Shasta Regional Medical Center
Shasta Regional Medical Center in Redding, CA publishes cash prices for 379 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 352 of 378 procedures and above it for 10. By typical cash price it ranks #15 of 226 California hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1100 Butte Street Redding, CA 96001 Collected Sep 22, 2026 Source price file Check a bill from this hospital (530) 244-5454
Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 050764 · CMS hospital register NPI 1205089026
State law
This state limits hospital bills for lower-income patients
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Shasta Regional Medical Center in Redding, CA:
- Jul 18, 2025 Warning notice
- Aug 29, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/W CM | $224.00 | $5,018.00 | $224.48–$5,018.00 | 92% below | 96% |
| Abdominal X-ray, 2 views CPT 74019 ABD W/DECUB OR ERECT | $133.00 | $1,012.60 | $20.14–$1,012.60 | 69% below | 87% |
| Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $133.00 | $1,012.60 | $20.14–$1,012.60 | 69% below | 87% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN,ADD OBLIQUE/CONE | $133.00 | $1,012.60 | $20.14–$1,012.60 | 69% below | 87% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE, 3VW MIN | $111.00 | $632.00 | $26.32–$632.00 | 78% below | 82% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE, 3VW MIN LT | $111.00 | $632.00 | $26.32–$632.00 | 78% below | 82% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE, 3VW MIN RT | $111.00 | $632.00 | $26.32–$632.00 | 78% below | 82% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE LMTD RT | $111.00 | $560.70 | $26.32–$632.00 | 78% below | 80% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LOWER EXTREM ART LMTD - 93922 - 5107200 | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPPER EXTREM ART LMTD | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ER VASC ARTERIAL LTD | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 U/L EXTREM ART LMTD | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TCPO2/ABI SINGLE LEVEL | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DIGIT EXAM LIMITED - 93922 - 5016590 | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DIGIT EXAM LIMITED - 93922 - 5107210 | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER ARTERIAL FLOW | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LOWER EXTREM ART LMTD - 93922 - 5016570 | $170.00 | $1,009.00 | $50.82–$1,009.00 | 70% below | 83% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UE W/O CM | $133.00 | $2,505.00 | $133.80–$2,505.00 | 94% below | 95% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UE W/O CM EXT | $133.00 | $2,505.00 | $133.80–$2,505.00 | 94% below | 95% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $224.00 | $1,815.70 | $40.98–$1,815.70 | 63% below | 88% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 D-19X-RAY UPPER GI DELAY W/KUB | $224.00 | $1,815.70 | $40.98–$1,815.70 | 63% below | 88% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $511.00 | $2,594.00 | $171.95–$2,594.00 | 76% below | 80% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US EXAM, BREAST(S) BILAT | $133.00 | $1,274.00 | $65.44–$1,274.00 | — | 90% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $133.00 | $1,274.00 | $65.44–$1,274.00 | 81% below | 90% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $111.00 | $1,274.00 | $49.43–$1,274.00 | 79% below | 91% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LMTD | $111.00 | $404.50 | $49.43–$1,274.00 | 79% below | 73% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US EXAM, BREAST UNILAT | $111.00 | $1,274.00 | $49.43–$1,274.00 | 79% below | 91% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMINAL/PELVIS W/WO CM | $446.00 | $4,543.14 | $256.80–$4,543.14 | 92% below | 90% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD WO/W CONTRAST | $224.00 | $4,815.00 | $191.53–$4,815.00 | 92% below | 95% |
| CT angiography (CTA) of the neck CPT 70498 CTA NK WO/W CONTRAST | $224.00 | $4,253.00 | $190.93–$4,253.00 | 92% below | 95% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CONTRAST | $224.00 | $5,704.00 | $192.35–$5,704.00 | 93% below | 96% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $446.00 | $1,884.05 | $227.85–$1,884.05 | 84% below | 76% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $111.00 | $432.90 | $59.37–$432.90 | 71% below | 74% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS W/O CM | $305.00 | $4,542.73 | $101.10–$4,542.73 | 90% below | 93% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CM | $446.00 | $6,059.00 | $202.90–$6,059.00 | 89% below | 93% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CM | $446.00 | $6,059.00 | $233.05–$6,059.00 | 91% below | 93% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CM | $224.00 | $4,431.00 | $221.59–$4,431.00 | 91% below | 95% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CM EXT | $224.00 | $4,431.00 | $221.59–$4,431.00 | 91% below | 95% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CM EXT | $133.00 | $4,128.00 | $116.66–$4,128.00 | 93% below | 97% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CM | $133.00 | $4,128.00 | $116.66–$4,128.00 | 93% below | 97% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CM | $133.00 | $3,932.00 | $125.62–$3,932.00 | 94% below | 97% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CM EXT | $133.00 | $3,932.00 | $125.62–$3,932.00 | 94% below | 97% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CM | $133.00 | $3,932.00 | $125.62–$3,932.00 | 94% below | 97% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CM EXT | $133.00 | $3,932.00 | $125.62–$3,932.00 | 94% below | 97% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CM EXT | $133.00 | $3,251.00 | $94.42–$3,251.00 | 94% below | 96% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CM | $133.00 | $3,251.00 | $94.42–$3,251.00 | 94% below | 96% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BR W/O CM | $133.00 | $3,251.00 | $94.42–$3,251.00 | 94% below | 96% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BR W/O CM EXT | $133.00 | $3,251.00 | $94.42–$3,251.00 | 94% below | 96% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BR W/CM EXT | $224.00 | $4,325.00 | $137.27–$4,325.00 | 92% below | 95% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CM EXT | $224.00 | $4,325.00 | $137.27–$4,325.00 | 92% below | 95% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CM | $224.00 | $4,325.00 | $137.27–$4,325.00 | 92% below | 95% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BR W/CM | $224.00 | $4,325.00 | $137.27–$4,325.00 | 92% below | 95% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO/W CM | $224.00 | $4,643.00 | $163.90–$4,643.00 | 93% below | 95% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BR WO/W CM EXT | $224.00 | $4,643.00 | $163.90–$4,643.00 | 93% below | 95% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BR WO/W CM | $224.00 | $4,643.00 | $163.90–$4,643.00 | 93% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CM | $224.00 | $5,590.00 | $222.88–$5,590.00 | 91% below | 96% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CM EXT | $224.00 | $5,590.00 | $222.88–$5,590.00 | 91% below | 96% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID BILATERAL - 93880 - 5106541 | $305.00 | $2,370.00 | $168.51–$2,370.00 | — | 87% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID BILATERAL - 93880 - 5016505 | $305.00 | $2,370.00 | $168.51–$2,370.00 | — | 87% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WO CM | $224.00 | $5,530.00 | $208.88–$5,530.00 | 93% below | 96% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WO/W CM | $224.00 | $5,530.00 | $208.88–$5,530.00 | 93% below | 96% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $111.00 | $782.00 | $18.13–$782.00 | 73% below | 86% |
| Chest X-ray, 2 views CPT 71046 CHEST,TWO VIEWS | $111.00 | $782.00 | $18.13–$782.00 | 73% below | 86% |
| Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS | $111.00 | $782.00 | $18.13–$782.00 | 73% below | 86% |
| Chest X-ray, single view CPT 71045 CHEST,SINGLE VIEW | $111.00 | $560.70 | $9.71–$560.70 | 70% below | 80% |
| Chest X-ray, single view CPT 71045 CHEST,PRE-EMPLMNT | $111.00 | $560.70 | $9.71–$560.70 | 70% below | 80% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $111.00 | $560.70 | $21.16–$560.70 | 77% below | 80% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE RT | $111.00 | $560.70 | $21.16–$560.70 | 77% below | 80% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE LT | $111.00 | $560.70 | $21.16–$560.70 | 77% below | 80% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $133.00 | $1,632.00 | $79.89–$1,632.00 | 84% below | 92% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL, - 76770 - 6106770 | $133.00 | $1,562.00 | $79.89–$1,632.00 | 84% below | 91% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL, - 76770 - 5066770 | $133.00 | $1,562.00 | $79.89–$1,632.00 | 84% below | 91% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY/AXIAL MULT | $133.00 | $766.79 | $26.05–$766.79 | 74% below | 83% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY/APPEND SNGL | $111.00 | $448.85 | $15.81–$448.85 | 60% below | 75% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMP W FETL ANATMY | $305.00 | $1,409.75 | $77.75–$1,409.75 | 66% below | 78% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CM EXT | $133.00 | $4,643.00 | $133.32–$4,643.00 | 93% below | 97% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CM | $133.00 | $4,643.00 | $133.32–$4,643.00 | 93% below | 97% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CM | $224.00 | $4,945.00 | $170.83–$4,945.00 | 92% below | 95% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CM EXT | $224.00 | $4,945.00 | $170.83–$4,945.00 | 92% below | 95% |
| Diagnostic mammogram, both breasts CPT 77066 COMPUTER DETECT DX MAMMO | $120.00 | $356.00 | $58.03–$356.00 | 76% below | 66% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 PERIPHERAL ARTERIAL FLOW - 93925 - 5016510 | $305.00 | $1,557.00 | $104.21–$1,577.00 | 71% below | 80% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 PERIPHERAL ARTERIAL FLOW - 93925 - 5106900 | $305.00 | $1,577.00 | $104.21–$1,577.00 | 71% below | 81% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VOLUME PLETHYSMOGRAPHY | $305.00 | $1,557.00 | $173.75–$1,557.60 | 74% below | 80% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DOPPLER - 93970 - 5016545 | $305.00 | $1,557.00 | $173.75–$1,557.60 | 74% below | 80% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DOPPLER - 93970 - 5107110 | $305.00 | $1,557.00 | $173.75–$1,557.60 | 74% below | 80% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS IMAGING COMPLETE - 93970 - 5016520 | $305.00 | $1,557.00 | $173.75–$1,557.60 | 74% below | 80% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS PPG COMPLETE | $305.00 | $1,557.00 | $173.75–$1,557.60 | 74% below | 80% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS STUDY COMP | $305.00 | $1,557.60 | $173.75–$1,557.60 | 74% below | 80% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS IMAGING COMPLETE - 93970 - 5106910 | $305.00 | $1,557.00 | $173.75–$1,557.60 | 74% below | 80% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D WITH SPEC/COLOR FLOW M | $699.00 | $2,156.85 | $177.42–$3,653.35 | 74% below | 68% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TRANSTHO W/WO FOL W | $699.00 | $3,653.35 | $177.42–$3,653.35 | 74% below | 81% |
