–$52.00	61% below	49%
Uric acid blood test CPT 84550 Uric Acid; Blood	$24.00	$47.00	$5.00–$52.00	61% below	49%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope	$48.00	$95.00	$3.00–$105.00	42% below	49%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope	$10.00	$20.00	$4.00–$22.00	70% below	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test	$30.00	$59.00	$2.00–$65.00	46% below	49%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis test	$52.00	$103.00	$3.00–$113.00	100% above	50%
Urine culture for bacteria, with colony count CPT 87086 Culture,urine W/quant Ct	$79.00	$157.00	$8.00–$173.00	43% below	50%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$15.00	$29.00	$8.00–$32.00	79% below	48%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test	$32.00	$64.00	$9.00–$70.00	55% below	50%
Urine pregnancy test, read by color change CPT 81025 Hcg, Urine Pregnancy Test	$80.00	$159.00	$9.00–$175.00	13% above	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Test	$130.00	$259.00	$15.00–$285.00	111% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 *Vit D 25-hydroxy D2+d3	$47.00	$94.00	$25.00–$103.00	27% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-dihydroxy	$145.00	$290.00	$30.00–$319.00	127% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Quantitative	$131.00	$262.00	$15.00–$288.00	6% below	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Appendectomy, open surgery CPT 44950 Appendectomy	$874.00	$1,748.00	$472.00–$13,132.00	85% below	50%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee Arthroscopy/surg As	$789.00	$1,577.00	$426.00–$14,720.00	92% below	50%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee Arthroscopy/surgery	$3,154.00	$6,308.00	$1,703.00–$14,720.00	66% below	50%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho Arthrs Srg Rt8tr Cuf	$2,176.00	$4,352.00	$1,175.00–$14,720.00	65% below	50%
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine	$222.00	$443.00	$120.00–$623.00	74% below	50%
Botox injections for chronic migraine CPT 64615 Chemodernerv Musc Migrain	$526.00	$1,052.00	$284.00–$1,157.00	37% below	50%
Botox injections for chronic migraine CPT 64615 Chemodernev Musc Migraine	$668.00	$1,335.00	$360.00–$1,469.00	20% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Les Strtctc	$2,953.00	$5,906.00	$1,595.00–$6,497.00	30% below	50%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor Hlx Vlgs Dstl Mtar Os	$1,066.00	$2,132.00	$576.00–$6,637.00	75% below	50%
Bunion correction with removal of part of the big toe joint CPT 28292 Cor Hlx Vlgs Rsc Prnphlx	$881.00	$1,761.00	$475.00–$6,637.00	82% below	50%
Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Art/ventricle Angio	$6,095.00	$12,189.00	$3,291.00–$13,408.00	53% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electr Ext	$219.00	$438.00	$118.00–$1,341.00	88% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Arrhythmia Conversion	$508.00	$1,016.00	$99.00–$1,118.00	72% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective	$1,402.00	$2,803.00	$709.00–$3,083.00	22% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elec Ext	$1,402.00	$2,803.00	$709.00–$3,083.00	22% below	50%
Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery As	$248.00	$496.00	$134.00–$3,961.00	93% below	50%
Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery	$992.00	$1,984.00	$536.00–$3,961.00	73% below	50%
Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery Bil	$1,488.00	$2,976.00	$804.00–$3,961.00	59% below	50%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens	$2,563.00	$5,125.00	$1,384.00–$5,638.00	49% below	50%
Cervical biopsy CPT 57500 Biopsy Of Cervix	$149.00	$297.00	$80.00–$1,868.00	91% below	50%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery	$1,920.00	$3,840.00	$1,033.00–$4,224.00	66% below	50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 Days Or Older	$423.00	$846.00	$228.00–$4,240.00	89% below	50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision 28days+	$2,267.00	$4,534.00	$1,224.00–$4,987.00	41% below	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcis W/regionl Block	$90.00	$180.00	$49.00–$4,240.00	95% below	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circ W/regnl Block	$3,879.00	$7,758.00	$2,095.00–$8,534.00	96% above	50%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate	$90.00	$180.00	$49.00–$3,135.00	83% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radius/uln	$435.00	$869.00	$200.00–$956.00	20% below	50%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope	$641.00	$1,281.00	$346.00–$2,427.00	72% below	50%
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope	$498.00	$995.00	$269.00–$2,427.00	76% below	50%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope	$452.00	$904.00	$244.00–$1,886.00	78% below	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Crvx W/scope Leep	$271.00	$541.00	$146.00–$6,567.00	94% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett Of Cervix W/sco	$194.00	$387.00	$104.00–$618.00	80% below	50%
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Cplx Wo	$1,330.00	$2,660.00	$718.00–$4,682.00	63% below	50%
Complex cataract surgery with lens implant CPT 66982 Xcp Ctrc Rmvl Cplx Wo Ecp	$2,563.00	$5,125.00	$1,384.00–$5,638.00	28% below	50%
Coronary stent placement, one artery CPT 92928 Perc Drug-el Cor Stnt Sng	$14,158.00	$28,315.00	$7,645.00–$31,147.00	4% below	50%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy And Treatment	$394.00	$788.00	$213.00–$7,151.00	93% below	50%
