American Advanced - Glenn Medical Center
American Advanced - Glenn Medical Center in Willows, CA publishes cash prices for 333 common procedures listed here, from its own machine-readable price file updated Oct 4, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 223 of 329 procedures and above it for 103. By typical cash price it ranks #77 of 213 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1133 W Sycamore St Willows CA 95988 Collected Sep 27, 2026 Source price file (530) 934-1818
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 051306 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS | $1,980.09 | $3,300.15 | $340.87–$3,135.14 | 30% below | 40% |
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $471.87 | $786.45 | $43.18–$747.13 | 10% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL | $1,348.83 | $2,248.05 | $232.06–$2,135.65 | 41% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL | $1,348.83 | $2,248.05 | $232.06–$2,135.65 | 41% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RADIOLOGIC EXAMINATION, ESOPHAGUS, INCLUDING SCOUT CHEST RADIOGRAPH(S) AND DELAYED IMAGE(S), WHEN PERFORMED; SINGLE-CONTRAST (EG, BARIUM) STUDY | $176.40 | $294.00 | $54.64–$279.30 | 71% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN AND PELVIS, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING | $1,498.14 | $2,496.90 | $506.87–$2,372.06 | 72% below | 40% |
| CT angiography (CTA) of the head CPT 70496 COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING | $1,115.73 | $1,859.55 | $508.52–$1,766.57 | 64% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING | $2,009.70 | $3,349.50 | $522.23–$3,182.03 | 32% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 COMPUTED TOMOGRAPHIC ANGIOGRAPHY, CHEST (NONCORONARY), WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING | $2,107.35 | $3,512.25 | $388.59–$3,336.64 | 38% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL | $3,044.16 | $5,073.60 | $256.82–$4,819.92 | at median | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST MATERIAL(S) | $3,424.68 | $5,707.80 | $404.21–$5,422.41 | 17% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL IN ONE OR BOTH BODY REGIONS, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS IN ONE OR BOTH BODY REGIONS | $3,804.57 | $6,340.95 | $457.92–$6,023.90 | 15% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 COMPUTED TOMOGRAPHY, ABDOMEN; WITH CONTRAST MATERIAL(S) | $2,026.08 | $3,376.80 | $299.45–$3,207.96 | 20% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL | $2,026.08 | $3,376.80 | $208.42–$3,207.96 | 6% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL | $1,285.83 | $2,143.05 | $208.72–$2,035.90 | 41% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL | $1,285.83 | $2,143.05 | $165.86–$2,035.90 | 44% below | 40% |
| CT scan of the head with contrast CPT 70460 COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST MATERIAL(S) | $1,285.83 | $2,143.05 | $216.71–$2,035.90 | 52% below | 40% |
| CT scan of the head without and with contrast CPT 70470 COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS | $1,311.03 | $2,185.05 | $247.72–$2,075.80 | 57% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL | $2,026.08 | $3,376.80 | $232.06–$3,207.96 | 29% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL | $1,417.50 | $2,362.50 | $238.84–$2,244.38 | 51% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL STUDY | $856.80 | $1,428.00 | $224.68–$1,356.60 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 COMPUTED TOMOGRAPHY, THORAX, DIAGNOSTIC; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS | $1,738.17 | $2,896.95 | $357.58–$2,752.10 | 44% below | 40% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS | $255.78 | $426.30 | $39.42–$404.99 | 37% below | 40% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $45.36 | $75.60 | $22.68–$71.82 | 88% below | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE | $201.60 | $336.00 | $29.81–$319.20 | 58% below | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE | $201.60 | $336.00 | $29.81–$319.20 | 58% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE | $507.78 | $846.30 | $115.78–$803.99 | 40% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA), BONE DENSITY STUDY, 1 OR MORE SITES; APPENDICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL) | $99.00 | $165.00 | $36.00–$156.75 | 64% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 COMPUTED TOMOGRAPHY, THORAX, DIAGNOSTIC; WITHOUT CONTRAST MATERIAL | $1,677.06 | $2,795.10 | $233.36–$2,655.35 | 16% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 COMPUTED TOMOGRAPHY, THORAX, DIAGNOSTIC; WITH CONTRAST MATERIAL(S) | $1,677.06 | $2,795.10 | $297.64–$2,655.35 | 42% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL | $153.72 | $256.20 | $76.86–$243.39 | 59% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL | $153.72 | $256.20 | $76.86–$243.39 | 59% below | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX SCAN OF LOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS; COMPLETE BILATERAL STUDY | $1,129.59 | $1,882.65 | $138.95–$1,788.52 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; COMPLETE BILATERAL STUDY | $863.73 | $1,439.55 | $241.32–$1,367.57 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME WITH IMAGE DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN PERFORMED, COMPLETE, WITH SPECTRAL DOPPLER ECHOCARDIOGRAPHY, AND WITH COLOR FLOW DOPPLER ECHOCARDIOGRAPHY | $720.09 | $1,200.15 | $343.91–$1,140.14 | 73% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 RADIOLOGIC EXAMINATION, ELBOW; 2 VIEWS | $402.57 | $670.95 | $29.81–$637.40 | 2% above | 40% |
| Elbow X-ray, 2 views one side CPT 73070 RADIOLOGIC EXAMINATION, ELBOW; 2 VIEWS | $402.57 | $670.95 | $29.81–$637.40 | 2% above | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF 3 VIEWS | $434.07 | $723.45 | $37.27–$687.28 | 9% below | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 RADIOLOGIC EXAMINATION, ELBOW; COMPLETE, MINIMUM OF 3 VIEWS | $434.07 | $723.45 | $37.27–$687.28 | 9% below | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRAST MATERIAL | $1,285.83 | $2,143.05 | $302.69–$2,035.90 | 44% below | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 RADIOLOGIC EXAMINATION, FACIAL BONES; COMPLETE, MINIMUM OF 3 VIEWS | $529.20 | $882.00 | $53.47–$837.90 | 7% above | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 RADIOLOGIC EXAMINATION; FOREARM, 2 VIEWS | $402.57 | $670.95 | $29.81–$637.40 | 1% above | 40% |
