Hospital Los Angeles-Long Beach-Anaheim, CA

Dignity Community Care

Dignity Community Care in Los Angeles, CA publishes cash prices for 215 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 115 of 214 procedures and above it for 99. By typical cash price it ranks #83 of 168 California hospitals and #26 of 49 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1401 S Grand Ave, Los Angeles, CA 90015 Collected Sep 27, 2026 Source price file (213) 748-2411

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 050149 · 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 DOP ART EXT 1-2 LVL BI $394.79 $814.00 $59.79–$6,152.00 — 52%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 DOP ART EXT 1-2 LVL BI $394.79 $814.00 $561.66–$643.06 — 52%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON $383.64 $791.00 $49.18–$2,917.00 28% below 51%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON $383.64 $791.00 $545.79–$624.89 — 51%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY $2,291.63 $4,725.00 $182.06–$3,732.75 8% above 51%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY $2,291.63 $4,725.00 $3,260.25–$3,732.75 — 51%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON $2,466.71 $5,086.00 $226.19–$4,017.94 21% below 52%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON $2,466.71 $5,086.00 $3,509.34–$4,017.94 — 52%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W $289.06 $596.00 $149.00–$1,560.65 88% below 52%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W $289.06 $596.00 $411.24–$470.84 — 52%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON $127.07 $262.00 $65.50–$406.65 59% below 52%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON $127.07 $262.00 $180.78–$206.98 — 52%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON $1,155.27 $2,382.00 $156.88–$1,881.78 59% below 52%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON $1,155.27 $2,382.00 $1,643.58–$1,881.78 — 52%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON $1,724.18 $3,555.00 $253.62–$2,808.45 57% below 51%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON $1,724.18 $3,555.00 $2,452.95–$2,808.45 — 51%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON $2,017.60 $4,160.00 $287.32–$3,286.40 54% below 52%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON $2,017.60 $4,160.00 $2,870.40–$3,286.40 — 52%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON $1,202.32 $2,479.00 $226.19–$1,958.41 46% below 51%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON $1,202.32 $2,479.00 $1,710.51–$1,958.41 — 51%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON $782.79 $1,614.00 $135.12–$1,570.00 58% below 52%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON $782.79 $1,614.00 $1,113.66–$1,275.06 — 52%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON $2,247.98 $4,635.00 $135.12–$3,661.65 3% above 51%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON $2,247.98 $4,635.00 $3,198.15–$3,661.65 — 51%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON $2,264.47 $4,669.00 $130.73–$3,688.51 1% below 51%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON $2,264.47 $4,669.00 $3,221.61–$3,688.51 — 51%
CT scan of the head with contrast CPT 70460 CT HEAD W CON $3,102.06 $6,396.00 $184.39–$5,052.84 15% above 52%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON $3,102.06 $6,396.00 $4,413.24–$5,052.84 — 52%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON $3,713.65 $7,657.00 $216.94–$6,049.03 32% above 51%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON $3,713.65 $7,657.00 $5,283.33–$6,049.03 — 51%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON $2,264.47 $4,669.00 $135.12–$3,688.51 19% below 51%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON $2,264.47 $4,669.00 $3,221.61–$3,688.51 — 51%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON $2,584.57 $5,329.00 $135.12–$4,209.91 11% below 51%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON $2,584.57 $5,329.00 $3,677.01–$4,209.91 — 51%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON $2,661.68 $5,488.00 $226.19–$4,335.52 4% above 52%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON $2,661.68 $5,488.00 $3,786.72–$4,335.52 — 52%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL $1,080.58 $2,228.00 $179.75–$6,152.00 11% below 52%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL $1,080.58 $2,228.00 $1,537.32–$1,760.12 — 52%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS $448.14 $924.00 $24.72–$2,917.00 16% above 52%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS $448.14 $924.00 $637.56–$729.96 — 52%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW $344.84 $711.00 $15.88–$2,917.00 2% above 51%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW $344.84 $711.00 $490.59–$561.69 — 51%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL $1,139.27 $2,349.00 $104.20–$1,855.71 34% above 51%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL $1,139.27 $2,349.00 $1,620.81–$1,855.71 — 51%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL $152.78 $315.00 $30.84–$2,917.00 68% below 51%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL $152.78 $315.00 $217.35–$248.85 — 51%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND $141.62 $292.00 $22.59–$2,917.00 47% below 52%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND $141.62 $292.00 $201.48–$230.68 — 52%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST $920.05 $1,897.00 $142.81–$1,583.18 13% above 51%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST $920.05 $1,897.00 $1,308.93–$1,498.63 — 51%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON $2,167.47 $4,469.00 $135.12–$3,530.51 19% above 51%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON $2,167.47 $4,469.00 $3,083.61–$3,530.51 — 51%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON $4,250.06 $8,763.00 $207.76–$6,922.77 82% above 51%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON $4,250.06 $8,763.00 $6,046.47–$6,922.77 — 51%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL $214.86 $443.00 $110.75–$740.15 48% below 51%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL $214.86 $443.00 $305.67–$349.97 — 51%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX ART LOW EXT BIL $912.29 $1,881.00 $111.16–$6,152.00 5% below 51%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US V DPLX ART LOW EXT BIL $912.29 $1,881.00 $1,297.89–$1,485.99 — 51%
