Hospital Truckee-Grass Valley, CA

Sierra Nevada Memorial-Miners Hospital

Sierra Nevada Memorial-Miners Hospital in Grass Valley, CA publishes cash prices for 213 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 135 of 212 procedures and above it for 77. By typical cash price it ranks #66 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

155 Glasson Way, Grass Valley, CA 95945 Collected Sep 27, 2026 Source price file (530) 274-6000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050150 · 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 TRANS O2 MEAS 1-2 LVL BI $475.24 $872.00 $59.79–$26,207.00 — 46%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $673.08 $1,235.00 $59.79–$26,207.00 — 45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 TRANS O2 MEAS 1-2 LVL BI $475.24 $872.00 $671.44–$854.56 — 46%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $673.08 $1,235.00 $950.95–$1,210.30 — 45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON $263.78 $484.00 $54.64–$484.00 50% below 46%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON $918.33 $1,685.00 $1,297.45–$1,651.30 — 45%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY $668.72 $1,227.00 $202.29–$1,227.00 68% below 45%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY $2,013.23 $3,694.00 $2,844.38–$3,620.12 — 46%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON $3,793.75 $6,961.00 $233.94–$6,821.78 22% above 45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON $3,793.75 $6,961.00 $5,359.97–$6,821.78 — 45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON $1,364.68 $2,504.00 $81.33–$2,453.92 335% above 46%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON $1,364.68 $2,504.00 $1,928.08–$2,453.92 — 46%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON $896.53 $1,645.00 $174.31–$1,788.00 68% below 45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON $3,623.71 $6,649.00 $5,119.73–$6,516.02 — 45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON $1,337.43 $2,454.00 $281.80–$2,404.92 67% below 46%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON $5,408.58 $9,924.00 $7,641.48–$9,725.52 — 46%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON $1,337.43 $2,454.00 $319.24–$2,404.92 70% below 46%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON $5,408.58 $9,924.00 $7,641.48–$9,725.52 — 46%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON $1,013.70 $1,860.00 $233.94–$1,822.80 55% below 46%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON $3,567.03 $6,545.00 $5,039.65–$6,414.10 — 45%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON $675.80 $1,240.00 $139.74–$1,788.00 64% below 46%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON $2,389.83 $4,385.00 $3,376.45–$4,297.30 — 45%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON $675.80 $1,240.00 $139.74–$1,788.00 69% below 46%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON $2,606.74 $4,783.00 $3,682.91–$4,687.34 — 45%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON $675.80 $1,240.00 $139.74–$1,788.00 70% below 46%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON $2,678.13 $4,914.00 $3,783.78–$4,815.72 — 46%
CT scan of the head with contrast CPT 70460 CT HEAD W CON $1,013.70 $1,860.00 $204.88–$1,822.80 62% below 46%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON $4,017.20 $7,371.00 $5,675.67–$7,223.58 — 45%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON $1,013.70 $1,860.00 $233.94–$1,822.80 64% below 46%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON $4,017.20 $7,371.00 $5,675.67–$7,223.58 — 45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON $675.80 $1,240.00 $139.74–$1,788.00 76% below 46%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON $2,672.68 $4,904.00 $3,776.08–$4,805.92 — 46%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON $675.80 $1,240.00 $139.74–$1,788.00 77% below 46%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON $2,452.50 $4,500.00 $3,465.00–$4,410.00 — 46%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON $1,013.70 $1,860.00 $233.94–$1,822.80 60% below 46%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON $4,279.89 $7,853.00 $6,046.81–$7,695.94 — 45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL $1,472.05 $2,701.00 $179.75–$26,207.00 21% above 45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL $1,472.05 $2,701.00 $2,079.77–$2,646.98 — 45%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS $159.69 $293.00 $27.47–$293.00 59% below 45%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS $545.00 $1,000.00 $770.00–$980.00 — 46%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW $159.69 $293.00 $17.65–$287.14 53% below 45%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW $545.00 $1,000.00 $770.00–$980.00 — 46%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL $283.40 $520.00 $115.78–$520.00 67% below 46%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL $1,030.60 $1,891.00 $1,456.07–$1,853.18 — 45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL $346.62 $636.00 $34.27–$636.00 27% below 46%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL $346.62 $636.00 $489.72–$623.28 — 46%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND $256.70 $471.00 $25.10–$471.00 3% below 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND $256.70 $471.00 $362.67–$461.58 — 45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST $537.92 $987.00 $158.68–$987.00 34% below 45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST $1,486.22 $2,727.00 $2,099.79–$2,672.46 — 45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON $2,492.83 $4,574.00 $139.74–$4,482.52 37% above 46%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON $2,492.83 $4,574.00 $3,521.98–$4,482.52 — 46%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON $3,720.72 $6,827.00 $230.85–$6,690.46 59% above 45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON $3,720.72 $6,827.00 $5,256.79–$6,690.46 — 45%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL $492.14 $903.00 $148.03–$903.00 20% above 45%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL $492.14 $903.00 $695.31–$884.94 — 45%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL $423.47 $777.00 $111.16–$26,207.00 56% below 45%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL $1,472.05 $2,701.00 $2,079.77–$2,646.98 — 45%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL $1,472.05 $2,701.00 $193.06–$26,207.00 30% above 45%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL $1,472.05 $2,701.00 $2,079.77–$2,646.98 — 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $2,167.47 $3,977.00 $239.76–$26,207.00 10% below 45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE $2,167.47 $3,977.00 $3,062.29–$3,897.46 — 45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM $668.72 $1,227.00 $291.01–$1,227.00 56% below 