Hospital San Francisco-Oakland-Fremont, CA

Dignity Community Care

Dignity Community Care in Redwood City, CA publishes cash prices for 184 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 California median for 112 of 183 procedures and below it for 68. By typical cash price it ranks #108 of 168 California hospitals and #2 of 13 hospitals in the San Francisco, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

170 Alameda de las Pulgas, Redwood City, CA 94062 Collected Sep 27, 2026 Source price file (650) 369-5811

Acute care hospital Emergency department CMS star rating 5 of 5 CCN 050197 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $555.47 $1,526.00 $59.79–$24,323.00 — 64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $555.47 $1,526.00 $656.18–$1,251.32 — 64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON $531.81 $1,461.00 $54.64–$1,198.02 at median 64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON $531.81 $1,461.00 $628.23–$18,346.00 — 64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY $2,366.37 $6,501.00 $202.29–$5,330.82 12% above 64%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY $2,366.37 $6,501.00 $2,795.43–$5,330.82 — 64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON $4,168.90 $11,453.00 $261.07–$9,391.46 34% above 64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON $4,168.90 $11,453.00 $4,924.79–$9,391.46 — 64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W $872.15 $2,396.00 $312.13–$2,396.00 65% below 64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W $872.15 $2,396.00 $1,030.28–$1,964.72 — 64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON $148.15 $407.00 $81.33–$407.00 53% below 64%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON $148.15 $407.00 $175.01–$333.74 — 64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON $4,961.32 $13,630.00 $174.31–$11,176.60 77% above 64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON $4,961.32 $13,630.00 $5,860.90–$11,176.60 — 64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON $5,222.31 $14,347.00 $281.80–$11,764.54 30% above 64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON $5,222.31 $14,347.00 $6,169.21–$11,764.54 — 64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON $5,692.24 $15,638.00 $319.24–$12,823.16 28% above 64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON $5,692.24 $15,638.00 $6,724.34–$12,823.16 — 64%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON $2,711.44 $7,449.00 $261.07–$6,108.18 21% above 64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON $2,711.44 $7,449.00 $3,203.07–$6,108.18 — 64%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON $2,564.02 $7,044.00 $155.95–$5,776.08 37% above 64%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON $2,564.02 $7,044.00 $3,028.92–$5,776.08 — 64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON $2,459.55 $6,757.00 $155.95–$5,540.74 13% above 64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON $2,459.55 $6,757.00 $2,905.51–$5,540.74 — 64%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON $2,455.55 $6,746.00 $145.26–$5,531.72 7% above 64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON $2,455.55 $6,746.00 $2,900.78–$5,531.72 — 64%
CT scan of the head with contrast CPT 70460 CT HEAD W CON $2,946.95 $8,096.00 $204.88–$6,638.72 9% above 64%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON $2,946.95 $8,096.00 $3,481.28–$6,638.72 — 64%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON $3,560.65 $9,782.00 $241.04–$8,021.24 27% above 64%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON $3,560.65 $9,782.00 $4,206.26–$8,021.24 — 64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON $2,921.10 $8,025.00 $155.95–$6,580.50 4% above 64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON $2,921.10 $8,025.00 $3,450.75–$6,580.50 — 64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON $2,525.07 $6,937.00 $155.95–$5,688.34 13% below 64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON $2,525.07 $6,937.00 $2,982.91–$5,688.34 — 64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON $2,705.25 $7,432.00 $261.07–$6,094.24 6% above 64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON $2,705.25 $7,432.00 $3,195.76–$6,094.24 — 64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL $1,100.38 $3,023.00 $179.75–$24,323.00 9% below 64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL $1,100.38 $3,023.00 $1,299.89–$2,478.86 — 64%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS FY $319.60 $878.00 $27.47–$719.96 17% below 64%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS $356.00 $978.00 $27.47–$801.96 7% below 64%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS FY $319.60 $878.00 $377.54–$18,346.00 — 64%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS $356.00 $978.00 $420.54–$18,346.00 — 64%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW $404.77 $1,112.00 $17.65–$911.84 20% above 64%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW $404.77 $1,112.00 $478.16–$18,346.00 — 64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL $894.35 $2,457.00 $115.78–$2,014.74 6% above 64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL $894.35 $2,457.00 $1,056.51–$2,014.74 — 64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL $236.24 $649.00 $34.27–$691.57 50% below 64%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL $236.24 $649.00 $279.07–$18,346.00 — 64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON $2,760.58 $7,584.00 $155.95–$6,218.88 52% above 64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON $2,760.58 $7,584.00 $3,261.12–$6,218.88 — 64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON $2,898.54 $7,963.00 $230.85–$6,529.66 24% above 64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON $2,898.54 $7,963.00 $3,424.09–$6,529.66 — 64%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL $403.32 $1,108.00 $148.03–$1,108.00 2% below 64%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL $403.32 $1,108.00 $476.44–$908.56 — 64%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL $1,168.44 $3,210.00 $111.16–$24,323.00 21% above 64%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL $1,168.44 $3,210.00 $1,380.30–$2,632.20 — 64%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL $1,100.74 $3,024.00 $193.06–$24,323.00 2% below 64%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL $1,100.74 $3,024.00 $1,300.32–$2,479.68 — 64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W DOPPLER