| Elbow X-ray, 2 views CPT 73070 ELBOW,LIMITED | $111.00 | $560.70 | $21.46–$560.70 | 72% below | 80% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW LTD RT | $111.00 | $560.70 | $21.46–$560.70 | 72% below | 80% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW LTD LT | $111.00 | $560.70 | $21.46–$560.70 | 72% below | 80% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW, 3VW MIN | $111.00 | $632.00 | $27.20–$632.00 | 77% below | 82% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW, 3VW LT | $111.00 | $632.00 | $27.20–$632.00 | 77% below | 82% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW, 3VW RT | $111.00 | $632.00 | $27.20–$632.00 | 77% below | 82% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT W/O CM | $133.00 | $3,218.00 | $133.80–$3,218.00 | 94% below | 96% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/EAR/P FOS WO CM | $133.00 | $3,218.00 | $133.80–$3,218.00 | 94% below | 96% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT POST FOSSA W/O CM EX | $133.00 | $3,218.00 | $133.80–$3,218.00 | 94% below | 96% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT EAR W/O CM | $133.00 | $3,218.00 | $133.80–$3,218.00 | 94% below | 96% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT W/O CM EXT | $133.00 | $3,218.00 | $133.80–$3,218.00 | 94% below | 96% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES,3VW MIN | $133.00 | $1,032.00 | $36.90–$1,032.00 | 73% below | 87% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM,INCL.ONE JOINT | $111.00 | $560.70 | $20.57–$560.70 | 74% below | 80% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $511.00 | $2,294.32 | $261.91–$2,294.32 | 71% below | 78% |
| Hand X-ray, 2 views CPT 73120 HAND,LIMITED | $133.00 | $562.55 | $17.12–$562.55 | 67% below | 76% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS (HEEL) | $111.00 | $460.70 | $19.37–$460.70 | 69% below | 76% |
| Knee X-ray, 3 views CPT 73562 KNEE W/OBLIQUES 3 VW | $111.00 | $610.35 | $25.15–$610.35 | 76% below | 82% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE, COMP 4 VW MIN | $133.00 | $1,012.60 | $29.01–$1,012.60 | 77% below | 87% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LE W/O CM EXT | $133.00 | $2,502.01 | $131.98–$2,502.01 | 94% below | 95% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LE W/O CM | $133.00 | $2,502.01 | $131.98–$2,502.01 | 94% below | 95% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER US ABDOMEN LTD/QUAD/FU | $133.00 | $1,952.00 | $60.12–$1,952.00 | 84% below | 93% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN REAL TIME W/IMG | $133.00 | $1,491.70 | $60.12–$1,952.00 | 84% below | 91% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD/QUAD/FU | $133.00 | $1,952.00 | $60.12–$1,952.00 | 84% below | 93% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JT/TNDN/NONVASC EXTR LMTD | $133.00 | $544.85 | $8.66–$796.39 | 76% below | 76% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ER US XTR NON-VASC LMTD | $133.00 | $796.39 | $8.66–$796.39 | 76% below | 83% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON VASCULAR LTD | $133.00 | $796.39 | $8.66–$796.39 | 76% below | 83% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE | $133.00 | $404.90 | $66.00–$404.90 | 63% below | 67% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIB/FIB 2 VWS | $111.00 | $605.00 | $21.46–$605.00 | 74% below | 82% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN W/O CONTRAST | $305.00 | $3,324.00 | $181.41–$3,324.00 | 89% below | 91% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LE/JNT WO CTRS | $305.00 | $3,916.00 | $206.20–$3,916.00 | 90% below | 92% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CONTRAST | $446.00 | $4,949.00 | $300.20–$4,949.00 | 90% below | 91% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD WO CTRS | $305.00 | $3,893.00 | $216.39–$3,893.00 | 89% below | 92% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WO/W CONTRAST | $446.00 | $5,113.00 | $263.48–$5,113.00 | 90% below | 91% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CM | $305.00 | $3,907.00 | $188.21–$3,907.00 | 90% below | 92% |
| MRI of the brain, no contrast dye CPT 70551 MRI BR/HEAD W/O CM EXT | $305.00 | $3,907.00 | $188.21–$3,907.00 | 90% below | 92% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $446.00 | $5,489.55 | $316.79–$5,489.55 | 90% below | 92% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BR/HEAD W/WO CM EXT | $446.00 | $5,489.55 | $316.79–$5,489.55 | 90% below | 92% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SP LUMB W/O CM | $305.00 | $3,537.00 | $181.42–$3,537.00 | 90% below | 91% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SP LUMB W/O CM EXT | $305.00 | $3,537.00 | $181.42–$3,537.00 | 90% below | 91% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SP LUMB W/WO CM EXT | $446.00 | $5,580.00 | $318.04–$5,580.00 | 90% below | 92% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SP LUMB W/WO CM | $446.00 | $5,580.00 | $318.04–$5,580.00 | 90% below | 92% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SP THOR W/O CM | $305.00 | $3,949.24 | $183.45–$3,949.24 | 89% below | 92% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SP THOR W/O CM EXT | $305.00 | $3,949.24 | $183.45–$3,949.24 | 89% below | 92% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SP CERV W/WO CM EXT | $446.00 | $5,372.00 | $319.01–$5,372.00 | 90% below | 92% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SP CERV W/WO CM | $446.00 | $5,372.00 | $319.01–$5,372.00 | 90% below | 92% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SP CERV W/O CM | $305.00 | $4,008.14 | $181.08–$4,008.14 | 90% below | 92% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SP CERV W/O CM EXT | $305.00 | $4,008.14 | $181.08–$4,008.14 | 90% below | 92% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONTRAST | $446.00 | $5,157.34 | $263.00–$5,157.34 | 89% below | 91% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $305.00 | $3,971.10 | $185.60–$3,971.10 | 88% below | 92% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UE/JNT WO CTRS | $305.00 | $3,324.00 | $206.55–$3,324.00 | 88% below | 91% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE,CERVICAL 4 OR 5 VIEWS | $133.00 | $1,032.00 | $38.44–$1,032.00 | 79% below | 87% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CM EXT | $224.00 | $3,679.50 | $184.40–$3,679.50 | 92% below | 94% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CM | $224.00 | $3,679.50 | $184.40–$3,679.50 | 92% below | 94% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CM EXT | $133.00 | $3,532.00 | $133.80–$3,532.00 | 94% below | 96% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CM | $133.00 | $3,532.00 | $133.80–$3,532.00 | 94% below | 96% |
| Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUES | $111.00 | $560.70 | $17.62–$560.70 | 66% below | 80% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF W/EJ FRX | $1,656.00 | $6,404.00 | $295.90–$6,404.00 | 59% below | 74% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARD TOM(SPECT)REST&EXCR | $1,656.00 | $6,404.00 | $295.90–$6,404.00 | 59% below | 74% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIUM SPECT MULTI | $1,656.00 | $6,404.00 | $295.90–$6,404.00 | 59% below | 74% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT TUMORIMAGE SKL/TH | $1,830.00 | $6,219.00 | $1,013.70–$6,219.00 | 75% below | 71% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CM EXT | $133.00 | $3,081.00 | $117.13–$3,081.00 | 93% below | 96% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CM | $133.00 | $3,081.00 | $117.13–$3,081.00 | 93% below | 96% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ER US EXAM PELVIC LIMITED | $133.00 | $827.00 | $30.24–$1,491.70 | 75% below | 84% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FU | $133.00 | $827.00 | $30.24–$1,491.70 | 75% below | 84% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBSTETRIC LMTD | $133.00 | $1,491.70 | $30.24–$1,491.70 | 75% below | 91% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM, PELVIC, COMPLET | $133.00 | $1,055.00 | $67.93–$1,055.00 | 86% below | 87% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $133.00 | $1,295.00 | $90.65–$1,295.00 | 85% below | 90% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP<14WKS 1STGEST | $133.00 | $929.00 | $47.84–$929.00 | 83% below | 86% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ER US OB LIMITED FETUS(S) | $133.00 | $760.00 | $56.89–$760.00 | 78% below | 83% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $133.00 | $760.00 | $56.89–$760.00 | 78% below | 83% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 1OR> FETUS | $133.00 | $760.00 | $56.89–$760.00 | 78% below | 83% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS 1/>FET LMTD | $133.00 | $544.85 | $56.89–$760.00 | 78% below | 76% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS,UNILAT 2VW | $111.00 | $733.00 | $26.10–$733.00 | 76% below | 85% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 UNI RIBS WITH PA CHEST | $133.00 | $1,012.60 | $29.67–$1,012.60 | 78% below | 87% |
| Screening mammogram, both breasts CPT 77067 COMPUTR DETCT SCRN MAMMO | $99.00 | $356.00 | $58.03–$356.00 | 68% below | 72% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER, 2VW MIN | $111.00 | $632.00 | $25.59–$632.00 | 80% below | 82% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES,3VW MIN | $111.00 | $560.70 | $32.53–$560.70 | 76% below | 80% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS | $133.00 | $1,012.60 | $24.60–$1,012.60 | 67% below | 87% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W/MED | $699.00 | $3,047.00 | $123.65–$3,047.00 | 78% below | 77% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWAL FUNC W CINE/VIDEO | $224.00 | $1,012.60 | $59.57–$1,012.60 | 66% below | 78% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS - 73552 - 4903552 | $111.00 | $560.70 | $20.99–$560.70 | 73% below | 80% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS - 73552 - 49073552 | $111.00 | $560.70 | $20.99–$560.70 | 73% below | 80% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2 VIEWS LT | $111.00 | $560.70 | $20.99–$560.70 | 73% below | 80% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2 VIEWS RT | $111.00 | $560.70 | $20.99–$560.70 | 73% below | 80% |
| Toe X-ray, 2 or more views CPT 73660 TOE(S) | $111.00 | $560.70 | $17.22–$560.70 | 66% below | 80% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $133.00 | $1,228.00 | $70.84–$1,228.00 | 81% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $133.00 | $863.00 | $51.77–$863.00 | 80% below | 85% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM, ABDOM, COMPLETE - 76700 - 5066701 | $133.00 | $1,952.00 | $82.35–$1,952.00 | 88% below | 93% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM, ABDOM, COMPLETE - 76700 - 5066700 | $133.00 | $1,952.00 | $82.35–$1,952.00 | 88% below | 93% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS - 76870 - 5066783 | $133.00 | $965.00 | $47.16–$965.00 | 85% below | 86% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS - 76870 - 5066782 | $133.00 | $965.00 | $47.16–$965.00 | 85% below | 86% |
| Ultrasound of the scrotum and testicles CPT 76870 ER US EXAM SCROTUM | $133.00 | $965.00 | $47.16–$965.00 | 85% below | 86% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK - 76536 - 4024012 | $133.00 | $544.85 | $65.98–$1,055.00 | 84% below | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ER US EXAM OF HEAD AND NECK | $133.00 | $1,055.00 | $65.98–$1,055.00 | 84% below | 87% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK - 76536 - 5066536 | $133.00 | $1,055.00 | $65.98–$1,055.00 | 84% below | 87% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SINGLE CONTR | $224.00 | $1,556.00 | $103.91–$1,556.00 | 64% below | 86% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS, 2VW MIN | $111.00 | $560.70 | $21.46–$560.70 | 74% below | 80% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 L/E VENOUS IMAGE UNI | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS US STUDY LTD | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS MVO LIMITED | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS IMAGING LIMITED - 93971 - 5016526 | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS IMAGING LIMITED - 93971 - 5106915 | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS PPG LIMITED | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DOPPLER LIMITED | $133.00 | $1,262.00 | $101.89–$1,262.00 | 85% below | 89% |