45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM $2,093.89 $3,842.00 $2,958.34–$3,765.16 — 46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD $283.40 $520.00 $87.13–$520.00 66% below 46%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD $1,030.60 $1,891.00 $1,456.07–$1,853.18 — 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE $1,302.01 $2,389.00 $131.79–$2,341.22 227% above 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE $1,302.01 $2,389.00 $1,839.53–$2,341.22 — 45%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON $2,672.68 $4,904.00 $273.91–$4,805.92 1% above 46%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON $2,672.68 $4,904.00 $3,776.08–$4,805.92 — 46%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON $4,111.48 $7,544.00 $333.52–$7,393.12 6% below 46%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON $4,111.48 $7,544.00 $5,808.88–$7,393.12 — 46%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $2,834.55 $5,201.00 $272.77–$5,096.98 9% above 45%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $2,834.55 $5,201.00 $4,004.77–$5,096.98 — 45%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON $4,365.45 $8,010.00 $446.18–$7,849.80 16% above 46%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON $4,365.45 $8,010.00 $6,167.70–$7,849.80 — 46%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON $2,684.13 $4,925.00 $266.80–$4,826.50 6% above 45%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON $2,684.13 $4,925.00 $3,792.25–$4,826.50 — 45%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON $4,107.12 $7,536.00 $447.95–$7,385.28 4% above 46%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON $4,107.12 $7,536.00 $5,802.72–$7,385.28 — 46%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON $2,485.75 $4,561.00 $265.87–$4,469.78 4% above 45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON $2,485.75 $4,561.00 $3,511.97–$4,469.78 — 45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON $1,181.02 $2,167.00 $449.31–$3,110.00 71% below 45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON $4,107.12 $7,536.00 $5,802.72–$7,385.28 — 46%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON $2,684.13 $4,925.00 $266.30–$4,826.50 6% above 45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON $2,684.13 $4,925.00 $3,792.25–$4,826.50 — 45%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON $4,111.48 $7,544.00 $332.91–$7,393.12 21% above 46%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON $4,111.48 $7,544.00 $5,808.88–$7,393.12 — 46%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON $770.63 $1,414.00 $226.34–$3,110.00 64% below 46%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON $2,672.68 $4,904.00 $3,776.08–$4,805.92 — 46%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT $1,541.26 $2,828.00 $348.12–$2,828.00 58% below 46%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT $4,646.13 $8,525.00 $6,564.25–$8,354.50 — 45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U $118.27 $217.00 $60.49–$217.00 77% below 45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U $414.75 $761.00 $585.97–$745.78 — 45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP $283.40 $520.00 $97.04–$520.00 70% below 46%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP $988.09 $1,813.00 $1,396.01–$1,776.74 — 45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES $791.89 $1,453.00 $135.29–$1,423.94 9% above 45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES $791.89 $1,453.00 $1,118.81–$1,423.94 — 45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST $1,182.11 $2,169.00 $78.42–$2,125.62 70% above 45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST $1,182.11 $2,169.00 $1,670.13–$2,125.62 — 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD $257.79 $473.00 $90.30–$473.00 49% below 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD $1,051.85 $1,930.00 $1,486.10–$1,891.40 — 46%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL $334.63 $614.00 $119.45–$614.00 29% above 46%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL $334.63 $614.00 $472.78–$601.72 — 46%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG $2,433.97 $4,466.00 $247.29–$26,207.00 38% above 46%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG $2,433.97 $4,466.00 $3,438.82–$4,376.68 — 46%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON $263.78 $484.00 $74.46–$484.00 54% below 46%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON $794.61 $1,458.00 $1,122.66–$1,428.84 — 46%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $283.40 $520.00 $97.04–$520.00 49% below 46%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $1,084.01 $1,989.00 $1,531.53–$1,949.22 — 45%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL $257.79 $473.00 $82.17–$473.00 55% below 45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL $1,051.85 $1,930.00 $1,486.10–$1,891.40 — 46%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON $283.40 $520.00 $119.34–$520.00 71% below 46%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON $1,030.60 $1,891.00 $1,456.07–$1,853.18 — 45%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $1,086.73 $1,994.00 $85.75–$1,954.12 22% above 46%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $1,086.73 $1,994.00 $1,535.38–$1,954.12 — 46%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK $283.40 $520.00 $85.69–$520.00 66% below 46%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK $988.09 $1,813.00 $1,396.01–$1,776.74 — 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON $263.78 $484.00 $139.78–$484.00 56% below 46%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON $901.98 $1,655.00 $1,274.35–$1,621.90 — 45%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW $159.69 $293.00 $24.60–$290.06 47% below 45%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW $555.36 $1,019.00 $784.63–$998.62 — 45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $178.22 $327.00 $43.45–$320.46 61% below 45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $742.84 $1,363.00 $1,049.51–$1,335.74 — 45%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS $178.22 $327.00 $62.90–$327.00 70% below 45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS $742.84 $1,363.00 $1,049.51–$1,335.74 — 45%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS $203.29 $373.00 $35.56–$365.54 46% below 45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS $577.70 $1,060.00 $816.20–$1,038.80 — 46%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW $159.69 $293.00 $37.27–$287.14 63% below 45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW $662.72 $1,216.00 $936.32–$1,191.68 — 46%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS $178.22 $327.00 $31.01–$320.46 51% below 45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS $619.67 $1,137.00 $875.49–$1,114.26 — 45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS $159.69 $293.00 $35.89–$287.14 63% below 45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS $555.36 $1,019.00 $784.63–$998.62 — 45%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-NASH ALT $14.50 $26.60 $5.30–$26.60 66% below 45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT $49.05 $90.00 $5.30–$88.20 14% above 46%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-NASH ALT $14.50 $26.60 $20.49–$26.07 — 45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT $51.23 $94.00 $72.38–$92.12 — 46%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-NASH AST $14.50 $26.60 $5.18–$26.60 67% below 45%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $60.50 $111.00 $5.18–$108.78 37% above 45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-NASH AST $14.50 $26.60 $20.49–$26.07 — 45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $62.68 $115.00 $88.55–$112.70 — 45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $186.94 $343.00 $47.63–$343.00 23% below 45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $186.94 $343.00 $264.11–$336.14 — 45%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-OYSTER 99638 $2.40 $4.40 $2.95–$4.40 71% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ALLERGEN RAST(EACH) $2.57 $4.70 $3.15–$4.70 69% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A $3.07 $5.63 $3.78–$5.63 63% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ALERGEN 13 GALACTOS $24.53 $45.00 $5.22–$45.00 195% above 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-OYSTER 99638 $2.40 $4.40 $3.39–$4.32 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ALLERGEN RAST(EACH) $2.57 $4.70 $3.62–$4.61 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A $3.07 $5.63 $4.34–$5.52 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ALERGEN 13 GALACTOS $24.53 $45.00 $34.65–$44.10 — 45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-ILD PANEL2 3018869E $13.63 $25.00 $7.10–$25.00 33% below 45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-ILD PANEL2 3018869E $13.63 $25.00 $19.25–$24.50 — 45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL-A-PRO BNP 50083 $19.08 $35.00 $23.45–$35.00 89% below 45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE BNP $214.73 $394.00 $30.15–$394.00 22% above 46%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL-A-PRO BNP 50083 $19.08 $35.00 $26.95–$34.30 — 45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE BNP $612.04 $1,123.00 $864.71–$1,100.54 — 45%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $166.23 $305.00 $8.46–$298.90 14% below 45%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $455.62 $836.00 $643.72–$819.28 — 46%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-DP-SUG LEVEL IV $20.70 $37.98 $25.45–$70.21 86% below 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-DP-SUG LEVEL IV RENAL $39.77 $72.96 $48.89–$72.96 74% below 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV $493.77 $906.00 $58.80–$887.88 224% above 46%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-DP-SUG LEVEL IV $20.70 $37.98 $29.25–$37.23 — 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-DP-SUG LEVEL IV RENAL $39.77 $72.96 $56.18–$71.51 — 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV $493.77 $906.00 $697.62–$887.88 — 46%
Blood culture for bacteria CPT 87040 CULT BLOOD $236.53 $434.00 $10.32–$425.32 2% below 46%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD $402.76 $739.00 $569.03–$724.22 — 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP SEND $17.99 $33.00 $3.60–$10,632.00 26% below 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IP/ER $29.43 $54.00 $3.60–$10,632.00 21% above 46%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP $32.70 $60.00 $3.60–$10,632.00 35% above 46%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB $34.88 $64.00 $3.60–$10,632.00 44% above 46%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IP/ER $32.70 $60.00 $46.20–$58.80 — 46%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB $34.88 $64.00 $49.28–$62.72 — 46%
Blood glucose (sugar) test CPT 82947 RL-A-NASH GLUCOSE QT SER $14.50 $26.60 $3.93–$26.60 61% below 45%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD $49.60 $91.00 $3.93–$89.18 32% above 45%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-NASH GLUCOSE QT SER $14.50 $26.60 $20.49–$26.07 — 45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD $49.60 $91.00 $70.07–$89.18 — 45%
Blood lead test CPT 83655 RL-A-ZINC UR UG/DAY $5.57 $10.21 $6.85–$10.21 61% below 45%
Blood lead test CPT 83655 RL-A-LEAD URINE $5.86 $10.75 $7.21–$10.75 59% below 45%
Blood lead test inpatient CPT 83655 RL-A-ZINC UR UG/DAY $5.57 $10.21 $7.87–$10.01 — 45%
Blood lead test inpatient CPT 83655 RL-A-LEAD URINE $5.86 $10.75 $8.28–$10.54 — 45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL $41.42 $76.00 $7.52–$76.00 73% below 46%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL $359.70 $660.00 $508.20–$646.80 — 46%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO TYPE $16.90 $31.00 $3.41–$169.39 78% below 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-ABO DISCREPANCY $25.07 $46.00 $3.41–$169.39 67% below 46%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO CORD BLOOD $121.54 $223.00 $3.41–$218.54 58% above 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $168.41 $309.00 $3.41–$302.82 119% above 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO TYPE $16.90 $31.00 $23.87–$30.38 — 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-ABO DISCREPANCY $25.07 $46.00 $35.42–$45.08 — 46%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $121.54 $223.00 $171.71–$218.54 — 45%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-A-C DIFF TOX B TCDB PC $17.77 $32.60 $21.85–$32.60 88% below 45%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB $173.86 $319.00 $28.64–$319.00 14% above 45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-A-C DIFF TOX B TCDB PC $17.77 $32.60 $25.11–$31.95 — 45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB $173.86 $319.00 $245.63–$312.62 — 45%
CA 19-9 blood test (tumor marker) CPT 86301 RL-A-CANCER AG CA 19-9 BF $10.46 $19.18 $12.86–$19.18 79% below 45%