Duplex ultrasound of the leg veins, both legs CPT 93970 US V DPLX VENOUS EXT BIL $1,330.36 $2,743.00 $181.00–$6,152.00 18% above 51%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US V DPLX VENOUS EXT BIL $1,330.36 $2,743.00 $1,892.67–$2,166.97 — 51%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $2,114.60 $4,360.00 $215.78–$6,152.00 13% below 52%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE $2,114.60 $4,360.00 $3,008.40–$3,444.40 — 52%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM $578.12 $1,192.00 $261.91–$2,917.00 62% below 52%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM $578.12 $1,192.00 $822.48–$941.68 — 52%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LIMITED $999.10 $2,060.00 $78.42–$1,627.40 21% above 52%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LIMITED $999.10 $2,060.00 $1,421.40–$1,627.40 — 52%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON $2,986.15 $6,157.00 $246.52–$4,864.03 13% above 51%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON $2,986.15 $6,157.00 $715.00–$4,864.03 — 51%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON $4,986.77 $10,282.00 $300.17–$8,122.78 14% above 52%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON $4,986.77 $10,282.00 $715.00–$8,122.78 — 52%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $3,125.34 $6,444.00 $245.49–$5,090.76 20% above 52%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $3,125.34 $6,444.00 $715.00–$5,090.76 — 52%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON $5,219.09 $10,761.00 $401.56–$8,501.19 39% above 51%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON $5,219.09 $10,761.00 $715.00–$8,501.19 — 51%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON $2,797.48 $5,768.00 $240.12–$4,556.72 10% above 52%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON $2,797.48 $5,768.00 $715.00–$4,556.72 — 52%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON $4,672.01 $9,633.00 $403.15–$7,610.07 19% above 51%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON $4,672.01 $9,633.00 $715.00–$7,610.07 — 51%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON $2,308.12 $4,759.00 $239.28–$3,759.61 4% below 51%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON $2,308.12 $4,759.00 $715.00–$3,759.61 — 51%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON $4,548.33 $9,378.00 $404.38–$7,408.62 13% above 52%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON $4,548.33 $9,378.00 $715.00–$7,408.62 — 52%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON $2,723.76 $5,616.00 $239.67–$4,436.64 7% above 52%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON $2,723.76 $5,616.00 $715.00–$4,436.64 — 52%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON $3,130.68 $6,455.00 $299.62–$5,099.45 8% below 51%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON $3,130.68 $6,455.00 $715.00–$5,099.45 — 51%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON $1,878.41 $3,873.00 $203.71–$3,059.67 12% below 51%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON $1,878.41 $3,873.00 $715.00–$3,059.67 — 51%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT $1,814.39 $3,741.00 $313.31–$4,729.96 51% below 51%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT $1,814.39 $3,741.00 $2,581.29–$2,955.39 — 51%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U $772.61 $1,593.00 $54.44–$1,258.47 49% above 51%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U $772.61 $1,593.00 $1,099.17–$1,258.47 — 51%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP $1,152.85 $2,377.00 $87.34–$1,877.83 23% above 51%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP $1,152.85 $2,377.00 $1,640.13–$1,877.83 — 51%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES $909.38 $1,875.00 $121.76–$1,481.25 25% above 51%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES $909.38 $1,875.00 $1,293.75–$1,481.25 — 51%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST $782.31 $1,613.00 $70.58–$1,274.27 12% above 51%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST $782.31 $1,613.00 $1,112.97–$1,274.27 — 51%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD $782.79 $1,614.00 $81.27–$1,275.06 55% above 52%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD $782.79 $1,614.00 $1,113.66–$1,275.06 — 52%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL $198.85 $410.00 $102.50–$597.25 23% below 52%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL $198.85 $410.00 $282.90–$323.90 — 52%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON $355.51 $733.00 $67.01–$2,917.00 39% below 51%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON $355.51 $733.00 $505.77–$579.07 — 51%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $1,552.49 $3,201.00 $87.34–$2,528.79 177% above 51%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $1,552.49 $3,201.00 $2,208.69–$2,528.79 — 51%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL $879.79 $1,814.00 $73.95–$1,433.06 52% above 52%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL $879.79 $1,814.00 $1,251.66–$1,433.06 — 52%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON $1,298.83 $2,678.00 $107.41–$2,115.62 31% above 52%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON $1,298.83 $2,678.00 $1,847.82–$2,115.62 — 52%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $1,023.84 $2,111.00 $77.17–$2,917.00 15% above 51%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $1,023.84 $2,111.00 $1,456.59–$1,667.69 — 51%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK $970.49 $2,001.00 $77.12–$1,580.79 17% above 51%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK $970.49 $2,001.00 $1,380.69–$1,580.79 — 51%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON $339.99 $701.00 $127.54–$2,917.00 44% below 