Hospital Phoenix-Mesa-Chandler, AZ

Dignity Health

Dignity Health in Glendale, AZ publishes cash prices for 157 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arizona median for 116 of 157 procedures and below it for 29. By typical cash price it ranks #33 of 53 Arizona hospitals and #21 of 32 hospitals in the Phoenix, AZ area, cheapest first. Click a procedure to compare it with other hospitals nearby.

7300 N 99th Ave, Glendale, AZ 85305 Collected Sep 27, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs ArizonaOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+ VIEWS LT ER $336.93 $882.00 $38.27–$714.42 7% above 62%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VIEWS LT ER $336.93 $882.00 $582.12–$714.42 — 62%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DP ART EX 1-2LVL BI ER $566.13 $1,482.00 $86.19–$1,200.42 — 62%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DP ART EX 1-2LTD UN ER $379.33 $993.00 $86.19–$993.00 1% above 62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DP ART EX 1-2LVL BI ER $566.13 $1,482.00 $978.12–$1,200.42 — 62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US DP ART EX 1-2LTD UN ER $379.33 $993.00 $655.38–$804.33 — 62%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON $374.36 $980.00 $102.28–$793.80 4% above 62%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON $374.36 $980.00 $646.80–$793.80 — 62%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY $1,206.36 $3,158.00 $282.16–$2,557.98 16% below 62%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY $1,206.36 $3,158.00 $2,084.28–$2,557.98 — 62%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE RTER $174.96 $458.00 $87.02–$458.00 49% below 62%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE LTER $198.26 $519.00 $98.61–$519.00 42% below 62%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE RTER $174.96 $458.00 $302.28–$370.98 — 62%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE LTER $198.26 $519.00 $342.54–$420.39 — 62%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED LTER $178.40 $467.00 $88.73–$467.00 25% below 62%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL $269.31 $705.00 $89.40–$571.05 14% above 62%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED LTER $178.40 $467.00 $308.22–$378.27 — 62%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL $269.31 $705.00 $465.30–$571.05 — 62%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CONER $1,626.18 $4,257.00 $185.16–$3,448.17 17% above 62%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CONER $1,626.18 $4,257.00 $2,809.62–$3,448.17 — 62%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PLVS WO CON ER $1,332.42 $3,488.00 $197.40–$2,825.28 1% above 62%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PLVS WO CON ER $1,332.42 $3,488.00 $2,302.08–$2,825.28 — 62%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PLVS W CON ER $2,115.14 $5,537.00 $326.86–$4,484.97 14% above 62%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PLVS W CON ER $2,115.14 $5,537.00 $3,654.42–$4,484.97 — 62%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMN PLVS WWO CON ER $2,453.59 $6,423.00 $366.56–$5,202.63 6% above 62%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMN PLVS WWO CON ER $2,453.59 $6,423.00 $4,239.18–$5,202.63 — 62%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONER $1,408.44 $3,687.00 $185.16–$2,986.47 9% above 62%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONER $1,408.44 $3,687.00 $2,433.42–$2,986.47 — 62%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONER $906.49 $2,373.00 $110.60–$1,922.13 at median 62%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONER $906.49 $2,373.00 $1,566.18–$1,922.13 — 62%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACL WO CON ER $884.33 $2,315.00 $110.60–$1,875.15 8% above 62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACL WO CON ER $884.33 $2,315.00 $1,527.90–$1,875.15 — 62%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON ER $1,268.63 $3,321.00 $110.60–$2,690.01 44% above 62%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON ER $1,268.63 $3,321.00 $2,191.86–$2,690.01 — 62%