| Wrist X-ray, 2 views CPT 73100 NAVICULAR STUDY | $111.00 | $560.70 | $17.87–$560.70 | 71% below | 80% |
| Wrist X-ray, 2 views CPT 73100 WRIST,LIMITED | $111.00 | $560.70 | $17.87–$560.70 | 71% below | 80% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST, 3VW MIN | $111.00 | $632.00 | $27.41–$632.00 | 78% below | 82% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X RAY EXAM HIP UNI 2-3 VIEWS | $111.00 | $560.70 | $27.59–$560.70 | 72% below | 80% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN,SINGLE VIEW(KUB) | $111.00 | $560.70 | $16.73–$560.70 | 64% below | 80% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE,LIMITED | $111.00 | $560.70 | $19.92–$560.70 | 72% below | 80% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE LMTD LT | $111.00 | $560.70 | $19.92–$560.70 | 72% below | 80% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) | $111.00 | $560.70 | $17.67–$560.70 | 70% below | 80% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGERS LT | $111.00 | $560.70 | $17.67–$560.70 | 70% below | 80% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGERS RT | $111.00 | $560.70 | $17.67–$560.70 | 70% below | 80% |
| X-ray of the foot, 2 views CPT 73620 FOOT,LIMITED | $111.00 | $560.70 | $17.87–$560.70 | 73% below | 80% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT, 3VW MIN | $111.00 | $632.00 | $25.01–$632.00 | 78% below | 82% |
| X-ray of the hand, 3 or more views CPT 73130 HAND, 3VW MIN | $111.00 | $632.00 | $26.32–$632.00 | 78% below | 82% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE, 1-2 VWS | $111.00 | $560.70 | $20.19–$560.70 | 72% below | 80% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT | $111.00 | $560.70 | $20.19–$560.70 | 72% below | 80% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS RT | $111.00 | $560.70 | $20.19–$560.70 | 72% below | 80% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE,LUMBAR 2 VWS | $133.00 | $1,012.60 | $29.98–$1,012.60 | 72% below | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE,LUMBAR MIN 4VWS | $133.00 | $1,376.00 | $43.40–$1,376.00 | 80% below | 90% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE,THORACIC 2 VWS | $133.00 | $1,012.60 | $27.35–$1,012.60 | 71% below | 87% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES, 3VW MIN | $111.00 | $632.00 | $26.31–$632.00 | 74% below | 82% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE,CERV 3VWS OR LESS | $111.00 | $632.00 | $24.97–$632.00 | 75% below | 82% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS,LIMITED | $133.00 | $1,012.60 | $22.95–$1,012.60 | 65% below | 87% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX | $111.00 | $632.00 | $25.12–$632.00 | 76% below | 82% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $38.00 | $5.75 | $1.00–$5.75 | 44% below | -561% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT MR | $5.00 | $7.40 | $1.21–$105.00 | 88% below | 32% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE-SGPT (ALT) | $5.00 | $105.00 | $1.21–$105.00 | 88% below | 95% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSTERASE,AST(SGOT) | $5.00 | $105.00 | $1.18–$105.00 | 89% below | 95% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST MR | $5.00 | $7.22 | $1.18–$105.00 | 89% below | 31% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $47.00 | $15.74 | $2.57–$15.74 | 83% below | -199% |
| Albumin blood test CPT 82040 ALBUMIN SERUM LC1 | $4.00 | $4.16 | $1.00–$105.00 | 84% below | 4% |
| Albumin blood test CPT 82040 PN IGG+SYN, ALBUMIN LC1 | $4.00 | $32.61 | $1.00–$105.00 | 84% below | 88% |
| Albumin blood test CPT 82040 ALBUMIN MR | $4.00 | $6.92 | $1.00–$105.00 | 84% below | 42% |
| Albumin blood test CPT 82040 ALBUMIN SERUM LC2 | $4.00 | $7.12 | $1.00–$105.00 | 84% below | 44% |
| Albumin blood test CPT 82040 ALBUMIN SER LC2 | $4.00 | $4.16 | $1.00–$105.00 | 84% below | 4% |
| Albumin blood test CPT 82040 ALBUMIN,SERUM | $4.00 | $105.00 | $1.00–$105.00 | 84% below | 96% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $40.00 | $4.23 | $1.00–$10.00 | 56% above | -846% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, URINE | $40.00 | $10.00 | $1.00–$10.00 | 56% above | -300% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS MR | $5.00 | $5.00 | $1.00–$105.00 | 86% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE | $5.00 | $105.00 | $1.00–$105.00 | 86% below | 95% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PN ALK PHOS ISO, PHOS ALK LC1 | $5.00 | $3.50 | $1.00–$105.00 | 86% below | -43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W014-IGE PIGWEED, COMMON | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W001-IGE RAGWEED, SHORT | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W001-IGE RAGWEED, SHORT LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W011-IGE-THISTLE, RUSSIAN | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W006-IGE MUGWORT | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W018-IGE SHEEP SORREL | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGG SPECIFIC LC - 86003 - 7006003 | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGG SPECIFIC LC - 86003 - 70086000 | $5.00 | $23.00 | $1.00–$207.00 | at median | 78% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD BASIC | $5.00 | $19.56 | $1.00–$207.00 | at median | 74% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ANIMAL | $5.00 | $9.78 | $1.00–$207.00 | at median | 49% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD CITRUS | $5.00 | $16.30 | $1.00–$207.00 | at median | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ZONEL 4 | $5.00 | $104.00 | $1.00–$207.00 | at median | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLEGREN LC3 | $5.00 | $207.00 | $1.00–$207.00 | at median | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGN SPEC IGE CRUDE XTRC EA | $5.00 | $91.25 | $1.00–$207.00 | at median | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGG SPECIFIC LC - 86003 - 7008603 | $5.00 | $3.87 | $1.00–$207.00 | at median | -29% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD FRUIT | $5.00 | $16.30 | $1.00–$207.00 | at median | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QN/SC | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C001-IGE PENICILLIN G | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D001-IGE PTERONYSSINUS | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D002-IGE D FARINAE MITE LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D070-IGE ACARUS MITE | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D001-IGE D PTERONYSSINUS LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D003-D. MICROCERAS (MITE) | $5.00 | $24.25 | $1.00–$207.00 | at median | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D002-IGE FARINAE | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E005-IGE DOG DANDER | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IGE CAT DANDER | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IGE CAT HAIR/DANDER LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E002-IGE DOG EPITHELIA LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E072-IGE MOUSE URINE | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E085-IGE CHICKEN FEATHERS | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E003-IGE HORSE DANDER | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F297-IGE ACACIA GUM | $5.00 | $3.76 | $1.00–$207.00 | at median | -33% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F004-IGE WHEAT LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F013-IGE PEANUT LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F014-IGE SOYBEAN LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G002-IGE BERMUDA GRASS - 86003 - 7179005LC6 | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-IGE MILK (COW) LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G002-IGE BERMUDA GRASS - 86003 - 7179043LC | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G006-IGE TIMOTHY GRASS - 86003 - 7179005LC7 | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G006-IGE TIMOTHY GRASS - 86003 - 7179044LC | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I006-IGE COCKROACH, GERMAN | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I100-IGE COKROCH,AMERCAN LC | $5.00 | $4.50 | $1.00–$207.00 | at median | -11% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IGE ASPERGILLUS FUMIGATUS - 86003 - 7179005L11 | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IGE ASPERGILLUS FUMIGATUS - 86003 - 7179064LC | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M004-IGE MUCOR RACEMOSUS | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M010-IGE STEMPHLIM BOTRY LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M004-IGE MUCOR RACEMOSUS LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M006-IGE ALTERNARIA ALTERNATA - 86003 - 7179005L12 | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M006-IGE ALTERNARIA ALTERNATA - 86003 - 7179066LC | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M006-IGE ALTRNRIA TENUIS LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M012-IGE AUREOBASIDI PULLULANS | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M014-IGE EPICOCCUM PURPUR | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M016-IGE CURVULARIA LUNATA | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M001-IGE PENICILLIUM CHRYSOGEN | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M002-IGE CLADOSPORIUM HERBARUM | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IGE ASPERGI FUMIGAT LC | $5.00 | $4.00 | $1.00–$207.00 | at median | -25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M008-IGE SETOMELANOMMA ROSTRAT | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M009-IGE FUSARIUM PROLIFERATUM | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M010-IGE STEMPHYLIUM HERBARUM | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M207-IGE ASPERGILLUS NIGER | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T001-IGE MAPLE/BOX ELDER | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T002-IGE ALDER, GREY | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T003-IGE COMMON SILVER BIRCH - 86003 - 7179100LC | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T006-IGE CEDAR, MOUNTAIN | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T014-IGE COTTONWOOD | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T007-IGE OAK, WHITE | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T011-IGE MAPLE LEAF SYCAMORE | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T070-IGE WHITE MULBERRY | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T009-IGE OLIVE TREE | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T012-IGE WILLOW | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T016-IGE PINE, WHITE | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T003-IGE COMMON SILVER BIRCH - 86003 - 7179005L14 | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T008-IGE ELM, AMERICAN | $5.00 | $3.48 | $1.00–$207.00 | at median | -44% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T010-IGE WALNUT | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T018-IGE EUCALYPTUS | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W005-IGE WORMWOOD | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W016-IGE ROUGH MARSHELDER | $5.00 | $3.26 | $1.00–$207.00 | at median | -53% |
| Ammonia blood test CPT 82140 AMMONIA | $14.00 | $208.00 | $3.32–$208.00 | 92% below | 93% |