51%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON $339.99 $701.00 $483.69–$553.79 — 51%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW $292.94 $604.00 $22.14–$2,917.00 3% below 52%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW $292.94 $604.00 $416.76–$477.16 — 52%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $499.07 $1,029.00 $39.11–$2,917.00 9% above 51%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $499.07 $1,029.00 $710.01–$812.91 — 51%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS $683.85 $1,410.00 $56.61–$2,917.00 16% above 52%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS $683.85 $1,410.00 $972.90–$1,113.90 — 52%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS $412.25 $850.00 $36.20–$2,917.00 15% above 52%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS $412.25 $850.00 $586.50–$671.50 — 52%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS $374.91 $773.00 $32.00–$2,917.00 1% below 51%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS $374.91 $773.00 $533.37–$610.67 — 51%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW $451.54 $931.00 $33.54–$2,917.00 5% above 51%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW $451.54 $931.00 $642.39–$735.49 — 51%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS $178.00 $367.00 $27.91–$2,917.00 51% below 51%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS $178.00 $367.00 $253.23–$289.93 — 51%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS $319.13 $658.00 $32.30–$2,917.00 25% below 52%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS $319.13 $658.00 $454.02–$519.82 — 52%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B $8.25 $17.00 $4.08–$32.85 81% below 51%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT $67.90 $140.00 $5.30–$110.60 57% above 52%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B $8.25 $17.00 $11.73–$13.43 — 51%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT $72.27 $149.00 $102.81–$117.71 — 51%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A $8.25 $17.00 $4.08–$31.65 81% below 51%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $71.78 $148.00 $5.18–$116.92 63% above 52%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A $8.25 $17.00 $11.73–$13.43 — 51%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $76.15 $157.00 $108.33–$124.03 — 51%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $561.15 $1,157.00 $45.00–$914.03 130% above 51%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $561.15 $1,157.00 $798.33–$914.03 — 51%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-ABPA 2004243B $2.62 $5.39 $1.30–$33.30 69% below 51%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A $2.74 $5.63 $1.36–$33.30 67% below 51%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-ABPA 2004243B $2.62 $5.39 $3.72–$4.26 — 51%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A $2.74 $5.63 $3.89–$4.45 — 51%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL R 3016635A $11.00 $22.66 $5.44–$35.50 46% below 51%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL R 3016635A $11.00 $22.66 $15.64–$17.91 — 51%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE BNP $195.94 $404.00 $27.14–$404.00 11% above 52%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE BNP $195.94 $404.00 $278.76–$319.16 — 52%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $368.60 $760.00 $8.46–$600.40 91% above 52%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $392.37 $809.00 $558.21–$639.11 — 51%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV $135.32 $279.00 $52.92–$294.00 11% below 51%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV $135.32 $279.00 $192.51–$220.41 — 51%
Blood culture for bacteria CPT 87040 CULT BLOOD $289.06 $596.00 $10.32–$470.84 20% above 52%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD $307.49 $634.00 $437.46–$500.86 — 52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB $38.80 $80.00 $3.60–$6,840.00 60% above 52%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB $38.80 $80.00 $55.20–$63.20 — 52%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD $78.09 $161.00 $3.93–$127.19 108% above 51%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD $82.94 $171.00 $117.99–$135.09 — 51%
Blood lead test CPT 83655 RL-A-LEAD U 25060 $5.01 $10.31 $2.48–$76.25 65% below 51%
Blood lead test inpatient CPT 83655 RL-A-LEAD U 25060 $5.01 $10.31 $7.12–$8.15 — 51%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL $145.50 $300.00 $7.52–$237.00 5% below 52%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL $153.26 $316.00 $218.04–$249.64 — 52%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-UB-ABO TYPE $32.98 $68.00 $3.07–$163.78 57% below 52%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $77.12 $159.00 $3.07–$198.75 at median 51%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-UB-ABO TYPE $32.98 $68.00 $46.92–$53.72 — 52%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $77.12 $159.00 $109.71–$125.61 — 51%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $80.03 $165.00 $5.18–$130.35 71% above 51%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $80.03 $165.00 $113.85–$130.35 — 51%
CA 19-9 blood test (tumor marker) CPT 86301 NH-CANCER ANTIGEN GI 19-9 $32.01 $66.00 $15.84–$92.50 36% below 52%
CA 19-9 blood test (tumor marker) CPT 86301 IA TUMOR AG CA 19-9 $111.07 $229.00 $16.65–$229.00 124% above 51%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 NH-CANCER ANTIGEN GI 19-9 $32.01 $66.00 $45.54–$52.14 — 52%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUMOR AG CA 19-9 $111.07 $229.00 $158.01–$180.91 — 51%