Cystoscopy with ureteral stent placement CPT 52332 Cystosco And Treatm Bil	$591.00	$1,182.00	$319.00–$7,151.00	90% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$213.00	$425.00	$115.00–$1,414.00	87% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$1,243.00	$2,486.00	$671.00–$2,735.00	23% below	50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage	$349.00	$698.00	$188.00–$6,567.00	92% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$72.00	$143.00	$39.00–$407.00	80% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Premalg Les 1st	$376.00	$751.00	$117.00–$826.00	2% above	50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create Eardrum Opening	$399.00	$797.00	$215.00–$3,147.00	87% below	50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create Eardrum Openin Bil	$598.00	$1,196.00	$323.00–$3,147.00	80% below	50%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening	$324.00	$647.00	$175.00–$1,094.00	68% below	50%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrm Opening Bil	$486.00	$971.00	$262.00–$1,094.00	53% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax	$24.00	$48.00	$13.00–$120.00	86% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear W Bil	$36.00	$72.00	$19.00–$120.00	80% below	50%
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax	$46.00	$91.00	$25.00–$120.00	74% below	49%
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear W Bil	$69.00	$137.00	$37.00–$151.00	61% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining	$124.00	$248.00	$67.00–$410.00	77% below	50%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins Ndsc W/tot Ethmd	$1,139.00	$2,277.00	$615.00–$14,316.00	80% below	50%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins Ndsc W/tot Bil	$1,708.00	$3,416.00	$922.00–$14,316.00	70% below	50%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins Ndsc Frnt Tiss R	$986.00	$1,972.00	$532.00–$14,316.00	89% below	50%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sin Ndsc Ft Tis R Bil	$1,479.00	$2,958.00	$799.00–$14,316.00	84% below	50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration Maxillary Sin	$657.00	$1,314.00	$355.00–$7,563.00	86% below	50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Explor Maxillary Sin Bil	$986.00	$1,971.00	$532.00–$7,563.00	79% below	50%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy Maxillary Sinus	$986.00	$1,972.00	$532.00–$14,316.00	89% below	50%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy Max Sinus Bil	$1,479.00	$2,958.00	$799.00–$14,316.00	84% below	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/thrc	$718.00	$1,435.00	$387.00–$1,579.00	63% below	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Ep Inj Cerv/thoracic	$1,883.00	$3,765.00	$868.00–$4,142.00	2% below	50%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Eye Drug	$188.00	$375.00	$101.00–$670.00	78% below	50%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Eye Drug Bil	$282.00	$563.00	$152.00–$670.00	68% below	50%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Of Eye Drug	$648.00	$1,295.00	$350.00–$1,425.00	25% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/s 1	$203.00	$406.00	$110.00–$1,794.00	89% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert Fjnt Ls1 Bil	$305.00	$609.00	$164.00–$1,794.00	83% below	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Jnt L/s L1	$2,271.00	$4,542.00	$993.00–$4,996.00	26% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Jnt L/s L1 Uni	$2,271.00	$4,542.00	$993.00–$4,996.00	26% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Jnt L/s L1 Bil	$3,407.00	$6,814.00	$993.00–$7,495.00	89% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet Jnt L/s L1 Bila	$3,408.00	$6,815.00	$993.00–$7,497.00	89% above	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hrn 1st 3-10 Rdc	$985.00	$1,969.00	$532.00–$13,132.00	87% below	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hrn 1st > 10 Rdc	$1,323.00	$2,646.00	$714.00–$13,132.00	82% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hrn 1st < 3 Cm Rdc	$589.00	$1,178.00	$318.00–$7,263.00	87% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hrn 1st<3cm Rdc	$4,648.00	$9,296.00	$2,510.00–$10,226.00	1% above	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Sigmoidoscopy	$146.00	$291.00	$79.00–$1,886.00	91% below	50%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$1,365.00	$2,729.00	$737.00–$12,264.00	90% below	50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo Cholecystectomy/gr	$1,456.00	$2,911.00	$786.00–$12,264.00	83% below	50%
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal Of Gallbladder As	$342.00	$683.00	$184.00–$751.00	82% below	50%
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal Of Gallbladder	$1,365.00	$2,729.00	$734.00–$3,002.00	27% below	50%
Hammertoe correction surgery CPT 28285 Repair Of Hammertoe	$455.00	$909.00	$245.00–$6,637.00	89% below	50%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding	$2,363.00	$4,726.00	$739.00–$5,199.00	26% above	50%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove Int/ext Hem 1 Grou	$697.00	$1,393.00	$376.00–$5,631.00	85% below	50%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total Hip Arthroplasty As	$1,248.00	$2,495.00	$671.00–$26,044.00	76% below	50%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total Hip Arthroplasty	$4,990.00	$9,979.00	$2,684.00–$26,044.00	2% below	50%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Hysterectomy As	$369.00	$738.00	$199.00–$812.00	87% below	50%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Hysterectomy	$1,476.00	$2,951.00	$794.00–$3,246.00	48% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj Proc Hystersalping	$1,310.00	$2,619.00	$707.00–$2,881.00	183% above	50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Biopsy	$675.00	$1,349.00	$364.00–$6,567.00	90% below	50%