| Ammonia blood test CPT 82140 AMMONIA MR | $14.00 | $20.36 | $3.32–$208.00 | 92% below | 31% |
| Amylase blood test CPT 82150 AMYLASE | $6.00 | $203.00 | $1.48–$203.00 | 88% below | 97% |
| Amylase blood test CPT 82150 AMYLASE MR | $6.00 | $9.06 | $1.48–$203.00 | 88% below | 34% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP AB | $12.00 | $10.12 | $1.65–$10.12 | 41% below | -19% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB | $12.00 | $2.82 | $1.00–$12.00 | 63% below | -326% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AB - 86038 - 7007000 | $12.00 | $12.00 | $1.00–$12.00 | 63% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX IF POSITIVE LC | $12.00 | $2.44 | $1.00–$12.00 | 63% below | -392% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Reflex Cascade | $12.00 | $4.16 | $1.00–$12.00 | 63% below | -188% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA) | $12.00 | $5.75 | $1.00–$12.00 | 63% below | -109% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYP NATRIURETC PEPTID | $39.00 | $200.00 | $24.12–$200.00 | 79% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC AEROBIC CULTURE | $8.00 | $5.91 | $1.00–$550.00 | 93% below | -35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC GENITAL CULTURE | $8.00 | $13.54 | $1.00–$550.00 | 93% below | 41% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC CSF CULTURE | $8.00 | $13.52 | $1.00–$550.00 | 93% below | 41% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC UPPER RESP CULTURE | $8.00 | $8.50 | $1.00–$550.00 | 93% below | 6% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC BODY FLUID CULTURE | $8.00 | $13.54 | $1.00–$550.00 | 93% below | 41% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC SPUTUM CULTURE | $8.00 | $9.28 | $1.00–$550.00 | 93% below | 14% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,OTHER SOURCE | $8.00 | $550.00 | $1.00–$550.00 | 93% below | 99% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA | $8.00 | $34.84 | $1.00–$550.00 | 93% below | 77% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $8.00 | $806.00 | $1.93–$806.00 | 96% below | 99% |
| Basic metabolic panel (blood test) CPT 80048 BASIC MET PNL MR | $8.00 | $11.83 | $1.93–$806.00 | 96% below | 32% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTL MR | $5.00 | $7.02 | $1.14–$105.00 | 89% below | 29% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN,TOTAL | $5.00 | $105.00 | $1.14–$105.00 | 89% below | 95% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVEL 4, TC InPt | $66.00 | $36.00 | $5.87–$207.97 | 49% below | -83% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV BIOPSY PL | $66.00 | $207.97 | $5.87–$207.97 | 49% below | 68% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVEL 4, TC OUTPT | $66.00 | $63.00 | $5.87–$207.97 | 49% below | -5% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $9.00 | $20.00 | $3.26–$73.00 | 57% below | 55% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTR, ROUTINE | $9.00 | $73.00 | $3.26–$73.00 | 57% below | 88% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT | $3.00 | $105.00 | $1.00–$105.00 | 92% below | 97% |
| Blood glucose (sugar) test CPT 82947 GLUCLOSE MR | $3.00 | $5.48 | $1.00–$105.00 | 92% below | 45% |
| Blood glucose (sugar) test CPT 82947 ISTAT GLU | $3.00 | $50.00 | $1.00–$105.00 | 92% below | 94% |
| Blood lead test CPT 83655 LEAD, WHOLE BLOOD | $12.00 | $14.66 | $1.00–$14.66 | 17% above | 18% |
| Blood lead test CPT 83655 PN HEAVY MET UR,LEAD UR LC1 | $12.00 | $7.64 | $1.00–$14.66 | 17% above | -57% |
| Blood lead test CPT 83655 LEAD, BLOOD (ADULT) LC | $12.00 | $3.26 | $1.00–$14.66 | 17% above | -268% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADTOPN CHRONC(HCG)QL | $7.00 | $416.00 | $7.41–$416.00 | 96% below | 98% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD,TYPE,ABO ONLY | $170.00 | $144.00 | $2.73–$144.00 | 65% above | -18% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO SBC | $170.00 | $35.00 | $2.73–$144.00 | 65% above | -386% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD TYPE ABO ONLY | $170.00 | $144.00 | $2.73–$144.00 | 65% above | -18% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA MR | $3.00 | $5.51 | $1.00–$105.00 | 91% below | 46% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $3.00 | $105.00 | $1.00–$105.00 | 91% below | 97% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $20.00 | $3.65 | $1.00–$3.65 | 69% below | -448% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP MR | $5.00 | $7.23 | $1.18–$208.00 | 91% below | 31% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QL | $5.00 | $7.67 | $1.18–$208.00 | 91% below | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QN | $5.00 | $208.00 | $1.18–$208.00 | 91% below | 98% |
| C. difficile toxin gene test (stool PCR) CPT 87493 MM C- DIFF TOXIN COMFORMATION | $37.00 | $37.27 | $6.08–$248.55 | 76% below | 1% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXING BY DNA AMP | $37.00 | $248.55 | $6.08–$248.55 | 76% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE REVOGEN | $37.00 | $186.35 | $6.08–$248.55 | 76% below | 80% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $20.00 | $4.00 | $1.00–$4.00 | 60% below | -400% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $20.00 | $4.70 | $1.00–$4.70 | 85% below | -326% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL IN-HOUSE | $51.00 | $100.00 | $8.36–$100.00 | 46% below | 49% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL | $51.00 | $51.31 | $8.36–$100.00 | 46% below | 1% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC | $51.00 | $70.00 | $8.36–$100.00 | 46% below | 27% |
| Calcium blood test, total CPT 82310 CALCIUM | $5.00 | $110.00 | $1.17–$110.00 | 92% below | 95% |
| Calcium blood test, total CPT 82310 PTH INTACT - 82310 - 7007012 | $5.00 | $72.60 | $1.17–$110.00 | 92% below | 93% |
| Calcium blood test, total CPT 82310 CALCIUM MR | $5.00 | $7.20 | $1.17–$110.00 | 92% below | 31% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINO-EMBRYONIC AG | $18.00 | $3.46 | $1.00–$3.46 | 78% below | -420% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM | $12.00 | $49.50 | $1.00–$49.50 | 61% below | 76% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV IGM CSF LC | $12.00 | $25.75 | $1.00–$49.50 | 61% below | 53% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $12.00 | $3.46 | $1.00–$49.50 | 61% below | -247% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMDIA TRACHMATIS, NAA LC | $35.00 | $17.00 | $2.77–$30.00 | 36% below | -106% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA URINE MALE - 87491 - 7007063 | $35.00 | $24.00 | $2.77–$30.00 | 36% below | -46% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRAC DNA PROBE | $35.00 | $30.00 | $2.77–$30.00 | 36% below | -17% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $13.00 | $525.00 | $2.66–$525.00 | 87% below | 98% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE LC | $13.00 | $16.30 | $2.66–$525.00 | 87% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBC MR | $7.00 | $10.86 | $1.77–$327.00 | 94% below | 36% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF (5) | $7.00 | $327.00 | $1.77–$327.00 | 94% below | 98% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRM,AUTOMATED | $6.00 | $225.00 | $1.47–$225.00 | 93% below | 97% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGAM MR | $6.00 | $9.04 | $1.47–$225.00 | 93% below | 34% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP MET PNL MR | $10.00 | $14.77 | $2.41–$1,392.00 | 96% below | 32% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $10.00 | $1,392.00 | $2.41–$1,392.00 | 96% below | 99% |
| Cortisol blood test, total CPT 82533 CORTISOL,TOTAL | $16.00 | $272.00 | $3.72–$272.00 | 83% below | 94% |
| Cortisol blood test, total CPT 82533 CORTISOL MR | $16.00 | $22.83 | $3.72–$272.00 | 83% below | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $6.00 | $185.00 | $1.00–$185.00 | 93% below | 97% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL | $6.00 | $2.82 | $1.00–$185.00 | 93% below | -113% |
| Creatine kinase (CK) blood test, total CPT 82550 CK MR | $6.00 | $9.10 | $1.00–$185.00 | 93% below | 34% |
| Creatinine blood test CPT 82565 CREATININE,BLOOD | $5.00 | $105.00 | $4.95–$105.00 | 89% below | 95% |
| Cytomegalovirus (CMV) antibody test CPT 86644 SCRN UNIT - CMV | $14.00 | $40.00 | $1.00–$40.00 | 49% below | 65% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG | $14.00 | $4.60 | $1.00–$40.00 | 49% below | -204% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER MR | $10.00 | $14.22 | $2.32–$283.00 | 93% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,FDP | $10.00 | $283.00 | $2.32–$283.00 | 93% below | 96% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDRST SULFATE | $22.00 | $5.00 | $1.00–$5.00 | 78% below | -340% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR COMPREH,URINE | $62.00 | $42.11 | $1.00–$798.10 | at median | -47% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR(O) | $62.00 | $798.10 | $1.00–$798.10 | at median | 92% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR COMPREH, URINE | $62.00 | $42.11 | $1.00–$798.10 | at median | -47% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP NOT OPT | $62.00 | $4.12 | $1.00–$798.10 | at median | -1405% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN;EA CLS | $62.00 | $63.00 | $1.00–$798.10 | at median | 2% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES MR | $7.00 | $9.80 | $1.60–$421.00 | 92% below | 29% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $7.00 | $421.00 | $1.60–$421.00 | 92% below | 98% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS,IGM | $18.00 | $8.15 | $1.17–$25.00 | 32% below | -121% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,IGG | $18.00 | $10.70 | $1.17–$25.00 | 32% below | -68% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,VCA | $18.00 | $25.00 | $1.17–$25.00 | 32% below | 28% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGG LC2 | $18.00 | $20.90 | $1.17–$25.00 | 32% below | 14% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM LC2 | $18.00 | $20.89 | $1.17–$25.00 | 32% below | 14% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 PN EBV AB, IGG LC2 | $18.00 | $7.16 | $1.17–$25.00 | 32% below | -151% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 PN EBV AB, IGG LC1 | $18.00 | $7.15 | $1.17–$25.00 | 32% below | -152% |
| Estradiol blood test CPT 82670 ESTRADIOL | $27.00 | $5.00 | $1.00–$18.27 | 69% below | -440% |
| Estradiol blood test CPT 82670 PN ESTRG FRA SER,ESTRA SER LC1 | $27.00 | $18.27 | $1.00–$18.27 | 69% below | -48% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMLAT HORMONE | $18.00 | $4.00 | $1.00–$4.00 | 82% below | -350% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $19.00 | $100.00 | $13.96–$100.00 | 74% below | 81% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $13.00 | $105.00 | $13.63–$105.00 | 88% below | 88% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN MR | $9.00 | $11.87 | $1.93–$310.00 | 93% below | 24% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN,ACTIVITY | $9.00 | $310.00 | $1.93–$310.00 | 93% below | 97% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $14.00 | $2.85 | $1.00–$2.85 | 87% below | -391% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE,FR,SER LC | $16.00 | $4.00 | $1.00–$15.00 | 80% below | -300% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $16.00 | $15.00 | $1.00–$15.00 | 80% below | -7% |
| Free T3 thyroid hormone test CPT 84481 TROPONIN MR | $16.00 | $13.75 | $1.00–$15.00 | 80% below | -16% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE & DIRECT | $9.00 | $2.20 | $1.00–$105.00 | 87% below | -309% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE MR | $9.00 | $12.60 | $1.00–$105.00 | 87% below | 29% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE,FREE | $9.00 | $105.00 | $1.00–$105.00 | 87% below | 91% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $25.00 | $36.17 | $1.00–$36.17 | 9% below | 31% |
