SelfPayRates
Hospital Albany-Schenectady-Troy, NY

Bassett Hospital of Schoharie County

Bassett Hospital of Schoharie County in Cobleskill, NY publishes cash prices for 400 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 New York median for 368 of 397 procedures and above it for 16. By typical cash price it ranks #4 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

178 Grandview Drive Cobleskill, NY 12043 Collected Sep 27, 2026 Source price file (518) 254-3456

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 331320 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs New YorkOff list
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle, Comp, Min 3 Views $131.94 $488.65 $111.59–$88.05 34% below 73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Dop Art Ext 1-2 Levels Bil $141.75 $525.00 $128.90–$98.17 47% below 73%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esoph Scout Chst Sng Con $264.01 $977.82 $108.42–$977.82 22% below 73%
Breast ultrasound, complete, one breast CPT 76641 CAH Chg US Breast Uni Real Time With Image Complete $44.30 $164.08 $111.53–$94.44 86% below 73%
Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete $274.59 $1,017.00 $1,017.00–$988.38 13% below 73%
Breast ultrasound, limited (one breast or one area) CPT 76642 CAH Chg US Breast Uni Real Time With Image Limited $36.50 $135.18 $101.39–$94.83 84% below 73%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited $202.50 $750.00 $1,049.40–$991.10 9% below 73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography,Chest W&W/O Con $945.00 $3,500.00 $1,000.53–$970.21 17% below 73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CAH Chg CT Angio Hrt Cornry Art/Bypass Grfts Contrst 3d Post $141.53 $524.20 $146.78–$524.20 86% below 73%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CAH Chg CT Heart W/O Contrast Quant Eval Coronary Calcium $46.37 $171.74 $116.73–$98.85 71% below 73%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast $1,134.00 $4,200.00 $1,168.48–$93.66 10% above 73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast $1,431.00 $5,300.00 $109.01–$6,823.00 8% below 73%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen Pelvis Wwo Con $1,566.00 $5,800.00 $138.11–$85.77 4% below 73%
CT scan of the abdomen with contrast CPT 74160 HC CT Abd W Contrast $833.65 $3,087.58 $1,017.67–$997.91 18% below 73%
CT scan of the abdomen without contrast CPT 74150 HC CT Abd W/O Contrast $678.05 $2,511.30 $1,048.73–$967.35 15% below 73%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/Out Contrast $654.54 $2,424.21 $106.34–$933.81 6% below 73%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain WO Contrast $648.00 $2,400.00 $106.34–$958.21 6% below 73%
CT scan of the head with contrast CPT 70460 HC CT Head/Brain W Contrast $837.00 $3,100.00 $1,001.92–$995.10 5% below 73%
CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain/W/O and W Contrast $1,081.13 $4,004.17 $1,193.19–$932.15 4% above 73%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine, W/O Contrast $702.00 $2,600.00 $1,001.52–$962.00 16% below 73%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine,W/O Contrast $648.00 $2,400.00 $106.34–$924.48 24% below 73%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast $742.50 $2,750.00 $1,000.45–$981.75 18% below 73%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Duplex Extracranial Cmp Bil $431.44 $1,597.92 $1,064.06–$919.76 21% below 73%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views $114.48 $424.00 $111.59–$9.41 43% below 73%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View $93.96 $348.00 $10.10–$98.34 49% below 73%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit,Real Time,Complete $314.25 $1,163.90 $1,047.48–$989.32 13% below 73%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density Total Body $199.57 $739.16 $101.00–$828.00 17% below 73%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Peripheral $100.77 $373.24 $102.18–$99.20 30% below 73%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 CAH PR US,Preg Uter,Fet & Mat,+ Detl Fet Exm $75.56 $279.86 $101.81–$99.91 85% below 73%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Preg+Detl Sngl1st Gest $110.16 $408.00 $1,023.00–$990.00 79% below 73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diag WO Con $688.50 $2,550.00 $106.34–$982.26 15% below 73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diag W Con $796.50 $2,950.00 $1,003.00–$991.20 23% below 73%
Diagnostic mammogram, both breasts both sides CPT 77066 CAH Chg Diagnostic Mammography Computer-Aided Detcj Bi $67.53 $250.10 $143.53–$92.54 — 73%
Diagnostic mammogram, both breasts CPT 77066 HC Mammo Diagnositc W Cad Bil $186.77 $691.74 $101.40–$97.97 21% below 73%
Diagnostic mammogram, one breast CPT 77065 CAH Chg Diagnostic Mammography Computer-Aided Detcj Uni $53.54 $198.31 $113.81–$73.37 80% below 73%
Diagnostic mammogram, one breast CPT 77065 HC Mammo Diagnositc W Cad Uni $148.36 $549.48 $101.40–$97.97 44% below 73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 CAH PR Duplex Lo Extrem Art Bilat $101.98 $377.72 $105.76–$377.72 — 73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Arterial Duplex Lower Extrem.(Bilat.) $445.81 $1,651.15 $1,041.20–$950.40 — 73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Venous Duplex Scan Lower or Upper Extrem Bilat $445.81 $1,651.15 $1,082.96–$950.40 — 73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W or WO Fol W Con Doppler $688.35 $2,549.45 $1,001.31–$943.30 37% below 73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary System Imaging $432.00 $1,600.01 $104.78–$920.97 55% below 73%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study,Unattended $296.58 $1,098.44 $1,021.52–$988.60 8% below 73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap 6 Yrs or Older $774.08 $2,866.97 $1,017.39–$990.82 65% below 73%
Knee X-ray, 3 views CPT 73562 HC Knee 3 Views $128.04 $474.22 $111.59–$9.41 24% below 73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited $276.96 $1,025.76 $1,025.76–$98.30 10% below 73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CAH Chg Computed Tomography Thorax Lw Dose Lng Ca Scr C- $66.15 $245.00 $140.61–$90.65 84% below 73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thor Lung Ca Scr WO Con $784.89 $2,907.00 $1,004.66–$998.26 87% above 73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Low Extrem Jnt WO Con $994.95 $3,685.00 $1,001.32–$972.16 1% below 73%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Low Extrm Jnt WO W Con $1,175.85 $4,354.99 $1,010.00–$681.75 36% below 73%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Contrast $1,034.61 $3,831.90 $1,010.00–$681.75 1% above 73%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen WO W Contrast $1,214.98 $4,499.94 $1,010.00–$681.75 26% below 73%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast $913.26 $3,382.43 $1,010.00–$994.43 8% below 73%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O Follwed by W/Contrast $1,215.21 $4,500.78 $1,010.00–$681.75 24% below 73%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast $919.38 $3,405.11 $1,001.10–$982.03 14% below 73%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine Canal, W/WO Contrast $1,232.24 $4,563.85 $1,010.00–$681.75 25% below 73%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast $877.50 $3,250.00 $1,007.50–$963.60 13% below 73%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cerv Spine Canal W/WO Contrast $1,278.17 $4,733.95 $1,010.00–$681.75 21% below 73%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine Canal W/O Contrast $929.68 $3,443.25 $1,010.00–$993.03 7% below 73%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/WO Contrast $1,175.85 $4,354.99 $1,010.00–$681.75 24% below 73%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast $876.15 $3,245.00 $1,005.95–$997.58 12% below 73%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upp Extrem Jnt WO Contrast $891.00 $3,300.00 $1,010.00–$989.00 26% below 73%
OCT scan of the retina (optical coherence tomography) CPT 92134 CAH PR Computerized Ophthalmic Imaging Retina $18.09 $67.00 $18.76–$67.00 74% below 73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 CAH Pet Imaging CT Attenuation Skull Base Mid-Thigh $586.63 $2,172.70 $1,246.91–$797.82 84% below 73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US,Pelvic (Nonobstetric),Real Time,Limited $242.72 $898.96 $106.34–$951.00 4% below 73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US,Pelvic (Nonobstetric),Real Time,Complete $302.01 $1,118.54 $1,006.69–$98.30 17% below 73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CAH US, OB >/= 14 Wks, Sngl Fetus $58.16 $215.42 $123.63–$79.71 82% below 73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Preg=>14wk Sng 1st Ges $222.75 $825.00 $1,012.79–$98.30 31% below 73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CAH US, OB < 14 Wks, Single Fetus $50.57 $187.28 $107.48–$69.29 84% below 73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Preg<14wk Sngl1st Gest $209.25 $775.00 $1,049.40–$991.10 32% below 73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Preg 1 or >Fetuses Ltd $144.45 $535.00 $106.34–$758.00 53% below 73%
