SelfPayRates
Hospital

Dignity Health

Dignity Health in Mt Shasta, CA publishes cash prices for 214 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 153 of 213 procedures and above it for 60. By typical cash price it ranks #48 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

914 Pine St, Mt Shasta, CA 96067 Collected Sep 27, 2026 Source price file (530) 926-6111

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 051319 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $233.40 $300.00 $72.00–$300.00 — 22%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $233.40 $300.00 $156.00–$294.00 — 22%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON $524.38 $674.00 $74.31–$660.52 1% below 22%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON $524.38 $674.00 $350.48–$660.52 — 22%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY $2,207.97 $2,838.00 $275.11–$2,781.24 4% above 22%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY $2,207.97 $2,838.00 $1,475.76–$2,781.24 — 22%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON $920.38 $1,183.00 $283.92–$1,164.91 71% below 22%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON $920.38 $1,183.00 $615.16–$1,159.34 — 22%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON $2,972.74 $3,821.00 $237.06–$3,744.58 6% above 22%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON $2,972.74 $3,821.00 $1,986.92–$3,744.58 — 22%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON $4,504.62 $5,790.00 $383.25–$5,674.20 13% above 22%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON $4,504.62 $5,790.00 $3,010.80–$5,674.20 — 22%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON $5,225.05 $6,716.00 $434.17–$6,581.68 18% above 22%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON $5,225.05 $6,716.00 $3,492.32–$6,581.68 — 22%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON $3,287.83 $4,226.00 $494.58–$4,141.48 47% above 22%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON $3,287.83 $4,226.00 $2,197.52–$4,141.48 — 22%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON $2,137.17 $2,747.00 $417.72–$2,692.06 14% above 22%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON $2,137.17 $2,747.00 $1,428.44–$2,692.06 — 22%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON $1,956.67 $2,515.00 $392.78–$2,464.70 10% below 22%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON $1,956.67 $2,515.00 $1,307.80–$2,464.70 — 22%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON $1,458.75 $1,875.00 $322.48–$1,837.50 36% below 22%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON $1,458.75 $1,875.00 $975.00–$1,837.50 — 22%
CT scan of the head with contrast CPT 70460 CT HEAD W CON $1,998.69 $2,569.00 $448.99–$2,517.62 26% below 22%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON $1,998.69 $2,569.00 $1,335.88–$2,517.62 — 22%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON $2,392.35 $3,075.00 $448.99–$3,013.50 15% below 22%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON $2,392.35 $3,075.00 $1,599.00–$3,013.50 — 22%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON $2,043.03 $2,626.00 $395.94–$2,573.48 27% below 22%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON $2,043.03 $2,626.00 $1,365.52–$2,573.48 — 22%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON $1,568.45 $2,016.00 $398.02–$1,975.68 46% below 22%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON $1,568.45 $2,016.00 $1,048.32–$1,975.68 — 22%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON $1,832.97 $2,356.00 $494.58–$2,308.88 28% below 22%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON $1,832.97 $2,356.00 $1,225.12–$2,308.88 — 22%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL $1,205.13 $1,549.00 $305.56–$1,518.02 1% below 22%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL $1,205.13 $1,549.00 $805.48–$1,518.02 — 22%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS $406.90 $523.00 $53.43–$512.54 6% above 22%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS $406.90 $523.00 $271.96–$512.54 — 22%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW $313.54 $403.00 $39.18–$394.94 7% below 22%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW $313.54 $403.00 $209.56–$394.94 — 22%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL $858.14 $1,103.00 $157.46–$1,080.94 1% above 22%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL $858.14 $1,103.00 $573.56–$1,080.94 — 22%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL $206.17 $265.00 $46.61–$259.70 56% below 22%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL $206.17 $265.00 $137.80–$259.70 — 22%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST $417.79 $537.00 $128.88–$537.00 49% below 22%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST $417.79 $537.00 $279.24–$526.26 — 22%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON $891.59 $1,146.00 $275.04–$1,123.08 51% below 22%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON $891.59 $1,146.00 $595.92–$1,123.08 — 22%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON $1,747.39 $2,246.00 $494.58–$2,201.08 25% below 22%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON $1,747.39 $2,246.00 $1,167.92–$2,201.08 — 22%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL $546.94 $703.00 $168.72–$688.94 34% above 22%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL $546.94 $703.00 $365.56–$688.94 — 22%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL $1,150.67 $1,479.00 $188.97–$1,449.42 19% above 22%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL $1,150.67 $1,479.00 $769.08–$1,449.42 — 22%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL $728.21 $936.00 $224.64–$936.00 35% below 22%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL $728.21 $936.00 $486.72–$917.28 — 22%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,773.07 $2,279.00 $326.07–$2,233.42 27% below 22%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE $1,773.07 $2,279.00 $1,185.08–$2,233.42 — 22%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM $739.10 $950.00 $228.00–$950.00 52% below 22%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM $739.10 $950.00 $494.00–$931.00 — 22%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UNATTEN W RESP EFFT $977.17 $1,256.00 $263.40–$1,230.88 32% above 22%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP UNATTEN W RESP EFFT $977.17 $1,256.00 $653.12–$1,230.88 — 22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD $509.59 $655.00 $118.50–$641.90 39% below 22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LO BACK SFT TIS WO CON $2,349.56 $3,020.00 $118.50–$2,959.60 183% above 22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD $509.59 $655.00 $340.60–$641.90 — 22%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LO BACK SFT TIS WO CON $2,349.56 $3,020.00 $1,570.40–$2,959.60 — 22%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE $297.20 $382.00 $91.68–$382.00 25% below 22%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE $297.20 $382.00 $198.64–$374.36 — 22%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO MRCP WO CON $2,544.84 $3,271.00 $608.08–$3,205.58 4% below 22%
MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIO MRCP WO CON $2,544.84 $3,271.00 $1,700.92–$3,205.58 — 22%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR CHOLANGI MRCP WO W CON $4,241.66 $5,452.00 $453.59–$5,342.96 3% below 22%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR CHOLANGI MRCP WO W CON $4,241.66 $5,452.00 $2,835.04–$5,342.96 — 22%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $2,393.13 $3,076.00 $605.55–$3,014.48 8% below 22%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $2,393.13 $3,076.00 $1,599.52–$3,014.48 — 22%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON $3,995.81 $5,136.00 $990.52–$5,033.28 6% above 22%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON $3,995.81 $5,136.00 $2,670.72–$5,033.28 — 22%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON $2,648.32 $3,404.00 $592.30–$3,335.92 4% above 22%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON $2,648.32 $3,404.00 $1,770.08–$3,335.92 — 22%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON $4,422.93 $5,685.00 $994.45–$5,571.30 12% above 22%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON $4,422.93 $5,685.00 $2,956.20–$5,571.30 — 22%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON $2,648.32 $3,404.00 $590.23–$3,335.92 11% above 22%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON $2,648.32 $3,404.00 $1,770.08–$3,335.92 — 22%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON $5,085.79 $6,537.00 $997.47–$6,406.26 26% above 22%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON $5,085.79 $6,537.00 $3,399.24–$6,406.26 — 22%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON $3,045.10 $3,914.00 $591.19–$3,835.72 20% above 22%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON $3,045.10 $3,914.00 $2,035.28–$3,835.72 — 22%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON $5,158.92 $6,631.00 $452.76–$6,498.38 52% above 22%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON $5,158.92 $6,631.00 $3,448.12–$6,498.38 — 22%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON $1,289.93 $1,658.00 $307.82–$1,624.84 39% below 22%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON $1,289.93 $1,658.00 $862.16–$1,624.84 — 22%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT $2,299.77 $2,956.00 $473.44–$2,896.88 37% below 22%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT $2,299.77 $2,956.00 $1,537.12–$2,896.88 — 22%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U $681.53 $876.00 $82.35–$858.48 31% above 22%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U $681.53 $876.00 $455.52–$858.48 — 22%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP $1,016.85 $1,307.00 $131.97–$1,280.86 8% above 22%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP $1,016.85 $1,307.00 $679.64–$1,280.86 — 22%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES $943.72 $1,213.00 $183.99–$1,188.74 30% above 22%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES $943.72 $1,213.00 $630.76–$1,188.74 — 22%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST $811.46 $1,043.00 $106.65–$1,022.14 16% above 22%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST $811.46 $1,043.00 $542.36–$1,022.14 — 22%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD $500.26 $643.00 $122.81–$630.14 1% below 22%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD $500.26 $643.00 $334.36–$630.14 — 22%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL $447.35 $575.00 $138.00–$563.50 73% above 22%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL $447.35 $575.00 $299.00–$563.50 — 22%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG $753.11 $968.00 $232.32–$968.00 57% below 22%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG $753.11 $968.00 $503.36–$948.64 — 22%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON $245.85 $316.00 $75.84–$316.00 58% below 22%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON $245.85 $316.00 $164.32–$309.68 — 22%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $373.44 $480.00 $115.20–$470.40 33% below 22%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $373.44 $480.00 $249.60–$470.40 — 22%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL $485.48 $624.00 $111.75–$611.52 16% below 22%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL $485.48 $624.00 $324.48–$611.52 — 22%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON $662.86 $852.00 $162.30–$834.96 33% below 22%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON $662.86 $852.00 $443.04–$834.96 — 22%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $834.02 $1,072.00 $127.66–$1,050.56 6% below 22%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $834.02 $1,072.00 $557.44–$1,050.56 — 22%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK $739.88 $951.00 $116.54–$931.98 11% below 22%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK $739.88 $951.00 $494.52–$931.98 — 22%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON $379.67 $488.00 $117.12–$488.00 37% below 22%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON $379.67 $488.00 $253.76–$478.24 — 22%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW $258.30 $332.00 $33.76–$325.36 14% below 22%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW $258.30 $332.00 $172.64–$325.36 — 22%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $595.17 $765.00 $59.09–$749.70 30% above 22%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $595.17 $765.00 $397.80–$749.70 — 22%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS $815.35 $1,048.00 $96.87–$1,027.04 39% above 22%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS $815.35 $1,048.00 $544.96–$1,027.04 — 22%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS $509.59 $655.00 $59.09–$641.90 42% above 22%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS $509.59 $655.00 $340.60–$641.90 — 22%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS $228.74 $294.00 $48.36–$288.12 40% below 22%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS $228.74 $294.00 $152.88–$288.12 — 22%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW $469.14 $603.00 $50.69–$590.94 9% above 22%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW $469.14 $603.00 $313.56–$590.94 — 22%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS $326.76 $420.00 $42.17–$411.60 10% below 22%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS $326.76 $420.00 $218.40–$411.60 — 22%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS $307.31 $395.00 $52.09–$387.10 28% below 22%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS $307.31 $395.00 $205.40–$387.10 — 22%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-SR-ALT/SGPT $4.13 $5.30 $3.61–$5.30 90% below 22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-ALT 20008 $5.51 $7.07 $4.58–$7.07 87% below 22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B $13.23 $17.00 $4.58–$16.66 69% below 22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT $21.79 $28.00 $4.58–$27.44 49% below 22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO NAFL 2012521B $23.97 $30.80 $4.58–$30.19 44% below 22%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-LABCORP ALT/SGPT $36.80 $47.29 $4.58–$46.35 15% below 22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-SR-ALT/SGPT $4.13 $5.30 $2.76–$5.20 — 22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-ALT 20008 $5.51 $7.07 $3.68–$6.93 — 22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B $13.23 $17.00 $8.84–$16.66 — 22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO NAFL 2012521B $23.97 $30.80 $16.02–$30.19 — 22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-LABCORP ALT/SGPT $36.80 $47.29 $24.60–$46.35 — 22%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT $101.14 $130.00 $67.60–$127.40 — 22%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-AST 20007 $5.51 $7.07 $4.41–$7.07 88% below 22%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A $13.23 $17.00 $4.41–$16.66 70% below 22%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $23.34 $30.00 $4.41–$29.40 47% below 22%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO NAFL 2012521A $23.97 $30.80 $4.41–$30.19 46% below 22%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-AST 20007 $5.51 $7.07 $3.68–$6.93 — 22%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A $13.23 $17.00 $8.84–$16.66 — 22%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO NAFL 2012521A $23.97 $30.80 $16.02–$30.19 — 22%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $106.59 $137.00 $71.24–$134.26 — 22%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL-A-HEPACUTEQR 3002989 $25.68 $33.00 $22.44–$33.00 89% below 22%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 RL-A-HEPACUTEQR 3002989 $25.68 $33.00 $17.16–$32.34 — 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-RAST IGE QN OR SQ EA $3.43 $4.40 $3.00–$4.40 59% below 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ABPA 2004243B $4.20 $5.39 $3.67–$5.39 50% below 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A $4.39 $5.63 $3.83–$5.63 47% below 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-QD-PARM CHEESE IGE $5.62 $7.22 $4.64–$7.22 32% below 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-Q-RAST IGE QN OR SQ $7.78 $10.00 $4.64–$10.00 6% below 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-PEANUT COM 2007211A $8.94 $11.48 $4.64–$11.48 7% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ZUCCHINI 99134 $13.59 $17.46 $4.64–$17.12 63% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ETHYLENE 98421 $18.70 $24.03 $4.64–$23.55 125% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-STACHPAN 3004553B $22.67 $29.13 $4.64–$28.55 172% above 22%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-DV-RAST