| Free testosterone test CPT 84402 PN TESTO FR TOT,TESTO FR LC1 | $25.00 | $3.26 | $1.00–$36.17 | 9% below | -667% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT LC | $7.00 | $4.72 | $1.00–$10.06 | 85% below | -48% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT MR | $7.00 | $10.06 | $1.00–$10.06 | 85% below | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3SPEC | $12.00 | $105.00 | $12.87–$105.00 | 91% below | 89% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORHOAE, NAA LC | $35.00 | $17.71 | $2.89–$21.00 | 41% below | -98% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE LC | $35.00 | $21.00 | $2.89–$21.00 | 41% below | -67% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB | $16.00 | $20.00 | $3.26–$116.00 | 86% below | 20% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB,IGG | $16.00 | $116.00 | $3.26–$116.00 | 86% below | 86% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG EIA LC | $14.00 | $30.00 | $4.89–$72.00 | 82% below | 53% |
| H. pylori stool antigen test CPT 87338 H. PYLORI, STOOL, AG | $14.00 | $72.00 | $4.89–$72.00 | 82% below | 81% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL AG, EIA | $14.00 | $30.00 | $4.89–$72.00 | 82% below | 53% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 PCR QUANT LC | $85.00 | $60.00 | $9.78–$60.00 | 16% below | -42% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 | $13.00 | $250.00 | $13.71–$250.00 | 78% below | 95% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB COMBO RFLX CONF LC | $24.00 | $6.95 | $1.13–$6.95 | 73% below | -245% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2 AG/AB W/ CASCADE RFL | $24.00 | $6.95 | $1.13–$6.95 | 73% below | -245% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN,GLYCATED | $9.00 | $208.00 | $9.71–$208.00 | 86% below | 96% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB, TOT LC | $12.00 | $5.00 | $1.00–$5.64 | 66% below | -140% |
| Hepatitis B core antibody test (total) CPT 86704 HBV CORE AB IGG/IGM DIFF LC | $12.00 | $5.64 | $1.00–$5.64 | 66% below | -113% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBDY | $10.00 | $2.82 | $1.00–$2.82 | 76% below | -255% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG IMM ASSAY | $10.00 | $2.35 | $1.00–$8.00 | 86% below | -326% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBS ANTIGEN | $10.00 | $8.00 | $1.00–$8.00 | 86% below | -25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $14.00 | $13.00 | $1.00–$13.00 | 74% below | -8% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB LC | $14.00 | $5.19 | $1.00–$13.00 | 74% below | -170% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV AB REFLX QUANT PCR LC | $14.00 | $5.19 | $1.00–$13.00 | 74% below | -170% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPTIMAX HCV RNA | $42.00 | $280.25 | $12.06–$280.25 | 52% below | 85% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT | $42.00 | $88.00 | $12.06–$280.25 | 52% below | 52% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT | $42.00 | $74.00 | $12.06–$280.25 | 52% below | 43% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, QUANT (GRAPH) | $42.00 | $81.45 | $12.06–$280.25 | 52% below | 48% |
| Herpes blood test, HSV-1 antibody CPT 86695 PN HSV 1/2 IGG,HSV1 AB IGG LC1 | $13.00 | $71.38 | $1.00–$71.38 | 33% below | 82% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I,AB,IGM | $13.00 | $3.33 | $1.00–$71.38 | 33% below | -290% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG LC2 | $13.00 | $15.05 | $1.00–$71.38 | 33% below | 14% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I,AB,IGG | $13.00 | $10.00 | $1.00–$71.38 | 33% below | -30% |
| Herpes blood test, HSV-2 antibody CPT 86696 PN HSV 1/2 IGG,HSV2 AB IGG LC1 | $19.00 | $71.37 | $1.00–$71.37 | 19% below | 73% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II,AB,IGM | $19.00 | $3.33 | $1.00–$71.37 | 19% below | -471% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II,AB,IGG | $19.00 | $10.00 | $1.00–$71.37 | 19% below | -90% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG LC2 | $19.00 | $15.05 | $1.00–$71.37 | 19% below | -26% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, CARD MR | $12.00 | $18.09 | $2.95–$64.75 | 80% below | 34% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $12.00 | $64.75 | $2.95–$64.75 | 80% below | 81% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE,QUANT | $17.00 | $12.22 | $1.99–$12.22 | 78% below | -39% |
| Insulin blood test CPT 83525 INSULIN LC | $11.00 | $3.37 | $1.00–$3.37 | 71% below | -226% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER | $6.00 | $108.00 | $6.47–$108.00 | 90% below | 94% |
| Iron blood test (serum iron) CPT 83540 IRON | $6.00 | $105.00 | $6.47–$108.00 | 90% below | 94% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPCTY | $8.00 | $105.00 | $7.91–$105.00 | 89% below | 92% |
| LH (luteinizing hormone) test CPT 83002 LUTEINING HORMONE | $18.00 | $3.26 | $1.00–$3.26 | 83% below | -452% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID MR | $11.00 | $14.92 | $2.43–$416.00 | 92% below | 26% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID) | $11.00 | $416.00 | $2.43–$416.00 | 92% below | 97% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, BODY FLUID | $6.00 | $2.25 | $1.00–$105.00 | 83% below | -167% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGENASE | $6.00 | $105.00 | $1.00–$105.00 | 83% below | 94% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE MR | $6.00 | $9.62 | $1.57–$105.00 | 94% below | 38% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $6.00 | $105.00 | $1.57–$105.00 | 94% below | 94% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W/REFLEX | $17.00 | $10.00 | $1.63–$18.73 | 20% below | -70% |
| Lyme disease antibody test CPT 86618 LYME ANTIBODY TITER | $17.00 | $18.73 | $1.63–$18.73 | 20% below | 9% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL RFLX LC | $17.00 | $10.00 | $1.63–$18.73 | 20% below | -70% |
| Lyme disease antibody test CPT 86618 LYME DIS AB TOTAL IGM RFLX LC | $17.00 | $15.00 | $1.63–$18.73 | 20% below | -13% |
| Magnesium blood test CPT 83735 MAGNESIUM LC | $6.00 | $9.36 | $1.00–$177.00 | 90% below | 36% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $6.00 | $5.00 | $1.00–$177.00 | 90% below | -20% |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.00 | $177.00 | $1.00–$177.00 | 90% below | 97% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA TITER | $12.00 | $17.00 | $1.00–$17.00 | 62% below | 29% |
| Measles (rubeola) antibody test CPT 86765 RUBELOLA IGM CSF LC | $12.00 | $14.06 | $1.00–$17.00 | 62% below | 15% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $12.00 | $2.85 | $1.00–$17.00 | 62% below | -321% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGG | $13.00 | $2.44 | $1.00–$2.44 | 19% below | -433% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE LC2 | $18.00 | $6.67 | $1.00–$6.67 | 70% below | -170% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PN PSA TOT+ %FR, PSA FR LC1 | $18.00 | $5.96 | $1.00–$6.67 | 70% below | -202% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PN PSA TOT+ %FR, PSA TOT LC1 | $18.00 | $7.37 | $1.09–$22.48 | 70% below | -144% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL LC2 | $18.00 | $6.67 | $1.09–$22.48 | 70% below | -170% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $18.00 | $22.48 | $1.09–$22.48 | 70% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT - ROUTINE | $41.00 | $102.50 | $11.83–$102.50 | 63% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT - 83970 - 7007013 | $41.00 | $72.60 | $11.83–$102.50 | 63% below | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT MR | $6.00 | $8.38 | $1.37–$242.00 | 90% below | 28% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LC | $6.00 | $14.12 | $1.37–$242.00 | 90% below | 58% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASM | $6.00 | $242.00 | $1.37–$242.00 | 90% below | 98% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $6.00 | $35.00 | $1.37–$242.00 | 90% below | 83% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS - 84100 - 4104100 | $4.00 | $105.00 | $1.08–$105.00 | 95% below | 96% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS - 84100 - 7008410 | $4.00 | $6.63 | $1.08–$105.00 | 95% below | 40% |
| Potassium blood test CPT 84132 ISTAT K | $4.00 | $50.00 | $1.05–$105.00 | 95% below | 92% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $4.00 | $105.00 | $1.05–$105.00 | 95% below | 96% |
| Potassium blood test CPT 84132 POTASSIUM MR | $4.00 | $6.42 | $1.05–$105.00 | 95% below | 38% |
| Progesterone blood test CPT 84144 PPROGESTERONE LC | $20.00 | $3.37 | $1.00–$3.37 | 76% below | -493% |
| Prolactin blood test CPT 84146 PROLACTIN | $19.00 | $3.26 | $1.00–$3.26 | 82% below | -483% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME MR | $4.00 | $5.49 | $1.00–$225.00 | 93% below | 27% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT LC | $4.00 | $14.12 | $1.00–$225.00 | 93% below | 72% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 7179085LC1 | $4.00 | $16.86 | $1.00–$225.00 | 93% below | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 4105610 | $4.00 | $225.00 | $1.00–$225.00 | 93% below | 98% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMP OPTICAL | $12.00 | $74.30 | $1.66–$175.00 | 86% below | 84% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN QL MLT CLASS NON | $12.00 | $20.47 | $1.66–$175.00 | 86% below | 41% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN UA LC | $12.00 | $10.18 | $1.66–$175.00 | 86% below | -18% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $12.00 | $175.00 | $1.66–$175.00 | 86% below | 93% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ANTIGEN BY EIA | $16.00 | $220.00 | $8.02–$220.00 | 85% below | 93% |
| Renin blood test CPT 84244 RENIN ACTIVITY, PLASMA LC | $21.00 | $5.00 | $1.00–$5.00 | 15% below | -320% |
| Rh blood typing CPT 86901 BLOOD TYPE RH ONLY | $47.00 | $144.00 | $2.82–$144.00 | 16% below | 67% |
| Rh blood typing CPT 86901 RH SBC | $47.00 | $40.00 | $2.82–$144.00 | 16% below | -18% |
| Rh blood typing CPT 86901 BLD,TYPE,RHO(D)ONLY | $47.00 | $144.00 | $2.82–$144.00 | 16% below | 67% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (RF) | $5.00 | $15.00 | $2.45–$299.00 | 62% below | 67% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $5.00 | $299.00 | $2.45–$299.00 | 62% below | 98% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM CSF | $14.00 | $23.50 | $1.00–$23.50 | 72% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $14.00 | $2.44 | $1.00–$23.50 | 72% below | -474% |
| Sodium blood test CPT 84295 SODIUM MR | $4.00 | $6.72 | $1.10–$105.00 | 94% below | 40% |
| Sodium blood test CPT 84295 ISTAT NA | $4.00 | $50.00 | $1.10–$105.00 | 94% below | 92% |
| Sodium blood test CPT 84295 SODIUM,BLOOD | $4.00 | $105.00 | $1.10–$105.00 | 94% below | 96% |
| Stool ova and parasites exam CPT 87177 OVA + PARASITE EXAM RESULT 1 | $8.00 | $3.62 | $1.00–$13.00 | 62% below | -121% |