Screening mammogram, both breasts both sides CPT 77067 CAH Chg Screening Mammography Bi 2-View Breast Inc Cad $54.78 $202.88 $106.52–$94.37 — 73%
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad $165.57 $613.23 $101.40–$97.97 — 73%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Comp, Min 2 Views $204.10 $755.92 $111.59–$9.41 1% above 73%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom >6yr W 4/> Param $732.61 $2,713.36 $1,003.94–$937.74 65% below 73%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CAH PR Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg $191.70 $710.00 $198.80–$710.00 83% below 73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CAH PR Swallowing Fcn,W/Cine &/or Video $54.19 $200.71 $115.19–$73.70 84% below 73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallow Func Cine/Video Wcon $175.50 $650.00 $12.12–$933.00 48% below 73%
Transvaginal pelvic ultrasound CPT 76830 CAH PR Echography,Transvaginal $51.34 $190.15 $109.13–$70.36 85% below 73%
Transvaginal pelvic ultrasound CPT 76830 HC Ultrasound Pelvis,Transvaginal $268.05 $992.77 $1,005.75–$992.77 23% below 73%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US, Obstetric $168.75 $625.00 $106.34–$98.30 39% below 73%
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete $425.03 $1,574.20 $106.34–$98.30 at median 73%
Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents $252.32 $934.52 $1,022.92–$98.30 28% below 73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time $243.00 $900.00 $1,053.30–$987.83 22% below 73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi/Scout Abd Sng Con $261.37 $968.03 $1,003.00–$968.03 38% below 73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Venous Duplex Scan Lower or Upper Extrem Unilat $317.59 $1,176.27 $1,005.75–$999.83 9% below 73%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist, Comp, Min 3 Views $113.06 $418.74 $111.59–$88.05 41% below 73%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views $165.89 $614.42 $111.59–$88.05 9% below 73%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View $112.73 $417.52 $10.10–$88.05 44% below 73%
X-ray of the ankle, 2 views CPT 73600 HC Ankle Two Views $104.78 $388.08 $10.10–$88.05 34% below 73%
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger, Min 2 Views $86.40 $320.00 $10.23–$99.20 45% below 73%
X-ray of the foot, 2 views CPT 73620 HC Foot Two Views $100.48 $372.16 $10.10–$88.05 40% below 73%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot Comp, Min 3 Views $131.66 $487.62 $111.59–$88.05 27% below 73%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Two Views $113.06 $418.74 $111.59–$88.05 44% below 73%
X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views $96.33 $356.77 $10.10–$99.96 48% below 73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbosacral 2 or 3 View $145.02 $537.11 $106.34–$9.41 45% below 73%
X-ray of the lower back, 4 or more views CPT 72110 HC Spine Lumbosacral 4+ Views $232.60 $861.47 $106.34–$933.00 16% below 73%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Spine Thoracic Two Views Her $111.06 $411.33 $106.34–$9.41 45% below 73%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones 3+ Views $109.17 $404.34 $111.59–$9.41 46% below 73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2-3 Vws $129.17 $478.41 $111.59–$9.41 36% below 73%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 View $129.99 $481.44 $106.34–$7.84 41% below 73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacroiliac, Min 3 Views $96.33 $356.77 $102.96–$99.96 52% below 73%

Lab tests

ProcedureCash price List priceInsurers payvs New YorkOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Aminot(Alt/Sgpt) $25.08 $92.90 $10.16–$92.90 7% above 73%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase, Aspartate $25.08 $92.90 $10.16–$92.90 at median 73%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel $82.42 $305.25 $100.61–$98.66 52% below 73%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Assay of Glycated Protein $4.68 $17.32 $11.29–$9.97 71% below 73%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Each Allergen $12.14 $44.97 $12.59–$8.29 24% below 73%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea Ref $12.14 $44.97 $12.59–$8.29 24% below 73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IgG $16.14 $59.79 $11.27–$7.80 66% below 73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide (CCP) Antibodies $29.84 $110.53 $102.79–$99.48 36% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Ab S $8.92 $33.03 $10.24–$9.99 80% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies $41.19 $152.57 $10.50–$99.41 6% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies, HEp-2 Substrate, IgG, S REF $41.20 $152.58 $10.50–$99.42 6% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Aild $41.20 $152.58 $10.50–$99.42 6% below 73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide $57.62 $213.40 $122.47–$78.96 53% below 73%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel $62.07 $229.89 $131.93–$9.89 at median 73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CAH PR Surg Path,Level IV $30.42 $112.68 $101.41–$95.78 83% below 73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Gross & Micro $106.05 $392.78 $109.98–$98.15 41% below 73%
Blood culture for bacteria CPT 87040 HC Culture Bact Blood $53.72 $198.97 $10.32–$9.88 23% below 73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CAH PR Collection Venous Blood,Venipuncture Non-Mib $5.94 $22.00 $12.63–$9.09 62% below 73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Lab Specimen Collection $9.19 $34.02 $1.28–$9.82 42% below 73%
Blood glucose (sugar) test CPT 82947 HC Glucose,Quantitative Blood $26.57 $98.40 $2.30–$98.40 48% above 73%
Blood lead test CPT 83655 HC Lead Heavymetals Screen $5.63 $20.84 $10.54–$7.71 87% below 73%
Blood lead test CPT 83655 HC Lead -POCT $5.63 $20.84 $10.54–$7.71 87% below 73%
Blood lead test CPT 83655 CAH Assay of Lead $5.63 $20.84 $11.96–$7.71 87% below 73%
Blood lead test CPT 83655 HC Lead, Capillary, w/ Demographics, B REF $8.10 $30.00 $10.08–$9.89 81% below 73%
Blood lead test CPT 83655 HC Assay of Lead Ref $47.05 $174.27 $10.54–$7.10 9% above 73%
Blood lead test CPT 83655 HC Heavy Metals Screen $47.05 $174.27 $10.54–$7.10 9% above 73%
Blood lead test CPT 83655 HC Heavy Metals, 24 Hr Urine $47.05 $174.27 $10.54–$7.10 9% above 73%
Blood lead test CPT 83655 HC Heavy Metals Scrn, Occ Exp, Ru $47.05 $174.27 $10.54–$7.10 9% above 73%
Blood lead test CPT 83655 HC Lead,Venous, W/Demographics B Ref $47.05 $174.27 $10.54–$7.10 9% above 73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qualitative $15.93 $58.99 $16.52–$8.12 55% below 73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qual-Serum $49.27 $182.47 $104.72–$8.12 39% above 73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Arc Abo Type $7.43 $27.50 $1.75–$9.90 95% below 73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo $35.63 $131.96 $1.75–$99.66 77% below 73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo (Forward) $35.63 $131.96 $1.75–$99.66 77% below 73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein $26.44 $97.94 $27.42–$97.94 10% below 73%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe Ref $31.05 $115.00 $103.50–$97.75 75% below 73%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Direct (Diasorin) $40.35 $149.46 $101.59–$97.39 68% below 73%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Ag-C Diff Toxin $100.19 $371.07 $103.90–$40.25 20% below 73%
CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-19,Pancreatic Cyst Ref $21.15 $78.34 $12.21–$78.34 72% below 73%
CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Antigen 19-9 $47.63 $176.42 $101.25–$65.28 37% below 73%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125, Serum $40.95 $151.68 $103.10–$98.83 50% below 73%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay-Tumor Ag Ca-125 $40.95 $151.68 $103.10–$98.83 50% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR REF $25.65 $95.00 $26.60–$95.00 78% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR (Quest - Res) REF $35.10 $130.00 $102.14–$98.18 70% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR (Quest - Emp) REF $35.10 $130.00 $102.14–$98.18 70% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Direct (Diasorin) $49.53 $183.45 $105.28–$69.28 57% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid19 $57.90 $214.43 $123.06–$78.74 50% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19-ID NOW - Community Testing $57.90 $214.43 $123.06–$78.74 50% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID 19(ADSCIS) ref $57.90 $214.43 $123.06–$78.74 50% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C Trach Misc Amplified Rna $51.77 $191.75 $110.05–$70.95 40% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C.Trach,Misc,Amplified Rna Ref $51.77 $191.75 $110.05–$70.95 40% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis $51.77 $191.75 $110.05–$70.95 40% below 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel(Cvp) $90.19 $334.02 $100.07–$98.20 24% above 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid REF $90.19 $334.02 $100.07–$98.20 24% above 73%