COMPLETE $2,828.28 $7,770.00 $239.76–$24,323.00 17% above 64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W DOPPLER COMPLETE $2,828.28 $7,770.00 $3,341.10–$6,371.40 — 64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM $1,802.90 $4,953.00 $291.01–$4,953.00 18% above 64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM $1,802.90 $4,953.00 $2,129.79–$4,061.46 — 64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD $624.63 $1,716.00 $87.13–$1,407.12 25% below 64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD $624.63 $1,716.00 $737.88–$1,407.12 — 64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE $2,484.67 $6,826.00 $131.79–$5,597.32 525% above 64%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE $2,484.67 $6,826.00 $2,935.18–$5,597.32 — 64%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON $4,053.87 $11,137.00 $273.91–$9,132.34 53% above 64%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO MRCP WO CON $4,395.67 $12,076.00 $273.91–$9,902.32 66% above 64%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON $4,053.87 $11,137.00 $4,788.91–$9,132.34 — 64%
MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIO MRCP WO CON $4,395.67 $12,076.00 $5,192.68–$9,902.32 — 64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON $4,884.16 $13,418.00 $333.52–$11,002.76 12% above 64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR CHOLANGI MRCP WO W CON $5,274.73 $14,491.00 $333.52–$11,882.62 21% above 64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON $4,884.16 $13,418.00 $5,769.74–$11,002.76 — 64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR CHOLANGI MRCP WO W CON $5,274.73 $14,491.00 $6,231.13–$11,882.62 — 64%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $3,826.74 $10,513.00 $272.77–$8,620.66 47% above 64%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $3,826.74 $10,513.00 $4,520.59–$8,620.66 — 64%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON $4,591.86 $12,615.00 $446.18–$10,344.30 22% above 64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON $4,591.86 $12,615.00 $5,424.45–$10,344.30 — 64%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON $3,077.26 $8,454.00 $266.80–$6,932.28 21% above 64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON $3,077.26 $8,454.00 $3,635.22–$6,932.28 — 64%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON $3,938.85 $10,821.00 $447.95–$8,873.22 at median 64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON $3,938.85 $10,821.00 $4,653.03–$8,873.22 — 64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON $2,954.23 $8,116.00 $265.87–$6,655.12 24% above 64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON $2,954.23 $8,116.00 $3,489.88–$6,655.12 — 64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON $4,520.52 $12,419.00 $449.31–$10,183.58 12% above 64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON $4,520.52 $12,419.00 $5,340.17–$10,183.58 — 64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON $3,531.53 $9,702.00 $266.30–$7,955.64 39% above 64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON $3,531.53 $9,702.00 $4,171.86–$7,955.64 — 64%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON $4,420.06 $12,143.00 $332.91–$9,957.26 30% above 64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON $4,420.06 $12,143.00 $5,221.49–$9,957.26 — 64%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON $3,668.76 $10,079.00 $226.34–$8,264.78 72% above 64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON $3,668.76 $10,079.00 $4,333.97–$8,264.78 — 64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL MID THIGH $3,930.48 $10,798.00 $2,127.01–$10,798.00 34% below 64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL MID THIGH $3,930.48 $10,798.00 $4,643.14–$8,854.36 — 64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U $773.87 $2,126.00 $59.61–$1,743.32 49% above 64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U $773.87 $2,126.00 $914.18–$1,743.32 — 64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP $1,031.94 $2,835.00 $97.04–$2,324.70 10% above 64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP $1,031.94 $2,835.00 $1,219.05–$2,324.70 — 64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES $986.08 $2,709.00 $135.29–$2,221.38 35% above 64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES $986.08 $2,709.00 $1,164.87–$2,221.38 — 64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST $864.87 $2,376.00 $78.42–$1,948.32 24% above 64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST $864.87 $2,376.00 $1,021.68–$1,948.32 — 64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD $356.72 $980.00 $90.30–$882.61 29% below 64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD $356.72 $980.00 $421.40–$803.60 — 64%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL $351.99 $967.00 $119.45–$967.00 36% above 64%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL $351.99 $967.00 $415.81–$792.94 — 64%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG $1,731.92 $4,758.00 $247.29–$24,323.00 2% below 64%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG $1,731.92 $4,758.00 $2,045.94–$3,901.56 — 64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON $639.92 $1,758.00 $74.46–$1,441.56 10% above 64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON $639.92 $1,758.00 $755.94–$18,346.00 — 64%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $780.42 $2,144.00 $97.04–$1,758.08 39% above 64%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $780.42 $2,144.00 $921.92–$1,758.08 — 64%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL $594.42 $1,633.00 $82.17–$1,339.06 3% above 64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL $594.42 $1,633.00 $702.19–$1,339.06 — 64%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON $1,178.27 $3,237.00 $119.34–$2,654.34 19% above 64%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON $1,178.27 $3,237.00 $1,391.91–$2,654.34 — 64%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $964.24 $2,649.00 $85.75–$2,172.18 8% above 64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $964.24 $2,649.00 $1,139.07–$2,172.18 — 64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK $914.01 $2,511.00 $85.69–$2,059.02 11% above 64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK $914.01 $2,511.00 $1,079.73–$2,059.02 — 64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON $833.56 $2,290.00 $146.35–$1,877.80 38% above 64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON $833.56 $2,290.00 $984.70–$18,346.00 — 64%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW FY $314.50 $864.00 $24.60–$708.48 4% above 64%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW $365.46 $1,004.00 $24.60–$823.28 21% above 64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW FY $314.50 $864.00 $371.52–$18,346.00 — 64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW $365.46 $1,004.00 $431.72–$18,346.00 — 64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2OR3V FY $377.11 $1,036.00 $43.45–$849.52 18% below 64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $530.72 $1,458.00 $43.45–$1,195.56 16% above 64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2OR3V FY $377.11 $1,036.00 $445.48–$18,346.00 — 64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $530.72 $1,458.00 $626.94–$18,346.00 — 64%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+VWS FY $637.00 $1,750.00 $62.90–$1,435.00 8% above 64%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS $700.70 $1,925.00 $62.90–$1,578.50 19% above 64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+VWS FY $637.00 $1,750.00 $752.50–$18,346.00 — 64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS $700.70 $1,925.00 $827.75–$18,346.00 — 64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2VWS FY $438.62 $1,205.00 $40.22–$988.10 22% above 64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS $626.45 $1,721.00 $40.22–$1,411.22 75% above 64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2VWS FY $438.62 $1,205.00 $518.15–$18,346.00 — 64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS $626.45 $1,721.00 $740.03–$18,346.00 — 64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+VIEWS FY $342.89 $942.00 $35.56–$772.44 10% below 64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS $451.36 $1,240.00 $35.56–$1,016.80 19% above 64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+VIEWS FY $342.89 $942.00 $405.06–$18,346.00 — 64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS $451.36 $1,240.00 $533.20–$18,346.00 — 64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3V FY $360.73 $991.00 $37.27–$812.62 16% below 64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW $480.85 $1,321.00 $37.27–$1,083.22 11% above 64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3V FY $360.73 $991.00 $426.13–$18,346.00 — 64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW $480.85 $1,321.00 $568.03–$18,346.00 — 64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS FY $357.45 $982.00 $31.01–$805.24 2% below 64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS $458.28 $1,259.00 $31.01–$1,032.38 26% above 64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS FY $357.45 $982.00 $422.26–$18,346.00 — 64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS $458.28 $1,259.00 $541.37–$18,346.00 — 64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ V FY $461.56 $1,268.00 $35.89–$1,039.76 8% above 64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS $556.20 $1,528.00 $35.89–$1,252.96 30% above 64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ V FY $461.56 $1,268.00 $545.24–$18,346.00 — 64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS $556.20 $1,528.00 $657.04–$18,346.00 — 64%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B $6.19 $17.00 $3.74–$18.48 86% below 64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO NAFL 2012521B $11.22 $30.80 $5.30–$30.80 74% below 64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT $76.44 $210.00 $5.30–$172.20 77% above 64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B $6.19 $17.00 $7.31–$18,346.00 — 64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO NAFL 2012521B $11.22 $30.80 $13.25–$18,346.00 — 64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT $255.17 $701.00 $301.43–$18,346.00 — 64%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A $6.19 $17.00 $3.74–$18.05 86% below 64%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO NAFL 2012521A $11.22 $30.80 $5.18–$30.80 75% below 64%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $81.54 $224.00 $5.18–$183.68 85% above 64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A $6.19 $17.00 $7.31–$18,346.00 — 64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO NAFL 2012521A $11.22 $30.80 $13.25–$18,346.00 — 64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $255.17 $701.00 $301.43–$18,346.00 — 64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 SM-ACUTE HEPATITIS PNL $252.98 $695.00 $47.63–$695.00 4% above 64%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 SM-ACUTE HEPATITIS PNL $575.12 $1,580.00 $679.40–$18,346.00 — 64%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A $2.36 $6.47 $1.43–$18.16 72% below 64%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ASPER FLA 2014003 $8.75 $24.03 $5.22–$24.03 5% above 64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A $2.36 $6.47 $2.79–$18,346.00 — 64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ASPER FLA 2014003 $8.75 $24.03 $10.34–$18,346.00 — 64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL R 3016635A $8.25 $22.66 $4.99–$45.10 59% below 64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-ILD PANEL2 3018869E $9.10 $25.00 $5.50–$45.10 55% below 64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL R 3016635A $8.25 $22.66 $9.75–$18,346.00 — 64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-ILD PANEL2 3018869E $9.10 $25.00 $10.75–$18,346.00 — 64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE $174.72 $480.00 $30.15–$480.00 1% below 64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE $447.72 $1,230.00 $528.90–$18,346.00 — 64%
Basic metabolic panel (blood test) CPT 80048 RL-SU-BASIC METABOLIC PNL $13.84 $38.00 $8.36–$38.00 93% below 64%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $152.88 $420.00 $8.46–$344.40 21% below 64%
Basic metabolic panel (blood test) inpatient CPT 80048 RL-SU-BASIC METABOLIC PNL $13.84 $38.00 $16.34–$18,346.00 — 64%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $206.76 $568.00 $244.24–$18,346.00 — 64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-PP-TISS EXAM LVL IV $37.09 $101.87 $43.81–$245.27 76% below 64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-SU-LVL IV -SURG PATH $62.25 $171.00 $58.80–$245.27 59% below 64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-PP-TISS EXAM LVL IV $37.09 $101.87 $43.81–$18,346.00 — 64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-SU-LVL IV -SURG PATH $62.25 $171.00 $73.53–$18,346.00 — 64%