CA 19-9 blood test (tumor marker) CPT 86301 IA TUMOR AG CA 19-9 $43.60 $80.00 $18.50–$80.00 12% below 46%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 RL-A-CANCER AG CA 19-9 BF $10.46 $19.18 $14.77–$18.80 — 45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUMOR AG CA 19-9 $43.60 $80.00 $61.60–$78.40 — 46%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638 $40.77 $74.80 $50.12–$74.80 42% below 45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH $52.32 $96.00 $51.31–$96.00 25% below 46%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638 $40.77 $74.80 $57.60–$73.31 — 45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH $52.32 $96.00 $73.92–$94.08 — 46%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-CHLAMY-CTAMD $17.04 $31.26 $20.95–$31.26 69% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB $128.62 $236.00 $35.09–$236.00 136% above 46%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-CHLAMY-CTAMD $17.04 $31.26 $24.08–$30.64 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB $128.62 $236.00 $181.72–$231.28 — 46%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL-A-LIPOELECT 80503B $11.09 $20.34 $13.39–$20.34 89% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $153.15 $281.00 $13.39–$275.38 51% above 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL-A-LIPOELECT 80503B $11.09 $20.34 $15.67–$19.94 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $160.78 $295.00 $227.15–$289.10 — 45%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $145.52 $267.00 $7.77–$261.66 31% above 45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $301.39 $553.00 $425.81–$541.94 — 45%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF $109.55 $201.00 $6.47–$196.98 44% above 45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF $220.18 $404.00 $311.08–$395.92 — 46%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $202.74 $372.00 $10.56–$364.56 21% below 46%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $668.17 $1,226.00 $944.02–$1,201.48 — 46%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN $207.65 $381.00 $10.18–$373.38 74% above 45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN $212.55 $390.00 $300.30–$382.20 — 46%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859 $21.80 $40.00 $17.45–$40.00 70% below 46%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859 $21.80 $40.00 $30.80–$39.20 — 46%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $104.64 $192.00 $13.63–$192.00 25% above 46%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $104.64 $192.00 $147.84–$188.16 — 46%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $104.10 $191.00 $14.70–$191.00 21% above 45%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $103.55 $190.00 $146.30–$186.20 — 46%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE $108.46 $199.00 $16.94–$199.00 71% above 45%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE $112.82 $207.00 $159.39–$202.86 — 45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $110.09 $202.00 $9.02–$197.96 62% above 46%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $114.45 $210.00 $161.70–$205.80 — 46%
Free testosterone test CPT 84402 RL-A-TESTOSTERONE FREE $12.37 $22.68 $15.20–$22.68 70% below 45%
Free testosterone test inpatient CPT 84402 RL-A-TESTOSTERONE FREE $12.37 $22.68 $17.47–$22.23 — 45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $239.26 $439.00 $54.43–$439.00 14% below 45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $1,523.82 $2,796.00 $2,152.92–$2,740.08 — 46%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE $23.98 $44.00 $4.75–$44.00 46% below 46%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP $90.47 $166.00 $4.75–$162.68 104% above 46%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP $90.47 $166.00 $127.82–$162.68 — 46%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE $272.50 $500.00 $385.00–$490.00 — 46%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 3 SPEC $38.70 $71.00 $12.87–$71.00 67% below 45%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC $78.48 $144.00 $12.87–$144.00 33% below 46%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOL 3 SPEC $141.70 $260.00 $200.20–$254.80 — 46%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC $212.55 $390.00 $300.30–$382.20 — 46%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL-A-NEISSERIA GONIORHEA $17.16 $31.47 $21.09–$31.47 68% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB $126.44 $232.00 $35.09–$232.00 137% above 46%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL-A-NEISSERIA GONIORHEA $17.16 $31.47 $24.24–$30.85 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB $126.44 $232.00 $178.64–$227.36 — 46%
H. pylori antibody blood test CPT 86677 RL-A-H PYLORI AB IGG $8.75 $16.04 $10.75–$16.04 92% below 45%
H. pylori antibody blood test CPT 86677 H PYLORI AB $42.51 $78.00 $16.85–$78.00 63% below 46%
H. pylori antibody blood test inpatient CPT 86677 RL-A-H PYLORI AB IGG $8.75 $16.04 $12.36–$15.72 — 45%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB $268.14 $492.00 $378.84–$482.16 — 46%
H. pylori stool antigen test CPT 87338 RL-A-PYLORI AG 65147 $9.27 $17.00 $11.39–$17.00 88% below 45%
H. pylori stool antigen test CPT 87338 IA HELICOB PYLOR STOOL QL $40.88 $75.00 $12.79–$75.00 45% below 45%
H. pylori stool antigen test inpatient CPT 87338 RL-A-PYLORI AG 65147 $9.27 $17.00 $13.09–$16.66 — 45%
H. pylori stool antigen test inpatient CPT 87338 IA HELICOB PYLOR STOOL QL $40.88 $75.00 $57.75–$73.50 — 45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIV QNT 3000867 $32.70 $60.00 $40.20–$60.00 62% below 46%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIV QNT 3000867 $32.70 $60.00 $46.20–$58.80 — 46%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB $98.10 $180.00 $20.26–$180.00 62% above 46%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB $98.10 $180.00 $138.60–$176.40 — 46%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-NG-HPV DNA TISSUE $231.63 $425.00 $31.19–$425.00 71% above 45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-NG-HPV DNA TISSUE $231.63 $425.00 $327.25–$416.50 — 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $89.93 $165.00 $9.71–$161.70 39% above 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $107.91 $198.00 $152.46–$194.04 — 46%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB $53.41 $98.00 $10.74–$98.00 39% above 46%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB $53.41 $98.00 $75.46–$96.04 — 46%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL $63.22 $116.00 $10.33–$116.00 2% above 46%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL $63.22 $116.00 $89.32–$113.68 — 46%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB $85.02 $156.00 $14.27–$156.00 63% above 46%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB $85.02 $156.00 $120.12–$152.88 — 46%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERP I S 50292 $7.36 $13.50 $9.05–$13.50 61% below 45%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379 $12.05 $22.11 $13.19–$22.11 36% below 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERP I S 50292 $7.36 $13.50 $10.40–$13.23 — 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379 $12.05 $22.11 $17.03–$21.67 — 45%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERP PAN 2 51152B $7.36 $13.50 $9.05–$13.50 72% below 45%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HSV 2 GLYCO G IGG $9.42 $17.27 $11.58–$17.27 65% below 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERP PAN 2 51152B $7.36 $13.50 $10.40–$13.23 — 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HSV 2 GLYCO G IGG $9.42 $17.27 $13.30–$16.93 — 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-QD-HSCRP 92145/94220 $14.28 $26.20 $11.06–$26.20 69% below 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY $95.92 $176.00 $11.06–$176.00 105% above 46%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-QD-HSCRP 92145/94220 $14.28 $26.20 $20.18–$25.68 — 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY $115.00 $211.00 $162.47–$206.78 — 45%
