Alta Newport Hospital
Alta Newport Hospital in Tustin, CA publishes cash prices for 189 common procedures listed here, from its own machine-readable price file updated Mar 18, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 154 of 187 procedures and below it for 32. By typical cash price it ranks #159 of 168 California hospitals and #46 of 49 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
914662 Newport Ave, Tustin, CA 92780 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 505 of the 505 prices listed here, the cash price in Alta Newport Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE-MIN 3 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 205% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE-MIN 3 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL UP/LOW EXT(ABI)SINGLE | $690.72 | $690.72 | $1.65–$594.02 | 24% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL UPPER-EXTEMITY | $1,795.88 | $1,795.88 | $1.65–$1,544.46 | 222% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL LOWER-EXTREMITY | $1,859.20 | $1,859.20 | $1.65–$1,598.91 | 234% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL UP/LOW EXT(ABI)SINGLE | $690.72 | $690.72 | $483.50–$594.02 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL UPPER-EXTEMITY | $1,795.88 | $1,795.88 | $1,257.12–$1,544.46 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL LOWER-EXTREMITY | $1,859.20 | $1,859.20 | $1,301.44–$1,598.91 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM | $605.53 | $605.53 | $2.17–$601.67 | 14% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM | $605.53 | $605.53 | $423.87–$520.76 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY | $4,230.67 | $4,230.67 | $6.24–$3,638.38 | 99% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY | $4,230.67 | $4,230.67 | $2,961.47–$3,638.38 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE | $1,296.25 | $1,296.25 | $2.32–$1,114.78 | 133% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LTD | $1,296.25 | $1,296.25 | $2.32–$1,114.78 | 218% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LTD | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CONTRAST | $3,877.25 | $3,877.25 | $8.56–$3,334.44 | 24% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO/W CONTRAST | $3,877.25 | $3,877.25 | $2,714.08–$3,334.44 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN ABD&PELVIS W/O CONT | $7,167.38 | $7,167.38 | $10.25–$6,163.95 | 155% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT SCAN ABD&PELVIS W/O CONT | $7,167.38 | $7,167.38 | $5,017.17–$6,163.95 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN ABD&PELVIS W CONT | $8,979.38 | $8,979.38 | $14.68–$7,722.27 | 124% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT SCAN ABD&PELVIS W CONT | $8,979.38 | $8,979.38 | $6,285.57–$7,722.27 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN ABD&PELVIS W/WO CONT | $10,385.00 | $10,385.00 | $14.68–$8,931.10 | 134% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT SCAN ABD&PELVIS W/WO CONT | $10,385.00 | $10,385.00 | $7,269.50–$8,931.10 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN ABD W/CONT | $4,497.75 | $4,497.75 | $7.60–$3,868.07 | 101% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT SCAN ABD W/CONT | $4,497.75 | $4,497.75 | $3,148.43–$3,868.07 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN ABD W/O CONT. | $3,838.11 | $3,838.11 | $4.85–$3,300.77 | 105% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT SCAN ABD W/O CONT. | $3,838.11 | $3,838.11 | $2,686.68–$3,300.77 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL WO CONT | $4,353.85 | $4,353.85 | $4.85–$3,744.31 | 99% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL WO CONT | $4,353.85 | $4,353.85 | $3,047.70–$3,744.31 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD W/O CONT. | $4,353.85 | $4,353.85 | $4.85–$3,744.31 | 90% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT SCAN HEAD W/O CONT. | $4,353.85 | $4,353.85 | $3,047.70–$3,744.31 | — | — |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD W/CONT. | $5,113.64 | $5,113.64 | $7.60–$4,397.73 | 90% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT SCAN HEAD W/CONT. | $5,113.64 | $5,113.64 | $3,579.55–$4,397.73 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT SCAN HEAD W/WO CONT | $5,685.79 | $5,685.79 | $8.45–$4,889.78 | 102% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT SCAN HEAD W/WO CONT | $5,685.79 | $5,685.79 | $3,980.05–$4,889.78 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN L/SPINE W/O CONT. | $3,393.74 | $3,393.74 | $4.85–$2,918.62 | 21% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SCAN L/SPINE W/O CONT. | $3,393.74 | $3,393.74 | $2,375.62–$2,918.62 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN C/SPINE W/O CONT. | $4,353.85 | $4,353.85 | $4.85–$3,744.31 | 50% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SCAN C/SPINE W/O CONT. | $4,353.85 | $4,353.85 | $3,047.70–$3,744.31 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN PELVIS W/CONT. | $4,475.87 | $4,475.87 | $7.60–$3,849.25 | 76% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SCAN PELVIS W/CONT. | $4,475.87 | $4,475.87 | $3,133.11–$3,849.25 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID FLOW | $1,868.40 | $1,868.40 | $3.85–$1,606.82 | 54% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID FLOW | $1,868.40 | $1,868.40 | $1,307.88–$1,606.82 | — | — |
| Chest X-ray, 2 views CPT 71046 XR CHEST; 2 VIEWS | $468.54 | $468.54 | $1.57–$402.94 | 22% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST; 2 VIEWS | $468.54 | $468.54 | $327.98–$402.94 | — | — |
| Chest X-ray, single view CPT 71045 XR CHEST; SINGLE VIEW | $330.39 | $330.39 | $1.57–$297.60 | 2% below | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST; SINGLE VIEW | $330.39 | $330.39 | $231.27–$284.14 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 53% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA/RENAL/RETROPER COMPL | $1,634.71 | $1,634.71 | $2.44–$1,405.85 | 93% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $1,961.65 | $1,961.65 | $2.44–$1,687.02 | 131% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA/RENAL/RETROPER COMPL | $1,634.71 | $1,634.71 | $1,144.30–$1,405.85 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA | $1,961.65 | $1,961.65 | $1,373.16–$1,687.02 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN CHEST W/O CONT. | $3,393.74 | $3,393.74 | $4.85–$2,918.62 | 86% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT SCAN CHEST W/O CONT. | $3,393.74 | $3,393.74 | $2,375.62–$2,918.62 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN CHEST W/CONT. | $4,234.12 | $4,234.12 | $7.60–$3,641.34 | 81% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT SCAN CHEST W/CONT. | $4,234.12 | $4,234.12 | $2,963.88–$3,641.34 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ARTERY BILATERAL | $2,875.70 | $2,875.70 | $3.85–$2,473.10 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ARTERY BILATERAL | $2,875.70 | $2,875.70 | $2,012.99–$2,473.10 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UE VEIN MAPPING BILAT | $3,162.35 | $3,162.35 | $3.85–$2,719.62 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 LE VENOUS DUPLEX BILAT | $3,162.35 | $3,162.35 | $3.85–$2,719.62 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UE VENOUS DUPLEX BILAT | $3,162.35 | $3,162.35 | $3.85–$2,719.62 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE VENOUS DUPLEX BILAT | $3,162.35 | $3,162.35 | $2,213.65–$2,719.62 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 LE VENOUS DUPLEX BILAT | $3,162.35 | $3,162.35 | $2,213.65–$2,719.62 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE VEIN MAPPING BILAT | $3,162.35 | $3,162.35 | $2,213.65–$2,719.62 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO COMPLETE | $2,424.43 | $2,424.43 | $9.93–$2,085.01 | at median | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO COMPLETE | $2,424.43 | $2,424.43 | $1,697.10–$2,085.01 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA (HEPATOBILLARY) SCAN | $3,070.25 | $3,070.25 | $7.42–$2,640.42 | 100% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA (HEPATOBILLARY) SCAN | $3,070.25 | $3,070.25 | $2,149.18–$2,640.42 | — | — |
| Knee X-ray, 3 views CPT 73562 KNEE W/OBLIQUES 3 VW | $782.82 | $782.82 | $1.13–$673.23 | 93% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE W/OBLIQUES 3 VW | $782.82 | $782.82 | $547.97–$673.23 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE ORGAN | $1,026.87 | $1,026.87 | $2.44–$883.11 | 24% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 56% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 56% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD/QUAD/FU | $1,456.28 | $1,456.28 | $2.44–$1,252.40 | 76% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCRES ULTRSOUND | $1,961.65 | $1,961.65 | $2.44–$1,687.02 | 137% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US RT LOWER QUAD | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 56% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SINGLE ORGAN | $1,026.87 | $1,026.87 | $718.81–$883.11 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD/QUAD/FU | $1,456.28 | $1,456.28 | $1,019.40–$1,252.40 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PANCRES ULTRSOUND | $1,961.65 | $1,961.65 | $1,373.16–$1,687.02 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US RT LOWER QUAD | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT ANY JT W/O CONT | $5,328.92 | $5,328.92 | $8.56–$4,582.87 | 113% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT ANY JT W/O CONT | $5,328.92 | $5,328.92 | $3,730.24–$4,582.87 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W&W/O CONT | $6,825.48 | $6,825.48 | $13.50–$5,869.91 | 88% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W&W/O CONT | $6,825.48 | $6,825.48 | $4,777.84–$5,869.91 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAS | $4,280.17 | $4,280.17 | $8.56–$3,680.95 | 61% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT. | $5,149.33 | $5,149.33 | $8.56–$4,428.42 | 94% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAS | $4,280.17 | $4,280.17 | $2,996.12–$3,680.95 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT. | $5,149.33 | $5,149.33 | $3,604.53–$4,428.42 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O CONT. | $6,825.48 | $6,825.48 | $13.50–$5,869.91 | 56% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O CONT. | $6,825.48 | $6,825.48 | $4,777.84–$5,869.91 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT. | $5,627.08 | $5,627.08 | $8.56–$4,839.29 | 116% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT. | $5,627.08 | $5,627.08 | $3,938.96–$4,839.29 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W/CONT. | $7,207.68 | $7,207.68 | $13.50–$6,198.60 | 92% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & W/CONT. | $7,207.68 | $7,207.68 | $5,045.38–$6,198.60 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L/SPINE W/O CONT. | $5,328.92 | $5,328.92 | $8.56–$4,582.87 | 110% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L/SPINE W/O CONT. | $5,328.92 | $5,328.92 | $3,730.24–$4,582.87 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SP LUMB W/WO CONT | $6,204.98 | $6,204.98 | $13.50–$5,336.28 | 58% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SP LUMB W/WO CONT | $6,204.98 | $6,204.98 | $4,343.49–$5,336.28 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T/SPINE W/O CONT. | $5,149.33 | $5,149.33 | $8.56–$4,428.42 | 115% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T/SPINE W/O CONT. | $5,149.33 | $5,149.33 | $3,604.53–$4,428.42 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C/SPINE W/O & W/CONT. | $6,963.62 | $6,963.62 | $13.50–$5,988.71 | 73% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C/SPINE W/O & W/CONT. | $6,963.62 | $6,963.62 | $4,874.53–$5,988.71 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C/SPINE W/O CONT. | $5,438.28 | $5,438.28 | $8.56–$4,676.92 | 114% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C/SPINE W/O CONT. | $5,438.28 | $5,438.28 | $3,806.80–$4,676.92 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CONT. | $6,594.09 | $6,594.09 | $13.50–$5,670.92 | 94% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CONT. | $6,594.09 | $6,594.09 | $4,615.86–$5,670.92 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT. | $5,328.92 | $5,328.92 | $8.56–$4,582.87 | 150% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT. | $5,328.92 | $5,328.92 | $3,730.24–$4,582.87 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONT | $5,445.19 | $5,445.19 | $8.56–$4,682.86 | 123% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O CONT | $5,445.19 | $5,445.19 | $3,811.63–$4,682.86 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF SPECT MULT | $8,686.97 | $8,686.97 | $17.00–$7,470.79 | 136% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF SPECT MULT | $8,686.97 | $8,686.97 | $6,080.88–$7,470.79 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FU | $1,019.96 | $1,019.96 | $1.59–$877.17 | 96% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FU | $1,019.96 | $1,019.96 | $713.97–$877.17 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS | $1,961.65 | $1,961.65 | $2.44–$1,687.02 | 109% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS | $1,961.65 | $1,961.65 | $1,373.16–$1,687.02 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB/FETAL AGE (>/= 14 WKS) | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 78% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB/FETAL AGE (>/= 14 WKS) | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB/FETAL AGE (< 14WKS) | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 86% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB/FETAL AGE (< 14WKS) | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE-MIN 2 VW | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 151% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE-MIN 2 VW | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWAL FUNC W CINE/VIDEO | $2,875.70 | $2,875.70 | $2.17–$2,473.10 | 396% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWAL FUNC W CINE/VIDEO | $2,875.70 | $2,875.70 | $2,012.99–$2,473.10 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,961.65 | $1,961.65 | $2.44–$1,687.02 | 250% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $1,961.65 | $1,961.65 | $1,373.16–$1,687.02 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL | $1,961.65 | $1,961.65 | $2.44–$1,687.02 | 98% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL | $1,961.65 | $1,961.65 | $1,373.16–$1,687.02 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 46% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID HEAD/NECK | $1,296.25 | $1,296.25 | $2.44–$1,114.78 | 57% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID HEAD/NECK | $1,296.25 | $1,296.25 | $907.38–$1,114.78 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $638.92 | $638.92 | $200.46–$200.47 | 6% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $638.92 | $638.92 | $447.24–$549.47 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 LE VENOUS DUPLEX UNILAT | $1,943.23 | $1,943.23 | $2.44–$1,671.18 | 130% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UE VEIN MAPPING UNILAT | $1,943.23 | $1,943.23 | $2.44–$1,671.18 | 130% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UE VENOUS DUPLEX UNILAT | $1,943.23 | $1,943.23 | $2.44–$1,671.18 | 130% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 LE VENOUS DUPLEX UNILAT | $1,943.23 | $1,943.23 | $1,360.26–$1,671.18 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UE VENOUS DUPLEX UNILAT | $1,943.23 | $1,943.23 | $1,360.26–$1,671.18 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UE VEIN MAPPING UNILAT | $1,943.23 | $1,943.23 | $1,360.26–$1,671.18 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST-MIN 3 VWS | $731.02 | $731.02 | $1.13–$628.68 | 69% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST-MIN 3 VWS | $731.02 | $731.02 | $511.71–$628.68 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL 2-3 VWS | $614.75 | $614.75 | $1.54–$528.69 | 61% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILATERAL 2-3 VWS | $614.75 | $614.75 | $430.33–$528.69 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN; 1 VIEW | $286.65 | $286.65 | $1.57–$297.60 | 5% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN; 1 VIEW | $286.65 | $286.65 | $200.66–$246.52 | — | — |
| X-ray of the ankle, 2 views CPT 73600 ANKLE LTD-2 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 324% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE LTD-2 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS-MIN 2 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 382% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS-MIN 2 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT LTD-2 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 324% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT LTD-2 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE-MIN 3 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 223% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE-MIN 3 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND-MIN 3 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 203% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND-MIN 3 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE LTD 1 OR 2 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 278% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE LTD 1 OR 2 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 OR 3 VW | $1,916.76 | $1,916.76 | $1.13–$1,648.41 | 319% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 OR 3 VW | $1,916.76 | $1,916.76 | $1,341.73–$1,648.41 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR COMP MIN 4 VW | $1,916.76 | $1,916.76 | $1.91–$1,648.41 | 226% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR COMP MIN 4 VW | $1,916.76 | $1,916.76 | $1,341.73–$1,648.41 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VW | $1,916.76 | $1,916.76 | $1.13–$1,648.41 | 435% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VW | $1,916.76 | $1,916.76 | $1,341.73–$1,648.41 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3 VIEWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 237% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3 VIEWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERV 3 VW OR LESS | $1,916.76 | $1,916.76 | $1.13–$1,648.41 | 344% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERV 3 VW OR LESS | $1,916.76 | $1,916.76 | $1,341.73–$1,648.41 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VW | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 251% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VW | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VWS | $1,277.83 | $1,277.83 | $1.13–$1,098.93 | 200% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VWS | $1,277.83 | $1,277.83 | $894.48–$1,098.93 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (Chem) | $196.86 | $196.86 | $0.17–$169.30 | 357% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (Chem) | $196.86 | $196.86 | $137.80–$169.30 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (Chem) | $196.86 | $196.86 | $0.17–$169.30 | 346% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (Chem) | $196.86 | $196.86 | $137.80–$169.30 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $44.41 | $44.41 | $1.52–$156.81 | 82% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $164.60 | $164.60 | $141.77–$141.78 | 33% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $44.41 | $44.41 | $31.09–$38.19 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $164.60 | $164.60 | $115.22–$141.56 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $44.73 | $44.73 | $0.41–$42.64 | 121% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY | $44.73 | $44.73 | $31.31–$38.47 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CHROMATIN (NUCLEOSOMAL) AB | $55.00 | $55.00 | $0.39–$47.30 | 58% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B AB | $55.00 | $55.00 | $0.39–$47.30 | 58% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B AB | $55.00 | $55.00 | $38.50–$47.30 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHROMATIN (NUCLEOSOMAL) AB | $55.00 | $55.00 | $38.50–$47.30 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIUDETIC PEPTIDE | $229.09 | $229.09 | $1.09–$197.02 | 30% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIUDETIC PEPTIDE | $229.09 | $229.09 | $160.36–$197.02 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP) | $633.16 | $633.16 | $0.27–$544.52 | 228% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP) | $633.16 | $633.16 | $443.21–$544.52 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BP_LEVEL IV SURG PATH GR&MICRO | $41.30 | $41.30 | $0.93–$183.44 | 73% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISS EXAM BY PATHOLOGIST | $627.41 | $627.41 | $0.93–$539.57 | 312% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BP_LEVEL IV SURG PATH GR&MICRO | $41.30 | $41.30 | $28.91–$35.52 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISS EXAM BY PATHOLOGIST | $627.41 | $627.41 | $439.19–$539.57 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE,BLOOD (Micro) | $353.42 | $353.42 | $0.33–$303.94 | 47% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE,BLOOD (Micro) | $353.42 | $353.42 | $247.39–$303.94 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $57.56 | $57.56 | $0.07–$49.50 | 137% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $57.56 | $57.56 | $40.29–$49.50 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (FAST/RANDOM) | $164.63 | $164.63 | $0.13–$141.58 | 339% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FAST/RANDOM) | $164.63 | $164.63 | $115.24–$141.58 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUAL SERUM (Immu) | $229.09 | $229.09 | $0.24–$197.02 | 50% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUAL SERUM (Immu) | $229.09 | $229.09 | $160.36–$197.02 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING | $85.19 | $85.19 | $0.19–$193.35 | 11% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING | $85.19 | $85.19 | $59.63–$73.26 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUAL (Immu) | $191.10 | $191.10 | $0.17–$164.35 | 308% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP QUAL (Immu) | $191.10 | $191.10 | $133.77–$164.35 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $128.72 | $128.72 | $104.49 | 16% below | — |
| C. difficile toxin gene test (stool PCR) one side CPT 87493 C. DIFF TOXINS QL RT-PCR | $43.27 | $43.27 | $1.12–$122.70 | 72% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $128.72 | $128.72 | $90.10–$110.70 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 C. DIFF TOXINS QL RT-PCR | $43.27 | $43.27 | $30.29–$37.21 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CENTOCOR) | $12.02 | $12.02 | $0.67–$68.51 | 76% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $71.87 | $71.87 | $0.67–$68.51 | 45% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 (CENTOCOR) | $12.02 | $12.02 | $8.41–$10.34 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $71.87 | $71.87 | $50.31–$61.81 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $12.03 | $12.03 | $0.67–$68.51 | 87% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $71.87 | $71.87 | $61.98 | 24% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $12.03 | $12.03 | $8.42–$10.35 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125 | $71.87 | $71.87 | $50.31–$61.81 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2_PCR | $177.21 | $177.21 | $34.38–$168.93 | 153% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COVID19, QUAL RT-PCR_WPL | $70.00 | $70.00 | $13.58–$168.93 | at median | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2_PCR | $177.21 | $177.21 | $124.05–$152.40 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COVID19, QUAL RT-PCR_WPL | $70.00 | $70.00 | $49.00–$60.20 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $121.19 | $121.19 | $1.12–$115.53 | 122% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE | $121.19 | $121.19 | $84.83–$104.22 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $240.60 | $240.60 | $0.43–$206.92 | 137% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $240.60 | $240.60 | $168.42–$206.92 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC (Hema) | $244.06 | $244.06 | $0.25–$209.89 | 120% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ MANUAL DIFF COUNT | $284.34 | $284.34 | $0.25–$244.53 | 157% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC (Hema) | $244.06 | $244.06 | $170.84–$209.89 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ MANUAL DIFF COUNT | $284.34 | $284.34 | $199.04–$244.53 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET CNT, AUTO | $194.55 | $194.55 | $0.21–$167.31 | 156% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM & PLATELET CNT, AUTO | $194.55 | $194.55 | $136.19–$167.31 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $758.64 | $758.64 | $0.34–$652.43 | 197% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $758.64 | $758.64 | $531.05–$652.43 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 DDIMER QUANTITATIVE | $39.08 | $39.08 | $0.33–$33.61 | 67% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 DDIMER QUANTITATIVE | $39.08 | $39.08 | $27.36–$33.61 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $26.78 | $26.78 | $0.89–$91.99 | 57% below | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $96.50 | $96.50 | $83.18–$83.19 | 54% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $26.78 | $26.78 | $18.75–$23.03 | — | — |
| Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL | $96.50 | $96.50 | $67.55–$82.99 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, SERUM | $9.62 | $9.62 | $0.59–$61.17 | 89% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, SERUM | $9.62 | $9.62 | $6.73–$8.27 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $248.66 | $248.66 | $0.44–$213.85 | 197% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $19.21 | $19.21 | $13.45–$16.52 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $81.74 | $81.74 | $0.47–$70.30 | 5% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $10.00 | $10.00 | $7.00–$8.60 | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $282.05 | $282.05 | $0.54–$242.56 | 344% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $282.05 | $282.05 | $197.44–$242.56 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $282.05 | $282.05 | $0.29–$242.56 | 314% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $282.05 | $282.05 | $197.44–$242.56 | — | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $87.96 | $87.96 | $0.82–$83.85 | 111% above | — |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $87.96 | $87.96 | $61.57–$75.65 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE (1HR/2HR PP) | $196.86 | $196.86 | $0.15–$169.30 | 344% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE (1HR/2HR PP) | $196.86 | $196.86 | $137.80–$169.30 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $121.19 | $121.19 | $1.12–$115.53 | 127% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB | $121.19 | $121.19 | $84.83–$104.22 | — | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI | $222.19 | $222.19 | $0.46–$191.08 | 199% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI | $68.12 | $68.12 | $47.68–$58.58 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HSV DNA AMP PROBE | $121.19 | $121.19 | $2.72–$280.17 | 43% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANT REAL TIME PCR | $205.00 | $205.00 | $2.72–$280.17 | 141% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $293.90 | $293.90 | $253.36–$253.37 | 246% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HSV DNA AMP PROBE | $121.19 | $121.19 | $84.83–$104.22 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QUANT REAL TIME PCR | $205.00 | $205.00 | $143.50–$176.30 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $293.90 | $293.90 | $205.73–$252.75 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB SCR | $95.55 | $95.55 | $0.44–$82.17 | 129% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AB SCR | $95.55 | $95.55 | $66.89–$82.17 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $288.95 | $288.95 | $0.31–$248.50 | 348% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $288.95 | $288.95 | $202.27–$248.50 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QL | $45.82 | $45.82 | $0.34–$39.41 | 19% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $39.66 | $39.66 | $0.33–$34.11 | 36% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.54 | $64.54 | $0.33–$55.50 | 4% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $39.66 | $39.66 | $27.76–$34.11 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.54 | $64.54 | $45.18–$55.50 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $54.74 | $54.74 | $0.46–$47.08 | 5% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $54.74 | $54.74 | $38.32–$47.08 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANTITATIVE REAL TIME | $115.00 | $115.00 | $1.37–$141.04 | 47% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $147.95 | $147.95 | $127.54 | 89% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANTITATIVE REAL TIME | $115.00 | $115.00 | $80.50–$98.90 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $147.95 | $147.95 | $103.57–$127.24 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 (IgG) TYPE SPEC AB | $27.34 | $27.34 | $0.42–$43.43 | 45% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $45.56 | $45.56 | $0.42–$43.43 | 142% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM SCREEN Q90849 | $60.18 | $60.18 | $0.42–$51.75 | 220% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 (IgG) TYPE SPEC AB | $27.34 | $27.34 | $19.14–$23.51 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $45.56 | $45.56 | $31.89–$39.18 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM SCREEN Q90849 | $60.18 | $60.18 | $42.13–$51.75 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM SCREEN Q90849 | $60.19 | $60.19 | $0.62–$63.71 | 126% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM SCREEN Q90849 | $60.19 | $60.19 | $42.13–$51.76 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIO | $32.00 | $32.00 | $0.54–$59.00 | 22% below | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIO | $32.00 | $32.00 | $22.40–$27.52 | — | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $39.47 | $39.47 | $0.37–$37.63 | 18% above | — |
| Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN | $39.47 | $39.47 | $27.63–$33.94 | — | — |
| Iron blood test (serum iron) CPT 83540 % IRON SATURATION - (Q7573) | $7.76 | $7.76 | $0.21–$21.30 | 82% below | — |
| Iron blood test (serum iron) CPT 83540 IRON, SERUM | $229.09 | $229.09 | $0.21–$197.02 | 418% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 % IRON SATURATION - (Q7573) | $7.76 | $7.76 | $5.43–$6.67 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM | $229.09 | $229.09 | $160.36–$197.02 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON,TIBC & FERRITIN PANEL | $7.76 | $7.76 | $0.24–$28.77 | 86% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC (Chem) | $229.09 | $229.09 | $0.24–$197.02 | 315% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON,TIBC & FERRITIN PANEL | $7.76 | $7.76 | $5.43–$6.67 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (Chem) | $229.09 | $229.09 | $160.36–$197.02 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PNL | $633.16 | $633.16 | $0.28–$544.52 | 349% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PNL | $633.16 | $633.16 | $443.21–$544.52 | — | — |
| LH (luteinizing hormone) test CPT 83002 LH | $9.62 | $9.62 | $0.59–$60.97 | 88% below | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $63.96 | $63.96 | $0.59–$60.97 | 20% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $9.62 | $9.62 | $6.73–$8.27 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 ASSAY OF GONADOTROPIN (LH) | $63.96 | $63.96 | $44.77–$55.01 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PLEURAL FLUID | $47.58 | $47.58 | $0.22–$40.92 | 37% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $196.86 | $196.86 | $0.22–$169.30 | 161% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PLEURAL FLUID | $47.58 | $47.58 | $33.31–$40.92 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $196.86 | $196.86 | $137.80–$169.30 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL (Chem) | $594.02 | $594.02 | $0.26–$510.86 | 344% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PNL (Chem) | $594.02 | $594.02 | $415.81–$510.86 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM (Chem) | $196.86 | $196.86 | $0.21–$169.30 | 240% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM (Chem) | $196.86 | $196.86 | $137.80–$169.30 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgG) | $16.11 | $16.11 | $0.41–$42.40 | 23% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $44.49 | $44.49 | $0.41–$42.40 | 113% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IgG) | $16.11 | $16.11 | $11.28–$13.85 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $44.49 | $44.49 | $31.14–$38.26 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST (Immu) | $151.96 | $151.96 | $0.17–$130.69 | 63% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST (Immu) | $151.96 | $151.96 | $106.37–$130.69 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG | $248.66 | $248.66 | $0.59–$213.85 | 431% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG | $248.66 | $248.66 | $174.06–$213.85 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT & CALCIUM | $27.68 | $27.68 | $1.32–$135.91 | 73% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT & CALCIUM | $27.68 | $27.68 | $19.38–$23.80 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPLSTIN TIME PARTIALQ7079 | $19.00 | $19.00 | $0.19–$19.79 | 50% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (Hema) | $225.63 | $225.63 | $0.19–$194.04 | 498% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPLSTIN TIME PARTIALQ7079 | $19.00 | $19.00 | $13.30–$16.34 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (Hema) | $225.63 | $225.63 | $157.94–$194.04 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $13.47 | $13.47 | $0.62–$63.80 | 85% below | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $66.94 | $66.94 | $0.62–$63.80 | 26% below | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $13.47 | $13.47 | $9.43–$11.58 | — | — |
| Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN | $66.94 | $66.94 | $46.86–$57.57 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN (Hema) | $162.32 | $162.32 | $0.13–$139.60 | 240% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN (Hema) | $162.32 | $162.32 | $113.62–$139.60 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B ANTIGEN | $310.82 | $310.82 | $0.30–$267.31 | 312% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A&B ANTIGEN | $310.82 | $310.82 | $217.57–$267.31 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $57.09 | $57.09 | $27.65 | 46% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC | $57.09 | $57.09 | $39.96–$49.10 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER (Immu) | $229.09 | $229.09 | $0.46–$197.02 | 474% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER (Immu) | $229.09 | $229.09 | $160.36–$197.02 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $9.32 | $9.32 | $0.09–$8.89 | 79% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED | $9.32 | $9.32 | $6.52–$8.02 | — | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $8.79 | $8.79 | $0.28–$29.30 | 51% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $30.73 | $30.73 | $26.48 | 71% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $8.79 | $8.79 | $6.15–$7.56 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS | $30.73 | $30.73 | $21.51–$26.43 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD,STOOL (Micro) | $99.00 | $99.00 | $0.10–$85.14 | 154% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD,STOOL (Micro) | $99.00 | $99.00 | $69.30–$85.14 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $8.98 | $8.98 | $0.14–$14.06 | 40% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/RST QUAL.(Immu) | $126.63 | $126.63 | $0.14–$108.90 | 750% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF | $8.98 | $8.98 | $6.29–$7.72 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR/RST QUAL.(Immu) | $126.63 | $126.63 | $88.64–$108.90 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R)-TB GOLD | $85.00 | $85.00 | $1.98–$204.06 | 20% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $214.06 | $214.06 | $184.53–$184.54 | 202% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R)-TB GOLD | $85.00 | $85.00 | $59.50–$73.10 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE | $214.06 | $214.06 | $149.84–$184.09 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL Q14966 | $13.75 | $13.75 | $0.83–$84.97 | 66% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL (Q14966) | $32.00 | $32.00 | $0.83–$84.97 | 20% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $70.22 | $70.22 | $0.83–$84.97 | 75% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL Q14966 | $13.75 | $13.75 | $9.63–$11.83 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL (Q14966) | $32.00 | $32.00 | $22.40–$27.52 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $70.22 | $70.22 | $49.15–$60.39 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $346.51 | $346.51 | $0.54–$298.00 | 314% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $346.51 | $346.51 | $242.56–$298.00 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $121.19 | $121.19 | $101.28 | 37% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $121.19 | $121.19 | $84.83–$104.22 | — | — |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD (Chem) | $196.86 | $196.86 | $0.14–$169.30 | 222% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD (Chem) | $196.86 | $196.86 | $137.80–$169.30 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPY | $177.29 | $177.29 | $0.10–$152.47 | 114% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPY | $177.29 | $177.29 | $124.10–$152.47 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 URIN-ROUTINE UA | $124.33 | $124.33 | $0.10–$106.92 | 189% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URIN-ROUTINE UA | $124.33 | $124.33 | $87.03–$106.92 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPY | $133.54 | $133.54 | $0.07–$114.84 | 138% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPY | $133.54 | $133.54 | $93.48–$114.84 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREG TEST-URINE QUAL (Immu) | $246.36 | $246.36 | $0.18–$211.87 | 187% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST-URINE QUAL (Immu) | $246.36 | $246.36 | $172.45–$211.87 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $18.62 | $18.62 | $0.48–$49.65 | 70% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $81.74 | $81.74 | $57.22–$70.30 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QUESTASSURED 25-OH VIT D LC/MS | $49.10 | $49.10 | $0.95–$97.45 | 23% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QUESTASSURED 25-OH VIT D LC/MS | $49.10 | $49.10 | $34.37–$42.23 | — | — |
| Zinc blood test CPT 84630 ZINC LEVEL | $7.71 | $7.71 | $0.36–$37.50 | 45% below | — |