CT scan of the head with contrast CPT 70460 CT HEAD W CON ER $1,699.90 $4,450.00 $159.85–$3,604.50 50% above 62%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON ER $1,699.90 $4,450.00 $2,937.00–$3,604.50 — 62%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON ER $2,004.36 $5,247.00 $185.16–$4,250.07 41% above 62%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON ER $2,004.36 $5,247.00 $3,463.02–$4,250.07 — 62%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON ER $1,960.81 $5,133.00 $110.60–$4,157.73 67% above 62%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON ER $1,960.81 $5,133.00 $3,387.78–$4,157.73 — 62%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVCL SPINE WO CON ER $1,828.64 $4,787.00 $110.60–$3,877.47 64% above 62%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVCL SPINE WO CON ER $1,828.64 $4,787.00 $3,159.42–$3,877.47 — 62%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON ER $1,586.07 $4,152.00 $185.16–$3,363.12 35% above 62%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON ER $1,586.07 $4,152.00 $2,740.32–$3,363.12 — 62%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRCRN CMP BL ER $1,004.66 $2,630.00 $199.19–$2,130.30 19% above 62%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL $1,034.84 $2,709.00 $199.19–$2,194.29 22% above 62%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRCRN CMP BL ER $1,004.66 $2,630.00 $1,735.80–$2,130.30 — 62%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL $1,034.84 $2,709.00 $1,787.94–$2,194.29 — 62%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS ER $254.03 $665.00 $35.40–$538.65 32% above 62%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS ER $254.03 $665.00 $438.90–$538.65 — 62%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW ER $215.07 $563.00 $26.82–$456.03 101% above 62%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW ER $215.07 $563.00 $371.58–$456.03 — 62%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONL CMPL ER $418.68 $1,096.00 $110.60–$887.76 5% above 62%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONL CMPL ER $418.68 $1,096.00 $723.36–$887.76 — 62%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DTL SNG1ST GST ER $401.49 $1,051.00 $187.03–$851.31 at median 62%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DTL SNG1ST GST ER $401.49 $1,051.00 $693.66–$851.31 — 62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONER $903.43 $2,365.00 $110.60–$1,915.65 10% above 62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONER $903.43 $2,365.00 $1,560.90–$1,915.65 — 62%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONER $1,505.85 $3,942.00 $179.88–$3,193.02 19% above 62%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONER $1,505.85 $3,942.00 $2,601.72–$3,193.02 — 62%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX AR LW EXT BL ER $1,042.10 $2,728.00 $251.41–$2,209.68 41% above 62%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US V DPLX AR LW EXT BL ER $1,042.10 $2,728.00 $1,800.48–$2,209.68 — 62%
Duplex ultrasound of the leg veins, both legs CPT 93970 US V DPLX VENS EXT BIL ER $1,079.92 $2,827.00 $195.97–$2,289.87 46% above 62%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US V DPLX VENS EXT BIL ER $1,079.92 $2,827.00 $1,865.82–$2,289.87 — 62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM $1,235.01 $3,233.00 $310.77–$2,764.83 31% above 62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM $1,235.01 $3,233.00 $2,133.78–$2,618.73 — 62%
Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS LTER $366.34 $959.00 $42.91–$776.79 14% above 62%
Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS LTER $366.34 $959.00 $632.94–$776.79 — 62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD ER $691.04 $1,809.00 $91.19–$1,465.29 56% above 62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD ER $691.04 $1,809.00 $1,193.94–$1,465.29 — 62%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE $767.82 $2,010.00 $110.60–$1,628.10 488% above 62%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE $767.82 $2,010.00 $1,326.60–$1,628.10 — 62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LOW EXTREM JNT WO LT $1,446.26 $3,786.00 $218.86–$3,066.66 34% below 62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR LOW EXTREM JNT WO LT $1,446.26 $3,786.00 $2,498.76–$3,066.66 — 62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LOW EXTREM JNT WO W LT $1,966.92 $5,149.00 $371.44–$4,170.69 34% below 62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR LOW EXTREM JNT WO W LT $1,966.92 $5,149.00 $3,398.34–$4,170.69 — 62%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON $1,719.39 $4,501.00 $211.35–$3,645.81 54% above 62%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON $1,719.39 $4,501.00 $2,970.66–$3,645.81 — 62%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON $2,773.32 $7,260.00 $365.13–$5,880.60 32% above 62%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON $2,773.32 $7,260.00 $4,791.60–$5,880.60 — 62%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $1,263.66 $3,308.00 $211.71–$2,679.48 at median 62%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $1,263.66 $3,308.00 $2,183.28–$2,679.48 — 62%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON $2,256.48 $5,907.00 $343.67–$4,784.67 19% above 62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON $2,256.48 $5,907.00 $3,898.62–$4,784.67 — 