Dignity Health
Dignity Health in Oxnard, CA publishes cash prices for 251 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 199 of 249 procedures and above it for 50. By typical cash price it ranks #60 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1600 N Rose Ave, Oxnard, CA 93030 Collected Sep 27, 2026 Source price file (805) 988-2500
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 050082 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+ VIEWS LT | $370.99 | $847.00 | $54.55–$660.66 | 11% below | 56% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VIEWS LT | $370.99 | $847.00 | $228.69–$660.66 | — | 56% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI | $368.80 | $842.00 | $73.54–$17,179.00 | — | 56% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI | $368.80 | $842.00 | $227.34–$656.76 | — | 56% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON | $467.79 | $1,068.00 | $82.67–$864.73 | 12% below | 56% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON | $467.79 | $1,068.00 | $288.36–$833.04 | — | 56% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY | $1,824.71 | $4,166.00 | $306.05–$3,249.48 | 14% below | 56% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY | $1,824.71 | $4,166.00 | $1,124.82–$3,249.48 | — | 56% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LT | $296.53 | $677.00 | $135.12–$677.00 | 47% below | 56% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LT | $296.53 | $677.00 | $182.79–$528.06 | — | 56% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT | $296.53 | $677.00 | $111.88–$677.00 | 27% below | 56% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT | $296.53 | $677.00 | $182.79–$528.06 | — | 56% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON | $1,818.14 | $4,151.00 | $226.19–$3,237.78 | 42% below | 56% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON | $1,818.14 | $4,151.00 | $1,120.77–$3,237.78 | — | 56% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W | $2,184.75 | $4,988.00 | $401.74–$4,433.18 | 13% below | 56% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W | $2,184.75 | $4,988.00 | $1,346.76–$3,890.64 | — | 56% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON | $196.67 | $449.00 | $111.88–$449.00 | 37% below | 56% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON | $196.67 | $449.00 | $121.23–$350.22 | — | 56% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON | $3,038.41 | $6,937.00 | $263.71–$5,410.86 | 8% above | 56% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON | $3,038.41 | $6,937.00 | $1,872.99–$5,410.86 | — | 56% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON | $3,198.28 | $7,302.00 | $426.33–$5,695.56 | 20% below | 56% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON | $3,198.28 | $7,302.00 | $1,971.54–$5,695.56 | — | 56% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON | $3,262.23 | $7,448.00 | $453.77–$5,809.44 | 26% below | 56% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON | $3,262.23 | $7,448.00 | $2,010.96–$5,809.44 | — | 56% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON | $1,354.30 | $3,092.00 | $226.19–$2,411.76 | 39% below | 56% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON | $1,354.30 | $3,092.00 | $834.84–$2,411.76 | — | 56% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON | $1,312.25 | $2,996.00 | $135.12–$2,336.88 | 30% below | 56% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON | $1,312.25 | $2,996.00 | $808.92–$2,336.88 | — | 56% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON | $1,568.92 | $3,582.00 | $135.12–$2,793.96 | 28% below | 56% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON | $1,568.92 | $3,582.00 | $967.14–$2,793.96 | — | 56% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON | $1,778.28 | $4,060.00 | $135.12–$3,166.80 | 22% below | 56% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON | $1,778.28 | $4,060.00 | $1,096.20–$3,166.80 | — | 56% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CON | $2,133.94 | $4,872.00 | $226.19–$3,800.16 | 21% below | 56% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON | $2,133.94 | $4,872.00 | $1,315.44–$3,800.16 | — | 56% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON | $2,489.60 | $5,684.00 | $226.19–$4,433.52 | 11% below | 56% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON | $2,489.60 | $5,684.00 | $1,534.68–$4,433.52 | — | 56% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON | $1,734.48 | $3,960.00 | $135.12–$3,088.80 | 38% below | 56% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON | $1,734.48 | $3,960.00 | $1,069.20–$3,088.80 | — | 56% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON | $2,430.47 | $5,549.00 | $135.12–$4,328.22 | 17% below | 56% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON | $2,430.47 | $5,549.00 | $1,498.23–$4,328.22 | — | 56% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON | $2,426.96 | $5,541.00 | $226.19–$4,321.98 | 5% below | 56% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON | $2,426.96 | $5,541.00 | $1,496.07–$4,321.98 | — | 56% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL | $1,241.30 | $2,834.00 | $221.09–$17,179.00 | 2% above | 56% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL | $1,241.30 | $2,834.00 | $765.18–$2,210.52 | — | 56% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $295.22 | $674.00 | $41.56–$525.72 | 23% below | 56% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $295.22 | $674.00 | $181.98–$525.72 | — | 56% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $229.08 | $523.00 | $26.70–$407.94 | 32% below | 56% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $229.08 | $523.00 | $141.21–$407.94 | — | 56% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL | $852.79 | $1,947.00 | $135.12–$1,518.66 | 1% above | 56% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL | $852.79 | $1,947.00 | $525.69–$1,518.66 | — | 56% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL | $233.02 | $532.00 | $51.84–$532.00 | 51% below | 56% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL | $233.02 | $532.00 | $143.64–$414.96 | — | 56% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND | $132.72 | $303.00 | $37.97–$391.59 | 50% below | 56% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND | $132.72 | $303.00 | $81.81–$236.34 | — | 56% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST | $270.25 | $617.00 | $166.59–$1,113.94 | 67% below | 56% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST | $270.25 | $617.00 | $166.59–$481.26 | — | 56% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON | $1,830.41 | $4,179.00 | $135.12–$3,259.62 | 1% above | 56% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON | $1,830.41 | $4,179.00 | $1,128.33–$3,259.62 | — | 56% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON | $1,775.22 | $4,053.00 | $226.19–$3,161.34 | 24% below | 56% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON | $1,775.22 | $4,053.00 | $1,094.31–$3,161.34 | — | 56% |
| Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL | $247.04 | $564.00 | $152.28–$564.00 | 40% below | 56% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL | $247.04 | $564.00 | $152.28–$439.92 | — | 56% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMO DIAG W CAD RT | $192.72 | $440.00 | $118.80–$440.00 | 45% below | 56% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAMMO DIAG W CAD RT | $192.72 | $440.00 | $118.80–$343.20 | — | 56% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL | $1,200.56 | $2,741.00 | $136.73–$17,179.00 | 24% above | 56% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL | $1,200.56 | $2,741.00 | $740.07–$2,137.98 | — | 56% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL | $1,794.05 | $4,096.00 | $237.46–$17,179.00 | 59% above | 56% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL | $1,794.05 | $4,096.00 | $1,105.92–$3,194.88 | — | 56% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE COMP W SPEC/CF W CON | $2,409.00 | $5,500.00 | $362.73–$16,472.00 | at median | 56% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE COMP W SPEC/CF W CON | $2,409.00 | $5,500.00 | $1,485.00–$4,290.00 | — | 56% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM | $1,546.58 | $3,531.00 | $440.27–$3,531.00 | 1% above | 56% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM | $1,546.58 | $3,531.00 | $953.37–$2,754.18 | — | 56% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT | $321.50 | $734.00 | $50.74–$572.52 | 21% below | 56% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT | $321.50 | $734.00 | $198.18–$572.52 | — | 56% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD | $555.39 | $1,268.00 | $131.82–$989.04 | 33% below | 56% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD | $555.39 | $1,268.00 | $342.36–$989.04 | — | 56% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE | $1,445.84 | $3,301.00 | $135.12–$2,574.78 | 264% above | 56% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE | $1,445.84 | $3,301.00 | $891.27–$2,574.78 | — | 56% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOW EXTREM JNT WO BIL | $3,173.31 | $7,245.00 | $307.13–$9,107.00 | 27% above | 56% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOW EXTREM JNT WO BIL | $3,173.31 | $7,245.00 | $1,956.15–$5,651.10 | — | 56% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MR LOW EXTREM JNT WO W BI | $2,253.08 | $5,144.00 | $453.77–$9,107.00 | — | 56% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MR LOW EXTREM JNT WO W BI | $2,253.08 | $5,144.00 | $1,388.88–$4,012.32 | — | 56% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON LTD | $2,430.47 | $5,549.00 | $307.13–$9,107.00 | 8% below | 56% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON LTD | $2,430.47 | $5,549.00 | $1,498.23–$4,328.22 | — | 56% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON | $2,916.21 | $6,658.00 | $453.77–$9,107.00 | 33% below | 56% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON | $2,916.21 | $6,658.00 | $1,797.66–$5,193.24 | — | 56% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON | $2,534.27 | $5,786.00 | $307.13–$9,107.00 | 3% below | 56% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON | $2,534.27 | $5,786.00 | $1,562.22–$4,513.08 | — | 56% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON | $3,699.79 | $8,447.00 | $453.77–$9,107.00 | 2% below | 56% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON | $3,699.79 | $8,447.00 | $2,280.69–$6,588.66 | — | 56% |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON | $3,285.00 | $7,500.00 | $307.13–$9,107.00 | 29% above | 56% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON | $3,285.00 | $7,500.00 | $2,025.00–$5,850.00 | — | 56% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON | $4,796.10 | $10,950.00 | $453.77–$9,107.00 | 22% above | 56% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON | $4,796.10 | $10,950.00 | $2,956.50–$8,541.00 | — | 56% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON | $2,081.82 | $4,753.00 | $307.13–$9,107.00 | 13% below | 56% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON | $2,081.82 | $4,753.00 | $1,283.31–$3,707.34 | — | 56% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON | $4,634.92 | $10,582.00 | $453.77–$9,107.00 | 15% above | 56% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON | $4,634.92 | $10,582.00 | $2,857.14–$8,253.96 | — | 56% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON | $3,174.63 | $7,248.00 | $307.13–$9,107.00 | 25% above | 56% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON | $3,174.63 | $7,248.00 | $1,956.96–$5,653.44 | — | 56% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON | $2,609.61 | $5,958.00 | $453.77–$9,107.00 | 23% below | 56% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON | $2,609.61 | $5,958.00 | $1,608.66–$4,647.24 | — | 56% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON | $1,774.34 | $4,051.00 | $307.13–$9,107.00 | 17% below | 56% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON | $1,774.34 | $4,051.00 | $1,093.77–$3,159.78 | — | 56% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UPP EXTREM JNT WO BIL | $2,431.34 | $5,551.00 | $307.13–$9,107.00 | 1% below | 56% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UPP EXTREM JNT WO BIL | $2,431.34 | $5,551.00 | $1,498.77–$4,329.78 | — | 56% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT | $5,264.76 | $12,020.00 | $526.67–$9,375.60 | 43% above | 56% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT | $5,264.76 | $12,020.00 | $3,245.40–$9,375.60 | — | 56% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U | $600.06 | $1,370.00 | $91.51–$1,068.60 | 15% above | 56% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U | $600.06 | $1,370.00 | $369.90–$1,068.60 | — | 56% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP | $895.28 | $2,044.00 | $135.12–$1,594.32 | 5% below | 56% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP | $895.28 | $2,044.00 | $551.88–$1,594.32 | — | 56% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES | $964.92 | $2,203.00 | $135.12–$1,718.34 | 33% above | 56% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES | $964.92 | $2,203.00 | $594.81–$1,718.34 | — | 56% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST | $577.73 | $1,319.00 | $118.65–$1,028.82 | 17% below | 56% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST | $577.73 | $1,319.00 | $356.13–$1,028.82 | — | 56% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD | $289.08 | $660.00 | $135.12–$660.00 | 43% below | 56% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD | $289.08 | $660.00 | $178.20–$514.80 | — | 56% |
| Screening mammogram, both breasts one side CPT 77067 MA MAMMO SCREEN W CAD RT | $205.86 | $470.00 | $126.90–$470.00 | 21% below | 56% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA MAMMO SCREEN W CAD RT | $205.86 | $470.00 | $126.90–$366.60 | — | 56% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER 2+ VIEWS BIL | $337.26 | $770.00 | $56.11–$600.60 | 34% below | 56% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER 2+ VIEWS BIL | $337.26 | $770.00 | $207.90–$600.60 | — | 56% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STR TEST COMP W ECG | $2,227.67 | $5,086.00 | $374.13–$16,472.00 | 26% above | 56% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STR TEST COMP W ECG | $2,227.67 | $5,086.00 | $1,373.22–$3,967.08 | — | 56% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON | $731.03 | $1,669.00 | $112.66–$1,301.82 | 26% above | 56% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON | $731.03 | $1,669.00 | $450.63–$1,301.82 | — | 56% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $766.50 | $1,750.00 | $135.12–$1,365.00 | 37% above | 56% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $766.50 | $1,750.00 | $472.50–$1,365.00 | — | 56% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL | $324.56 | $741.00 | $124.32–$741.00 | 44% below | 56% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL | $324.56 | $741.00 | $200.07–$577.98 | — | 56% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON | $722.27 | $1,649.00 | $135.12–$1,286.22 | 27% below | 56% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON | $722.27 | $1,649.00 | $445.23–$1,286.22 | — | 56% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $793.66 | $1,812.00 | $129.73–$1,413.36 | 11% below | 56% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $793.66 | $1,812.00 | $489.24–$1,413.36 | — | 56% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK | $840.96 | $1,920.00 | $129.64–$1,497.60 | 2% above | 56% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK | $840.96 | $1,920.00 | $518.40–$1,497.60 | — | 56% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON | $487.50 | $1,113.00 | $221.41–$896.98 | 19% below | 56% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON | $487.50 | $1,113.00 | $300.51–$868.14 | — | 56% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VENOUS EXT RT | $879.07 | $2,007.00 | $119.35–$17,179.00 | 4% above | 56% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX VENOUS EXT RT | $879.07 | $2,007.00 | $541.89–$1,565.46 | — | 56% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+ VIEWS LT | $398.58 | $910.00 | $54.55–$709.80 | 8% below | 56% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+ VIEWS LT | $398.58 | $910.00 | $245.70–$709.80 | — | 56% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W WO PELV 2-3VW LT | $428.37 | $978.00 | $56.40–$762.84 | 12% above | 56% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W WO PELV 2-3VW LT | $428.37 | $978.00 | $264.06–$762.84 | — | 56% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $240.90 | $550.00 | $37.22–$429.00 | 20% below | 56% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $240.90 | $550.00 | $148.50–$429.00 | — | 56% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $315.36 | $720.00 | $41.27–$561.60 | 5% above | 56% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT | $315.36 | $720.00 | $194.40–$561.60 | — | 56% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 2+ VIEWS BIL | $251.85 | $575.00 | $33.83–$448.50 | 5% below | 56% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) 2+ VIEWS BIL | $251.85 | $575.00 | $155.25–$448.50 | — | 56% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $276.38 | $631.00 | $37.55–$492.18 | 8% below | 56% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT | $276.38 | $631.00 | $170.37–$492.18 | — | 56% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS LT | $317.55 | $725.00 | $52.56–$565.50 | 20% below | 56% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS LT | $317.55 | $725.00 | $195.75–$565.50 | — | 56% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VIEWS LT | $338.58 | $773.00 | $54.55–$602.94 | 20% below | 56% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VIEWS LT | $338.58 | $773.00 | $208.71–$602.94 | — | 56% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT | $263.68 | $602.00 | $41.27–$469.56 | 22% below | 56% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LT | $263.68 | $602.00 | $162.54–$469.56 | — | 56% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW | $448.95 | $1,025.00 | $65.73–$799.50 | 2% below | 56% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW | $448.95 | $1,025.00 | $276.75–$799.50 | — | 56% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS | $614.96 | $1,404.00 | $95.17–$1,095.12 | 5% above | 56% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS | $614.96 | $1,404.00 | $379.08–$1,095.12 | — | 56% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS | $445.01 | $1,016.00 | $60.85–$792.48 | 24% above | 56% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS | $445.01 | $1,016.00 | $274.32–$792.48 | — | 56% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS | $303.98 | $694.00 | $53.80–$541.32 | 20% below | 56% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS | $303.98 | $694.00 | $187.38–$541.32 | — | 56% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW | $349.53 | $798.00 | $56.38–$622.44 | 19% below | 56% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW | $349.53 | $798.00 | $215.46–$622.44 | — | 56% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $280.76 | $641.00 | $46.91–$527.07 | 23% below | 56% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS | $280.76 | $641.00 | $173.07–$499.98 | — | 56% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS | $283.39 | $647.00 | $54.29–$504.66 | 34% below | 56% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS | $283.39 | $647.00 | $174.69–$504.66 | — | 56% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $9.29 | $21.20 | $5.30–$21.20 | 78% below | 56% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 2157M RL-A-FIBRO NAFL 2012521B | $13.50 | $30.80 | $5.30–$30.80 | 69% below | 56% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT | $9.29 | $21.20 | $5.73–$16.54 | — | 56% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 2157M RL-A-FIBRO NAFL 2012521B | $13.50 | $30.80 | $8.32–$24.03 | — | 56% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT | $9.08 | $20.72 | $5.18–$20.72 | 79% below | 56% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 2157E RL-A-FIBRO NAFL 2012521A | $13.50 | $30.80 | $5.18–$30.80 | 69% below | 56% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT | $9.08 | $20.72 | $5.60–$16.17 | — | 56% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 2157E RL-A-FIBRO NAFL 2012521A | $13.50 | $30.80 | $8.32–$24.03 | — | 56% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $83.45 | $190.52 | $47.63–$190.52 | 66% below | 56% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $83.45 | $190.52 | $51.45–$148.61 | — | 56% |
| Allergy blood test, specific IgE, per allergen CPT 86003 1406E RL-A-HYPEREXT 3001561A | $2.48 | $5.64 | $1.53–$19.42 | 70% below | 56% |
| Allergy blood test, specific IgE, per allergen CPT 86003 16M AP ADULT FOOD PROFILE | $3.95 | $9.00 | $2.43–$19.42 | 53% below | 56% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 1406E RL-A-HYPEREXT 3001561A | $2.48 | $5.64 | $1.53–$4.40 | — | 56% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 16M AP ADULT FOOD PROFILE | $3.95 | $9.00 | $2.43–$7.02 | — | 56% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 2287 M RL-A-RAPANEL 3017891B | $8.47 | $19.33 | $5.22–$48.22 | 58% below | 56% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 2155E RL-A-RA PNL 3016634A | $9.93 | $22.67 | $6.13–$48.22 | 51% below | 56% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 2287 M RL-A-RAPANEL 3017891B | $8.47 | $19.33 | $5.22–$15.08 | — | 56% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 2155E RL-A-RA PNL 3016634A | $9.93 | $22.67 | $6.13–$17.69 | — | 56% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE BNP | $68.79 | $157.04 | $39.26–$157.04 | 61% below | 56% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE BNP | $68.79 | $157.04 | $42.41–$122.50 | — | 56% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $14.83 | $33.84 | $8.46–$33.84 | 92% below | 56% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $14.83 | $33.84 | $9.14–$26.40 | — | 56% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV | $190.10 | $434.00 | $59.71–$338.52 | 25% above | 56% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV | $190.10 | $434.00 | $117.18–$338.52 | — | 56% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $18.09 | $41.28 | $10.32–$41.28 | 92% below | 56% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD | $18.09 | $41.28 | $11.15–$32.20 | — | 56% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IP/ER | $5.26 | $12.00 | $3.24–$14,260.00 | 78% below | 56% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IP/ER | $5.26 | $12.00 | $3.24–$9.36 | — | 56% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD | $6.89 | $15.72 | $3.93–$15.72 | 82% below | 56% |
| Blood glucose (sugar) test CPT 82947 2157M RL-A-FIBRO NAFL 2012521D | $13.50 | $30.80 | $3.93–$30.80 | 64% below | 56% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD | $6.89 | $15.72 | $4.25–$12.27 | — | 56% |
| Blood glucose (sugar) test inpatient CPT 82947 2157M RL-A-FIBRO NAFL 2012521D | $13.50 | $30.80 | $8.32–$24.03 | — | 56% |
| Blood lead test CPT 83655 1612M RL-A-HY MET U 99475B | $5.02 | $11.44 | $3.09–$45.07 | 65% below | 56% |
| Blood lead test CPT 83655 743M RL-A-HYMET 6 25055D | $5.06 | $11.53 | $3.12–$45.07 | 64% below | 56% |
| Blood lead test inpatient CPT 83655 1612M RL-A-HY MET U 99475B | $5.02 | $11.44 | $3.09–$8.93 | — | 56% |
| Blood lead test inpatient CPT 83655 743M RL-A-HYMET 6 25055D | $5.06 | $11.53 | $3.12–$9.00 | — | 56% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL | $13.18 | $30.08 | $7.52–$30.08 | 91% below | 56% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL URINE LAB | $15.33 | $35.00 | $7.52–$35.00 | 90% below | 56% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL | $13.18 | $30.08 | $8.13–$23.47 | — | 56% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL URINE LAB | $15.33 | $35.00 | $9.45–$27.30 | — | 56% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 1520E ABO/RH GROUPING | $14.90 | $34.00 | $3.59–$68.00 | 81% below | 56% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO DISCREPANCY | $131.40 | $300.00 | $3.59–$327.56 | 71% above | 56% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 1520E ABO/RH GROUPING | $14.90 | $34.00 | $9.18–$26.52 | — | 56% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO DISCREPANCY | $131.40 | $300.00 | $81.00–$234.00 | — | 56% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $9.08 | $20.72 | $5.18–$20.72 | 81% below | 56% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 1522M IBD SGI DIAGNOSTICS | $21.90 | $50.00 | $5.18–$50.00 | 53% below | 56% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $9.08 | $20.72 | $5.60–$16.17 | — | 56% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 1522M IBD SGI DIAGNOSTICS | $21.90 | $50.00 | $13.50–$39.00 | — | 56% |