Complete blood count (CBC) with differential CPT 85025 HC Blood Count Auto W/Auto Diff $41.47 $153.61 $100.09–$88.42 at median 73%
Complete blood count (CBC), no differential CPT 85027 HC Blood Count Automated $28.39 $105.15 $105.15–$97.79 8% below 73%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel $97.04 $359.42 $10.10–$9.19 3% above 73%
D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer, P $35.07 $129.90 $10.18–$98.10 5% below 73%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Deg Prob;D-Dimer Quant $38.11 $141.15 $10.18–$99.02 3% above 73%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone(Dhea,Sulfate) $69.59 $257.73 $13.05–$95.36 28% below 73%
Estradiol blood test CPT 82670 HC Estradiol, Mass Spectrometry, S $13.04 $48.29 $13.52–$62.87 87% below 73%
Estradiol blood test CPT 82670 HC Estradiol $66.53 $246.39 $141.40–$91.16 34% below 73%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Horm $79.05 $292.78 $10.91–$99.55 4% above 73%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin,Fecal $90.74 $336.08 $100.69–$98.81 15% below 73%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin-Serum $55.67 $206.18 $11.86–$76.29 17% below 73%
Folate (folic acid) blood test CPT 82746 HC Folic Acid-Serum $51.36 $190.24 $109.18–$8.83 16% below 73%
Free T3 thyroid hormone test CPT 84481 HC T3 (Triiodothyronine), Free, Serum $32.71 $121.13 $10.91–$96.90 63% below 73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine), Free by Dialysis, Serum $63.19 $234.02 $10.80–$9.74 at median 73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxin Free $63.19 $234.02 $10.80–$9.74 at median 73%
Free testosterone test CPT 84402 HC Testosterone Free $22.09 $81.80 $14.94–$81.80 76% below 73%
Free testosterone test CPT 84402 HC Testosterone, Total, Bio, Free $38.13 $141.24 $105.93–$99.08 59% below 73%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel $156.81 $580.77 $116.15–$580.77 at median 73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose;Post Glucose Dose $50.19 $185.90 $10.21–$9.50 136% above 73%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tol Test 3 Spec $68.95 $255.38 $11.20–$94.49 15% above 73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorr,Misc,Amplified Rna Ref $50.94 $188.66 $108.27–$69.80 49% below 73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq Cgrna $50.94 $188.66 $108.27–$69.80 49% below 73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Detection;Ng;Amp Pro $50.94 $188.66 $108.27–$69.80 49% below 73%
H. pylori antibody blood test CPT 86677 HC Antibody H Pylori Igg $9.13 $33.81 $10.13–$9.94 83% below 73%
H. pylori antibody blood test CPT 86677 HC H. Pylori Ab Igg Igm Iga S $15.39 $57.00 $10.95–$8.82 71% below 73%
H. pylori antibody blood test CPT 86677 HC Antibody H Pylori Igm $15.39 $57.00 $10.95–$8.82 71% below 73%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab $35.97 $133.24 $10.95–$99.93 31% below 73%
H. pylori stool antigen test CPT 87338 HC Infectious Agnet-Ag H Pylori Stool(Hpag) $41.47 $153.61 $10.95–$9.73 34% below 73%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody, Hiv-1 and Hiv-2,Single Assay $24.39 $90.35 $104.84–$93.93 57% below 73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W Hiv-1/2 Abs, Expidited $24.39 $90.35 $18.67–$90.35 70% below 73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1/-2 Ag & Ab Screen, P $28.67 $106.18 $106.18–$98.75 65% below 73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W Hiv-1/2 Abs, Single $28.67 $106.18 $106.18–$98.75 65% below 73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Human Papillomavirus High Risk $50.66 $187.63 $107.68–$69.42 43% below 73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CAH PR Glycosylated Hemoglobin Test $23.07 $85.46 $23.93–$9.71 44% below 73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin;Glycated POC $30.34 $112.37 $10.00–$95.51 26% below 73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin;Glycated $30.34 $112.37 $10.00–$95.51 26% below 73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody, Qual/Quant, Serum $9.20 $34.08 $10.02–$9.83 79% below 73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab $37.30 $138.14 $10.20–$96.91 13% below 73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen, Serum $8.76 $32.46 $10.06–$9.82 77% below 73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent(HEP B SURF AG) $42.17 $156.18 $10.33–$89.90 13% above 73%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody W/ Reflex to Hcv Pcr, Serum $59.57 $220.62 $10.10–$81.63 at median 73%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody $59.57 $220.62 $10.10–$81.63 at median 73%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Infectious Agent;Hep C Rna-Quant $74.32 $275.26 $100.14–$99.09 44% below 73%
Herpes blood test, HSV-1 antibody CPT 86695 HC Torch Profile,Igg,S $21.62 $80.09 $11.48–$80.09 45% below 73%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsv Types 1 and 2 Ab Igg $21.62 $80.09 $11.48–$80.09 45% below 73%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsv Types 1 and 2 Ab Igg $41.27 $152.86 $103.90–$99.60 31% below 73%
Herpes blood test, HSV-2 antibody CPT 86696 HC Torch Profile,Igg,S $41.27 $152.86 $103.90–$99.60 31% below 73%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity $22.27 $82.47 $10.35–$82.47 53% below 73%
Homocysteine blood test CPT 83090 HC Homocystine (Urine) $25.00 $92.60 $15.60–$92.60 67% below 73%
Homocysteine blood test CPT 83090 HC Homocystine(Hcs/Mahcs) $31.73 $117.52 $105.77–$99.89 59% below 73%
Insulin blood test CPT 83525 HC Insulin, Total $32.29 $119.59 $101.64–$95.67 31% below 73%
Insulin blood test CPT 83525 HC Insulin, Total, S Ref $32.29 $119.59 $101.65–$95.67 31% below 73%
Iron blood test (serum iron) CPT 83540 HC Ironliver Tissue $23.40 $86.65 $10.16–$86.65 24% below 73%
Iron blood test (serum iron) CPT 83540 HC Iron $30.34 $112.37 $10.16–$95.51 1% below 73%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron (REF) $30.34 $112.37 $10.16–$95.51 1% below 73%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test (REF) $35.75 $132.39 $10.16–$99.98 14% below 73%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity(Tibc) $35.75 $132.39 $10.16–$99.98 14% below 73%
Kidney function blood test panel CPT 80069 HC Renal Function Panel $74.32 $275.25 $10.42–$99.09 13% above 73%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone $77.16 $285.79 $10.87–$98.77 at median 73%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase $28.11 $104.12 $104.12–$96.83 17% below 73%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel $55.11 $204.12 $117.14–$9.89 26% below 73%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibodies (Igg/Igm) $45.93 $170.10 $10.00–$97.91 at median 73%
Lyme disease antibody test CPT 86618 HC Lyme Disease Serology Eval $45.93 $170.10 $10.00–$97.91 at median 73%
Lyme disease antibody test CPT 86618 HC Lyme Disease Serology, S Ref(Ticks) $45.93 $170.10 $10.00–$97.91 at median 73%
Magnesium blood test CPT 83735 HC Magnesium $21.71 $80.41 $10.16–$80.41 26% below 73%
Magnesium blood test CPT 83735 HC Magnesium(Sat24) $21.71 $80.41 $10.16–$80.41 26% below 73%
Measles (rubeola) antibody test CPT 86765 HC Antibody,Rubeola $15.72 $58.23 $12.88–$58.23 65% below 73%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Ab (Igm) Titer, If $44.65 $165.37 $107.76–$95.19 2% below 73%
Measles (rubeola) antibody test CPT 86765 HC Measles (Rubeola) Antibody Igg $44.65 $165.37 $107.76–$95.19 2% below 73%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Ab,Screen $37.58 $139.17 $10.27–$97.63 at median 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free Monitoring $49.82 $184.53 $10.79–$68.28 16% below 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Spec Ag Free Screening $49.82 $184.53 $10.79–$68.28 16% below 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Spec Ag Free Ref $49.82 $184.53 $10.79–$68.28 16% below 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Ag; Total,Monitoring $49.69 $184.02 $10.79–$68.09 24% below 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa, Total Ref $49.69 $184.02 $10.79–$68.09 24% below 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Ag; Total,Screen $49.69 $184.02 $10.79–$68.09 24% below 73%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath W/Auto Sc- Routine (Cerv or Vag) $64.38 $238.44 $136.84–$88.22 at median 73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Scrn Pap,Thinprep W/Reflx $38.97 $144.33 $101.02–$99.57 47% below 73%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathyroid Hormone (Pth) $59.11 $218.93 $125.64–$92.88 56% below 73%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone(Parathyroid Hormone) $59.11 $218.93 $125.64–$92.88 56% below 73%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lupus Anticoagulant Profile $29.78 $110.31 $102.59–$99.28 at median 73%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial $29.78 $110.31 $102.59–$99.28 at median 73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Non-Invasive Prenatal Testing for Fetal Aneuploidy REF $695.06 $2,574.30 $1,477.39–$952.49 28% below 73%