Blood culture for bacteria CPT 87040 CULT BLOOD $147.42 $405.00 $10.32–$332.10 39% below 64%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD $476.12 $1,308.00 $562.44–$18,346.00 — 64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IP/ER $11.65 $32.00 $3.60–$13,750.00 52% below 64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP $29.85 $82.00 $3.60–$13,750.00 23% above 64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB $31.31 $86.00 $3.60–$13,750.00 29% above 64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $49.14 $135.00 $3.60–$13,750.00 102% above 64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IP/ER $11.65 $32.00 $13.76–$18,346.00 — 64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB $31.31 $86.00 $36.98–$18,346.00 — 64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $49.14 $135.00 $58.05–$18,346.00 — 64%
Blood glucose (sugar) test CPT 82947 RL-A-FIBRO NAFL 2012521D $11.22 $30.80 $3.93–$30.80 70% below 64%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD $62.98 $173.00 $3.93–$141.86 68% above 64%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-FIBRO NAFL 2012521D $11.22 $30.80 $13.25–$18,346.00 — 64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD $62.98 $173.00 $74.39–$18,346.00 — 64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL $167.44 $460.00 $7.52–$377.20 9% above 64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL $316.32 $869.00 $373.67–$18,346.00 — 64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BC-BL TYPE RECHECK A $9.94 $27.30 $3.41–$189.03 87% below 64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BC-ABO $11.83 $32.50 $3.41–$189.03 85% below 64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BC-ABO DISCREPANCY $18.35 $50.40 $3.41–$189.03 76% below 64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $28.03 $77.00 $3.41–$241.01 64% below 64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-A-IRL ABID 3017611A $30.47 $83.70 $3.41–$261.99 60% below 64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BC-BL TYPE RECHECK A $9.94 $27.30 $11.74–$18,346.00 — 64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BC-ABO $11.83 $32.50 $13.98–$18,346.00 — 64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BC-ABO DISCREPANCY $18.35 $50.40 $21.68–$18,346.00 — 64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-A-IRL ABID 3017611A $30.47 $83.70 $36.00–$18,346.00 — 64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $53.51 $147.00 $63.21–$18,346.00 — 64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $89.91 $247.00 $5.18–$202.54 92% above 64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $118.30 $325.00 $139.75–$18,346.00 — 64%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-A-CDIFF PCR 2002838 $34.22 $94.00 $20.68–$129.78 78% below 64%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB $129.95 $357.00 $28.64–$357.00 15% below 64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-A-CDIFF PCR 2002838 $34.22 $94.00 $40.42–$18,346.00 — 64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB $333.06 $915.00 $393.45–$18,346.00 — 64%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125 $50.60 $139.00 $18.50–$139.00 47% below 64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125 $103.02 $283.00 $121.69–$18,346.00 — 64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638 $27.23 $74.80 $16.46–$160.60 61% below 64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH $47.69 $131.00 $28.82–$160.60 32% below 64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638 $27.23 $74.80 $32.17–$18,346.00 — 64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH $47.69 $131.00 $56.33–$18,346.00 — 64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB $46.60 $128.00 $28.16–$128.00 15% below 64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB $46.60 $128.00 $55.04–$18,346.00 — 64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-Q92145 CARDIO IQ A $20.52 $56.37 $12.41–$56.37 80% below 64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-SU-LIPID PANEL $21.48 $59.00 $12.98–$59.00 79% below 64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $160.53 $441.00 $13.39–$361.62 58% above 64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-Q92145 CARDIO IQ A $20.52 $56.37 $24.24–$18,346.00 — 64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-SU-LIPID PANEL $21.48 $59.00 $25.37–$18,346.00 — 64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $472.11 $1,297.00 $557.71–$18,346.00 — 64%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $89.55 $246.00 $7.77–$201.72 19% below 64%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $298.85 $821.00 $353.03–$18,346.00 — 64%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF $62.61 $172.00 $6.47–$146.74 18% below 64%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF $260.99 $717.00 $308.31–$18,346.00 — 64%
Comprehensive metabolic panel (blood test) CPT 80053 RL-SU-CMP $17.11 $47.00 $10.34–$47.00 93% below 64%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $180.18 $495.00 $10.56–$405.90 29% below 64%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 RL-SU-CMP $17.11 $47.00 $20.21–$18,346.00 — 64%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $286.47 $787.00 $338.41–$18,346.00 — 64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN $327.24 $899.00 $10.18–$737.18 174% above 64%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN $327.24 $899.00 $386.57–$18,346.00 — 64%
FSH (follicle-stimulating hormone) test CPT 83001 RL-SU-FSH 31101383 $29.85 $82.00 $18.04–$82.00 66% below 64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 RL-SU-FSH 31101383 $29.85 $82.00 $35.26–$18,346.00 — 64%
Ferritin blood test (iron stores) CPT 82728 RL-A-FIBRO NAFL 2012521C $11.22 $30.80 $6.78–$47.45 87% below 64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $120.12 $330.00 $13.63–$309.06 44% above 64%
Ferritin blood test (iron stores) inpatient CPT 82728 RL-A-FIBRO NAFL 2012521C $11.22 $30.80 $13.25–$18,346.00 — 64%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $400.04 $1,099.00 $472.57–$18,346.00 — 64%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $85.91 $236.00 $14.70–$236.00 at median 64%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $204.57 $562.00 $241.66–$18,346.00 — 64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-FT4 ED-TMS 93244 $8.01 $22.00 $4.84–$31.39 88% below 64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $91.73 $252.00 $9.02–$206.64 35% above 64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-FT4 ED-TMS 93244 $8.01 $22.00 $9.46–$18,346.00 — 64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $278.83 $766.00 $329.38–$18,346.00 — 64%