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Devi	$143.00	$285.00	$77.00–$314.00	76% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple/single	$130.00	$260.00	$70.00–$407.00	72% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess	$220.00	$439.00	$119.00–$483.00	53% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess Sngl	$226.00	$452.00	$122.00–$497.00	52% below	50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older	$1,119.00	$2,238.00	$604.00–$7,263.00	84% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/ligamen	$62.00	$124.00	$33.00–$623.00	90% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/lig Bil	$93.00	$186.00	$50.00–$623.00	86% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tndn Shth/lig	$572.00	$1,143.00	$309.00–$1,257.00	12% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Shth/ligament	$668.00	$1,335.00	$347.00–$1,469.00	3% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Drain/inj Mjrjnt Wo Us Bi	$945.00	$1,889.00	$347.00–$2,078.00	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj Joint/bursa W/o	$69.00	$138.00	$37.00–$623.00	92% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj/asp Lg Joint Wo Us	$83.00	$166.00	$45.00–$623.00	91% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drn/inj Jnt/bursa W/o Bil	$104.00	$207.00	$56.00–$623.00	89% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj Mjrjnt Wo Us	$630.00	$1,259.00	$340.00–$1,385.00	31% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj Mjr Jnt/bursa	$630.00	$1,259.00	$340.00–$1,385.00	31% below	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Dlvr Impla	$156.00	$312.00	$84.00–$343.00	45% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 Drain/inj Intjnt Wo Us Bi	$945.00	$1,889.00	$347.00–$2,078.00	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj Joint/bursa W/o	$62.00	$124.00	$33.00–$623.00	88% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drn/inj Jnt/bursa W/o Bil	$93.00	$186.00	$50.00–$623.00	83% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj Int Jnt W/o Us	$630.00	$1,259.00	$340.00–$1,385.00	17% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj Intjnt Wo Us	$630.00	$1,259.00	$340.00–$1,385.00	17% above	50%
Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 Drain/inj Smljnt Wo Us Bi	$945.00	$1,889.00	$347.00–$2,078.00	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj Joint/bursa W/o	$59.00	$117.00	$32.00–$623.00	90% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drn/inj Jnt/bursa W/o Bil	$88.00	$176.00	$48.00–$623.00	85% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspirate-sm Jt	$630.00	$1,259.00	$340.00–$1,385.00	5% above	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj Sml Jnt Wo Us	$630.00	$1,259.00	$340.00–$1,385.00	5% above	50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee Arthroscopy/surge As	$531.00	$1,061.00	$286.00–$6,637.00	87% below	50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee Arthroscopy/surgery	$2,121.00	$4,242.00	$1,145.00–$6,637.00	48% below	50%
Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope	$2,090.00	$4,179.00	$1,128.00–$6,637.00	59% below	50%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee Arthroscopy/surg As	$573.00	$1,145.00	$309.00–$6,637.00	86% below	50%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee Arthroscopy/surgery	$2,290.00	$4,580.00	$1,237.00–$6,637.00	45% below	50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee Arthroscopy/surgery	$1,869.00	$3,737.00	$1,009.00–$6,637.00	64% below	50%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Gastric Bypass/rouny	$2,998.00	$5,996.00	$1,613.00–$6,596.00	39% below	50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy Appendectomy	$874.00	$1,748.00	$472.00–$12,264.00	89% below	50%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy Fundoplasty	$1,646.00	$3,292.00	$889.00–$21,563.00	86% below	50%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh Uterus 250 G Or Less	$1,740.00	$3,479.00	$939.00–$21,563.00	90% below	50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh W/t/o 250 G Or Less	$1,941.00	$3,881.00	$1,048.00–$21,563.00	86% below	50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap Ing Hernia Repair Int	$834.00	$1,667.00	$450.00–$12,264.00	95% below	50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap Ing Hern Repa Ini Bil	$1,251.00	$2,501.00	$675.00–$12,264.00	92% below	50%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Ing Hernia Repair Rec	$768.00	$1,536.00	$415.00–$12,264.00	90% below	50%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy Remove Adnexa	$1,182.00	$2,364.00	$638.00–$12,264.00	87% below	50%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap Sleeve Gastrectomy	$1,890.00	$3,779.00	$1,017.00–$4,157.00	71% below	50%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser	$2,571.00	$5,142.00	$676.00–$5,656.00	64% above	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Rpr S/a/t/ext 2.5 C	$144.00	$287.00	$77.00–$825.00	82% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Rpr S/a/t Ext 2.5cm	$775.00	$1,550.00	$419.00–$1,705.00	1% below	50%
Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosis	$6,095.00	$12,189.00	$3,291.00–$13,408.00	38% below	50%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance	$1,883.00	$3,765.00	$868.00–$4,142.00	18% above	50%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance	$157.00	$314.00	$85.00–$1,794.00	90% below	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance	$3,408.00	$6,815.00	$993.00–$7,497.00	76% above	50%
Lumpectomy (partial mastectomy) CPT 19301 Partial Mastectomy	$514.00	$1,027.00	$277.00–$7,943.00	92% below	50%
Mastectomy (total removal of the breast) CPT 19303 Mast Simple Complete	$894.00	$1,788.00	$483.00–$13,470.00	89% below	50%