| Hand X-ray, 2 views one side CPT 73120 RADIOLOGIC EXAMINATION, HAND; 2 VIEWS | $379.26 | $632.10 | $24.82–$600.50 | 7% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 RADIOLOGIC EXAMINATION, HAND; 2 VIEWS | $379.26 | $632.10 | $24.82–$600.50 | 7% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 RADIOLOGIC EXAMINATION; CALCANEUS, MINIMUM OF 2 VIEWS | $383.04 | $638.40 | $27.28–$606.48 | 9% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY; AGE 6 YEARS OR OLDER, SLEEP STAGING WITH 4 OR MORE ADDITIONAL PARAMETERS OF SLEEP, WITH INITIATION OF CONTINUOUS POSITIVE AIRWAY PRESSURE THERAPY OR BILEVEL VENTILATION, ATTENDED BY A TECHNOLOGIST | $587.79 | $979.65 | $293.90–$930.67 | 84% below | 40% |
| Knee X-ray, 3 views CPT 73562 RADIOLOGIC EXAMINATION, KNEE; 3 VIEWS | $328.86 | $548.10 | $33.54–$520.70 | 28% below | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 RADIOLOGIC EXAMINATION, KNEE; COMPLETE, 4 OR MORE VIEWS | $261.45 | $435.75 | $39.73–$413.96 | 55% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL | $1,348.83 | $2,248.05 | $232.06–$2,135.65 | 37% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL | $1,348.83 | $2,248.05 | $232.06–$2,135.65 | 37% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT, FOLLOW-UP) | $572.04 | $953.40 | $87.13–$905.73 | 31% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, 2 VIEWS | $402.57 | $670.95 | $29.81–$637.40 | 7% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MAGNETIC RESONANCE ANGIOGRAPHY, HEAD; WITHOUT CONTRAST MATERIAL(S) | $2,038.68 | $3,397.80 | $514.85–$3,227.91 | 31% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL | $979.65 | $1,632.75 | $489.83–$1,551.11 | 70% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL | $979.65 | $1,632.75 | $489.83–$1,551.11 | 70% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $3,152.52 | $5,254.20 | $822.18–$4,991.49 | 33% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $3,152.52 | $5,254.20 | $822.18–$4,991.49 | 33% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S) | $2,443.77 | $4,072.95 | $434.02–$3,869.30 | 12% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY WITH CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $3,152.52 | $5,254.20 | $661.42–$4,991.49 | 28% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL | $2,324.07 | $3,873.45 | $439.07–$3,679.78 | 21% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $3,151.89 | $5,253.15 | $594.39–$4,990.49 | 28% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL | $2,443.77 | $4,072.95 | $390.06–$3,869.30 | 21% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES; LUMBAR | $3,152.52 | $5,254.20 | $583.81–$4,991.49 | 31% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, THORACIC; WITHOUT CONTRAST MATERIAL | $2,443.77 | $4,072.95 | $394.99–$3,869.30 | 19% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES; CERVICAL | $3,152.52 | $5,254.20 | $592.86–$4,991.49 | 29% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL; WITHOUT CONTRAST MATERIAL | $2,443.77 | $4,072.95 | $391.86–$3,869.30 | 20% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES | $3,152.52 | $5,254.20 | $660.00–$4,991.49 | 26% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITHOUT CONTRAST MATERIAL(S) | $2,443.77 | $4,072.95 | $491.22–$3,869.30 | 5% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL(S) | $1,348.83 | $2,248.05 | $390.48–$2,135.65 | 50% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL(S) | $1,348.83 | $2,248.05 | $390.48–$2,135.65 | 50% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RADIOLOGIC EXAMINATION, SPINE, CERVICAL; 4 OR 5 VIEWS | $541.17 | $901.95 | $57.38–$856.85 | 12% below | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST MATERIAL(S) | $1,348.83 | $2,248.05 | $305.43–$2,135.65 | 48% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT CONTRAST MATERIAL | $1,605.24 | $2,675.40 | $249.10–$2,541.63 | 21% below | 40% |
| Neck soft tissue X-ray CPT 70360 RADIOLOGIC EXAMINATION; NECK, SOFT TISSUE | $161.28 | $268.80 | $24.82–$255.36 | 50% below | 40% |
| Pelvic CT scan without contrast CPT 72192 COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL | $2,026.08 | $3,376.80 | $204.64–$3,207.96 | 3% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND, PELVIC (NONOBSTETRIC), REAL TIME WITH IMAGE DOCUMENTATION; LIMITED OR FOLLOW-UP (EG, FOR FOLLICLES) | $369.18 | $615.30 | $60.49–$584.54 | 35% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND, PELVIC (NONOBSTETRIC), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE | $781.20 | $1,302.00 | $97.04–$1,236.90 | 17% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION | $539.91 | $899.85 | $135.29–$854.86 | 40% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION | $539.91 | $899.85 | $112.49–$854.86 | 34% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, PLACENTAL LOCATION, FETAL POSITION AND/OR QUALITATIVE AMNIOTIC FLUID VOLUME), 1 OR MORE FETUSES | $507.78 | $846.30 | $90.30–$803.99 | 16% below | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; 2 VIEWS | $190.89 | $318.15 | $38.96–$302.24 | 59% below | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; 2 VIEWS | $190.89 | $318.15 | $38.96–$302.24 | 59% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF 3 VIEWS | $602.28 | $1,003.80 | $46.36–$953.61 | 2% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RADIOLOGIC EXAMINATION, RIBS, UNILATERAL; INCLUDING POSTEROANTERIOR CHEST, MINIMUM OF 3 VIEWS | $602.28 | $1,003.80 | $46.36–$953.61 | 2% below | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST), INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED | $154.35 | $257.25 | $77.18–$244.39 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF 3 VIEWS | $531.72 | $886.20 | $47.84–$841.89 | 16% above | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 RADIOLOGIC EXAMINATION, SKULL; LESS THAN 4 VIEWS | $392.49 | $654.15 | $37.27–$621.44 | 7% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY; AGE 6 YEARS OR OLDER, SLEEP STAGING WITH 4 OR MORE ADDITIONAL PARAMETERS OF SLEEP, ATTENDED BY A TECHNOLOGIST | $2,094.75 | $3,491.25 | $499.27–$3,316.69 | 57% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 VIEWS | $444.78 | $741.30 | $41.81–$704.24 | 14% above | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL | $2,026.08 | $3,376.80 | $233.48–$3,207.96 | 28% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 RADIOLOGIC EXAMINATION; TOE(S), MINIMUM OF 2 VIEWS | $367.92 | $613.20 | $22.36–$582.54 | 11% above | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 RADIOLOGIC EXAMINATION; TOE(S), MINIMUM OF 2 VIEWS | $367.92 | $613.20 | $22.36–$582.54 | 11% above | 40% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND, TRANSVAGINAL | $280.98 | $468.30 | $97.04–$444.89 | 61% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINAL | $539.91 | $899.85 | $117.86–$854.86 | 20% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE | $791.28 | $1,318.80 | $119.34–$1,252.86 | 30% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND, SCROTUM AND CONTENTS | $252.63 | $421.05 | $85.75–$400.00 | 72% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND, SOFT TISSUES OF HEAD AND NECK (EG, THYROID, PARATHYROID, PAROTID), REAL TIME WITH IMAGE DOCUMENTATION | $417.69 | $696.15 | $85.69–$661.34 | 50% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 RADIOLOGIC EXAMINATION; HUMERUS, MINIMUM OF 2 VIEWS | $402.57 | $670.95 | $29.81–$637.40 | 6% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; UNILATERAL OR LIMITED STUDY | $886.41 | $1,477.35 | $121.29–$1,403.48 | 1% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; UNILATERAL OR LIMITED STUDY | $886.41 | $1,477.35 | $121.29–$1,403.48 | 1% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 RADIOLOGIC EXAMINATION, WRIST; 2 VIEWS | $326.97 | $544.95 | $24.82–$517.70 | 16% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 RADIOLOGIC EXAMINATION, WRIST; 2 VIEWS | $326.97 | $544.95 | $24.82–$517.70 | 16% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF 3 VIEWS | $444.78 | $741.30 | $36.06–$704.24 | 12% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS | $392.49 | $654.15 | $53.47–$621.44 | 7% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS | $474.39 | $790.65 | $53.47–$751.12 | 13% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS | $474.39 | $790.65 | $53.47–$751.12 | 13% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $367.92 | $613.20 | $35.33–$582.54 | 22% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 RADIOLOGIC EXAMINATION, ANKLE; 2 VIEWS | $386.82 | $644.70 | $27.28–$612.47 | 1% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 RADIOLOGIC EXAMINATION, ANKLE; 2 VIEWS | $386.82 | $644.70 | $27.28–$612.47 | 1% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RADIOLOGIC EXAMINATION, FINGER(S), MINIMUM OF 2 VIEWS | $374.22 | $623.70 | $22.36–$592.52 | at median | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 RADIOLOGIC EXAMINATION, FINGER(S), MINIMUM OF 2 VIEWS | $374.22 | $623.70 | $22.36–$592.52 | at median | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 RADIOLOGIC EXAMINATION, HAND; MINIMUM OF 3 VIEWS | $444.78 | $741.30 | $36.06–$704.24 | 13% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 RADIOLOGIC EXAMINATION, KNEE; 1 OR 2 VIEWS | $282.87 | $471.45 | $27.28–$447.88 | 26% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; 2 OR 3 VIEWS | $474.39 | $790.65 | $43.45–$751.12 | 4% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF 4 VIEWS | $625.59 | $1,042.65 | $62.90–$990.52 | 7% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RADIOLOGIC EXAMINATION, SPINE; THORACIC, 2 VIEWS | $348.39 | $580.65 | $40.22–$551.62 | 25% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 RADIOLOGIC EXAMINATION, NASAL BONES, COMPLETE, MINIMUM OF 3 VIEWS | $453.60 | $756.00 | $35.56–$718.20 | at median | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADIOLOGIC EXAMINATION, SPINE, CERVICAL; 2 OR 3 VIEWS | $444.78 | $741.30 | $37.27–$704.24 | 2% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RADIOLOGIC EXAMINATION, PELVIS; 1 OR 2 VIEWS | $404.46 | $674.10 | $31.01–$640.40 | 2% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RADIOLOGIC EXAMINATION, SACRUM AND COCCYX, MINIMUM OF 2 VIEWS | $453.60 | $756.00 | $35.89–$718.20 | 6% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) | $127.89 | $213.15 | $44.31–$202.49 | 89% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT) | $96.39 | $160.65 | $6.08–$152.62 | 124% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) | $96.39 | $160.65 | $5.94–$152.62 | 112% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: HEPATITIS A ANTIBODY (HAAB), IGM ANTIBODY (86709) HEPATITIS B CORE ANTIBODY (HBCAB), IGM ANTIBODY (86705) HEPATITIS B SURFACE ANTIGEN (HBSAG) (87340) HEPATITIS C ANTIBODY (86803) | $144.27 | $240.45 | $54.65–$228.43 | 47% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN; SERUM, PLASMA OR WHOLE BLOOD | $62.37 | $103.95 | $5.68–$98.75 | 150% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $131.04 | $218.40 | $46.76–$207.48 | 228% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE, ALKALINE | $96.39 | $160.65 | $5.92–$152.62 | 161% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE, CRUDE ALLERGEN EXTRACT, EACH | $41.58 | $69.30 | $5.98–$65.84 | 400% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP); SERUM | $62.37 | $103.95 | $31.19–$98.75 | 34% below | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $73.08 | $121.80 | $16.71–$115.71 | 60% below | 40% |
| Amylase blood test CPT 82150 AMYLASE | $40.32 | $67.20 | $7.43–$63.84 | 39% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP), ANTIBODY | $312.48 | $520.80 | $10.18–$494.76 | 1209% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $79.38 | $132.30 | $13.87–$125.69 | 53% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $173.88 | $289.80 | $43.25–$275.31 | 17% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BACTERIAL; ANY OTHER SOURCE EXCEPT URINE, BLOOD OR STOOL, AEROBIC, WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES | $122.85 | $204.75 | $9.88–$194.51 | 8% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520) | $119.70 | $199.50 | $9.70–$189.53 | 38% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL | $62.37 | $103.95 | $5.75–$98.75 | 38% above | 40% |
| Blood culture for bacteria CPT 87040 CULTURE, BACTERIAL; BLOOD, AEROBIC, WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES (INCLUDES ANAEROBIC CULTURE, IF APPROPRIATE) | $56.07 | $93.45 | $11.83–$88.78 | 79% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $12.60 | $21.00 | $6.30–$23.31 | 37% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP) | $62.37 | $103.95 | $4.50–$98.75 | 66% above | 40% |