62%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON $1,564.68 $4,096.00 $206.70–$3,317.76 at median 62%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON $1,564.68 $4,096.00 $2,703.36–$3,317.76 — 62%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON $2,203.38 $5,768.00 $344.74–$4,672.08 8% below 62%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON $2,203.38 $5,768.00 $3,806.88–$4,672.08 — 62%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON $1,564.68 $4,096.00 $205.63–$3,317.76 4% above 62%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON $1,564.68 $4,096.00 $2,703.36–$3,317.76 — 62%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON $2,063.19 $5,401.00 $345.46–$4,374.81 14% below 62%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON $2,063.19 $5,401.00 $3,564.66–$4,374.81 — 62%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON $1,464.97 $3,835.00 $205.99–$3,106.35 8% above 62%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON $1,464.97 $3,835.00 $2,531.10–$3,106.35 — 62%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON $2,106.73 $5,515.00 $363.70–$4,467.15 4% above 62%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON $2,106.73 $5,515.00 $3,639.90–$4,467.15 — 62%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON $1,306.44 $3,420.00 $247.47–$2,770.20 5% above 62%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON $1,306.44 $3,420.00 $2,257.20–$2,770.20 — 62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR UPP EXTREM JNT WO LT $1,228.52 $3,216.00 $219.22–$2,604.96 48% below 62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR UPP EXTREM JNT WO LT $1,228.52 $3,216.00 $2,122.56–$2,604.96 — 62%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT $3,133.93 $8,204.00 $453.82–$6,645.24 18% above 62%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT $3,133.93 $8,204.00 $5,414.64–$6,645.24 — 62%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PLVS NON OB LTD F/U ER $354.88 $929.00 $51.85–$752.49 21% above 62%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PLVS NON OB LTD F/U ER $354.88 $929.00 $613.14–$752.49 — 62%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP ER $521.82 $1,366.00 $110.50–$1,106.46 22% above 62%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP ER $521.82 $1,366.00 $901.56–$1,106.46 — 62%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PRG=>14WK SNG1ST GSTER $441.60 $1,156.00 $110.60–$936.36 13% above 62%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PRG=>14WK SNG1ST GSTER $441.60 $1,156.00 $762.96–$936.36 — 62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNG1ST GSTER $581.03 $1,521.00 $110.60–$1,232.01 104% above 62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNG1ST GSTER $581.03 $1,521.00 $1,003.86–$1,232.01 — 62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PRG 1 OR >FETSS LTD ER $337.31 $883.00 $85.11–$715.23 9% above 62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD $347.62 $910.00 $85.11–$737.10 13% above 62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PRG 1 OR >FETSS LTD ER $337.31 $883.00 $582.78–$715.23 — 62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD $347.62 $910.00 $600.60–$737.10 — 62%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER 2+ VIEWS LTER $323.56 $847.00 $36.83–$686.07 50% above 62%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER 2+ VIEWS LTER $323.56 $847.00 $559.02–$686.07 — 62%
Transvaginal pelvic ultrasound CPT 76830 ER US TRANSVAGINAL ER $501.57 $1,313.00 $110.60–$1,063.53 40% above 62%
Transvaginal pelvic ultrasound inpatient CPT 76830 ER US TRANSVAGINAL ER $501.57 $1,313.00 $866.58–$1,063.53 — 62%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL ER $469.86 $1,230.00 $97.27–$996.30 43% above 62%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL ER $469.86 $1,230.00 $811.80–$996.30 — 62%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON ER $877.46 $2,297.00 $110.60–$1,860.57 70% above 62%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON ER $877.46 $2,297.00 $1,516.02–$1,860.57 — 62%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM ER $511.12 $1,338.00 $105.14–$1,083.78 29% above 62%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM ER $511.12 $1,338.00 $883.08–$1,083.78 — 62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK ER $336.16 $880.00 $110.60–$865.40 1% above 62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK ER $336.16 $880.00 $580.80–$712.80 — 62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON $441.60 $1,156.00 $128.74–$936.36 26% above 62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON $441.60 $1,156.00 $762.96–$936.36 — 62%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US V DPLX VENS EXT UNI ER $658.95 $1,725.00 $110.60–$1,397.25 49% above 