Hospital Chico, CA

Orchard Hospital

Orchard Hospital in Gridley, CA publishes cash prices for 250 common procedures listed here, from its own machine-readable price file updated Sep 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 185 of 250 procedures and above it for 64. By typical cash price it ranks #58 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

240 Spruce St Gridley CA 95948 Collected Sep 27, 2026 Source price file (530) 846-5671

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 051311 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Orchard Hospital in Gridley, CA:

  • Jan 27, 2023 Warning notice
  • May 10, 2023 Corrective action plan requested
  • Jun 8, 2023 Case closed
  • Mar 7, 2024 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views $227.76 $379.60 $36.06–$351.13 46% below 40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries $430.40 $717.34 $74.73–$663.54 23% below 40%
Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast $528.34 $880.56 $140.05–$814.52 5% below 40%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast $669.88 $1,116.47 $114.74–$1,032.73 64% above 40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast $2,275.37 $3,792.28 $388.59–$3,507.86 27% below 40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium $1,000.51 $1,667.52 $116.66–$2,605.00 219% above 40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast $1,705.29 $2,842.15 $256.82–$2,628.99 39% below 40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $2,162.82 $3,604.70 $404.21–$3,334.35 46% below 40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast $1,043.21 $1,738.69 $452.06–$2,605.00 76% below 40%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast $973.40 $1,622.33 $299.45–$2,605.00 56% below 40%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast $906.04 $1,510.06 $208.42–$2,605.00 52% below 40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast $1,702.00 $2,836.66 $208.72–$2,623.91 22% below 40%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast $1,702.00 $2,836.66 $165.86–$2,623.91 26% below 40%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast $1,920.50 $3,200.84 $216.71–$2,960.78 29% below 40%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast $2,781.36 $4,635.60 $247.72–$4,287.93 1% below 40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast $1,702.00 $2,836.66 $232.06–$2,623.91 39% below 40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast $1,702.00 $2,836.66 $238.84–$2,623.91 42% below 40%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $1,590.29 $2,650.48 $293.26–$2,605.00 38% below 40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow $804.02 $1,340.04 $224.68–$1,239.54 34% below 40%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views $294.60 $491.00 $39.42–$454.18 23% below 40%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view $155.15 $258.58 $25.35–$239.19 54% below 40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity $526.69 $877.81 $115.78–$811.97 38% below 40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine $387.03 $645.05 $53.59–$596.67 18% below 40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast $2,007.57 $3,345.95 $233.36–$3,095.00 10% above 40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast $2,225.24 $3,708.74 $297.64–$3,430.58 5% below 40%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts $52.77 $87.95 $47.18–$87.95 87% below 40%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast $31.97 $53.29 $38.35–$53.29 91% below 40%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers $98.21 $163.68 $32.23–$163.68 91% below 40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function $1,728.19 $2,880.31 $343.91–$2,664.29 28% below 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening $665.36 $1,108.94 $193.59–$2,605.00 67% above 40%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI scan of both breasts $3,256.03 $5,426.72 $528.05–$5,019.72 30% above 40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast $1,766.51 $2,944.19 $560.10–$3,241.00 29% below 40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast $1,796.12 $2,993.54 $778.32–$3,241.00 50% below 40%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast $2,543.28 $4,238.80 $434.02–$3,920.89 4% below 40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast $1,114.68 $1,857.80 $483.03–$3,241.00 74% below 40%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast $2,495.78 $4,159.63 $439.07–$3,847.66 4% below 40%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast $3,256.03 $5,426.72 $594.39–$5,019.72 13% below 40%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast $2,495.78 $4,159.63 $390.06–$3,847.66 2% below 40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast $2,142.91 $3,571.51 $583.81–$3,303.65 46% below 40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast $3,279.40 $5,465.67 $394.99–$5,055.74 37% above 40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast $1,417.70 $2,362.84 $592.86–$3,241.00 65% below 40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast $2,671.03 $4,451.72 $391.86–$4,117.84 5% above 40%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast $2,551.08 $4,251.80 $660.00–$3,932.92 25% below 40%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast $2,543.28 $4,238.80 $491.22–$3,920.89 19% above 40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast $1,932.06 $3,220.10 $390.48–$3,241.00 21% below 40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis $340.70 $567.84 $60.49–$525.25 34% below 40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis $528.34 $880.56 $97.04–$814.52 44% below 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $902.77 $1,504.61 $135.29–$1,391.76 24% above 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus $915.12 $1,525.20 $112.49–$1,410.81 31% above 40%
Screening mammogram, both breasts CPT 77067 Screening mammography $46.37 $77.28 $35.74–$77.28 82% below 40%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views $315.24 $525.40 $37.09–$486.00 38% below 40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function $51.99 $86.65 $25.16–$52.43 91% below 40%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $81.47 $135.79 $32.99–$68.33 85% below 40%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus $883.85 $1,473.09 $117.86–$1,362.61 53% above 40%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen $902.77 $1,504.61 $119.34–$1,391.76 9% below 40%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum $528.34 $880.56 $85.75–$814.52 41% below 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract $93.82 $156.36 $38.56–$103.05 84% below 40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers $259.24 $432.07 $112.34–$399.66 69% below 40%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views $325.97 $543.28 $36.06–$502.53 24% below 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views $229.42 $382.36 $53.47–$353.68 40% below 40%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view $162.57 $270.95 $35.33–$250.63 46% below 40%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views $225.28 $375.47 $27.28–$347.31 25% below 40%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views $119.66 $199.43 $22.36–$184.47 55% below 40%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views $23.11 $38.51 $7.81–$17.47 92% below 40%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views $315.24 $525.40 $34.74–$486.00 20% below 40%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views $333.39 $555.65 $36.06–$513.98 21% below 40%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views $230.24 $383.73 $27.28–$354.95 32% below 40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views $264.07 $440.12 $43.45–$407.11 