Aurelia Osborn Fox Memorial Society
Aurelia Osborn Fox Memorial Society in Oneonta, NY publishes cash prices for 303 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 243 of 300 procedures and above it for 43. By typical cash price it ranks #15 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
One Norton Avenue, Oneonta, NY 13820 Collected Sep 27, 2026 Source price file (607) 432-2000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 330085 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle, Comp, Min 3 Views | $131.93 | $488.64 | $111.59–$88.05 | 34% below | 73% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Dop Art Ext 1-2 Levels Bil | $171.14 | $633.84 | $128.90–$98.17 | 37% below | 73% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esoph Scout Chst Sng Con | $264.01 | $977.80 | $108.42–$977.82 | 22% below | 73% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Scan, Whole Body | $639.12 | $2,367.12 | $1,006.74–$988.74 | 25% below | 73% |
| Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete | $313.96 | $1,162.80 | $1,017.00–$988.38 | 1% below | 73% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited | $264.40 | $979.26 | $1,049.40–$991.10 | 19% above | 73% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography,Chest W&W/O Con | $1,180.72 | $4,373.04 | $1,000.53–$970.21 | 4% above | 73% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast | $1,126.72 | $4,173.03 | $1,168.48–$93.66 | 9% above | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $1,578.71 | $5,847.06 | $109.01–$6,823.00 | 1% above | 73% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen Pelvis Wwo Con | $2,125.05 | $7,870.56 | $138.11–$85.77 | 30% above | 73% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abd W Contrast | $1,111.77 | $4,117.68 | $1,017.67–$997.91 | 9% above | 73% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abd W/O Contrast | $883.39 | $3,271.80 | $1,048.73–$967.35 | 11% above | 73% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/Out Contrast | $795.66 | $2,946.90 | $106.34–$933.81 | 14% above | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain WO Contrast | $828.29 | $3,067.74 | $106.34–$958.21 | 20% above | 73% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W Contrast | $976.32 | $3,616.00 | $1,001.92–$995.10 | 11% above | 73% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain/W/O and W Contrast | $1,039.23 | $3,849.00 | $1,193.19–$932.15 | at median | 73% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine, W/O Contrast | $997.58 | $3,694.74 | $1,001.52–$962.00 | 20% above | 73% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine,W/O Contrast | $944.73 | $3,499.00 | $106.34–$924.48 | 11% above | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast | $1,060.37 | $3,927.30 | $1,000.45–$981.75 | 18% above | 73% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Duplex Extracranial Cmp Bil | $431.42 | $1,597.87 | $1,064.06–$919.76 | 21% below | 73% |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views | $128.35 | $475.38 | $111.59–$9.41 | 36% below | 73% |
| Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View | $104.04 | $385.32 | $10.10–$98.34 | 44% below | 73% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit,Real Time,Complete | $314.24 | $1,163.87 | $1,047.48–$989.32 | 13% below | 73% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density Total Body | $199.57 | $739.15 | $101.00–$828.00 | 17% below | 73% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Peripheral | $88.43 | $327.53 | $102.18–$99.20 | 39% below | 73% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Preg+Detl Sngl1st Gest | $216.00 | $800.00 | $1,023.00–$990.00 | 58% below | 73% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diag WO Con | $861.53 | $3,190.86 | $106.34–$982.26 | 6% above | 73% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diag W Con | $1,036.05 | $3,837.24 | $1,003.00–$991.20 | at median | 73% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Diagnositc W Cad Bil | $186.76 | $691.72 | $101.40–$97.97 | 21% below | 73% |
| Diagnostic mammogram, one breast CPT 77065 HC Mammo Diagnositc W Cad Uni | $148.35 | $549.46 | $101.40–$97.97 | 44% below | 73% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Arterial Duplex Lower Extrem.(Bilat.) | $356.93 | $1,321.95 | $1,041.20–$950.40 | — | 73% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Venous Duplex Scan Lower or Upper Extrem Bilat | $431.42 | $1,597.87 | $1,082.96–$950.40 | — | 73% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W or WO Fol W Con Doppler | $688.33 | $2,549.38 | $1,001.31–$943.30 | 37% below | 73% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary System Imaging | $533.11 | $1,974.48 | $104.78–$920.97 | 44% below | 73% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study,Unattended | $296.57 | $1,098.41 | $1,021.52–$988.60 | 8% below | 73% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap 6 Yrs or Older | $774.06 | $2,866.89 | $1,017.39–$990.82 | 65% below | 73% |
| Knee X-ray, 3 views CPT 73562 HC Knee 3 Views | $128.04 | $474.21 | $111.59–$9.41 | 24% below | 73% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited | $327.19 | $1,211.82 | $1,025.76–$98.30 | 7% above | 73% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thor Lung Ca Scr WO Con | $784.89 | $2,907.00 | $1,004.66–$998.26 | 87% above | 73% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Low Extrem Jnt WO Con | $1,272.45 | $4,712.76 | $1,001.32–$972.16 | 26% above | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Low Extrm Jnt WO W Con | $1,579.01 | $5,848.20 | $1,010.00–$681.75 | 14% below | 73% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Contrast | $1,034.59 | $3,831.80 | $1,010.00–$681.75 | 1% above | 73% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen WO W Contrast | $1,629.80 | $6,036.30 | $1,010.00–$681.75 | 1% below | 73% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,109.31 | $4,108.56 | $1,010.00–$994.43 | 12% above | 73% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O Follwed by W/Contrast | $1,482.67 | $5,491.38 | $1,010.00–$681.75 | 8% below | 73% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,354.32 | $5,016.00 | $1,001.10–$982.03 | 27% above | 73% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine Canal, W/WO Contrast | $1,669.14 | $6,182.00 | $1,010.00–$681.75 | 1% above | 73% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast | $1,260.13 | $4,667.16 | $1,007.50–$963.60 | 25% above | 73% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cerv Spine Canal W/WO Contrast | $1,606.23 | $5,949.00 | $1,010.00–$681.75 | at median | 73% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine Canal W/O Contrast | $1,322.73 | $4,899.00 | $1,010.00–$993.03 | 32% above | 73% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/WO Contrast | $1,534.38 | $5,682.90 | $1,010.00–$681.75 | at median | 73% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast | $1,070.84 | $3,966.06 | $1,005.95–$997.58 | 8% above | 73% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upp Extrem Jnt WO Contrast | $1,289.07 | $4,774.32 | $1,010.00–$989.00 | 7% above | 73% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocar Perf Spect Wall Mult | $1,205.49 | $4,464.77 | $1,018.25–$999.21 | 45% below | 73% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US,Pelvic (Nonobstetric),Real Time,Limited | $242.71 | $898.93 | $106.34–$951.00 | 5% below | 73% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US,Pelvic (Nonobstetric),Real Time,Complete | $361.05 | $1,337.22 | $1,006.69–$98.30 | at median | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Preg=>14wk Sng 1st Ges | $339.50 | $1,257.42 | $1,012.79–$98.30 | 5% above | 73% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Preg<14wk Sngl1st Gest | $314.82 | $1,166.00 | $1,049.40–$991.10 | 2% above | 73% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Preg 1 or >Fetuses Ltd | $174.83 | $647.52 | $106.34–$758.00 | 43% below | 73% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $165.56 | $613.19 | $101.40–$97.97 | — | 73% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Comp, Min 2 Views | $182.47 | $675.80 | $111.59–$9.41 | 10% below | 73% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom >6yr W 4/> Param | $732.59 | $2,713.29 | $1,003.94–$937.74 | 65% below | 73% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallow Func Cine/Video Wcon | $226.01 | $837.08 | $12.12–$933.00 | 33% below | 73% |
| Transvaginal pelvic ultrasound CPT 76830 HC Ultrasound Pelvis,Transvaginal | $268.04 | $992.74 | $1,005.75–$992.77 | 23% below | 73% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US, Obstetric | $213.00 | $788.88 | $106.34–$98.30 | 23% below | 73% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete | $425.02 | $1,574.16 | $106.34–$98.30 | at median | 73% |
| Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents | $306.88 | $1,136.58 | $1,022.92–$98.30 | 13% below | 73% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time | $334.58 | $1,239.18 | $1,053.30–$987.83 | 7% above | 73% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi/Scout Abd Sng Con | $261.36 | $968.00 | $1,003.00–$968.03 | 38% below | 73% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Venous Duplex Scan Lower or Upper Extrem Unilat | $362.07 | $1,341.00 | $1,005.75–$999.83 | 4% above | 73% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist, Comp, Min 3 Views | $128.97 | $477.66 | $111.59–$88.05 | 33% below | 73% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views | $165.89 | $614.41 | $111.59–$88.05 | 9% below | 73% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View | $112.73 | $417.51 | $10.10–$88.05 | 44% below | 73% |
| X-ray of the ankle, 2 views CPT 73600 HC Ankle Two Views | $104.78 | $388.07 | $10.10–$88.05 | 34% below | 73% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Finger, Min 2 Views | $123.74 | $458.28 | $10.23–$99.20 | 22% below | 73% |
| X-ray of the foot, 2 views CPT 73620 HC Foot Two Views | $100.48 | $372.15 | $10.10–$88.05 | 40% below | 73% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot Comp, Min 3 Views | $131.65 | $487.61 | $111.59–$88.05 | 27% below | 73% |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Two Views | $129.58 | $479.94 | $111.59–$88.05 | 36% below | 73% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views | $110.81 | $410.40 | $10.10–$99.96 | 40% below | 73% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbosacral 2 or 3 View | $145.01 | $537.09 | $106.34–$9.41 | 45% below | 73% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Spine Lumbosacral 4+ Views | $232.59 | $861.43 | $106.34–$933.00 | 16% below | 73% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Spine Thoracic Two Views Her | $111.06 | $411.32 | $106.34–$9.41 | 45% below | 73% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones 3+ Views | $131.51 | $487.09 | $111.59–$9.41 | 35% below | 73% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2-3 Vws | $129.17 | $478.39 | $111.59–$9.41 | 36% below | 73% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 View | $129.98 | $481.42 | $106.34–$7.84 | 41% below | 73% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacroiliac, Min 3 Views | $115.12 | $426.36 | $102.96–$99.96 | 43% below | 73% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Aminot(Alt/Sgpt) | $25.08 | $92.90 | $10.16–$92.90 | 7% above | 73% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase, Aspartate | $25.08 | $92.90 | $10.16–$92.90 | at median | 73% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $30.33 | $112.35 | $100.61–$98.66 | 82% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Assay of Glycated Protein | $4.68 | $17.32 | $11.29–$9.97 | 71% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea Ref | $12.14 | $44.97 | $12.59–$8.29 | 24% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Each Allergen | $12.14 | $44.97 | $12.59–$8.29 | 24% below | 73% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IgG | $16.14 | $59.79 | $11.27–$7.80 | 66% below | 73% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide (CCP) Antibodies | $29.84 | $110.53 | $102.79–$99.48 | 36% below | 73% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Ab S | $8.92 | $33.03 | $10.24–$9.99 | 80% below | 73% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies | $41.19 | $152.57 | $10.50–$99.41 | 6% below | 73% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies, HEp-2 Substrate, IgG, S REF | $41.20 | $152.58 | $10.50–$99.42 | 6% below | 73% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Aild | $41.20 | $152.58 | $10.50–$99.42 | 6% below | 73% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $57.62 | $213.40 | $122.47–$78.96 | 53% below | 73% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $62.07 | $229.89 | $131.93–$9.89 | at median | 73% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Gross & Micro | $106.05 | $392.78 | $109.98–$98.15 | 41% below | 73% |
| Blood culture for bacteria CPT 87040 HC Culture Bact Blood | $53.72 | $198.97 | $10.32–$9.88 | 23% below | 73% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Lab Specimen Collection | $9.19 | $34.02 | $1.28–$9.82 | 42% below | 73% |
| Blood glucose (sugar) test CPT 82947 HC Glucose,Quantitative Blood | $26.57 | $98.40 | $2.30–$98.40 | 48% above | 73% |
| Blood lead test CPT 83655 HC Lead -POCT | $5.63 | $20.84 | $10.54–$7.71 | 87% below | 73% |
| Blood lead test CPT 83655 HC Lead Heavymetals Screen | $5.63 | $20.84 | $10.54–$7.71 | 87% below | 73% |
| Blood lead test CPT 83655 HC Lead, Capillary, w/ Demographics, B REF | $8.10 | $30.00 | $10.08–$9.89 | 81% below | 73% |
| Blood lead test CPT 83655 HC Heavy Metals Scrn, Occ Exp, Ru | $47.05 | $174.27 | $10.54–$7.10 | 9% above | 73% |
| Blood lead test CPT 83655 HC Assay of Lead Ref | $47.05 | $174.27 | $10.54–$7.10 | 9% above | 73% |