62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US V DPLX VENS EXT UNI ER $658.95 $1,725.00 $1,138.50–$1,397.25 — 62%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST 3+ VIEWS LTER $322.41 $844.00 $43.27–$683.64 at median 62%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST 3+ VIEWS LTER $322.41 $844.00 $557.04–$683.64 — 62%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL 2-3 VWS LTER $327.38 $857.00 $50.07–$694.17 10% below 62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP W PEL 2-3 VWS LTER $327.38 $857.00 $565.62–$694.17 — 62%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW ER $170.38 $446.00 $31.83–$361.26 2% below 62%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW ER $170.38 $446.00 $294.36–$361.26 — 62%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE 1 VIEW RTER $279.63 $732.00 $33.97–$592.92 26% above 62%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT ER $289.56 $758.00 $33.97–$613.98 30% above 62%
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 1 VIEW RTER $279.63 $732.00 $483.12–$592.92 — 62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT ER $289.56 $758.00 $500.28–$613.98 — 62%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 1 VW LTER $205.90 $539.00 $40.05–$436.59 51% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 1 VW RTER $212.40 $556.00 $40.05–$450.36 56% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 2+ VWS LTER $218.89 $573.00 $40.05–$464.13 61% above 62%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) 1 VW LTER $205.90 $539.00 $355.74–$436.59 — 62%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) 1 VW RTER $212.40 $556.00 $366.96–$450.36 — 62%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) 2+ VWS LTER $218.89 $573.00 $378.18–$464.13 — 62%
X-ray of the foot, 2 views CPT 73620 XR FOOT 1 VIEW LTER $274.28 $718.00 $30.04–$581.58 168% above 62%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT ER $283.83 $743.00 $30.04–$601.83 178% above 62%
X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 1 VIEW LTER $274.28 $718.00 $473.88–$581.58 — 62%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT ER $283.83 $743.00 $490.38–$601.83 — 62%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS LT ER $318.97 $835.00 $36.12–$676.35 107% above 62%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS LT ER $318.97 $835.00 $551.10–$676.35 — 62%
X-ray of the hand, 3 or more views CPT 73130 XR HAND 3+ VIEWS LTER $364.81 $955.00 $38.98–$773.55 at median 62%
X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND 3+ VIEWS LTER $364.81 $955.00 $630.30–$773.55 — 62%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1 OR 2 VIEWS LTER $311.33 $815.00 $36.12–$660.15 8% above 62%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1 OR 2 VIEWS LTER $311.33 $815.00 $537.90–$660.15 — 62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPN 2 OR 3 VWER $335.78 $879.00 $41.84–$711.99 96% above 62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPN 2 OR 3 VWER $335.78 $879.00 $580.14–$711.99 — 62%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VWS ER $372.84 $976.00 $54.72–$790.56 8% above 62%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VWS ER $372.84 $976.00 $644.16–$790.56 — 62%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORCIC SPINE 2 VWS ER $361.38 $946.00 $34.69–$766.26 53% above 62%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORCIC SPINE 2 VWS ER $361.38 $946.00 $624.36–$766.26 — 62%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWSER $163.50 $428.00 $39.34–$346.68 53% above 62%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWSER $163.50 $428.00 $282.48–$346.68 — 62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICL SPINE 2-3 VWER $333.11 $872.00 $41.48–$706.32 49% above 62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICL SPINE 2-3 VWER $333.11 $872.00 $575.52–$706.32 — 62%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS ER $289.94 $759.00 $29.32–$614.79 57% above 62%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS ER $289.94 $759.00 $500.94–$614.79 — 62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWSER $263.97 $691.00 $34.33–$559.71 145% above 62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWSER $263.97 $691.00 $456.06–$559.71 — 62%

Lab tests

ProcedureCash price List priceInsurers payvs ArizonaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT $79.08 $207.00 $5.30–$167.67 116% above 62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT $79.08 $207.00 $136.62–$167.67 — 62%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $71.06 $186.00 $5.18–$150.66 99% above 62%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $71.06 $186.00 $122.76–$150.66 — 62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE ER $189.86 $497.00 $39.26–$402.57 120% above 62%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE ER $189.86 $497.00 $328.02–$402.57 — 62%