42% below 40%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views $485.23 $808.72 $62.90–$748.07 17% below 40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views $271.49 $452.49 $40.22–$418.55 24% below 40%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views $188.29 $313.82 $35.56–$290.28 50% below 40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views $208.78 $347.96 $37.27–$321.86 52% below 40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views $181.54 $302.57 $31.01–$279.88 50% below 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views $247.57 $412.61 $35.89–$381.66 42% below 40%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $107.63 $179.38 $6.08–$165.93 150% above 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $107.63 $179.38 $5.94–$165.93 144% above 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each $52.94 $88.23 $5.98–$81.61 536% above 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $26.21 $43.68 $10.18–$40.40 29% above 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $241.17 $401.95 $43.25–$371.80 37% above 40%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $101.98 $169.96 $9.70–$157.21 47% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity $20.27 $33.78 $8.78–$33.78 87% below 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $21.05 $35.08 $9.12–$36.83 13% below 40%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $82.55 $137.58 $4.50–$127.26 120% above 40%
Blood lead test CPT 83655 Lead level $5.24 $8.74 $2.27–$8.74 63% below 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $76.38 $127.30 $8.62–$117.75 50% below 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $21.22 $35.36 $5.94–$32.71 55% below 40%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $136.77 $227.95 $41.08–$210.85 11% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen $80.93 $134.89 $35.07–$124.77 16% above 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $26.21 $43.68 $11.36–$42.28 52% below 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $107.63 $179.38 $15.36–$165.93 6% above 40%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $110.76 $184.60 $8.91–$170.76 at median 40%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $89.03 $148.38 $7.42–$137.25 17% above 40%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $157.00 $261.67 $12.11–$242.04 39% below 40%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $154.58 $257.63 $11.68–$238.31 29% above 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level $25.78 $42.96 $11.17–$39.74 66% below 40%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level $83.39 $138.99 $22.52–$128.57 15% above 40%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $91.45 $152.42 $15.64–$140.99 9% above 40%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $27.52 $45.86 $11.92–$42.42 68% below 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $139.20 $232.00 $10.34–$214.60 104% above 40%
Free testosterone test CPT 84402 Testosterone (hormone) level, free $29.78 $49.63 $12.90–$45.91 28% below 40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $102.78 $171.30 $5.45–$158.45 132% above 40%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $261.41 $435.68 $14.76–$403.00 123% above 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $13.10 $21.84 $5.68–$21.84 75% below 40%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) $71.44 $119.07 $17.82–$110.14 37% below 40%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $27.44 $45.73 $11.89–$42.30 63% below 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification $57.66 $96.10 $24.99–$96.10 32% below 40%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus $87.40 $145.67 $15.72–$134.74 110% above 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies $35.74 $59.56 $15.49–$55.09 41% below 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $28.33 $47.22 $11.13–$43.68 56% below 40%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $26.04 $43.40 $11.28–$40.15 50% below 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification $85.18 $141.96 $36.91–$131.31 9% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $12.55 $20.92 $5.44–$19.35 33% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $11.80 $19.66 $5.11–$19.66 56% below 40%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level $21.49 $35.81 $9.31–$33.12 48% below 40%
Iron blood test (serum iron) CPT 83540 Iron level $46.94 $78.23 $7.42–$72.36 6% above 40%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $65.54 $109.24 $9.88–$101.05 19% above 40%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $97.93 $163.21 $9.95–$150.97 31% below 40%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $100.35 $167.25 $7.90–$154.71 33% above 40%
Liver function blood test panel CPT 80076 Liver function blood test panel $81.74 $136.23 $9.15–$126.01 39% below 40%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $23.37 $38.95 $10.13–$36.03 3% below 40%
Magnesium blood test CPT 83735 Magnesium level $89.84 $149.73 $7.69–$138.50 55% above 40%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $5.90 $9.83 $2.56–$9.83 72% below 40%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $102.78 $171.30 $5.94–$158.45 11% above 40%
Obstetric blood test panel CPT 80055 Obstetric blood test panel $20.18 $33.63 $8.74–$33.63 92% below 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $133.54 $222.56 $21.10–$205.87 185% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $101.98 $169.96 $6.89–$157.21 170% above 40%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $89.03 $148.38 $4.92–$137.25 87% above 40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation $28.08 $46.80 $12.17–$43.29 67% below 40%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus $173.20 $288.66 $12.69–$267.01 130% above 40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) $89.84 $149.73 $10.03–$138.50 15% below 40%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $41.28 $68.80 $6.50–$63.64 218% above 40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated $67.18 $111.96 $3.10–$103.56 49% above 40%
Stool ova and parasites exam CPT 87177 Smear for parasites $6.55 $10.92 $2.84–$10.72 63% below 40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $25.09 $41.81 $3.56–$38.67 36% below 40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay $97.12 $161.86 $18.26–$149.72 171% above 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $9.10 $15.16 $3.94–$14.02 39% below 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon $32.76 $54.60 $14.20–$54.60 54% below 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $23.85 $39.75 $10.34–$36.77 4% above 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $164.29 $273.82 $19.28–$253.28 96% above 40%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique $62.26 $103.77 $26.98–$95.99 30% below 40%
Uric acid blood test CPT 84550 Uric acid level, blood $97.12 $161.86 $5.18–$149.72 59% above 40%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated $60.43 $100.72 $3.63–$93.17 27% below 40%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test $26.39 $43.99 $2.58–$40.69 53% below 40%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test $14.48 $24.13 $3.08–$22.32 48% below 40%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine $7.27 $12.11 $3.15–$11.20 95% below 40%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $119.78 $199.63 $4.02–$184.66 39% above 40%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $9.71 $16.19 $4.21–$16.19 84% below 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $132.73 $221.21 $33.97–$204.62 108% above 40%
Zinc blood test CPT 84630 Zinc level $7.86 $13.10 $3.41–$13.10 44% below 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $59.08 $98.46 $17.27–$91.08 58% below 40%