| Blood lead test CPT 83655 HC Heavy Metals, 24 Hr Urine | $47.05 | $174.27 | $10.54–$7.10 | 9% above | 73% |
| Blood lead test CPT 83655 HC Lead,Venous, W/Demographics B Ref | $47.05 | $174.27 | $10.54–$7.10 | 9% above | 73% |
| Blood lead test CPT 83655 HC Heavy Metals Screen | $47.05 | $174.27 | $10.54–$7.10 | 9% above | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qualitative | $15.93 | $58.99 | $16.52–$8.12 | 55% below | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qual-Serum | $49.27 | $182.47 | $104.72–$8.12 | 39% above | 73% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Arc Abo Type | $7.43 | $27.50 | $1.75–$9.90 | 95% below | 73% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo | $35.63 | $131.95 | $1.75–$99.66 | 77% below | 73% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo (Forward) | $35.63 | $131.95 | $1.75–$99.66 | 77% below | 73% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $26.44 | $97.94 | $27.42–$97.94 | 10% below | 73% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe Ref | $31.05 | $115.00 | $103.50–$97.75 | 75% below | 73% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Direct (Diasorin) | $40.35 | $149.46 | $101.59–$97.39 | 68% below | 73% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Ag-C Diff Toxin | $100.19 | $371.07 | $103.90–$40.25 | 20% below | 73% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-19,Pancreatic Cyst Ref | $21.15 | $78.34 | $12.21–$78.34 | 72% below | 73% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay,Tumor Ag(Ca 19,9) | $24.57 | $91.00 | $12.21–$91.00 | 67% below | 73% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Antigen 19-9 | $47.63 | $176.42 | $101.25–$65.28 | 37% below | 73% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125, Serum | $40.95 | $151.68 | $103.10–$98.83 | 50% below | 73% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay-Tumor Ag Ca-125 | $40.95 | $151.68 | $103.10–$98.83 | 50% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR REF | $25.65 | $95.00 | $26.60–$95.00 | 78% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR (Quest - Emp) REF | $35.10 | $130.00 | $102.14–$98.18 | 70% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR (Quest - Res) REF | $35.10 | $130.00 | $102.14–$98.18 | 70% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Direct (Diasorin) | $49.53 | $183.45 | $105.28–$69.28 | 57% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID 19(ADSCIS) ref | $57.90 | $214.43 | $123.06–$78.74 | 50% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid19 | $57.90 | $214.43 | $123.06–$78.74 | 50% below | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19-ID NOW - Community Testing | $57.90 | $214.43 | $123.06–$78.74 | 50% below | 73% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C Trach Misc Amplified Rna | $51.77 | $191.75 | $110.05–$70.95 | 40% below | 73% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C.Trach,Misc,Amplified Rna Ref | $51.77 | $191.75 | $110.05–$70.95 | 40% below | 73% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis | $51.77 | $191.75 | $110.05–$70.95 | 40% below | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel(Cvp) | $90.18 | $334.01 | $100.07–$98.20 | 24% above | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid REF | $90.19 | $334.02 | $100.07–$98.20 | 24% above | 73% |
| Complete blood count (CBC) with differential CPT 85025 HC Blood Count Auto W/Auto Diff | $41.47 | $153.61 | $100.09–$88.42 | at median | 73% |
| Complete blood count (CBC), no differential CPT 85027 HC Blood Count Automated | $28.39 | $105.15 | $105.15–$97.79 | 8% below | 73% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $97.04 | $359.42 | $10.10–$9.19 | 3% above | 73% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer, P | $35.07 | $129.90 | $10.18–$98.10 | 5% below | 73% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Deg Prob;D-Dimer Quant | $38.11 | $141.15 | $10.18–$99.02 | 3% above | 73% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone (Dhea,Sulfate) | $12.42 | $46.00 | $12.38–$50.02 | 87% below | 73% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone(Dhea,Sulfate) | $69.59 | $257.73 | $13.05–$95.36 | 28% below | 73% |
| Estradiol blood test CPT 82670 HC Estradiol, Mass Spectrometry, S | $13.04 | $48.29 | $13.52–$62.87 | 87% below | 73% |
| Estradiol blood test CPT 82670 HC Estradiol | $66.53 | $246.39 | $141.40–$91.16 | 34% below | 73% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Horm | $79.05 | $292.78 | $10.91–$99.55 | 4% above | 73% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin,Fecal | $90.74 | $336.08 | $100.69–$98.81 | 15% below | 73% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin-Serum | $55.67 | $206.18 | $11.86–$76.29 | 17% below | 73% |
| Folate (folic acid) blood test CPT 82746 HC Folic Acid-Serum | $51.36 | $190.24 | $109.18–$8.83 | 16% below | 73% |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine T3,Free | $9.99 | $37.00 | $10.91–$9.94 | 89% below | 73% |
| Free T3 thyroid hormone test CPT 84481 HC T3 (Triiodothyronine), Free, Serum | $32.71 | $121.13 | $10.91–$96.90 | 63% below | 73% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxin Free | $63.19 | $234.02 | $10.80–$9.74 | at median | 73% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine), Free by Dialysis, Serum | $63.19 | $234.02 | $10.80–$9.74 | at median | 73% |
| Free testosterone test CPT 84402 HC Testosterone Free | $14.58 | $54.00 | $14.94–$81.80 | 84% below | 73% |
| Free testosterone test CPT 84402 HC Testosterone, Total, Bio, Free | $38.13 | $141.24 | $105.93–$99.08 | 59% below | 73% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel | $156.81 | $580.77 | $116.15–$580.77 | at median | 73% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose;Post Glucose Dose | $50.19 | $185.90 | $10.21–$9.50 | 136% above | 73% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tol Test 3 Spec | $68.95 | $255.38 | $11.20–$94.49 | 15% above | 73% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq Cgrna | $50.94 | $188.66 | $108.27–$69.80 | 49% below | 73% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Detection;Ng;Amp Pro | $50.94 | $188.66 | $108.27–$69.80 | 49% below | 73% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorr,Misc,Amplified Rna Ref | $50.94 | $188.66 | $108.27–$69.80 | 49% below | 73% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab | $7.83 | $29.00 | $10.95–$99.93 | 85% below | 73% |
| H. pylori antibody blood test CPT 86677 HC Antibody H Pylori Igg | $9.13 | $33.81 | $10.13–$9.94 | 83% below | 73% |
| H. pylori antibody blood test CPT 86677 HC H. Pylori Ab Igg Igm Iga S | $15.39 | $57.00 | $10.95–$8.82 | 71% below | 73% |
| H. pylori antibody blood test CPT 86677 HC Antibody H Pylori Igm | $15.39 | $57.00 | $10.95–$8.82 | 71% below | 73% |