CA-125 blood test (ovarian cancer marker) CPT 86304 NH-IA TUMOR AG CA 125 $105.73 $218.00 $16.65–$218.00 11% above 52%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 NH-IA TUMOR AG CA 125 $105.73 $218.00 $150.42–$172.22 — 52%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638 $36.28 $74.80 $17.96–$256.55 48% below 51%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-WP-COVID19 $48.50 $100.00 $24.00–$256.55 31% below 52%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH $74.69 $154.00 $36.96–$256.55 7% above 52%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638 $36.28 $74.80 $51.62–$59.10 — 51%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-WP-COVID19 $48.50 $100.00 $69.00–$79.00 — 52%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH $74.69 $154.00 $106.26–$121.66 — 52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB $64.99 $134.00 $32.16–$183.55 19% above 52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB $64.99 $134.00 $92.46–$105.86 — 52%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $253.17 $522.00 $13.39–$412.38 150% above 52%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $269.18 $555.00 $382.95–$438.45 — 51%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $131.92 $272.00 $7.77–$214.88 19% above 52%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $131.92 $272.00 $187.68–$214.88 — 52%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF $106.22 $219.00 $6.47–$173.01 40% above 51%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF $113.01 $233.00 $160.77–$184.07 — 51%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $427.29 $881.00 $10.56–$695.99 67% above 51%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $454.93 $938.00 $647.22–$741.02 — 52%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL $42.68 $88.00 $21.12–$177.20 32% below 52%
Estradiol blood test CPT 82670 NH-ESTRADIOL $84.88 $175.00 $27.94–$177.20 35% above 51%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL $42.68 $88.00 $60.72–$69.52 — 52%
Estradiol blood test inpatient CPT 82670 NH-ESTRADIOL $87.79 $181.00 $124.89–$142.99 — 51%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE $28.62 $59.00 $14.16–$117.70 68% below 51%
FSH (follicle-stimulating hormone) test CPT 83001 NH-FSH $84.39 $174.00 $18.58–$174.00 4% below 52%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE $28.62 $59.00 $40.71–$46.61 — 51%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 NH-FSH $87.30 $180.00 $124.20–$142.20 — 52%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859 $19.40 $40.00 $9.60–$87.25 73% below 52%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859 $19.40 $40.00 $27.60–$31.60 — 52%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $177.51 $366.00 $13.63–$289.14 112% above 52%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $177.51 $366.00 $252.54–$289.14 — 52%
Folate (folic acid) blood test CPT 82746 NH-FOLIC ACID SERUM $22.31 $46.00 $11.04–$93.75 74% below 52%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $29.10 $60.00 $14.40–$93.75 66% below 52%
Folate (folic acid) blood test inpatient CPT 82746 NH-FOLIC ACID SERUM $22.31 $46.00 $31.74–$36.34 — 52%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $29.10 $60.00 $41.40–$47.40 — 52%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE $33.95 $70.00 $15.40–$85.55 47% below 52%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE $33.95 $70.00 $48.30–$55.30 — 52%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $138.23 $285.00 $9.02–$225.15 103% above 51%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $138.23 $285.00 $196.65–$225.15 — 51%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $686.76 $1,416.00 $54.43–$1,118.64 147% above 52%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $686.76 $1,416.00 $977.04–$1,118.64 — 52%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE $110.10 $227.00 $4.75–$179.33 148% above 51%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE $110.10 $227.00 $156.63–$179.33 — 51%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 3 SPEC $131.92 $272.00 $12.87–$214.88 13% above 52%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC $275.00 $567.00 $12.87–$447.93 135% above 51%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOL 3 SPEC $135.80 $280.00 $193.20–$221.20 — 52%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC $275.00 $567.00 $391.23–$447.93 — 51%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB $56.26 $116.00 $27.84–$181.90 6% above 52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB $56.26 $116.00 $80.04–$91.64 — 52%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB SINGLE $83.91 $173.00 $13.71–$173.00 102% above 51%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB SINGLE $83.91 $173.00 $119.37–$136.67 — 51%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 NH-HEMOGLOBIN A1C $15.04 $31.00 $7.44–$61.25 77% below 51%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $116.40 $240.00 $9.71–$189.60 81% above 52%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 NH-HEMOGLOBIN A1C $15.04 $31.00 $21.39–$24.49 — 51%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $116.40 $240.00 $165.60–$189.60 — 52%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB $92.15 $190.00 $10.74–$154.45 139% above 52%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB $92.15 $190.00 $131.10–$150.10 — 52%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL $106.70 $220.00 $10.33–$173.80 72% above 52%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL $106.70 $220.00 $151.80–$173.80 — 52%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB $132.89 $274.00 $14.27–$216.46 155% above 52%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB $132.89 $274.00 $189.06–$216.46 — 52%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 NH-IA HEPATITIS C QN RT $65.48 $135.00 $32.40–$226.00 16% below 51%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 NH-IA HEPATITIS C QN RT $65.48 $135.00 $93.15–$106.65 — 51%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-RFLX HERP I 50292 $6.55 $13.50 $3.24–$84.05 65% below 51%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-RFLX HERP I 50292 $6.55 $13.50 $9.32–$10.67 — 51%
Homocysteine blood test CPT 83090 NH-HOMOCYSTEINE $27.65 $57.00 $13.49–$74.95 33% below 51%
Homocysteine blood test inpatient CPT 83090 NH-HOMOCYSTEINE $27.65 $57.00 $39.33–$45.03 — 51%
Insulin blood test CPT 83525 NH-INSULIN FASTING $17.46 $36.00 $8.64–$57.40 48% below 52%
Insulin blood test CPT 83525 NH-INSULIN TOTAL $17.95 $37.00 $8.88–$57.40 46% below 51%
Insulin blood test inpatient CPT 83525 NH-INSULIN FASTING $17.46 $36.00 $24.84–$28.44 — 52%
Insulin blood test inpatient CPT 83525 NH-INSULIN TOTAL $17.95 $37.00 $25.53–$29.23 — 51%