Basic metabolic panel (blood test) CPT 80048 UC BASIC METABOL PANEL ER $123.77 $324.00 $8.46–$262.44 21% above 62%
Basic metabolic panel (blood test) inpatient CPT 80048 UC BASIC METABOL PANEL ER $123.77 $324.00 $213.84–$262.44 — 62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER $25.60 $67.00 $3.08–$54.27 30% above 62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ER $25.60 $67.00 $44.22–$54.27 — 62%
Blood glucose (sugar) test CPT 82947 5M ABG + PANELS ISTAT ER $59.60 $156.00 $3.93–$126.36 29% above 62%
Blood glucose (sugar) test inpatient CPT 82947 5M ABG + PANELS ISTAT ER $59.60 $156.00 $102.96–$126.36 — 62%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL ER $138.29 $362.00 $7.52–$293.22 82% above 62%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL ER $138.29 $362.00 $238.92–$293.22 — 62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 3E BLOOD TYPE ABO $101.62 $266.00 $3.06–$215.46 19% above 62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 12M CORD BLOOD ABO $199.03 $521.00 $3.06–$422.01 134% above 62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 3E BLOOD TYPE ABO $101.62 $266.00 $175.56–$215.46 — 62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 12M CORD BLOOD ABO $199.03 $521.00 $343.86–$422.01 — 62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB HTT $173.05 $453.00 $51.31–$382.16 203% above 62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB HTT $173.05 $453.00 $298.98–$366.93 — 62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 UC LIPID PANEL ER $192.15 $503.00 $13.39–$407.43 281% above 62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 UC LIPID PANEL ER $192.15 $503.00 $331.98–$407.43 — 62%
Complete blood count (CBC) with differential CPT 85025 UC CBC W/AUTO DIFF ER $96.27 $252.00 $7.77–$204.12 22% above 62%
Complete blood count (CBC) with differential inpatient CPT 85025 UC CBC W/AUTO DIFF ER $96.27 $252.00 $166.32–$204.12 — 62%
Complete blood count (CBC), no differential CPT 85027 UC CBC AUTO W/O DIFF ER $73.35 $192.00 $6.47–$155.52 32% above 62%
Complete blood count (CBC), no differential inpatient CPT 85027 UC CBC AUTO W/O DIFF ER $73.35 $192.00 $126.72–$155.52 — 62%
Comprehensive metabolic panel (blood test) CPT 80053 UC COMP METABOLC PANEL ER $131.41 $344.00 $10.56–$278.64 15% below 62%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 UC COMP METABOLC PANEL ER $131.41 $344.00 $227.04–$278.64 — 62%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN ER $166.17 $435.00 $10.18–$352.35 58% above 62%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN ER $166.17 $435.00 $287.10–$352.35 — 62%
Free T4 (free thyroxine) thyroid blood test CPT 84439 UC THYROXINE FREE ER $119.57 $313.00 $9.02–$253.53 93% above 62%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 UC THYROXINE FREE ER $119.57 $313.00 $206.58–$253.53 — 62%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP $46.61 $122.00 $4.75–$98.82 49% below 62%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP $46.61 $122.00 $80.52–$98.82 — 62%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC $129.12 $338.00 $12.87–$273.78 at median 62%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC $129.12 $338.00 $223.08–$273.78 — 62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB $59.98 $157.00 $24.08–$127.17 42% above 62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB $59.98 $157.00 $103.62–$127.17 — 62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $91.68 $240.00 $9.71–$194.40 71% above 62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $91.68 $240.00 $158.40–$194.40 — 62%
High-sensitivity CRP (hs-CRP) test CPT 86141 UC CRP HIGH SENSITIVTY ER $77.17 $202.00 $12.95–$163.62 14% above 62%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 UC CRP HIGH SENSITIVTY ER $77.17 $202.00 $133.32–$163.62 — 62%
Kidney function blood test panel CPT 80069 8M RFP PKUS MG/LA PICCOLO $144.40 $378.00 $8.68–$306.18 24% above 62%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $152.04 $398.00 $8.68–$322.38 31% above 62%
Kidney function blood test panel inpatient CPT 80069 8M RFP PKUS MG/LA PICCOLO $144.40 $378.00 $249.48–$306.18 — 62%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $152.04 $398.00 $262.68–$322.38 — 62%
Lipase blood test (pancreas enzyme) CPT 83690 UC LIPASE ER $123.39 $323.00 $6.89–$261.63 35% above 62%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 UC LIPASE ER $123.39 $323.00 $213.18–$261.63 — 62%
Liver function blood test panel CPT 80076 UC HEPATIC FUNC PANEL ER $111.93 $293.00 $8.17–$237.33 9% above 62%
Liver function blood test panel inpatient CPT 80076 UC HEPATIC FUNC PANEL ER $111.93 $293.00 $193.38–$237.33 — 62%