| H. pylori stool antigen test CPT 87338 HC Infectious Agnet-Ag H Pylori Stool(Hpag) | $41.47 | $153.61 | $10.95–$9.73 | 34% below | 73% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W Hiv-1/2 Abs, Expidited | $24.39 | $90.35 | $18.67–$90.35 | 70% below | 73% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1/-2 Ag & Ab Screen, P | $28.67 | $106.18 | $106.18–$98.75 | 65% below | 73% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W Hiv-1/2 Abs, Single | $28.67 | $106.18 | $106.18–$98.75 | 65% below | 73% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Human Papillomavirus High Risk | $50.66 | $187.63 | $107.68–$69.42 | 43% below | 73% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin;Glycated POC | $30.34 | $112.37 | $10.00–$95.51 | 26% below | 73% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin;Glycated | $30.34 | $112.37 | $10.00–$95.51 | 26% below | 73% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody, Qual/Quant, Serum | $9.20 | $34.08 | $10.02–$9.83 | 79% below | 73% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab | $37.30 | $138.14 | $10.20–$96.91 | 13% below | 73% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen, Serum | $8.76 | $32.46 | $10.06–$9.82 | 77% below | 73% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent(HEP B SURF AG) | $42.17 | $156.18 | $10.33–$89.90 | 13% above | 73% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $59.57 | $220.62 | $10.10–$81.63 | at median | 73% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody W/ Reflex to Hcv Pcr, Serum | $59.57 | $220.62 | $10.10–$81.63 | at median | 73% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Infectious Agent;Hep C Rna-Quant | $74.32 | $275.26 | $100.14–$99.09 | 44% below | 73% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Virus Ab, S | $6.21 | $23.00 | $13.19–$7.74 | 84% below | 73% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Torch Profile,Igg,S | $21.62 | $80.09 | $11.48–$80.09 | 45% below | 73% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Hsv Types 1 and 2 Ab Igg | $21.62 | $80.09 | $11.48–$80.09 | 45% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody,Herpes Simplex 2 Igg | $11.07 | $41.00 | $11.38–$41.00 | 81% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Torch Profile,Igg,S | $41.27 | $152.86 | $103.90–$99.60 | 31% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Hsv Types 1 and 2 Ab Igg | $41.27 | $152.86 | $103.90–$99.60 | 31% below | 73% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity | $22.27 | $82.47 | $10.35–$82.47 | 53% below | 73% |
| Homocysteine blood test CPT 83090 HC Homocystine (Urine) | $25.00 | $92.60 | $15.60–$92.60 | 67% below | 73% |
| Homocysteine blood test CPT 83090 HC Homocystine(Hcs/Mahcs) | $31.73 | $117.52 | $105.77–$99.89 | 59% below | 73% |
| Insulin blood test CPT 83525 HC Insulin, Total | $7.29 | $27.00 | $11.43–$8.71 | 84% below | 73% |
| Insulin blood test CPT 83525 HC Insulin, Total, S Ref | $32.29 | $119.59 | $101.65–$95.67 | 31% below | 73% |
| Iron blood test (serum iron) CPT 83540 HC Ironliver Tissue | $23.40 | $86.65 | $10.16–$86.65 | 24% below | 73% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron (REF) | $30.34 | $112.37 | $10.16–$95.51 | 1% below | 73% |
| Iron blood test (serum iron) CPT 83540 HC Iron | $30.34 | $112.37 | $10.16–$95.51 | 1% below | 73% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test (REF) | $35.75 | $132.39 | $10.16–$99.98 | 14% below | 73% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity(Tibc) | $35.75 | $132.39 | $10.16–$99.98 | 14% below | 73% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $74.32 | $275.25 | $10.42–$99.09 | 13% above | 73% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone | $77.16 | $285.78 | $10.87–$98.77 | at median | 73% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $28.11 | $104.12 | $104.12–$96.83 | 17% below | 73% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $55.11 | $204.12 | $117.14–$9.89 | 26% below | 73% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibodies (Igg/Igm) | $45.93 | $170.10 | $10.00–$97.91 | at median | 73% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Serology, S Ref(Ticks) | $45.93 | $170.10 | $10.00–$97.91 | at median | 73% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Serology Eval | $45.93 | $170.10 | $10.00–$97.91 | at median | 73% |
| Magnesium blood test CPT 83735 HC Magnesium(Sat24) | $21.71 | $80.41 | $10.16–$80.41 | 26% below | 73% |
| Magnesium blood test CPT 83735 HC Magnesium | $21.71 | $80.41 | $10.16–$80.41 | 26% below | 73% |
| Measles (rubeola) antibody test CPT 86765 HC Antibody,Rubeola | $7.83 | $29.00 | $12.88–$58.23 | 83% below | 73% |
| Measles (rubeola) antibody test CPT 86765 HC Measles (Rubeola) Antibody Igg | $44.65 | $165.37 | $107.76–$95.19 | 2% below | 73% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Ab (Igm) Titer, If | $44.65 | $165.37 | $107.76–$95.19 | 2% below | 73% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Ab,Screen | $37.58 | $139.17 | $10.27–$97.63 | at median | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free Monitoring | $49.82 | $184.53 | $10.79–$68.28 | 16% below | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Spec Ag Free Screening | $49.82 | $184.53 | $10.79–$68.28 | 16% below | 73% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Spec Ag Free Ref | $49.82 | $184.53 | $10.79–$68.28 | 16% below | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Ag; Total,Monitoring | $49.69 | $184.02 | $10.79–$68.09 | 24% below | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Ag; Total,Screen | $49.69 | $184.02 | $10.79–$68.09 | 24% below | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa, Total Ref | $49.69 | $184.02 | $10.79–$68.09 | 24% below | 73% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath W/Auto Sc- Routine (Cerv or Vag) | $64.38 | $238.44 | $136.84–$88.22 | at median | 73% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Scrn Pap,Thinprep W/Reflx | $38.97 | $144.33 | $101.02–$99.57 | 47% below | 73% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone(Parathyroid Hormone) | $59.11 | $218.93 | $125.64–$92.88 | 56% below | 73% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathyroid Hormone (Pth) | $59.11 | $218.93 | $125.64–$92.88 | 56% below | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lupus Anticoagulant Profile | $29.78 | $110.31 | $102.59–$99.28 | at median | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial | $29.78 | $110.31 | $102.59–$99.28 | at median | 73% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Non-Invasive Prenatal Testing for Fetal Aneuploidy REF | $695.06 | $2,574.30 | $1,477.39–$952.49 | 28% below | 73% |
| Progesterone blood test CPT 84144 HC Progesterone | $85.73 | $317.52 | $101.61–$98.43 | 3% below | 73% |
| Progesterone blood test CPT 84144 HC Progesterone Serum | $85.73 | $317.52 | $101.61–$98.43 | 3% below | 73% |