Progesterone blood test CPT 84144 HC Progesterone $85.73 $317.52 $101.61–$98.43 3% below 73%
Progesterone blood test CPT 84144 HC Progesterone Serum $85.73 $317.52 $101.61–$98.43 3% below 73%
Prolactin blood test CPT 84146 HC Prolactin $65.69 $243.30 $11.37–$90.02 8% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 CAH Chg Prothrombin Time $14.33 $53.08 $14.86–$8.89 24% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time Fspt $14.33 $53.08 $13.74–$8.89 24% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Pt/Inr Coagucheck $24.22 $89.69 $2.31–$89.69 28% above 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Ref $24.22 $89.69 $2.31–$89.69 28% above 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time $24.22 $89.69 $2.31–$89.69 28% above 73%
Rapid flu test (influenza antigen) CPT 87804 HC Infectious Agent Ag - Flu $22.32 $82.66 $14.41–$82.66 45% below 73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CAH Chg Iaadiadoo Streptococcus Group A $11.15 $41.29 $11.56–$41.29 72% below 73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT Rapid Strep A $13.01 $48.19 $13.49–$8.52 67% below 73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agentstrep Group A $13.01 $48.19 $13.49–$8.52 67% below 73%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatiod Factor Quant REF $7.44 $27.54 $10.02–$9.91 73% below 73%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatiod Factor Quantitative $27.56 $102.06 $10.50–$94.92 at median 73%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab, Igg, S $8.64 $32.00 $10.24–$9.92 80% below 73%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab Igg $25.05 $92.78 $12.53–$92.78 41% below 73%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Ref $25.05 $92.78 $12.53–$92.78 41% below 73%
Rubella antibody test (immunity check) CPT 86762 HC Torch Profile,Igg,S $25.05 $92.78 $12.53–$92.78 41% below 73%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate $24.77 $91.75 $1.58–$91.75 at median 73%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Complete Lab $25.47 $94.33 $10.72–$94.33 31% below 73%
Stool ova and parasites exam CPT 87177 HC Ova & Para Direct Smear Conc/Ident $27.77 $102.87 $10.68–$95.67 28% below 73%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC - Blood, Occult Feces, Screening Triple Card $24.22 $89.69 $1.91–$89.69 60% above 73%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult Feces;Immunoassay (1-3) $12.80 $47.42 $13.28–$9.33 72% below 73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Qual (Rpr) $20.48 $75.86 $2.50–$75.86 11% above 73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl, CSF $20.48 $75.86 $2.50–$75.86 11% above 73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Mediated Immunity $75.95 $281.28 $100.42–$98.50 49% below 73%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Total $57.34 $212.37 $121.88–$78.58 34% below 73%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Total,Bio $57.34 $212.37 $121.88–$78.58 34% below 73%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone, Total $57.34 $212.37 $121.88–$78.58 34% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyrogl Ab W Thyroid Perox Ab $21.57 $79.90 $12.67–$8.54 57% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroperoxidase Ab $21.57 $79.90 $12.67–$8.54 57% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroid Peroxidase Antibody $21.57 $79.90 $12.67–$8.54 57% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Liver/Kidney Microsomal Ab $21.57 $79.90 $12.67–$8.54 57% below 73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone $73.21 $271.13 $10.91–$99.56 7% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif Ref $50.10 $185.56 $106.49–$68.66 32% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif (Male) Ref $50.10 $185.56 $106.49–$68.66 32% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis;Amp Probe $50.10 $185.56 $106.49–$68.66 32% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif(Female) Ref $50.10 $185.56 $106.49–$68.66 32% below 73%
Uric acid blood test CPT 84550 HC Uric Acid $14.89 $55.15 $10.17–$9.72 37% below 73%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto With Micro $27.00 $100.00 $100.00–$93.00 8% below 73%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis,Non Auto W/Micro $12.86 $47.63 $1.86–$9.00 19% above 73%
Urinalysis without microscope exam, automated CPT 81003 CAH PR Urinalysis Auto W/O Micro $8.60 $31.85 $10.19–$9.87 49% below 73%
Urinalysis without microscope exam, automated CPT 81003 HC POCT Perform Urine Dipstick $18.37 $68.05 $1.32–$68.05 8% above 73%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro $18.37 $68.05 $1.32–$68.05 8% above 73%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Auto W/O Micro $7.03 $26.02 $1.50–$9.87 40% below 73%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Bact Urine Quant $38.13 $141.24 $10.89–$99.08 10% below 73%
Urine pregnancy test, read by color change CPT 81025 CAH Chg Urine Pregnancy Test $15.93 $58.99 $16.52–$8.61 49% below 73%
Urine pregnancy test, read by color change CPT 81025 HC POCT Perform Urine Pregnancy $38.97 $144.33 $101.02–$99.57 25% above 73%
Urine pregnancy test, read by color change CPT 81025 HC Urine Preg Test Visual Color $38.97 $144.33 $101.02–$99.57 25% above 73%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vit B $36.46 $135.05 $101.29–$94.74 43% below 73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Calcifediol(24-Oh Vit D-3) $64.71 $239.65 $137.54–$88.67 27% below 73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D; 25 Hyrdoxy $64.71 $239.65 $137.54–$88.67 27% below 73%
Zinc blood test CPT 84630 HC Zinc $8.82 $32.66 $10.12–$9.91 75% below 73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadrotropin Chorionic Quant $61.10 $226.29 $12.49–$83.73 at median 73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg, Tumor Marker $61.10 $226.29 $12.49–$83.73 at median 73%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New YorkOff list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 CAH PR Arthrodesis Ant Interbody Inc Discectomy, Cervical Below C2 $1,620.00 $6,000.00 $1,680.00–$6,000.00 87% below 73%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 CAH PR Appendectomy,Rupt Appendx+Abscess $458.19 $1,697.00 $1,153.45–$976.79 41% below 73%
Appendectomy, open surgery CPT 44950 CAH PR Appendectomy $324.00 $1,200.00 $1,020.00–$960.00 80% below 73%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 CAH PR Knee Scope,Aid Ant Cruciate Repair $1,188.00 $4,400.00 $1,232.00–$4,400.00 77% below 73%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 CAH PR Shldr Arthroscop,Surg,W/Rotat Cuff Repr $543.51 $2,013.00 $1,155.26–$739.17 88% below 73%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 CAH PR Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus $718.34 $2,660.53 $1,526.88–$976.95 91% below 73%
Botox injections for chronic migraine CPT 64615 CAH PR Chemodervate Facial/Trigem/Cerv Musc Migraine $70.20 $260.00 $149.21–$95.47 80% below 73%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CAH PR Closed Rx Dist Fibula Fx $139.59 $517.00 $144.76–$517.00 71% below 73%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Treatment Metatarsal Fracture;W/O Manipulation Each $57.02 $211.18 $1,001.70–$96.44 86% below 73%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CAH PR Closed Rx Metatarsal Fx $107.46 $398.00 $111.44–$398.00 73% below 73%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CAH PR Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot $415.80 $1,540.00 $1,046.74–$886.42 89% below 73%
Bunion correction with removal of part of the big toe joint CPT 28292 CAH PR Corrj Hallux Valgus W/Sesmdc W/Rescj Prox Phal $347.22 $1,286.00 $1,010.41–$971.19 91% below 73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CAH PR Cardioversion Elective Arrhythmia External $137.97 $511.00 $143.08–$511.00 86% below 73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Ext $202.50 $750.00 $1,025.14–$995.29 80% below 73%
Carpal tunnel release, open surgery CPT 64721 CAH PR Revise Median N/Carpal Tunnel Surg $324.00 $1,200.00 $1,020.00–$960.00 86% below 73%