| Blood lead test CPT 83655 LEAD | $49.77 | $82.95 | $13.89–$78.80 | 315% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG); QUALITATIVE | $78.75 | $131.25 | $8.62–$124.69 | 55% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUANTITATIVE | $62.37 | $103.95 | $4.52–$98.75 | 70% above | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $95.13 | $158.55 | $23.87–$150.62 | 49% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $41.58 | $69.30 | $5.94–$65.84 | 40% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CLOSTRIDIUM DIFFICILE, TOXIN GENE(S), AMPLIFIED PROBE TECHNIQUE | $340.83 | $568.05 | $41.08–$539.65 | 123% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 19-9 | $187.11 | $311.85 | $23.87–$296.26 | 232% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 125 | $73.71 | $122.85 | $23.87–$116.71 | 47% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]), AMPLIFIED PROBE TECHNIQUE | $214.83 | $358.05 | $73.60–$340.15 | 134% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM; TOTAL | $62.37 | $103.95 | $5.88–$98.75 | 1% above | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $58.59 | $97.65 | $21.75–$92.77 | 45% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY; VARICELLA-ZOSTER | $37.17 | $61.95 | $14.77–$58.85 | 2% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE | $110.88 | $184.80 | $40.26–$175.56 | 103% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CHOLESTEROL, SERUM, TOTAL (82465) LIPOPROTEIN, DIRECT MEASUREMENT, HIGH DENSITY CHOLESTEROL (HDL CHOLESTEROL) (83718) TRIGLYCERIDES (84478) | $160.65 | $267.75 | $15.36–$254.36 | 40% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT | $98.28 | $163.80 | $8.91–$155.61 | 11% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) | $86.94 | $144.90 | $7.42–$137.66 | at median | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) PHOSPHATASE, ALKALINE (84075) POTASSIUM (84132) PROTEIN, TOTAL (84155) SODIUM | $183.33 | $305.55 | $12.11–$290.27 | 28% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL; TOTAL | $55.44 | $92.40 | $18.70–$87.78 | 44% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK), (CPK); TOTAL | $100.80 | $168.00 | $7.46–$159.60 | 15% above | 40% |
| Creatinine blood test CPT 82565 CREATININE; BLOOD | $62.37 | $103.95 | $5.87–$98.75 | 31% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) | $62.37 | $103.95 | $16.51–$98.75 | 99% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANTITATIVE | $103.32 | $172.20 | $11.68–$163.59 | 28% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) | $55.44 | $92.40 | $25.50–$87.78 | 45% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PROCEDURES; BY INSTRUMENT CHEMISTRY ANALYZERS (EG, UTILIZING IMMUNOASSAY [EG, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), CHROMATOGRAPHY (EG, GC, HPLC), AND MASS SPECTROMETRY EITHER WITH OR WITHOUT CHROMATOGRAPHY, (EG, DART | $164.43 | $274.05 | $71.30–$260.35 | 130% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) POTASSIUM (84132) SODIUM (84295) | $75.60 | $126.00 | $8.03–$119.70 | 13% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA) | $68.67 | $114.45 | $20.81–$108.73 | 152% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL; TOTAL | $98.28 | $163.80 | $32.06–$155.61 | 7% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH) | $42.84 | $71.40 | $21.32–$67.83 | 59% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $173.25 | $288.75 | $15.64–$274.31 | 62% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY | $62.37 | $103.95 | $10.94–$98.75 | 57% below | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $149.31 | $248.85 | $16.87–$236.41 | 37% above | 40% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3; FREE | $42.84 | $71.40 | $19.44–$67.83 | 58% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE | $154.35 | $257.25 | $10.34–$244.39 | 127% above | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE; FREE | $58.59 | $97.65 | $29.22–$92.77 | 97% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE, GAMMA (GGT) | $18.90 | $31.50 | $8.26–$29.93 | 58% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE) | $93.87 | $156.45 | $5.45–$148.63 | 90% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE | $110.88 | $184.80 | $40.26–$175.56 | 68% above | 40% |
| H. pylori antibody blood test CPT 86677 ANTIBODY; HELICOBACTER PYLORI | $93.87 | $156.45 | $17.82–$148.63 | 18% below | 40% |
| H. pylori stool antigen test CPT 87338 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY [FIA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTITATIVE; HELICOBACTER PYLORI, STOOL | $105.84 | $176.40 | $16.50–$167.58 | 26% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HIV-1, QUANTIFICATION, INCLUDES REVERSE TRANSCRIPTION WHEN PERFORMED | $414.54 | $690.90 | $97.65–$656.36 | 277% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTIBODY; HIV-1 AND HIV-2, SINGLE RESULT | $69.93 | $116.55 | $15.72–$110.72 | 17% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY [FIA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTITATIVE; HIV-1 ANTIGEN(S), WITH HIV-1 AND HIV-2 ANTIBODIES, SINGLE RESU | $255.15 | $425.25 | $27.63–$403.99 | 192% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLATED (A1C) | $80.64 | $134.40 | $11.13–$127.68 | 24% above | 40% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN (HGB) | $35.91 | $59.85 | $2.71–$56.86 | 11% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY (HBCAB); TOTAL | $49.77 | $82.95 | $13.83–$78.80 | 32% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) | $71.82 | $119.70 | $12.32–$113.72 | 68% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY [FIA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTITATIVE; HEPATITIS B SURFACE ANTIGEN (HBSAG) | $42.84 | $71.40 | $11.85–$67.83 | 40% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $49.77 | $82.95 | $16.37–$78.80 | 15% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HEPATITIS C, QUANTIFICATION, INCLUDES REVERSE TRANSCRIPTION WHEN PERFORMED | $414.54 | $690.90 | $49.16–$656.36 | 372% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2 | $56.07 | $93.45 | $22.20–$88.78 | 134% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP) | $127.26 | $212.10 | $14.86–$201.50 | 88% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $108.99 | $181.65 | $20.56–$172.57 | 53% above | 40% |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $49.77 | $82.95 | $13.11–$78.80 | 11% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $62.37 | $103.95 | $7.42–$98.75 | 7% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $62.37 | $103.95 | $9.88–$98.75 | 16% below | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) PHOSPHORUS INORGANIC (PHOSPHATE) (84100) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520) | $131.67 | $219.45 | $9.95–$208.48 | 7% below | 40% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING HORMONE (LH) | $42.84 | $71.40 | $21.24–$67.83 | 61% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID) | $96.39 | $160.65 | $13.27–$152.62 | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD), (LDH) | $23.31 | $38.85 | $6.93–$36.91 | 31% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $96.39 | $160.65 | $7.90–$152.62 | 13% below | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE AMINO (AST) (SGOT) (84450) | $106.47 | $177.45 | $9.15–$168.58 | 30% below | 40% |