| Prolactin blood test CPT 84146 HC Prolactin | $65.69 | $243.30 | $11.37–$90.02 | 8% below | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time Fspt | $14.33 | $53.08 | $13.74–$8.89 | 24% below | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Ref | $24.22 | $89.69 | $2.31–$89.69 | 28% above | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Pt/Inr Coagucheck | $24.22 | $89.69 | $2.31–$89.69 | 28% above | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $24.22 | $89.69 | $2.31–$89.69 | 28% above | 73% |
| Rapid flu test (influenza antigen) CPT 87804 HC Infectious Agent Ag - Flu | $22.32 | $82.66 | $14.41–$82.66 | 45% below | 73% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agentstrep Group A | $13.01 | $48.19 | $13.49–$8.52 | 67% below | 73% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT Rapid Strep A | $13.01 | $48.19 | $13.49–$8.52 | 67% below | 73% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatiod Factor Quant REF | $7.44 | $27.54 | $10.02–$9.91 | 73% below | 73% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatiod Factor Quantitative | $27.56 | $102.06 | $10.50–$94.92 | at median | 73% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab, Igg, S | $8.64 | $32.00 | $10.24–$9.92 | 80% below | 73% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Ref | $25.05 | $92.78 | $12.53–$92.78 | 41% below | 73% |
| Rubella antibody test (immunity check) CPT 86762 HC Torch Profile,Igg,S | $25.05 | $92.78 | $12.53–$92.78 | 41% below | 73% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab Igg | $25.05 | $92.78 | $12.53–$92.78 | 41% below | 73% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate | $24.77 | $91.75 | $1.58–$91.75 | at median | 73% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Complete Lab | $45.36 | $168.00 | $10.72–$94.33 | 23% above | 73% |
| Stool ova and parasites exam CPT 87177 HC Ova & Para Direct Smear Conc/Ident | $27.77 | $102.87 | $10.68–$95.67 | 28% below | 73% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC - Blood, Occult Feces, Screening Triple Card | $24.22 | $89.69 | $1.91–$89.69 | 60% above | 73% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult Feces;Immunoassay (1-3) | $12.80 | $47.42 | $13.28–$9.33 | 72% below | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl, CSF | $20.48 | $75.86 | $2.50–$75.86 | 11% above | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Qual (Rpr) | $20.48 | $75.86 | $2.50–$75.86 | 11% above | 73% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test,Cell Mediated Immunity | $20.52 | $76.00 | $105.00–$97.65 | 86% below | 73% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Mediated Immunity | $75.95 | $281.28 | $100.42–$98.50 | 49% below | 73% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone, Total | $57.34 | $212.37 | $121.88–$78.58 | 34% below | 73% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Total,Bio | $57.34 | $212.37 | $121.88–$78.58 | 34% below | 73% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Total | $57.34 | $212.37 | $121.88–$78.58 | 34% below | 73% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Liver/Kidney Microsomal Ab | $21.57 | $79.90 | $12.67–$8.54 | 57% below | 73% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyrogl Ab W Thyroid Perox Ab | $21.57 | $79.90 | $12.67–$8.54 | 57% below | 73% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroid Peroxidase Antibody | $21.57 | $79.90 | $12.67–$8.54 | 57% below | 73% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroperoxidase Ab | $21.57 | $79.90 | $12.67–$8.54 | 57% below | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $73.21 | $271.13 | $10.91–$99.56 | 7% below | 73% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif (Male) Ref | $50.10 | $185.56 | $106.49–$68.66 | 32% below | 73% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif(Female) Ref | $50.10 | $185.56 | $106.49–$68.66 | 32% below | 73% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis;Amp Probe | $50.10 | $185.56 | $106.49–$68.66 | 32% below | 73% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif Ref | $50.10 | $185.56 | $106.49–$68.66 | 32% below | 73% |
| Uric acid blood test CPT 84550 HC Uric Acid | $14.89 | $55.15 | $10.17–$9.72 | 37% below | 73% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto With Micro | $27.00 | $100.00 | $100.00–$93.00 | 8% below | 73% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis,Non Auto W/Micro | $8.91 | $33.00 | $1.86–$9.00 | 17% below | 73% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro | $18.37 | $68.05 | $1.32–$68.05 | 8% above | 73% |
| Urinalysis without microscope exam, automated CPT 81003 HC POCT Perform Urine Dipstick | $18.37 | $68.05 | $1.32–$68.05 | 8% above | 73% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Auto W/O Micro | $7.29 | $27.00 | $1.50–$9.87 | 38% below | 73% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Bact Urine Quant | $38.13 | $141.24 | $10.89–$99.08 | 10% below | 73% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Preg Test Visual Color | $38.97 | $144.32 | $101.02–$99.57 | 25% above | 73% |
| Urine pregnancy test, read by color change CPT 81025 HC POCT Perform Urine Pregnancy | $38.97 | $144.32 | $101.02–$99.57 | 25% above | 73% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vit B | $36.46 | $135.05 | $101.29–$94.74 | 43% below | 73% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Calcifediol(24-Oh Vit D-3) | $64.71 | $239.65 | $137.54–$88.67 | 27% below | 73% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D; 25 Hyrdoxy | $64.71 | $239.65 | $137.54–$88.67 | 27% below | 73% |
| Zinc blood test CPT 84630 HC Iron Stain | $6.48 | $24.00 | $10.05–$9.91 | 81% below | 73% |
| Zinc blood test CPT 84630 HC Zinc | $8.82 | $32.66 | $10.12–$9.91 | 75% below | 73% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg, Tumor Marker | $61.10 | $226.29 | $12.49–$83.73 | at median | 73% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadrotropin Chorionic Quant | $61.10 | $226.29 | $12.49–$83.73 | at median | 73% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast 1st Lesion Strtctc 711 | $486.00 | $1,800.00 | $1,126.19–$647.90 | 83% below | 73% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Ext | $453.87 | $1,681.00 | $1,025.14–$995.29 | 54% below | 73% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Clsd Fx Colles' Smith Type | $75.41 | $279.30 | $100.55–$98.74 | 85% below | 73% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy W/Bx Cervix | $165.85 | $614.25 | $385.52 | 58% below | 73% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $286.90 | $1,062.60 | $845.94 | 79% below | 73% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destroy Benign/Prem Lg Lesion | $66.06 | $244.65 | $251.83 | 72% below | 73% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Using Irrigation/Lavage,Unilateral | $20.41 | $75.60 | $21.60–$75.28 | 80% below | 73% |