Iron blood test (serum iron) CPT 83540 IRON $99.43 $205.00 $6.47–$161.95 125% above 51%
Iron blood test (serum iron) inpatient CPT 83540 IRON $104.76 $216.00 $149.04–$170.64 — 52%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $152.78 $315.00 $8.74–$248.85 177% above 51%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $162.48 $335.00 $231.15–$264.65 — 51%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $287.61 $593.00 $8.68–$468.47 104% above 51%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $287.61 $593.00 $409.17–$468.47 — 51%
LH (luteinizing hormone) test CPT 83002 NH-LUTEINIZING HORMONE $28.62 $59.00 $14.16–$117.50 64% below 51%
LH (luteinizing hormone) test inpatient CPT 83002 NH-LUTEINIZING HORMONE $28.62 $59.00 $40.71–$46.61 — 51%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $151.81 $313.00 $6.89–$247.27 101% above 51%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLD $161.51 $333.00 $6.89–$263.07 114% above 51%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $161.51 $333.00 $229.77–$263.07 — 51%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $206.13 $425.00 $8.17–$335.75 54% above 51%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $219.71 $453.00 $312.57–$357.87 — 51%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053 $23.53 $48.51 $11.65–$108.60 2% below 51%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053 $23.53 $48.51 $33.48–$38.33 — 51%
Magnesium blood test CPT 83735 MAGNESIUM $112.52 $232.00 $6.70–$183.28 94% above 52%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $119.80 $247.00 $170.43–$195.13 — 51%
Measles (rubeola) antibody test CPT 86765 RL-A-ENCEPH-CSF 3017752C $7.41 $15.26 $3.67–$82.10 65% below 51%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-ENCEPH-CSF 3017752C $7.41 $15.26 $10.53–$12.06 — 51%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $174.12 $359.00 $46.25–$283.61 30% below 51%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $174.12 $359.00 $247.71–$283.61 — 51%
PSA (prostate-specific antigen) blood test, free CPT 84154 NH-PSA FREE $27.16 $56.00 $13.44–$92.30 22% below 52%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 NH-PSA FREE $27.16 $56.00 $38.64–$44.24 — 52%
PSA (prostate-specific antigen) blood test, total CPT 84153 NH-PSA TOTAL $134.83 $278.00 $18.39–$273.47 188% above 52%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 NH-PSA TOTAL $134.83 $278.00 $191.82–$219.62 — 52%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG AUTO MAN $90.21 $186.00 $20.26–$186.00 1% below 52%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG AUTO MAN $90.21 $186.00 $128.34–$146.94 — 52%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP $60.14 $124.00 $29.76–$249.85 42% below 52%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP $60.14 $124.00 $85.56–$97.96 — 52%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME $109.61 $226.00 $6.01–$178.54 190% above 52%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME $116.40 $240.00 $165.60–$189.60 — 52%
Progesterone blood test CPT 84144 PROGESTERONE $32.01 $66.00 $15.84–$131.25 42% below 52%
Progesterone blood test CPT 84144 NH-PROGESTERONE $97.97 $202.00 $20.86–$202.00 79% above 52%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $32.01 $66.00 $45.54–$52.14 — 52%
Progesterone blood test inpatient CPT 84144 NH-PROGESTERONE $100.88 $208.00 $143.52–$164.32 — 52%
Prolactin blood test CPT 84146 NH-PROLACTIN $28.13 $58.00 $13.92–$122.70 69% below 52%
Prolactin blood test inpatient CPT 84146 NH-PROLACTIN $28.13 $58.00 $40.02–$45.82 — 52%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $106.70 $220.00 $4.29–$173.80 124% above 52%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $113.49 $234.00 $161.46–$184.86 — 52%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC $151.81 $313.00 $7.96–$247.27 101% above 51%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC $151.81 $313.00 $215.97–$247.27 — 51%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL R 3016635B $11.00 $22.66 $5.44–$36.00 15% below 51%
Rheumatoid factor (RF) test CPT 86431 NH-RHEUMATOID FACTOR QN $89.24 $184.00 $5.67–$145.36 586% above 52%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL R 3016635B $11.00 $22.66 $15.64–$17.91 — 51%
Rheumatoid factor (RF) test inpatient CPT 86431 NH-RHEUMATOID FACTOR QN $89.24 $184.00 $126.96–$145.36 — 52%
Rubella antibody test (immunity check) CPT 86762 NH-RUBELLA AB $22.31 $46.00 $11.04–$91.75 44% below 52%
Rubella antibody test (immunity check) inpatient CPT 86762 NH-RUBELLA AB $22.31 $46.00 $31.74–$36.34 — 52%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE $196.43 $405.00 $12.31–$319.95 41% above 51%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE $196.43 $405.00 $279.45–$319.95 — 51%
Stool ova and parasites exam CPT 87177 RL-A-OP FEC 3001662A $5.82 $12.00 $2.88–$51.50 68% below 52%
Stool ova and parasites exam CPT 87177 O P CONCENTRATE ID $161.99 $334.00 $8.90–$263.86 804% above 52%
Stool ova and parasites exam inpatient CPT 87177 RL-A-OP FEC 3001662A $5.82 $12.00 $8.28–$9.48 — 52%
Stool ova and parasites exam inpatient CPT 87177 O P CONCENTRATE ID $172.18 $355.00 $244.95–$280.45 — 51%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC $58.69 $121.00 $3.77–$95.59 50% above 51%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC $60.14 $124.00 $85.56–$97.96 — 52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL $74.69 $154.00 $4.10–$121.66 401% above 52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL $78.57 $162.00 $111.78–$127.98 — 52%
Testosterone blood test, total (not free testosterone) CPT 84403 NH-TESTOSTERONE $39.29 $81.00 $19.44–$163.50 2% below 51%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $43.65 $90.00 $21.60–$163.50 9% above 52%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 NH-TESTOSTERONE $39.29 $81.00 $55.89–$63.99 — 51%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $43.65 $90.00 $62.10–$71.10 — 52%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-A-LIVER-KID 99270 $6.79 $14.00 $3.36–$92.75 70% below 52%
