The Community Hospital of Brazosport
The Community Hospital of Brazosport in Lake Jackson, TX publishes cash prices for 259 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 Texas median for 176 of 255 procedures and above it for 79. By typical cash price it ranks #41 of 211 Texas hospitals and #5 of 35 hospitals in the Houston, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
100 Medical Drive, Lake Jackson, TX 77566 Collected Sep 27, 2026 Source price file (979) 297-4411
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 450072 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT 3 VIEW | $582.45 | $1,664.13 | $31.23–$1,337.97 | 79% above | 65% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT 3 VIEW | $582.45 | $1,664.13 | $832.07 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 UP/LOW EXT ARTERY BILATERAL | $458.50 | $1,310.00 | $129.11–$655.00 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $543.20 | $1,552.00 | $129.11–$776.00 | 11% below | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 UP/LOW EXT ARTERY BILATERAL | $458.50 | $1,310.00 | $655.00 | — | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $543.20 | $1,552.00 | $776.00 | — | 65% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM ONLY | $905.71 | $2,587.74 | $87.72–$1,340.00 | 81% above | 65% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM ONLY | $905.71 | $2,587.74 | $1,293.87 | — | 65% |
| Bone scan, whole body (nuclear medicine) CPT 78306 IMAGING-WHOLE BODY | $1,381.10 | $3,946.00 | $236.76–$1,973.00 | 24% below | 65% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 IMAGING-WHOLE BODY | $1,381.10 | $3,946.00 | $1,973.00 | — | 65% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST/AXILLA COMPLETE | $864.50 | $2,470.00 | $103.91–$1,340.00 | 95% above | 65% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 BREAST/AXILLA COMPLETE | $864.50 | $2,470.00 | $1,235.00 | — | 65% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 BREAST/AXILLA LIMITED | $700.35 | $2,001.00 | $65.23–$1,340.00 | 102% above | 65% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 BREAST/AXILLA LIMITED | $700.35 | $2,001.00 | $1,000.50 | — | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT-ANGIOCHEST | $3,489.68 | $9,970.50 | $178.31–$4,985.25 | 7% above | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT-ANGIOCHEST | $3,489.68 | $9,970.50 | $4,985.25 | — | 65% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD & PELVIS W/O CONTRAST | $5,937.40 | $16,964.00 | $189.79–$8,482.00 | 68% above | 65% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD & PELVIS W/O CONTRAST | $5,937.40 | $16,964.00 | $8,482.00 | — | 65% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD & PELVIC W CONTRAST | $7,068.25 | $20,195.00 | $265.38–$10,097.50 | 80% above | 65% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD & PELVIC W CONTRAST | $7,068.25 | $20,195.00 | $10,097.50 | — | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD & PELVIS W&W/O CONTRAST | $7,633.85 | $21,811.00 | $265.38–$10,905.50 | 73% above | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD & PELVIS W&W/O CONTRAST | $7,633.85 | $21,811.00 | $10,905.50 | — | 65% |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN WITH CONTRAST | $4,113.09 | $11,751.66 | $178.31–$5,875.83 | 57% above | 65% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN WITH CONTRAST | $4,113.09 | $11,751.66 | $5,875.83 | — | 65% |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WITHOUT CONTRAST | $2,385.60 | $6,816.00 | $106.51–$3,408.00 | 10% above | 65% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WITHOUT CONTRAST | $2,385.60 | $6,816.00 | $3,408.00 | — | 65% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA W/OUT CO | $2,467.15 | $7,049.00 | $106.51–$3,524.50 | 45% above | 65% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL AREA W/OUT CO | $2,467.15 | $7,049.00 | $3,524.50 | — | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD/BRAIN W/O CONTRAST | $2,521.05 | $7,203.00 | $106.51–$3,601.50 | 24% above | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD/BRAIN W/O CONTRAST | $2,521.05 | $7,203.00 | $3,601.50 | — | 65% |
| CT scan of the head with contrast CPT 70460 CT-HEAD WITH CONTRAST | $3,529.05 | $10,083.00 | $153.36–$5,041.50 | 63% above | 65% |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD WITH CONTRAST | $3,529.05 | $10,083.00 | $5,041.50 | — | 65% |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD W/WO CONTRAST | $4,134.20 | $11,812.00 | $178.31–$5,906.00 | 58% above | 65% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD W/WO CONTRAST | $4,134.20 | $11,812.00 | $5,906.00 | — | 65% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $3,541.09 | $10,117.38 | $106.51–$5,058.69 | 53% above | 65% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $3,541.09 | $10,117.38 | $5,058.69 | — | 65% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERVICAL SPINE W/O CONTRAST | $3,108.00 | $8,880.00 | $106.51–$4,440.00 | 31% above | 65% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERVICAL SPINE W/O CONTRAST | $3,108.00 | $8,880.00 | $4,440.00 | — | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS WITH CONTRAST | $3,687.95 | $10,537.00 | $178.31–$5,268.50 | 41% above | 65% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS WITH CONTRAST | $3,687.95 | $10,537.00 | $5,268.50 | — | 65% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID ARTERY BILATERAL SCAN | $1,178.10 | $3,366.00 | $191.46–$1,683.00 | — | 65% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID ARTERY BILATERAL SCAN | $1,178.10 | $3,366.00 | $1,683.00 | — | 65% |
| Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS | $534.80 | $1,528.00 | $30.18–$1,228.52 | 17% above | 65% |
| Chest X-ray, 2 views CPT 71046 CHEST LATERAL DECUBITUS | $634.55 | $1,813.00 | $30.18–$1,340.00 | 39% above | 65% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2 VIEWS | $534.80 | $1,528.00 | $764.00 | — | 65% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST LATERAL DECUBITUS | $634.55 | $1,813.00 | $906.50 | — | 65% |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 VIEW | $484.40 | $1,384.00 | $21.75–$1,112.74 | 26% above | 65% |
| Chest X-ray, single view inpatient CPT 71045 CHEST XRAY 1 VIEW | $484.40 | $1,384.00 | $692.00 | — | 65% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RP EXAM COMPLETE | $1,243.20 | $3,552.00 | $106.51–$1,776.00 | 68% above | 65% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RP EXAM COMPLETE | $1,243.20 | $3,552.00 | $1,776.00 | — | 65% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL SKELE | $399.70 | $1,142.00 | $38.09–$918.17 | 4% below | 65% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY AXIAL SKELE | $399.70 | $1,142.00 | $571.00 | — | 65% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL | $36.05 | $103.00 | $6.18–$213.15 | 84% below | 65% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL | $36.05 | $103.00 | $51.50 | — | 65% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST WITHOUT CONTRAST | $2,832.89 | $8,093.96 | $106.51–$4,046.98 | 33% above | 65% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST WITHOUT CONTRAST | $2,832.89 | $8,093.96 | $4,046.98 | — | 65% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST WITH CONTRAST | $3,569.65 | $10,199.00 | $173.08–$5,099.50 | 34% above | 65% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST WITH CONTRAST | $3,569.65 | $10,199.00 | $5,099.50 | — | 65% |
| Diagnostic mammogram, both breasts CPT 77066 DIGITAL DIAGOSTIC MAMMO W CAD | $815.15 | $2,329.00 | $229.91–$1,340.00 | 123% above | 65% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 DIGITAL DIAGOSTIC MAMMO W CAD | $815.15 | $2,329.00 | $1,164.50 | — | 65% |
| Diagnostic mammogram, one breast CPT 77065 DIGITAL DIAG MAMMO UNI W CAD | $537.95 | $1,537.00 | $179.65–$1,235.75 | 58% above | 65% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL DIAG MAMMO UNI W CAD | $537.95 | $1,537.00 | $768.50 | — | 65% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOW EXT ARTERIAL BILATERAL | $740.95 | $2,117.00 | $127.02–$1,058.50 | — | 65% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOW EXT ARTERIAL BILATERAL | $740.95 | $2,117.00 | $1,058.50 | — | 65% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAPARMBILAT | $1,589.70 | $4,542.00 | $188.79–$2,271.00 | 24% below | 65% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAPLEGBILAT | $1,589.70 | $4,542.00 | $188.79–$2,271.00 | 24% below | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEIN MAPLEGBILAT | $1,589.70 | $4,542.00 | $2,271.00 | — | 65% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEIN MAPARMBILAT | $1,589.70 | $4,542.00 | $2,271.00 | — | 65% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO DOPPLER WITH COLOR FLOW | $2,250.57 | $6,430.20 | $274.29–$3,215.10 | 13% below | 65% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO DOPPLER WITH COLOR FLOW | $2,250.57 | $6,430.20 | $3,215.10 | — | 65% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIANRY SYSTEMIMAGING | $797.30 | $2,278.00 | $136.68–$1,340.00 | 55% below | 65% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIANRY SYSTEMIMAGING | $797.30 | $2,278.00 | $1,139.00 | — | 65% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/PAP < 6 HRS. | $1,679.90 | $4,799.70 | $719.96–$2,424.37 | 68% below | 65% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY W/PAP < 6 HRS. | $1,679.90 | $4,799.70 | $2,399.85 | — | 65% |
| Knee X-ray, 3 views CPT 73562 KNEE W/PATELLA | $583.23 | $1,666.36 | $35.44–$1,339.76 | 83% above | 65% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE W/PATELLA | $583.23 | $1,666.36 | $833.18 | — | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL EXAM LIMITED | $923.65 | $2,639.00 | $88.55–$1,340.00 | 47% above | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMINAL EXAM LIMITED | $923.65 | $2,639.00 | $1,319.50 | — | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $112.14 | $320.38 | $19.23–$365.00 | 51% below | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C- | $112.14 | $320.38 | $160.19 | — | 65% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MR-BREAST BILAT W WO CONTRAST | $2,055.55 | $5,873.00 | $506.89–$2,936.50 | — | 65% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MR-BREAST BILAT W WO CONTRAST | $2,055.55 | $5,873.00 | $2,936.50 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEERIGHT W/O CONT | $2,604.32 | $7,440.90 | $210.84–$3,720.45 | 18% above | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI KNEERIGHT W/O CONT | $2,604.32 | $7,440.90 | $3,720.45 | — | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI HIPRIGHT W/WO CONT | $4,974.55 | $14,213.00 | $357.71–$7,106.50 | 65% above | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI HIPRIGHT W/WO CONT | $4,974.55 | $14,213.00 | $7,106.50 | — | 65% |
| MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN W/O CONTRAST | $2,920.40 | $8,344.00 | $204.83–$4,172.00 | 22% above | 65% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN W/O CONTRAST | $2,920.40 | $8,344.00 | $4,172.00 | — | 65% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN W/WO CONTRAST | $5,034.60 | $14,384.55 | $354.51–$7,192.28 | 54% above | 65% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN W/WO CONTRAST | $5,034.60 | $14,384.55 | $7,192.28 | — | 65% |
| MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN WITHOUT CONTRAST | $2,646.00 | $7,560.00 | $204.15–$3,780.00 | 17% above | 65% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY WO CONTRAST | $2,646.00 | $7,560.00 | $204.15–$3,780.00 | 17% above | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN WITHOUT CONTRAST | $2,646.00 | $7,560.00 | $3,780.00 | — | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY WO CONTRAST | $2,646.00 | $7,560.00 | $3,780.00 | — | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/WO CONTRAST | $4,338.95 | $12,397.00 | $332.80–$6,198.50 | 38% above | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INC ORBITS WWO CON | $4,338.95 | $12,397.00 | $332.80–$6,198.50 | 38% above | 65% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN W/WO CONTRAST | $4,338.95 | $12,397.00 | $6,198.50 | — | 65% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INC ORBITS WWO CON | $4,338.95 | $12,397.00 | $6,198.50 | — | 65% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-SPINE LUMBAR W/O CONTRAST | $4,112.66 | $11,750.45 | $199.14–$5,875.23 | 72% above | 65% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-SPINE LUMBAR W/O CONTRAST | $4,112.66 | $11,750.45 | $5,875.23 | — | 65% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI-SPINE LUMBAR W/WO CON. | $6,868.40 | $19,624.00 | $333.80–$9,812.00 | 115% above | 65% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-SPINE LUMBAR W/WO CON. | $6,868.40 | $19,624.00 | $9,812.00 | — | 65% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-THORACIC SPINE W/O CON. | $3,322.90 | $9,494.00 | $198.48–$4,747.00 | 51% above | 65% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-THORACIC SPINE W/O CON. | $3,322.90 | $9,494.00 | $4,747.00 | — | 65% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-CERVICAL SPINE W/WO CON | $5,102.30 | $14,578.00 | $334.46–$7,289.00 | 39% above | 65% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-CERVICAL SPINE W/WO CON | $5,102.30 | $14,578.00 | $7,289.00 | — | 65% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-CERVICAL SPINE W/O CON. | $3,453.45 | $9,867.00 | $198.48–$4,933.50 | 44% above | 65% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-CERVICAL SPINE W/O CON. | $3,453.45 | $9,867.00 | $4,933.50 | — | 65% |
| MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/WO CONTRAST | $5,034.60 | $14,384.55 | $353.18–$7,192.28 | 45% above | 65% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS W/WO CONTRAST | $5,034.60 | $14,384.55 | $7,192.28 | — | 65% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI COCCYX W/O CONTRAST | $3,423.70 | $9,782.00 | $233.52–$4,891.00 | 26% above | 65% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI COCCYX W/O CONTRAST | $3,423.70 | $9,782.00 | $4,891.00 | — | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI WRISTLEFT W/O CONT | $4,316.85 | $12,333.84 | $211.18–$6,166.92 | 141% above | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI WRISTLEFT W/O CONT | $4,316.85 | $12,333.84 | $6,166.92 | — | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC IMAGING SPECT WWMEF | $4,588.98 | $13,111.35 | $438.05–$6,555.68 | 4% above | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC IMAGING SPECT WWMEF | $4,588.98 | $13,111.35 | $6,555.68 | — | 65% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET LUNG-NONSMCELL-RSTAGE | $4,298.35 | $12,281.00 | $736.86–$6,140.50 | 9% below | 65% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET LUNG-NONSMCELL-RSTAGE | $4,298.35 | $12,281.00 | $6,140.50 | — | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC FOLLOW UP/LIMITED | $492.45 | $1,407.00 | $50.79–$1,131.23 | 2% above | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC FOLLOW UP/LIMITED | $492.45 | $1,407.00 | $703.50 | — | 65% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE | $1,094.45 | $3,127.00 | $96.28–$1,563.50 | 27% above | 65% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC COMPLETE | $1,094.45 | $3,127.00 | $1,563.50 | — | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB COMPLETE TM 2/3 1ST FETUS | $1,221.15 | $3,489.00 | $106.51–$1,744.50 | 87% above | 65% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB COMPLETE TM 2/3 1ST FETUS | $1,221.15 | $3,489.00 | $1,744.50 | — | 65% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 1ST TRIMESTER SINGLE/1ST FETUS | $1,052.80 | $3,008.00 | $106.51–$1,504.00 | 71% above | 65% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 1ST TRIMESTER SINGLE/1ST FETUS | $1,052.80 | $3,008.00 | $1,504.00 | — | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBSTETRICAL LIMITED | $337.75 | $965.00 | $57.90–$775.86 | 26% below | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OBSTETRICAL LIMITED | $337.75 | $965.00 | $482.50 | — | 65% |
| Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCR MAMMO BILAT W CAD | $330.40 | $944.00 | $141.60–$758.98 | — | 65% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL SCR MAMMO BILAT W CAD | $330.40 | $944.00 | $472.00 | — | 65% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT 2 VIEW | $617.40 | $1,764.00 | $29.13–$1,340.00 | 101% above | 65% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RIGHT 2 VIEW | $617.40 | $1,764.00 | $882.00 | — | 65% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY < 6 HOURS | $1,601.25 | $4,575.00 | $686.25–$2,424.37 | 66% below | 65% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY < 6 HOURS | $1,601.25 | $4,575.00 | $2,287.50 | — | 65% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $2,309.27 | $6,597.90 | $299.87–$3,298.95 | 15% below | 65% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE | $2,309.27 | $6,597.90 | $3,298.95 | — | 65% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW | $956.74 | $2,733.54 | $120.18–$1,366.77 | 54% above | 65% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW | $956.74 | $2,733.54 | $1,366.77 | — | 65% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL STUDY | $741.30 | $2,118.00 | $106.51–$1,340.00 | 15% above | 65% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL STUDY | $741.30 | $2,118.00 | $1,059.00 | — | 65% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAG OB CERVIX ASSESSMENT | $383.67 | $1,096.20 | $65.78–$881.35 | 25% below | 65% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAG OB CERVIX ASSESSMENT | $383.67 | $1,096.20 | $548.10 | — | 65% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL EXAM COMPLETE | $1,649.55 | $4,713.00 | $106.51–$2,356.50 | 91% above | 65% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL EXAM COMPLETE | $1,649.55 | $4,713.00 | $2,356.50 | — | 65% |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM/TESTICALS | $954.45 | $2,727.00 | $67.71–$1,363.50 | 39% above | 65% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM/TESTICALS | $954.45 | $2,727.00 | $1,363.50 | — | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID/PARA/PAROTID GLAND | $1,078.35 | $3,081.00 | $106.51–$1,540.50 | 71% above | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID/PARA/PAROTID GLAND | $1,078.35 | $3,081.00 | $1,540.50 | — | 65% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W KUB | $679.70 | $1,942.00 | $111.92–$1,340.00 | 4% below | 65% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W KUB | $679.70 | $1,942.00 | $971.00 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEIN MAPARMLEFT | $747.25 | $2,135.00 | $106.51–$1,067.50 | 7% below | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEIN MAPARMRIGHT | $747.25 | $2,135.00 | $106.51–$1,067.50 | 7% below | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEIN MAPARMRIGHT | $747.25 | $2,135.00 | $1,067.50 | — | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEIN MAPARMLEFT | $747.25 | $2,135.00 | $1,067.50 | — | 65% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST W/OBLIQUES | $517.65 | $1,479.00 | $34.73–$1,189.12 | 66% above | 65% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST W/OBLIQUES | $517.65 | $1,479.00 | $739.50 | — | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT 2 VIEW | $571.92 | $1,634.04 | $41.04–$1,313.77 | 41% above | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LEFT 2 VIEW | $571.92 | $1,634.04 | $817.02 | — | 65% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN X-RAY SINGLE VIEW | $498.40 | $1,424.00 | $27.02–$1,144.90 | 38% above | 65% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN X-RAY SINGLE VIEW | $498.40 | $1,424.00 | $712.00 | — | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT 2 VIEW | $291.55 | $833.00 | $29.46–$669.74 | 3% above | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT 2 VIEW | $571.90 | $1,634.00 | $29.46–$1,313.74 | 102% above | 65% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RIGHT 2 VIEW | $291.55 | $833.00 | $416.50 | — | 65% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LEFT 2 VIEW | $571.90 | $1,634.00 | $817.00 | — | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) RIGHT | $292.60 | $836.00 | $31.92–$672.15 | 21% above | 65% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) RIGHT | $292.60 | $836.00 | $418.00 | — | 65% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT 2 VIEW | $428.05 | $1,223.00 | $25.97–$983.30 | 29% above | 65% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RIGHT 2 VIEW | $428.05 | $1,223.00 | $611.50 | — | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT 3 VIEW | $563.15 | $1,609.00 | $29.13–$1,293.64 | 54% above | 65% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LEFT 3 VIEW | $563.15 | $1,609.00 | $804.50 | — | 65% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT 3 VIEW | $559.30 | $1,598.00 | $31.58–$1,284.80 | 71% above | 65% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RIGHT 3 VIEW | $559.30 | $1,598.00 | $799.00 | — | 65% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT 2 VIEW | $484.40 | $1,384.00 | $30.87–$1,112.74 | 75% above | 65% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LEFT 2 VIEW | $484.40 | $1,384.00 | $692.00 | — | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE X-RAY LUMBAR 3 VIEWS | $582.05 | $1,663.00 | $34.73–$1,337.06 | 11% above | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE X-RAY LUMBAR 3 VIEWS | $582.05 | $1,663.00 | $831.50 | — | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR W/OBLIQUES | $756.70 | $2,162.00 | $48.42–$1,340.00 | 16% above | 65% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR W/OBLIQUES | $756.70 | $2,162.00 | $1,081.00 | — | 65% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC AP/LAT | $439.95 | $1,257.00 | $33.08–$1,010.63 | 9% above | 65% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC AP/LAT | $439.95 | $1,257.00 | $628.50 | — | 65% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES X-RAY | $306.95 | $877.00 | $32.63–$705.11 | 8% above | 65% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES X-RAY | $306.95 | $877.00 | $438.50 | — | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL AP/LAT | $576.10 | $1,646.00 | $32.98–$1,323.39 | 52% above | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL AP/LAT | $576.10 | $1,646.00 | $823.00 | — | 65% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS X-RAY 1 VIEW AP | $466.61 | $1,333.16 | $28.06–$1,071.87 | 25% above | 65% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS X-RAY 1 VIEW AP | $466.61 | $1,333.16 | $666.58 | — | 65% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM X-RAY | $440.65 | $1,259.00 | $28.07–$1,012.24 | 39% above | 65% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM X-RAY | $440.65 | $1,259.00 | $629.50 | — | 65% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $29.40 | $84.00 | $4.45–$67.54 | 45% below | 65% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $29.40 | $84.00 | $42.00 | — | 65% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $25.90 | $74.00 | $4.35–$59.50 | 50% below | 65% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $25.90 | $74.00 | $37.00 | — | 65% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $236.60 | $676.00 | $8.08–$543.51 | 40% below | 65% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $236.60 | $676.00 | $338.00 | — | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $9.10 | $26.00 | $3.90–$21.90 | 36% below | 65% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $9.10 | $26.00 | $13.00 | — | 65% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $21.70 | $62.00 | $9.30–$54.33 | 65% below | 65% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $21.70 | $62.00 | $31.00 | — | 65% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $36.02 | $102.90 | $10.16–$82.74 | 60% below | 65% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $36.02 | $102.90 | $51.45 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B.NATRIURETIC PEPTIDE | $57.75 | $165.00 | $24.75–$164.50 | 72% below | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO-BNP | $91.70 | $262.00 | $28.66–$210.65 | 56% below | 65% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B.NATRIURETIC PEPTIDE | $57.75 | $165.00 | $82.50 | — | 65% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PRO-BNP | $91.70 | $262.00 | $131.00 | — | 65% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE | $242.90 | $694.00 | $7.15–$557.98 | 5% below | 65% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE | $242.90 | $694.00 | $347.00 | — | 65% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL 4 | $146.64 | $418.95 | $21.89–$336.84 | 51% below | 65% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV TISSUE EXAM BY PATHOL | $253.75 | $725.00 | $21.89–$582.90 | 15% below | 65% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL 4 | $146.64 | $418.95 | $209.48 | — | 65% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV TISSUE EXAM BY PATHOL | $253.75 | $725.00 | $362.50 | — | 65% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $148.84 | $425.25 | $8.67–$341.91 | 38% below | 65% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $148.84 | $425.25 | $212.63 | — | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $21.35 | $61.00 | $1.80–$30.50 | 10% below | 65% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $21.35 | $61.00 | $30.50 | — | 65% |
| Blood glucose (sugar) test CPT 82947 GLUCOSEANCILLARY | $26.10 | $74.55 | $3.30–$59.94 | 50% below | 65% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $28.67 | $81.90 | $3.30–$65.85 | 45% below | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSEANCILLARY | $26.10 | $74.55 | $37.28 | — | 65% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $28.67 | $81.90 | $40.95 | — | 65% |