Iron blood test (serum iron) CPT 83540 RL-QD-IRON 24 HR URINE $31.61 $58.00 $6.47–$58.00 28% below 46%
Iron blood test (serum iron) CPT 83540 IRON $67.58 $124.00 $6.47–$121.52 53% above 46%
Iron blood test (serum iron) inpatient CPT 83540 RL-QD-IRON 24 HR URINE $31.09 $57.04 $43.93–$55.90 — 45%
Iron blood test (serum iron) inpatient CPT 83540 IRON $67.58 $124.00 $95.48–$121.52 — 46%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $52.32 $96.00 $8.74–$96.00 5% below 46%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $321.55 $590.00 $454.30–$578.20 — 46%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $138.43 $254.00 $8.68–$248.92 2% below 46%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $138.43 $254.00 $195.58–$248.92 — 46%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $148.24 $272.00 $6.89–$266.56 96% above 46%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $166.23 $305.00 $234.85–$298.90 — 45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $140.61 $258.00 $8.17–$252.84 5% above 46%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $140.61 $258.00 $198.66–$252.84 — 46%
Lyme disease antibody test CPT 86618 RL-A-RFLX LYME MGR3006188 $13.63 $25.00 $16.75–$25.00 43% below 45%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053 $26.44 $48.51 $17.03–$48.51 10% above 45%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760 $27.25 $50.00 $17.03–$50.00 14% above 46%
Lyme disease antibody test inpatient CPT 86618 RL-A-RFLX LYME MGR3006188 $13.63 $25.00 $19.25–$24.50 — 45%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053 $26.44 $48.51 $37.36–$47.54 — 45%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760 $27.25 $50.00 $38.50–$49.00 — 46%
Magnesium blood test CPT 83735 MAGNESIUM $131.89 $242.00 $6.70–$237.16 128% above 46%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $192.39 $353.00 $271.81–$345.94 — 45%
Measles (rubeola) antibody test CPT 86765 RL-A-RUBEOLA IGM(ELISA) $7.65 $14.02 $9.40–$14.02 63% below 45%
Measles (rubeola) antibody test CPT 86765 RL-A-ENCEPH-CSF 3017752C $8.32 $15.26 $10.23–$15.26 60% below 45%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-RUBEOLA IGM(ELISA) $7.65 $14.02 $10.80–$13.74 — 45%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-ENCEPH-CSF 3017752C $8.32 $15.26 $11.76–$14.96 — 45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST SCRN $112.82 $207.00 $5.18–$202.86 21% above 45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST SCRN $116.09 $213.00 $164.01–$208.74 — 45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $56.14 $103.00 $18.39–$103.00 62% above 45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $58.32 $107.00 $82.39–$104.86 — 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL-A-PSA ULTRA $9.00 $16.51 $11.07–$16.51 81% below 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $113.91 $209.00 $18.39–$209.00 143% above 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL-A-PSA ULTRA $9.00 $16.51 $12.72–$16.18 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $113.91 $209.00 $160.93–$204.82 — 45%
Parathyroid hormone (PTH) blood test CPT 83970 RL-A-PTWH-INTACT $18.99 $34.84 $23.35–$34.84 82% below 45%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT $180.94 $332.00 $41.28–$332.00 75% above 46%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP $432.73 $794.00 $41.28–$778.12 318% above 46%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL-A-PTWH-INTACT $18.99 $34.84 $26.83–$34.15 — 45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT $188.03 $345.00 $265.65–$338.10 — 45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP $432.73 $794.00 $611.38–$778.12 — 46%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033 $16.79 $30.80 $6.01–$30.80 56% below 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME $124.81 $229.00 $6.01–$224.42 231% above 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033 $16.79 $30.80 $23.72–$30.19 — 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME $135.16 $248.00 $190.96–$243.04 — 46%
Progesterone blood test CPT 84144 RL-A-PROGESTRONE QN HPLC $10.22 $18.74 $12.56–$18.74 81% below 45%
Progesterone blood test CPT 84144 MG-PROGESTERONE $190.75 $350.00 $20.86–$343.00 248% above 46%
Progesterone blood test inpatient CPT 84144 RL-A-PROGESTRONE QN HPLC $10.22 $18.74 $14.43–$18.37 — 45%
Progesterone blood test inpatient CPT 84144 MG-PROGESTERONE $190.75 $350.00 $269.50–$343.00 — 46%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-LUPUS RFLX 3017009A $3.63 $6.66 $4.29–$6.66 92% below 45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $78.48 $144.00 $4.29–$141.12 65% above 46%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-LUPUS RFLX 3017009A $3.63 $6.66 $5.13–$6.53 — 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $184.21 $338.00 $260.26–$331.24 — 46%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC $91.56 $168.00 $8.85–$164.64 21% above 46%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC $241.98 $444.00 $341.88–$435.12 — 46%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC $80.66 $148.00 $10.03–$145.04 24% below 46%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC $80.66 $148.00 $113.96–$145.04 — 46%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA-FL 2003347 $4.36 $8.00 $5.36–$8.00 66% below 46%
Rheumatoid factor (RF) test CPT 86431 RL-A-ILD PANEL2 3018869D $13.63 $25.00 $5.67–$25.00 5% above 45%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA-FL 2003347 $4.36 $8.00 $6.16–$7.84 — 46%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-ILD PANEL2 3018869D $13.63 $25.00 $19.25–$24.50 — 45%
Rubella antibody test (immunity check) CPT 86762 RL-A-RUBELLA AB IGM $7.05 $12.93 $8.67–$12.93 82% below 45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB $55.05 $101.00 $14.39–$101.00 38% above 45%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-A-RUBELLA AB IGM $7.05 $12.93 $9.96–$12.68 — 45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB $208.74 $383.00 $294.91–$375.34 — 45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO $98.65 $181.00 $2.70–$177.38 119% above 45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO $98.65 $181.00 $139.37–$177.38 — 45%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE $210.92 $387.00 $12.31–$379.26 52% above 45%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE $210.92 $387.00 $297.99–$379.26 — 45%
Stool ova and parasites exam CPT 87177 RL-A-OP FEC 3001662A $6.54 $12.00 $8.04–$12.00 64% below 46%
