Hospital Los Angeles-Long Beach-Anaheim, CA

Dignity Health

Dignity Health in Long Beach, CA publishes cash prices for 221 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 186 of 216 procedures and above it for 30. By typical cash price it ranks #28 of 168 California hospitals and #10 of 49 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1050 Linden Ave, Long Beach, CA 90813 Collected Sep 27, 2026 Source price file (562) 491-9000

Acute care hospital Emergency department CMS star rating 5 of 5 CCN 050191 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 TRANS O2 MEAS 1-2 LVL BI	$154.37	$359.00	$59.79–$6,343.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 DOP ART EXT 1-2 LVL BI	$304.44	$708.00	$59.79–$6,343.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 TRANS O2 MEAS 1-2 LVL BI	$154.37	$359.00	$251.30–$359.00	—	57%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 DOP ART EXT 1-2 LVL BI	$304.44	$708.00	$495.60–$708.00	—	57%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOP SCT CHST W CON FY	$129.43	$301.00	$49.18–$726.82	76% below	57%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON	$132.01	$307.00	$49.18–$726.82	75% below	57%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOP SCT CHST W CON FY	$249.40	$580.00	$406.00–$580.00	—	57%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON	$254.13	$591.00	$413.70–$591.00	—	57%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY	$353.46	$822.00	$182.06–$1,533.86	83% below	57%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY	$981.26	$2,282.00	$1,597.40–$2,282.00	—	57%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON	$283.80	$660.00	$165.00–$1,655.00	91% below	57%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON	$1,134.77	$2,639.00	$1,847.30–$2,639.00	—	57%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,501.56	$3,492.00	$214.12–$3,263.42	40% below	57%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W	$1,501.56	$3,492.00	$2,444.40–$3,492.00	—	57%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON	$246.82	$574.00	$73.20–$544.88	21% below	57%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON	$246.82	$574.00	$401.80–$574.00	—	57%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON	$289.82	$674.00	$156.88–$1,655.00	90% below	57%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON	$1,142.94	$2,658.00	$1,860.60–$2,658.00	—	57%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON	$340.99	$793.00	$198.25–$1,655.00	91% below	57%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON	$1,705.81	$3,967.00	$2,776.90–$3,967.00	—	57%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON	$545.67	$1,269.00	$287.32–$1,655.00	88% below	57%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON	$1,995.63	$4,641.00	$3,248.70–$4,641.00	—	57%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$277.78	$646.00	$161.50–$1,655.00	88% below	57%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$1,043.61	$2,427.00	$1,698.90–$2,427.00	—	57%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$122.12	$284.00	$71.00–$1,655.00	93% below	57%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$677.68	$1,576.00	$1,103.20–$1,576.00	—	57%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON	$152.22	$354.00	$88.50–$1,655.00	93% below	57%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON	$1,520.91	$3,537.00	$2,475.90–$3,537.00	—	57%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON	$158.24	$368.00	$92.00–$1,655.00	93% below	57%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON	$1,583.69	$3,683.00	$2,578.10–$3,683.00	—	57%
CT scan of the head with contrast CPT 70460 CT HEAD W CON	$380.12	$884.00	$184.39–$1,655.00	86% below	57%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON	$2,169.35	$5,045.00	$3,531.50–$5,045.00	—	57%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON	$380.12	$884.00	$214.12–$1,655.00	86% below	57%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON	$2,597.20	$6,040.00	$4,228.00–$6,040.00	—	57%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$141.90	$330.00	$82.50–$1,655.00	95% below	57%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$944.71	$2,197.00	$1,537.90–$2,197.00	—	57%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$151.79	$353.00	$88.25–$1,655.00	95% below	57%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$1,686.46	$3,922.00	$2,745.40–$3,922.00	—	57%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$316.91	$737.00	$184.25–$1,655.00	88% below	57%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$1,931.99	$4,493.00	$3,145.10–$4,493.00	—	57%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,282.69	$2,983.00	$170.00–$6,343.00	6% above	57%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL	$1,282.69	$2,983.00	$2,088.10–$2,983.00	—	57%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$335.40	$780.00	$24.72–$624.00	13% below	57%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$335.40	$780.00	$546.00–$780.00	—	57%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$258.00	$600.00	$15.88–$480.00	23% below	57%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$258.00	$600.00	$420.00–$600.00	—	57%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL	$280.79	$653.00	$104.20–$653.00	67% below	57%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL	$280.79	$653.00	$457.10–$653.00	—	57%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENS(DXA)AXAL FY	$347.44	$808.00	$30.84–$808.00	27% below	57%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL	$354.32	$824.00	$30.84–$824.00	25% below	57%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENS(DXA)AXAL FY	$347.44	$808.00	$565.60–$808.00	—	57%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL	$354.32	$824.00	$576.80–$824.00	—	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENS(DXA)APEND FY	$198.23	$461.00	$22.59–$461.00	25% below	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND	$202.10	$470.00	$22.59–$470.00	24% below	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENS(DXA)APEND FY	$198.23	$461.00	$322.70–$461.00	—	57%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND	$202.10	$470.00	$329.00–$470.00	—	57%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST	$382.70	$890.00	$140.00–$936.29	53% below	57%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST	$382.70	$890.00	$623.00–$890.00	—	57%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$172.86	$402.00	$100.50–$1,655.00	91% below	57%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$1,469.31	$3,417.00	$2,391.90–$3,417.00	—	57%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$374.53	$871.00	$207.76–$1,655.00	84% below	57%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$2,881.00	$6,700.00	$4,690.00–$6,700.00	—	57%
Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO DIAG W CAD BI FY	$306.59	$713.00	$116.89–$740.15	—	57%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL	$313.04	$728.00	$116.89–$740.15	24% below	57%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA MAMMO DIAG W CAD BI FY	$306.59	$713.00	$499.10–$713.00	—	57%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL	$313.04	$728.00	$509.60–$728.00	—	57%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX ART LOW EXT BIL	$296.70	$690.00	$111.16–$6,343.00	69% below	57%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL	$471.28	$1,096.00	$111.16–$6,343.00	51% below	57%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US V DPLX ART LOW EXT BIL	$296.70	$690.00	$483.00–$690.00	—	57%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL	$471.28	$1,096.00	$767.20–$1,096.00	—	57%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL	$1,316.23	$3,061.00	$170.00–$6,343.00	17% above	57%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL	$1,316.23	$3,061.00	$2,142.70–$3,061.00	—	57%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$2,266.53	$5,271.00	$215.78–$6,343.00	6% below	57%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$2,266.53	$5,271.00	$3,689.70–$5,271.00	—	57%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM	$356.04	$828.00	$207.00–$1,533.86	77% below	57%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM	$565.02	$1,314.00	$919.80–$1,314.00	—	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD	$519.01	$1,207.00	$78.42–$965.60	37% below	57%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD	$519.01	$1,207.00	$844.90–$1,207.00	—	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE	$172.86	$402.00	$100.50–$1,655.00	57% below	57%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE	$172.86	$402.00	$281.40–$402.00	—	57%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO MRCP WO CON	$1,332.14	$3,098.00	$246.52–$4,227.00	50% below	57%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON	$1,385.46	$3,222.00	$246.52–$4,227.00	48% below	57%
MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIO MRCP WO CON	$1,332.14	$3,098.00	$799.00–$3,098.00	—	57%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON	$1,385.46	$3,222.00	$799.00–$3,222.00	—	57%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON	$2,304.80	$5,360.00	$300.17–$4,288.00	47% below	57%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON	$2,304.80	$5,360.00	$799.00–$5,360.00	—	57%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$2,081.20	$4,840.00	$245.49–$4,227.00	20% below	57%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$2,081.20	$4,840.00	$799.00–$4,840.00	—	57%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON	$2,788.98	$6,486.00	$401.56–$5,188.80	26% below	57%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON	$2,788.98	$6,486.00	$799.00–$6,486.00	—	57%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON	$1,653.35	$3,845.00	$240.12–$4,227.00	35% below	57%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON	$1,653.35	$3,845.00	$799.00–$3,845.00	—	57%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON	$2,755.87	$6,409.00	$403.15–$5,127.20	30% below	57%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON	$2,755.87	$6,409.00	$799.00–$6,409.00	—	57%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON	$1,533.81	$3,567.00	$239.28–$4,227.00	36% below	57%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON	$1,533.81	$3,567.00	$799.00–$3,567.00	—	57%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON	$4,189.06	$9,742.00	$404.38–$7,793.60	4% above	57%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON	$4,189.06	$9,742.00	$799.00–$9,742.00	—	57%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON	$2,513.35	$5,845.00	$239.67–$4,676.00	1% below	57%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON	$2,513.35	$5,845.00	$799.00–$5,845.00	—	57%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON	$3,749.17	$8,719.00	$299.62–$6,975.20	10% above	57%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON	$3,749.17	$8,719.00	$799.00–$8,719.00	—	57%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON	$2,249.33	$5,231.00	$203.71–$4,227.00	6% above	57%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON	$2,249.33	$5,231.00	$799.00–$5,231.00	—	57%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT	$1,210.88	$2,816.00	$313.31–$5,317.33	67% below	57%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT	$1,985.31	$4,617.00	$3,231.90–$4,617.00	—	57%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U	$334.54	$778.00	$54.44–$622.40	36% below	57%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U	$334.54	$778.00	$544.60–$778.00	—	57%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP	$499.66	$1,162.00	$87.34–$929.60	47% below	57%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP	$499.66	$1,162.00	$813.40–$1,162.00	—	57%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES	$264.02	$614.00	$121.76–$676.45	64% below	57%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES	$264.02	$614.00	$429.80–$614.00	—	57%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST	$227.47	$529.00	$70.58–$529.00	67% below	57%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST	$227.47	$529.00	$370.30–$529.00	—	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD	$219.73	$511.00	$81.27–$511.00	56% below	57%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD	$219.73	$511.00	$357.70–$511.00	—	57%
Screening mammogram, both breasts both sides CPT 77067 MA MAMMO SCREEN CAD BI FY	$251.12	$584.00	$96.65–$597.25	—	57%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL	$298.85	$695.00	$96.65–$695.00	15% above	57%
Screening mammogram, both breasts inpatient both sides CPT 77067 MA MAMMO SCREEN CAD BI FY	$251.12	$584.00	$408.80–$584.00	—	57%
Screening mammogram, both breasts inpatient CPT 77067 MA MAMMO SCREEN W CAD BIL	$298.85	$695.00	$486.50–$695.00	—	57%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG	$1,855.02	$4,314.00	$222.56–$6,343.00	5% above	57%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG	$1,855.02	$4,314.00	$3,019.80–$4,314.00	—	57%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL/CN/VID/SCT WCON FY	$129.00	$300.00	$67.01–$726.82	78% below	57%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$132.01	$307.00	$67.01–$726.82	77% below	57%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL/CN/VID/SCT WCON FY	$280.79	$653.00	$457.10–$653.00	—	57%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON	$286.38	$666.00	$466.20–$666.00	—	57%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$364.21	$847.00	$87.34–$677.60	35% below	57%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$364.21	$847.00	$592.90–$847.00	—	57%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$191.35	$445.00	$73.95–$445.00	67% below	57%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$191.35	$445.00	$311.50–$445.00	—	57%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON	$640.70	$1,490.00	$107.41–$1,192.00	35% below	57%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON	$640.70	$1,490.00	$1,043.00–$1,490.00	—	57%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$460.10	$1,070.00	$77.17–$856.00	48% below	57%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$460.10	$1,070.00	$749.00–$1,070.00	—	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK	$348.73	$811.00	$77.12–$648.80	58% below	57%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK	$348.73	$811.00	$567.70–$811.00	—	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON FY	$429.57	$999.00	$102.03–$799.20	29% below	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON	$438.17	$1,019.00	$102.03–$815.20	27% below	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON FY	$429.57	$999.00	$699.30–$999.00	—	57%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON	$438.17	$1,019.00	$713.30–$1,019.00	—	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT LTD	$802.81	$1,867.00	$97.03–$6,343.00	5% below	57%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VENOUS EXT LTD	$802.81	$1,867.00	$1,306.90–$1,867.00	—	57%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$122.12	$284.00	$22.14–$329.14	60% below	57%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$122.12	$284.00	$198.80–$284.00	—	57%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2OR3V FY	$156.52	$364.00	$39.11–$443.01	66% below	57%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$160.82	$374.00	$39.11–$443.01	65% below	57%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2OR3V FY	$414.95	$965.00	$675.50–$965.00	—	57%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW	$423.55	$985.00	$689.50–$985.00	—	57%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+VWS FY	$156.52	$364.00	$56.61–$443.01	73% below	57%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$160.82	$374.00	$56.61–$443.01	73% below	57%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+VWS FY	$567.17	$1,319.00	$923.30–$1,319.00	—	57%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS	$580.07	$1,349.00	$944.30–$1,349.00	—	57%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2VWS FY	$117.82	$274.00	$36.20–$443.01	67% below	57%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS	$120.40	$280.00	$36.20–$443.01	66% below	57%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2VWS FY	$240.80	$560.00	$392.00–$560.00	—	57%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS	$245.53	$571.00	$399.70–$571.00	—	57%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+VIEWS