Free testosterone test CPT 84402 RL-A-FREE T TMS 2003246 $10.92 $30.00 $6.60–$88.70 74% below 64%
Free testosterone test inpatient CPT 84402 RL-A-FREE T TMS 2003246 $10.92 $30.00 $12.90–$18,346.00 — 64%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $451.73 $1,241.00 $54.43–$1,017.62 63% above 64%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $451.73 $1,241.00 $533.63–$18,346.00 — 64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE $66.25 $182.00 $4.75–$149.24 49% above 64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP $89.55 $246.00 $4.75–$201.72 102% above 64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE $66.25 $182.00 $78.26–$18,346.00 — 64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP $303.94 $835.00 $359.05–$18,346.00 — 64%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC $118.67 $326.00 $12.87–$291.96 1% above 64%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC $118.67 $326.00 $140.18–$18,346.00 — 64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB $46.60 $128.00 $28.16–$128.00 13% below 64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB $46.60 $128.00 $55.04–$18,346.00 — 64%
HIV-1 and HIV-2 antibody test CPT 86703 SM-VIRUS TEST ANTIBODY $77.90 $214.00 $13.71–$214.00 87% above 64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 SM-VIRUS TEST ANTIBODY $226.78 $623.00 $267.89–$18,346.00 — 64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SF-IA HIV1 AG HIV1 HIV2AB $55.33 $152.00 $20.26–$152.00 9% below 64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SF-IA HIV1 AG HIV1 HIV2AB $55.33 $152.00 $65.36–$18,346.00 — 64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL-SU-HEMOGLOBIN A1C $15.66 $43.00 $9.46–$43.00 76% below 64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $92.82 $255.00 $9.71–$220.19 44% above 64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL-SU-HEMOGLOBIN A1C $15.66 $43.00 $18.49–$18,346.00 — 64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $319.96 $879.00 $377.97–$18,346.00 — 64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 SM-HEP B SURFACE AB $93.55 $257.00 $10.74–$235.62 143% above 64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 SM-HEP B SURFACE AB $218.04 $599.00 $257.57–$18,346.00 — 64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SM-HEP B SURFACE AG $85.18 $234.00 $10.33–$226.61 37% above 64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SM-HEP B SURFACE AG $218.40 $600.00 $258.00–$18,346.00 — 64%
Hepatitis C antibody blood test (screening) CPT 86803 SM-HEP C ANTIBODY $92.10 $253.00 $14.27–$253.00 77% above 64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 SM-HEP C ANTIBODY $214.76 $590.00 $253.70–$18,346.00 — 64%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY $86.64 $238.00 $11.06–$238.00 85% above 64%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY $86.64 $238.00 $102.34–$18,346.00 — 64%
Homocysteine blood test CPT 83090 RL-ML-HOMOCYSTEINE $52.42 $144.00 $14.99–$144.00 27% above 64%
Homocysteine blood test inpatient CPT 83090 RL-ML-HOMOCYSTEINE $52.42 $144.00 $61.92–$18,346.00 — 64%
Insulin blood test CPT 83525 INSULIN TOTAL $71.35 $196.00 $11.43–$196.00 114% above 64%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL $71.35 $196.00 $84.28–$18,346.00 — 64%
Iron blood test (serum iron) CPT 83540 IRON $72.44 $199.00 $6.47–$163.18 64% above 64%
Iron blood test (serum iron) inpatient CPT 83540 IRON $207.85 $571.00 $245.53–$18,346.00 — 64%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $72.44 $199.00 $8.74–$163.18 31% above 64%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $233.69 $642.00 $276.06–$18,346.00 — 64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $154.70 $425.00 $8.68–$348.50 10% above 64%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $258.08 $709.00 $304.87–$18,346.00 — 64%
LH (luteinizing hormone) test CPT 83002 RL-SU-LH 31101382 $29.85 $82.00 $18.04–$82.00 63% below 64%
LH (luteinizing hormone) test inpatient CPT 83002 RL-SU-LH 31101382 $29.85 $82.00 $35.26–$18,346.00 — 64%
Lipase blood test (pancreas enzyme) CPT 83690 RL-SU-LIPASE $11.29 $31.00 $6.82–$31.00 85% below 64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $156.89 $431.00 $6.89–$353.42 108% above 64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 RL-SU-LIPASE $11.29 $31.00 $13.33–$18,346.00 — 64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $156.89 $431.00 $185.33–$18,346.00 — 64%
Liver function blood test panel CPT 80076 RL-SU-HEPATIC FXN PANEL $13.11 $36.00 $7.92–$36.00 90% below 64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $118.30 $325.00 $8.17–$266.50 12% below 64%
Liver function blood test panel inpatient CPT 80076 RL-SU-HEPATIC FXN PANEL $13.11 $36.00 $15.48–$18,346.00 — 64%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $232.24 $638.00 $274.34–$18,346.00 — 64%
Lyme disease antibody test CPT 86618 RL-A-RFLX LYME MGR3006188 $9.10 $25.00 $5.50–$59.29 62% below 64%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053 $17.66 $48.51 $10.68–$59.29 26% below 64%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760 $18.20 $50.00 $11.00–$59.29 24% below 64%
Lyme disease antibody test inpatient CPT 86618 RL-A-RFLX LYME MGR3006188 $9.10 $25.00 $10.75–$18,346.00 — 64%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053 $17.66 $48.51 $20.86–$18,346.00 — 64%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760 $18.20 $50.00 $21.50–$18,346.00 — 64%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079 $8.74 $24.00 $5.28–$24.00 85% below 64%
Magnesium blood test CPT 83735 RL-SU-MAGNESIUM $10.92 $30.00 $6.60–$30.00 81% below 64%
Magnesium blood test CPT 83735 MAGNESIUM $101.56 $279.00 $6.70–$228.78 75% above 64%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079 $8.74 $24.00 $10.32–$18,346.00 — 64%
Magnesium blood test inpatient CPT 83735 RL-SU-MAGNESIUM $10.92 $30.00 $12.90–$18,346.00 — 64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $247.52 $680.00 $292.40–$18,346.00 — 64%
Measles (rubeola) antibody test CPT 86765 SM-RUBEOLA $101.56 $279.00 $12.88–$279.00 386% above 64%