IGE QN EA $44.35 $57.00 $4.64–$55.86 433% above 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-RAST IGE QN OR SQ EA $3.43 $4.40 $2.29–$4.32 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ABPA 2004243B $4.20 $5.39 $2.81–$5.29 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A $4.39 $5.63 $2.93–$5.52 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-QD-PARM CHEESE IGE $5.62 $7.22 $3.76–$7.08 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-Q-RAST IGE QN OR SQ $7.78 $10.00 $5.20–$9.80 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-PEANUT COM 2007211A $8.94 $11.48 $5.97–$11.26 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ZUCCHINI 99134 $13.59 $17.46 $9.08–$17.12 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ETHYLENE 98421 $18.70 $24.03 $12.50–$23.55 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-STACHPAN 3004553B $22.67 $29.13 $15.15–$28.55 — 22%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-DV-RAST IGE QN EA $44.35 $57.00 $29.64–$55.86 — 22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL R 3016635A $17.63 $22.66 $7.10–$22.21 13% below 22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RDL CCP IGG/IGA $49.80 $64.00 $7.10–$62.72 146% above 22%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-LABCORP CCP IGG/IGA $85.58 $110.00 $7.10–$107.80 322% above 22%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL R 3016635A $17.63 $22.66 $11.79–$22.21 — 22%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RDL CCP IGG/IGA $49.80 $64.00 $33.28–$62.72 — 22%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-LABCORP CCP IGG/IGA $85.58 $110.00 $57.20–$107.80 — 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-PRO BNP 50083 $27.23 $35.00 $23.80–$35.00 85% below 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-BNP 30191 $45.13 $58.00 $30.15–$58.00 74% below 22%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE $120.59 $155.00 $30.15–$151.90 32% below 22%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-PRO BNP 50083 $27.23 $35.00 $18.20–$34.30 — 22%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-BNP 30191 $45.13 $58.00 $30.16–$56.84 — 22%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE $267.64 $344.00 $178.88–$337.12 — 22%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $35.79 $46.00 $7.27–$45.08 81% below 22%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $161.83 $208.00 $108.16–$203.84 — 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-T-GROSS MICRO LVL 4 $19.45 $25.00 $6.00–$25.00 87% below 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-PL-PATH LEVEL 4 $27.06 $34.78 $8.35–$34.78 82% below 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-DN-BLADDER BIOPSY 1 $39.82 $51.17 $12.29–$51.17 74% below 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-SF-PATH EXAM LEVEL 4 $192.33 $247.20 $40.99–$242.26 26% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 FM-GROSS AND MICRO LVL 4 $262.97 $338.00 $40.99–$331.24 73% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SP-GROSS AND MICRO LVL 4 $336.88 $433.00 $40.99–$424.34 121% above 22%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-SF-PATH LEVEL 4 COMB $529.98 $681.20 $40.99–$667.58 248% above 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-T-GROSS MICRO LVL 4 $19.45 $25.00 $13.00–$24.50 — 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-PL-PATH LEVEL 4 $27.06 $34.78 $18.09–$34.09 — 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-DN-BLADDER BIOPSY 1 $39.82 $51.17 $26.61–$50.15 — 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-SF-PATH EXAM LEVEL 4 $192.33 $247.20 $128.55–$242.26 — 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 FM-GROSS AND MICRO LVL 4 $262.97 $338.00 $175.76–$331.24 — 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SP-GROSS AND MICRO LVL 4 $336.88 $433.00 $225.16–$424.34 — 22%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-SF-PATH LEVEL 4 COMB $529.98 $681.20 $354.23–$667.58 — 22%
Blood culture for bacteria CPT 87040 CULT BLOOD $42.79 $55.00 $8.98–$53.90 82% below 22%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD $185.95 $239.00 $124.28–$234.22 — 22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IP/ER $19.45 $25.00 $9.09–$24.50 20% below 22%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB $31.12 $40.00 $9.09–$39.20 28% above 22%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IP/ER $31.12 $40.00 $20.80–$39.20 — 22%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD $16.34 $21.00 $3.30–$20.58 56% below 22%
Blood glucose (sugar) test CPT 82947 RL-A-FIBRO NAFL 2012521D $23.97 $30.80 $3.30–$30.19 36% below 22%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-FIBRO NAFL 2012521D $23.97 $30.80 $16.02–$30.19 — 22%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD $82.47 $106.00 $55.12–$103.88 — 22%
Blood lead test CPT 83655 RL-A-HY MET B 99470B $6.62 $8.50 $5.78–$8.50 54% below 22%
Blood lead test CPT 83655 RL-A-HY MET B4 20584C $7.48 $9.61 $6.54–$9.61 48% below 22%
Blood lead test CPT 83655 RL-A-HYMET 6 25055D $8.97 $11.52 $7.84–$11.52 37% below 22%
Blood lead test inpatient CPT 83655 RL-A-HY MET B 99470B $6.62 $8.50 $4.42–$8.33 — 22%
Blood lead test inpatient CPT 83655 RL-A-HY MET B4 20584C $7.48 $9.61 $5.00–$9.42 — 22%
Blood lead test inpatient CPT 83655 RL-A-HYMET 6 25055D $8.97 $11.52 $6.00–$11.29 — 22%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL URINE $25.68 $33.00 $6.46–$32.34 83% below 22%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL SERUM $33.46 $43.00 $6.46–$42.14 78% below 22%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL SERUM $159.49 $205.00 $106.60–$200.90 — 22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO TYPING LS005 $26.96 $34.65 $2.38–$33.96 65% below 22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO DISCREP LS010 $39.22 $50.40 $2.38–$49.40 49% below 22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $42.02 $54.00 $2.38–$52.92 45% below 22%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-A-IRL ISO MG 2000280 $62.91 $80.85 $2.38–$79.24 18% below 22%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO TYPING LS005 $26.96 $34.65 $18.02–$33.96 — 22%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO DISCREP LS010 $39.22 $50.40 $26.21–$49.40 — 22%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-A-IRL ISO MG 2000280 $62.91 $80.85 $42.05–$79.24 — 22%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $93.36 $120.00 $62.40–$117.60 — 22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL-A-CRP 50180 $6.23 $8.00 $4.60–$8.00 87% below 22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $31.12 $40.00 $4.60–$39.20 34% below 22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL-A-CRP 50180 $6.23 $8.00 $4.16–$7.84 — 22%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $94.92 $122.00 $63.44–$119.56 — 22%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-A-CDIFF PCR 2002838 $73.14 $94.00 $28.64–$92.12 52% below 22%
C. difficile toxin gene test (stool PCR) CPT 87493 MM-CLOS DIF TOX AMP PRB $87.92 $113.00 $28.64–$110.74 42% below 22%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-Q-C DIFF TOXIN AMP PRB $104.05 $133.74 $28.64–$131.07 32% below 22%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB $119.82 $154.00 $28.64–$150.92 22% below 22%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-A-CDIFF PCR 2002838 $73.14 $94.00 $48.88–$92.12 — 22%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-Q-C DIFF TOXIN AMP PRB $104.05 $133.74 $69.55–$131.07 — 22%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 MM-CLOS DIF TOX AMP PRB $154.05 $198.00 $102.96–$194.04 — 22%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB $163.38 $210.00 $109.20–$205.80 — 22%