FY	$237.36	$552.00	$32.00–$441.60	37% below	57%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS	$242.52	$564.00	$32.00–$451.20	36% below	57%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+VIEWS FY	$237.36	$552.00	$386.40–$552.00	—	57%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS	$242.52	$564.00	$394.80–$564.00	—	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3V FY	$74.82	$174.00	$33.54–$329.14	83% below	57%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW	$79.12	$184.00	$33.54–$329.14	82% below	57%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3V FY	$431.29	$1,003.00	$702.10–$1,003.00	—	57%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW	$439.89	$1,023.00	$716.10–$1,023.00	—	57%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS FY	$156.09	$363.00	$27.91–$443.01	57% below	57%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$159.10	$370.00	$27.91–$443.01	56% below	57%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS FY	$300.57	$699.00	$489.30–$699.00	—	57%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$306.16	$712.00	$498.40–$712.00	—	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ V FY	$68.80	$160.00	$32.30–$329.14	84% below	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS	$70.52	$164.00	$32.30–$329.14	83% below	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ V FY	$192.21	$447.00	$312.90–$447.00	—	57%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS	$196.08	$456.00	$319.20–$456.00	—	57%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$5.16	$12.00	$3.00–$32.85	88% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B	$7.31	$17.00	$4.25–$32.85	83% below	57%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO NAFL 2012521B	$13.25	$30.80	$5.30–$32.85	69% below	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B	$7.31	$17.00	$11.90–$17.00	—	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO NAFL 2012521B	$13.25	$30.80	$21.56–$30.80	—	57%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$50.31	$117.00	$81.90–$117.00	—	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$5.16	$12.00	$3.00–$31.65	88% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A	$7.31	$17.00	$4.25–$31.65	83% below	57%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO NAFL 2012521A	$13.25	$30.80	$5.18–$31.65	70% below	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A	$7.31	$17.00	$11.90–$17.00	—	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO NAFL 2012521A	$13.25	$30.80	$21.56–$30.80	—	57%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$50.31	$117.00	$81.90–$117.00	—	57%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$49.88	$116.00	$29.00–$250.00	80% below	57%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$236.50	$550.00	$385.00–$550.00	—	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-HYPEREXT 3001561A	$2.43	$5.63	$1.41–$33.30	71% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-QD-ENVIRN ALLERGY 8560	$2.77	$6.43	$1.61–$33.30	67% below	57%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-A-PEANUT COM 2007211A	$4.92	$11.42	$2.86–$33.30	41% below	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-HYPEREXT 3001561A	$2.43	$5.63	$3.95–$5.63	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-QD-ENVIRN ALLERGY 8560	$2.77	$6.43	$4.51–$6.43	—	57%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-A-PEANUT COM 2007211A	$4.92	$11.42	$8.00–$11.42	—	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL R 3016635A	$9.75	$22.66	$5.67–$35.50	52% below	57%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-ILD PANEL2 3018869E	$10.75	$25.00	$6.25–$35.50	47% below	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL R 3016635A	$9.75	$22.66	$15.87–$22.66	—	57%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-ILD PANEL2 3018869E	$10.75	$25.00	$17.50–$25.00	—	57%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$98.04	$228.00	$12.09–$185.06	181% above	57%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$98.04	$228.00	$159.60–$228.00	—	57%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$36.55	$85.00	$21.25–$150.75	79% below	57%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$135.45	$315.00	$220.50–$315.00	—	57%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$18.06	$42.00	$8.46–$52.15	91% below	57%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$180.17	$419.00	$293.30–$419.00	—	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-CS-SURG PATH LEVEL IV	$25.80	$60.00	$15.00–$294.00	83% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-BP-REN BX G M LVL IV	$30.10	$70.00	$17.50–$294.00	80% below	57%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV	$75.25	$175.00	$43.75–$294.00	51% below	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-CS-SURG PATH LEVEL IV	$25.80	$60.00	$42.00–$60.00	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-BP-REN BX G M LVL IV	$30.10	$70.00	$49.00–$70.00	—	57%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV	$496.22	$1,154.00	$807.80–$1,154.00	—	57%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD	$125.13	$291.00	$203.70–$291.00	—	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP	$2.58	$6.00	$1.50–$13,617.00	89% below	57%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NON LAB	$14.19	$33.00	$3.00–$13,617.00	42% below	57%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE OP	$2.58	$6.00	$4.20–$6.00	—	57%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NON LAB	$14.19	$33.00	$23.10–$33.00	—	57%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$4.30	$10.00	$2.50–$23.65	89% below	57%
Blood glucose (sugar) test CPT 82947 RL-A-FIBRO NAFL 2012521D	$13.25	$30.80	$3.93–$30.80	65% below	57%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD NONL	$54.18	$126.00	$3.93–$100.80	44% above	57%
Blood glucose (sugar) test inpatient CPT 82947 RL-A-FIBRO NAFL 2012521D	$13.25	$30.80	$21.56–$30.80	—	57%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD NONL	$54.18	$126.00	$88.20–$126.00	—	57%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$55.47	$129.00	$90.30–$129.00	—	57%
Blood lead test CPT 83655 RL-A-HY MET U 99475B	$4.92	$11.43	$2.86–$76.25	65% below	57%
Blood lead test CPT 83655 RL-A-HYMET 6 25055D	$4.96	$11.52	$2.88–$76.25	65% below	57%
Blood lead test inpatient CPT 83655 RL-A-HY MET U 99475B	$4.92	$11.43	$8.01–$11.43	—	57%
Blood lead test inpatient CPT 83655 RL-A-HYMET 6 25055D	$4.96	$11.52	$8.07–$11.52	—	57%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL	$7.31	$17.00	$4.25–$46.35	95% below	57%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL	$106.21	$247.00	$172.90–$247.00	—	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-L-ABO TYPE	$13.33	$31.00	$3.07–$163.78	83% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-SDBB-ABO DISCREPANCY	$14.19	$33.00	$3.07–$163.78	82% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-UB-ABO GROUPING LS005	$14.90	$34.65	$3.07–$163.78	81% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-UB-DAT AIH EVAL LS295D	$21.25	$49.41	$3.07–$163.78	72% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-UB-ABO DISCREP LS010	$21.68	$50.40	$3.07–$163.78	72% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-UB-ABO RH	$32.25	$75.00	$3.07–$163.78	58% below	57%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$49.88	$116.00	$3.07–$185.60	35% below	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-L-ABO TYPE	$13.33	$31.00	$21.70–$31.00	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-SDBB-ABO DISCREPANCY	$14.19	$33.00	$23.10–$33.00	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-UB-ABO GROUPING LS005	$14.90	$34.65	$24.26–$34.65	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-UB-DAT AIH EVAL LS295D	$21.25	$49.41	$34.59–$49.41	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-UB-ABO DISCREP LS010	$21.68	$50.40	$35.28–$50.40	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-UB-ABO RH	$32.25	$75.00	$52.50–$75.00	—	57%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$49.88	$116.00	$81.20–$116.00	—	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$5.16	$12.00	$3.00–$33.00	89% below	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL-P-CRP	$12.04	$28.00	$5.18–$33.00	74% below	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL-P-IBD SGI DIAG 1800C	$12.22	$28.41	$5.18–$33.00	74% below	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL-P-CRP	$12.04	$28.00	$19.60–$28.00	—	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL-P-IBD SGI DIAG 1800C	$12.22	$28.41	$19.89–$28.41	—	57%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$50.31	$117.00	$81.90–$117.00	—	57%