Magnesium blood test CPT 83735 UC MAGNESIUM ER $87.86 $230.00 $6.70–$186.30 342% above 62%
Magnesium blood test inpatient CPT 83735 UC MAGNESIUM ER $87.86 $230.00 $151.80–$186.30 — 62%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR ER $75.64 $198.00 $5.18–$160.38 6% above 62%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR ER $75.64 $198.00 $130.68–$160.38 — 62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $106.20 $278.00 $18.39–$225.18 37% above 62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $106.20 $278.00 $183.48–$225.18 — 62%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME ER $78.31 $205.00 $6.01–$166.05 129% above 62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME ER $78.31 $205.00 $135.30–$166.05 — 62%
Prothrombin time (PT/INR) clotting test CPT 85610 UC PROTHROMBIN TIME ER $64.94 $170.00 $4.29–$137.70 130% above 62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 UC PROTHROMBIN TIME ER $64.94 $170.00 $112.20–$137.70 — 62%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRG SCRN PRESUMP OPTIC ER $20.25 $53.00 $10.07–$53.00 40% above 62%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRG SCRN PRESUMP OPTIC ER $20.25 $53.00 $34.98–$42.93 — 62%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC $44.70 $117.00 $16.55–$94.77 67% above 62%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC $44.70 $117.00 $77.22–$94.77 — 62%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC $61.89 $162.00 $16.53–$131.22 77% above 62%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC $61.89 $162.00 $106.92–$131.22 — 62%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 UC SED RATE RBC AUTO ER $71.44 $187.00 $2.70–$151.47 24% above 62%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 UC SED RATE RBC AUTO ER $71.44 $187.00 $123.42–$151.47 — 62%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 UC THYROID STIM HORMON ER $170.38 $446.00 $16.80–$361.26 92% above 62%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 UC THYROID STIM HORMON ER $170.38 $446.00 $294.36–$361.26 — 62%
Trichomonas test (NAAT) CPT 87661 TRICHOMON VAG TMA $57.30 $150.00 $28.50–$150.00 11% above 62%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMON VAG TMA $57.30 $150.00 $99.00–$121.50 — 62%
Urinalysis with microscope exam, automated CPT 81001 UC UA AUTO W/MICRO ER $62.65 $164.00 $3.17–$132.84 40% above 62%
Urinalysis with microscope exam, automated inpatient CPT 81001 UC UA AUTO W/MICRO ER $62.65 $164.00 $108.24–$132.84 — 62%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO ER $42.41 $111.00 $2.25–$89.91 63% above 62%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO ER $42.41 $111.00 $73.26–$89.91 — 62%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL ER $105.82 $277.00 $8.61–$224.37 120% above 62%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL ER $105.82 $277.00 $182.82–$224.37 — 62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 UC HCG QN ER $184.51 $483.00 $15.05–$391.23 376% above 62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 UC HCG QN ER $184.51 $483.00 $318.78–$391.23 — 62%

Surgery and procedures

ProcedureCash price List priceInsurers payvs ArizonaOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 UC CARDIOVERS ELCT EXT ER $920.24 $2,409.00 $111.93–$2,409.00 1% below 62%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 UC CARDIOVERS ELCT EXT ER $920.24 $2,409.00 $1,589.94–$1,951.29 — 62%
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W STENT URETERL INS $4,785.70 $12,528.00 $161.29–$10,230.00 11% above 62%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO W STENT URETERL INS $4,785.70 $12,528.00 $8,268.48–$10,147.68 — 62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO $469.10 $1,228.00 $38.62–$3,499.51 16% below 62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO $469.10 $1,228.00 $810.48–$994.68 — 62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY ESWL UNI $12,105.58 $31,690.00 $601.51–$25,668.90 at median 62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY ESWL BIL $18,158.37 $47,535.00 $601.51–$38,503.35 50% above 62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY ESWL UNI $12,105.58 $31,690.00 $20,915.40–$25,668.90 — 62%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY ESWL BIL $18,158.37 $47,535.00 $31,373.10–$38,503.35 — 62%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs ArizonaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP $624.19 $1,634.00 $43.99–$2,985.00 15% above 62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP $624.19 $1,634.00 $1,078.44–$1,323.54 — 62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX EA SUBSEQ TX/DY ER $330.05 $864.00 $8.23–$699.84 51% above 62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX EA SUBSEQ TX/DY ER $330.05 $864.00 $570.24–$699.84 — 62%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR $1,041.34 $2,726.00 $135.18–$2,208.06 137% above 62%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR $1,041.34 $2,726.00 $1,799.16–$2,208.06 — 62%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICL CARE 30-74M ER $3,656.13 $9,571.00 $185.32–$7,752.51 74% above 62%