Thyroid peroxidase (TPO) antibody test CPT 86376 NH-MICROSOML AB THYROID $22.31 $46.00 $11.04–$92.75 2% below 52%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-A-LIVER-KID 99270 $6.79 $14.00 $9.66–$11.06 — 52%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 NH-MICROSOML AB THYROID $22.31 $46.00 $31.74–$36.34 — 52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE $177.51 $366.00 $16.80–$289.14 112% above 52%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE $177.51 $366.00 $252.54–$289.14 — 52%
Uric acid blood test CPT 84550 URIC ACID BLOOD $76.63 $158.00 $4.52–$124.82 25% above 52%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD $81.48 $168.00 $115.92–$132.72 — 52%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO $144.05 $297.00 $3.17–$234.63 74% above 51%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO $144.05 $297.00 $204.93–$234.63 — 51%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO $16.49 $34.00 $2.25–$33.43 71% below 52%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO $16.98 $35.00 $24.15–$27.65 — 51%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO WO MICRO $86.82 $179.00 $2.77–$141.41 215% above 51%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO WO MICRO $86.82 $179.00 $123.51–$141.41 — 51%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT $181.88 $375.00 $7.29–$296.25 32% above 51%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT $193.03 $398.00 $274.62–$314.42 — 52%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL $94.58 $195.00 $3.62–$154.05 10% above 51%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL NONL $106.22 $219.00 $3.62–$173.01 24% above 51%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL $106.22 $219.00 $151.11–$173.01 — 51%
Vitamin B12 (cobalamin) blood test CPT 82607 NH-VITAMIN B-12 $22.80 $47.00 $11.28–$95.60 63% below 51%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $30.07 $62.00 $14.88–$95.60 51% below 52%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 NH-VITAMIN B-12 $22.80 $47.00 $32.43–$37.13 — 51%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 $30.07 $62.00 $42.78–$48.98 — 52%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 NH-VITAMIN D 25 HYDROXY $43.17 $89.00 $21.36–$148.60 33% below 51%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 NH-VITAMIN D 25 HYDROXY $43.17 $89.00 $61.41–$70.31 — 51%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN $249.78 $515.00 $15.05–$406.85 79% above 51%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN $265.78 $548.00 $378.12–$432.92 — 52%

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 $2,215.48 $4,568.00 $568.95–$29,023.00 48% below 52%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST STEREO PERC 1ST $2,215.48 $4,568.00 $568.95–$29,023.00 48% below 52%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI $2,215.48 $4,568.00 $3,151.92–$3,608.72 — 52%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST STEREO PERC 1ST $2,215.48 $4,568.00 $3,151.92–$3,608.72 — 52%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU $9,566.63 $19,725.00 $1,084.40–$29,023.00 26% below 51%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU $9,566.63 $19,725.00 $13,610.25–$15,582.75 — 51%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT $763.39 $1,574.00 $158.09–$7,705.00 57% below 52%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT $763.39 $1,574.00 $1,023.10–$1,243.46 — 52%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP $20,889.92 $43,072.00 $1,005.02–$40,487.68 32% below 52%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP $20,889.92 $43,072.00 $29,719.68–$34,026.88 — 52%
Cervical biopsy CPT 57500 BIOPSY CERVIX $949.63 $1,958.00 $41.87–$6,374.00 51% below 52%
Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX $949.63 $1,958.00 $1,351.02–$1,546.82 — 52%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLP CERV VAG LEEP W BX $3,458.54 $7,131.00 $193.09–$11,062.00 26% below 51%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLP CERV VAG LEEP W BX $3,458.54 $7,131.00 $4,920.39–$5,633.49 — 51%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCPY CERVX BX CURET $376.85 $777.00 $83.76–$29,023.00 60% below 51%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCPY CERVX BX CURET $376.85 $777.00 $536.13–$613.83 — 51%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $928.29 $1,914.00 $99.55–$29,023.00 43% below 52%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $928.29 $1,914.00 $1,320.66–$1,512.06 — 52%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL WO DIL $273.06 $563.00 $42.38–$6,374.00 50% below 51%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL WO DIL $273.06 $563.00 $388.47–$444.77 — 51%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO $187.70 $387.00 $96.75–$6,374.00 59% below 51%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO $187.70 $387.00 $267.03–$305.73 — 51%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCPY ENDOM W SAMPL $2,391.05 $4,930.00 $226.33–$29,023.00 66% below 52%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCPY ENDOM W SAMPL $2,391.05 $4,930.00 $3,401.70–$3,894.70 — 52%
IUD insertion (the device itself billed separately) CPT 58300 INSERT UTERINE DEVICE INT $114.95 $237.00 $59.25–$965.20 80% below 51%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT UTERINE DEVICE INT $114.95 $237.00 $163.53–$187.23 — 51%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI $242.02 $499.00 $35.84–$29,023.00 67% below 51%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI $242.02 $499.00 $344.31–$394.21 — 51%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO $197.40 $407.00 $30.00–$29,023.00 65% below 51%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO $197.40 $407.00 $280.83–$321.53 — 51%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SMALL JT WO $188.18 $388.00 $28.75–$6,374.00 70% below 52%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SMALL JT WO $188.18 $388.00 $267.72–$306.52 — 52%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR SCALP/TRUNK INT <=2.5 $715.38 $1,475.00 $96.98–$29,023.00 18% below 51%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR SCALP/TRUNK INT <=2.5 $715.38 $1,475.00 $1,017.75–$1,165.25 — 51%
Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY $3,255.32 $6,712.00 $870.78–$29,023.00 67% below 52%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY $3,255.32 $6,712.00 $4,631.28–$5,302.48 — 52%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG $1,235.30 $2,547.00 $198.03–$6,374.00 26% below 51%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG $1,235.30 $2,547.00 $1,757.43–$2,012.13 — 51%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V $12,367.99 $25,501.00 $854.44–$29,023.00 15% below 51%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V $12,367.99 $25,501.00 $17,595.69–$20,145.79 — 51%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING $798.80 $1,647.00 $101.83–$29,023.00 55% below 51%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING $798.80 $1,647.00 $1,136.43–$1,301.13 — 51%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NDL/PUNCH $1,589.35 $3,277.00 $100.40–$29,023.00 39% below 51%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH $1,589.35 $3,277.00 $2,261.13–$2,588.83 — 51%
Removal of a breast lump, open surgery CPT 19120 EXC LES BREAST OPN 1 OR > $2,752.38 $5,675.00 $272.03–$29,023.00 45% below 51%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC LES BREAST OPN 1 OR > $2,752.38 $5,675.00 $3,915.75–$4,483.25 — 51%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LR SMPL TRNK/NECK <=2.5CM $129.01 $266.00 $66.50–$29,023.00 71% below 52%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LR SMPL TRNK/NECK <=2.5CM $129.01 $266.00 $183.54–$210.14 — 52%
Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SNG LESION $369.09 $761.00 $80.69–$6,374.00 49% below 51%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SNG LESION $369.09 $761.00 $525.09–$601.19 — 51%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS <=15 $274.51 $566.00 $36.32–$6,374.00 30% below 52%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS <=15 $274.51 $566.00 $390.54–$447.14 — 52%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX $646.02 $1,332.00 $93.99–$6,374.00 47% below 52%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX $646.02 $1,332.00 $919.08–$1,052.28 — 52%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES $161.99 $334.00 $64.33–$6,374.00 71% below 52%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES $161.99 $334.00 $230.46–$263.86 — 52%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI $1,295.92 $2,672.00 $104.80–$6,374.00 36% below 52%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMG UNI $1,295.92 $2,672.00 $1,843.68–$2,110.88 — 52%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST $1,996.75 $4,117.00 $552.53–$29,023.00 35% below 51%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI $1,996.75 $4,117.00 $552.53–$29,023.00 35% below 51%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI $1,996.75 $4,117.00 $2,840.73–$3,252.43 — 51%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST $1,996.75 $4,117.00 $2,840.73–$3,252.43 — 51%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $592.67 $1,222.00 $119.19–$29,023.00 13% below 52%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $592.67 $1,222.00 $843.18–$965.38 — 52%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP $875.43 $1,805.00 $40.42–$6,798.00 at median 51%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP $875.43 $1,805.00 $1,245.45–$1,425.95 — 51%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INIT W VENT/DAY $119.80 $247.00 $18.76–$6,798.00 61% below 51%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INIT W VENT/DAY $119.80 $247.00 $170.43–$195.13 — 51%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR $469.00 $967.00 $32.63–$7,705.00 46% below 51%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR $469.00 $967.00 $628.55–$763.93 — 51%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN $3,482.79 $7,181.00 $194.98–$16,509.00 30% below 51%
Critical care, first 30 to 74 minutes CPT 99291 TRAUMA COMPREHENSIVE $3,750.51 $7,733.00 $194.98–$16,509.00 24% below 51%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN $3,482.79 $7,181.00 $4,667.65–$5,672.99 — 51%
Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA COMPREHENSIVE $3,750.51 $7,733.00 $5,026.45–$6,109.07 — 51%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $554.36 $1,143.00 $86.73–$6,152.00 38% below 51%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $554.36 $1,143.00 $788.67–$902.97 — 51%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY $290.52 $599.00 $18.82–$6,152.00 14% below 51%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY $290.52 $599.00 $413.31–$473.21 — 51%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 $517.50 $1,067.00 $18.74–$7,705.00 34% above 51%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 $517.50 $1,067.00 $693.55–$842.93 — 51%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 $1,034.51 $2,133.00 $30.09–$7,705.00 38% above 51%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 $1,034.51 $2,133.00 $1,386.45–$1,685.07 — 51%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 $1,551.52 $3,199.00 $55.05–$16,509.00 28% above 51%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 $1,551.52 $3,199.00 $2,079.35–$2,527.21 — 51%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 $2,069.01 $4,266.00 $84.37–$16,509.00 6% above 52%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LIMITED $2,233.43 $4,605.00 $84.37–$16,509.00 14% above 51%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 $2,069.01 $4,266.00 $2,772.90–$3,370.14 — 52%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LIMITED $2,233.43 $4,605.00 $2,993.25–$3,637.95 — 51%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 $2,937.65 $6,057.00 $133.41–$16,509.00 11% below 51%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA ESSENTIAL $3,163.66 $6,523.00 $133.41–$16,509.00 4% below 51%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 $2,937.65 $6,057.00 $3,937.05–$4,785.03 — 51%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA ESSENTIAL $3,163.66 $6,523.00 $4,239.95–$5,153.17 — 51%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST WO RX $939.45 $1,937.00 $60.24–$6,152.00 22% below 