Cataract surgery with lens implant CPT 66984 CAH PR Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $810.00 $3,000.00 $1,008.00–$988.80 70% below 73%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CAH PR Full Rout Obste Care,Cesarean Deliv $1,045.71 $3,873.00 $1,084.44–$3,873.00 57% below 73%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CAH PR Circumcision W/Regional Block $123.12 $456.00 $127.68–$456.00 86% below 73%
Circumcision, surgical, older than a newborn CPT 54160 CAH PR Circumcision,Other,<28 D/O $120.96 $448.00 $125.44–$448.00 87% below 73%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Clsd Fx Colles' Smith Type $86.00 $318.50 $100.55–$98.74 83% below 73%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CAH PR Closed Rx Dist Rad/Ulna Fx $173.34 $642.00 $179.76–$642.00 65% below 73%
Colonoscopy with endoscopic ultrasound CPT 45391 CAH PR Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $147.42 $546.00 $152.88–$546.00 89% below 73%
Colonoscopy with polyp removal CPT 45385 CAH PR Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $297.00 $1,100.00 $1,100.00–$990.00 76% below 73%
Colonoscopy with tissue sample CPT 45380 CAH PR Colonoscopy W/Biopsy Single/Multiple $251.37 $931.00 $260.68–$931.00 77% below 73%
Colonoscopy, diagnostic CPT 45378 CAH PR Colonoscopy Flx Dx W/Collj Spec When Pfrmd $223.83 $829.00 $232.12–$829.00 80% below 73%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CAH PR Colposcopy,Cervix W/Adj Vag,W/Loop Bx $270.00 $1,000.00 $1,000.00–$900.00 93% below 73%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 CAH PR Colposc,Cervix W/Adj Vag,W/Bx & Curretag $74.25 $275.00 $100.05–$98.18 81% below 73%
Complex cataract surgery with lens implant CPT 66982 CAH PR Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp $526.77 $1,951.00 $1,119.68–$716.41 80% below 73%
Cystoscopy with ureteral stent placement CPT 52332 CAH PR Cystoscopy,Insert Ureteral Stent $352.62 $1,306.00 $1,026.12–$986.29 91% below 73%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CAH PR Cystourethroscopy $95.31 $353.00 $101.81–$98.84 93% below 73%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CAH PR Destruc Premalignant, First Lesion $35.37 $131.00 $102.93–$98.93 85% below 73%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CAH PR Create Eardrum Opening,Local Anesth $89.10 $330.00 $102.30–$99.79 90% below 73%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Using Irrigation/Lavage,Unilateral $18.22 $67.49 $21.60–$75.28 82% below 73%
Earwax removal with instruments, one ear CPT 69210 HC Rem Impacted Cerumen $22.96 $85.02 $27.21–$75.28 82% below 73%
Earwax removal with instruments, one ear one side CPT 69210 CAH PR Removal Impacted Cerumen Instrumentation Unilat $23.76 $88.00 $24.64–$88.00 81% below 73%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 CAH PR Biopsy of Uterus Lining $57.24 $212.00 $121.67–$78.44 87% below 73%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 CAH PR Nasal/Sinus Ndsc W/Total Ethoidectomy $499.50 $1,850.00 $1,061.72–$679.32 93% below 73%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 CAH PR Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus $432.00 $1,600.00 $1,087.52–$920.96 94% below 73%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 CAH PR Nasal Scopy,Open Maxill Sinus $324.00 $1,200.00 $1,020.00–$960.00 93% below 73%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 CAH PR Nasal Scopy,Rmv Tiss Maxill Sinus $324.00 $1,200.00 $1,020.00–$960.00 96% below 73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CAH PR Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $144.99 $537.00 $150.36–$537.00 84% below 73%
Eye injection into the vitreous (intravitreal injection) CPT 67028 CAH PR Inject Intravitreal Pharmcologic $310.77 $1,151.00 $1,035.90–$978.35 57% below 73%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Ing Diag/Ther Agent W/Image Guid-Lumbar/Single Level $480.43 $1,779.36 $1,248.22–$614.95 73% below 73%
Gallbladder removal, laparoscopic CPT 47562 CAH PR Lap,Cholecystectomy $486.00 $1,800.00 $1,033.02–$660.96 76% below 73%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CAH PR Lap,Cholecystectomy/Graph $702.00 $2,600.00 $1,492.14–$954.72 89% below 73%
Gallbladder removal, open surgery through a larger incision CPT 47600 CAH PR Removal Gallbladder $594.00 $2,200.00 $1,262.58–$807.84 46% below 73%
Hemorrhoid banding (rubber band ligation) CPT 46221 CAH PR Hemorrhoidectomy Internal Rubber Band Ligations $121.24 $449.05 $125.73–$449.05 89% below 73%
Hemorrhoidectomy (internal and external), one area CPT 46255 CAH PR Hemorrhoidectomy,Int/Ext,1 Column/Group $268.92 $996.00 $278.88–$996.00 92% below 73%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CAH PR Conv Prev Hip Surg to Tot Hip Arthroplas $1,485.00 $5,500.00 $1,540.00–$5,500.00 48% below 73%
Hysterectomy through an abdominal incision (total) CPT 58150 CAH PR Total Abdom Hysterectomy $729.00 $2,700.00 $1,549.53–$991.44 65% below 73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CAH PR Cath/Inject Hysterosalpingogram $204.12 $756.00 $211.68–$756.00 21% below 73%
Hysteroscopy with endometrial ablation CPT 58563 CAH PR Hysteroscopy,W/Endometrial Ablation $911.44 $3,375.71 $1,011.36–$992.46 84% below 73%
IUD insertion (the device itself billed separately) CPT 58300 CAH PR Insert Intrauterine Device $48.60 $180.00 $103.30–$66.10 80% below 73%
Incision and drainage of a simple or single skin abscess CPT 10060 CAH PR Drain Skin Abscess Simple $53.62 $198.58 $113.97–$73.47 85% below 73%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Simple $65.41 $242.26 $251.83–$86.49 82% below 73%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 CAH PR Repair Ing Hernia,5+Y/O,Reducibl $324.00 $1,200.00 $1,020.00–$960.00 92% below 73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injections(S)-Single Tendon Sheath , or Ligament,Aponeurosis $50.12 $185.62 $374.12–$62.37 88% below 73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthocen/Aspir Inj Lg Joint $118.30 $438.14 $140.20–$374.12 68% below 73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 CAH PR Insertion Drug Delivery Implant $52.92 $196.00 $112.48–$71.97 80% below 73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Introduction or Removal Intermediate Join or Bursa $46.24 $171.27 $374.12–$57.55 87% below 73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis,Aspiration & or Injection;Small Joint/Bursa $92.12 $341.19 $109.18–$374.12 74% below 73%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 CAH PR Knee Scope,Med or Lat Menis Repair $715.50 $2,650.00 $1,520.84–$973.08 69% below 73%
Knee arthroscopy with meniscus trim CPT 29881 CAH PR Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $666.90 $2,470.00 $1,417.53–$906.98 83% below 73%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 CAH PR Arthrs Knee W/Meniscectomy Med&Lat W/Shaving $727.65 $2,695.00 $1,546.66–$989.60 58% below 73%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 CAH PR Knee Scope,Shave Articular Cart $598.86 $2,218.00 $1,272.91–$814.45 63% below 73%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 CAH PR Lap Gastric Bypass/Roux-en-Y $855.63 $3,169.00 $1,014.08–$982.39 75% below 73%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 CAH PR Lap,Esophagogast Fundoplasty $675.00 $2,500.00 $1,434.75–$918.00 79% below 73%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 CAH PR Laparoscopy W Tot Hysterect Uterus 250 Gram or Less $473.31 $1,753.00 $1,006.05–$643.70 91% below 73%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 CAH PR Laparoscopy W Tot Hysterectuterus <=250 Gram W Tube/Ovary $524.07 $1,941.00 $1,113.94–$712.74 91% below 73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 CAH PR Lap,Inguinal Hernia Repr,Initial $328.59 $1,217.00 $1,034.45–$973.60 75% below 73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 CAH PR Lap,Inguinal Hernia Repr,Recur $272.43 $1,009.00 $1,009.00–$908.10 96% below 73%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 CAH PR Lap,Rmv Adnexal Structure $594.00 $2,200.00 $1,262.58–$807.84 79% below 73%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 CAH PR Lap, Gast Restrict Proc, Longitudinal Gastrectomy $618.03 $2,289.00 $1,313.66–$840.52 84% below 73%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 CAH PR Discission,2nd Cataract,Laser $297.00 $1,100.00 $1,100.00–$990.00 54% below 73%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 CAH PR Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm $112.54 $416.82 $116.71–$416.82 80% below 73%
Lower-back epidural injection, with imaging guidance CPT 62323 CAH PR Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $156.72 $580.43 $162.52–$580.43 89% below 73%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection of Diagnostic Ortherapeutic Substance W/Imaging Guidance $901.15 $3,337.58 $1,034.65–$3,337.58 35% below 73%