| Lyme disease antibody test CPT 86618 ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE) | $80.64 | $134.40 | $19.54–$127.68 | 248% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $96.39 | $160.65 | $7.69–$152.62 | 21% above | 40% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY; RUBEOLA | $55.44 | $92.40 | $14.77–$87.78 | 66% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES; SCREENING | $78.75 | $131.25 | $5.94–$124.69 | 25% below | 40% |
| Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS | $55.44 | $92.40 | $14.98–$87.78 | 185% above | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTIAL WBC COUNT (85007 OR 85009) HEPATITIS B SURFACE ANTIGEN ( | $190.26 | $317.10 | $51.39–$301.25 | 17% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL | $144.90 | $241.50 | $21.10–$229.43 | 147% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) | $122.85 | $204.75 | $47.36–$194.51 | 11% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $75.60 | $126.00 | $6.89–$119.70 | 14% above | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC (PHOSPHATE) | $62.37 | $103.95 | $5.44–$98.75 | 18% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD | $62.37 | $103.95 | $4.93–$98.75 | 15% below | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $59.85 | $99.75 | $23.93–$94.76 | 30% below | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $55.44 | $92.40 | $22.23–$87.78 | 48% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $70.56 | $117.60 | $4.92–$111.72 | 7% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PROCEDURES; CAPABLE OF BEING READ BY DIRECT OPTICAL OBSERVATION ONLY (EG, UTILIZING IMMUNOASSAY [EG, DIPSTICKS, CUPS, CARDS, OR CARTRIDGES]), INCLUDES SAMPLE VALIDATION WHEN PERFORMED, PER DATE OF SERVICE | $107.73 | $179.55 | $14.32–$170.57 | 27% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL (IE, VISUAL) OBSERVATION; INFLUENZA | $83.79 | $139.65 | $12.69–$132.67 | 11% above | 40% |
| Renin blood test CPT 84244 RENIN | $82.53 | $137.55 | $25.23–$130.67 | 233% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR; QUANTITATIVE | $37.17 | $61.95 | $6.50–$58.85 | 182% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY; RUBELLA | $49.77 | $82.95 | $16.51–$78.80 | 11% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED | $24.57 | $40.95 | $3.10–$38.90 | 56% below | 40% |
| Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD | $62.37 | $103.95 | $5.03–$98.75 | 5% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD, OCCULT, BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY, QUALITATIVE, FECES, 1-3 SIMULTANEOUS DETERMINATIONS | $238.14 | $396.90 | $18.26–$377.06 | 508% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY; TREPONEMA PALLIDUM | $49.77 | $82.95 | $15.19–$78.80 | 121% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART) | $29.61 | $49.35 | $4.89–$46.88 | 41% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASUREMENT; GAMMA INTERFERON | $235.62 | $392.70 | $71.12–$373.07 | 144% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL | $62.37 | $103.95 | $29.61–$98.75 | 27% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (EG, THYROID OR LIVER-KIDNEY), EACH | $154.35 | $257.25 | $16.70–$244.39 | 575% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) | $183.96 | $306.60 | $19.28–$291.27 | 69% above | 40% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE | $41.58 | $69.30 | $18.88–$65.84 | 35% below | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL | $62.37 | $103.95 | $4.99–$98.75 | 41% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL | $42.21 | $70.35 | $7.87–$66.83 | 8% above | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3; TOTAL (TT-3) | $55.44 | $92.40 | $16.27–$87.78 | 29% below | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $42.84 | $71.40 | $14.63–$67.83 | 32% below | 40% |
| Trichomonas test (NAAT) CPT 87661 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $447.30 | $745.50 | $40.26–$708.23 | 349% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $62.37 | $103.95 | $6.58–$98.75 | 51% above | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN, QUANTITATIVE | $197.19 | $328.65 | $12.15–$312.22 | 9% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $62.37 | $103.95 | $5.18–$98.75 | 5% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITH MICROSCOPY | $4.41 | $7.35 | $2.21–$6.98 | 86% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY | $66.78 | $111.30 | $2.58–$105.74 | 19% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE | $67.41 | $112.35 | $9.25–$106.73 | 52% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN; URINE (EG, MICROALBUMIN), QUANTITATIVE | $42.84 | $71.40 | $6.63–$67.83 | 20% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS | $78.75 | $131.25 | $4.02–$124.69 | 10% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) | $149.31 | $248.85 | $17.30–$236.41 | 60% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED | $98.28 | $163.80 | $33.97–$155.61 | 50% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED | $91.98 | $153.30 | $44.18–$145.64 | 36% above | 40% |