C. difficile toxin gene test (stool PCR) CPT 87493 RL-A-CDIFF PCR 2002838	$40.42	$94.00	$23.50–$143.20	74% below	57%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB	$59.34	$138.00	$25.78–$143.20	61% below	57%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL-A-CDIFF PCR 2002838	$40.42	$94.00	$65.80–$94.00	—	57%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB	$94.17	$219.00	$153.30–$219.00	—	57%
CA 19-9 blood test (tumor marker) CPT 86301 NH-CANCER ANTIGEN GI 19-9	$53.69	$124.86	$16.65–$124.86	8% above	57%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 NH-CANCER ANTIGEN GI 19-9	$53.69	$124.86	$87.41–$124.86	—	57%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125	$104.06	$242.00	$16.65–$242.00	10% above	57%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125	$104.06	$242.00	$169.40–$242.00	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638	$32.17	$74.80	$18.70–$256.55	54% below	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-QI-COVID19 39448	$43.00	$100.00	$25.00–$256.55	39% below	57%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$72.67	$169.00	$42.25–$256.55	4% above	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638	$32.17	$74.80	$52.36–$74.80	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-QI-COVID19 39448	$43.00	$100.00	$70.00–$100.00	—	57%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH	$72.67	$169.00	$118.30–$169.00	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-PI-CHLAMYDIA 562	$16.77	$39.00	$9.75–$183.55	69% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-GUDP PCR 3005674A	$27.52	$64.00	$16.00–$183.55	50% below	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL-A-CT LGVPCR 2013768	$60.55	$140.80	$33.04–$183.55	11% above	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB	$174.15	$405.00	$33.04–$405.00	219% above	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-PI-CHLAMYDIA 562	$16.77	$39.00	$27.30–$39.00	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-GUDP PCR 3005674A	$27.52	$64.00	$44.80–$64.00	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL-A-CT LGVPCR 2013768	$60.55	$140.80	$98.56–$140.80	—	57%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB	$174.15	$405.00	$283.50–$405.00	—	57%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$109.22	$254.00	$13.39–$205.07	8% above	57%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$191.78	$446.00	$312.20–$446.00	—	57%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$64.07	$149.00	$7.77–$119.20	42% below	57%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$80.84	$188.00	$131.60–$188.00	—	57%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF	$55.90	$130.00	$6.47–$104.00	26% below	57%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF	$86.00	$200.00	$140.00–$200.00	—	57%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$166.41	$387.00	$10.56–$309.60	35% below	57%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$277.35	$645.00	$451.50–$645.00	—	57%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN	$10.32	$24.00	$6.00–$64.90	91% below	57%
D-dimer blood test (blood clot marker) CPT 85379 RL-UI-D-DIMER	$16.34	$38.00	$9.50–$64.90	86% below	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 RL-UI-D-DIMER	$16.34	$38.00	$26.60–$38.00	—	57%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN	$95.03	$221.00	$154.70–$221.00	—	57%
Estradiol blood test CPT 82670 RL-A-ESDIOL TMS 93247	$12.04	$28.00	$7.00–$177.20	81% below	57%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$41.71	$97.00	$24.25–$177.20	33% below	57%
Estradiol blood test inpatient CPT 82670 RL-A-ESDIOL TMS 93247	$12.04	$28.00	$19.60–$28.00	—	57%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$41.71	$97.00	$67.90–$97.00	—	57%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE	$41.28	$96.00	$18.58–$117.70	53% below	57%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE	$41.28	$96.00	$67.20–$96.00	—	57%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859	$17.20	$40.00	$10.00–$87.25	76% below	57%
Fecal calprotectin (stool inflammation test) CPT 83993 RL-P-FECAL CALPROTECTIN	$359.05	$835.00	$15.71–$668.00	393% above	57%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859	$17.20	$40.00	$28.00–$40.00	—	57%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-P-FECAL CALPROTECTIN	$359.05	$835.00	$584.50–$835.00	—	57%
Ferritin blood test (iron stores) CPT 82728 RL-A-FIBRO NAFL 2012521C	$13.25	$30.80	$7.70–$86.55	84% below	57%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$15.91	$37.00	$9.25–$86.55	81% below	57%
Ferritin blood test (iron stores) inpatient CPT 82728 RL-A-FIBRO NAFL 2012521C	$13.25	$30.80	$21.56–$30.80	—	57%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$133.73	$311.00	$217.70–$311.00	—	57%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$16.77	$39.00	$9.75–$93.75	80% below	57%
Folate (folic acid) blood test CPT 82746 NH-FOLIC ACID SERUM	$18.97	$44.10	$11.03–$93.75	78% below	57%
Folate (folic acid) blood test inpatient CPT 82746 NH-FOLIC ACID SERUM	$18.97	$44.10	$30.87–$44.10	—	57%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$111.80	$260.00	$182.00–$260.00	—	57%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE	$18.49	$43.00	$10.75–$85.55	71% below	57%
Free T3 thyroid hormone test CPT 84481 NH-TRIIODOTHYRONINE FREE	$21.86	$50.82	$12.71–$85.55	66% below	57%
Free T3 thyroid hormone test inpatient CPT 84481 NH-TRIIODOTHYRONINE FREE	$21.86	$50.82	$35.58–$50.82	—	57%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE	$61.92	$144.00	$100.80–$144.00	—	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE	$8.60	$20.00	$5.00–$56.75	87% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL-A-FT4 ED-TMS 93244	$9.46	$22.00	$5.50–$56.75	86% below	57%
Free T4 (free thyroxine) thyroid blood test CPT 84439 NH-THYROXINE FREE	$11.64	$27.06	$6.77–$56.75	83% below	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL-A-FT4 ED-TMS 93244	$9.46	$22.00	$15.40–$22.00	—	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 NH-THYROXINE FREE	$11.64	$27.06	$18.95–$27.06	—	57%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE	$73.10	$170.00	$119.00–$170.00	—	57%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$502.67	$1,169.00	$54.43–$935.20	81% above	57%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$502.67	$1,169.00	$818.30–$1,169.00	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$4.30	$10.00	$2.50–$30.05	90% below	57%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PP	$21.93	$51.00	$4.75–$51.00	51% below	57%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP	$115.67	$269.00	$4.75–$215.20	161% above	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PP	$21.93	$51.00	$35.70–$51.00	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$55.47	$129.00	$90.30–$129.00	—	57%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP	$115.67	$269.00	$188.30–$269.00	—	57%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC	$14.62	$34.00	$8.50–$80.85	88% below	57%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC	$14.62	$34.00	$23.80–$34.00	—	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL-PI-N GONORRHEA 562	$16.77	$39.00	$9.75–$181.90	69% below	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB	$208.55	$485.00	$32.74–$485.00	291% above	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL-PI-N GONORRHEA 562	$16.77	$39.00	$27.30–$39.00	—	57%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB	$208.55	$485.00	$339.50–$485.00	—	57%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL-A-HIVCSF QNT 3000872	$35.39	$82.28	$20.57–$542.50	58% below	57%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL-A-HIVCSF QNT 3000872	$35.39	$82.28	$57.60–$82.28	—	57%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB RAPID	$20.21	$47.00	$11.75–$85.80	51% below	57%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB RAPID	$74.82	$174.00	$121.80–$174.00	—	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$25.37	$59.00	$14.75–$101.30	58% below	57%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB	$87.29	$203.00	$142.10–$203.00	—	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-A-HPV REFLEX 3016945	$16.34	$38.00	$9.50–$155.95	88% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-PI-HPV HIGH RISK 5437	$20.21	$47.00	$11.75–$155.95	85% below	57%