| Earwax removal with instruments, one ear CPT 69210 HC Rem Impacted Cerumen | $39.41 | $145.95 | $27.21–$75.28 | 68% below | 73% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Endometrial Biopsy | $95.82 | $354.90 | $254.96 | 78% below | 73% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Xr Inj for Hystersalpingo | $40.54 | $150.15 | $103.59–$150.15 | 84% below | 73% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Insert Iud | $34.87 | $129.15 | $21.42 | 86% below | 73% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Simple | $65.41 | $242.26 | $251.83–$86.49 | 82% below | 73% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injections(S)-Single Tendon Sheath , or Ligament,Aponeurosis | $96.39 | $357.00 | $374.12–$62.37 | 76% below | 73% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthocen/Aspir Inj Lg Joint | $118.30 | $438.13 | $140.20–$374.12 | 68% below | 73% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Ins Rx Deliv Implant | $36.86 | $136.50 | $163.37 | 86% below | 73% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Introduction or Removal Intermediate Join or Bursa | $83.07 | $307.65 | $374.12–$57.55 | 76% below | 73% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis,Aspiration & or Injection;Small Joint/Bursa | $94.41 | $349.65 | $109.18–$374.12 | 73% below | 73% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lac Rep Int Scalp Tk Less Than 2.6 | $172.86 | $640.24 | $101.17–$925.06 | 69% below | 73% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Benign Lesion 0-.5cm | $193.91 | $718.20 | $66.88–$891.71 | 78% below | 73% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hchc Exc Skin Benig <5mm Face,Facial450 | $211.47 | $783.23 | $1,066.75–$941.25 | 77% below | 73% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail | $59.25 | $219.45 | $1,126.19–$925.06 | 79% below | 73% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Injection, Anesthetic Agent/Greater Occipital Nerve | $126.72 | $469.35 | $107.96–$374.12 | 68% below | 73% |
| Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Imaging | $645.57 | $2,390.99 | $1,126.19–$937.56 | 48% below | 73% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Matrix | $171.35 | $634.64 | $101.44–$99.50 | 70% below | 73% |
| Prostate biopsy CPT 55700 HC US Prostate Needle Placmt | $582.31 | $2,156.70 | $2,596.24–$383.04 | 75% below | 73% |
| Removal of a foreign object under the skin, simple CPT 10120 HC FB Rem Simple | $241.60 | $894.81 | $286.35–$506.36 | 56% below | 73% |
| Short arm cast (elbow to hand) CPT 29075 HC Cast App Forearem | $78.83 | $291.96 | $336.59–$50.40 | 75% below | 73% |
| Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Static | $84.82 | $314.14 | $100.53–$163.37 | 54% below | 73% |
| Short leg cast (below the knee) CPT 29405 HC Cast App Short Leg-Knee-Toe | $79.64 | $294.97 | $336.59–$61.15 | 76% below | 73% |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint | $57.34 | $212.36 | $199.98–$75.82 | 70% below | 73% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Lac Rep Sim Trunk Less Than 2.6 | $142.79 | $528.84 | $169.24–$251.83 | 50% below | 73% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tag | $66.91 | $247.80 | $22.40–$251.83 | 77% below | 73% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture Dx | $200.43 | $742.35 | $512.15–$877.69 | 79% below | 73% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture | $636.42 | $2,357.12 | $1,126.19–$925.06 | 33% below | 73% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Lac Rep Sim Trunk 2.6 - 7.5 | $157.07 | $581.73 | $1,126.19–$925.06 | 55% below | 73% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Lac Rep Sim Face Ear Less Than 2.5 | $146.82 | $543.79 | $189.83–$251.83 | 52% below | 73% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Bx of Skin,Sngl Lesion | $59.04 | $218.68 | $150.87–$925.06 | 87% below | 73% |
| Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/Imaging | $202.50 | $750.00 | $1,126.19–$783.57 | 84% below | 73% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection(S);Single or Mult Trigger Point(S),1 or 2 Muscles | $85.90 | $318.15 | $374.12–$81.68 | 75% below | 73% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US Imag | $460.40 | $1,705.20 | $2,053.46 | 83% below | 73% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Upper GI Endoscopy W/Biopsy | $278.68 | $1,032.15 | $1,188.24 | 75% below | 73% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Vasectomy | $786.15 | $2,911.65 | $2,596.24 | 64% below | 73% |
| Wart removal, up to 14 warts CPT 17110 HC Dest Benign/Pm Les;1st | $66.06 | $244.65 | $251.83–$43.68 | 72% below | 73% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Skin Tissue | $143.48 | $531.42 | $1,126.19–$925.06 | 80% below | 73% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion - 1 Unit | $313.41 | $1,160.78 | $1,044.70–$986.69 | 57% below | 73% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 3 Units | $313.41 | $1,160.78 | $1,044.70–$986.69 | 57% below | 73% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 2 Units | $313.41 | $1,160.78 | $1,044.70–$986.69 | 57% below | 73% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerogen Solo Nebulizer Tx | $67.50 | $250.00 | $143.48–$92.50 | 70% below | 73% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Treat | $103.54 | $383.49 | $107.38–$70.00 | 54% below | 73% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Trauma Critical Care Emergency Room First 30-74 Minutes | $532.70 | $1,972.95 | $1,067.91–$925.06 | 65% below | 73% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Emergency Critical Care Without Trauma First 30-74 Minutes | $590.36 | $2,186.51 | $1,067.91–$925.06 | 62% below | 73% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake & Drowsy | $112.83 | $417.90 | $182.00–$870.61 | 79% below | 73% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only | $72.09 | $267.00 | $10.23–$98.79 | 50% below | 73% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Visit No MD/Qhcp Req | $87.96 | $325.76 | $100.99–$98.51 | 39% below | 73% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Visit Straightforward | $141.12 | $522.66 | $1,126.19–$925.06 | 55% below | 73% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Visit Low Level | $190.11 | $704.10 | $1,126.19–$925.06 | 58% below | 73% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Visit Moderate Level | $274.02 | $1,014.90 | $1,014.90–$925.06 | 59% below | 73% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Visit High Level | $415.33 | $1,538.25 | $1,011.13–$925.06 | 51% below | 73% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovas Stres Test W Rx | $208.37 | $771.75 | $1,000.00–$982.13 | 64% below | 73% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Ekg Stress | $421.82 | $1,562.31 | $1,000.00–$944.00 | 27% below | 73% |
| Eye exam, returning patient, intermediate CPT 92012 HC Eye Exam Clinic Use Fee | $40.17 | $148.79 | $102.65–$99.02 | 79% below | 73% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy With Patient | $42.81 | $158.55 | $109.38–$87.12 | 83% below | 73% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration Up to 1hr | $120.24 | $445.34 | $124.70–$445.35 | 65% below | 73% |