| Zinc blood test CPT 84630 ZINC | $73.71 | $122.85 | $13.07–$116.71 | 430% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE | $119.07 | $198.45 | $17.27–$188.53 | 33% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL | $558.81 | $931.35 | $175.66–$884.78 | 70% below | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL | $558.81 | $931.35 | $175.66–$884.78 | — | 40% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PROCEDURE) | $899.01 | $1,498.35 | $30.00 | 44% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK | $247.59 | $412.65 | $123.80–$458.04 | 77% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITHOUT MANIPULATION | $507.15 | $845.25 | $157.38–$802.99 | 14% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITHOUT MANIPULATION | $507.15 | $845.25 | $157.38–$802.99 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) | $3,601.08 | $6,001.80 | $295.23–$5,701.71 | 73% above | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE CERVIX | $309.33 | $515.55 | $154.67–$489.77 | 93% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX AND ENDOCERVICAL CURETTAGE | $180.81 | $301.35 | $86.14–$286.28 | 81% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), PREMALIGNANT LESIONS (EG, ACTINIC KERATOSES); FIRST LESION | $91.98 | $153.30 | $45.99–$270.51 | 71% below | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $63.63 | $106.05 | $30.53–$100.75 | 64% below | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $63.63 | $106.05 | $30.53–$270.51 | 64% below | 40% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL | $63.63 | $106.05 | $30.53–$100.75 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE) | $160.02 | $266.70 | $41.04–$270.51 | 71% below | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) | $441.63 | $736.05 | $736.05 | 25% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE | $90.72 | $151.20 | $15.00 | 81% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE | $296.10 | $493.50 | $60.88–$468.83 | 37% below | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE | $296.10 | $493.50 | $60.88–$468.83 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR "FASCIA") | $66.15 | $110.25 | $33.08–$270.51 | 90% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE | $181.44 | $302.40 | $19.00 | 81% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE | $363.51 | $605.85 | $45.79–$575.56 | 62% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE | $363.51 | $605.85 | $45.79–$575.56 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA (EG, TEMPOROMANDIBULAR, ACROMIOCLAVICULAR, WRIST, ELBOW OR ANKLE, OLECRANON BURSA); WITHOUT ULTRASOUND GUIDANCE | $86.31 | $143.85 | $43.16–$270.51 | 86% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA (EG, FINGERS, TOES); WITHOUT ULTRASOUND GUIDANCE | $76.23 | $127.05 | $38.12–$270.51 | 90% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.5 CM OR LESS | $228.06 | $380.10 | $84.51–$361.10 | 74% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.5 CM OR LESS | $228.06 | $380.10 | $84.51–$361.10 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS | $95.13 | $158.55 | $47.57–$270.51 | 93% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS | $259.56 | $432.60 | $64.41–$410.97 | 82% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE | $120.96 | $201.60 | $45.93–$270.51 | 75% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE | $618.66 | $1,031.10 | $35.00 | 66% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL | $260.82 | $434.70 | $120.69–$412.97 | 80% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL | $260.82 | $434.70 | $120.69–$412.97 | 80% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL | $260.82 | $434.70 | $120.69–$412.97 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE | $156.24 | $260.40 | $74.23–$270.51 | 84% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE | $369.81 | $616.35 | $74.23–$585.53 | 62% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE | $369.81 | $616.35 | $74.23–$585.53 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) | $91.98 | $153.30 | $45.99–$145.64 | 82% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) | $91.98 | $153.30 | $45.99–$270.51 | 82% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) | $91.98 | $153.30 | $45.99–$145.64 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $82.53 | $137.55 | $41.27–$130.67 | 80% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $82.53 | $137.55 | $41.27–$270.51 | 80% below | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC | $82.53 | $137.55 | $41.27–$130.67 | — | 40% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) | $129.78 | $216.30 | $64.89–$205.49 | 74% below | 40% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) | $129.78 | $216.30 | $64.89–$270.51 | 74% below | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) | $129.78 | $216.30 | $64.89–$205.49 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) | $97.02 | $161.70 | $48.51–$270.51 | 80% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) | $97.02 | $161.70 | $48.51–$153.62 | 80% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) | $97.02 | $161.70 | $48.51–$153.62 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS | $129.78 | $216.30 | $64.89–$270.51 | 76% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS | $129.78 | $216.30 | $64.89–$205.49 | 76% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS | $129.78 | $216.30 | $64.89–$205.49 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS | $170.10 | $283.50 | $69.25–$270.51 | 91% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS | $70.56 | $117.60 | $35.28–$270.51 | 82% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $467.46 | $779.10 | $81.91–$740.15 | 65% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $467.46 | $779.10 | $81.91–$740.15 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM | $153.09 | $255.15 | $76.55–$270.51 | 80% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM | $153.09 | $255.15 | $76.55–$242.39 | 80% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM | $153.09 | $255.15 | $76.55–$242.39 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS | $228.06 | $380.10 | $72.97–$361.10 | 65% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS | $228.06 | $380.10 | $72.97–$361.10 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION | $77.49 | $129.15 | $38.75–$270.51 | 86% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDANCE | $856.80 | $1,428.00 | $92.33–$1,356.60 | 58% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S) | $110.88 | $184.80 | $55.44–$270.51 | 82% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE | $3,601.08 | $6,001.80 | $234.18–$5,701.71 | 104% above | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS; UP TO 14 LESIONS | $157.50 | $262.50 | $78.75–$270.51 | 56% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS | $352.80 | $588.00 | $25.00 | 48% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $312.48 | $520.80 | $156.24–$578.09 | 64% below | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $312.48 | $520.80 | $156.24–$578.09 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION FOR THERAPEUTIC PURPOSES AND/OR FOR DIAGNOSTIC PURPOSES SUCH AS SPUTUM INDUCTION WITH AN AEROSOL GENERATOR, NEBULIZER, METERED DOSE INHALER OR INTERMITTENT POSITIVE PRESSURE BREATHING (IPPB) DEVICE | $52.29 | $87.15 | $16.78–$82.79 | 84% below | 40% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION WITH INITIATION OF DIAGNOSTIC AND TREATMENT PROGRAM; COMPREHENSIVE, NEW PATIENT, 1 OR MORE VISITS | $156.24 | $260.40 | $71.40–$270.51 | 36% below | 40% |