Measles (rubeola) antibody test inpatient CPT 86765 SM-RUBEOLA $101.56 $279.00 $119.97–$18,346.00 — 64%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST SCRN $164.53 $452.00 $5.18–$370.64 77% above 64%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST SCRN $164.53 $452.00 $194.36–$18,346.00 — 64%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $135.78 $373.00 $18.39–$373.00 292% above 64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $135.78 $373.00 $160.39–$18,346.00 — 64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $122.67 $337.00 $18.39–$337.00 162% above 64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $160.53 $441.00 $189.63–$18,346.00 — 64%
Parathyroid hormone (PTH) blood test CPT 83970 RL-SU-PTH $65.89 $181.00 $39.82–$181.00 36% below 64%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP $129.22 $355.00 $41.28–$355.00 25% above 64%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT $248.25 $682.00 $41.28–$682.00 140% above 64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL-SU-PTH $65.89 $181.00 $77.83–$18,346.00 — 64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP $129.22 $355.00 $152.65–$18,346.00 — 64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT $248.25 $682.00 $293.26–$18,346.00 — 64%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-ML-LUPUS PTT $13.84 $38.00 $6.01–$38.00 63% below 64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME $94.64 $260.00 $6.01–$213.20 151% above 64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-ML-LUPUS PTT $13.84 $38.00 $16.34–$18,346.00 — 64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME $225.68 $620.00 $266.60–$18,346.00 — 64%
Prothrombin time (PT/INR) clotting test CPT 85610 ST-PROTHROMBIN TIME $4.01 $11.00 $2.42–$14.94 92% below 64%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260 $4.90 $13.46 $2.97–$14.94 90% below 64%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-ML-PT MIX STUDIES A $24.21 $66.50 $4.29–$66.50 49% below 64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $73.17 $201.00 $4.29–$164.82 53% above 64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ST-PROTHROMBIN TIME $4.01 $11.00 $4.73–$18,346.00 — 64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260 $4.90 $13.46 $5.79–$18,346.00 — 64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-ML-PT MIX STUDIES A $24.21 $66.50 $28.60–$18,346.00 — 64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $165.99 $456.00 $196.08–$18,346.00 — 64%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL R 3016635B $8.25 $22.66 $4.99–$22.66 37% below 64%
Rheumatoid factor (RF) test CPT 86431 RL-A-ILD PANEL2 3018869D $9.10 $25.00 $5.50–$25.00 30% below 64%
Rheumatoid factor (RF) test CPT 86431 SF-RA FACTOR TITER $75.35 $207.00 $5.67–$169.74 480% above 64%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL R 3016635B $8.25 $22.66 $9.75–$18,346.00 — 64%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-ILD PANEL2 3018869D $9.10 $25.00 $10.75–$18,346.00 — 64%
Rheumatoid factor (RF) test inpatient CPT 86431 SF-RA FACTOR TITER $198.38 $545.00 $234.35–$18,346.00 — 64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB $98.28 $270.00 $14.39–$270.00 146% above 64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB $188.92 $519.00 $223.17–$18,346.00 — 64%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE $177.27 $487.00 $12.31–$399.34 28% above 64%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE $344.35 $946.00 $406.78–$18,346.00 — 64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL $107.38 $295.00 $14.14–$241.90 199% above 64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL $275.55 $757.00 $325.51–$18,346.00 — 64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL $42.23 $116.00 $4.27–$96.81 183% above 64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL $131.41 $361.00 $155.23–$18,346.00 — 64%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY $75.35 $207.00 $14.55–$207.00 229% above 64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY $142.33 $391.00 $168.13–$18,346.00 — 64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-SU-TSH $26.94 $74.00 $16.28–$74.00 68% below 64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE $187.83 $516.00 $16.80–$423.12 125% above 64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-SU-TSH $26.94 $74.00 $31.82–$18,346.00 — 64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE $253.71 $697.00 $299.71–$18,346.00 — 64%
Uric acid blood test CPT 84550 RL-SU-URIC ACID SERUM $7.28 $20.00 $4.40–$20.00 88% below 64%
Uric acid blood test CPT 84550 URIC ACID BLOOD $94.64 $260.00 $4.52–$213.20 55% above 64%
Uric acid blood test inpatient CPT 84550 RL-SU-URIC ACID SERUM $7.28 $20.00 $8.60–$18,346.00 — 64%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD $197.29 $542.00 $233.06–$18,346.00 — 64%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO $72.44 $199.00 $3.17–$163.18 13% below 64%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO $259.17 $712.00 $306.16–$18,346.00 — 64%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO LAB $47.69 $131.00 $2.25–$107.42 15% below 64%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO LAB $164.53 $452.00 $194.36–$18,346.00 — 64%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT $147.79 $406.00 $8.07–$332.92 7% above 64%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT $369.46 $1,015.00 $436.45–$18,346.00 — 64%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL $50.96 $140.00 $4.02–$115.75 41% below 64%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL $50.96 $140.00 $60.20–$18,346.00 — 64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $85.91 $236.00 $15.08–$236.00 39% above 64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 $204.57 $562.00 $241.66–$18,346.00 — 64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $186.74 $513.00 $29.60–$513.00 192% above 64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY $477.94 $1,313.00 $564.59–$18,346.00 — 64%
Zinc blood test CPT 84630 RL-A-ZINC WB 2009373 $6.64 $18.22 $4.01–$39.63 52% below 64%
Zinc blood test CPT 84630 RL-A-ZN RBC 3003758 $16.75 $46.00 $10.12–$46.00 20% above 64%
Zinc blood test inpatient CPT 84630 RL-A-ZINC WB 2009373 $6.64 $18.22 $7.84–$18,346.00 — 64%
Zinc blood test inpatient CPT 84630 RL-A-ZN RBC 3003758 $16.75 $46.00 $19.78–$18,346.00 — 64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-SU-BHCG QUANT $24.03 $66.00 $14.52–$66.00 83% below 64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN $138.69 $381.00 $15.05–$326.78 at median 64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-SU-BHCG QUANT $24.03 $66.00 $28.38–$18,346.00 — 64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN $461.92 $1,269.00 $545.67–$18,346.00 — 64%

Surgery and procedures