Mastectomy (total removal of the breast) CPT 19303 Mast Simple Complete Bil	$1,341.00	$2,682.00	$724.00–$13,470.00	84% below	50%
Miscarriage treatment with D&C, first trimester CPT 59820 Care Of Miscarriage	$434.00	$867.00	$234.00–$6,567.00	90% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-ext B9+marg 0.5 Cm	$114.00	$228.00	$62.00–$1,436.00	91% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-ext B9+marg<.5cm	$1,348.00	$2,696.00	$588.00–$2,966.00	2% above	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-mm B9+marg 0.5 C	$181.00	$361.00	$97.00–$1,436.00	88% below	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-mm B9+mrg <.5cm	$1,348.00	$2,696.00	$588.00–$2,966.00	9% below	50%
Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate	$88.00	$176.00	$48.00–$407.00	81% below	50%
Occipital nerve block (injection for headaches) CPT 64405 Njx Aa&/strd Gr Ocpl Nrv	$181.00	$361.00	$97.00–$623.00	77% below	50%
Occipital nerve block (injection for headaches) CPT 64405 Njx Aa&/strd Gr Oc Nrvbil	$271.00	$542.00	$146.00–$623.00	66% below	50%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes Gtr Occip Nrv Un	$812.00	$1,623.00	$377.00–$1,785.00	2% above	50%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes Gtr Occipnrv Bil	$1,218.00	$2,435.00	$377.00–$2,679.00	53% above	50%
Pacemaker implant (dual chamber) CPT 33208 Ins Hrt Pm Atrial & Vent	$21,094.00	$42,187.00	$11,390.00–$46,406.00	45% above	50%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/image	$180.00	$360.00	$97.00–$1,840.00	90% below	50%
Paracentesis with imaging guidance CPT 49083 Paracentesis,abd Initial	$1,725.00	$3,450.00	$732.00–$3,795.00	3% below	50%
Paracentesis with imaging guidance CPT 49083 Paracentesis, Abd Initial	$1,933.00	$3,865.00	$732.00–$4,252.00	9% above	50%
Partial knee replacement (one compartment) CPT 27446 Revision Of Knee Joint	$2,778.00	$5,555.00	$1,500.00–$26,044.00	86% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$164.00	$327.00	$88.00–$825.00	85% below	50%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	$2,399.00	$4,797.00	$1,290.00–$21,563.00	94% below	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/sac Facet Jn	$419.00	$837.00	$226.00–$3,961.00	87% below	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Des Lumb/sac Facet Jn Bil	$628.00	$1,256.00	$339.00–$3,961.00	81% below	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy L/s Facet Jnt Sng	$3,484.00	$6,967.00	$1,713.00–$7,664.00	6% above	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy L/s Fac Jnt Bil	$5,225.00	$10,450.00	$1,713.00–$11,495.00	58% above	50%
Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure	$4,080.00	$8,159.00	$2,203.00–$8,975.00	19% below	50%
Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl Fb Subq Tiss Smp	$137.00	$274.00	$74.00–$825.00	83% below	50%
Removal of a foreign object under the skin, simple CPT 10120 Rem Foreign Bdy Subq Tiss	$435.00	$870.00	$235.00–$957.00	45% below	50%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial Removal Of Thyroi	$1,301.00	$2,602.00	$703.00–$12,264.00	78% below	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Nohirsk Ind	$313.00	$626.00	$169.00–$1,886.00	82% below	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn Hirsk Pt	$369.00	$737.00	$199.00–$1,886.00	81% below	50%
Septoplasty to straighten the nasal septum CPT 30520 Repair Of Nasal Septum	$1,324.00	$2,648.00	$715.00–$6,726.00	73% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 Lthtrp Xtrcrp Shkwv Bilat	$8,275.00	$16,550.00	$4,334.00–$18,205.00	—	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragment Of Kidney Stone	$1,317.00	$2,634.00	$711.00–$7,151.00	81% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragme Of Kidney Stn Bil	$1,976.00	$3,951.00	$1,067.00–$7,151.00	72% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotrip Xtrcorp Shkwave	$6,366.00	$12,731.00	$3,437.00–$14,004.00	10% below	50%
Short arm cast (elbow to hand) CPT 29075 Application Forearm Cast	$81.00	$161.00	$43.00–$567.00	84% below	50%
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint	$57.00	$114.00	$31.00–$270.00	86% below	50%
Short arm splint (forearm and hand) CPT 29125 Short Arm Splint-static	$94.00	$187.00	$50.00–$270.00	77% below	50%
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$114.00	$227.00	$61.00–$567.00	77% below	50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho Arthrs Srg Dstl Clavi	$1,347.00	$2,694.00	$727.00–$6,637.00	62% below	50%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope	$1,578.00	$3,156.00	$852.00–$3,939.00	63% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr S/n/ax/gen/trnk 2.5cm	$125.00	$250.00	$68.00–$407.00	71% below	50%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesi	$91.00	$181.00	$49.00–$825.00	87% below	50%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Sngl Les	$775.00	$1,550.00	$419.00–$1,705.00	7% above	50%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Sng Les	$775.00	$1,550.00	$419.00–$1,705.00	7% above	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-ext Mal+marg 0.5 C	$99.00	$198.00	$53.00–$1,436.00	95% below	50%
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Up To&inc	$94.00	$188.00	$51.00–$407.00	76% below	50%
Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tags <W/15	$376.00	$751.00	$117.00–$826.00	5% below	50%
Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags <W/15	$376.00	$751.00	$117.00–$826.00	5% below	50%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tags <15	$376.00	$751.00	$117.00–$826.00	5% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx Lmbr Spi Pnxr	$163.00	$325.00	$88.00–$1,432.00	87% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture	$1,569.00	$3,138.00	$518.00–$3,452.00	28% above	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Puncture, Lumbar Diag	$1,883.00	$3,765.00	$518.00–$4,142.00	54% above	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr S/n/ax/gen/trnk2.6-7.	$155.00	$309.00	$83.00–$407.00	79% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr F/e/e/n/l/m 2.5 Cm/<	$151.00	$302.00	$82.00–$407.00	77% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Feenlm 2.5cm/<	$376.00	$751.00	$159.00–$826.00	43% below	50%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (Turp)	$1,212.00	$2,423.00	$654.00–$10,877.00	89% below	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Le	$73.00	$145.00	$39.00–$825.00	86% below	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skn Les Sngl	$376.00	$751.00	$203.00–$826.00	30% below	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Sngl Les	$376.00	$751.00	$203.00–$826.00	30% below	50%
Thoracentesis with imaging guidance both sides CPT 32555 Thoracentesis W/imggui Bi	$3,239.00	$6,477.00	$771.00–$7,125.00	—	50%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/imaging	$183.00	$365.00	$99.00–$1,273.00	90% below	50%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/img Guide	$2,159.00	$4,318.00	$771.00–$4,750.00	13% above	50%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove Tonsils And Adenoi	$565.00	$1,129.00	$305.00–$6,726.00	86% below	50%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12	$528.00	$1,056.00	$285.00–$12,009.00	91% below	50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal Of Tonsils	$538.00	$1,075.00	$290.00–$6,726.00	87% below	50%
Total hip replacement CPT 27130 Total Hip Arthroplasty As	$568.00	$1,136.00	$306.00–$26,044.00	94% below	50%
Total hip replacement CPT 27130 Total Hip Arthroplasty	$2,272.00	$4,544.00	$1,222.00–$26,044.00	75% below	50%
Total knee replacement CPT 27447 Tot Knee Arthroplasty As	$755.00	$1,509.00	$406.00–$26,044.00	97% below	50%
Total knee replacement CPT 27447 Total Knee Arthroplasty	$3,018.00	$6,035.00	$1,623.00–$26,044.00	88% below	50%
Total shoulder replacement CPT 23472 Reconstruct Shoulder As	$785.00	$1,569.00	$422.00–$35,568.00	93% below	50%
Total shoulder replacement CPT 23472 Reconstruct Shoulder	$3,137.00	$6,274.00	$1,688.00–$35,568.00	72% below	50%
Total thyroid removal (thyroidectomy) CPT 60240 Removal Of Thyroid	$1,604.00	$3,208.00	$866.00–$12,264.00	95% below	50%
Trigger finger release surgery CPT 26055 Incise Finger Tendon Shea	$621.00	$1,242.00	$335.00–$3,262.00	80% below	50%
Trigger finger release surgery CPT 26055 Incise Fngr Tendon Sheath	$2,034.00	$4,067.00	$1,098.00–$4,474.00	34% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Mus	$84.00	$167.00	$45.00–$623.00	87% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Pt 1-2 Muscle	$630.00	$1,259.00	$340.00–$1,385.00	1% above	50%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Pnt 1/2 Muscl	$668.00	$1,335.00	$347.00–$1,469.00	7% above	50%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Pt 1-2 Mscl	$812.00	$1,623.00	$347.00–$1,785.00	30% above	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Les Us Imag	$2,953.00	$5,906.00	$1,595.00–$6,497.00	4% below	50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph Egd Dilation <30 Mm	$389.00	$777.00	$210.00–$3,893.00	82% below	50%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope	$2,147.00	$4,294.00	$1,115.00–$4,723.00	21% above	50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr Gi Scope W/submuc In	$492.00	$984.00	$266.00–$1,840.00	74% below	50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Remove Lesion Snare	$451.00	$902.00	$244.00–$3,893.00	86% below	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Guide Wire Insertion	$362.00	$724.00	$195.00–$1,840.00	78% below	50%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$301.00	$601.00	$162.00–$1,840.00	84% below	50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero W/lithotrips	$1,460.00	$2,920.00	$788.00–$10,877.00	79% below	50%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero W/litho	$748.00	$1,496.00	$404.00–$10,877.00	94% below	50%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero W/litho Bil	$1,122.00	$2,244.00	$606.00–$10,877.00	91% below	50%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery	$2,414.00	$4,828.00	$1,299.00–$5,311.00	34% below	50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni Or Bilat	$3,879.00	$7,758.00	$2,095.00–$8,534.00	—	50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct(s)	$362.00	$724.00	$195.00–$4,240.00	86% below	50%
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion 1-14	$91.00	$182.00	$49.00–$407.00	75% below	50%
Wart removal, up to 14 warts CPT 17110 Dest B9 Lesion 1-14	$376.00	$751.00	$117.00–$826.00	5% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt Subq Tis 1st 20sqc	$159.00	$317.00	$86.00–$825.00	76% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tiss <=20sqcm	$435.00	$870.00	$235.00–$957.00	35% below	50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat Fx Rad Extra-articu	$862.00	$1,724.00	$465.00–$14,720.00	83% below	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Bb Transfusion Chg /Unit	$359.00	$717.00	$194.00–$895.00	59% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Trmnt	$20.00	$40.00	$11.00–$444.00	94% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Treatment	$37.00	$74.00	$20.00–$444.00	88% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Tx	$110.00	$220.00	$56.00–$444.00	64% below	50%
Chemotherapy IV infusion, first hour CPT 96413 Chemo, Iv Infusion, 1 Hr	$640.00	$1,280.00	$346.00–$1,408.00	27% below	50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Compre Oph Exam Newpt 1/>	$160.00	$320.00	$86.00–$352.00	35% below	50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Compr Eye Exam New Pt Cc	$160.00	$320.00	$86.00–$352.00	35% below	50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Compr Eye Exam New Pt Es	$160.00	$320.00	$86.00–$352.00	35% below	50%