Stool ova and parasites exam CPT 87177 O P CONCENTRATE ID $8.18 $15.00 $8.90–$15.00 54% below 45%
Stool ova and parasites exam CPT 87177 RL-A-OP BF/U 3001663A $16.01 $29.37 $8.90–$29.37 11% below 45%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP FEC 3001662A $6.54 $12.00 $9.24–$11.76 — 46%
Stool ova and parasites exam inpatient CPT 87177 O P CONCENTRATE ID $8.18 $15.00 $11.55–$14.70 — 45%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP BF/U 3001663A $16.01 $29.37 $22.62–$28.79 — 45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC $19.08 $35.00 $4.19–$35.00 51% below 45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC $107.91 $198.00 $152.46–$194.04 — 46%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL $81.75 $150.00 $14.14–$147.00 128% above 46%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL $85.02 $156.00 $120.12–$152.88 — 46%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-DV-SYPHIL VDRL/RPR QL $20.61 $37.80 $4.27–$37.80 38% above 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL $51.78 $95.00 $4.27–$93.10 248% above 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-DV-SYPHIL VDRL/RPR QL $20.61 $37.80 $29.11–$37.05 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL $181.49 $333.00 $256.41–$326.34 — 45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT 4 3017562 $16.35 $30.00 $20.10–$30.00 77% below 46%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-A-QFT PLUS 3017554 $19.08 $35.00 $23.45–$35.00 73% below 45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-CH-TB CELL IMMUN MEASU $40.88 $75.00 $43.39–$75.00 42% below 45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT 4 3017562 $16.35 $30.00 $23.10–$29.40 — 46%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-A-QFT PLUS 3017554 $19.08 $35.00 $26.95–$34.30 — 45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-CH-TB CELL IMMUN MEASU $40.88 $75.00 $57.75–$73.50 — 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-MICROSOML LVR-KDNY $7.18 $13.16 $8.82–$13.16 69% below 45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-MICROSOML LVR-KDNY $7.18 $13.16 $10.14–$12.90 — 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE $143.88 $264.00 $16.80–$260.33 72% above 46%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE $161.32 $296.00 $227.92–$290.08 — 46%
Trichomonas test (NAAT) CPT 87661 IA TRICHOMON VAG AMP PRB $48.51 $89.00 $30.54–$89.00 45% below 45%
Trichomonas test (NAAT) inpatient CPT 87661 IA TRICHOMON VAG AMP PRB $48.51 $89.00 $68.53–$87.22 — 45%
Uric acid blood test CPT 84550 URIC ACID BLOOD $62.13 $114.00 $4.52–$111.72 2% above 46%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD $71.40 $131.00 $100.87–$128.38 — 45%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO $63.22 $116.00 $3.17–$113.68 24% below 46%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO $70.85 $130.00 $100.10–$127.40 — 46%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO $52.87 $97.00 $2.25–$95.06 6% below 45%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO LAB $70.85 $130.00 $2.25–$127.40 27% above 46%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO $63.22 $116.00 $89.32–$113.68 — 46%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO LAB $70.85 $130.00 $100.10–$127.40 — 46%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY UR $72.49 $133.00 $3.08–$130.34 163% above 45%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY UR $72.49 $133.00 $102.41–$130.34 — 45%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT $155.33 $285.00 $8.07–$279.30 12% above 45%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT $160.23 $294.00 $226.38–$288.12 — 46%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL $134.07 $246.00 $4.02–$241.08 56% above 46%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL $160.78 $295.00 $227.15–$289.10 — 45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $100.28 $184.00 $15.08–$184.00 63% above 46%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 $100.28 $184.00 $141.68–$180.32 — 46%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL-A-VITAMIN D2/D3 25-OH $13.52 $24.79 $16.61–$24.79 79% below 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $114.45 $210.00 $29.60–$210.00 79% above 46%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL-A-VITAMIN D2/D3 25-OH $13.52 $24.79 $19.09–$24.30 — 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY $114.45 $210.00 $161.70–$205.80 — 46%
Zinc blood test CPT 84630 RL-A-ZINC URINE $5.57 $10.21 $6.85–$10.21 60% below 45%
Zinc blood test CPT 84630 RL-A-ZINC RBC $39.24 $72.00 $11.39–$72.00 182% above 46%
Zinc blood test inpatient CPT 84630 RL-A-ZINC URINE $5.57 $10.21 $7.87–$10.01 — 45%
Zinc blood test inpatient CPT 84630 RL-A-ZINC RBC $39.24 $72.00 $55.44–$70.56 — 46%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN $151.51 $278.00 $15.05–$272.44 9% above 46%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN $182.03 $334.00 $257.18–$327.32 — 46%

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 $1,419.73 $2,605.00 $632.17–$17,327.00 67% below 45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI $1,419.73 $2,605.00 $2,005.85–$2,552.90 — 45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT $889.44 $1,632.00 $175.66–$12,737.00 50% below 46%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT $889.44 $1,632.00 $1,256.64–$1,599.36 — 46%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $3,665.67 $6,726.00 $2,691.95–$17,327.00 100% above 46%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $3,665.67 $6,726.00 $5,179.02–$6,591.48 — 46%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $1,232.79 $2,262.00 $99.55–$12,737.00 24% below 46%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $1,232.79 $2,262.00 $1,741.74–$2,216.76 — 46%
Earwax removal with instruments, one ear CPT 69210 REMOVE CERUMEN IMPACTED $155.87 $286.00 $35.03–$10,920.00 11% below 46%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE CERUMEN IMPACTED $155.87 $286.00 $220.22–$280.28 — 46%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO $183.67 $337.00 $212.81–$5,838.00 60% below 45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO $323.19 $593.00 $456.61–$581.14 — 45%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE $338.45 $621.00 $48.70–$10,920.00 28% below 45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE $338.45 $621.00 $478.17–$608.58 — 45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHTH/LIG $535.74 $983.00 $52.54–$10,920.00 19% below 45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHTH/LIG $535.74 $983.00 $756.91–$963.34 — 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI $406.03 $745.00 $52.54–$10,920.00 44% below 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR JT WO $549.36 $1,008.00 $52.54–$10,920.00 24% below 46%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI $406.03 $745.00 $573.65–$730.10 — 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR JT WO $549.36 $1,008.00 $776.16–$987.84 — 46%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO $371.15 $681.00 $43.57–$10,920.00 35% below 45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO $624.57 $1,146.00 $882.42–$1,123.08 — 46%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SMALL JT WO $437.09 $802.00 $37.17–$10,920.00 29% below 46%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SMALL JT WO $437.09 $802.00 $617.54–$785.96 — 46%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLAT SINGLE $354.25 $650.00 $36.74–$10,920.00 22% below 46%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLAT SINGLE $354.25 $650.00 $500.50–$637.00 — 46%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING $1,788.15 $3,281.00 $103.10–$14,855.00 1% above 45%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING $1,788.15 $3,281.00 $2,526.37–$3,215.38 — 45%