Lower-back epidural injection, without imaging guidance CPT 62322 CAH PR Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn $136.89 $507.00 $141.96–$507.00 88% below 73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CAH PR Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level $157.41 $583.00 $163.24–$583.00 88% below 73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection, Transforaminal Epidural;Lumbar/Sacral,Single Lvl $705.47 $2,612.85 $1,832.91–$903.00 44% below 73%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 CAH PR Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr $891.00 $3,300.00 $1,023.00–$997.92 89% below 73%
Lumbar laminectomy (spinal decompression), one level CPT 63047 CAH Laminec/Facetect/Foramin,Lumbar 1 Seg $1,039.50 $3,850.00 $1,078.00–$3,850.00 88% below 73%
Lumbar spinal fusion (posterior), one level CPT 22612 CAH PR Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar $1,346.49 $4,987.00 $1,396.36–$4,987.00 76% below 73%
Lumpectomy (partial mastectomy) CPT 19301 CAH PR Mastectomy, Partial $324.00 $1,200.00 $1,020.00–$960.00 79% below 73%
Mastectomy (total removal of the breast) CPT 19303 CAH PR Mastectomy, Simple, Complete $488.16 $1,808.00 $1,037.61–$663.90 78% below 73%
Miscarriage treatment with D&C, first trimester CPT 59820 CAH PR Surg Rx Missed Abortn,1st Tri $270.00 $1,000.00 $1,000.00–$900.00 93% below 73%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 CAH PR Mohs, 1 Stage, Head/Neck/Hand/Feet/Gential $304.02 $1,126.00 $1,013.40–$957.10 65% below 73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 CAH PR Exc Skin Benig <5mm Trunk,Arm,Leg $54.66 $202.44 $116.18–$74.34 94% below 73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Benign Lesion 0-.5cm $56.43 $209.00 $66.88–$891.71 94% below 73%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 CAH PR Exc Skin Benig <5mm Face,Facial $67.50 $250.00 $143.48–$91.80 93% below 73%
Nail removal (partial or complete), one nail CPT 11730 CAH PR Removal of Nail Plate $49.18 $182.15 $104.54–$67.40 83% below 73%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail $53.44 $197.94 $1,126.19–$925.06 81% below 73%
Occipital nerve block (injection for headaches) CPT 64405 CAH PR Injection Aa&/Strd Greater Occipital Nerve $53.46 $198.00 $113.63–$72.71 86% below 73%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection, Anesthetic Agent/Greater Occipital Nerve $91.09 $337.38 $107.96–$374.12 77% below 73%
Paracentesis with imaging guidance CPT 49083 CAH PR Abdom Paracentesis Dx/Ther W Imaging Guidance $166.86 $618.00 $173.04–$618.00 87% below 73%
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Imaging $645.59 $2,391.09 $1,126.19–$937.56 48% below 73%
Partial knee replacement (one compartment) CPT 27446 CAH PR Plasty Knee,Med or Lat Compartmt $815.94 $3,022.00 $1,015.39–$996.05 91% below 73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Matrix $81.51 $301.89 $101.44–$99.50 86% below 73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 CAH PR Removal of Nail Bed $96.93 $359.00 $100.52–$359.00 83% below 73%
Prostate biopsy CPT 55700 HC US Prostate Needle Placmt $307.80 $1,140.00 $2,596.24–$383.04 87% below 73%
Prostate removal (prostatectomy), laparoscopic CPT 55866 CAH PR Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic $928.80 $3,440.00 $1,011.36–$992.10 92% below 73%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CAH PR Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $239.49 $887.00 $248.36–$887.00 90% below 73%
Removal of a breast lump, open surgery CPT 19120 CAH PR Removal of Breast Lesion $280.11 $1,037.44 $1,037.44–$933.70 93% below 73%
Removal of a foreign object under the skin, simple CPT 10120 CAH PR Remove Foreign Body Simple $64.48 $238.82 $137.06–$87.69 88% below 73%
Removal of a foreign object under the skin, simple CPT 10120 HC FB Rem Simple $241.60 $894.83 $286.35–$506.36 56% below 73%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 CAH PR Thyroid Lobectomy,Unilat $571.86 $2,118.00 $1,215.52–$777.73 92% below 73%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 CAH PR Colon Ca Scrn Not Hi Rsk Ind $223.83 $829.00 $232.12–$829.00 79% below 73%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 CAH PR Colorectal Scrn; Hi Risk Ind $223.83 $829.00 $232.12–$829.00 79% below 73%
Septoplasty to straighten the nasal septum CPT 30520 CAH PR Repair of Nasal Septum $430.65 $1,595.00 $1,084.12–$918.08 89% below 73%
Short arm cast (elbow to hand) CPT 29075 CAH PR Apply Forearm Cast $40.23 $149.00 $101.28–$85.76 87% below 73%
Short arm cast (elbow to hand) CPT 29075 HC Cast App Forearem $40.50 $150.00 $336.59–$50.40 87% below 73%
Short arm splint (forearm and hand) CPT 29125 CAH PR Apply Forearm Splint,Static $29.43 $109.00 $109.00–$98.10 84% below 73%
Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Static $84.82 $314.15 $100.53–$163.37 54% below 73%
Short leg cast (below the knee) CPT 29405 CAH PR Apply Short Leg Cast $42.93 $159.00 $108.07–$91.52 87% below 73%
Short leg cast (below the knee) CPT 29405 HC Cast App Short Leg-Knee-Toe $49.14 $182.00 $336.59–$61.15 85% below 73%
Short leg splint (calf to foot) CPT 29515 CAH PR Apply Lower Leg Splint $31.59 $117.00 $105.30–$99.45 84% below 73%
Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint $57.34 $212.37 $199.98–$75.82 70% below 73%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 CAH PR Shldr Arthroscop,Surg,Dis Claviculectomy $338.31 $1,253.00 $1,002.40–$984.48 80% below 73%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 CAH PR Shoulder Scope Bone Shaving $653.40 $2,420.00 $1,388.84–$888.62 54% below 73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CAH PR Repr Superf Wnd Body <2.5cm $66.42 $246.00 $141.18–$90.33 77% below 73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Lac Rep Sim Trunk Less Than 2.6 $142.79 $528.86 $169.24–$251.83 50% below 73%
Skin biopsy, punch, one lesion CPT 11104 CAH PR Punch Biopsy Skin Single Lesion $65.07 $241.00 $138.31–$89.17 89% below 73%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion $141.89 $525.50 $106.95–$666.00 75% below 73%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 CAH PR Exc Skin Malig <5mm Trunk,Arm,Leg $84.40 $312.58 $100.03–$96.90 90% below 73%
Skin tag removal, up to 15 tags CPT 11200 CAH PR Removal of Skin Tags, Up to 15 $39.69 $147.00 $102.89–$99.92 86% below 73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture $166.05 $615.00 $1,126.19–$925.06 82% below 73%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 CAH PR Repr Sup Npterf Wnd Body 2.6-7.5 $70.74 $262.00 $150.36–$96.21 80% below 73%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Lac Rep Sim Trunk 2.6 - 7.5 $152.47 $564.71 $1,126.19–$925.06 56% below 73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 CAH PR Repr Superf Wnd Face <2.5cm $70.74 $262.00 $150.36–$96.21 77% below 73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Lac Rep Sim Face Ear Less Than 2.5 $160.17 $593.22 $189.83–$251.83 47% below 73%
TURP (transurethral resection of the prostate) CPT 52601 CAH PR Transurethral Elec-Surg Prostatectom $496.80 $1,840.00 $1,055.98–$675.65 92% below 73%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 CAH PR Tangential Biopsy Skin Single Lesion $51.84 $192.00 $110.19–$70.50 89% below 73%
Thoracentesis with imaging guidance CPT 32555 CAH PR Thoracentesis Needle/Cath Pleura W/Imaging $310.50 $1,150.00 $1,035.00–$977.50 75% below 73%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 CAH PR Removal of Tonsils,12+ Y/O $207.90 $770.00 $215.60–$770.00 95% below 73%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 CAH Removal of Tonsils,<12 Y/O $208.44 $772.00 $216.16–$772.00 97% below 73%
Total hip replacement CPT 27130 CAH PR Total Hip Arthroplasty $1,485.00 $5,500.00 $1,540.00–$5,500.00 63% below 73%
Total knee replacement CPT 27447 CAH PR Total Knee Arthroplasty $1,296.00 $4,800.00 $1,344.00–$4,800.00 91% below 73%
Total shoulder replacement CPT 23472 CAH PR Reconstr Total Shoulder Implant $1,177.20 $4,360.00 $1,220.80–$4,360.00 73% below 73%
Total thyroid removal (thyroidectomy) CPT 60240 CAH PR Thyroidectomy $660.42 $2,446.00 $1,403.76–$898.17 88% below 73%
Trigger finger release surgery CPT 26055 CAH PR Incise Finger Tendon Sheath $281.61 $1,043.00 $1,043.00–$938.70 85% below 73%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection(S);Single or Mult Trigger Point(S),1 or 2 Muscles $53.68 $198.80 $374.12–$81.68 85% below 73%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 CAH PR Lap,Tubal Cautery $378.00 $1,400.00 $1,050.00–$982.10 91% below 73%
Upper endoscopy (EGD) with biopsy CPT 43239 CAH PR Egd Transoral Biopsy Single/Multiple $206.28 $764.00 $213.92–$764.00 82% below 73%
Upper endoscopy (EGD) with injection into the lining CPT 43236 CAH PR Esophagogastroduodenoscopy Submucosal Injection $171.53 $635.29 $177.88–$635.29 85% below 73%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 CAH PR Egd Removal Tumor Polyp/Other Lesion Snare Tech $229.50 $850.00 $238.00–$850.00 90% below 73%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 CAH PR Egd Insert Guide Wire Dilator Passage Esophagus $176.60 $654.06 $183.14–$654.06 84% below 73%