Comprehensive eye exam, returning patient CPT 92014 Compre Oph Exam Est Pt1/>	$134.00	$268.00	$72.00–$295.00	35% below	50%
Comprehensive eye exam, returning patient CPT 92014 Compr Eye Exam Est Pt Es	$134.00	$268.00	$72.00–$295.00	35% below	50%
Comprehensive eye exam, returning patient CPT 92014 Compr Eye Exam Est Pt Cc	$134.00	$268.00	$72.00–$295.00	35% below	50%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care First Hour	$263.00	$526.00	$142.00–$1,676.00	94% below	50%
Critical care, first 30 to 74 minutes CPT 99291 Er Eval Crit Care 1 Hr	$376.00	$752.00	$203.00–$827.00	92% below	50%
Critical care, first 30 to 74 minutes CPT 99291 Er Eval-crit W/proc	$376.00	$752.00	$203.00–$827.00	92% below	50%
Critical care, first 30 to 74 minutes CPT 99291 Er Level Vi Rm >35 Wo/pro	$711.00	$1,422.00	$384.00–$1,676.00	85% below	50%
Critical care, first 30 to 74 minutes CPT 99291 Er Level Vi Rm >35 W/proc	$711.00	$1,422.00	$384.00–$1,676.00	85% below	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake And Drowsy	$539.00	$1,077.00	$265.00–$1,185.00	39% below	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report	$37.00	$73.00	$20.00–$80.00	59% below	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg-olive Draw St Pd	$122.00	$244.00	$51.00–$268.00	63% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg	$122.00	$244.00	$51.00–$268.00	63% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg-olive Draw St Adult	$122.00	$244.00	$51.00–$268.00	63% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg-doves Landing Draw St	$122.00	$244.00	$51.00–$268.00	63% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekgomc St Adult	$122.00	$244.00	$51.00–$268.00	63% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Pd	$122.00	$244.00	$51.00–$268.00	63% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Eval-minor W/proc	$89.00	$178.00	$48.00–$196.00	76% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Eval-minor	$97.00	$193.00	$11.00–$212.00	74% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I Rm W/proc	$149.00	$297.00	$80.00–$327.00	60% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I Rm Wo Proc	$162.00	$324.00	$87.00–$356.00	57% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Triage Only Fac	$183.00	$366.00	$95.00–$403.00	51% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Visit Sf M	$102.00	$203.00	$55.00–$311.00	86% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Eval-low Complex	$175.00	$349.00	$41.00–$384.00	77% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Eval-low Cmplx W/proc	$175.00	$349.00	$94.00–$384.00	77% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii Rm W/proc	$334.00	$667.00	$164.00–$734.00	55% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii Rm Wo/proc	$334.00	$667.00	$164.00–$734.00	55% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit Low Mdm	$142.00	$283.00	$76.00–$554.00	88% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Eval-low/mod W/proc	$207.00	$414.00	$112.00–$455.00	83% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Eval-low/mod Complex	$207.00	$414.00	$70.00–$455.00	83% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii Rm W/proc	$637.00	$1,273.00	$258.00–$1,400.00	47% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii Rm Wo/proc	$637.00	$1,273.00	$258.00–$1,400.00	47% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Eval-mod W/proc	$225.00	$450.00	$122.00–$495.00	88% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Eval-mod Complex	$225.00	$450.00	$119.00–$495.00	88% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Visit Mod Mdm	$232.00	$463.00	$125.00–$846.00	88% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv Rm W/proc	$743.00	$1,485.00	$401.00–$1,634.00	62% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv Rm Wo/proc	$743.00	$1,485.00	$401.00–$1,634.00	62% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Visit Hi Mdm	$229.00	$457.00	$123.00–$1,208.00	93% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Eval-high W/proc	$370.00	$740.00	$200.00–$814.00	89% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Eval-high Complex	$370.00	$740.00	$172.00–$814.00	89% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V Rm Wo/proc	$743.00	$1,485.00	$401.00–$1,634.00	77% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V Rm W/proc	$743.00	$1,485.00	$401.00–$1,634.00	77% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Persantine\thallium Stres	$514.00	$1,028.00	$265.00–$1,131.00	57% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Persantine/crdlyte Stress	$514.00	$1,028.00	$265.00–$1,131.00	57% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Persantine/myoview Stress	$514.00	$1,028.00	$265.00–$1,131.00	57% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Thallium Stress Test	$514.00	$1,028.00	$265.00–$1,131.00	57% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiolite Stress Test	$860.00	$1,719.00	$265.00–$1,891.00	28% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Treadmill Stress Test	$1,038.00	$2,075.00	$265.00–$2,283.00	13% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Echo Treadmill	$1,038.00	$2,075.00	$265.00–$2,283.00	13% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Dobutamine Stress	$1,038.00	$2,075.00	$265.00–$2,283.00	13% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Myoview Stress Test	$1,038.00	$2,075.00	$265.00–$2,283.00	13% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Lexiscan Stress Test	$1,038.00	$2,075.00	$265.00–$2,283.00	13% below	50%