| Zinc blood test inpatient CPT 84630 ZINC LEVEL | $7.71 | $7.71 | $5.40–$6.63 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-HCG QUANTITATIVE | $248.66 | $248.66 | $0.48–$213.85 | 79% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-HCG QUANTITATIVE | $248.66 | $248.66 | $174.06–$213.85 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT ER | $2,410.62 | $2,410.62 | $9.44–$2,109.29 | 35% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT ER | $2,410.62 | $2,410.62 | $1,687.43–$2,073.13 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN/TRANSFUSION | $1,784.36 | $1,784.36 | $6.07–$1,534.55 | 104% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN | $1,784.36 | $1,784.36 | $6.07–$1,534.55 | 104% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN | $1,784.36 | $1,784.36 | $1,249.05–$1,534.55 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN/TRANSFUSION | $1,784.36 | $1,784.36 | $1,249.05–$1,534.55 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (AD'L TREATMNT/DAY) | $652.73 | $652.73 | $0.75–$655.61 | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (1ST TREATMNT/DAY) | $652.73 | $652.73 | $0.75–$655.61 | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSUR/NONPRES INHAL TX - REP | $824.72 | $824.72 | $0.75–$1,758.00 | 167% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURI/NONPRES INHAL TX | $824.72 | $824.72 | $0.75–$1,758.00 | 167% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (1ST TREATMNT/DAY) | $652.73 | $652.73 | $456.91–$561.35 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (AD'L TREATMNT/DAY) | $652.73 | $652.73 | $456.91–$561.35 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURI/NONPRES INHAL TX | $824.72 | $824.72 | $577.30–$709.26 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSUR/NONPRES INHAL TX - REP | $824.72 | $824.72 | $577.30–$709.26 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74MIN. | $9,679.31 | $9,679.31 | $11.78–$8,324.21 | 96% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST 30-74MIN. | $9,679.31 | $9,679.31 | $6,775.52–$8,324.21 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $511.14 | $511.14 | $4.30–$1,003.73 | 43% below | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY | $511.14 | $511.14 | $357.80–$439.58 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE | $428.25 | $428.25 | $0.68–$368.30 | 27% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE | $428.25 | $428.25 | $299.78–$368.30 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I - BRIEF | $1,260.57 | $1,260.57 | $1.27–$2,538.00 | 226% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I - BRIEF | $1,260.57 | $1,260.57 | $882.40–$1,084.09 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II - LIMITED | $2,044.53 | $2,044.53 | $2.19–$2,538.00 | 174% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II - LIMITED | $2,044.53 | $2,044.53 | $1,431.17–$1,758.30 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III - INTERMEDIATE | $3,149.69 | $3,149.69 | $3.44–$2,708.73 | 161% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III - INTERMEDIATE | $3,149.69 | $3,149.69 | $2,204.78–$2,708.73 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV - EXTENDED | $5,304.74 | $5,304.74 | $5.53–$4,562.08 | 172% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV - EXTENDED | $5,304.74 | $5,304.74 | $3,713.32–$4,562.08 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V - COMPREHENSIVE | $7,568.01 | $7,568.01 | $8.17–$6,508.49 | 130% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V - COMPREHENSIVE | $7,568.01 | $7,568.01 | $5,297.61–$6,508.49 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,777.46 | $1,777.46 | $4.51–$1,528.62 | 47% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $1,777.46 | $1,777.46 | $1,244.22–$1,528.62 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVI HYDRATION (31-90) | $918.66 | $918.66 | $1.84–$790.05 | 102% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IVI HYDRATION (31-90) | $918.66 | $918.66 | $643.06–$790.05 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IVI W/MED 1ST HR (16-90) | $443.22 | $443.22 | $3.20–$679.12 | 7% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IVI W/MED 1ST HR (16-90) | $918.66 | $918.66 | $643.06–$790.05 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM | $209.52 | $209.52 | $0.88–$229.42 | 34% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ OR IM | $209.52 | $209.52 | $146.66–$180.19 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO MUSCULAR RE-ED | $163.47 | $163.47 | $0.88–$329.00 | 28% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION | $168.07 | $168.07 | $0.88–$329.00 | 32% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO MUSCULAR RE-ED | $163.47 | $163.47 | $114.43–$140.58 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUCATION | $168.07 | $168.07 | $117.65–$144.54 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $427.10 | $427.10 | $167.19 | 64% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $427.10 | $427.10 | $298.97–$367.31 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $471.99 | $471.99 | $145.48–$145.49 | 7% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $471.99 | $471.99 | $330.39–$405.91 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $427.10 | $427.10 | $145.48–$145.49 | 75% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $427.10 | $427.10 | $298.97–$367.31 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $450.12 | $450.12 | $145.48–$145.49 | 26% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $450.12 | $450.12 | $315.08–$387.10 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MYOFASCIAL RELEASE EA 15MIN | $163.47 | $163.47 | $0.78–$329.00 | 36% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUEL THERAPY EA 15 MIN | $230.24 | $230.24 | $0.78–$329.00 | 92% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MYOFASCIAL RELEASE EA 15MIN | $163.47 | $163.47 | $114.43–$140.58 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUEL THERAPY EA 15 MIN | $230.24 | $230.24 | $161.17–$198.01 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX EA 15 | $340.75 | $340.75 | $0.84–$329.00 | 163% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EX EA 15 MIN | $343.06 | $343.06 | $0.84–$329.00 | 165% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX EA 15 | $340.75 | $340.75 | $238.53–$293.05 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EX EA 15 MIN | $343.06 | $343.06 | $240.14–$295.03 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $172.68 | $172.68 | $27.85 | 213% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $172.68 | $172.68 | $120.88–$148.50 | — | — |
| Speech and language evaluation CPT 92523 SPEECH EVAL LANG COMP & EXPRES | $949.75 | $949.75 | $5.02–$816.79 | 108% above | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH EVAL LANG COMP & EXPRES | $949.75 | $949.75 | $664.83–$816.79 | — | — |
| Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE TREATMENT | $630.86 | $630.86 | $1.97–$542.54 | 127% above | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE TREATMENT | $630.86 | $630.86 | $441.60–$542.54 | — | — |