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU $14,122.48 $38,798.00 $1,090.16–$47,814.00 9% above 64%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU $14,122.48 $38,798.00 $16,683.14–$31,814.36 — 64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT $4,641.73 $12,752.00 $175.66–$10,456.64 159% above 64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT $4,641.73 $12,752.00 $5,483.36–$10,456.64 — 64%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP $36,787.66 $101,065.00 $1,010.36–$112,606.82 20% above 64%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP $36,787.66 $101,065.00 $43,457.95–$82,873.30 — 64%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $2,455.91 $6,747.00 $183.91–$10,404.00 34% above 64%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $2,455.91 $6,747.00 $2,901.21–$5,532.54 — 64%
Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY $5,791.97 $15,912.00 $875.40–$34,358.00 41% below 64%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY $5,791.97 $15,912.00 $6,842.16–$13,047.84 — 64%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V $21,269.25 $58,432.00 $577.00–$48,037.39 46% above 64%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V $21,269.25 $58,432.00 $25,125.76–$47,914.24 — 64%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 1HR $270.82 $744.00 $49.47–$26,402.00 69% below 64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 2HR $334.16 $918.00 $49.47–$26,402.00 62% below 64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 3HR $370.19 $1,017.00 $49.47–$26,402.00 58% below 64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 4HR $433.53 $1,191.00 $49.47–$26,402.00 50% below 64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 5HR $496.86 $1,365.00 $49.47–$26,402.00 43% below 64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 6HR $559.84 $1,538.00 $49.47–$26,402.00 36% below 64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP $749.48 $2,059.00 $49.47–$26,402.00 14% below 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 1HR $270.82 $744.00 $319.92–$610.08 — 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 2HR $334.16 $918.00 $394.74–$752.76 — 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 3HR $370.19 $1,017.00 $437.31–$833.94 — 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 4HR $433.53 $1,191.00 $512.13–$976.62 — 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 5HR $496.86 $1,365.00 $586.95–$1,119.30 — 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 6HR $559.84 $1,538.00 $661.34–$1,261.16 — 64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP $749.48 $2,059.00 $885.37–$1,688.38 — 64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY $115.03 $316.00 $18.71–$26,402.00 63% below 64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY $255.53 $702.00 $18.71–$26,402.00 17% below 64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY $115.03 $316.00 $135.88–$259.12 — 64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY $255.53 $702.00 $301.86–$575.64 — 64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR $577.67 $1,587.00 $32.81–$1,587.00 34% below 64%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR $577.67 $1,587.00 $682.41–$1,301.34 — 64%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN $5,443.99 $14,956.00 $216.64–$19,591.00 10% above 64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN $5,443.99 $14,956.00 $6,431.08–$12,263.92 — 64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $627.18 $1,723.00 $86.73–$24,323.00 29% below 64%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $627.18 $1,723.00 $740.89–$1,412.86 — 64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY $566.75 $1,557.00 $8.51–$24,323.00 68% above 64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY $566.75 $1,557.00 $669.51–$1,276.74 — 64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 $606.06 $1,665.00 $21.77–$3,944.00 57% above 64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 $606.06 $1,665.00 $715.95–$1,365.30 — 64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 $808.45 $2,221.00 $34.97–$3,944.00 8% above 64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 $808.45 $2,221.00 $955.03–$1,821.22 — 64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 $1,313.68 $3,609.00 $63.97–$7,853.00 9% above 64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 $1,313.68 $3,609.00 $1,551.87–$2,959.38 — 64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 $2,374.38 $6,523.00 $98.04–$15,074.00 22% above 64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 $2,374.38 $6,523.00 $2,804.89–$5,348.86 — 64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 $5,051.96 $13,879.00 $155.03–$19,591.00 54% above 64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 $5,051.96 $13,879.00 $5,967.97–$11,380.78 — 64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN $577.67 $1,587.00 $46.13–$1,587.00 27% above 64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN $577.67 $1,587.00 $682.41–$1,301.34 — 64%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR $577.67 $1,587.00 $71.83–$4,250.00 21% above 64%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR $577.67 $1,587.00 $682.41–$1,301.34 — 64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM $199.84 $549.00 $17.21–$4,250.00 27% above 64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM $199.84 $549.00 $236.07–$450.18 — 64%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT $171.81 $472.00 $100.92–$698.91 6% below 64%
New patient office visit, about 30 minutes CPT 99203 OB VISIT LOW 30MN NW PT $227.87 $626.00 $100.92–$24,323.00 24% above 64%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT $171.81 $472.00 $202.96–$387.04 — 64%
New patient office visit, about 30 minutes inpatient CPT 99203 OB VISIT LOW 30MN NW PT $227.87 $626.00 $269.18–$513.32 — 64%
New patient office visit, about 45 minutes CPT 99204 OB VISIT MDT 45MN NW PT $329.06 $904.00 $122.74–$24,323.00 42% above 64%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT $364.37 $1,001.00 $122.74–$890.89 57% above 64%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT $2,376.92 $6,530.00 $122.74–$26,402.00 925% above 64%
New patient office visit, about 45 minutes inpatient CPT 99204 OB VISIT MDT 45MN NW PT $329.06 $904.00 $388.72–$741.28 — 64%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT $364.37 $1,001.00 $430.43–$820.82 — 64%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT $2,376.92 $6,530.00 $2,807.90–$5,354.60 — 64%
New patient office visit, about 60 minutes CPT 99205 OB VISIT HIGH 60MN NW PT $430.25 $1,182.00 $144.00–$24,323.00 54% above 64%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT $491.40 $1,350.00 $144.00–$1,201.50 76% above 64%