| Comprehensive eye exam, returning patient CPT 92014 OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION, WITH INITIATION OR CONTINUATION OF DIAGNOSTIC AND TREATMENT PROGRAM; COMPREHENSIVE, ESTABLISHED PATIENT, 1 OR MORE VISITS | $123.48 | $205.80 | $56.57–$270.51 | 40% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY INJURED PATIENT; FIRST 30-74 MINUTES | $2,021.67 | $3,369.45 | $174.42–$3,200.98 | 56% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY INJURED PATIENT; FIRST 30-74 MINUTES | $2,021.67 | $3,369.45 | $174.42–$3,200.98 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAM (EEG); INCLUDING RECORDING AWAKE AND DROWSY | $563.85 | $939.75 | $108.41–$892.76 | 45% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT | $180.81 | $301.35 | $23.52–$286.28 | 47% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT THAT MAY NOT REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL | $209.16 | $348.60 | $21.77–$331.17 | 50% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT THAT MAY NOT REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL | $209.16 | $348.60 | $21.77–$331.17 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING | $325.08 | $541.80 | $34.97–$514.71 | 63% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING | $325.08 | $541.80 | $34.97–$514.71 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING | $646.38 | $1,077.30 | $63.97–$1,023.44 | 58% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING | $646.38 | $1,077.30 | $63.97–$1,023.44 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING | $969.57 | $1,615.95 | $98.04–$1,535.15 | 64% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING | $969.57 | $1,615.95 | $98.04–$1,535.15 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING | $1,550.43 | $2,584.05 | $155.03–$2,454.85 | 56% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING | $1,550.43 | $2,584.05 | $155.03–$2,454.85 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE, CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING, AND/OR PHARMACOLOGICAL STRESS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT | $234.99 | $391.65 | $75.31–$372.07 | 83% below | 40% |
| Eye exam, returning patient, intermediate CPT 92012 OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION, WITH INITIATION OR CONTINUATION OF DIAGNOSTIC AND TREATMENT PROGRAM; INTERMEDIATE, ESTABLISHED PATIENT | $103.32 | $172.20 | $51.66–$270.51 | 30% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT PRESENT), 50 MINUTES | $96.39 | $160.65 | $48.20–$270.51 | 72% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT), 50 MINUTES | $765.45 | $1,275.75 | $124.28–$1,211.96 | 124% above | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $894.60 | $1,491.00 | $23.96–$1,416.45 | 222% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS INFUSION, HYDRATION; INITIAL, 31 MINUTES TO 1 HOUR | $230.58 | $384.30 | $73.58–$365.09 | 53% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAVENOUS INFUSION, HYDRATION; INITIAL, 31 MINUTES TO 1 HOUR | $230.58 | $384.30 | $73.58–$365.09 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR | $539.91 | $899.85 | $89.79–$854.86 | 8% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR | $539.91 | $899.85 | $89.79–$854.86 | 8% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR | $539.91 | $899.85 | $89.79–$854.86 | — | 40% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); INTRAVENOUS PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG | $109.62 | $182.70 | $54.81–$173.57 | 69% below | 40% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); INTRAVENOUS PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG | $109.62 | $182.70 | $54.81–$173.57 | 69% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); INTRAVENOUS PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG | $109.62 | $182.70 | $54.81–$173.57 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR | $45.36 | $75.60 | $22.68–$71.82 | 75% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR | $45.36 | $75.60 | $22.68–$71.82 | 75% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR | $45.36 | $75.60 | $22.68–$71.82 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $214.20 | $357.00 | $107.10–$339.15 | 49% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES; 7-8 STUDIES | $701.19 | $1,168.65 | $230.87–$1,110.22 | 24% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; NEUROMUSCULAR REEDUCATION OF MOVEMENT, BALANCE, COORDINATION, KINESTHETIC SENSE, POSTURE, AND/OR PROPRIOCEPTION FOR SITTING AND/OR STANDING ACTIVITIES | $73.08 | $121.80 | $17.53–$115.71 | 43% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 30 MINUTES MUST BE MET OR EXCEEDED. | $129.78 | $216.30 | $57.20 | 39% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 45 MINUTES MUST BE MET OR EXCEE | $199.08 | $331.80 | $98.83–$315.21 | 19% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 60 MINUTES MUST BE MET OR EXCEEDED. | $342.09 | $570.15 | $118.62–$541.64 | 16% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 15 MINUTES MUST BE MET OR EXCEEDE | $213.57 | $355.95 | $49.20–$338.15 | 46% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES (EG, MOBILIZATION/ MANIPULATION, MANUAL LYMPHATIC DRAINAGE, MANUAL TRACTION), 1 OR MORE REGIONS, EACH 15 MINUTES | $78.12 | $130.20 | $31.86–$123.69 | 35% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH AND ENDURANCE, RANGE OF MOTION AND FLEXIBILITY | $139.86 | $233.10 | $15.72–$221.45 | 8% above | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCLUDING AN AGE AND GENDER APPROPRIATE HISTORY, EXAMINATION, COUNSELING/ANTICIPATORY GUIDANCE/RISK FACTOR REDUCTION INTERVENTIONS, AND THE ORDERING OF LABORATORY/DIAGNOSTIC PROCEDURES, NEW PATIENT; 18-39 YEARS | $171.99 | $286.65 | $86.00–$318.18 | 10% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCLUDING AN AGE AND GENDER APPROPRIATE HISTORY, EXAMINATION, COUNSELING/ANTICIPATORY GUIDANCE/RISK FACTOR REDUCTION INTERVENTIONS, AND THE ORDERING OF LABORATORY/DIAGNOSTIC PROCEDURES, NEW PATIENT; 65 YEARS AND OLD | $167.58 | $279.30 | $83.79–$310.02 | 4% below | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCLUDING AN AGE AND GENDER APPROPRIATE