| C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB | $165.57 | $378.00 | $37.27–$378.00 | 8% above | 56% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB | $165.57 | $378.00 | $102.06–$294.84 | — | 56% |
| CA 19-9 blood test (tumor marker) CPT 86301 IA TUMOR AG CA 19-9 | $79.28 | $181.00 | $20.81–$181.00 | 60% above | 56% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUMOR AG CA 19-9 | $79.28 | $181.00 | $48.87–$141.18 | — | 56% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125 | $103.37 | $236.00 | $20.81–$236.00 | 9% above | 56% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125 | $103.37 | $236.00 | $63.72–$184.08 | — | 56% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638 | $32.77 | $74.80 | $20.20–$159.71 | 53% below | 56% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CVD-19 PRB TCH | $67.46 | $154.00 | $41.58–$159.71 | 4% below | 56% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638 | $32.77 | $74.80 | $20.20–$88.25 | — | 56% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 CVD-19 PRB TCH | $67.46 | $154.00 | $41.58–$120.12 | — | 56% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 17E IA CHLAMYD TRACH AMP PRB | $30.74 | $70.18 | $18.95–$130.67 | 44% below | 56% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 93E IA CHLAMYD TRACH AMP PRB | $67.02 | $153.00 | $35.09–$153.00 | 23% above | 56% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 17E IA CHLAMYD TRACH AMP PRB | $30.74 | $70.18 | $18.95–$54.75 | — | 56% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 93E IA CHLAMYD TRACH AMP PRB | $67.02 | $153.00 | $41.31–$119.34 | — | 56% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $23.46 | $53.56 | $13.39–$53.56 | 77% below | 56% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $23.46 | $53.56 | $14.47–$41.78 | — | 56% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $13.62 | $31.08 | $7.77–$31.08 | 88% below | 56% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $13.62 | $31.08 | $8.40–$24.25 | — | 56% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF | $11.34 | $25.88 | $6.47–$25.88 | 85% below | 56% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF | $11.34 | $25.88 | $6.99–$20.19 | — | 56% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $18.51 | $42.24 | $10.56–$42.24 | 93% below | 56% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $18.51 | $42.24 | $11.41–$32.95 | — | 56% |
| D-dimer blood test (blood clot marker) CPT 85379 DDIMER QN | $17.84 | $40.72 | $10.18–$40.72 | 85% below | 56% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN | $164.69 | $376.00 | $10.18–$293.28 | 38% above | 56% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 DDIMER QN | $17.84 | $40.72 | $11.00–$31.77 | — | 56% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN | $164.69 | $376.00 | $101.52–$293.28 | — | 56% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE | $24.53 | $56.00 | $15.12–$69.20 | 72% below | 56% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE | $24.53 | $56.00 | $15.12–$43.68 | — | 56% |
| Fecal calprotectin (stool inflammation test) CPT 83993 RL-A-CALPRO FEC 3002859 | $17.52 | $40.00 | $10.80–$73.09 | 76% below | 56% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL-A-CALPRO FEC 3002859 | $17.52 | $40.00 | $10.80–$31.20 | — | 56% |
| Ferritin blood test (iron stores) CPT 82728 2157M RL-A-FIBRO NAFL 2012521C | $13.50 | $30.80 | $8.32–$50.71 | 84% below | 56% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $23.88 | $54.52 | $13.63–$54.52 | 71% below | 56% |
| Ferritin blood test (iron stores) inpatient CPT 82728 2157M RL-A-FIBRO NAFL 2012521C | $13.50 | $30.80 | $8.32–$24.03 | — | 56% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $23.88 | $54.52 | $14.73–$42.53 | — | 56% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $25.76 | $58.80 | $14.70–$58.80 | 70% below | 56% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $25.76 | $58.80 | $15.88–$45.87 | — | 56% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE FREE | $70.52 | $161.00 | $16.94–$161.00 | 11% above | 56% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE FREE | $70.52 | $161.00 | $43.47–$125.58 | — | 56% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE | $8.33 | $19.00 | $4.75–$19.00 | 81% below | 56% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE | $8.33 | $19.00 | $5.13–$14.82 | — | 56% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC | $22.55 | $51.48 | $12.87–$51.48 | 81% below | 56% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC | $22.55 | $51.48 | $13.90–$40.16 | — | 56% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 17M IA NEISSERIA GONO AMP PRB | $30.74 | $70.18 | $18.95–$130.67 | 42% below | 56% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 93M IA NEISSERIA GONO AMP PRB | $74.03 | $169.00 | $35.09–$169.00 | 39% above | 56% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 17M IA NEISSERIA GONO AMP PRB | $30.74 | $70.18 | $18.95–$54.75 | — | 56% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 93M IA NEISSERIA GONO AMP PRB | $74.03 | $169.00 | $45.63–$131.82 | — | 56% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB | $103.37 | $236.00 | $16.85–$236.00 | 9% below | 56% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB | $103.37 | $236.00 | $63.72–$184.08 | — | 56% |
| HIV-1 and HIV-2 antibody test CPT 86703 RL-HIV 1/2 AB SCREEN VCPH | $8.88 | $20.26 | $5.48–$51.08 | 79% below | 56% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 RL-HIV 1/2 AB SCREEN VCPH | $8.88 | $20.26 | $5.48–$15.81 | — | 56% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 RFLX HPV HI RSK THIN PREP MRMC | $30.74 | $70.18 | $18.95–$126.38 | 77% below | 56% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RFLX HPV HI RSK THIN PREP MRMC | $30.74 | $70.18 | $18.95–$54.75 | — | 56% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $17.02 | $38.84 | $9.71–$38.84 | 74% below | 56% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $17.02 | $38.84 | $10.49–$30.30 | — | 56% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $18.82 | $42.96 | $10.74–$42.96 | 51% below | 56% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB | $18.82 | $42.96 | $11.60–$33.51 | — | 56% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL | $18.10 | $41.32 | $10.33–$41.32 | 71% below | 56% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL | $18.10 | $41.32 | $11.16–$32.23 | — | 56% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $25.01 | $57.08 | $14.27–$57.08 | 52% below | 56% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $25.01 | $57.08 | $15.42–$44.53 | — | 56% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 IA HEPATITIS C QN RT | $56.51 | $129.00 | $34.83–$159.49 | 28% below | 56% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 IA HEPATITIS C QN RT | $56.51 | $129.00 | $34.83–$100.62 | — | 56% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I GLYCOPRO IGG | $7.57 | $17.27 | $4.67–$49.12 | 60% below | 56% |
| Herpes blood test, HSV-1 antibody CPT 86695 RL-A-HERPICSF 50379 | $9.69 | $22.11 | $5.97–$49.12 | 48% below | 56% |
| Herpes blood test, HSV-1 antibody CPT 86695 2295E RL-A-HSV ABS WB 3016847A | $62.05 | $141.66 | $13.19–$141.66 | 230% above | 56% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I GLYCOPRO IGG | $7.57 | $17.27 | $4.67–$13.48 | — | 56% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL-A-HERPICSF 50379 | $9.69 | $22.11 | $5.97–$17.25 | — | 56% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 2295E RL-A-HSV ABS WB 3016847A | $62.05 | $141.66 | $38.25–$110.50 | — | 56% |