CA-125 blood test (ovarian cancer marker) CPT 86304 RL-A-ROMA S 2012618A $33.15 $42.60 $18.50–$41.75 65% below 22%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL-A-ROMA S 2012618A $33.15 $42.60 $22.16–$41.75 — 22%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638 $58.20 $74.80 $50.87–$74.80 17% below 22%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 MM-SARS-COV-2CVD-19PRBTCH $96.48 $124.00 $51.31–$121.52 38% above 22%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-QUEST COVID 19 PCR $115.93 $149.00 $51.31–$146.02 66% above 22%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638 $58.20 $74.80 $38.90–$73.31 — 22%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-QUEST COVID 19 PCR $115.93 $149.00 $77.48–$146.02 — 22%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 MM-SARS-COV-2CVD-19PRBTCH $169.61 $218.00 $113.36–$213.64 — 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SE-IA CHLAM TRACH AMP PRB $28.79 $37.00 $25.16–$37.00 47% below 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-LABCORP CHLAM PRB $32.79 $42.14 $25.59–$42.14 40% below 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 MM-NA PRB CHLM AMP C TRAC $89.47 $115.00 $25.59–$112.70 64% above 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-LABCORP CHLAM PRB $32.79 $42.14 $21.92–$41.30 — 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SE-IA CHLAM TRACH AMP PRB $247.57 $318.21 $165.47–$311.85 — 22%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 MM-NA PRB CHLM AMP C TRAC $358.66 $461.00 $239.72–$451.78 — 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-NMRLIPFIT 2013716B $10.96 $14.08 $9.58–$14.08 89% below 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-CRISK E 20468A $12.95 $16.64 $11.32–$16.64 87% below 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-LIPOELECT 80503B $15.83 $20.34 $11.54–$20.34 84% below 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-QUEST ADV LPD 94220A $44.35 $57.00 $11.54–$55.86 56% below 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $58.35 $75.00 $11.54–$73.50 42% below 22%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-QUEST ADV LIPID PNLA $58.49 $75.17 $11.54–$73.67 42% below 22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-NMRLIPFIT 2013716B $10.96 $14.08 $7.33–$13.80 — 22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-CRISK E 20468A $12.95 $16.64 $8.66–$16.31 — 22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-LIPOELECT 80503B $15.83 $20.34 $10.58–$19.94 — 22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-QUEST ADV LPD 94220A $44.35 $57.00 $29.64–$55.86 — 22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-QUEST ADV LIPID PNLA $58.49 $75.17 $39.09–$73.67 — 22%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $253.63 $326.00 $169.52–$319.48 — 22%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $33.46 $43.00 $6.75–$42.14 70% below 22%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $147.05 $189.00 $98.28–$185.22 — 22%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF $26.46 $34.00 $5.71–$33.32 65% below 22%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF $105.81 $136.00 $70.72–$133.28 — 22%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $45.13 $58.00 $9.19–$56.84 82% below 22%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $238.07 $306.00 $159.12–$299.88 — 22%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN $54.46 $70.00 $9.05–$68.60 54% below 22%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN $181.28 $233.00 $121.16–$228.34 — 22%
Estradiol blood test CPT 82670 RL-A-ESDIOL TMS 93247 $21.79 $28.00 $19.04–$28.00 65% below 22%
Estradiol blood test CPT 82670 RL-QD-ESTRADIOL 96343 $53.63 $68.93 $24.71–$68.93 14% below 22%
Estradiol blood test inpatient CPT 82670 RL-A-ESDIOL TMS 93247 $21.79 $28.00 $14.56–$27.44 — 22%
Estradiol blood test inpatient CPT 82670 RL-QD-ESTRADIOL 96343 $53.63 $68.93 $35.85–$67.56 — 22%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859 $31.12 $40.00 $17.45–$39.20 57% below 22%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859 $31.12 $40.00 $20.80–$39.20 — 22%
Ferritin blood test (iron stores) CPT 82728 RL-A-FIBRO NAFL 2012521C $23.97 $30.80 $12.07–$30.80 71% below 22%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $60.69 $78.00 $12.07–$76.44 27% below 22%
Ferritin blood test (iron stores) inpatient CPT 82728 RL-A-FIBRO NAFL 2012521C $23.97 $30.80 $16.02–$30.19 — 22%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $232.63 $299.00 $155.48–$293.02 — 22%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $80.92 $104.00 $13.07–$101.92 6% below 22%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $147.82 $190.00 $98.80–$186.20 — 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-QD-FREE T4 $7.47 $9.60 $6.53–$9.60 89% below 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-FT4 ED-TMS 93244 $17.12 $22.00 $7.91–$22.00 75% below 22%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $37.35 $48.00 $7.91–$47.04 45% below 22%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-QD-FREE T4 $7.47 $9.60 $5.00–$9.41 — 22%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-FT4 ED-TMS 93244 $17.12 $22.00 $11.44–$21.56 — 22%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $269.97 $347.00 $180.44–$340.06 — 22%
Free testosterone test CPT 84402 RL-A-TESTOS FR 81059 $25.68 $33.00 $22.44–$33.00 38% below 22%
Free testosterone test inpatient CPT 84402 RL-A-TESTOS FR 81059 $25.68 $33.00 $17.16–$32.34 — 22%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $92.59 $119.00 $28.56–$116.62 67% below 22%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $92.59 $119.00 $61.88–$116.62 — 22%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE $21.79 $28.00 $4.19–$27.44 51% below 22%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE $88.70 $114.00 $59.28–$111.72 — 22%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC $57.58 $74.00 $11.27–$72.52 51% below 22%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC $339.21 $436.00 $226.72–$427.28 — 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SE-IA NEISSE GONO AMP PRB $31.90 $41.00 $25.36–$41.00 40% below 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL-A-LABCORP NEISSERIA $32.79 $42.14 $25.36–$42.14 38% below 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 MM-NEISSERIA AMP PROBE $98.81 $127.00 $25.36–$124.46 85% above 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL-A-LABCORP NEISSERIA $32.79 $42.14 $21.92–$41.30 — 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SE-IA NEISSE GONO AMP PRB $272.30 $350.00 $182.00–$343.00 — 22%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 MM-NEISSERIA AMP PROBE $394.45 $507.00 $263.64–$496.86 — 22%
H. pylori antibody blood test CPT 86677 RL-SR-H PYLORI AB $13.11 $16.85 $11.46–$16.85 88% below 22%
H. pylori antibody blood test inpatient CPT 86677 RL-SR-H PYLORI AB $13.11 $16.85 $8.77–$16.52 — 22%
H. pylori stool antigen test CPT 87338 RL-A-PYLORI AG 65147 $13.23 $17.00 $11.56–$17.00 82% below 22%
H. pylori stool antigen test CPT 87338 IA HELICOB PYLOR STOOL QL $53.69 $69.00 $12.79–$67.62 28% below 22%
H. pylori stool antigen test inpatient CPT 87338 RL-A-PYLORI AG 65147 $13.23 $17.00 $8.84–$16.66 — 22%
H. pylori stool antigen test inpatient CPT 87338 IA HELICOB PYLOR STOOL QL $90.25 $116.00 $60.32–$113.68 — 22%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIV QNT 3000867 $46.68 $60.00 $40.80–$60.00 45% below 22%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIV QNT 3000867 $46.68 $60.00 $31.20–$58.80 — 22%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB SINGLE $94.14 $121.00 $11.96–$118.58 126% above 22%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB SINGLE $128.37 $165.00 $85.80–$161.70 — 22%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 MM-IA HIV1AG HIV1/2 AB $145.49 $187.00 $20.26–$183.26 140% above 22%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 MM-IA HIV1AG HIV1/2 AB $259.86 $334.00 $173.68–$327.32 — 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL-SR-GLYCOHEMOGLOBIN $7.56 $9.71 $6.61–$9.71 88% below 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $41.24 $53.00 $8.54–$51.94 36% below 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL-SR-GLYCOHEMOGLOBIN $7.56 $9.71 $5.05–$9.52 — 22%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $229.51 $295.00 $153.40–$289.10 — 22%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL-A-HEPCHRONIC 20454A $7.78 $10.00 $6.80–$10.00 80% below 22%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL-A-HEPCHRONIC 20454A $7.78 $10.00 $5.20–$9.80 — 22%
Hepatitis B surface antigen (HBsAg) test CPT 87340 RL-A-HEPCHRONIC 20454C $7.78 $10.00 $6.80–$10.00 87% below 22%
Hepatitis B surface antigen (HBsAg) test CPT 87340 MM-IA HEP B SURFACE AG $48.24 $62.00 $9.12–$60.76 22% below 22%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 RL-A-HEPCHRONIC 20454C $7.78 $10.00 $5.20–$9.80 — 22%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 MM-IA HEP B SURFACE AG $160.27 $206.00 $107.12–$201.88 — 22%