| IV infusion of a medicine, first hour CPT 96365 HC Intra Infus Up to 1hr | $127.20 | $471.11 | $131.92–$471.13 | 66% below | 73% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Ther/Proph/Dx Injec;Subcut/Intramusc | $30.90 | $114.43 | $102.99–$97.27 | 63% below | 73% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Interview | $89.63 | $331.95 | $102.90–$8.96 | 59% below | 73% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education Each 15 Min | $36.05 | $133.50 | $100.13–$99.92 | 57% below | 73% |
| New patient office visit, about 30 minutes CPT 99203 HC Off E&M New Mod | $54.81 | $203.00 | $140.05–$28.88 | 72% below | 73% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Nutrition Initl Ea15 | $7.65 | $28.35 | $11.51–$88.31 | 87% below | 73% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex | $52.74 | $195.35 | $100.20–$97.28 | 69% below | 73% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Physical Therapy Eval High Complexity | $94.80 | $351.12 | $101.46–$99.62 | 67% below | 73% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Eval Low Complexity | $73.76 | $273.18 | $100.32–$99.56 | 59% below | 73% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Physical Therapy Eval Mod Complexity | $76.04 | $281.62 | $100.55–$99.56 | 68% below | 73% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Ther Ea 15 Min | $36.18 | $134.00 | $100.07–$92.67 | 57% below | 73% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises Each 15 Min | $29.84 | $110.52 | $10.49–$99.90 | 64% below | 73% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Clinic Use Fee New 18-39 | $32.04 | $118.65 | $100.85–$97.99 | 84% below | 73% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Clinic Use Fee New 40-64 | $32.04 | $118.65 | $100.85–$98.36 | 85% below | 73% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC Clinic Use Fee 65 & Over. | $32.04 | $118.65 | $10.82–$98.36 | 87% below | 73% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC Clinic Use Fee Est 18-39 | $32.04 | $118.65 | $100.85–$99.71 | 82% below | 73% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC Clinic Use Fee Est 40-64 | $48.43 | $179.37 | $101.47–$66.37 | 75% below | 73% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC Clinic Use Fee Preventative | $49.96 | $185.04 | $104.68–$68.47 | 75% below | 73% |
| Psychiatric evaluation with medical services CPT 90792 HC Psych Diag Eval W/Med Srvcs | $42.81 | $158.55 | $109.38–$57.99 | 85% below | 73% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st | $242.46 | $898.00 | $104.40–$98.60 | 30% below | 73% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psytx Pt&/Family 30 Min | $65.97 | $244.32 | $11.51–$75.74 | 67% below | 73% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psytx Pt&/Family 45 Min | $72.37 | $268.03 | $11.51–$83.09 | 72% below | 73% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psytx Pt&/Family 60 Min | $66.80 | $247.41 | $13.24–$76.70 | 77% below | 73% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cessation 3-10 | $11.34 | $42.00 | $10.60–$68.00 | 73% below | 73% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office O/P Est Vst High 40 Min | $40.04 | $148.31 | $101.27–$98.32 | 83% below | 73% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office O/P Est Visit Low 20min | $36.84 | $136.45 | $102.35–$99.05 | 78% below | 73% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office O/P Est Visit Mod 30min | $38.44 | $142.38 | $100.84–$99.74 | 80% below | 73% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office O/P Est Visit Sf 10 Min | $35.24 | $130.52 | $10.38–$90.05 | 73% below | 73% |
| Speech and language evaluation CPT 92523 HC Speech Sound Lang Compehen | $105.35 | $390.20 | $1,019.74–$838.94 | 73% below | 73% |
| Speech therapy session, individual CPT 92507 HC St Treatment Speech Individ | $66.15 | $245.00 | $100.05–$98.18 | 64% below | 73% |
| Spirometry (breathing test) CPT 94010 HC Portable Pft/Bedside Screen | $62.10 | $230.00 | $149.87–$71.30 | 73% below | 73% |
| Spirometry (breathing test) CPT 94010 HC Resp Mechanics | $65.21 | $241.50 | $117.77–$89.36 | 72% below | 73% |
| Spirometry (breathing test) CPT 94010 HC (Fvc) (Vt) (Ve) Peak Flow Ea | $102.57 | $379.88 | $106.37–$379.89 | 56% below | 73% |
| Spirometry (breathing test) CPT 94010 HC Incentive Spirometry | $102.57 | $379.88 | $106.37–$379.89 | 56% below | 73% |
| Spirometry (breathing test) CPT 94010 HC Peak Flow Test | $102.57 | $379.88 | $117.77–$85.10 | 56% below | 73% |
| Spirometry (breathing test) CPT 94010 HC Nif Fvc Pf Peak Follow Up | $102.57 | $379.88 | $117.77–$85.10 | 56% below | 73% |
| Spirometry before and after a bronchodilator CPT 94060 HC Post Bronchodilator Pfl | $170.06 | $629.87 | $176.37–$629.89 | 55% below | 73% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activity Each 15 Min | $28.67 | $106.18 | $106.18–$98.75 | 69% below | 73% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phelbotomy | $110.00 | $407.40 | $119.84–$97.85 | 48% below | 73% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Moderna 12+Yr Sarscov2 Vac 50 Mcg/0.5ml Im | $52.92 | $196.00 | $101.92–$90.55 | 75% below | 73% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $154.71 | $573.00 | $114.60–$773.55 | 28% below | 73% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Varicella Virus Vaccine Live (Pf) 1,350 Unit/0.5 Ml Subcutaneous Susp [14757] | $71.73 | $265.65 | $100.70–$99.77 | 66% below | 73% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $137.16 | $508.00 | $101.60–$508.00 | 35% below | 73% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $7.56 | $28.00 | $10.00–$9.81 | 76% below | 73% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vacc Spl V Pf>=3yr Im | $7.94 | $29.40 | $10.00–$9.81 | 74% below | 73% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC Human Papillomavirus Vaccine,9-Valent (Pf) 0.5 Ml Im Suspension [201121] | $94.69 | $350.70 | $140.28–$70.14 | 83% below | 73% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION | $156.60 | $580.00 | $116.00–$580.00 | 72% below | 73% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $223.83 | $829.00 | $165.80–$829.00 | 61% below | 73% |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hepatitis a Virus Vaccine (Pf) 1,440 Elisa Unit/Ml Im Suspension [112019] | $21.26 | $78.75 | $102.63–$98.39 | 79% below | 73% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SUSPENSION | $48.33 | $179.00 | $123.49–$179.00 | 53% below | 73% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $52.92 | $196.00 | $135.22–$67.74 | 49% below | 73% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $52.92 | $196.00 | $135.22–$196.00 | 49% below | 73% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Vaccine 20 Mcg/1ml | $31.60 | $117.02 | $102.25–$99.47 | 61% below | 73% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Virus Vaccine Recomb (Pf) 20 Mcg/Ml Intramuscular Susp [111321] | $34.87 | $129.15 | $103.50–$97.75 | 57% below | 73% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Virus Vaccine Recomb (Pf) 20 Mcg/Ml Intramuscular Syringe [111241] | $34.87 | $129.15 | $103.50–$97.75 | 57% below | 73% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $35.37 | $131.00 | $111.35–$90.38 | 56% below | 73% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vaccine Ts(65yr Up)(Pf)180 Mcg/0.5 Ml Intramuscular Syringe | $29.70 | $110.00 | $102.30–$99.00 | 73% below | 73% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $29.70 | $110.00 | $102.30–$99.00 | 73% below | 73% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Measles,Mumps,Rubella Vaccine Live(Pf) 1,000-12,500tcid50/0.5 Ml Sub-Q [10512] | $28.07 | $103.95 | $102.73–$96.67 | 74% below | 73% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $66.69 | $247.00 | $141.66–$91.39 | 39% below | 73% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningoc Vac a,C,Y,W-135 Dip (Pf) 4 Mcg/0.5 Ml Intramuscular Solution [40540] | $81.08 | $300.30 | $101.76–$98.58 | 58% below | 73% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningoc Vac a,C,Y,W-135 Dip(Pf) 10 Mcg-5 Mcg/0.5 Ml Intramuscular Kit [101034] | $81.08 | $300.30 | $100.80–$92.53 | 58% below | 73% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $84.51 | $313.00 | $125.20–$62.60 | 57% below | 73% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $84.51 | $313.00 | $125.20–$62.60 | 57% below | 73% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Meningococcal B Vac,4-Cmp(Pf) 50mcg-50mcg-50mcg-25mcg/0.5ml Im Syringe [201637] | $85.05 | $315.00 | $100.37–$98.49 | 74% below | 73% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $125.82 | $466.00 | $186.40–$93.20 | 62% below | 73% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $182.79 | $677.00 | $135.40–$677.00 | 57% below | 73% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal 23 Polyvalent Vaccine 25 Mcg/0.5 Ml Injection Solution [11037] | $74.06 | $274.30 | $108.27–$88.86 | 48% below | 73% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $86.13 | $319.00 | $102.08–$98.89 | 39% below | 73% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $400.41 | $1,483.00 | $1,023.12–$838.93 | 61% below | 73% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC(PF), RECOMB (ABRYSVO) 120 MCG/0.5 ML IM SOLUTION | $216.54 | $802.00 | $160.40–$802.00 | 46% below | 73% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RESP SYNCYTIAL VIRUS VAC(PF), RECOMB ADJUVANTED (AREXVY) 120 MCG/0.5 ML IM SUSP, KIT | $191.70 | $710.00 | $142.00–$710.00 | 53% below | 73% |
| Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine, Purified Chicken Embryo Cell (Pf) 2.5 Unit Im Susp [22120] | $139.48 | $516.60 | $206.64–$738.00 | 71% below | 73% |
| Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine,Human Diploid (Pf) 2.5 Unit Intramuscular Solution [11257] | $139.48 | $516.60 | $230.72–$854.00 | 71% below | 73% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $222.75 | $825.00 | $255.52–$825.00 | 54% below | 73% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $273.51 | $1,013.00 | $1,013.00–$961.60 | 43% below | 73% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Shingrix | $110.83 | $410.48 | $108.94–$82.10 | 59% below | 73% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $148.50 | $550.00 | $110.00–$550.00 | 46% below | 73% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION | $148.50 | $550.00 | $110.00–$550.00 | 46% below | 73% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus and Diphtheria Tox (Pf) 5 Lf Unit-2 Lf Unit/0.5 Ml Im Susp [112409] | $20.41 | $75.60 | $22.40–$80.00 | 63% below | 73% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus and Diphtheria Tox (Pf) 5 Lf Unit-2 Lf Unit/0.5 Ml Im Syringe [112408] | $20.41 | $75.60 | $22.40–$82.00 | 63% below | 73% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $31.32 | $116.00 | $103.70–$98.60 | 44% below | 73% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $31.32 | $116.00 | $104.40–$98.60 | 44% below | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertus(Acel)Tetanus(Pf)2lf-(2.5-5-3-5mcg)-5 Lf/0.5 Ml Im Susp [41628] | $23.25 | $86.10 | $27.16–$97.00 | 59% below | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertussis(Acel),Tetanus 2.5 Lf Unit-8 Mcg-5 Lf/0.5ml Im Syringe [191344] | $30.90 | $114.45 | $103.01–$97.28 | 45% below | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertus(Ac)Tetanus(Pf)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 Ml Im Syringe [112534] | $30.90 | $114.45 | $103.01–$97.28 | 45% below | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertussis(Acell),Tetanus 2.5 Lf Unit-8 Mcg-5 Lf/0.5 Ml Im Susp [191345] | $30.90 | $114.45 | $103.01–$97.28 | 45% below | 73% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid VI Polysacch Vaccine 25 Mcg/0.5 Ml Intramuscular Syringe [14678] | $49.33 | $182.70 | $126.04–$91.43 | 81% below | 73% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $113.13 | $419.00 | $117.32–$419.00 | 58% below | 73% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Flu Vaccine Adm | $10.53 | $39.00 | $12.09–$73.19 | 86% below | 73% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Imm Adm,Single or Combination | $11.88 | $44.00 | $12.32–$90.20 | 84% below | 73% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Imm Adm,Single or Combination Endo | $20.13 | $74.55 | $10.40–$9.82 | 73% below | 73% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Pneumonia Vaccine Adm | $20.13 | $74.55 | $20.49–$74.55 | 73% below | 73% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Hep B Vaccine | $20.13 | $74.55 | $46.14–$74.55 | 73% below | 73% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Imm Admeach Additional Vaccine | $5.13 | $19.00 | $10.15–$7.03 | 84% below | 73% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Administration- Pneumococcal Vaccine | $11.34 | $42.00 | $1.24–$8.48 | 64% below | 73% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Imm Adm,Single or Combination Endo | $12.68 | $46.96 | $1.24–$6.01 | 60% below | 73% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Flu Vaccine Additional Adm | $12.68 | $46.96 | $10.78–$6.95 | 60% below | 73% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Pneumonia Vaccine Adm Additional | $12.68 | $46.96 | $1.55–$6.95 | 60% below | 73% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC Periodontal Scaling & Root | $64.80 | $240.00 | $1,023.48–$990.47 | 93% below | 73% |
| Dental implant, surgical placement CDT D6010 HC Odontics Endosteal Implant | $592.65 | $2,195.00 | $1,241.71–$680.45 | 45% below | 73% |
| Porcelain crown CDT D2740 HC Crown Porcelain/Ceramic Substrate | $347.00 | $1,285.20 | $1,092.42–$886.66 | 68% below | 73% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC Impact Tooth Remov Comp Bony | $146.00 | $540.75 | $155.00–$540.75 | 82% below | 73% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC Prophylaxis-Adult | $24.66 | $91.35 | $120.83–$91.35 | 84% below | 73% |