| Stool ova and parasites exam CPT 87177 O&P,SMEAR,CONC,ID | $8.00 | $13.00 | $1.00–$13.00 | 62% below | 38% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD;OCCULT,FECES,SCREEN | $4.00 | $50.00 | $3.35–$50.00 | 90% below | 92% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB (FTA-AB) | $13.00 | $4.89 | $1.00–$20.00 | 20% below | -166% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB LC | $13.00 | $4.89 | $1.00–$20.00 | 20% below | -166% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 MHA-TP | $13.00 | $11.00 | $1.00–$20.00 | 20% below | -18% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS - 86780 - 7106650 | $13.00 | $20.00 | $1.00–$20.00 | 20% below | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TRP QUAL | $4.00 | $21.35 | $1.00–$21.35 | 70% below | 81% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC | $4.00 | $3.26 | $1.00–$21.35 | 70% below | -23% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/RPR QUAL | $4.00 | $3.75 | $1.00–$21.35 | 70% below | -7% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF,QUAL | $4.00 | $8.98 | $1.00–$21.35 | 70% below | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC | $4.00 | $1.63 | $1.00–$21.35 | 70% below | -145% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON CLIENT INCUBATED | $61.00 | $40.00 | $6.52–$70.00 | 28% below | -53% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON LC CLT IN | $61.00 | $55.00 | $6.52–$70.00 | 28% below | -11% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON SCPH | $61.00 | $70.00 | $6.52–$70.00 | 28% below | 13% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $25.00 | $6.52 | $1.06–$11.30 | 38% below | -283% |
| Testosterone blood test, total (not free testosterone) CPT 84403 PN TESTO FR TOT,TESTO TOT LC1 | $25.00 | $11.30 | $1.06–$11.30 | 38% below | -121% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB | $14.00 | $5.81 | $1.00–$12.49 | 39% below | -141% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB LC | $14.00 | $4.89 | $1.00–$12.49 | 39% below | -186% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB | $14.00 | $12.49 | $1.00–$12.49 | 39% below | -12% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $16.00 | $105.00 | $16.80–$105.00 | 83% below | 85% |
| Total IgE blood test CPT 82785 ALLERGEN PROFILE | $16.00 | $91.25 | $1.00–$91.25 | 75% below | 82% |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $16.00 | $10.00 | $1.00–$91.25 | 75% below | -60% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E, TOTAL | $16.00 | $3.37 | $1.00–$91.25 | 75% below | -375% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL,TOTAL | $4.00 | $105.00 | $4.35–$105.00 | 90% below | 96% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) LC | $6.00 | $2.25 | $1.00–$2.25 | 85% below | -167% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODTHYRNINE TOTAL T3 | $14.00 | $3.67 | $1.00–$3.67 | 82% below | -281% |
| Transferrin blood test CPT 84466 TRANSFERRIN LC | $12.00 | $2.44 | $1.00–$2.44 | 78% below | -392% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES MR | $5.00 | $8.04 | $1.00–$105.00 | 88% below | 38% |
| Triglycerides blood test CPT 84478 TRIGKYCERIDES LC | $5.00 | $4.83 | $1.00–$105.00 | 88% below | -4% |
| Triglycerides blood test CPT 84478 PN VAP CHOL,TRIGLY BF LC1 | $5.00 | $11.16 | $1.00–$105.00 | 88% below | 55% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $5.00 | $105.00 | $1.00–$105.00 | 88% below | 95% |
| Troponin test, quantitative CPT 84484 TROPONIN - I | $12.00 | $679.00 | $9.72–$679.00 | 93% below | 98% |
| Urinalysis without microscope exam, manual CPT 81002 URINE SINGLE ITEM | $3.00 | $85.00 | $2.47–$85.00 | 91% below | 96% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $3.00 | $41.00 | $2.47–$85.00 | 91% below | 93% |
| Urine culture for bacteria, with colony count CPT 87086 LC URINE CULTURE | $8.00 | $7.01 | $1.14–$8.24 | 94% below | -14% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE,URINE,COLONY CT | $8.00 | $8.24 | $1.14–$8.24 | 94% below | 3% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, RDM URINE | $5.00 | $17.82 | $1.00–$17.82 | 86% below | 72% |
| Urine microalbumin (albumin) test CPT 82043 MICROALB,UR,QNT | $5.00 | $16.49 | $1.00–$17.82 | 86% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 MICROALB TMD LC2 | $5.00 | $6.00 | $1.00–$17.82 | 86% below | 17% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN LC1 | $5.00 | $4.98 | $1.00–$17.82 | 86% below | — |
| Urine microalbumin (albumin) test CPT 82043 PN UR M/C RAT, MICR QN UR LC1 | $5.00 | $3.26 | $1.00–$17.82 | 86% below | -53% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST,QUAL | $8.00 | $208.00 | $4.02–$208.00 | 91% below | 96% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $8.00 | $130.81 | $4.02–$208.00 | 91% below | 94% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LC | $15.00 | $2.85 | $1.00–$2.85 | 84% below | -426% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D/25-HYDROX | $29.00 | $21.00 | $3.42–$32.00 | 55% below | -38% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25HYDROXY VIT D D2+D3 LC | $29.00 | $32.00 | $3.42–$32.00 | 55% below | 9% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D, 1, 25-DIHYDROXY | $38.00 | $9.77 | $1.59–$9.77 | 44% below | -289% |
| Zinc blood test CPT 84630 ZINC, PLASMA OR SERUM LC | $11.00 | $4.28 | $1.00–$4.28 | at median | -157% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADTOPN CHORNC(HCG)QNT | $15.00 | $416.00 | $3.43–$416.00 | 92% below | 96% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QT MR | $15.00 | $21.03 | $3.43–$416.00 | 92% below | 29% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopysurgery - 29888 - | $9,286.00 | $23,624.30 | $967.66–$23,624.31 | at median | 61% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $9,286.00 | $49,293.80 | $494.04–$49,293.80 | 23% above | 81% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX FX FIB DST W/O MAN CL | $315.00 | $886.29 | $144.47–$886.29 | 41% below | 64% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX FX MTTRSL W/O MAN CLD | $315.00 | $672.35 | $109.59–$672.35 | 41% below | 53% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo | $4,187.00 | $13,932.09 | $574.61–$13,932.09 | at median | 70% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs | $4,187.00 | $5,965.42 | $423.48–$5,965.42 | 16% below | 30% |
| Cardiac catheterization with coronary angiogram CPT 93458 LT HRT ART/VENTRICLE ANGIO | $4,149.00 | $15,281.80 | $693.51–$15,281.80 | 68% below | 73% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTRNAL | $845.00 | $2,940.70 | $175.66–$2,940.70 | 56% below | 71% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $845.00 | $2,632.45 | $175.66–$2,940.70 | 56% below | 68% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION,ARRHYTHMIA | $845.00 | $2,632.45 | $175.66–$2,940.70 | 56% below | 68% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC | $845.00 | $2,632.45 | $175.66–$2,940.70 | 56% below | 68% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $2,499.00 | $17,988.10 | $454.46–$17,988.10 | 31% below | 86% |
| Catheter ablation for atrial fibrillation CPT 93656 COMP EPS TRANS W AFIB ABLATION | $33,452.00 | $68,508.30 | $880.47–$68,508.30 | at median | 51% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $2,675.00 | $22,406.30 | $181.57–$22,406.30 | 42% below | 88% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RDIAL DIST W/O MAN - 25600 - 6075600 | $315.00 | $1,078.20 | $175.75–$1,078.20 | 44% below | 71% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX RDIAL DIST W/O MAN - 25600 - 6106129 | $315.00 | $1,078.20 | $175.75–$1,078.20 | 44% below | 71% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY,LIMITED | $1,531.00 | $3,763.80 | $169.77–$3,763.80 | 33% below | 59% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLON TRANS ABD W/ENDO US | $1,531.00 | $3,763.80 | $169.77–$3,763.80 | 33% below | 59% |
| Colonoscopy with polyp removal CPT 45385 COLON W/POLYP SNARE | $1,531.00 | $3,919.16 | $574.08–$3,919.16 | 33% below | 61% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLYECTOMY SNARE | $1,531.00 | $3,919.16 | $574.08–$3,919.16 | 33% below | 61% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLYP RMVL | $1,531.00 | $3,919.16 | $574.08–$3,919.16 | 33% below | 61% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY | $1,531.00 | $3,919.16 | $473.68–$17,925.00 | 34% below | 61% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy - 45380 - OR36045380 | $1,531.00 | $17,925.00 | $473.68–$17,925.00 | 34% below | 91% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX | $1,531.00 | $3,919.16 | $473.68–$17,925.00 | 34% below | 61% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY - 45380 - 5075380 | $1,531.00 | $3,919.16 | $473.68–$17,925.00 | 34% below | 61% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $1,190.00 | $17,925.00 | $423.48–$17,925.00 | 43% below | 93% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $1,190.00 | $2,979.56 | $423.48–$17,925.00 | 43% below | 60% |
| Coronary stent placement, one artery CPT 92928 CORO STENT W/WO PTCA;SNG ART/B | $14,775.00 | $53,076.60 | $483.05–$53,076.60 | 1% below | 72% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332 | $4,511.00 | $19,045.30 | $789.82–$19,045.30 | 40% below | 76% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ER CYSTOURETHROSCOPY | $892.00 | $2,873.85 | $124.43–$2,873.85 | 45% below | 69% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $1,985.00 | $22,406.30 | $173.03–$22,406.30 | 66% below | 91% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $75.00 | $279.70 | $11.54–$279.70 | 58% below | 73% |
| Earwax removal with instruments, one ear CPT 69210 ER REM CERUMEN IMPACTED | $75.00 | $279.50 | $43.79–$279.50 | 60% below | 73% |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL | $75.00 | $269.00 | $43.79–$279.50 | 60% below | 72% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASALSINUS ENDOSCOPY SURGICAL | $9,032.00 | $6,773.09 | $514.26–$6,773.09 | 17% below | -33% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSLSINS NDSC FRNT TISS RMVL | $9,032.00 | $8,779.03 | $484.37–$8,779.03 | at median | -3% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS - 31256 - | $4,771.00 | $6,769.40 | $242.99–$6,769.40 | 28% below | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $9,032.00 | $8,077.54 | $372.21–$8,077.54 | at median | -12% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $8,285.00 | $27,954.50 | $463.51–$27,954.50 | 11% above | 70% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc | $8,285.00 | $56,762.50 | $622.86–$56,762.50 | 11% above | 85% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $4,582.00 | $28,680.00 | $277.74–$28,680.00 | 32% below | 84% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE - 45330 - 5071145 | $1,190.00 | $2,234.67 | $78.50–$2,234.67 | 35% below | 47% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY | $1,190.00 | $1,854.05 | $78.50–$2,234.67 | 35% below | 36% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE - 45330 - 6104533 | $1,190.00 | $1,854.05 | $78.50–$2,234.67 | 35% below | 36% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $7,737.00 | $28,066.80 | $668.60–$28,066.80 | 41% below | 72% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph | $7,737.00 | $27,143.60 | $769.53–$27,143.60 | 17% below | 71% |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $4,187.00 | $22,406.30 | $290.51–$22,406.30 | at median | 81% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID LIGATION | $1,190.00 | $645.00 | $105.14–$645.00 | 36% below | -84% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group | $3,552.00 | $26,887.50 | $423.48–$26,887.50 | 22% below | 87% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation | $6,402.00 | $18,671.90 | $2,438.45–$18,671.90 | at median | 66% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy | $4,143.00 | $19,350.80 | $251.48–$19,350.80 | 42% below | 79% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $256.00 | $1,107.00 | $60.88–$1,107.00 | 45% below | 77% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single | $256.00 | $1,107.00 | $60.88–$1,107.00 | 45% below | 77% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D ABCESS SIMPLE | $256.00 | $1,107.00 | $60.88–$1,107.00 | 45% below | 77% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $4,582.00 | $24,443.20 | $493.45–$24,443.20 | 38% below | 81% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJ SNGL TENDON/LIGAMENT - 20550 - 6070560 | $392.00 | $734.10 | $65.68–$734.10 | 41% below | 47% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJ SNGL TENDON/LIGAMENT - 20550 - 6106106 | $392.00 | $734.10 | $65.68–$734.10 | 41% below | 47% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $392.00 | $1,308.85 | $65.68–$1,308.85 | 59% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MAJOR JOINT | $392.00 | $1,308.85 | $65.68–$1,308.85 | 59% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCNT ASP/INJ JT MAJ | $392.00 | $1,308.85 | $65.68–$1,308.85 | 59% below | 70% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant | $170.00 | $8,962.50 | $170.28–$8,962.50 | 40% below | 98% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERM JOINT | $392.00 | $1,308.85 | $54.46–$1,308.85 | 36% below | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ JT IN | $392.00 | $1,308.85 | $54.46–$1,308.85 | 36% below | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN INJ JOINT BURSA W/O US | $392.00 | $1,308.85 | $46.46–$1,308.85 | 46% below | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ SMALL JOINT | $392.00 | $1,308.85 | $46.46–$1,308.85 | 46% below | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ JT SM | $392.00 | $1,308.85 | $46.46–$1,308.85 | 46% below | 70% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopysurgery - 29882 - | $4,187.00 | $17,488.90 | $801.04–$17,488.90 | at median | 76% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 | $4,187.00 | $19,845.50 | $790.35–$19,845.50 | 19% below | 79% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880 | $4,187.00 | $21,659.40 | $790.35–$21,659.40 | at median | 81% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery - 29877 - OR36029877 | $4,187.00 | $22,406.30 | $684.62–$22,406.30 | 56% below | 81% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $7,737.00 | $24,086.70 | $391.98–$24,086.70 | 5% below | 68% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less | $13,604.00 | $67,218.80 | $748.40–$67,218.80 | 4% below | 80% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $7,737.00 | $31,635.00 | $379.70–$31,635.00 | 51% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $7,737.00 | $37,450.40 | $463.00–$37,450.40 | 44% below | 79% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Lap rmvl gastr adj all parts | $4,934.00 | $40,331.30 | $707.74–$40,331.25 | 30% below | 88% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa | $7,737.00 | $29,128.10 | $701.38–$29,128.10 | 42% below | 73% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SLP/AXIL<2.5 | $520.00 | $1,333.44 | $121.22–$1,333.44 | 40% below | 61% |
| Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART W/VENTRCLGRPH | $4,149.00 | $15,281.80 | $549.26–$15,281.80 | 58% below | 73% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery | $9,286.00 | $76,181.30 | $1,281.67–$76,181.30 | at median | 88% |
| Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy | $5,011.00 | $24,419.60 | $333.58–$24,419.60 | 25% below | 79% |
| Mastectomy (total removal of the breast) CPT 19303 Mast simple complete | $8,498.00 | $35,850.00 | $762.84–$35,850.00 | 4% below | 76% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES BGN TRNK/ARM/L <0.5CM | $906.00 | $2,864.25 | $83.31–$2,864.25 | 32% below | 68% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 ER EXC LESN BGN FACE/EAR <0.5C | $906.00 | $2,896.70 | $92.39–$2,896.70 | 39% below | 69% |
| Nail removal (partial or complete), one nail CPT 11730 ER AVLSION NAIL PLT SGL | $256.00 | $882.25 | $45.93–$882.25 | 49% below | 71% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $256.00 | $882.25 | $45.93–$882.25 | 49% below | 71% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGNT GRT OCCIP NERVE | $392.00 | $1,308.85 | $90.25–$1,308.85 | 55% below | 70% |
| Pacemaker implant (dual chamber) CPT 33208 PPM INTL DUAL CHMBR W/L | $13,377.00 | $19,253.00 | $1,068.05–$22,406.30 | 29% below | 31% |
| Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent | $13,377.00 | $22,406.30 | $1,068.05–$22,406.30 | 29% below | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INS/REP PCEMKR;ATR&VENT | $13,377.00 | $19,253.00 | $1,068.05–$22,406.30 | 29% below | 31% |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging - 49083 - OR36049083 | $1,160.00 | $3,929.60 | $89.72–$4,048.00 | 37% below | 70% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMG GUIDE | $1,160.00 | $4,048.00 | $89.72–$4,048.00 | 37% below | 71% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING - 49083 - 6106335 | $1,160.00 | $3,929.60 | $89.72–$4,048.00 | 37% below | 70% |
| Partial knee replacement (one compartment) CPT 27446 Revision of knee joint | $16,431.00 | $22,406.25 | $3,223.00–$22,406.25 | 18% below | 27% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $520.00 | $1,892.80 | $121.22–$1,892.80 | 60% below | 73% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps surg prst8ect rpbic rad | $13,604.00 | $62,737.50 | $953.09–$62,737.50 | 65% below | 78% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $5,011.00 | $21,005.90 | $302.26–$21,005.90 | at median | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 ER INCSION/RM FB SUB SMP | $520.00 | $1,340.00 | $74.23–$1,340.00 | 47% below | 61% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 CR CA SCRN COLONSCOPY LW | $1,190.00 | $1,489.78 | $242.83–$1,489.78 | 50% below | 20% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 CR CA SCRN HI RSK COLON | $1,190.00 | $1,489.78 | $242.83–$1,489.78 | 51% below | 20% |
| Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum | $4,243.00 | $9,546.11 | $534.03–$9,546.11 | 14% below | 56% |
| Short arm cast (elbow to hand) CPT 29075 APP OF FOREARM CAST | $357.00 | $873.70 | $118.55–$873.70 | 28% below | 59% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT - 29125 - 6074105 | $170.00 | $1,266.10 | $75.84–$1,266.10 | 59% below | 87% |
| Short arm splint (forearm and hand) CPT 29125 APPL SPLNT ARM SHRT STAT | $170.00 | $1,266.10 | $75.84–$1,266.10 | 59% below | 87% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT - 29125 - 6079125 | $170.00 | $1,266.10 | $75.84–$1,266.10 | 59% below | 87% |
| Short arm splint (forearm and hand) CPT 29125 APPL SPLINT FOREARM | $170.00 | $1,266.10 | $75.84–$1,266.10 | 59% below | 87% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $357.00 | $1,149.10 | $122.30–$1,149.10 | 28% below | 69% |
| Short leg cast (below the knee) CPT 29405 ER APPL CAST LEG SHORT | $357.00 | $1,149.10 | $122.30–$1,149.10 | 28% below | 69% |
| Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT | $207.00 | $1,266.10 | $81.17–$1,266.10 | 58% below | 84% |
| Short leg splint (calf to foot) CPT 29515 SPLNT SHRT LEG CHILD TECH | $207.00 | $1,266.10 | $81.17–$1,266.10 | 58% below | 84% |
| Short leg splint (calf to foot) CPT 29515 SPLNT SHRT LEG ADULT TECH | $207.00 | $1,266.10 | $81.17–$1,266.10 | 58% below | 84% |
| Short leg splint (calf to foot) CPT 29515 ER APPL SPLINT LEG SHORT | $207.00 | $1,233.10 | $81.17–$1,266.10 | 58% below | 83% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $4,187.00 | $13,533.40 | $517.50–$13,533.37 | at median | 69% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER RPR LC SMP SCLP <2.5C | $256.00 | $882.25 | $100.39–$882.25 | 54% below | 71% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SUPERFICIAL WOUN | $256.00 | $882.25 | $100.39–$882.25 | 54% below | 71% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SINGLE LESION | $520.00 | $629.00 | $102.53–$629.00 | 28% below | 17% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY FIRST LESION | $520.00 | $629.00 | $102.53–$629.00 | 28% below | 17% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY EA ADD LESION - 11104 - 6101108 | $520.00 | $629.00 | $102.53–$629.00 | 28% below | 17% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES T/A/L <0.5 CM | $906.00 | $2,896.70 | $99.33–$2,896.70 | 54% below | 69% |
| Skin tag removal, up to 15 tags CPT 11200 ER REMOVE SKIN TAG <15 | $256.00 | $506.85 | $45.40–$506.85 | 35% below | 49% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ER LUMBAR PUNCTURE DIAG | $903.00 | $3,125.25 | $117.49–$3,125.25 | 32% below | 71% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LUMBAR SPINAL PUNCTURE | $903.00 | $3,125.25 | $117.49–$3,125.25 | 32% below | 71% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LC SMP SCLP 2.6-7.5C | $256.00 | $882.25 | $106.81–$882.25 | 66% below | 71% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LC SMP FACE <2.5 CM | $256.00 | $882.25 | $104.67–$882.25 | 61% below | 71% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) | $6,862.00 | $28,381.30 | $1,068.05–$28,381.30 | 36% below | 76% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN 1ST LESION | $520.00 | $629.00 | $89.35–$629.00 | 6% below | 17% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMG GUIDE | $802.00 | $2,708.10 | $92.33–$4,918.72 | 61% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $802.00 | $4,918.72 | $92.33–$4,918.72 | 61% below | 84% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAGING | $802.00 | $4,893.50 | $92.33–$4,918.72 | 61% below | 84% |
| Thoracentesis with imaging guidance CPT 32555 ER THORACENTESIS WITH IMAGING | $802.00 | $2,344.25 | $92.33–$4,918.72 | 61% below | 66% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $16,431.00 | $38,090.60 | $2,136.11–$38,090.60 | 79% above | 57% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $16,431.00 | $49,293.80 | $2,136.11–$49,293.80 | 36% below | 67% |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint - 23472 - OR36023472 | $22,440.00 | $52,281.30 | $3,223.00–$52,281.30 | 98% above | 57% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH - 26055 - 6106258 | $2,058.00 | $7,276.30 | $302.26–$17,925.00 | 33% below | 72% |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath - 26055 - OR36026055 | $2,058.00 | $17,925.00 | $302.26–$17,925.00 | 33% below | 89% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGR PT 1-2 MUSC(S) - 20552 - 6070552 | $392.00 | $1,237.40 | $52.49–$1,237.40 | 39% below | 68% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGR PT 1-2 MUSC(S) - 20552 - 6106107 | $392.00 | $1,237.40 | $52.49–$1,237.40 | 39% below | 68% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery | $7,737.00 | $21,125.90 | $604.44–$21,125.90 | 79% above | 63% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $2,455.00 | $17,925.00 | $319.89–$17,925.00 | at median | 86% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/ESOPHAGEAL DILATE BALLOO | $2,455.00 | $2,966.70 | $319.89–$17,925.00 | at median | 17% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD ENDOSCOPY W/BIOSPY | $1,160.00 | $3,726.80 | $335.91–$17,925.00 | 34% below | 69% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY W/BIOPSY | $1,160.00 | $3,726.80 | $335.91–$17,925.00 | 34% below | 69% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE - 43239 - 6106279 | $1,160.00 | $3,726.80 | $335.91–$17,925.00 | 34% below | 69% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple - 43239 - OR36043239 | $1,160.00 | $17,925.00 | $335.91–$17,925.00 | 34% below | 94% |