Hepatitis C antibody blood test (screening) CPT 86803 MM-HEPATITIS C AB $73.91 $95.00 $12.57–$93.10 42% above 22%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 MM-HEPATITIS C AB $223.29 $287.00 $149.24–$281.26 — 22%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL-A-HEPC QNT 3000572 $30.10 $38.68 $26.31–$38.68 62% below 22%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL-A-HEPC QNT 3000572 $30.10 $38.68 $20.12–$37.91 — 22%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERP I S 50292 $10.51 $13.50 $9.18–$13.50 44% below 22%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379 $17.21 $22.11 $11.72–$22.11 9% below 22%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERP I S 50292 $10.51 $13.50 $7.02–$13.23 — 22%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379 $17.21 $22.11 $11.50–$21.67 — 22%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERP II S 50294 $10.51 $13.50 $9.18–$13.50 61% below 22%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERPIICSF 50359 $17.21 $22.11 $15.04–$22.11 35% below 22%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERP II S 50294 $10.51 $13.50 $7.02–$13.23 — 22%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERPIICSF 50359 $17.21 $22.11 $11.50–$21.67 — 22%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-A-HSCRP 50182 $12.45 $16.00 $10.88–$16.00 73% below 22%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-A-QUEST ADV LPD 94220E $44.35 $57.00 $11.06–$55.86 5% below 22%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY $59.13 $76.00 $11.06–$74.48 26% above 22%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-A-HSCRP 50182 $12.45 $16.00 $8.32–$15.68 — 22%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-A-QUEST ADV LPD 94220E $44.35 $57.00 $29.64–$55.86 — 22%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY $104.26 $134.00 $69.68–$131.32 — 22%
Homocysteine blood test CPT 83090 RL-A-THROMRISK 3017156B $11.85 $15.23 $10.36–$15.23 71% below 22%
Homocysteine blood test CPT 83090 RL-A-QUEST HOMOCYST $83.40 $107.19 $14.99–$105.05 102% above 22%
Homocysteine blood test CPT 83090 RL-A-MAYO CMMPP A $170.43 $219.05 $14.99–$214.67 314% above 22%
Homocysteine blood test inpatient CPT 83090 RL-A-THROMRISK 3017156B $11.85 $15.23 $7.92–$14.93 — 22%
Homocysteine blood test inpatient CPT 83090 RL-A-QUEST HOMOCYST $83.40 $107.19 $55.74–$105.05 — 22%
Homocysteine blood test inpatient CPT 83090 RL-A-MAYO CMMPP A $170.43 $219.05 $113.91–$214.67 — 22%
Insulin blood test CPT 83525 RL-A-INSULIN FAST 70063 $6.23 $8.00 $5.44–$8.00 81% below 22%
Insulin blood test CPT 83525 RL-A-INS F T 70155A $7.78 $9.99 $6.80–$9.99 77% below 22%
Insulin blood test CPT 83525 RL-A-PRO INS 70256B $14.13 $18.16 $8.00–$18.16 58% below 22%
Insulin blood test inpatient CPT 83525 RL-A-INSULIN FAST 70063 $6.23 $8.00 $4.16–$7.84 — 22%
Insulin blood test inpatient CPT 83525 RL-A-INS F T 70155A $7.78 $9.99 $5.20–$9.80 — 22%
Insulin blood test inpatient CPT 83525 RL-A-PRO INS 70256B $14.13 $18.16 $9.45–$17.80 — 22%
Iron blood test (serum iron) CPT 83540 IRON $26.46 $34.00 $5.72–$33.32 40% below 22%
Iron blood test (serum iron) CPT 83540 RL-A-FE LIVER 28250 $71.21 $91.52 $5.72–$89.69 61% above 22%
Iron blood test (serum iron) inpatient CPT 83540 RL-A-FE LIVER 28250 $71.21 $91.52 $47.60–$89.69 — 22%
Iron blood test (serum iron) inpatient CPT 83540 IRON $126.04 $162.00 $84.24–$158.76 — 22%
Iron-binding capacity (TIBC) test CPT 83550 SE-IRON BINDING CAPACITY $21.01 $27.00 $6.89–$26.46 62% below 22%
Iron-binding capacity (TIBC) test inpatient CPT 83550 SE-IRON BINDING CAPACITY $38.13 $49.00 $25.48–$48.02 — 22%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $35.01 $45.00 $7.60–$44.10 75% below 22%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $114.37 $147.00 $76.44–$144.06 — 22%
Lipase blood test (pancreas enzyme) CPT 83690 RL-A-LIP FL 20715 $6.19 $7.95 $5.41–$7.95 92% below 22%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $32.68 $42.00 $6.08–$41.16 57% below 22%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 RL-A-LIP FL 20715 $6.19 $7.95 $4.14–$7.80 — 22%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $163.38 $210.00 $109.20–$205.80 — 22%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $35.79 $46.00 $6.38–$45.08 73% below 22%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $238.85 $307.00 $159.64–$300.86 — 22%
Lyme disease antibody test CPT 86618 RL-A-RFLX LYME MGR3006188 $19.45 $25.00 $15.14–$25.00 19% below 22%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053 $37.75 $48.51 $15.14–$48.22 57% above 22%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760 $38.90 $50.00 $15.14–$49.00 62% above 22%
Lyme disease antibody test CPT 86618 RL-A-LABCORP B.BURGDORF $43.57 $56.00 $15.14–$54.88 82% above 22%
Lyme disease antibody test inpatient CPT 86618 RL-A-RFLX LYME MGR3006188 $19.45 $25.00 $13.00–$24.50 — 22%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053 $37.75 $48.51 $25.23–$47.54 — 22%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760 $38.90 $50.00 $26.00–$49.00 — 22%
Lyme disease antibody test inpatient CPT 86618 RL-A-LABCORP B.BURGDORF $43.57 $56.00 $29.12–$54.88 — 22%
Magnesium blood test CPT 83735 RL-SR-MAGNESIUM $5.22 $6.70 $4.56–$6.70 91% below 22%
Magnesium blood test CPT 83735 RL-A-CRA 2008708D $6.90 $8.86 $5.96–$8.86 88% below 22%
Magnesium blood test CPT 83735 RL-A-UMG 20477 $7.09 $9.11 $5.96–$9.11 88% below 22%
Magnesium blood test CPT 83735 RL-A-FEC PRO 20699C $10.37 $13.32 $5.96–$13.32 82% below 22%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079 $18.68 $24.00 $5.96–$23.52 68% below 22%
Magnesium blood test CPT 83735 MAGNESIUM $22.57 $29.00 $5.96–$28.42 61% below 22%
Magnesium blood test inpatient CPT 83735 RL-SR-MAGNESIUM $5.22 $6.70 $3.49–$6.57 — 22%
Magnesium blood test inpatient CPT 83735 RL-A-CRA 2008708D $6.90 $8.86 $4.61–$8.69 — 22%
Magnesium blood test inpatient CPT 83735 RL-A-UMG 20477 $7.09 $9.11 $4.74–$8.93 — 22%
Magnesium blood test inpatient CPT 83735 RL-A-FEC PRO 20699C $10.37 $13.32 $6.93–$13.06 — 22%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079 $18.68 $24.00 $12.48–$23.52 — 22%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $134.60 $173.00 $89.96–$169.54 — 22%
Measles (rubeola) antibody test CPT 86765 RL-A-MEASLE PAN 50375 $6.64 $8.53 $5.81–$8.53 68% below 22%
Measles (rubeola) antibody test CPT 86765 RL-A-ENCEPH-CSF 3017752C $11.88 $15.26 $10.38–$15.26 43% below 22%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-MEASLE PAN 50375 $6.64 $8.53 $4.44–$8.36 — 22%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-ENCEPH-CSF 3017752C $11.88 $15.26 $7.94–$14.96 — 22%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST SCRN $24.12 $31.00 $4.49–$30.38 74% below 22%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST SCRN $120.59 $155.00 $80.60–$151.90 — 22%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $93.36 $120.00 $12.87–$117.60 169% above 22%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $258.30 $332.00 $172.64–$325.36 — 22%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PSA ULTRA 98581 $13.51 $17.36 $11.81–$17.36 71% below 22%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $93.36 $120.00 $16.35–$117.60 99% above 22%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PSA ULTRA 98581 $13.51 $17.36 $9.03–$17.02 — 22%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $238.85 $307.00 $159.64–$300.86 — 22%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL-A-TR REQUEST 2000138 $27.53 $35.38 $18.00–$35.38 70% below 22%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 RL-A-TR REQUEST 2000138 $27.53 $35.38 $18.40–$34.68 — 22%
Parathyroid hormone (PTH) blood test CPT 83970 RL-SR-PARATHYROID RAPID $32.12 $41.28 $28.08–$41.28 69% below 22%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL-SR-PARATHYROID RAPID $32.12 $41.28 $21.47–$40.46 — 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-LUPUS RFLX 3017009C $5.20 $6.68 $4.55–$6.68 86% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-ANTI PHOS 3017157C $5.45 $7.00 $4.76–$7.00 86% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RFLX INPTT1 2003272A $7.55 $9.70 $5.34–$9.70 80% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-PTT 30235 $7.56 $9.71 $5.34–$9.71 80% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-PTT INHIB 2003266 $8.46 $10.87 $5.34–$10.87 78% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-THROMRISK 3017156I $11.85 $15.23 $5.34–$15.23 69% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033 $23.97 $30.80 $5.34–$30.19 36% below 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME $59.13 $76.00 $5.34–$74.48 57% above 22%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-QUEST PTT $83.37 $107.15 $5.34–$105.01 121% above 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-LUPUS RFLX 3017009C $5.20 $6.68 $3.48–$6.55 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-ANTI PHOS 3017157C $5.45 $7.00 $3.64–$6.86 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RFLX INPTT1 2003272A $7.55 $9.70 $5.05–$9.51 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-PTT 30235 $7.56 $9.71 $5.05–$9.52 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-PTT INHIB 2003266 $8.46 $10.87 $5.66–$10.66 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-THROMRISK 3017156I $11.85 $15.23 $7.92–$14.93 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033 $23.97 $30.80 $16.02–$30.19 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-QUEST PTT $83.37 $107.15 $55.72–$105.01 — 22%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME $150.94 $194.00 $100.88–$190.12 — 22%