Upper endoscopy (EGD), diagnostic CPT 43235 CAH PR Esophagogastroduodenoscopy Transoral Diagnostic $169.29 $627.00 $175.56–$627.00 85% below 73%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 CAH PR Rout OB Care,Vag Deliv,Prev C-Sec $988.47 $3,661.00 $1,025.08–$3,661.00 70% below 73%
Vaginal delivery, including prenatal and postpartum care CPT 59400 CAH PR Full Rout Obste Care,Vaginal Deliv $940.41 $3,483.00 $1,004.50–$975.24 70% below 73%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 CAH PR Removal of Sperm Duct(S) $238.68 $884.00 $247.52–$884.00 89% below 73%
Vein ablation, radiofrequency, first vein CPT 36475 CAH PR Endovenous Rf, 1st Vein $1,120.77 $4,151.00 $1,162.28–$4,151.00 70% below 73%
Wart removal, up to 14 warts CPT 17110 HC Dest Benign/Pm Les;1st $35.10 $130.00 $104.00–$98.18 85% below 73%
Wart removal, up to 14 warts CPT 17110 CAH PR Destruction Benign Lesions Up to 14 $49.41 $183.00 $105.02–$67.71 79% below 73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CAH PR Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm $54.88 $203.27 $116.66–$75.21 92% below 73%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 CAH PR Open Rx Distal Radius Fx, Extra-Articular $432.00 $1,600.00 $1,087.52–$920.96 81% below 73%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 3 Units $313.42 $1,160.81 $1,044.70–$986.69 57% below 73%
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion - 1 Unit $313.42 $1,160.81 $1,044.70–$986.69 57% below 73%
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 2 Units $313.42 $1,160.81 $1,044.70–$986.69 57% below 73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerogen Solo Nebulizer Tx $67.50 $250.00 $143.48–$92.50 70% below 73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Metered Dose Inhaler (Mdi) 742 $103.55 $383.50 $11.76–$42.00 54% below 73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Treat $103.55 $383.50 $107.38–$70.00 54% below 73%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusion Up to 1hr $169.37 $627.30 $175.64–$758.00 71% below 73%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 CAH PR Eye Exam, New Patient,Comprehesv $62.10 $230.00 $132.00–$84.46 73% below 73%
Comprehensive eye exam, returning patient CPT 92014 CAH PR Eye Exam, Est Patient,Comprehesv $56.97 $211.00 $121.09–$77.48 73% below 73%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Audiometry $74.24 $274.97 $101.74–$95.03 70% below 73%
Critical care, first 30 to 74 minutes CPT 99291 HC Trauma Critical Care Emergency Room First 30-74 Minutes $519.49 $1,924.03 $1,067.91–$925.06 66% below 73%
Critical care, first 30 to 74 minutes CPT 99291 HC Emergency Critical Care Without Trauma First 30-74 Minutes $590.37 $2,186.57 $1,067.91–$925.06 62% below 73%
EEG (brain wave test), awake and drowsy, routine CPT 95816 CAH PR Eeg,W/Awake & Drowsy Record $162.15 $600.55 $168.15–$600.55 70% below 73%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake & Drowsy $175.50 $650.00 $182.00–$870.61 68% below 73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only $72.09 $267.01 $10.23–$98.79 50% below 73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Visit No MD/Qhcp Req $87.96 $325.77 $100.99–$98.51 39% below 73%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Visit Straightforward $141.12 $522.67 $1,126.19–$925.06 55% below 73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Visit Low Level $190.11 $704.11 $1,126.19–$925.06 58% below 73%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Visit Moderate Level $274.04 $1,014.96 $1,014.90–$925.06 59% below 73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Visit High Level $401.65 $1,487.61 $1,011.13–$925.06 53% below 73%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Ekg Stress $337.50 $1,250.00 $1,000.00–$944.00 42% below 73%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovas Stres Test W Rx $337.50 $1,250.00 $1,000.00–$982.13 42% below 73%
Eye exam, returning patient, intermediate CPT 92012 CAH PR Eye Exam Established Pt $36.72 $136.00 $102.00–$95.40 81% below 73%
Family therapy with the patient, 50 minutes CPT 90847 CAH PR Family Psychotherapy W/Patient Present 50 Mins $48.60 $180.00 $103.30–$66.10 81% below 73%
Family therapy without the patient, 50 minutes CPT 90846 CAH PR Family Psychotherapy W/O Patient Present 50 Mins $41.33 $153.08 $104.05–$88.11 84% below 73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration Up to 1hr $120.24 $445.35 $124.70–$445.35 65% below 73%
IV infusion of a medicine, first hour CPT 96365 HC Intra Infus Up to 1hr $127.21 $471.13 $131.92–$471.13 66% below 73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CAH PR Injection,Therap/Proph/Diagnost, Im or Subcut $22.28 $82.50 $23.10–$82.50 74% below 73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Ther/Proph/Dx Injec;Subcut/Intramusc $30.90 $114.43 $102.99–$97.27 63% below 73%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 CAH PR Psychiatric Diagnostic Evaluation $63.72 $236.00 $135.44–$86.66 71% below 73%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 CAH PR Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb $74.89 $277.38 $100.91–$99.02 83% below 73%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Motor & Sens 7-8 Nrv Cndj Test. $234.65 $869.06 $1,124.01–$869.06 47% below 73%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education Each 15 Min $36.05 $133.50 $100.13–$99.92 57% below 73%
New patient office visit, about 30 minutes CPT 99203 CAH PR Office/Outpatient New Low Mdm 30-44 Minutes $48.60 $180.00 $103.30–$66.60 75% below 73%
New patient office visit, about 45 minutes CPT 99204 CAH PR Office/Outpatient New Moderate Mdm 45-59 Minutes $73.44 $272.00 $100.64–$99.88 74% below 73%
New patient office visit, about 60 minutes CPT 99205 CAH PR Office/Outpatient New High Mdm 60-74 Minutes $92.34 $342.00 $100.55–$98.63 67% below 73%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CAH PR Office/Outpatient New Sf Mdm 15-29 Minutes $34.02 $126.00 $100.80–$99.00 78% below 73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Nutrition Initl Ea15 $15.17 $56.18 $11.51–$88.31 73% below 73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CAH PR Med Nutr Ther, 1st, Indiv, Ea 15 Min $15.93 $59.00 $16.52–$59.00 72% below 73%
Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex $68.04 $252.00 $100.20–$97.28 60% below 73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Physical Therapy Eval High Complexity $80.06 $296.50 $101.46–$99.62 72% below 73%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Eval Low Complexity $73.76 $273.19 $100.32–$99.56 59% below 73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Physical Therapy Eval Mod Complexity $76.04 $281.64 $100.55–$99.56 68% below 73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Ther Ea 15 Min $39.69 $147.00 $100.07–$92.67 52% below 73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises Each 15 Min $29.97 $111.00 $10.49–$99.90 63% below 73%
Preventive checkup, new patient aged 18–39 CPT 99385 CAH PR Preventive Visit,New,18-39 $23.22 $86.00 $24.08–$86.00 88% below 73%
Preventive checkup, new patient aged 18–39 CPT 99385 HC Clinic Use Fee New 18-39 $37.72 $139.69 $100.85–$97.99 81% below 73%
Preventive checkup, new patient aged 40–64 CPT 99386 CAH PR Preventive Visit,New,40-64 $29.97 $111.00 $111.00–$99.90 86% below 73%
Preventive checkup, new patient aged 40–64 CPT 99386 HC Clinic Use Fee New 40-64 $37.72 $139.69 $100.85–$98.36 82% below 73%
Preventive checkup, new patient aged 65 or older CPT 99387 CAH PR Preventive Visit,New,65 & Over $78.84 $292.00 $100.27–$99.98 68% below 73%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC Clinic Use Fee Est 18-39 $28.95 $107.21 $100.85–$99.71 84% below 73%
Preventive checkup, returning patient aged 18–39 CPT 99395 CAH PR Preventive Visit,Est,18-39 $56.70 $210.00 $120.52–$77.70 69% below 73%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC Clinic Use Fee Est 40-64 $48.43 $179.38 $101.47–$66.37 75% below 73%
Preventive checkup, returning patient aged 40–64 CPT 99396 CAH PR Preventive Visit,Est,40-64 $60.48 $224.00 $128.55–$82.88 69% below 73%
Preventive checkup, returning patient aged 65 or older CPT 99397 CAH PR Preventive Visit,Est,65 & Over $23.49 $87.00 $24.36–$87.00 88% below 73%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC Clinic Use Fee Preventative $49.96 $185.05 $104.68–$68.47 75% below 73%
Psychiatric evaluation with medical services CPT 90792 CAH PR Psychiatric Diagnostic Eval W/Medical Services $67.77 $251.00 $144.05–$92.17 76% below 73%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 CAH PR Psychological Tst Eval Svc Phys/Qhp First Hour $59.40 $220.00 $126.26–$80.78 83% below 73%
Psychotherapy for crisis, first 60 minutes CPT 90839 CAH PR Psychotherapy for Crisis Initial 60 Minutes $81.00 $300.00 $100.80–$98.88 66% below 73%