| Spirometry (breathing test) CPT 94010 SPIRO SCREEN | $600.93 | $600.93 | $1.31–$705.00 | 87% above | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIRO SCREEN | $600.93 | $600.93 | $420.65–$516.80 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST | $598.63 | $598.63 | $2.50–$1,003.73 | 22% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE/POST | $598.63 | $598.63 | $419.04–$514.82 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIV EA 15 MIN | $358.03 | $358.03 | $0.93–$329.00 | 161% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVE EA 15 | $359.18 | $359.18 | $0.93–$329.00 | 162% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIV EA 15 MIN | $358.03 | $358.03 | $250.62–$307.91 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVE EA 15 | $359.18 | $359.18 | $251.43–$308.89 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 24-25 30 mcg/0.3 SYR | $687.58 | $687.58 | $131.10–$591.32 | 195% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC 24-25 30 mcg/0.3 SYR | $687.58 | $687.58 | $171.90–$591.32 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine pediatric (Engerix) 10 mcg/0.5 mL intramuscular suspension | $164.63 | $164.63 | $41.65–$231.71 | 95% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 10MCG/0.5ML | $164.63 | $164.63 | $41.65–$231.71 | 95% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine adult (Engerix-B) 20 mcg/1mL intramuscular suspension | $387.95 | $387.95 | $70.38–$333.64 | 359% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/1.0ML | $387.95 | $387.95 | $70.38–$333.64 | 359% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 10MCG/0.5ML | $164.63 | $164.63 | $41.16–$141.58 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine pediatric (Engerix) 10 mcg/0.5 mL intramuscular suspension | $164.63 | $164.63 | $41.16–$141.58 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/1.0ML | $387.95 | $387.95 | $96.99–$333.64 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine adult (Engerix-B) 20 mcg/1mL intramuscular suspension | $387.95 | $387.95 | $96.99–$333.64 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated preservative-free Fluzone HD intramuscular suspension | $279.22 | $279.22 | $70.64–$274.87 | 123% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent | $279.22 | $279.22 | $70.64–$274.87 | 123% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated preservative-free Fluzone HD intramuscular suspension | $279.22 | $279.22 | $69.81–$240.13 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose Quadrivalent | $279.22 | $279.22 | $69.81–$240.13 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal (Pneumovax) 23-polyvalent vaccine injectable solution | $291.26 | $291.26 | $73.69–$439.42 | 80% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 0.5ML INJ | $291.26 | $291.26 | $73.69–$439.42 | 80% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 0.5ML INJ | $291.26 | $291.26 | $72.82–$250.48 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal (Pneumovax) 23-polyvalent vaccine injectable solution | $291.26 | $291.26 | $72.82–$250.48 | — | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine, purified chick embryo cell 2.5 intl units powder for injection | $943.99 | $943.99 | $238.83–$1,152.77 | 34% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, purified chick embryo cell 2.5 intl units powder for injection | $943.99 | $943.99 | $236.00–$811.83 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH 5UN/2UN 0.5ML | $90.94 | $90.94 | $22.74–$78.21 | 15% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2units/0.5 mL intramuscular suspension | $90.94 | $90.94 | $22.74–$78.21 | 15% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID 5UN 0.5ML | $102.46 | $102.46 | $25.62–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid 5 units/0.5 mL intramuscular suspension | $102.46 | $102.46 | $25.62–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL intramuscular suspension | $102.46 | $102.46 | $25.62–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH 2UN/2UN 0.5ML | $102.46 | $102.46 | $25.62–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $113.97 | $113.97 | $93.01–$93.02 | 44% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2units/0.5 mL intramuscular suspension | $90.94 | $90.94 | $22.74–$78.21 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH 5UN/2UN 0.5ML | $90.94 | $90.94 | $22.74–$78.21 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOXOID 5UN 0.5ML | $102.46 | $102.46 | $25.62–$88.12 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid 5 units/0.5 mL intramuscular suspension | $102.46 | $102.46 | $25.62–$88.12 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL intramuscular suspension | $102.46 | $102.46 | $25.62–$88.12 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH 2UN/2UN 0.5ML | $102.46 | $102.46 | $25.62–$88.12 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $113.97 | $113.97 | $28.49–$98.01 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria/tetanus/pertussis (DTaP) pediatric 15 units-5 units-23 mcg/0.5 mL intramuscular suspension | $262.47 | $262.47 | $43.21–$225.72 | 212% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DAPTACEL (DTaP VAC) 0.5ML | $262.47 | $262.47 | $43.21–$225.72 | 212% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL(DTaP) 0.5ML | $262.47 | $262.47 | $43.21–$225.72 | 212% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphtheria/pertussis (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL intramuscular suspension | $262.47 | $262.47 | $43.21–$225.72 | 212% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria/tetanus/pertussis (DTaP) pediatric 15 units-5 units-23 mcg/0.5 mL intramuscular suspension | $262.47 | $262.47 | $65.62–$225.72 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DAPTACEL (DTaP VAC) 0.5ML | $262.47 | $262.47 | $65.62–$225.72 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL(DTaP) 0.5ML | $262.47 | $262.47 | $65.62–$225.72 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphtheria/pertussis (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL intramuscular suspension | $262.47 | $262.47 | $65.62–$225.72 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNENOCOCCAL VAC | $177.29 | $177.29 | $0.88–$229.42 | 76% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 DTP VACC OR SINGLE/COMBO ADM | $214.12 | $214.12 | $0.88–$229.42 | 112% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNENOCOCCAL VAC | $177.29 | $177.29 | $124.10–$152.47 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 DTP VACC OR SINGLE/COMBO ADM | $214.12 | $214.12 | $149.88–$184.14 | — | — |