Progesterone blood test CPT 84144 RL-A-PGSN 2008509 $18.68 $24.00 $16.32–$24.00 66% below 22%
Progesterone blood test CPT 84144 RL-ES-PROGESTERONE $118.42 $152.20 $18.30–$149.16 116% above 22%
Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509 $18.68 $24.00 $12.48–$23.52 — 22%
Progesterone blood test inpatient CPT 84144 RL-ES-PROGESTERONE $118.42 $152.20 $79.15–$149.16 — 22%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-LUPUS RFLX 3017009A $5.19 $6.66 $3.49–$6.66 89% below 22%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-ANTI PHOS 3017157A $5.45 $7.00 $3.49–$7.00 89% below 22%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT 30215 $7.56 $9.71 $3.49–$9.71 84% below 22%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260 $10.48 $13.46 $3.49–$13.20 78% below 22%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-THROMRISK 3017156G $11.85 $15.23 $3.49–$14.93 75% below 22%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $15.56 $20.00 $3.49–$19.60 67% below 22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-LUPUS RFLX 3017009A $5.19 $6.66 $3.47–$6.53 — 22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-ANTI PHOS 3017157A $5.45 $7.00 $3.64–$6.86 — 22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT 30215 $7.56 $9.71 $5.05–$9.52 — 22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260 $10.48 $13.46 $7.00–$13.20 — 22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-THROMRISK 3017156G $11.85 $15.23 $7.92–$14.93 — 22%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $93.36 $120.00 $62.40–$117.60 — 22%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RL-SR-DRUG OF ABUSE URINE $9.81 $12.60 $8.57–$12.60 88% below 22%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 RL-SR-DRUG OF ABUSE URINE $9.81 $12.60 $6.56–$12.35 — 22%
Rapid flu test (influenza antigen) CPT 87804 RL-SR-INFLUENZA A/B IGG $12.88 $16.55 $8.85–$16.55 83% below 22%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC $33.46 $43.00 $8.85–$42.14 56% below 22%
Rapid flu test (influenza antigen) inpatient CPT 87804 RL-SR-INFLUENZA A/B IGG $12.88 $16.55 $8.61–$16.22 — 22%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC $168.05 $216.00 $112.32–$211.68 — 22%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC $35.01 $45.00 $6.99–$44.10 67% below 22%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC $119.04 $153.00 $79.56–$149.94 — 22%
Rheumatoid factor (RF) test CPT 86431 RL-A-LUPUS COMP 50119C $4.87 $6.25 $4.25–$6.25 63% below 22%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA 50465 $5.45 $7.00 $4.76–$7.00 58% below 22%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA-FL 2003347 $6.23 $8.00 $5.02–$8.00 52% below 22%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL R 3016635B $17.63 $22.66 $5.02–$22.21 36% above 22%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-LUPUS COMP 50119C $4.87 $6.25 $3.25–$6.13 — 22%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA 50465 $5.45 $7.00 $3.64–$6.86 — 22%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA-FL 2003347 $6.23 $8.00 $4.16–$7.84 — 22%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL R 3016635B $17.63 $22.66 $11.79–$22.21 — 22%
Rubella antibody test (immunity check) CPT 86762 RL-A-RUBE G/M 50552 $6.23 $8.00 $5.44–$8.00 84% below 22%
Rubella antibody test (immunity check) CPT 86762 RL-A-TORCH IGG 50772B $6.80 $8.74 $5.95–$8.74 83% below 22%
Rubella antibody test (immunity check) CPT 86762 RL-A-TORCH IGM 3017749B $7.52 $9.66 $6.57–$9.66 81% below 22%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-RUBE G/M 50552 $6.23 $8.00 $4.16–$7.84 — 22%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-TORCH IGG 50772B $6.80 $8.74 $4.55–$8.57 — 22%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-TORCH IGM 3017749B $7.52 $9.66 $5.03–$9.47 — 22%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO $10.90 $14.00 $2.40–$13.72 76% below 22%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO $71.58 $92.00 $47.84–$90.16 — 22%
Stool ova and parasites exam CPT 87177 RL-A-PARAST 60046A $9.12 $11.71 $7.18–$11.71 49% below 22%
Stool ova and parasites exam CPT 87177 RL-A-OP FEC 3001662A $9.34 $12.00 $7.18–$12.00 48% below 22%
Stool ova and parasites exam CPT 87177 RL-A-OP BF/U 3001663A $22.85 $29.37 $7.18–$28.79 28% above 22%
Stool ova and parasites exam inpatient CPT 87177 RL-A-PARAST 60046A $9.12 $11.71 $6.09–$11.48 — 22%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP FEC 3001662A $9.34 $12.00 $6.24–$11.76 — 22%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP BF/U 3001663A $22.85 $29.37 $15.28–$28.79 — 22%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 RL-A-FOB IA 2007190 $19.42 $24.95 $14.14–$24.95 46% below 22%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL $49.02 $63.00 $14.14–$61.74 37% above 22%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 RL-A-FOB IA 2007190 $19.42 $24.95 $12.98–$24.46 — 22%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL $73.91 $95.00 $49.40–$93.10 — 22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL CSF 50206 $4.67 $6.00 $3.18–$6.00 69% below 22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-A-VDRL SERU 93093 $5.51 $7.07 $3.18–$7.07 63% below 22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL CSF 50206 $4.67 $6.00 $3.12–$5.88 — 22%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-A-VDRL SERU 93093 $5.51 $7.07 $3.68–$6.93 — 22%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT 4 3017562 $23.34 $30.00 $20.40–$30.00 67% below 22%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT 4 3017562 $23.34 $30.00 $15.60–$29.40 — 22%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-A-TESTOS MAS 81058 $10.12 $13.00 $8.84–$13.00 75% below 22%
Testosterone blood test, total (not free testosterone) CPT 84403 RL-ES-TESTOSTERONE $118.38 $152.15 $22.80–$149.11 196% above 22%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-A-TESTOS MAS 81058 $10.12 $13.00 $6.76–$12.74 — 22%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL-ES-TESTOSTERONE $118.38 $152.15 $79.12–$149.11 — 22%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER PAN 3002479B $8.19 $10.52 $7.16–$10.52 64% below 22%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER-KID 99270 $10.90 $14.00 $9.52–$14.00 52% below 22%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-QD-LIV/KID MSOM SCRN $27.06 $34.78 $12.93–$34.78 18% above 22%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER PAN 3002479B $8.19 $10.52 $5.48–$10.31 — 22%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER-KID 99270 $10.90 $14.00 $7.28–$13.72 — 22%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-QD-LIV/KID MSOM SCRN $27.06 $34.78 $18.09–$34.09 — 22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-SR-THYROID STIM HORM $13.08 $16.80 $11.43–$16.80 84% below 22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE $77.80 $100.00 $14.76–$98.00 7% below 22%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL-A-LABCORP THY CASC PRO $81.69 $105.00 $14.76–$102.90 2% below 22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-SR-THYROID STIM HORM $13.08 $16.80 $8.74–$16.47 — 22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL-A-LABCORP THY CASC PRO $81.69 $105.00 $54.60–$102.90 — 22%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE $297.98 $383.00 $199.16–$375.34 — 22%
Trichomonas test (NAAT) CPT 87661 SE-IA TRICHOM VAG AMP PRB $27.31 $35.09 $23.87–$35.09 69% below 22%
Trichomonas test (NAAT) CPT 87661 RL-A-TVAG AMD 2005506 $31.12 $40.00 $27.20–$40.00 65% below 22%
Trichomonas test (NAAT) CPT 87661 RL-A-VPAN TMA 3002581C $32.10 $41.25 $28.05–$41.25 64% below 22%