New patient office visit, about 60 minutes inpatient CPT 99205 OB VISIT HIGH 60MN NW PT $430.25 $1,182.00 $508.26–$969.24 — 64%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT $491.40 $1,350.00 $580.50–$1,107.00 — 64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW $160.53 $441.00 $61.11–$24,323.00 19% above 64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT $160.53 $441.00 $61.11–$698.91 19% above 64%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW $160.53 $441.00 $189.63–$361.62 — 64%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT $160.53 $441.00 $189.63–$361.62 — 64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT NUTRITION INITL EA15 $42.23 $116.00 $30.35–$26,402.00 58% below 64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT NUTRITION INITL EA15 $42.23 $116.00 $49.88–$95.12 — 64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT $413.87 $1,137.00 $101.90–$1,011.93 97% above 64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB VISIT HIGH 40MN EST PT $430.25 $1,182.00 $101.90–$24,323.00 105% above 64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT $413.87 $1,137.00 $488.91–$932.34 — 64%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB VISIT HIGH 40MN EST PT $430.25 $1,182.00 $508.26–$969.24 — 64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT $149.24 $410.00 $42.76–$698.91 3% above 64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB VISIT LOW 20MN EST PT $227.87 $626.00 $42.76–$24,323.00 57% above 64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT $149.24 $410.00 $176.30–$336.20 — 64%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB VISIT LOW 20MN EST PT $227.87 $626.00 $269.18–$513.32 — 64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT $316.32 $869.00 $66.16–$773.41 82% above 64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB VISIT MDT 30MN EST PT $329.06 $904.00 $66.16–$24,323.00 89% above 64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT $2,376.92 $6,530.00 $66.16–$26,402.00 1268% above 64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT $316.32 $869.00 $373.67–$712.58 — 64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB VISIT MDT 30MN EST PT $329.06 $904.00 $388.72–$741.28 — 64%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT $2,376.92 $6,530.00 $2,807.90–$5,354.60 — 64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT $128.50 $353.00 $20.13–$698.91 12% above 64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB VISIT STFD 10MN EST PT $152.16 $418.00 $20.13–$24,323.00 33% above 64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT $128.50 $353.00 $151.79–$289.46 — 64%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB VISIT STFD 10MN EST PT $152.16 $418.00 $179.74–$342.76 — 64%
Spirometry (breathing test) CPT 94010 SPIROMETRY $409.50 $1,125.00 $28.23–$922.50 27% above 64%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $409.50 $1,125.00 $483.75–$922.50 — 64%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST $588.23 $1,616.00 $51.67–$1,429.38 23% below 64%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST $588.23 $1,616.00 $694.88–$1,325.12 — 64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT $327.24 $899.00 $18.82–$26,402.00 10% above 64%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT $327.24 $899.00 $386.57–$737.18 — 64%

Vaccines

ProcedureCash price List priceInsurers payvs CaliforniaOff list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV VAC30MCG/0.3MLSDV $477.94 $1,313.00 $328.25–$1,313.00 105% above 64%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV VAC30MCG/0.3MLSDV $477.94 $1,313.00 $288.86–$1,076.66 — 64%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VAC 0.5ML INJ $609.34 $1,674.00 $184.24–$1,372.68 95% above 64%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VAC 0.5ML INJ $609.34 $1,674.00 $368.28–$1,372.68 — 64%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS $68.80 $189.00 $6.13–$154.98 105% above 64%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS $68.80 $189.00 $6.13–$154.98 — 64%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A-B VACC PF 20MCG INJ $318.14 $874.00 $135.39–$716.68 106% above 64%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A-B VACC PF 20MCG INJ $318.14 $874.00 $192.28–$716.68 — 64%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN $257.35 $707.00 $60.70–$579.74 85% above 64%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN $257.35 $707.00 $155.54–$579.74 — 64%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC $273.73 $752.00 $97.41–$616.64 134% above 64%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC $273.73 $752.00 $165.44–$616.64 — 64%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOC B OMV 0.5MLVACC $828.83 $2,277.00 $240.84–$1,867.14 189% above 64%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOC B OMV 0.5MLVACC $828.83 $2,277.00 $500.94–$1,867.14 — 64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT $869.96 $2,390.00 $597.50–$2,390.00 73% above 64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT $869.96 $2,390.00 $525.80–$1,959.80 — 64%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ $1,729.73 $4,752.00 $1,188.00–$4,752.00 79% above 64%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ $1,729.73 $4,752.00 $1,045.44–$3,896.64 — 64%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML $1,486.94 $4,085.00 $318.06–$3,349.70 110% above 64%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML $1,486.94 $4,085.00 $898.70–$3,349.70 — 64%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML $489.22 $1,344.00 $219.97–$1,102.08 125% above 64%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML $489.22 $1,344.00 $295.68–$1,102.08 — 64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM $155.43 $427.00 $34.06–$350.14 84% above 64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM $155.43 $427.00 $93.94–$350.14 — 64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE $65.16 $179.00 $4.46–$326.68 35% below 64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE $65.16 $179.00 $76.97–$146.78 — 64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD $65.16 $179.00 $15.54–$146.78 3% below 64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD $65.16 $179.00 $76.97–$146.78 — 64%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhbay/cacc/finance/price-transparency/815009488-1568646735_dignity-community-care_standardcharges.json