| Upper endoscopy (EGD) with biopsy CPT 43239 DUODENOSCOPY W BIOPSY | $1,160.00 | $3,726.80 | $335.91–$17,925.00 | 34% below | 69% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/INJ SUBMUCOSAL DIRECTED | $1,160.00 | $2,284.65 | $243.11–$2,284.65 | 38% below | 49% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD ENDOSCOPY W/ POLYPECTOMY | $2,455.00 | $2,966.70 | $483.57–$2,966.70 | 25% below | 17% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $1,160.00 | $20,165.60 | $212.00–$20,165.60 | 38% below | 94% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD ENDOSCOPY W/DIL SAVORY GW | $1,160.00 | $2,284.65 | $212.00–$20,165.60 | 38% below | 49% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD ENDOSCOPY | $1,160.00 | $3,726.80 | $321.48–$17,925.00 | 38% below | 69% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash - 43235 - OR36043235 | $1,160.00 | $17,925.00 | $321.48–$17,925.00 | 38% below | 94% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH - 43235 - 6106261 | $1,160.00 | $3,726.80 | $321.48–$17,925.00 | 38% below | 69% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO WLITHOTRIPSY | $6,862.00 | $28,206.30 | $354.43–$28,206.25 | 14% below | 76% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 LITHOTRIPSY | $6,862.00 | $1,353.00 | $220.54–$30,631.30 | 43% below | -407% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy | $6,862.00 | $30,631.30 | $220.54–$30,631.30 | 43% below | 78% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $2,675.00 | $17,925.00 | $373.82–$17,925.00 | 4% below | 85% |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 | $256.00 | $15,310.90 | $143.12–$15,310.93 | 29% below | 98% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DBR SKN/SUBQ TISSUE | $520.00 | $1,600.00 | $148.99–$17,925.00 | 24% below | 68% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBQ | $520.00 | $1,600.00 | $148.99–$17,925.00 | 24% below | 68% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/< | $520.00 | $17,925.00 | $148.99–$17,925.00 | 24% below | 97% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep | $9,286.00 | $29,128.10 | $579.30–$29,128.10 | 52% above | 68% |
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 PER DAY - 36430 - 6106430 | $564.00 | $1,940.20 | $316.25–$1,940.20 | 35% below | 71% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $564.00 | $1,940.20 | $316.25–$1,940.20 | 35% below | 71% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION PER DAY - 36430 - 4502106 | $564.00 | $1,940.20 | $316.25–$1,940.20 | 35% below | 71% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN For Recent Vents | $280.00 | $370.00 | $16.78–$959.85 | 13% below | 24% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCEMENT | $280.00 | $175.00 | $16.78–$959.85 | 13% below | -60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESS/NONPRES INHALATION TX | $280.00 | $959.85 | $16.78–$959.85 | 13% below | 71% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NONPRES INHALATION TX | $280.00 | $959.85 | $16.78–$959.85 | 13% below | 71% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METANEB/IPPB TX | $280.00 | $389.95 | $16.78–$959.85 | 13% below | 28% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT | $280.00 | $161.00 | $16.78–$959.85 | 13% below | -74% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INTRAPULMONARY PERC VENT | $280.00 | $161.00 | $16.78–$959.85 | 13% below | -74% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HELIOX SVN TREATMENT | $280.00 | $450.00 | $16.78–$959.85 | 13% below | 38% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TREATMENT | $280.00 | $370.00 | $16.78–$959.85 | 13% below | 24% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX | $280.00 | $165.95 | $16.78–$959.85 | 13% below | -69% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT NEB BRONCHODILATR | $280.00 | $370.00 | $16.78–$959.85 | 13% below | 24% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $280.00 | $959.85 | $16.78–$959.85 | 13% below | 71% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE E&M 30-74 MIN | $1,057.00 | $3,407.00 | $174.42–$3,407.00 | 81% below | 69% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG,AWAKE/DROWSY | $276.00 | $775.00 | $56.37–$775.00 | 73% below | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING | $75.00 | $497.00 | $23.52–$497.00 | 78% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - STAT | $75.00 | $497.00 | $23.52–$497.00 | 78% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACE ONLY | $75.00 | $497.00 | $23.52–$497.00 | 78% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG IN AM TRACE ONLY | $75.00 | $497.00 | $23.52–$497.00 | 78% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ASSAULT VICTIM | $107.00 | $897.00 | $21.77–$897.00 | 75% below | 88% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LVL I | $107.00 | $348.65 | $21.77–$897.00 | 75% below | 69% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER SURG LEVEL I | $107.00 | $157.00 | $21.77–$897.00 | 75% below | 32% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ASSAULT SUSPECT | $107.00 | $815.00 | $21.77–$897.00 | 75% below | 87% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LVL II | $196.00 | $594.00 | $34.97–$594.00 | 78% below | 67% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LVL III | $349.00 | $1,114.95 | $63.97–$1,114.95 | 77% below | 69% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LVL IV | $534.00 | $1,632.00 | $98.04–$1,632.00 | 80% below | 67% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LVL V | $762.00 | $3,345.00 | $155.03–$3,345.00 | 79% below | 77% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS,TRACE ONLY | $276.00 | $2,023.00 | $75.31–$2,023.00 | 80% below | 86% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PERSANTINE STRESS | $276.00 | $2,023.00 | $75.31–$2,023.00 | 80% below | 86% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT - 96360 - 6100906 | $272.00 | $821.49 | $51.30–$918.70 | 45% below | 67% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INIT - 96360 - 6936360 | $272.00 | $918.70 | $51.30–$918.70 | 45% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS, INIT | $272.00 | $918.70 | $51.30–$918.70 | 45% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY UP TO 1 HOUR | $272.00 | $918.70 | $62.60–$918.70 | 54% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY INIT UP TO 1 HOUR | $272.00 | $918.70 | $62.60–$918.70 | 54% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV THRPY UP TO 1 HR | $272.00 | $918.70 | $62.60–$918.70 | 54% below | 70% |
| IV push of a medicine, first drug CPT 96374 IV/THER/BO | $272.00 | $561.54 | $49.82–$561.54 | 23% below | 52% |
| IV push of a medicine, first drug CPT 96374 INJ THER/PROPH IV | $272.00 | $561.54 | $49.82–$561.54 | 23% below | 52% |
| IV push of a medicine, first drug CPT 96374 IV INJ SNGL OR INT DRUG | $272.00 | $561.54 | $49.82–$561.54 | 23% below | 52% |
| IV push of a medicine, first drug CPT 96374 INJ THER/PROPHAL IV PUSH - 96374 - 6925005 | $272.00 | $561.54 | $49.82–$561.54 | 23% below | 52% |
| IV push of a medicine, first drug CPT 96374 INJ THER/PROPHAL IV PUSH - 96374 - 69325005 | $272.00 | $561.54 | $49.82–$561.54 | 23% below | 52% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ ANTOBIOTIC - 96372 - 6925003 | $92.00 | $302.35 | $18.75–$3,302.35 | 49% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ OR IM | $92.00 | $3,302.35 | $18.75–$3,302.35 | 49% below | 97% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ ANTOBIOTIC - 96372 - 6921636 | $92.00 | $3,302.35 | $18.75–$3,302.35 | 49% below | 97% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH IM/SQ - 96372 - 6925002 | $92.00 | $302.35 | $18.75–$3,302.35 | 49% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH IM/SQ - 96372 - 6100903 | $92.00 | $302.35 | $18.75–$3,302.35 | 49% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 SP NEURO MUSC RE-ED | $30.00 | $52.00 | $8.48–$208.00 | 76% below | 42% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED EA15 | $30.00 | $208.00 | $8.48–$208.00 | 76% below | 86% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSMT PER 15MIN | $27.00 | $59.00 | $6.52–$59.00 | 73% below | 54% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION CONSULT 30 MIN | $27.00 | $40.00 | $6.52–$59.00 | 73% below | 33% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $94.00 | $350.00 | $57.05–$350.00 | 64% below | 73% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $91.00 | $527.00 | $85.90–$527.00 | 77% below | 83% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $91.00 | $309.00 | $30.48–$703.00 | 61% below | 71% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL INTERM | $91.00 | $388.00 | $30.48–$703.00 | 61% below | 77% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL EXT | $91.00 | $579.00 | $30.48–$703.00 | 61% below | 84% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL COMPLX | $91.00 | $703.00 | $30.48–$703.00 | 61% below | 87% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LTD | $91.00 | $187.00 | $30.48–$703.00 | 61% below | 51% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $91.00 | $475.00 | $77.43–$475.00 | 74% below | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15M | $25.00 | $208.00 | $25.95–$208.00 | 79% below | 88% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SP THERAPEUTC EXER EA15 | $27.00 | $209.00 | $9.14–$209.00 | 79% below | 87% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 INDIVIDUAL TREATMENT | $27.00 | $209.00 | $9.14–$209.00 | 79% below | 87% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $27.00 | $194.00 | $9.14–$209.00 | 79% below | 86% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $47.00 | $151.10 | $10.41–$151.10 | 36% below | 69% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MINS | $47.00 | $151.10 | $10.41–$151.10 | 36% below | 69% |
| Speech and language evaluation CPT 92523 SPEECH/LANG EVAL | $214.00 | $903.00 | $107.68–$903.00 | 53% below | 76% |
| Speech and language evaluation CPT 92523 SP/LANG SCREENING | $214.00 | $903.00 | $107.68–$903.00 | 53% below | 76% |
| Speech therapy session, individual CPT 92507 ST TREATMENT 2 DISP | $71.00 | $527.00 | $71.96–$527.00 | 74% below | 87% |
| Speech therapy session, individual CPT 92507 THERAPY VOICE | $71.00 | $527.00 | $71.96–$527.00 | 74% below | 87% |
| Speech therapy session, individual CPT 92507 TREATMENT ASSIST | $71.00 | $527.00 | $71.96–$527.00 | 74% below | 87% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX | $71.00 | $527.00 | $71.96–$527.00 | 74% below | 87% |
| Spirometry (breathing test) CPT 94010 SPIRO PRE BR-DIL | $276.00 | $712.95 | $21.17–$712.95 | 28% below | 61% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $276.00 | $225.00 | $21.17–$712.95 | 28% below | -23% |
| Spirometry (breathing test) CPT 94010 PEAK FLOW ASSESSMENT | $276.00 | $225.00 | $21.17–$712.95 | 28% below | -23% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL PRE/PS | $477.00 | $1,351.45 | $38.75–$1,351.45 | 40% below | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTC ACT EA 15 | $32.00 | $354.00 | $15.98–$354.00 | 77% below | 91% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $170.00 | $545.15 | $23.52–$545.15 | 47% below | 69% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY/THERAPEUT | $170.00 | $545.15 | $23.52–$545.15 | 47% below | 69% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAP SEP PROC | $170.00 | $545.15 | $23.52–$545.15 | 47% below | 69% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PEACE OFFICER/PHLEBOTOMY | $170.00 | $545.15 | $23.52–$545.15 | 47% below | 69% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 Rabavert Rabies Vaccine kit | $319.00 | — | — | 55% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SINGL/COMBO VAC - 90471 - 5302445 | $92.00 | $302.35 | $4.46–$302.35 | 12% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SINGL/COMBO VAC - 90471 - 6920471 | $92.00 | $302.35 | $4.46–$302.35 | 12% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SINGL/COMBO VAC - 90471 - 6930471 | $92.00 | $302.35 | $4.46–$302.35 | 12% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SNGL/COMBO VAC | $92.00 | $302.35 | $4.46–$302.35 | 12% below | 70% |
Source file: https://shastaregional.com/wp-content/uploads/2026/09/230000023_ShastaRegionalMedicalCenter_standardcharges.json