Eye exam, returning patient, intermediate CPT 92012 Interm Eye Exam Est Pt Es	$91.00	$182.00	$49.00–$270.00	38% below	50%
Eye exam, returning patient, intermediate CPT 92012 Intrm Oph Exam Est Pt	$91.00	$182.00	$49.00–$270.00	38% below	50%
Eye exam, returning patient, intermediate CPT 92012 Interm Eye Exam Est Pt Cc	$91.00	$182.00	$49.00–$270.00	38% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration Init 31-60mn	$425.00	$849.00	$138.00–$934.00	8% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Ini	$425.00	$849.00	$138.00–$934.00	8% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration 31-60 Min	$429.00	$858.00	$138.00–$944.00	7% below	50%
IV infusion of a medicine, first hour CPT 96365 Iv Inf 1st 60 Min Special	$425.00	$849.00	$229.00–$934.00	11% below	50%
IV infusion of a medicine, first hour CPT 96365 Iv Infusion 1st 60 Min	$425.00	$849.00	$229.00–$934.00	11% below	50%
IV infusion of a medicine, first hour CPT 96365 Iv Inf 1st 60min Special	$425.00	$849.00	$229.00–$934.00	11% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag Inj Sc/im	$159.00	$318.00	$66.00–$350.00	at median	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subq-im	$172.00	$343.00	$66.00–$377.00	8% above	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluati	$136.00	$272.00	$73.00–$360.00	57% below	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Tst 7-8 Stdys	$545.00	$1,089.00	$294.00–$1,198.00	48% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 Nme; Balance, Coord	$58.00	$116.00	$31.00–$128.00	54% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 Nme; Balance, Coord Ea 15	$58.00	$116.00	$31.00–$128.00	54% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation	$58.00	$116.00	$31.00–$128.00	54% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ed 15 Mn	$58.00	$116.00	$31.00–$128.00	54% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 Nme; Balance, Coord,ea 15	$58.00	$116.00	$31.00–$128.00	54% below	50%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min	$147.00	$293.00	$79.00–$322.00	23% below	50%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min	$232.00	$464.00	$125.00–$510.00	at median	50%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min	$303.00	$606.00	$164.00–$667.00	3% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Vst New Sf 15 Min	$79.00	$158.00	$43.00–$174.00	42% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Ov New Sf Mdm 15-29m	$90.00	$180.00	$49.00–$198.00	34% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit New, Minor	$91.00	$182.00	$49.00–$200.00	33% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit Low-mod Newp	$111.00	$222.00	$60.00–$244.00	18% below	50%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Cmplx 30m	$93.00	$185.00	$50.00–$204.00	64% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Cmplx 45m	$165.00	$329.00	$89.00–$362.00	61% below	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Cmplx 20m	$83.00	$165.00	$45.00–$182.00	65% below	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Cmplx 30m	$120.00	$239.00	$65.00–$263.00	66% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15m	$34.00	$67.00	$18.00–$74.00	72% below	49%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy;ea 15	$42.00	$84.00	$23.00–$92.00	65% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy;ea 15 +F28	$42.00	$84.00	$23.00–$92.00	65% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Mfr/stm Ea 15	$42.00	$84.00	$23.00–$92.00	65% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy	$42.00	$84.00	$23.00–$92.00	65% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy, Ea. 15	$42.00	$84.00	$23.00–$92.00	65% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15 Mins	$42.00	$84.00	$23.00–$92.00	65% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise	$58.00	$116.00	$31.00–$128.00	55% below	50%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years)	$109.00	$217.00	$58.00–$239.00	31% below	50%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years)	$120.00	$239.00	$64.00–$263.00	33% below	50%
Preventive checkup, new patient aged 65 or older CPT 99387 Init Pm E/m New Pt 65+ Yo	$134.00	$267.00	$72.00–$294.00	23% below	50%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Visit Est Age 18-39	$93.00	$186.00	$50.00–$205.00	37% below	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev Visit Est Age 40-64	$99.00	$198.00	$53.00–$218.00	35% below	50%
Preventive checkup, returning patient aged 65 or older CPT 99397 Per Pm Reeeval Est 65+yo	$112.00	$224.00	$60.00–$246.00	27% below	50%
Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/med Svc	$144.00	$287.00	$77.00–$360.00	61% below	50%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psyc Tsteval Phys/qhp 1st	$198.00	$396.00	$107.00–$438.00	76% below	50%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Init 60 Min	$108.00	$215.00	$58.00–$360.00	68% below	50%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min	$52.00	$104.00	$28.00–$360.00	83% below	50%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min	$72.00	$144.00	$39.00–$360.00	77% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Op Est Hi 40 Min	$152.00	$303.00	$82.00–$342.00	28% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Est-hi Cmplx	$200.00	$400.00	$108.00–$440.00	5% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Op Est Low 20 Min	$77.00	$154.00	$42.00–$170.00	46% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ov Est Low Mdm 20-29m	$90.00	$180.00	$49.00–$198.00	37% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Est-moderate	$92.00	$184.00	$50.00–$202.00	36% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Mod Estpt	$104.00	$207.00	$56.00–$228.00	27% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Mod-hi Estpt	