Critical care, first 30 to 74 minutes CPT 99291 TRAUMA COMPREHENS W/PROC $3,656.13 $9,571.00 $185.32–$7,752.51 74% above 62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICL CARE 30-74M ER $3,656.13 $9,571.00 $6,316.86–$7,752.51 — 62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA COMPREHENS W/PROC $3,656.13 $9,571.00 $4,559.00–$7,752.51 — 62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRAC ONLY ER $228.82 $599.00 $6.44–$485.19 97% above 62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRAC ONLY ER $228.82 $599.00 $395.34–$485.19 — 62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 ER $237.99 $623.00 $9.85–$1,132.00 1% below 62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 ER $237.99 $623.00 $411.18–$504.63 — 62%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 ER $364.81 $955.00 $36.41–$1,340.00 at median 62%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 ER $364.81 $955.00 $630.30–$773.55 — 62%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 ER $618.46 $1,619.00 $62.07–$2,367.00 at median 62%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 ER $618.46 $1,619.00 $1,068.54–$1,311.39 — 62%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 ER $1,094.05 $2,864.00 $105.34–$3,079.00 at median 62%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 ER $1,094.05 $2,864.00 $1,890.24–$2,319.84 — 62%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 ER $1,585.69 $4,151.00 $152.79–$3,362.31 5% above 62%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 ER $1,585.69 $4,151.00 $2,739.66–$3,362.31 — 62%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVAS STRES TEST $677.29 $1,773.00 $39.34–$1,436.13 24% above 62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST $677.29 $1,773.00 $1,170.18–$1,436.13 — 62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN $458.02 $1,199.00 $33.97–$971.19 157% above 62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDR INIT 31-60 ER $458.02 $1,199.00 $33.97–$1,132.00 157% above 62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN $458.02 $1,199.00 $791.34–$971.19 — 62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDR INIT 31-60 ER $458.02 $1,199.00 $791.34–$971.19 — 62%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PR INT 1ST H ER $510.36 $1,336.00 $65.44–$1,132.00 118% above 62%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR $510.36 $1,336.00 $65.44–$1,082.16 118% above 62%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PR INT 1ST H ER $510.36 $1,336.00 $881.76–$1,082.16 — 62%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR $510.36 $1,336.00 $881.76–$1,082.16 — 62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PRPH SUBQ/IM ER $156.62 $410.00 $15.02–$1,132.00 133% above 62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM $156.62 $410.00 $15.02–$332.10 133% above 62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM $156.62 $410.00 $270.60–$332.10 — 62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PRPH SUBQ/IM ER $156.62 $410.00 $270.60–$332.10 — 62%
Neuromuscular re-education, 15 minutes CPT 97112 OT RE-ED NEUROMSCL EA 15 $77.17 $202.00 $35.76–$202.00 38% below 62%
Neuromuscular re-education, 15 minutes CPT 97112 PT RE-ED NEUROMSCL EA 15 $77.17 $202.00 $35.76–$202.00 38% below 62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT RE-ED NEUROMSCL EA 15 $77.17 $202.00 $133.32–$163.62 — 62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT RE-ED NEUROMSCL EA 15 $77.17 $202.00 $133.32–$163.62 — 62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT $158.53 $415.00 $33.30–$3,503.00 31% above 62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT $158.53 $415.00 $273.90–$336.15 — 62%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY $195.59 $512.00 $97.28–$414.72 44% below 62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY $195.59 $512.00 $337.92–$414.72 — 62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY $223.47 $585.00 $106.21–$473.85 66% below 62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY $223.47 $585.00 $386.10–$473.85 — 62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX $194.44 $509.00 $96.71–$412.29 44% below 62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX $194.44 $509.00 $335.94–$412.29 — 62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEX $203.23 $532.00 $101.08–$430.92 61% below 62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEX $203.23 $532.00 $351.12–$430.92 — 62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT THERAPY MANUAL EA 15 $83.66 $219.00 $28.61–$219.00 33% below 62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT THERAPY MANUAL EA 15 $83.66 $219.00 $144.54–$177.39 — 62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT EXERCISE THR EA 15 $89.39 $234.00 $31.11–$234.00 48% below 62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE THR EA 15 $89.39 $234.00 $31.11–$234.00 48% below 62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE THR EA 15 $89.39 $234.00 $154.44–$189.54 — 62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE THR EA 15 $89.39 $234.00 $154.44–$189.54 — 62%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN $30.18 $79.00 $11.06–$79.00 3% below 62%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN $30.18 $79.00 $52.14–$63.99 — 62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT $186.04 $487.00 $46.23–$3,503.00 25% above 62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT $186.04 $487.00 $321.42–$394.47 — 62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT $246.39 $645.00 $68.27–$3,503.00 11% above 62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT $246.39 $645.00 $425.70–$522.45 — 62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT $137.91 $361.00 $24.67–$3,503.00 42% above 62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT $137.91 $361.00 $238.26–$292.41 — 62%
Speech and language evaluation CPT 92523 ST EVAL PROD W COMP SP $458.02 $1,199.00 $129.00–$971.19 38% below 62%
Speech and language evaluation inpatient CPT 92523 ST EVAL PROD W COMP SP $458.02 $1,199.00 $791.34–$971.19 — 62%
Speech therapy session, individual CPT 92507 ST TREATMENT SPEECH $154.33 $404.00 $40.69–$395.00 56% below 62%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT SPEECH $154.33 $404.00 $266.64–$327.24 — 62%
Spirometry (breathing test) CPT 94010 SPIROMETRY $240.28 $629.00 $28.61–$629.00 37% above 62%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $240.28 $629.00 $415.14–$509.49 — 62%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THR ACTIVITY EA 15 $76.40 $200.00 $38.00–$200.00 64% below 62%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THR ACTIVITY EA 15 $76.40 $200.00 $38.00–$200.00 64% below 62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THR ACTIVITY EA 15 $76.40 $200.00 $132.00–$162.00 — 62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THR ACTIVITY EA 15 $76.40 $200.00 $132.00–$162.00 — 62%

Vaccines

ProcedureCash price List priceInsurers payvs ArizonaOff list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS $36.29 $95.00 $17.10–$76.95 51% below 62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS $36.29 $95.00 $17.10–$76.95 — 62%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACC 50U/1ML INJ ER $135.23 $354.00 $67.26–$286.74 55% above 62%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACC 50U/1ML INJ ER $135.23 $354.00 $134.52–$286.74 — 62%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC $150.89 $395.00 $75.05–$319.95 at median 62%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC $150.89 $395.00 $150.10–$319.95 — 62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT $456.49 $1,195.00 $227.05–$967.95 27% below 62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT $456.49 $1,195.00 $454.10–$967.95 — 62%
Rabies vaccine, one dose CPT 90675 RABIES VACC2.5IU/ML 1MLER $695.24 $1,820.00 $266.30–$1,474.20 89% above 62%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC2.5IU/ML 1MLER $695.24 $1,820.00 $691.60–$1,474.20 — 62%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML $297.20 $778.00 $147.82–$630.18 8% above 62%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML $297.20 $778.00 $295.64–$630.18 — 62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM ER $81.75 $214.00 $39.60–$173.34 42% below 62%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM ER $81.75 $214.00 $81.32–$173.34 — 62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE ER $75.26 $197.00 $25.36–$159.57 51% above 62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER ADMN INFLUENZA VACC ER $90.92 $238.00 $25.36–$192.78 83% above 62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE ER $75.26 $197.00 $130.02–$159.57 — 62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER ADMN INFLUENZA VACC ER $90.92 $238.00 $157.08–$192.78 — 62%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTH IMUN VAC ADD ER $90.92 $238.00 $12.82–$192.78 124% above 62%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTH IMUN VAC ADD ER $90.92 $238.00 $157.08–$192.78 — 62%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dharz/ceaz/finance/price-transparency/941196203-1982733655_dignity-health-st-josephs-westgate-medical-center_standardcharges.json