Short arm cast (elbow to hand) both sides CPT 29075 APPL CAST ELBOW-FINGER BI $131.89 $242.00 $94.84–$10,920.00 — 46%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHORT ARM $455.62 $836.00 $94.84–$10,920.00 9% below 46%
Short arm cast (elbow to hand) inpatient both sides CPT 29075 APPL CAST ELBOW-FINGER BI $131.89 $242.00 $186.34–$237.16 — 46%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST SHORT ARM $455.62 $836.00 $643.72–$819.28 — 46%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT SHRT ARM STC $378.78 $695.00 $60.67–$10,920.00 7% below 45%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT SHRT ARM STC $378.78 $695.00 $535.15–$681.10 — 45%
Short leg cast (below the knee) CPT 29405 APPLY CAST SHORT LEG $469.79 $862.00 $97.84–$10,920.00 6% below 46%
Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST SHORT LEG $469.79 $862.00 $663.74–$844.76 — 46%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT LEG $259.42 $476.00 $64.94–$10,920.00 47% below 46%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT SHORT LEG $259.42 $476.00 $366.52–$466.48 — 46%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SNG LESION $249.61 $458.00 $89.65–$10,920.00 65% below 46%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SNG LESION $249.61 $458.00 $352.66–$448.84 — 46%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX $603.32 $1,107.00 $93.99–$12,737.00 51% below 45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX $1,456.79 $2,673.00 $93.99–$12,737.00 19% above 45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX $921.60 $1,691.00 $1,302.07–$1,657.18 — 45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBER DX $1,456.79 $2,673.00 $2,058.21–$2,619.54 — 45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES $695.97 $1,277.00 $71.48–$10,920.00 26% above 45%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES $695.97 $1,277.00 $983.29–$1,251.46 — 45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING $1,237.70 $2,271.00 $105.95–$12,737.00 39% below 45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI $1,436.62 $2,636.00 $105.95–$12,737.00 29% below 46%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING $1,237.70 $2,271.00 $1,748.67–$2,225.58 — 45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI $1,964.73 $3,605.00 $2,775.85–$3,532.90 — 45%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCL $496.50 $911.00 $52.49–$10,920.00 20% below 45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCL $496.50 $911.00 $701.47–$892.78 — 45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI $1,261.13 $2,314.00 $613.92–$17,327.00 59% below 46%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI $1,261.13 $2,314.00 $1,781.78–$2,267.72 — 46%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $569.53 $1,045.00 $119.19–$10,920.00 16% below 45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $569.53 $1,045.00 $804.65–$1,024.10 — 45%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 1HR $488.32 $896.00 $574.50–$26,911.00 44% below 46%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 2HR $889.44 $1,632.00 $574.50–$26,911.00 2% above 46%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 3HR $1,342.34 $2,463.00 $574.50–$26,911.00 54% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP $1,743.46 $3,199.00 $574.50–$26,911.00 100% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 4HR $1,778.34 $3,263.00 $574.50–$26,911.00 104% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 5HR $2,231.78 $4,095.00 $574.50–$26,911.00 155% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 6HR $2,667.78 $4,895.00 $574.50–$26,911.00 205% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD/COMP 7HR $3,120.67 $5,726.00 $574.50–$26,911.00 257% above 46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 1HR $488.32 $896.00 $689.92–$878.08 — 46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 2HR $889.44 $1,632.00 $1,256.64–$1,599.36 — 46%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 3HR $1,342.34 $2,463.00 $1,896.51–$2,413.74 — 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP $1,743.46 $3,199.00 $2,463.23–$3,135.02 — 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 4HR $1,778.34 $3,263.00 $2,512.51–$3,197.74 — 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 5HR $2,231.78 $4,095.00 $3,153.15–$4,013.10 — 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 6HR $2,667.78 $4,895.00 $3,769.15–$4,797.10 — 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 7HR $3,120.67 $5,726.00 $4,409.02–$5,611.48 — 46%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY $378.78 $695.00 $20.84–$26,911.00 23% above 45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY $407.66 $748.00 $20.84–$26,911.00 32% above 46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY $378.78 $695.00 $535.15–$681.10 — 45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY $407.66 $748.00 $575.96–$733.04 — 46%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR $520.48 $955.00 $32.81–$2,309.00 40% below 45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR $520.48 $955.00 $735.35–$935.90 — 45%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN $4,733.33 $8,685.00 $216.64–$15,109.00 4% below 45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN $4,733.33 $8,685.00 $6,253.20–$8,511.30 — 45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $1,235.52 $2,267.00 $86.73–$26,207.00 39% above 45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $1,235.52 $2,267.00 $1,745.59–$2,221.66 — 45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY $331.91 $609.00 $18.82–$26,207.00 2% below 45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY $331.91 $609.00 $468.93–$596.82 — 45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 $324.82 $596.00 $21.77–$6,984.00 16% below 46%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 $324.82 $596.00 $429.12–$584.08 — 46%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 $671.44 $1,232.00 $34.97–$6,984.00 10% below 46%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 $671.44 $1,232.00 $887.04–$1,207.36 — 46%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 $1,104.17 $2,026.00 $63.97–$13,967.00 9% below 46%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 $1,104.17 $2,026.00 $1,458.72–$1,985.48 — 46%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 $2,165.29 $3,973.00 $98.04–$15,926.00 11% above 45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 $2,165.29 $3,973.00 $2,860.56–$3,893.54 — 45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 $3,334.31 $6,118.00 $155.03–$20,578.00 2% above 46%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 $3,334.31 $6,118.00 $4,404.96–$5,995.64 — 46%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST W RX $1,071.47 $1,966.00 $60.24–$26,207.00 11% below 46%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST W RX $1,071.47 $1,966.00 $1,513.82–$1,926.68 — 46%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN $468.70 $860.00 $63.71–$842.80 3% above 46%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN $468.70 $860.00 $662.20–$842.80 — 46%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR $421.83 $774.00 $71.83–$3,025.00 12% below 46%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR $421.83 $774.00 $595.98–$758.52 — 46%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM $87.20 $160.00 $21.52–$3,025.00 44% below 46%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM $87.20 $160.00 $123.20–$156.80 — 46%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT $183.67 $337.00 $101.90–$337.00 2% above 45%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT $183.67 $337.00 $259.49–$330.26 — 45%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT $258.88 $475.00 $122.74–$475.00 9% above 45%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT $258.88 $475.00 $365.75–$465.50 — 45%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT $337.36 $619.00 $133.00–$619.00 18% above 45%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT $337.36 $619.00 $476.63–$606.62 — 45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW $146.61 $269.00 $61.11–$26,207.00 10% above 45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT $172.22 $316.00 $61.11–$316.00 30% above 46%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW $146.61 $269.00 $207.13–$263.62 — 45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT $172.22 $316.00 $243.32–$309.68 — 46%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT NUTRITION INITL EA15 $18.53 $34.00 $22.78–$26,911.00 81% below 46%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT NUTRITION INITL EA15 $18.53 $34.00 $26.18–$33.32 — 46%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN $81.75 $150.00 $10.41–$26,911.00 48% above 46%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN $81.75 $150.00 $115.50–$147.00 — 46%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT $300.84 $552.00 $101.90–$552.00 38% above 46%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT $300.84 $552.00 $425.04–$540.96 — 46%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT $152.06 $279.00 $42.76–$279.00 5% above 45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT $152.06 $279.00 $214.83–$273.42 — 45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT $231.08 $424.00 $66.81–$424.00 32% above 46%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT $286.67 $526.00 $66.81–$26,911.00 64% above 46%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT $231.08 $424.00 $326.48–$415.52 — 46%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT $286.67 $526.00 $405.02–$515.48 — 46%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT $144.97 $266.00 $32.25–$266.00 28% above 46%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT $144.97 $266.00 $204.82–$260.68 — 46%
Spirometry (breathing test) CPT 94010 SPIROMETRY $249.61 $458.00 $28.23–$458.00 22% below 46%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $249.61 $458.00 $352.66–$448.84 — 46%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST $715.59 $1,313.00 $51.67–$1,313.00 7% below 45%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST $715.59 $1,313.00 $1,011.01–$1,286.74 — 45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT $156.96 $288.00 $18.82–$26,911.00 47% below 46%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT $156.96 $288.00 $221.76–$282.24 — 46%

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 $45.24 $83.00 $16.60–$83.00 35% above 45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS $45.24 $83.00 $16.60–$81.34 — 45%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN $134.07 $246.00 $77.05–$246.00 4% below 46%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN $134.07 $246.00 $189.42–$241.08 — 46%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC 10MCG/1ML INJ $140.07 $257.00 $51.40–$257.00 66% above 45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VACC 20MCG 1ML IN $141.70 $260.00 $52.00–$260.00 68% above 46%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC 10MCG/1ML INJ $140.07 $257.00 $51.40–$251.86 — 45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VACC 20MCG 1ML IN $141.70 $260.00 $52.00–$254.80 — 46%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC $188.03 $345.00 $97.37–$345.00 61% above 45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC $188.03 $345.00 $265.65–$338.10 — 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT $617.49 $1,133.00 $555.17–$1,133.00 23% above 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT $617.49 $1,133.00 $872.41–$1,110.34 — 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VACC 23 VALENT $184.21 $338.00 $40.91–$338.00 14% above 46%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC VACC 23 VALENT $184.21 $338.00 $67.60–$331.24 — 46%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML $867.64 $1,592.00 $330.75–$1,592.00 23% above 46%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML $867.64 $1,592.00 $1,225.84–$1,560.16 — 46%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PFVACC 0.5ML>=7YR $50.69 $93.00 $33.59–$93.00 36% below 45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PFVACC 0.5ML>=7YR $50.69 $93.00 $71.61–$91.14 — 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM $89.93 $165.00 $42.09–$165.00 7% above 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM $89.93 $165.00 $127.05–$161.70 — 45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE $175.49 $322.00 $6.11–$322.00 74% above 46%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE $175.49 $322.00 $247.94–$315.56 — 46%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD $175.49 $322.00 $6.11–$322.00 160% above 46%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD $175.49 $322.00 $247.94–$315.56 — 46%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsac/casa/finance/price-transparency/941439787-1659361392_sierra-nevada-memorial-miners-hospital_standardcharges.json