HISTORY, EXAMINATION, COUNSELING/ANTICIPATORY GUIDANCE/RISK FACTOR REDUCTION INTERVENTIONS, AND THE ORDERING OF LABORATORY/DIAGNOSTIC PROCEDURES, ESTABLISHED PATIENT; 18-39 | $53.55 | $89.25 | $26.78–$270.51 | 65% below | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCLUDING AN AGE AND GENDER APPROPRIATE HISTORY, EXAMINATION, COUNSELING/ANTICIPATORY GUIDANCE/RISK FACTOR REDUCTION INTERVENTIONS, AND THE ORDERING OF LABORATORY/DIAGNOSTIC PROCEDURES, ESTABLISHED PATIENT; 40-64 | $158.13 | $263.55 | $79.07–$292.54 | 1% above | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCLUDING AN AGE AND GENDER APPROPRIATE HISTORY, EXAMINATION, COUNSELING/ANTICIPATORY GUIDANCE/RISK FACTOR REDUCTION INTERVENTIONS, AND THE ORDERING OF LABORATORY/DIAGNOSTIC PROCEDURES, ESTABLISHED PATIENT; 65 YE | $162.54 | $270.90 | $81.27–$300.70 | 4% above | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES WITH PATIENT | $75.60 | $126.00 | $37.80–$270.51 | 76% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES WITH PATIENT | $175.14 | $291.90 | $87.57–$277.31 | 45% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES WITH PATIENT | $123.48 | $205.80 | $61.74–$270.51 | 66% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 20 MINUTES MUST BE MET OR E | $144.90 | $241.50 | $34.43–$270.51 | at median | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 30 MINUTES MUST BE MET | $144.90 | $241.50 | $53.79–$270.51 | 17% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 10 MINUTES MUST BE MET O | $15.75 | $26.25 | $7.88–$270.51 | 86% below | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OTHER OUTPATIENT CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE SELECTION, 30 MINUTES MUST BE MET OR EXCEEDED. | $194.67 | $324.45 | $97.34–$360.14 | 13% above | 40% |
| Speech and language evaluation CPT 92523 EVALUATION OF SPEECH SOUND PRODUCTION (EG, ARTICULATION, PHONOLOGICAL PROCESS, APRAXIA, DYSARTHRIA); WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION (EG, RECEPTIVE AND EXPRESSIVE LANGUAGE) | $136.08 | $226.80 | $68.04–$215.46 | 70% below | 40% |
| Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/OR AUDITORY PROCESSING DISORDER; INDIVIDUAL | $93.87 | $156.45 | $46.94–$148.63 | 66% below | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY, INCLUDING GRAPHIC RECORD, TOTAL AND TIMED VITAL CAPACITY, EXPIRATORY FLOW RATE MEASUREMENT(S), WITH OR WITHOUT MAXIMAL VOLUNTARY VENTILATION | $115.92 | $193.20 | $35.29–$183.54 | 67% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVENESS, SPIROMETRY AS IN 94010, PRE- AND POST-BRONCHODILATOR ADMINISTRATION | $170.10 | $283.50 | $64.59–$269.33 | 79% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTIVITIES TO IMPROVE FUNCTIONAL PERFORMANCE), EACH 15 MINUTES | $67.41 | $112.35 | $15.98–$106.73 | 51% below | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE (VAR), LIVE, FOR SUBCUTANEOUS USE | $87.57 | $145.95 | $43.79–$162.00 | 72% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA, TETANUS TOXOIDS, AND ACELLULAR PERTUSSIS VACCINE (DTAP), WHEN ADMINISTERED TO INDIVIDUALS YOUNGER THAN 7 YEARS, FOR INTRAMUSCULAR USE | $44.73 | $74.55 | $22.37–$82.75 | 37% below | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VIRUS VACCINE, TRIVALENT (RIV3), DERIVED FROM RECOMBINANT DNA, HEMAGGLUTININ (HA) PROTEIN ONLY, PRESERVATIVE AND ANTIBIOTIC FREE, FOR INTRAMUSCULAR USE | $28.98 | $48.30 | $14.49–$53.61 | 69% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE, TRIVALENT (IIV3), SPLIT VIRUS, PRESERVATIVE FREE, 0.5 ML DOSAGE, FOR INTRAMUSCULAR USE | $25.20 | $42.00 | $12.60–$46.62 | 39% below | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR INTRAMUSCULAR USE | $107.10 | $178.50 | $53.55–$198.14 | 23% below | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE (HEPA), PEDIATRIC/ADOLESCENT DOSAGE-2 DOSE SCHEDULE, FOR INTRAMUSCULAR USE | $66.15 | $110.25 | $33.08–$122.38 | 11% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (HEPB), ADULT DOSAGE, 3 DOSE SCHEDULE, FOR INTRAMUSCULAR USE | $56.70 | $94.50 | $28.35–$104.90 | 49% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE (HEPB), PEDIATRIC/ADOLESCENT DOSAGE, 3 DOSE SCHEDULE, FOR INTRAMUSCULAR USE | $11.97 | $19.95 | $5.99–$270.51 | 79% below | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE (HIB), PRP-T CONJUGATE, 4 DOSE SCHEDULE, FOR INTRAMUSCULAR USE | $46.62 | $77.70 | $23.31–$86.25 | 26% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACCINE (IIV), SPLIT VIRUS, PRESERVATIVE FREE, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGEN CONTENT, FOR INTRAMUSCULAR USE | $25.20 | $42.00 | $12.60–$46.62 | 80% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS AND RUBELLA VIRUS VACCINE (MMR), LIVE, FOR SUBCUTANEOUS USE | $76.86 | $128.10 | $38.43–$142.19 | 40% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE | $768.60 | $1,281.00 | $384.30–$1,421.91 | 53% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE, 23-VALENT (PPSV23), ADULT OR IMMUNOSUPPRESSED PATIENT DOSAGE, WHEN ADMINISTERED TO INDIVIDUALS 2 YEARS OR OLDER, FOR SUBCUTANEOUS OR INTRAMUSCULAR USE | $93.87 | $156.45 | $46.94–$173.66 | 42% below | 40% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE, INACTIVATED (IPV), FOR SUBCUTANEOUS OR INTRAMUSCULAR USE | $197.19 | $328.65 | $98.60–$364.80 | 117% above | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, FOR INTRAMUSCULAR USE | $345.87 | $576.45 | $172.94–$547.63 | 51% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOXOIDS ADSORBED (TD), PRESERVATIVE FREE, WHEN ADMINISTERED TO INDIVIDUALS 7 YEARS OR OLDER, FOR INTRAMUSCULAR USE | $61.74 | $102.90 | $30.87–$114.22 | 23% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS, DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE (TDAP), WHEN ADMINISTERED TO INDIVIDUALS 7 YEARS OR OLDER, FOR INTRAMUSCULAR USE | $112.77 | $187.95 | $56.39–$208.62 | 3% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS, OR INTRAMUSCULAR INJECTIONS); 1 VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID) | $15.00 | $25.00 | $6.40–$270.51 | 86% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS, OR INTRAMUSCULAR INJECTIONS); 1 VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID) | $42.21 | $70.35 | $6.40–$66.83 | 59% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS, OR INTRAMUSCULAR INJECTIONS); 1 VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID) | $42.21 | $70.35 | $6.40–$66.83 | — | 40% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGMCWILLOWSCA&type=CDMWithoutLabel&fileType=CSV