| Blood lead test CPT 83655 LEAD BLOOD | $32.55 | $93.00 | $10.17–$74.78 | 22% below | 65% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $32.55 | $93.00 | $46.50 | — | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG TEST (SERUM) | $93.45 | $267.00 | $6.32–$214.67 | 32% below | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG TEST (SERUM) | $93.45 | $267.00 | $133.50 | — | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD GROUP | $163.10 | $466.00 | $2.51–$456.84 | 77% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD GROUP | $163.10 | $466.00 | $233.00 | — | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (QUANTITATIVE) | $31.98 | $91.35 | $4.35–$73.45 | 37% below | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $77.81 | $222.30 | $4.35–$178.73 | 53% above | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (QUANTITATIVE) | $31.98 | $91.35 | $45.68 | — | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $77.81 | $222.30 | $111.15 | — | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $63.70 | $182.00 | $27.30–$156.92 | 70% below | 65% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $63.70 | $182.00 | $91.00 | — | 65% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $66.50 | $190.00 | $17.48–$152.76 | 60% below | 65% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $66.50 | $190.00 | $95.00 | — | 65% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $81.22 | $232.05 | $17.48–$186.57 | 49% below | 65% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $81.22 | $232.05 | $116.03 | — | 65% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $92.05 | $263.00 | $30.79–$214.99 | 23% above | 65% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $92.05 | $263.00 | $131.50 | — | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $112.46 | $321.30 | $29.48–$258.33 | 8% below | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE | $112.46 | $321.30 | $160.65 | — | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $102.54 | $292.95 | $7.66–$235.54 | 45% below | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $102.54 | $292.95 | $146.48 | — | 65% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFFERENTIAL | $82.95 | $237.00 | $6.53–$190.55 | 15% below | 65% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL | $86.45 | $247.00 | $6.53–$198.59 | 12% below | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFFERENTIAL | $82.95 | $237.00 | $118.50 | — | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL | $86.45 | $247.00 | $123.50 | — | 65% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT | $42.84 | $122.40 | $5.43–$98.41 | 62% below | 65% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/OUT DIFF | $72.40 | $206.85 | $5.43–$166.31 | 37% below | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE BLOOD COUNT | $42.84 | $122.40 | $61.20 | — | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/OUT DIFF | $72.40 | $206.85 | $103.43 | — | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PROFIL | $305.90 | $874.00 | $8.92–$702.70 | 22% below | 65% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PROFIL | $305.90 | $874.00 | $437.00 | — | 65% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $91.00 | $260.00 | $8.55–$209.04 | 50% below | 65% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $91.00 | $260.00 | $130.00 | — | 65% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $43.75 | $125.00 | $18.67–$100.50 | 72% below | 65% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $43.75 | $125.00 | $62.50 | — | 65% |
| Estradiol blood test CPT 82670 ESTRADIOL | $67.55 | $193.00 | $23.47–$155.18 | 49% below | 65% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $67.55 | $193.00 | $96.50 | — | 65% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $51.45 | $147.00 | $15.61–$118.19 | 68% below | 65% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $51.45 | $147.00 | $73.50 | — | 65% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $32.90 | $94.00 | $14.10–$82.82 | 85% below | 65% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $32.90 | $94.00 | $47.00 | — | 65% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $77.35 | $221.00 | $11.45–$177.69 | 2% below | 65% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $77.35 | $221.00 | $110.50 | — | 65% |
| Folate (folic acid) blood test CPT 82746 FOLATESERUM | $59.15 | $169.00 | $12.35–$135.88 | 44% below | 65% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM | $59.15 | $169.00 | $84.50 | — | 65% |
| Free T3 thyroid hormone test CPT 84481 T3.FREE | $41.90 | $119.70 | $14.23–$96.24 | 74% below | 65% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3.FREE | $41.90 | $119.70 | $59.85 | — | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4FREE | $62.85 | $179.55 | $7.58–$144.36 | 50% below | 65% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4FREE | $62.85 | $179.55 | $89.78 | — | 65% |
| Free testosterone test CPT 84402 LAB TESTOSTERONE FREE | $84.70 | $242.00 | $21.39–$194.57 | 14% below | 65% |
| Free testosterone test inpatient CPT 84402 LAB TESTOSTERONE FREE | $84.70 | $242.00 | $121.00 | — | 65% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE PP WITH LOAD | $51.35 | $146.70 | $3.99–$117.95 | 55% below | 65% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE PP WITH LOAD | $51.35 | $146.70 | $73.35 | — | 65% |