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL-JT-HPV HIRISK	$43.00	$100.00	$25.00–$155.95	68% below	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-A-HPV REFLEX 3016945	$16.34	$38.00	$26.60–$38.00	—	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-PI-HPV HIGH RISK 5437	$20.21	$47.00	$32.90–$47.00	—	57%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL-JT-HPV HIRISK	$43.00	$100.00	$70.00–$100.00	—	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$9.46	$22.00	$5.50–$61.25	85% below	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 NH-HEMOGLOBIN A1C	$12.53	$29.13	$7.29–$61.25	81% below	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 NH-HEMOGLOBIN A1C	$12.53	$29.13	$20.40–$29.13	—	57%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$85.57	$199.00	$139.30–$199.00	—	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$10.32	$24.00	$6.00–$68.20	73% below	57%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$101.05	$235.00	$164.50–$235.00	—	57%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL	$10.32	$24.00	$6.00–$65.40	83% below	57%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL	$101.05	$235.00	$164.50–$235.00	—	57%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$16.34	$38.00	$9.50–$90.15	69% below	57%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$101.05	$235.00	$164.50–$235.00	—	57%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 NH-IA HEPATITIS C QN RT	$55.47	$129.00	$32.25–$226.00	29% below	57%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 NH-IA HEPATITIS C QN RT	$55.47	$129.00	$90.30–$129.00	—	57%
Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379	$9.51	$22.11	$5.53–$84.05	49% below	57%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379	$9.51	$22.11	$15.48–$22.11	—	57%
Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERPIICSF 50359	$9.51	$22.11	$5.53–$86.00	64% below	57%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERPIICSF 50359	$9.51	$22.11	$15.48–$22.11	—	57%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$15.91	$37.00	$9.25–$55.30	66% below	57%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$72.24	$168.00	$117.60–$168.00	—	57%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$22.36	$52.00	$13.00–$74.95	46% below	57%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$50.74	$118.00	$82.60–$118.00	—	57%
Insulin blood test CPT 83525 NH-INSULIN LEVEL FASTING	$29.49	$68.58	$10.33–$68.58	12% below	57%
Insulin blood test inpatient CPT 83525 NH-INSULIN LEVEL FASTING	$29.49	$68.58	$48.01–$68.58	—	57%
Iron blood test (serum iron) CPT 83540 IRON	$6.88	$16.00	$4.00–$41.00	84% below	57%
Iron blood test (serum iron) CPT 83540 RL-A-FE LIVER 28250	$39.36	$91.52	$6.47–$91.52	11% below	57%
Iron blood test (serum iron) inpatient CPT 83540 RL-A-FE LIVER 28250	$39.36	$91.52	$64.07–$91.52	—	57%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$114.38	$266.00	$186.20–$266.00	—	57%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$70.09	$163.00	$8.74–$130.40	27% above	57%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$153.94	$358.00	$250.60–$358.00	—	57%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$42.57	$99.00	$18.52–$117.50	47% below	57%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$42.57	$99.00	$69.30–$99.00	—	57%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$8.60	$20.00	$5.00–$43.60	89% below	57%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$84.71	$197.00	$137.90–$197.00	—	57%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$236.50	$550.00	$385.00–$550.00	—	57%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053	$20.86	$48.51	$12.13–$108.60	13% below	57%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760	$21.50	$50.00	$12.50–$108.60	10% below	57%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053	$20.86	$48.51	$33.96–$48.51	—	57%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760	$21.50	$50.00	$35.00–$50.00	—	57%
Magnesium blood test CPT 83735 RL-A-FEC PRO 20699C	$5.73	$13.32	$3.33–$42.75	90% below	57%
Magnesium blood test CPT 83735 MAGNESIUM	$7.74	$18.00	$4.50–$42.75	87% below	57%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079	$10.32	$24.00	$6.00–$42.75	82% below	57%
Magnesium blood test CPT 83735 MAGNESIUM UR 24HR	$95.03	$221.00	$6.70–$176.80	64% above	57%
Magnesium blood test inpatient CPT 83735 RL-A-FEC PRO 20699C	$5.73	$13.32	$9.33–$13.32	—	57%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079	$10.32	$24.00	$16.80–$24.00	—	57%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$55.47	$129.00	$90.30–$129.00	—	57%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR 24HR	$95.03	$221.00	$154.70–$221.00	—	57%
Measles (rubeola) antibody test CPT 86765 RL-A-ENCEPH-CSF 3017752C	$6.57	$15.26	$3.82–$82.10	69% below	57%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$14.62	$34.00	$8.50–$82.10	30% below	57%
Measles (rubeola) antibody test inpatient CPT 86765 RL-A-ENCEPH-CSF 3017752C	$6.57	$15.26	$10.69–$15.26	—	57%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$31.82	$74.00	$51.80–$74.00	—	57%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST SCRN	$102.77	$239.00	$5.18–$191.20	11% above	57%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST SCRN	$102.77	$239.00	$167.30–$239.00	—	57%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$24.08	$56.00	$14.00–$92.30	31% below	57%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$24.08	$56.00	$39.20–$56.00	—	57%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$21.93	$51.00	$12.75–$117.25	53% below	57%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$109.65	$255.00	$178.50–$255.00	—	57%
Pap test (liquid-based, automated screening with review) CPT 88175 RL-PI-PAP W HPV 30+ 622	$12.90	$30.00	$7.50–$117.50	86% below	57%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTO THIN PREP AUTO MAN	$27.52	$64.00	$16.00–$117.50	70% below	57%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 RL-PI-PAP W HPV 30+ 622	$12.90	$30.00	$21.00–$30.00	—	57%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO THIN PREP AUTO MAN	$113.52	$264.00	$184.80–$264.00	—	57%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG AUTO MAN	$21.50	$50.00	$12.50–$129.10	76% below	57%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG AUTO MAN	$86.86	$202.00	$141.40–$202.00	—	57%
Parathyroid hormone (PTH) blood test CPT 83970 NH-PTH-INTACT	$53.26	$123.84	$30.96–$249.85	49% below	57%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP	$97.18	$226.00	$41.28–$249.85	6% below	57%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT	$142.76	$332.00	$41.28–$332.00	38% above	57%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 NH-PTH-INTACT	$53.26	$123.84	$86.69–$123.84	—	57%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP	$97.18	$226.00	$158.20–$226.00	—	57%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT	$142.76	$332.00	$232.40–$332.00	—	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME	$6.88	$16.00	$4.00–$38.30	82% below	57%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033	$13.25	$30.80	$6.01–$38.30	65% below	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033	$13.25	$30.80	$21.56–$30.80	—	57%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME	$86.86	$202.00	$141.40–$202.00	—	57%
Progesterone blood test CPT 84144 RL-A-PGSN 2008509	$10.32	$24.00	$6.00–$131.25	81% below	57%
Progesterone blood test CPT 84144 NH-PROGESTERONE LEVEL	$56.33	$131.00	$20.86–$131.25	3% above	57%
Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509	$10.32	$24.00	$16.80–$24.00	—	57%