Surgery and procedures

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $1,071.46 $1,785.76 $175.66–$1,651.83 40% below 40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat $1,071.46 $1,785.76 $175.66–$1,651.83 — 40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $36.66 $61.10 $11.00–$18.48 79% below 40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $113.26 $188.76 $11.54–$174.60 36% below 40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing $113.26 $188.76 $11.54–$174.60 — 40%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $36.66 $61.10 $26.79–$30.84 79% below 40%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $57.05 $95.08 $24.72–$87.95 67% below 40%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax $57.05 $95.08 $24.72–$87.95 — 40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance $852.20 $1,420.34 $96.32–$225.61 56% below 40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level $776.27 $1,293.79 $82.80–$145.89 62% below 40%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope $1,218.13 $2,030.22 $160.00–$615.73 91% below 40%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention $572.10 $953.50 $953.50–$963.04 3% below 40%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $101.58 $169.30 $35.00–$104.62 78% below 40%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $157.09 $261.81 $60.88–$242.17 66% below 40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess $157.09 $261.81 $60.88–$242.17 — 40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) $1,292.44 $2,154.07 $68.88–$497.98 82% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $531.60 $886.00 $45.79–$819.55 27% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $852.20 $1,420.34 $39.00–$39.39 18% above 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint $531.60 $886.00 $45.79–$819.55 — 40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue $572.10 $953.50 $53.18–$210.95 104% above 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint $531.60 $886.00 $54.46–$819.55 6% below 40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint $531.60 $886.00 $54.46–$819.55 — 40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $531.60 $886.00 $46.46–$819.55 14% below 40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint $531.60 $886.00 $46.46–$819.55 — 40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope $1,615.56 $2,692.60 $125.00–$564.85 80% below 40%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Strengthening of muscle between esophagus and stomach by wrapping part of stomach around esophagus using an endoscope $1,218.13 $2,030.22 $160.09–$976.59 89% below 40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $391.04 $651.74 $84.51–$602.86 55% below 40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $391.04 $651.74 $84.51–$602.86 — 40%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance $852.20 $1,420.34 $18.00–$89.92 49% below 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $1,060.61 $1,767.68 $7.00–$101.03 45% below 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $1,178.93 $1,964.89 $58.08–$1,817.52 11% below 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $1,178.93 $1,964.89 $58.08–$1,817.52 — 40%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $299.28 $498.80 $45.93–$461.39 34% below 40%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $299.28 $498.80 $45.93–$461.39 — 40%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $124.01 $206.68 $53.74–$191.18 85% below 40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $124.01 $206.68 $53.74–$191.18 — 40%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $1,426.99 $2,378.32 $89.85–$2,199.95 20% below 40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $391.04 $651.74 $120.69–$602.86 68% below 40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail $391.04 $651.74 $120.69–$602.86 — 40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint $373.19 $621.99 $15.00–$273.60 89% below 40%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $659.74 $1,099.57 $74.23–$1,017.10 12% below 40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $659.74 $1,099.57 $74.23–$1,017.10 — 40%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $297.62 $496.04 $52.87–$458.84 27% below 40%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint $297.62 $496.04 $52.87–$458.84 — 40%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $297.62 $496.04 $81.17–$458.84 40% below 40%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot $297.62 $496.04 $81.17–$458.84 — 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $269.53 $449.21 $100.39–$415.52 39% below 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $269.53 $449.21 $100.39–$415.52 — 40%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth $313.58 $522.63 $135.88–$483.43 57% below 40%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy, first skin growth $313.58 $522.63 $135.88–$483.43 — 40%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags $261.26 $435.43 $45.40–$402.77 33% below 40%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags $261.26 $435.43 $45.40–$402.77 — 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $245.74 $409.57 $55.86–$82.73 80% below 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $269.53 $449.21 $106.81–$415.52 60% below 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $269.53 $449.21 $106.81–$415.52 — 40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $269.53 $449.21 $72.97–$415.52 59% below 40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $269.53 $449.21 $72.97–$415.52 — 40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth $251.18 $418.63 $108.84–$387.23 54% below 40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy of related skin growth, first growth $251.18 $418.63 $108.84–$387.23 — 40%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $1,420.41 $2,367.35 $92.33–$2,189.80 30% below 40%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $503.48 $839.13 $75.29–$776.20 19% below 40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles $503.48 $839.13 $75.29–$776.20 — 40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth $2,478.71 $4,131.19 $613.92–$3,821.35 20% below 40%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths $20.62 $34.37 $3.00–$65.35 94% below 40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $311.55 $519.25 $135.01–$480.31 54% below 40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $311.55 $519.25 $135.01–$480.31 — 40%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $584.03 $973.38 $253.08–$1,022.05 33% below 40%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $607.65 $1,012.75 $263.32–$1,063.39 30% below 40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products $607.65 $1,012.75 $263.32–$1,063.39 — 40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $189.03 $315.05 $16.78–$308.00 39% below 40%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $1,349.24 $2,248.73 $174.42–$2,080.08 73% below 40%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $1,434.40 $2,390.66 $121.60–$197.70 71% below 40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes $1,349.24 $2,248.73 $174.42–$2,080.08 — 40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of brain wave activity (EEG), awake and drowsy $646.51 $1,077.52 $108.41–$996.71 27% below 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $248.03 $413.38 $23.52–$382.38 27% below 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $320.77 $534.62 $21.77–$494.52 17% below 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $407.58 $679.30 $10.86–$15.33 6% above 40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional $320.77 $534.62 $21.77–$494.52 — 40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $481.16 $801.94 $34.97–$741.79 36% below 40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $572.10 $953.50 $19.20–$39.78 23% below 40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $481.16 $801.94 $34.97–$741.79 — 40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $695.29 $1,158.81 $35.12–$68.18 42% below 40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $781.27 $1,302.11 $63.97–$1,204.45 35% below 40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $781.27 $1,302.11 $63.97–$1,204.45 — 40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $1,128.50 $1,880.83 $98.04–$1,739.77 42% below 40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $1,215.31 $2,025.51 $53.83–$115.81 38% below 40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $1,128.50 $1,880.83 $98.04–$1,739.77 — 40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $1,364.95 $2,274.91 $155.03–$2,104.29 58% below 40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $1,451.75 $2,419.59 $108.08–$168.26 56% below 40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $1,364.95 $2,274.91 $155.03–$2,104.29 — 40%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes $670.76 $1,117.94 $128.59–$1,034.09 96% above 40%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes $670.76 $1,117.94 $124.28–$1,034.09 96% above 40%
Group psychotherapy session CPT 90853 Group psychotherapy $1,774.94 $2,958.23 $23.96–$2,736.36 553% above 40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $138.07 $230.11 $59.83–$212.85 70% below 40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes $138.07 $230.11 $59.83–$212.85 — 40%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $341.44 $569.07 $89.79–$526.39 29% below 40%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $459.67 $766.12 $89.79–$708.66 4% below 40%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $459.67 $766.12 $89.79–$708.66 — 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $87.08 $145.13 $16.20–$18.94 44% below 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $123.18 $205.30 $26.90–$189.90 21% below 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $123.18 $205.30 $26.90–$189.90 — 40%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes $114.70 $191.17 $17.53–$308.00 10% below 40%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $160.40 $267.33 $69.51–$247.28 11% below 40%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $172.62 $287.70 $74.80–$266.12 27% below 40%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $224.56 $374.26 $82.70–$83.53 21% below 40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $100.06 $166.76 $34.30–$41.26 25% below 40%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes $141.55 $235.91 $61.34–$308.00 46% below 40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes $207.27 $345.45 $89.82–$319.54 53% below 40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes $207.27 $345.45 $89.82–$362.72 15% below 40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes $207.27 $345.45 $89.82–$362.72 42% below 40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes $93.34 $155.57 $31.86–$308.00 22% below 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $72.78 $121.30 $15.72–$308.00 44% below 40%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) $116.09 $193.49 $50.31–$203.16 30% below 40%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) $190.95 $318.25 $82.75–$334.16 3% above 40%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination (18-39 years) $116.09 $193.49 $193.49–$195.42 25% below 40%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years) $116.09 $193.49 $193.49–$195.42 26% below 40%
Preventive checkup, returning patient aged 65 or older CPT 99397 Established patient periodic preventive medicine examination (65 year old or older) $113.22 $188.70 $49.06–$198.14 28% below 40%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour $81.00 $135.00 $35.10–$132.88 76% below 40%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes $533.17 $888.62 $75.84–$821.97 78% above 40%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes $601.97 $1,003.28 $96.33–$928.03 89% above 40%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour $670.76 $1,117.94 $140.60–$1,034.09 96% above 40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes $33.69 $56.15 $14.60–$308.00 39% below 40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $192.47 $320.79 $82.05–$296.73 12% below 40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $136.72 $227.86 $34.43–$210.77 5% below 40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $152.75 $254.59 $53.79–$235.50 13% below 40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $124.50 $207.50 $25.96–$191.94 10% above 40%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression $496.04 $826.74 $187.30–$764.73 9% above 40%
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder $172.18 $286.97 $74.61–$308.00 38% below 40%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume $56.07 $93.45 $24.30–$308.00 83% below 40%
Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration $697.77 $1,162.95 $64.59–$1,075.73 9% below 40%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities $57.75 $96.25 $15.98–$308.00 58% below 40%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician $636.76 $1,061.26 $137.57–$981.67 135% above 40%