| Glucose tolerance test, 3 samples CPT 82951 GTT-1ST 3 SPEC | $59.87 | $171.05 | $10.81–$137.53 | 61% below | 65% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT-1ST 3 SPEC | $59.87 | $171.05 | $85.53 | — | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $99.80 | $285.12 | $29.48–$229.24 | 22% below | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB | $99.80 | $285.12 | $142.56 | — | 65% |
| H. pylori antibody blood test CPT 86677 H. PYLORI IGGQUAL | $74.97 | $214.20 | $12.25–$172.22 | 43% below | 65% |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGGQUAL | $74.97 | $214.20 | $107.10 | — | 65% |
| H. pylori stool antigen test CPT 87338 H.PYLORI ANTIGEN STOOL | $25.73 | $73.50 | $11.03–$61.04 | 79% below | 65% |
| H. pylori stool antigen test inpatient CPT 87338 H.PYLORI ANTIGEN STOOL | $25.73 | $73.50 | $36.75 | — | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $200.03 | $571.50 | $71.48–$459.49 | 46% below | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $200.03 | $571.50 | $285.75 | — | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV - 1/2 AGAND AB4TH GEN | $56.56 | $161.60 | $20.23–$129.93 | 61% below | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&2 AB AG IA | $101.43 | $289.80 | $20.23–$233.00 | 30% below | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV - 1/2 AGAND AB4TH GEN | $56.56 | $161.60 | $80.80 | — | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1&2 AB AG IA | $101.43 | $289.80 | $144.90 | — | 65% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS PROBE | $35.91 | $102.60 | $15.39–$146.76 | 57% below | 65% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMAVIRUS PROBE | $35.91 | $102.60 | $51.30 | — | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $44.10 | $126.00 | $8.16–$101.31 | 52% below | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $44.10 | $126.00 | $63.00 | — | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $54.39 | $155.40 | $9.02–$124.95 | 38% below | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY | $54.39 | $155.40 | $77.70 | — | 65% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B S-ANTIGEN | $40.80 | $116.55 | $8.68–$93.71 | 71% below | 65% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B S-ANTIGEN | $40.80 | $116.55 | $58.28 | — | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $55.44 | $158.40 | $11.99–$127.36 | 36% below | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB2ND GEN | $94.08 | $268.80 | $11.99–$216.12 | 8% above | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $55.44 | $158.40 | $79.20 | — | 65% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB2ND GEN | $94.08 | $268.80 | $134.40 | — | 65% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN | $136.85 | $391.00 | $35.99–$314.37 | 35% below | 65% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $244.02 | $697.20 | $35.99–$560.55 | 16% above | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN | $136.85 | $391.00 | $195.50 | — | 65% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA QN | $244.02 | $697.20 | $348.60 | — | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $19.69 | $56.23 | $8.44–$55.35 | 73% below | 65% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $19.69 | $56.23 | $28.12 | — | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $69.09 | $197.40 | $16.25–$158.71 | 19% below | 65% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $69.09 | $197.40 | $98.70 | — | 65% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENS. | $69.83 | $199.50 | $10.88–$160.40 | 30% below | 65% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENS. | $69.83 | $199.50 | $99.75 | — | 65% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $48.65 | $139.00 | $14.24–$111.76 | 68% below | 65% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $48.65 | $139.00 | $69.50 | — | 65% |
| Insulin blood test CPT 83525 INSULIN | $36.40 | $104.00 | $9.60–$83.62 | 47% below | 65% |
| Insulin blood test inpatient CPT 83525 INSULIN | $36.40 | $104.00 | $52.00 | — | 65% |
| Iron blood test (serum iron) CPT 83540 IRON | $36.05 | $103.00 | $5.43–$82.82 | 61% below | 65% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $36.05 | $103.00 | $51.50 | — | 65% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $12.60 | $36.00 | $5.40–$36.31 | 88% below | 65% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $12.60 | $36.00 | $18.00 | — | 65% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $289.23 | $826.35 | $7.33–$664.39 | 18% below | 65% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $289.23 | $826.35 | $413.18 | — | 65% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $64.75 | $185.00 | $15.56–$148.74 | 57% below | 65% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $64.75 | $185.00 | $92.50 | — | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASEURINE | $14.00 | $40.00 | $5.79–$32.16 | 79% below | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $39.90 | $114.00 | $5.79–$91.66 | 41% below | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASEURINE | $14.00 | $40.00 | $20.00 | — | 65% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $39.90 | $114.00 | $57.00 | — | 65% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $215.95 | $617.00 | $6.89–$496.07 | 32% below | 65% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $215.95 | $617.00 | $308.50 | — | 65% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $42.13 | $120.36 | $14.31–$96.77 | 49% below | 65% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE | $42.13 | $120.36 | $60.18 | — | 65% |