Progesterone blood test inpatient CPT 84144 NH-PROGESTERONE LEVEL	$56.33	$131.00	$91.70–$131.00	—	57%
Prolactin blood test CPT 84146 RL-A-MACROPRO 20765	$16.49	$38.34	$9.59–$122.70	82% below	57%
Prolactin blood test CPT 84146 PROLACTIN	$55.47	$129.00	$19.38–$129.00	38% below	57%
Prolactin blood test inpatient CPT 84146 RL-A-MACROPRO 20765	$16.49	$38.34	$26.84–$38.34	—	57%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$55.47	$129.00	$90.30–$129.00	—	57%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260	$5.79	$13.46	$3.37–$25.05	88% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME LAB	$18.92	$44.00	$4.29–$44.00	60% below	57%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$55.47	$129.00	$4.29–$103.20	16% above	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260	$5.79	$13.46	$9.43–$13.46	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME LAB	$18.92	$44.00	$30.80–$44.00	—	57%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$55.47	$129.00	$90.30–$129.00	—	57%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC	$102.77	$239.00	$7.96–$191.20	36% above	57%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC	$102.77	$239.00	$167.30–$239.00	—	57%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IMMUNO OPT NONL	$93.31	$217.00	$9.03–$173.60	12% below	57%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IMMUNO OPT NONL	$93.31	$217.00	$151.90–$217.00	—	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL R 3016635B	$9.75	$22.66	$5.67–$36.00	25% below	57%
Rheumatoid factor (RF) test CPT 86431 RL-A-ILD PANEL2 3018869D	$10.75	$25.00	$5.67–$36.00	17% below	57%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN	$49.02	$114.00	$5.67–$91.20	277% above	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL R 3016635B	$9.75	$22.66	$15.87–$22.66	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-ILD PANEL2 3018869D	$10.75	$25.00	$17.50–$25.00	—	57%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN	$49.02	$114.00	$79.80–$114.00	—	57%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$15.91	$37.00	$9.25–$91.75	60% below	57%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$16.77	$39.00	$27.30–$39.00	—	57%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO	$37.41	$87.00	$60.90–$87.00	—	57%
Stool ova and parasites exam CPT 87177 O P CONCENTRATE ID	$8.60	$20.00	$5.00–$51.50	52% below	57%
Stool ova and parasites exam inpatient CPT 87177 O P CONCENTRATE ID	$50.74	$118.00	$82.60–$118.00	—	57%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCC BLD FEC QL 3SPEC NONL	$29.24	$68.00	$3.47–$54.40	25% below	57%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC	$55.47	$129.00	$3.47–$103.20	42% above	57%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCC BLD FEC QL 3SPEC NONL	$29.24	$68.00	$47.60–$68.00	—	57%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC	$55.47	$129.00	$90.30–$129.00	—	57%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 RL-A-FOB IA 2007190	$10.73	$24.95	$6.24–$70.70	70% below	57%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL	$64.50	$150.00	$12.73–$126.60	80% above	57%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 RL-A-FOB IA 2007190	$10.73	$24.95	$17.47–$24.95	—	57%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL	$64.50	$150.00	$105.00–$150.00	—	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL	$4.30	$10.00	$2.50–$22.80	71% below	57%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL	$46.44	$108.00	$75.60–$108.00	—	57%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL-LB-TB CELL IMMUN MEAS	$43.00	$100.00	$25.00–$216.95	39% below	57%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB CELL IMMUN MEASURE	$79.98	$186.00	$39.05–$216.95	13% above	57%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL-LB-TB CELL IMMUN MEAS	$43.00	$100.00	$70.00–$100.00	—	57%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB CELL IMMUN MEASURE	$79.98	$186.00	$130.20–$186.00	—	57%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$27.95	$65.00	$16.25–$163.50	30% below	57%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$27.95	$65.00	$45.50–$65.00	—	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-ES-ANTITHYROID PEROX	$32.58	$75.75	$14.55–$92.75	42% above	57%
Thyroid peroxidase (TPO) antibody test CPT 86376 NH-MICROSOML AB THYROID	$37.54	$87.30	$14.55–$92.75	64% above	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-ES-ANTITHYROID PEROX	$32.58	$75.75	$53.03–$75.75	—	57%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 NH-MICROSOML AB THYROID	$37.54	$87.30	$61.11–$87.30	—	57%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE	$39.99	$93.00	$16.80–$105.85	52% below	57%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE	$128.57	$299.00	$209.30–$299.00	—	57%
Trichomonas test (NAAT) CPT 87661 RL-PI-TRICH CT GC 562	$16.34	$38.00	$9.50–$152.70	82% below	57%
Trichomonas test (NAAT) inpatient CPT 87661 RL-PI-TRICH CT GC 562	$16.34	$38.00	$26.60–$38.00	—	57%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$4.73	$11.00	$2.75–$28.75	92% below	57%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$50.31	$117.00	$81.90–$117.00	—	57%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO	$44.72	$104.00	$72.80–$104.00	—	57%
Urinalysis with microscope exam, manual CPT 81000 UA NONAUTO W/MICRO NONL	$6.88	$16.00	$3.33–$18.50	84% below	57%
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NONAUTO W/MICRO NONL	$6.88	$16.00	$11.20–$16.00	—	57%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO LAB	$28.81	$67.00	$2.25–$53.60	49% below	57%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO NONL	$29.24	$68.00	$2.25–$54.40	48% below	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO LAB	$28.81	$67.00	$46.90–$67.00	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO NONL	$29.24	$68.00	$47.60–$68.00	—	57%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO	$47.73	$111.00	$77.70–$111.00	—	57%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY UR	$3.01	$7.00	$1.75–$15.40	89% below	57%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/O MICRO NONL	$3.44	$8.00	$2.00–$15.40	88% below	57%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W/O MICRO NONL	$3.44	$8.00	$5.60–$8.00	—	57%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY UR	$3.87	$9.00	$6.30–$9.00	—	57%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT	$7.74	$18.00	$4.50–$40.50	94% below	57%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT	$97.61	$227.00	$158.90–$227.00	—	57%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL	$6.45	$15.00	$3.62–$20.10	92% below	57%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL NONL	$10.32	$24.00	$3.62–$24.00	88% below	57%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL LAB	$98.90	$230.00	$3.62–$184.00	15% above	57%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL NONL	$10.32	$24.00	$16.80–$24.00	—	57%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL LAB	$98.90	$230.00	$161.00–$230.00	—	57%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL	$104.06	$242.00	$169.40–$242.00	—	57%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$16.77	$39.00	$9.75–$95.60	73% below	57%
Vitamin B12 (cobalamin) blood test CPT 82607 NH-VITAMIN B-12	$18.92	$44.00	$11.00–$95.60	69% below	57%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 NH-VITAMIN B-12	$18.92	$44.00	$30.80–$44.00	—	57%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$111.80	$260.00	$182.00–$260.00	—	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$103.20	$240.00	$24.79–$240.00	61% above	57%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$107.50	$250.00	$175.00–$250.00	—	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN	$22.36	$52.00	$13.00–$94.95	84% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN	$130.72	$304.00	$14.07–$243.20	6% below	57%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN	$97.61	$227.00	$158.90–$227.00	—	57%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN	$130.72	$304.00	$212.80–$304.00	—	57%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU	$11,976.79	$27,853.00	$950.01–$27,867.00	7% below	57%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU	$11,976.79	$27,853.00	$19,497.10–$27,853.00	—	57%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT	$1,028.99	$2,393.00	$158.09–$6,054.00	42% below	57%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT	$1,028.99	$2,393.00	$1,675.10–$2,393.00	—	57%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$17,003.92	$39,544.00	$1,005.02–$49,873.18	44% below	57%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP	$17,003.92	$39,544.00	$27,680.80–$39,544.00	—	57%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE	$395.60	$920.00	$48.70–$8,463.00	15% below	57%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE	$395.60	$920.00	$644.00–$920.00	—	57%
Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY	$3,478.27	$8,089.00	$762.86–$26,454.00	65% below	57%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY	$3,478.27	$8,089.00	$5,662.30–$8,089.00	—	57%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP	$515.14	$1,198.00	$299.50–$6,343.00	41% below	57%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP	$515.14	$1,198.00	$838.60–$1,198.00	—	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY	$155.23	$361.00	$16.78–$6,343.00	50% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY	$181.46	$422.00	$16.78–$6,343.00	41% below	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY	$155.23	$361.00	$252.70–$361.00	—	57%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY	$181.46	$422.00	$295.40–$422.00	—	57%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR	$595.12	$1,384.00	$28.59–$11,374.00	32% below	57%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR	$595.12	$1,384.00	$968.80–$1,384.00	—	57%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN	$3,015.16	$7,012.00	$174.42–$12,749.00	39% below	57%
Critical care, first 30 to 74 minutes CPT 99291 TRAUMA COMPREHENSIVE	$3,157.49	$7,343.00	$174.42–$12,749.00	36% below	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN	$3,015.16	$7,012.00	$4,908.40–$7,012.00	—	57%
Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA COMPREHENSIVE	$3,157.49	$7,343.00	$5,140.10–$7,343.00	—	57%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$546.96	$1,272.00	$86.73–$6,343.00	38% below	57%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$546.96	$1,272.00	$890.40–$1,272.00	—	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY	$197.37	$459.00	$18.82–$6,343.00	42% below	57%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY	$197.37	$459.00	$321.30–$459.00	—	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$245.53	$571.00	$19.59–$5,826.00	36% below	57%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$245.53	$571.00	$399.70–$571.00	—	57%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$602.00	$1,400.00	$31.47–$5,826.00	19% below	57%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$602.00	$1,400.00	$980.00–$1,400.00	—	57%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$1,142.51	$2,657.00	$57.57–$12,480.00	5% below	57%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$1,142.51	$2,657.00	$1,859.90–$2,657.00	—	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$1,733.33	$4,031.00	$88.24–$12,480.00	11% below	57%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LIMITED	$1,815.46	$4,222.00	$88.24–$12,480.00	7% below	57%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$1,733.33	$4,031.00	$2,821.70–$4,031.00	—	57%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LIMITED	$1,815.46	$4,222.00	$2,955.40–$4,222.00	—	57%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$2,511.20	$5,840.00	$139.53–$12,749.00	24% below	57%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA ESSENTIAL	$2,629.88	$6,116.00	$139.53–$12,749.00	20% below	57%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$2,511.20	$5,840.00	$4,088.00–$5,840.00	—	57%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA ESSENTIAL	$2,629.88	$6,116.00	$4,281.20–$6,116.00	—	57%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVAS STRES TEST	$961.48	$2,236.00	$57.96–$6,343.00	21% below	57%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST	$961.48	$2,236.00	$1,565.20–$2,236.00	—	57%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 15MIN	$86.00	$200.00	$3.98–$1,593.00	68% below	57%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 30MIN	$129.00	$300.00	$3.98–$1,593.00	53% below	57%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 60MIN	$193.50	$450.00	$3.98–$1,593.00	29% below	57%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 75MIN	$258.00	$600.00	$3.98–$1,593.00	5% below	57%
Group psychotherapy session CPT 90853 GROUP INTERACTVE FULL DAY	$365.50	$850.00	$3.98–$1,593.00	34% above	57%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 15MIN	$86.00	$200.00	$140.00–$200.00	—	57%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 30MIN	$129.00	$300.00	$210.00–$300.00	—	57%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 60MIN	$193.50	$450.00	$315.00–$450.00	—	57%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 75MIN	$258.00	$600.00	$420.00–$600.00	—	57%
Group psychotherapy session inpatient CPT 90853 GROUP INTERACTVE FULL DAY	$365.50	$850.00	$595.00–$850.00	—	57%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN	$290.68	$676.00	$51.30–$676.00	36% below	57%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN	$290.68	$676.00	$473.20–$676.00	—	57%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR	$330.67	$769.00	$62.60–$1,274.00	31% below	57%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR	$330.67	$769.00	$538.30–$769.00	—	57%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$145.77	$339.00	$18.75–$1,274.00	7% below	57%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM	$145.77	$339.00	$237.30–$339.00	—	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL 30 MIN	$86.00	$200.00	$50.00–$6,343.00	73% below	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL 45 MIN	$115.24	$268.00	$67.00–$6,343.00	64% below	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL 15 MIN	$130.72	$304.00	$76.00–$6,343.00	59% below	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL 60 MIN	$144.48	$336.00	$84.00–$6,343.00	55% below	57%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL 90 MIN	$203.39	$473.00	$118.25–$6,343.00	36% below	57%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL 30 MIN	$86.00	$200.00	$140.00–$200.00	—	57%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL 45 MIN	$115.24	$268.00	$187.60–$268.00	—	57%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL 15 MIN	$130.72	$304.00	$212.80–$304.00	—	57%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL 60 MIN	$144.48	$336.00	$235.20–$336.00	—	57%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL 90 MIN	$203.39	$473.00	$331.10–$473.00	—	57%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCT 7-8 STUDIES	$664.78	$1,546.00	$144.85–$6,343.00	37% below	57%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCT 7-8 STUDIES	$664.78	$1,546.00	$1,082.20–$1,546.00	—	57%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT	$116.96	$272.00	$68.00–$509.50	35% below	57%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT	$116.96	$272.00	$190.40–$272.00	—	57%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT	$177.16	$412.00	$98.83–$613.70	25% below	57%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT	$832.48	$1,936.00	$98.83–$6,343.00	252% above	57%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT	$177.16	$412.00	$288.40–$412.00	—	57%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT	$832.48	$1,936.00	$1,355.20–$1,936.00	—	57%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT	$244.67	$569.00	$118.62–$736.65	14% below	57%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT	$244.67	$569.00	$398.30–$569.00	—	57%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HEALTH COACH VISIT NEW PT	$76.97	$179.00	$44.75–$305.55	42% below	57%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT	$90.73	$211.00	$49.20–$305.55	32% below	57%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW	$107.07	$249.00	$49.20–$6,343.00	19% below	57%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HEALTH COACH VISIT NEW PT	$76.97	$179.00	$125.30–$179.00	—	57%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT	$90.73	$211.00	$147.70–$211.00	—	57%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW	$107.07	$249.00	$174.30–$249.00	—	57%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT NUTRITION INITL EA15	$89.44	$208.00	$27.32–$6,343.00	10% below	57%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT NUTRITION INITL EA15	$89.44	$208.00	$145.60–$208.00	—	57%