51%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST WO RX $939.45 $1,937.00 $1,336.53–$1,530.23 — 51%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN $614.98 $1,268.00 $57.34–$1,389.00 35% above 52%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN $614.98 $1,268.00 $874.92–$1,001.72 — 52%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR $418.56 $863.00 $71.45–$1,389.00 13% below 51%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR $418.56 $863.00 $595.47–$681.77 — 51%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM $257.05 $530.00 $21.39–$1,501.00 64% above 52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM $257.05 $530.00 $365.70–$418.70 — 52%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT $148.41 $306.00 $76.50–$509.50 17% below 52%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT $148.41 $306.00 $211.14–$241.74 — 52%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT $213.40 $440.00 $110.00–$613.70 10% below 52%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT $1,674.22 $3,452.00 $110.47–$6,798.00 608% above 52%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT $213.40 $440.00 $303.60–$347.60 — 52%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT $1,674.22 $3,452.00 $2,381.88–$2,727.08 — 52%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT $392.85 $810.00 $130.00–$810.00 38% above 52%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT $392.85 $810.00 $558.90–$639.90 — 52%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW $117.86 $243.00 $55.00–$6,152.00 11% below 51%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT $117.86 $243.00 $55.00–$305.55 11% below 51%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT $117.86 $243.00 $167.67–$191.97 — 51%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW $117.86 $243.00 $167.67–$191.97 — 51%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN $55.29 $114.00 $9.37–$6,798.00 at median 52%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN $55.29 $114.00 $78.66–$90.06 — 52%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT $280.33 $578.00 $91.71–$578.00 28% above 52%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT $280.33 $578.00 $398.82–$456.62 — 52%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT $106.70 $220.00 $38.48–$230.00 26% below 52%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT $106.70 $220.00 $151.80–$173.80 — 52%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT $151.32 $312.00 $60.13–$334.05 14% below 52%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT $1,674.22 $3,452.00 $60.13–$6,798.00 857% above 52%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT $151.32 $312.00 $215.28–$246.48 — 52%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT $1,674.22 $3,452.00 $2,381.88–$2,727.08 — 52%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT $83.91 $173.00 $29.02–$230.00 26% below 51%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT $83.91 $173.00 $119.37–$136.67 — 51%
Spirometry (breathing test) CPT 94010 SPIROMETRY $178.48 $368.00 $28.23–$368.00 45% below 52%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $178.48 $368.00 $253.92–$290.72 — 52%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST $663.48 $1,368.00 $51.67–$1,080.72 14% below 52%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST $663.48 $1,368.00 $943.92–$1,080.72 — 52%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT $209.04 $431.00 $18.82–$6,374.00 30% below 51%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT $209.04 $431.00 $297.39–$340.49 — 51%

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 $62.57 $129.00 $14.35–$134.05 86% above 51%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS $62.57 $129.00 $19.35–$101.91 — 51%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACC 50U/1ML INJ $215.83 $445.00 $59.43–$445.00 55% above 51%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACC 50U/1ML INJ $215.83 $445.00 $111.25–$351.55 — 51%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VACC 20MCG 1ML IN $83.91 $173.00 $25.95–$374.20 1% below 51%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VACC 20MCG 1ML IN $83.91 $173.00 $25.95–$136.67 — 51%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC $249.78 $515.00 $67.43–$487.05 113% above 51%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC $249.78 $515.00 $128.75–$406.85 — 51%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOC B OMV 0.5MLVACC $756.60 $1,560.00 $163.69–$1,560.00 164% above 52%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOC B OMV 0.5MLVACC $756.60 $1,560.00 $390.00–$1,232.40 — 52%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT $793.95 $1,637.00 $409.25–$1,637.00 58% above 51%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT $793.95 $1,637.00 $409.25–$1,293.23 — 51%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ $1,579.16 $3,256.00 $814.00–$3,256.00 63% above 52%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ $1,579.16 $3,256.00 $814.00–$2,572.24 — 52%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML $1,209.11 $2,493.00 $289.92–$1,969.47 71% above 51%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML $1,209.11 $2,493.00 $623.25–$1,969.47 — 51%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PFVACC 0.5ML>=7YR $114.46 $236.00 $20.49–$192.10 44% above 52%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PFVACC 0.5ML>=7YR $114.46 $236.00 $59.00–$186.44 — 52%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM $142.11 $293.00 $33.76–$293.00 69% above 51%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM $142.11 $293.00 $73.25–$231.47 — 51%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE $108.64 $224.00 $4.01–$176.96 8% above 52%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE $108.64 $224.00 $154.56–$176.96 — 52%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD $108.64 $224.00 $4.46–$176.96 61% above 52%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD $108.64 $224.00 $154.56–$176.96 — 52%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsoc/casc/finance/price-transparency/815009488-1114081056_dignity-community-care_standardcharges.json