Trichomonas test (NAAT) CPT 87661 RL-A-LABCORP T VAGINALIS $32.79 $42.14 $28.66–$42.14 63% below 22%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-TVAG AMD 2005506 $31.12 $40.00 $20.80–$39.20 — 22%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-VPAN TMA 3002581C $32.10 $41.25 $21.45–$40.43 — 22%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-LABCORP T VAGINALIS $32.79 $42.14 $21.92–$41.30 — 22%
Trichomonas test (NAAT) inpatient CPT 87661 SE-IA TRICHOM VAG AMP PRB $247.57 $318.21 $165.47–$311.85 — 22%
Uric acid blood test CPT 84550 RL-A-URIC 20026 $5.04 $6.47 $4.01–$6.47 92% below 22%
Uric acid blood test CPT 84550 URIC ACID BLOOD $17.12 $22.00 $4.01–$21.56 72% below 22%
Uric acid blood test inpatient CPT 84550 RL-A-URIC 20026 $5.04 $6.47 $3.37–$6.35 — 22%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD $128.37 $165.00 $85.80–$161.70 — 22%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO $14.79 $19.00 $2.77–$18.62 82% below 22%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO $117.48 $151.00 $78.52–$147.98 — 22%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO $11.67 $15.00 $1.96–$14.70 79% below 22%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO $28.79 $37.00 $19.24–$36.26 — 22%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO WO MICRO $10.12 $13.00 $2.15–$12.74 63% below 22%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO WO MICRO $31.12 $40.00 $20.80–$39.20 — 22%
Urine culture for bacteria, with colony count CPT 87086 SA-CULT UR W COLONY CNT $44.35 $57.00 $5.65–$55.86 68% below 22%
Urine culture for bacteria, with colony count inpatient CPT 87086 SA-CULT UR W COLONY CNT $126.04 $162.00 $84.24–$158.76 — 22%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL NONL $20.23 $26.00 $2.80–$25.48 76% below 22%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL LAB $21.79 $28.00 $2.80–$27.44 75% below 22%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL NONL $20.23 $26.00 $13.52–$25.48 — 22%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL LAB $21.79 $28.00 $14.56–$27.44 — 22%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $81.69 $105.00 $13.33–$102.90 32% above 22%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 $122.15 $157.00 $81.64–$153.86 — 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL-A-VITD2D3TMS 2002348 $15.56 $20.00 $13.60–$20.00 76% below 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $153.27 $197.00 $20.72–$193.06 140% above 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL-A-VITD2D3TMS 2002348 $15.56 $20.00 $10.40–$19.60 — 22%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY $383.56 $493.00 $256.36–$483.14 — 22%
Zinc blood test CPT 84630 RL-A-HYMET 6 25055F $9.01 $11.57 $7.87–$11.57 35% below 22%
Zinc blood test inpatient CPT 84630 RL-A-HYMET 6 25055F $9.01 $11.57 $6.02–$11.34 — 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-A-BHCG TM 70029 $10.90 $14.00 $9.52–$14.00 92% below 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-SR-BETA HCG QUANT $11.71 $15.05 $10.24–$15.05 92% below 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL-A-BHCG CSF 20730 $11.92 $15.31 $10.42–$15.31 91% below 22%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN $80.14 $103.00 $13.24–$100.94 42% below 22%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-A-BHCG TM 70029 $10.90 $14.00 $7.28–$13.72 — 22%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-SR-BETA HCG QUANT $11.71 $15.05 $7.83–$14.75 — 22%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL-A-BHCG CSF 20730 $11.92 $15.31 $7.97–$15.01 — 22%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN $287.86 $370.00 $192.40–$362.60 — 22%

Surgery and procedures

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST STERO PRC 1ST UNI $2,331.67 $2,997.00 $719.28–$2,937.06 45% below 22%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI $2,331.67 $2,997.00 $1,558.44–$2,937.06 — 22%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT $1,391.85 $1,789.00 $238.90–$1,753.22 22% below 22%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT $1,391.85 $1,789.00 $930.28–$1,753.22 — 22%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $200.73 $258.00 $61.92–$252.84 89% below 22%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $200.73 $258.00 $134.16–$252.84 — 22%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $1,236.25 $1,589.00 $169.22–$1,557.22 24% below 22%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $1,236.25 $1,589.00 $826.28–$1,557.22 — 22%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ $1,790.96 $2,302.00 $196.45–$2,255.96 13% below 22%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG INJ $1,790.96 $2,302.00 $1,197.04–$2,255.96 — 22%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO $386.67 $497.00 $119.28–$497.00 16% below 22%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO $386.67 $497.00 $258.44–$487.06 — 22%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE $295.64 $380.00 $82.80–$372.40 37% below 22%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE $295.64 $380.00 $197.60–$372.40 — 22%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHTH/LIG $455.13 $585.00 $89.32–$573.30 31% below 22%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHTH/LIG $455.13 $585.00 $304.20–$573.30 — 22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI $402.23 $517.00 $89.32–$506.66 44% below 22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR JT WO $454.36 $584.00 $89.32–$572.32 37% below 22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI $402.23 $517.00 $268.84–$506.66 — 22%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR JT WO $454.36 $584.00 $303.68–$572.32 — 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO $325.21 $418.00 $74.07–$409.64 43% below 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/ASP INTER JT WO US $454.36 $584.00 $74.07–$572.32 20% below 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO $325.21 $418.00 $217.36–$409.64 — 22%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO/ASP INTER JT WO US $454.36 $584.00 $303.68–$572.32 — 22%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG $1,100.10 $1,414.00 $299.24–$1,385.72 34% below 22%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG $1,100.10 $1,414.00 $735.28–$1,385.72 — 22%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPI/SUBAR L/S WO IMAG $1,093.87 $1,406.00 $271.63–$1,377.88 34% below 22%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPI/SUBAR L/S WO IMAG $1,093.87 $1,406.00 $731.12–$1,377.88 — 22%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ $1,931.00 $2,482.00 $279.63–$2,432.36 at median 22%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ $1,931.00 $2,482.00 $1,290.64–$2,432.36 — 22%
Occipital nerve block (injection for headaches) CPT 64405 INJS GRTR OCCP NRV AA/ST $449.69 $578.00 $122.74–$566.44 46% below 22%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJS GRTR OCCP NRV AA/ST $449.69 $578.00 $300.56–$566.44 — 22%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING $1,401.96 $1,802.00 $122.20–$1,765.96 21% below 22%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING $1,401.96 $1,802.00 $937.04–$1,765.96 — 22%
Removal of a foreign object under the skin, simple CPT 10120 IR I AND R FB SUBQ SIMPLE $773.34 $994.00 $100.95–$974.12 3% above 22%