Psychotherapy session, 30 minutes CPT 90832 CAH PR Psychotherapy W/Patient 30 Minutes $28.08 $104.00 $104.00–$93.60 86% below 73%
Psychotherapy session, 45 minutes CPT 90834 CAH PR Psychotherapy W/Patient 45 Minutes $41.04 $152.00 $103.31–$87.49 84% below 73%
Psychotherapy session, 60 minutes CPT 90837 CAH PR Psychotherapy W/Patient 60 Minutes $60.75 $225.00 $129.13–$82.62 79% below 73%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 CAH PR Tobacco Use Cessation Intermediate 3-10 Minutes $7.79 $28.87 $10.11–$9.98 82% below 73%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cessation 3-10 $10.22 $37.84 $10.60–$68.00 76% below 73%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office O/P Est Vst High 40 Min $55.97 $207.29 $101.27–$98.32 76% below 73%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CAH PR Office/Outpatient Established High Mdm 40-54 Min $74.79 $277.00 $100.77–$98.89 68% below 73%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office O/P Est Visit Low 20min $25.39 $94.02 $102.35–$99.05 85% below 73%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CAH PR Office/Outpatient Established Low Mdm 20-29 Min $37.80 $140.00 $105.00–$98.21 78% below 73%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office O/P Est Visit Mod 30min $32.68 $121.03 $100.84–$99.74 83% below 73%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CAH PR Office/Outpatient Established Mod Mdm 30-39 Min $54.00 $200.00 $114.78–$74.00 72% below 73%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CAH PR Office/Outpatient Established Sf Mdm 10-19 Min $23.22 $86.00 $24.08–$86.00 82% below 73%
Speech and language evaluation CPT 92523 CAH PR Eval Speech Sound Product Language Comprehension $99.09 $367.00 $102.76–$367.00 75% below 73%
Speech and language evaluation CPT 92523 HC Speech Sound Lang Compehen $105.36 $390.21 $1,019.74–$838.94 73% below 73%
Speech therapy session, individual CPT 92507 HC St Treatment Speech Individ $74.25 $275.00 $100.05–$98.18 59% below 73%
Spirometry (breathing test) CPT 94010 HC Peak Flow Test $62.10 $230.00 $117.77–$85.10 73% below 73%
Spirometry (breathing test) CPT 94010 HC Nif Fvc Pf Peak Follow Up $62.10 $230.00 $117.77–$85.10 73% below 73%
Spirometry (breathing test) CPT 94010 HC Resp Mechanics $65.21 $241.50 $117.77–$89.36 72% below 73%
Spirometry (breathing test) CPT 94010 HC (Fvc) (Vt) (Ve) Peak Flow Ea $102.57 $379.89 $106.37–$379.89 56% below 73%
Spirometry (breathing test) CPT 94010 HC Spirometry/Pft 742 $102.57 $379.89 $117.77–$379.89 56% below 73%
Spirometry (breathing test) CPT 94010 HC Incentive Spirometry $102.57 $379.89 $106.37–$379.89 56% below 73%
Spirometry before and after a bronchodilator CPT 94060 HC Post Bronchodilator Pfl $170.07 $629.89 $176.37–$629.89 55% below 73%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activity Each 15 Min $28.67 $106.18 $106.18–$98.75 69% below 73%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phelbotomy $104.38 $386.59 $119.84–$97.85 51% below 73%
Visual field test, extended CPT 92083 CAH PR Visual Field Exam,Extended $26.57 $98.42 $27.56–$98.42 92% below 73%

Vaccines

ProcedureCash price List priceInsurers payvs New YorkOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Moderna 12+Yr Sarscov2 Vac 50 Mcg/0.5ml Im $52.92 $196.00 $101.92–$90.55 75% below 73%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE $154.71 $573.00 $114.60–$773.55 28% below 73%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Varicella Virus Vaccine Live (Pf) 1,350 Unit/0.5 Ml Subcutaneous Susp [14757] $89.91 $333.00 $100.70–$99.77 57% below 73%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vacc Spl V Pf>=3yr Im $4.86 $18.00 $10.00–$9.81 84% below 73%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $7.56 $28.00 $10.00–$9.81 76% below 73%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC Human Papillomavirus Vaccine,9-Valent (Pf) 0.5 Ml Im Suspension [201121] $142.83 $529.00 $140.28–$70.14 75% below 73%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION $156.60 $580.00 $116.00–$580.00 72% below 73%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $223.83 $829.00 $165.80–$829.00 61% below 73%
Hepatitis A vaccine, adult dose CPT 90632 HC Hepatitis a Virus Vaccine (Pf) 1,440 Elisa Unit/Ml Im Suspension [112019] $40.77 $151.00 $102.63–$98.39 60% below 73%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE $52.92 $196.00 $135.22–$67.74 49% below 73%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Virus Vaccine Recomb (Pf) 20 Mcg/Ml Intramuscular Syringe [111241] $31.05 $115.00 $103.50–$97.75 62% below 73%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Virus Vaccine Recomb (Pf) 20 Mcg/Ml Intramuscular Susp [111321] $31.05 $115.00 $103.50–$97.75 62% below 73%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Vaccine 20 Mcg/1ml $31.60 $117.02 $102.25–$99.47 61% below 73%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $29.70 $110.00 $102.30–$99.00 73% below 73%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vaccine Ts(65yr Up)(Pf)180 Mcg/0.5 Ml Intramuscular Syringe $29.70 $110.00 $102.30–$99.00 73% below 73%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Measles,Mumps,Rubella Vaccine Live(Pf) 1,000-12,500tcid50/0.5 Ml Sub-Q [10512] $48.33 $179.00 $102.73–$96.67 56% below 73%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $66.69 $247.00 $141.66–$91.39 39% below 73%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningoc Vac a,C,Y,W-135 Dip(Pf) 10 Mcg-5 Mcg/0.5 Ml Intramuscular Kit [101034] $68.04 $252.00 $100.80–$92.53 65% below 73%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningoc Vac a,C,Y,W-135 Dip (Pf) 4 Mcg/0.5 Ml Intramuscular Solution [40540] $85.86 $318.00 $101.76–$98.58 56% below 73%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Meningococcal B Vac,4-Cmp(Pf) 50mcg-50mcg-50mcg-25mcg/0.5ml Im Syringe [201637] $90.45 $335.00 $100.37–$98.49 73% below 73%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $182.79 $677.00 $135.40–$677.00 57% below 73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal 23 Polyvalent Vaccine 25 Mcg/0.5 Ml Injection Solution [11037] $65.34 $242.00 $108.27–$88.86 54% below 73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE $86.13 $319.00 $102.08–$98.89 39% below 73%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC(PF), RECOMB (ABRYSVO) 120 MCG/0.5 ML IM SOLUTION $216.54 $802.00 $160.40–$802.00 46% below 73%
Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine, Purified Chicken Embryo Cell (Pf) 2.5 Unit Im Susp [22120] $199.26 $738.00 $206.64–$738.00 58% below 73%
Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine,Human Diploid (Pf) 2.5 Unit Intramuscular Solution [11257] $222.48 $824.00 $230.72–$854.00 54% below 73%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION $324.54 $1,202.00 $1,013.00–$961.60 32% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus and Diphtheria Tox (Pf) 5 Lf Unit-2 Lf Unit/0.5 Ml Im Syringe [112408] $21.60 $80.00 $22.40–$82.00 61% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus and Diphtheria Tox (Pf) 5 Lf Unit-2 Lf Unit/0.5 Ml Im Susp [112409] $21.60 $80.00 $22.40–$80.00 61% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP $31.32 $116.00 $104.40–$98.60 44% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE $31.32 $116.00 $103.70–$98.60 44% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertussis(Acell),Tetanus 2.5 Lf Unit-8 Mcg-5 Lf/0.5 Ml Im Susp [191345] $24.84 $92.00 $103.01–$97.28 56% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertussis(Acel),Tetanus 2.5 Lf Unit-8 Mcg-5 Lf/0.5ml Im Syringe [191344] $24.84 $92.00 $103.01–$97.28 56% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertus(Acel)Tetanus(Pf)2lf-(2.5-5-3-5mcg)-5 Lf/0.5 Ml Im Susp [41628] $26.19 $97.00 $27.16–$97.00 53% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertus(Ac)Tetanus(Pf)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 Ml Im Syringe [112534] $26.19 $97.00 $103.01–$97.28 53% below 73%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid VI Polysacch Vaccine 25 Mcg/0.5 Ml Intramuscular Syringe [14678] $67.23 $249.00 $126.04–$91.43 75% below 73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Imm Adm,Single or Combination $11.88 $44.00 $12.32–$90.20 84% below 73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Flu Vaccine Adm $19.76 $73.19 $12.09–$73.19 73% below 73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Pneumonia Vaccine Adm $19.76 $73.19 $20.49–$74.55 73% below 73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Flu Vaccine Additional Adm $5.07 $18.78 $10.78–$6.95 84% below 73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Pneumonia Vaccine Adm Additional $5.07 $18.78 $1.55–$6.95 84% below 73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Imm Admeach Additional Vaccine $5.13 $19.00 $10.15–$7.03 84% below 73%

Source file: https://rca.elevatepfs.com/ptapp/api/cdm/export/oneclick?recno=17223fe8a0ab6851f2b57389a5885fb3367942fbb16444f4be42f16f8bb1fdf4