| Herpes blood test, HSV-2 antibody CPT 86696 RL-A-HERPIICSF 50359 | $9.69 | $22.11 | $5.97–$72.06 | 64% below | 56% |
| Herpes blood test, HSV-2 antibody CPT 86696 2295M RL-A-HSV ABS WB 3016847B | $62.05 | $141.65 | $19.35–$141.65 | 133% above | 56% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL-A-HERPIICSF 50359 | $9.69 | $22.11 | $5.97–$17.25 | — | 56% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 2295M RL-A-HSV ABS WB 3016847B | $62.05 | $141.65 | $38.25–$110.49 | — | 56% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $22.69 | $51.80 | $12.95–$51.80 | 52% below | 56% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $22.69 | $51.80 | $13.99–$40.41 | — | 56% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $31.40 | $71.68 | $17.92–$71.68 | 24% below | 56% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $31.40 | $71.68 | $19.36–$55.92 | — | 56% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $26.28 | $60.00 | $11.43–$60.00 | 21% below | 56% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $26.28 | $60.00 | $16.20–$46.80 | — | 56% |
| Iron blood test (serum iron) CPT 83540 IRON | $11.34 | $25.88 | $6.47–$25.88 | 74% below | 56% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $11.34 | $25.88 | $6.99–$20.19 | — | 56% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $15.32 | $34.96 | $8.74–$34.96 | 72% below | 56% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $15.32 | $34.96 | $9.44–$27.27 | — | 56% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $15.21 | $34.72 | $8.68–$34.72 | 89% below | 56% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $15.21 | $34.72 | $9.38–$27.09 | — | 56% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $83.22 | $190.00 | $18.52–$190.00 | 4% above | 56% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $83.22 | $190.00 | $51.30–$148.20 | — | 56% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $12.08 | $27.56 | $6.89–$27.56 | 84% below | 56% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $12.08 | $27.56 | $7.45–$21.50 | — | 56% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $14.32 | $32.68 | $8.17–$32.68 | 89% below | 56% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $14.32 | $32.68 | $8.83–$25.50 | — | 56% |
| Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053 | $21.25 | $48.51 | $13.10–$63.41 | 11% below | 56% |
| Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760 | $21.90 | $50.00 | $13.50–$63.41 | 9% below | 56% |
| Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053 | $21.25 | $48.51 | $13.10–$37.84 | — | 56% |
| Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760 | $21.90 | $50.00 | $13.50–$39.00 | — | 56% |
| Magnesium blood test CPT 83735 MAGNESIUM | $11.74 | $26.80 | $6.70–$26.80 | 80% below | 56% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $11.74 | $26.80 | $7.24–$20.91 | — | 56% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $96.80 | $221.00 | $12.88–$221.00 | 364% above | 56% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB | $96.80 | $221.00 | $59.67–$172.38 | — | 56% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR | $9.08 | $20.72 | $5.18–$20.72 | 90% below | 56% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR | $9.08 | $20.72 | $5.60–$16.17 | — | 56% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 35E PSA FREE | $65.70 | $150.00 | $18.39–$150.00 | 89% above | 56% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 35E PSA FREE | $65.70 | $150.00 | $40.50–$117.00 | — | 56% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $32.22 | $73.56 | $18.39–$73.56 | 31% below | 56% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 35M PSA TOTAL | $65.70 | $150.00 | $18.39–$150.00 | 40% above | 56% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $32.22 | $73.56 | $19.87–$57.38 | — | 56% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 35M PSA TOTAL | $65.70 | $150.00 | $40.50–$117.00 | — | 56% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V AUTO MAN MRMC | $35.50 | $81.04 | $20.26–$81.04 | 61% below | 56% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V AUTO MAN MRMC | $35.50 | $81.04 | $21.89–$63.22 | — | 56% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTHINTACT | $72.33 | $165.12 | $41.28–$165.12 | 30% below | 56% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT | $132.72 | $303.00 | $41.28–$303.00 | 28% above | 56% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTHINTACT | $72.33 | $165.12 | $44.59–$128.80 | — | 56% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT | $132.72 | $303.00 | $81.81–$236.34 | — | 56% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RFLX INPTT1 2003272A | $8.50 | $19.40 | $5.24–$22.35 | 77% below | 56% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME | $10.53 | $24.04 | $6.01–$24.04 | 72% below | 56% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RFLX INPTT1 2003272A | $8.50 | $19.40 | $5.24–$15.14 | — | 56% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME | $10.53 | $24.04 | $6.50–$18.76 | — | 56% |
| Progesterone blood test CPT 84144 RL-A-PGSN 2008509 | $10.52 | $24.00 | $6.48–$77.69 | 81% below | 56% |
| Progesterone blood test CPT 84144 PROGESTERONE | $123.08 | $281.00 | $20.86–$281.00 | 124% above | 56% |
| Progesterone blood test inpatient CPT 84144 RL-A-PGSN 2008509 | $10.52 | $24.00 | $6.48–$18.72 | — | 56% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $123.08 | $281.00 | $75.87–$219.18 | — | 56% |
| Prolactin blood test CPT 84146 PROLACTIN | $148.92 | $340.00 | $19.38–$340.00 | 65% above | 56% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $148.92 | $340.00 | $91.80–$265.20 | — | 56% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260 | $5.90 | $13.46 | $3.64–$14.63 | 88% below | 56% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $7.52 | $17.16 | $4.29–$17.16 | 84% below | 56% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260 | $5.90 | $13.46 | $3.64–$10.50 | — | 56% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $7.52 | $17.16 | $4.64–$13.39 | — | 56% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC | $70.08 | $160.00 | $13.39–$160.00 | 7% below | 56% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC | $70.08 | $160.00 | $43.20–$124.80 | — | 56% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC | $6.12 | $13.95 | $3.77–$43.84 | 94% below | 56% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC | $6.12 | $13.95 | $3.77–$10.89 | — | 56% |
| Rheumatoid factor (RF) test CPT 86431 2287 M RL-A-RAPANEL 3017891C | $8.47 | $19.33 | $5.22–$21.10 | 35% below | 56% |
| Rheumatoid factor (RF) test CPT 86431 2155M RL-A-RA PNL 3016634B | $9.93 | $22.67 | $5.67–$22.67 | 24% below | 56% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN | $9.94 | $22.68 | $5.67–$22.68 | 24% below | 56% |
| Rheumatoid factor (RF) test inpatient CPT 86431 2287 M RL-A-RAPANEL 3017891C | $8.47 | $19.33 | $5.22–$15.08 | — | 56% |
| Rheumatoid factor (RF) test inpatient CPT 86431 2155M RL-A-RA PNL 3016634B | $9.93 | $22.67 | $6.13–$17.69 | — | 56% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN | $9.94 | $22.68 | $6.13–$17.70 | — | 56% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $112.13 | $256.00 | $14.39–$256.00 | 181% above | 56% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG | $131.40 | $300.00 | $14.39–$300.00 | 229% above | 56% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $112.13 | $256.00 | $69.12–$199.68 | — | 56% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG | $131.40 | $300.00 | $81.00–$234.00 | — | 56% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $93.74 | $214.00 | $12.31–$214.00 | 33% below | 56% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE | $93.74 | $214.00 | $57.78–$166.92 | — | 56% |
| Stool ova and parasites exam CPT 87177 O P CONCENTRATE ID | $155.49 | $355.00 | $8.90–$276.90 | 768% above | 56% |