Removal of a foreign object under the skin, simple inpatient CPT 10120 IR I AND R FB SUBQ SIMPLE $773.34 $994.00 $516.88–$974.12 — 22%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SNG LESION $300.31 $386.00 $92.64–$386.00 58% below 22%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SNG LESION $300.31 $386.00 $200.72–$378.28 — 22%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX $1,038.63 $1,335.00 $159.79–$1,308.30 15% below 22%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX $1,585.57 $2,038.00 $159.79–$1,997.24 30% above 22%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX $1,038.63 $1,335.00 $694.20–$1,308.30 — 22%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBER DX $1,585.57 $2,038.00 $1,059.76–$1,997.24 — 22%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LR SMPL TRNK/NECK 2.6-7.5 $182.83 $235.00 $56.40–$235.00 73% below 22%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LR SMPL TRNK/NECK 2.6-7.5 $182.83 $235.00 $122.20–$230.30 — 22%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES $300.31 $386.00 $92.64–$384.21 46% below 22%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES $300.31 $386.00 $200.72–$378.28 — 22%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI $1,274.37 $1,638.00 $125.57–$1,605.24 37% below 22%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING $1,422.97 $1,829.00 $125.57–$1,792.42 30% below 22%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI $1,274.37 $1,638.00 $851.76–$1,605.24 — 22%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING $1,422.97 $1,829.00 $951.08–$1,792.42 — 22%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCL $454.36 $584.00 $71.39–$572.32 27% below 22%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCL $454.36 $584.00 $303.68–$572.32 — 22%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI $1,494.54 $1,921.00 $461.04–$1,921.00 52% below 22%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI $1,494.54 $1,921.00 $998.92–$1,882.58 — 22%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $798.23 $1,026.00 $141.26–$1,005.48 17% above 22%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $798.23 $1,026.00 $533.52–$1,005.48 — 22%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP $1,363.06 $1,752.00 $420.48–$1,716.96 56% above 22%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP $1,363.06 $1,752.00 $911.04–$1,716.96 — 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY $627.85 $807.00 $22.82–$790.86 103% above 22%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY $627.85 $807.00 $419.64–$790.86 — 22%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR $477.70 $614.00 $38.88–$601.72 45% below 22%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR $477.70 $614.00 $319.28–$601.72 — 22%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN $5,324.64 $6,844.00 $237.21–$6,707.12 8% above 22%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN $5,324.64 $6,844.00 $3,558.88–$6,707.12 — 22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY $441.91 $568.00 $31.99–$556.64 31% above 22%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY $441.91 $568.00 $295.36–$556.64 — 22%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 $609.18 $783.00 $29.61–$767.34 58% above 22%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 $609.18 $783.00 $407.16–$767.34 — 22%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 $1,162.34 $1,494.00 $47.56–$1,464.12 56% above 22%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 $1,162.34 $1,494.00 $776.88–$1,464.12 — 22%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 $1,715.49 $2,205.00 $87.00–$2,160.90 42% above 22%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 $1,715.49 $2,205.00 $1,146.60–$2,160.90 — 22%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 $3,763.97 $4,838.00 $133.33–$4,741.24 93% above 22%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 $3,763.97 $4,838.00 $2,515.76–$4,741.24 — 22%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER EVIDENTIARY EXAM $3,984.92 $5,122.00 $210.84–$5,019.56 21% above 22%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 $5,534.70 $7,114.00 $210.84–$6,971.72 69% above 22%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER EVIDENTIARY EXAM $3,984.92 $5,122.00 $2,663.44–$5,019.56 — 22%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 $5,534.70 $7,114.00 $3,699.28–$6,971.72 — 22%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST W RX $1,009.07 $1,297.00 $78.83–$1,271.06 17% below 22%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST W RX $1,009.07 $1,297.00 $674.44–$1,271.06 — 22%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN $592.84 $762.00 $82.08–$746.76 31% above 22%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN $592.84 $762.00 $396.24–$746.76 — 22%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR $681.53 $876.00 $100.16–$858.48 42% above 22%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR $681.53 $876.00 $455.52–$858.48 — 22%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM $248.96 $320.00 $30.00–$313.60 59% above 22%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM $248.96 $320.00 $166.40–$313.60 — 22%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT $2,289.66 $2,943.00 $134.41–$2,884.14 868% above 22%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT $2,289.66 $2,943.00 $1,530.36–$2,884.14 — 22%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT $115.93 $149.00 $35.76–$149.00 13% below 22%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW $476.92 $613.00 $66.91–$600.74 259% above 22%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT $115.93 $149.00 $77.48–$146.02 — 22%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW $476.92 $613.00 $318.76–$600.74 — 22%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT NUTRITION INITL EA15 $27.23 $35.00 $8.40–$35.00 73% below 22%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT NUTRITION INITL EA15 $27.23 $35.00 $18.20–$34.30 — 22%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN $34.24 $44.00 $10.56–$44.00 38% below 22%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN $34.24 $44.00 $22.88–$43.12 — 22%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT $210.06 $270.00 $64.80–$270.00 4% below 22%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT $210.06 $270.00 $140.40–$264.60 — 22%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT $115.93 $149.00 $35.76–$149.00 20% below 22%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT $115.93 $149.00 $77.48–$146.02 — 22%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT $2,289.66 $2,943.00 $73.15–$2,884.14 1209% above 22%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT $2,289.66 $2,943.00 $1,530.36–$2,884.14 — 22%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT $80.92 $104.00 $24.96–$104.00 28% below 22%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT $80.92 $104.00 $54.08–$101.92 — 22%
Spirometry (breathing test) CPT 94010 SPIROMETRY $442.69 $569.00 $47.99–$557.62 38% above 22%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $442.69 $569.00 $295.88–$557.62 — 22%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST $639.52 $822.00 $87.84–$805.56 17% below 22%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST $639.52 $822.00 $427.44–$805.56 — 22%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT $370.33 $476.00 $31.99–$466.48 24% above 22%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT $370.33 $476.00 $247.52–$466.48 — 22%

Vaccines

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS $128.37 $165.00 $26.81–$161.70 282% above 22%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS $128.37 $165.00 $85.80–$161.70 — 22%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A-B VACC PF 20MCG INJ $540.71 $695.00 $135.39–$681.10 249% above 22%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A-B VACC PF 20MCG INJ $540.71 $695.00 $361.40–$681.10 — 22%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN $382.00 $491.00 $76.62–$481.18 174% above 22%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN $382.00 $491.00 $255.32–$481.18 — 22%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC 10MCG/1ML INJ $399.90 $514.00 $74.84–$503.72 373% above 22%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC 10MCG/1ML INJ $399.90 $514.00 $267.28–$503.72 — 22%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC $536.82 $690.00 $97.41–$676.20 359% above 22%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC $536.82 $690.00 $358.80–$676.20 — 22%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW PF0.5MLIM $767.11 $986.00 $168.65–$966.28 193% above 22%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW PF0.5MLIM $767.11 $986.00 $512.72–$966.28 — 22%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML $2,477.16 $3,184.00 $322.13–$3,120.32 251% above 22%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML $2,477.16 $3,184.00 $1,655.68–$3,120.32 — 22%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML $1,058.86 $1,361.00 $219.97–$1,333.78 387% above 22%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML $1,058.86 $1,361.00 $707.72–$1,333.78 — 22%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PFVACC 0.5ML>=7YR $143.93 $185.00 $38.42–$181.30 81% above 22%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PFVACC 0.5ML>=7YR $143.93 $185.00 $96.20–$181.30 — 22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM $255.97 $329.00 $43.53–$322.42 204% above 22%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM $255.97 $329.00 $171.08–$322.42 — 22%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhnst/cans/finance/price-transparency/941196203-1518085430_dignity-health_standardcharges.json