$89.00	$178.00	$48.00–$242.00	49% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Ov Est Mod Mdm 30-39m	$90.00	$180.00	$49.00–$242.00	48% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Op Est Mod 30 Min	$113.00	$226.00	$61.00–$249.00	35% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Est-mod/hi	$143.00	$285.00	$77.00–$314.00	18% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Est, Minor	$46.00	$92.00	$25.00–$107.00	58% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Op Est Sf 10 Min	$49.00	$98.00	$26.00–$108.00	55% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Low-mod Estp	$89.00	$178.00	$48.00–$196.00	18% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Treatment Room	$90.00	$180.00	$49.00–$198.00	17% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Ov Est Sf Mdm 10-19m	$90.00	$180.00	$49.00–$198.00	17% below	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min	$173.00	$346.00	$93.00–$381.00	at median	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min	$278.00	$556.00	$150.00–$612.00	10% above	50%
Speech and language evaluation CPT 92523 Speech Sound Lang Compren	$384.00	$768.00	$207.00–$845.00	16% below	50%
Speech and language evaluation CPT 92523 Speech Snd Lang Comprehen	$384.00	$768.00	$207.00–$845.00	16% below	50%
Speech therapy session, individual CPT 92507 St Rx 1 Hr	$144.00	$287.00	$77.00–$316.00	48% below	50%
Speech therapy session, individual CPT 92507 Tx Of Speech, Lang, Voice	$157.00	$313.00	$83.00–$344.00	43% below	50%
Spirometry (breathing test) CPT 94010 Breathing Capacity Test	$49.00	$98.00	$9.00–$108.00	85% below	50%
Spirometry (breathing test) CPT 94010 Spirometry Total Vital	$633.00	$1,266.00	$98.00–$1,393.00	97% above	50%
Spirometry before and after a bronchodilator CPT 94060 Spirometry Befr/after Bd	$770.00	$1,540.00	$188.00–$1,694.00	8% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Dyn Activities/15 Mins	$64.00	$128.00	$35.00–$141.00	53% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Dyn Act: Bal/coord	$64.00	$128.00	$35.00–$141.00	53% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Dyn Act; Bal/coord	$64.00	$128.00	$35.00–$141.00	53% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Acts: Ea. 15	$64.00	$128.00	$35.00–$141.00	53% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Act. Ea 15 Mn	$64.00	$128.00	$35.00–$141.00	53% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Theraputic Phlebotomy	$355.00	$710.00	$81.00–$781.00	19% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic	$355.00	$710.00	$81.00–$781.00	19% above	50%
Visual field test, extended CPT 92083 Extended Visual Field Xm	$130.00	$260.00	$70.00–$286.00	61% below	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live Subq	$55.00	$109.00	$29.00–$120.00	82% below	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc No Prsv 0.5 Ml	$15.00	$30.00	$8.00–$33.00	55% below	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vaccine 2/3 Dose Im	$114.00	$227.00	$61.00–$250.00	70% below	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardeasil 90.5ml Sdv	$158.00	$315.00	$85.00–$347.00	59% below	50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep A/b Vacc Adult Im	$97.00	$193.00	$52.00–$212.00	36% below	50%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Im	$48.00	$96.00	$26.00–$106.00	66% below	50%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vac 1440u/1ml	$161.00	$321.00	$87.00–$353.00	15% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine 3 Dose Adult	$48.00	$96.00	$26.00–$106.00	43% below	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vaccine Sc	$36.00	$71.00	$19.00–$78.00	68% below	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/menacwycrm Vacim	$67.00	$134.00	$36.00–$157.00	74% below	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$356.00	$711.00	$157.00–$782.00	36% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra	$426.00	$852.00	$157.00–$937.00	63% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero Vacc Im	$259.00	$518.00	$140.00–$570.00	6% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine Im	$169.00	$337.00	$91.00–$371.00	66% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 0.5ml	$133.00	$266.00	$72.00–$293.00	18% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23/2.5ml/vial	$550.00	$1,099.00	$97.00–$1,209.00	240% above	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoc Antb Seasn.5ml	$375.00	$749.00	$202.00–$824.00	61% below	50%
Rabies vaccine, one dose CPT 90675 Rabies Vacc Rabavert 2.5u	$366.00	$732.00	$198.00–$805.00	48% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tet,diph Tox Adult/5ml/vi	$37.00	$73.00	$20.00–$80.00	50% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7yrs/> Im	$29.00	$58.00	$16.00–$64.00	64% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immuniz Admin 1st	$20.00	$39.00	$11.00–$146.00	81% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin-hepatitis B	$22.00	$43.00	$12.00–$146.00	79% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin-influenza	$23.00	$46.00	$12.00–$146.00	78% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vacc	$46.00	$92.00	$25.00–$146.00	56% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin-pneumovax	$47.00	$94.00	$25.00–$146.00	55% below	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz Admin Ea Add	$10.00	$19.00	$5.00–$47.00	85% below	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vacc Adm-hep B-ea Add Vac	$22.00	$43.00	$12.00–$47.00	67% below	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immuniz Admin Ea Add Vacc	$24.00	$47.00	$13.00–$52.00	64% below	49%

Source file: https://secure.claraprice.net/price-transparency/ZZKG-1724785095238/machine-readable/94-1634554_oroville-hospital_standardcharges.json