Preventive checkup, new patient aged 18–39 CPT 99385 COMP PREV EVL18-39 INI NW	$85.14	$198.00	$49.50–$570.50	49% below	57%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 COMP PREV EVL18-39 INI NW	$85.14	$198.00	$138.60–$198.00	—	57%
Preventive checkup, new patient aged 40–64 CPT 99386 COMP PREV EVL40-64 INI NW	$132.87	$309.00	$77.25–$661.00	28% below	57%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 COMP PREV EVL40-64 INI NW	$132.87	$309.00	$216.30–$309.00	—	57%
Preventive checkup, new patient aged 65 or older CPT 99387 COMP PREV EVL >64 INI NEW	$90.30	$210.00	$52.50–$888.05	50% below	57%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 COMP PREV EVL >64 INI NEW	$90.30	$210.00	$147.00–$210.00	—	57%
Preventive checkup, returning patient aged 18–39 CPT 99395 COMP PREV REEVL 18-39 EST	$153.51	$357.00	$89.25–$514.50	1% below	57%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 COMP PREV REEVL 18-39 EST	$153.51	$357.00	$249.90–$357.00	—	57%
Preventive checkup, returning patient aged 40–64 CPT 99396 COMP PREV REEVL 40-64 EST	$144.91	$337.00	$84.25–$549.50	8% below	57%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 COMP PREV REEVL 40-64 EST	$144.91	$337.00	$235.90–$337.00	—	57%
Preventive checkup, returning patient aged 65 or older CPT 99397 COMP PREV REEVAL >64 EST	$150.93	$351.00	$87.75–$735.25	4% below	57%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 COMP PREV REEVAL >64 EST	$150.93	$351.00	$245.70–$351.00	—	57%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHER PAT 16-37 MIN	$112.23	$261.00	$60.34–$1,593.00	63% below	57%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHER PAT 16-37 MIN	$112.23	$261.00	$182.70–$261.00	—	57%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHER PAT 38-52 MIN	$147.49	$343.00	$76.66–$1,593.00	54% below	57%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHER PAT 38-52 MIN	$147.49	$343.00	$240.10–$343.00	—	57%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY PAT >53 MIN	$218.44	$508.00	$98.02–$1,593.00	36% below	57%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY PAT >53 MIN	$218.44	$508.00	$355.60–$508.00	—	57%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN	$39.13	$91.00	$9.37–$6,343.00	29% below	57%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN	$39.13	$91.00	$63.70–$91.00	—	57%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT	$156.95	$365.00	$82.05–$509.50	28% below	57%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT	$156.95	$365.00	$255.50–$365.00	—	57%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT	$107.50	$250.00	$34.43–$250.00	26% below	57%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT	$107.50	$250.00	$175.00–$250.00	—	57%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT	$122.12	$284.00	$53.79–$334.05	30% below	57%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT	$832.48	$1,936.00	$53.79–$6,343.00	376% above	57%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT	$122.12	$284.00	$198.80–$284.00	—	57%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT	$832.48	$1,936.00	$1,355.20–$1,936.00	—	57%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT	$90.73	$211.00	$25.96–$232.00	20% below	57%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GASTRC BAND ADJUS INJ/ASP	$90.73	$211.00	$25.96–$211.00	20% below	57%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 GASTRC BAND ADJUS INJ/ASP	$90.73	$211.00	$147.70–$211.00	—	57%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT	$90.73	$211.00	$147.70–$211.00	—	57%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$212.85	$495.00	$28.23–$495.00	34% below	57%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$212.85	$495.00	$346.50–$495.00	—	57%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST	$532.34	$1,238.00	$51.67–$1,188.48	31% below	57%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST	$532.34	$1,238.00	$866.60–$1,238.00	—	57%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$148.35	$345.00	$18.82–$6,343.00	50% below	57%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$148.35	$345.00	$241.50–$345.00	—	57%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV VAC30MCG/0.3MLSDV	$696.17	$1,619.00	$100.00–$1,619.00	199% above	57%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV VAC30MCG/0.3MLSDV	$696.17	$1,619.00	$323.80–$1,619.00	—	57%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VAC 0.5ML INJ	$887.09	$2,063.00	$136.06–$1,650.40	183% above	57%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VAC 0.5ML INJ	$887.09	$2,063.00	$412.60–$2,063.00	—	57%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$99.76	$232.00	$14.59–$229.53	197% above	57%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS	$99.76	$232.00	$30.16–$232.00	—	57%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN	$374.96	$872.00	$60.41–$872.00	169% above	57%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN	$374.96	$872.00	$174.40–$872.00	—	57%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VACC 20MCG 1ML IN	$133.73	$311.00	$40.43–$374.20	58% above	57%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC 10MCG/1ML INJ	$350.45	$815.00	$51.10–$815.00	314% above	57%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VACC 20MCG 1ML IN	$133.73	$311.00	$40.43–$311.00	—	57%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC 10MCG/1ML INJ	$350.45	$815.00	$105.95–$815.00	—	57%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$398.61	$927.00	$68.53–$741.60	241% above	57%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$398.61	$927.00	$185.40–$927.00	—	57%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOC B OMV 0.5MLVACC	$1,206.58	$2,806.00	$166.38–$2,806.00	321% above	57%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOC B OMV 0.5MLVACC	$1,206.58	$2,806.00	$561.20–$2,806.00	—	57%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT	$1,266.35	$2,945.00	$100.00–$2,945.00	152% above	57%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT	$1,266.35	$2,945.00	$589.00–$2,945.00	—	57%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ	$2,518.51	$5,857.00	$100.00–$5,857.00	160% above	57%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ	$2,518.51	$5,857.00	$1,171.40–$5,857.00	—	57%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML	$1,928.55	$4,485.00	$289.92–$3,588.00	173% above	57%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML	$1,928.55	$4,485.00	$897.00–$4,485.00	—	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PFVACC 0.5ML>=7YR	$182.75	$425.00	$20.83–$340.00	130% above	57%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PFVACC 0.5ML>=7YR	$182.75	$425.00	$85.00–$425.00	—	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM	$226.18	$526.00	$34.31–$526.00	169% above	57%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM	$226.18	$526.00	$105.20–$526.00	—	57%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMO VACCINE	$90.73	$211.00	$4.01–$202.56	10% below	57%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OTHER IMMUN VAC ONE	$94.17	$219.00	$4.01–$210.24	7% below	57%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE	$109.65	$255.00	$4.01–$244.80	9% above	57%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMO VACCINE	$90.73	$211.00	$147.70–$211.00	—	57%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OTHER IMMUN VAC ONE	$94.17	$219.00	$153.30–$219.00	—	57%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE	$109.65	$255.00	$178.50–$255.00	—	57%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD	$94.17	$219.00	$4.46–$210.24	40% above	57%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD	$94.17	$219.00	$153.30–$219.00	—	57%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsoc/casc/finance/price-transparency/941196203-1194840421_dignity-health_standardcharges.json