Vaccines

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine $765.21 $1,275.35 $331.59–$1,339.12 144% above 40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $1,220.11 $2,033.51 $528.71–$2,135.19 216% above 40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A and hepatitis B vaccine $68.75 $114.58 $29.79–$120.31 56% below 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine, adult dosage (3 dose schedule) $238.74 $397.90 $103.45–$417.80 182% above 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus, preservative free $281.73 $469.55 $122.08–$493.03 125% above 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine $82.49 $137.49 $35.75–$144.36 30% below 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine $744.66 $1,241.10 $322.69–$1,303.16 185% above 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B $839.13 $1,398.55 $363.62–$1,468.48 193% above 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent $125.09 $208.48 $54.20–$308.00 23% below 40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles vaccine for injection into muscle $764.90 $1,274.83 $331.46–$1,338.57 252% above 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) $43.43 $72.38 $18.82–$76.00 45% below 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) $78.67 $131.11 $34.09–$137.67 7% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $20.62 $34.37 $6.40–$31.79 80% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $98.39 $163.98 $6.40–$151.68 3% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine $98.39 $163.98 $6.40–$151.68 — 40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $87.08 $145.13 $17.00–$134.25 29% above 40%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbOHGRIDLEYCA&type=CDMWithoutLabel&fileType=CSV