| Stool ova and parasites exam inpatient CPT 87177 O P CONCENTRATE ID | $155.49 | $355.00 | $95.85–$276.90 | — | 56% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC | $7.68 | $17.52 | $4.38–$17.52 | 80% below | 56% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC | $7.68 | $17.52 | $4.74–$13.67 | — | 56% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL | $31.54 | $72.00 | $15.92–$59.20 | 12% below | 56% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL | $31.54 | $72.00 | $19.44–$56.16 | — | 56% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB CELL IMMUN MEASURE | $131.40 | $300.00 | $61.98–$300.00 | 85% above | 56% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB CELL IMMUN MEASURE | $131.40 | $300.00 | $81.00–$234.00 | — | 56% |
| Testosterone blood test, total (not free testosterone) CPT 84403 25M FREE TESTOSTERONE | $74.46 | $170.00 | $25.81–$170.00 | 86% above | 56% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $84.98 | $194.00 | $25.81–$194.00 | 112% above | 56% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 25M FREE TESTOSTERONE | $74.46 | $170.00 | $45.90–$132.60 | — | 56% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $84.98 | $194.00 | $52.38–$151.32 | — | 56% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOML AB THYROID | $76.65 | $175.00 | $14.55–$175.00 | 235% above | 56% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOML AB THYROID | $76.65 | $175.00 | $47.25–$136.50 | — | 56% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE | $29.44 | $67.20 | $16.80–$67.20 | 65% below | 56% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE | $29.44 | $67.20 | $18.15–$52.42 | — | 56% |
| Trichomonas test (NAAT) CPT 87661 17M IA TRICHOMON VAG AMP PRB | $30.74 | $70.18 | $18.95–$126.66 | 65% below | 56% |
| Trichomonas test (NAAT) CPT 87661 93M IA TRICHOMON VAG AMP PRB | $61.48 | $140.36 | $35.09–$140.36 | 31% below | 56% |
| Trichomonas test (NAAT) inpatient CPT 87661 17M IA TRICHOMON VAG AMP PRB | $30.74 | $70.18 | $18.95–$54.75 | — | 56% |
| Trichomonas test (NAAT) inpatient CPT 87661 93M IA TRICHOMON VAG AMP PRB | $61.48 | $140.36 | $37.90–$109.49 | — | 56% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $7.92 | $18.08 | $4.52–$18.08 | 87% below | 56% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $7.92 | $18.08 | $4.89–$14.11 | — | 56% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO | $5.56 | $12.68 | $3.17–$12.68 | 93% below | 56% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO | $5.56 | $12.68 | $3.43–$9.90 | — | 56% |
| Urinalysis with microscope exam, manual CPT 81000 UA NONAUTO W MICRO | $64.39 | $147.00 | $4.02–$114.66 | 50% above | 56% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA NONAUTO W MICRO | $64.39 | $147.00 | $39.69–$114.66 | — | 56% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO LAB | $3.95 | $9.00 | $2.25–$9.00 | 93% below | 56% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO | $38.99 | $89.00 | $2.25–$69.42 | 30% below | 56% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO LAB | $3.95 | $9.00 | $2.43–$7.02 | — | 56% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO | $38.99 | $89.00 | $24.03–$69.42 | — | 56% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO WO MICRO | $6.10 | $13.92 | $3.48–$13.92 | 78% below | 56% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO WO MICRO | $6.10 | $13.92 | $3.76–$10.86 | — | 56% |
| Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT | $14.14 | $32.28 | $8.07–$32.28 | 90% below | 56% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT | $14.14 | $32.28 | $8.72–$25.18 | — | 56% |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL | $95.05 | $217.00 | $6.08–$169.26 | 11% above | 56% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL | $95.05 | $217.00 | $6.91–$169.26 | — | 56% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $26.43 | $60.32 | $15.08–$60.32 | 57% below | 56% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $26.43 | $60.32 | $16.29–$47.05 | — | 56% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $51.86 | $118.40 | $29.60–$118.40 | 19% below | 56% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $51.86 | $118.40 | $31.97–$92.36 | — | 56% |
| Zinc blood test CPT 84630 RL-A-ZINC U 20462 | $5.21 | $11.89 | $3.22–$42.39 | 63% below | 56% |
| Zinc blood test CPT 84630 ZINC BLOOD | $5.52 | $12.59 | $3.40–$42.39 | 60% below | 56% |
| Zinc blood test inpatient CPT 84630 RL-A-ZINC U 20462 | $5.21 | $11.89 | $3.22–$9.28 | — | 56% |
| Zinc blood test inpatient CPT 84630 ZINC BLOOD | $5.52 | $12.59 | $3.40–$9.83 | — | 56% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN | $26.37 | $60.20 | $15.05–$60.20 | 81% below | 56% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN | $26.37 | $60.20 | $16.26–$46.96 | — | 56% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST STERO PRC 1ST UNI | $3,433.05 | $7,838.00 | $956.41–$10,984.00 | 19% below | 56% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST STERO PRC 1ST UNI | $3,433.05 | $7,838.00 | $2,116.26–$6,113.64 | — | 56% |
| Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU | $9,343.86 | $21,333.00 | $1,340.90–$36,014.00 | 28% below | 56% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU | $9,343.86 | $21,333.00 | $5,759.91–$16,639.74 | — | 56% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT | $1,188.74 | $2,714.00 | $150.32–$7,832.00 | 34% below | 56% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT | $1,188.74 | $2,714.00 | $302.14–$2,116.92 | — | 56% |
| Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP | $23,030.48 | $52,581.00 | $1,242.74–$62,341.48 | 25% below | 56% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP | $23,030.48 | $52,581.00 | $1,920.71–$41,013.18 | — | 56% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $153.74 | $351.00 | $94.77–$7,832.00 | 92% below | 56% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $153.74 | $351.00 | $94.77–$273.78 | — | 56% |
| Coronary stent placement, one artery CPT 92928 IC NDES PLC SNGL LC | $10,305.71 | $23,529.00 | $730.80–$36,014.00 | 30% below | 56% |
| Coronary stent placement, one artery inpatient CPT 92928 IC NDES PLC SNGL LC | $10,305.71 | $23,529.00 | $830.85–$18,352.62 | — | 56% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI/SUBAR C/T W IMAG | $738.03 | $1,685.00 | $337.95–$7,832.00 | 62% below | 56% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPI/SUBAR C/T W IMAG | $738.03 | $1,685.00 | $454.95–$1,314.30 | — | 56% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ | $904.91 | $2,066.00 | $203.88–$7,832.00 | 56% below | 56% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG INJ | $904.91 | $2,066.00 | $557.82–$1,611.48 | — | 56% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO NS/CON INTRO | $299.16 | $683.00 | $184.41–$7,832.00 | 35% below | 56% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO | $299.16 | $683.00 | $184.41–$532.74 | — | 56% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHTH/LIG | $448.52 | $1,024.00 | $64.62–$7,832.00 | 32% below | 56% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHTH/LIG | $448.52 | $1,024.00 | $276.48–$798.72 | — | 56% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI | $247.04 | $564.00 | $64.62–$14,103.00 | 66% below | 56% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI | $247.04 | $564.00 | $152.28–$439.92 | — | 56% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO | $200.17 | $457.00 | $53.59–$10,984.00 | 65% below | 56% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO | $200.17 | $457.00 | $123.39–$356.46 | — | 56% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SMALL JT WO | $192.29 | $439.00 | $45.72–$7,832.00 | 69% below | 56% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SMALL JT WO | $192.29 | $439.00 | $118.53–$342.42 | — | 56% |
| Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY | $4,051.07 | $9,249.00 | $1,076.74–$25,864.00 | 59% below | 56% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY | $4,051.07 | $9,249.00 | $2,497.23–$7,214.22 | — | 56% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG | $738.03 | $1,685.00 | $332.89–$7,832.00 | 56% below | 56% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG | $738.03 | $1,685.00 | $454.95–$1,314.30 | — | 56% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ | $556.26 | $1,270.00 | $202.32–$7,832.00 | 71% below | 56% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ | $556.26 | $1,270.00 | $342.90–$990.60 | — | 56% |
| Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V | $17,560.74 | $40,093.00 | $1,050.96–$40,093.00 | 21% above | 56% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V | $17,560.74 | $40,093.00 | $10,825.11–$31,272.54 | — | 56% |
| Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING | $635.54 | $1,451.00 | $126.81–$10,984.00 | 64% below | 56% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING | $635.54 | $1,451.00 | $391.77–$1,131.78 | — | 56% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE NDL/PUNCH | $1,049.45 | $2,396.00 | $123.49–$10,984.00 | 60% below | 56% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH | $1,049.45 | $2,396.00 | $646.92–$1,868.88 | — | 56% |
| Removal of a foreign object under the skin, simple CPT 10120 I AND R FB SUBQ SIMPLE | $318.43 | $727.00 | $73.04–$7,832.00 | 58% below | 56% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I AND R FB SUBQ SIMPLE | $318.43 | $727.00 | $196.29–$567.06 | — | 56% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY ESWL UNI | $10,352.13 | $23,635.00 | $945.87–$36,014.00 | 59% above | 56% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY ESWL UNI | $10,352.13 | $23,635.00 | $6,381.45–$18,435.30 | — | 56% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX | $743.29 | $1,697.00 | $115.61–$7,832.00 | 39% below | 56% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBER DX | $743.29 | $1,697.00 | $458.19–$1,323.66 | — | 56% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING | $734.53 | $1,677.00 | $130.32–$7,832.00 | 64% below | 56% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING | $734.53 | $1,677.00 | $452.79–$1,308.06 | — | 56% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCL | $515.53 | $1,177.00 | $79.41–$7,832.00 | 17% below | 56% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCL | $515.53 | $1,177.00 | $317.79–$918.06 | — | 56% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI | $2,180.81 | $4,979.00 | $928.80–$10,984.00 | 29% below | 56% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST US PERC 1ST UNI | $2,180.81 | $4,979.00 | $1,344.33–$3,883.62 | — | 56% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM | $444.57 | $1,015.00 | $146.60–$10,984.00 | 35% below | 56% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM | $444.57 | $1,015.00 | $274.05–$791.70 | — | 56% |
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 BLOOD/COMP 1HR | $728.40 | $1,663.00 | $449.01–$17,179.00 | 17% below | 56% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP | $800.67 | $1,828.00 | $493.56–$17,179.00 | 8% below | 56% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD/COMP 1HR | $728.40 | $1,663.00 | $449.01–$1,297.14 | — | 56% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP | $800.67 | $1,828.00 | $493.56–$1,425.84 | — | 56% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY | $239.15 | $546.00 | $28.01–$17,179.00 | 23% below | 56% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX EA SUBSEQ TX/DAY | $394.64 | $901.00 | $28.01–$17,179.00 | 28% above | 56% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY | $239.15 | $546.00 | $35.84–$425.88 | — | 56% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX EA SUBSEQ TX/DAY | $394.64 | $901.00 | $35.84–$702.78 | — | 56% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR | $413.48 | $944.00 | $40.36–$6,237.00 | 53% below | 56% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR | $413.48 | $944.00 | $62.37–$736.32 | — | 56% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRIT CARE 30-74 W/PROC | $3,379.17 | $7,715.00 | $295.99–$10,256.00 | 32% below | 56% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRIT CARE 30-74 W/PROC | $3,379.17 | $7,715.00 | $372.62–$6,017.70 | — | 56% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $904.47 | $2,065.00 | $106.68–$16,472.00 | 2% above | 56% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $904.47 | $2,065.00 | $557.55–$1,610.70 | — | 56% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY | $126.59 | $289.00 | $12.56–$16,472.00 | 63% below | 56% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY | $126.59 | $289.00 | $18.34–$225.42 | — | 56% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 W/PROCEDURE | $370.99 | $847.00 | $27.95–$4,003.00 | 4% below | 56% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 W/PROCEDURE | $370.99 | $847.00 | $37.44–$660.66 | — | 56% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 W/PROCEDURE | $556.26 | $1,270.00 | $52.90–$4,003.00 | 26% below | 56% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 W/PROCEDURE | $556.26 | $1,270.00 | $60.15–$990.60 | — | 56% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 W/PROCEDURE | $762.56 | $1,741.00 | $81.27–$7,859.00 | 37% below | 56% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 W/PROCEDURE | $762.56 | $1,741.00 | $110.03–$1,357.98 | — | 56% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 W/PROCEDURE | $1,112.96 | $2,541.00 | $148.33–$7,890.00 | 43% below | 56% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 W/PROCEDURE | $1,112.96 | $2,541.00 | $168.63–$1,981.98 | — | 56% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 W/PROCEDURE | $2,060.79 | $4,705.00 | $226.60–$10,256.00 | 37% below | 56% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 W/PROCEDURE | $2,060.79 | $4,705.00 | $266.65–$3,669.90 | — | 56% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVAS STR TEST WO RX | $1,035.00 | $2,363.00 | $51.44–$16,472.00 | 14% below | 56% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVAS STR TEST WO RX | $1,035.00 | $2,363.00 | $164.26–$1,843.14 | — | 56% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN | $401.65 | $917.00 | $68.70–$1,951.00 | 12% below | 56% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN | $401.65 | $917.00 | $109.58–$715.26 | — | 56% |
| IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR | $401.65 | $917.00 | $88.35–$9,075.00 | 16% below | 56% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR | $401.65 | $917.00 | $136.55–$715.26 | — | 56% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM | $113.45 | $259.00 | $26.47–$6,237.00 | 27% below | 56% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM | $113.45 | $259.00 | $40.88–$202.02 | — | 56% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCT 7-8 STUDIES | $523.85 | $1,196.00 | $243.50–$16,472.00 | 50% below | 56% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCT 7-8 STUDIES | $523.85 | $1,196.00 | $322.92–$932.88 | — | 56% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT RE-ED NEUROMSCL EA 15 | $97.68 | $223.00 | $17.24–$1,834.00 | 23% below | 56% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT RE-ED NEUROMSCL EA 15 | $111.69 | $255.00 | $17.24–$1,834.00 | 12% below | 56% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT RE-ED NEUROMSCL EA 15 | $97.68 | $223.00 | $38.24–$173.94 | — | 56% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT RE-ED NEUROMSCL EA 15 | $111.69 | $255.00 | $38.24–$198.90 | — | 56% |
| New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT | $108.63 | $248.00 | $66.96–$248.00 | 39% below | 56% |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT | $108.63 | $248.00 | $66.96–$193.44 | — | 56% |
| New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT | $135.78 | $310.00 | $83.70–$310.00 | 43% below | 56% |
| New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT | $1,166.40 | $2,663.00 | $102.00–$17,179.00 | 393% above | 56% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT | $135.78 | $310.00 | $83.70–$241.80 | — | 56% |
| New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT | $1,166.40 | $2,663.00 | $211.11–$2,077.14 | — | 56% |
| New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT | $176.08 | $402.00 | $102.00–$402.00 | 38% below | 56% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT | $176.08 | $402.00 | $108.54–$313.56 | — | 56% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT | $81.47 | $186.00 | $50.22–$226.00 | 39% below | 56% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW | $109.07 | $249.00 | $67.23–$17,179.00 | 18% below | 56% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT | $81.47 | $186.00 | $50.22–$145.08 | — | 56% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW | $109.07 | $249.00 | $67.23–$194.22 | — | 56% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY | $212.00 | $484.00 | $130.68–$1,097.00 | 18% below | 56% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY | $212.00 | $484.00 | $130.68–$377.52 | — | 56% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $221.63 | $506.00 | $136.62–$1,834.00 | 50% below | 56% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY | $221.63 | $506.00 | $136.62–$394.68 | — | 56% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX | $221.63 | $506.00 | $136.62–$1,834.00 | 9% below | 56% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX | $221.63 | $506.00 | $136.62–$394.68 | — | 56% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEX | $221.63 | $506.00 | $136.62–$1,834.00 | 38% below | 56% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEX | $221.63 | $506.00 | $136.62–$394.68 | — | 56% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT THERAPY MANUAL EA 15 | $106.88 | $244.00 | $31.35–$1,834.00 | 11% below | 56% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT THERAPY MANUAL EA 15 | $106.88 | $244.00 | $31.35–$1,834.00 | 11% below | 56% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT THERAPY MANUAL EA 15 | $106.88 | $244.00 | $65.88–$190.32 | — | 56% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT THERAPY MANUAL EA 15 | $106.88 | $244.00 | $65.88–$190.32 | — | 56% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT EXERCISE THR EA 15 | $92.86 | $212.00 | $15.47–$1,834.00 | 28% below | 56% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE THR EA 15 | $111.69 | $255.00 | $15.47–$1,834.00 | 14% below | 56% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE THR EA 15 | $92.86 | $212.00 | $34.30–$165.36 | — | 56% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISE THR EA 15 | $111.69 | $255.00 | $34.30–$198.90 | — | 56% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN | $40.30 | $92.00 | $15.74–$17,179.00 | 27% below | 56% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN | $40.30 | $92.00 | $17.91–$71.76 | — | 56% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT | $176.08 | $402.00 | $102.00–$402.00 | 20% below | 56% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT | $176.08 | $402.00 | $108.54–$313.56 | — | 56% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT | $108.63 | $248.00 | $59.21–$248.00 | 25% below | 56% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT | $108.63 | $248.00 | $66.96–$193.44 | — | 56% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT | $135.78 | $310.00 | $83.70–$310.00 | 22% below | 56% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT | $1,166.40 | $2,663.00 | $92.52–$17,179.00 | 567% above | 56% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT | $135.78 | $310.00 | $83.70–$241.80 | — | 56% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT | $1,166.40 | $2,663.00 | $92.52–$2,077.14 | — | 56% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT | $81.47 | $186.00 | $28.15–$226.00 | 28% below | 56% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT | $81.47 | $186.00 | $28.16–$145.08 | — | 56% |
| Speech and language evaluation CPT 92523 ST EVAL PROD W COMP SP | $500.20 | $1,142.00 | $197.55–$1,142.00 | 9% above | 56% |
| Speech and language evaluation inpatient CPT 92523 ST EVAL PROD W COMP SP | $500.20 | $1,142.00 | $224.60–$890.76 | — | 56% |
| Speech therapy session, individual CPT 92507 ST TREATMENT SPEECH | $168.63 | $385.00 | $41.94–$1,097.00 | 39% below | 56% |
| Speech therapy session, individual inpatient CPT 92507 ST TREATMENT SPEECH | $168.63 | $385.00 | $92.98–$300.30 | — | 56% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $242.66 | $554.00 | $34.72–$554.00 | 25% below | 56% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $242.66 | $554.00 | $149.58–$432.12 | — | 56% |
| Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST | $736.28 | $1,681.00 | $63.55–$1,681.00 | 4% below | 56% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST | $736.28 | $1,681.00 | $453.87–$1,311.18 | — | 56% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THR ACTIVITY EA 15 | $97.68 | $223.00 | $15.72–$1,834.00 | 29% below | 56% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THR ACTIVITY EA 15 | $112.13 | $256.00 | $15.72–$1,834.00 | 18% below | 56% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THR ACTIVITY EA 15 | $97.68 | $223.00 | $34.86–$173.94 | — | 56% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THR ACTIVITY EA 15 | $112.13 | $256.00 | $34.86–$199.68 | — | 56% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT | $130.97 | $299.00 | $23.15–$17,179.00 | 56% below | 56% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT | $130.97 | $299.00 | $51.32–$233.22 | — | 56% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS | $31.10 | $71.00 | $19.17–$68.16 | 7% below | 56% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS | $31.10 | $71.00 | $19.17–$68.16 | — | 56% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PF SV HD .5MLPFS | $113.01 | $258.00 | $39.19–$247.68 | 10% below | 56% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC PF SV HD .5MLPFS | $113.01 | $258.00 | $69.66–$247.68 | — | 56% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC | $123.52 | $282.00 | $58.84–$219.96 | 6% above | 56% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC | $123.52 | $282.00 | $76.14–$219.96 | — | 56% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW PF0.5MLIM | $249.34 | $569.25 | $107.91–$444.02 | 5% below | 56% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW PF0.5MLIM | $249.34 | $569.25 | $153.70–$444.02 | — | 56% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT | $392.45 | $896.00 | $241.92–$896.00 | 22% below | 56% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT | $392.45 | $896.00 | $241.92–$698.88 | — | 56% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VACC 23 VALENT | $184.84 | $422.00 | $24.72–$405.12 | 14% above | 56% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC VACC 23 VALENT | $184.84 | $422.00 | $113.94–$405.12 | — | 56% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ | $1,314.00 | $3,000.00 | $810.00–$3,000.00 | 36% above | 56% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NRSVMAB-ALIP 50/0.5ML INJ | $1,314.00 | $3,000.00 | $810.00–$2,340.00 | — | 56% |
| Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML | $1,314.00 | $3,000.00 | $207.35–$2,340.00 | 86% above | 56% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML | $1,314.00 | $3,000.00 | $554.06–$2,340.00 | — | 56% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOM ADJ0.5ML | $282.43 | $644.80 | $174.10–$644.80 | 30% above | 56% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOM ADJ0.5ML | $282.43 | $644.80 | $174.10–$502.95 | — | 56% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP PF 0.5ML>=7YR SYR | $56.94 | $130.00 | $28.95–$101.40 | 28% below | 56% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP PF 0.5ML>=7YR SYR | $56.94 | $130.00 | $35.10–$101.40 | — | 56% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM | $70.08 | $160.00 | $43.20–$141.67 | 17% below | 56% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM | $70.08 | $160.00 | $43.20–$124.80 | — | 56% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OTHER IMMUN VAC ONE | $75.34 | $172.00 | $6.75–$180.86 | 25% below | 56% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OTHER IMMUN VAC ONE | $75.34 | $172.00 | $7.67–$134.16 | — | 56% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD | $49.50 | $113.00 | $17.92–$113.00 | 27% below | 56% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD | $49.50 | $113.00 | $30.51–$88.14 | — | 56% |