| Magnesium blood test CPT 83735 MAGNESIUM | $105.48 | $301.35 | $5.63–$242.29 | 83% above | 65% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $105.48 | $301.35 | $150.68 | — | 65% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $33.25 | $95.00 | $10.82–$76.38 | 18% above | 65% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $33.25 | $95.00 | $47.50 | — | 65% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCREEN | $46.20 | $132.00 | $4.35–$106.13 | 52% below | 65% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN | $46.20 | $132.00 | $66.00 | — | 65% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $277.90 | $794.00 | $35.31–$638.38 | 10% above | 65% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $277.90 | $794.00 | $397.00 | — | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL | $54.60 | $156.00 | $15.45–$125.43 | 57% below | 65% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL | $54.60 | $156.00 | $78.00 | — | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $126.42 | $361.20 | $15.45–$290.41 | 25% above | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $126.42 | $361.20 | $180.60 | — | 65% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP | $63.32 | $180.90 | $17.02–$145.45 | 30% below | 65% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP PAP | $63.32 | $180.90 | $90.45 | — | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 C-TERM PTH | $70.25 | $200.70 | $30.11–$173.26 | 70% below | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONEINTACT | $119.44 | $341.25 | $34.68–$274.37 | 49% below | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 C-TERM PTH | $70.25 | $200.70 | $100.35 | — | 65% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONEINTACT | $119.44 | $341.25 | $170.63 | — | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 MIXING STUDY | $9.45 | $27.00 | $4.05–$25.23 | 84% below | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THOMBOPLASTIN TIME | $68.95 | $197.00 | $5.05–$158.39 | 17% above | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MIXING STUDY | $9.45 | $27.00 | $13.50 | — | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THOMBOPLASTIN TIME | $68.95 | $197.00 | $98.50 | — | 65% |
| Progesterone blood test CPT 84144 PROGESTERONE | $41.97 | $119.90 | $17.52–$96.40 | 61% below | 65% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $41.97 | $119.90 | $59.95 | — | 65% |
| Prolactin blood test CPT 84146 PROLACTIN (1 SPECIMEN) | $73.14 | $208.95 | $16.28–$168.00 | 28% below | 65% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN (1 SPECIMEN) | $73.14 | $208.95 | $104.48 | — | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 MIXING STUDY | $9.14 | $26.10 | $3.32–$20.99 | 86% below | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $72.10 | $206.00 | $3.32–$165.63 | 7% above | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MIXING STUDY | $9.14 | $26.10 | $13.05 | — | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $72.10 | $206.00 | $103.00 | — | 65% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $28.00 | $80.00 | $10.13–$69.73 | 75% below | 65% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $35.35 | $101.00 | $10.13–$81.21 | 68% below | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $28.00 | $80.00 | $40.00 | — | 65% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $35.35 | $101.00 | $50.50 | — | 65% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA STATUS | $55.86 | $159.60 | $12.09–$128.32 | 14% above | 65% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA STATUS | $55.86 | $159.60 | $79.80 | — | 65% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 WESTEGREN SED RATE | $37.86 | $108.15 | $2.27–$86.96 | 44% below | 65% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 WESTEGREN SED RATE | $37.86 | $108.15 | $54.08 | — | 65% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $45.68 | $130.50 | $10.18–$104.93 | 72% below | 65% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $45.68 | $130.50 | $65.25 | — | 65% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $74.20 | $212.00 | $7.48–$170.45 | 28% below | 65% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $74.20 | $212.00 | $106.00 | — | 65% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD SCREENING | $39.90 | $114.00 | $13.37–$91.66 | 47% below | 65% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD SCREENING | $39.90 | $114.00 | $57.00 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRLCSF | $20.84 | $59.54 | $3.59–$47.88 | 51% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $53.66 | $153.30 | $3.59–$123.26 | 26% above | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRLCSF | $20.84 | $59.54 | $29.77 | — | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $53.66 | $153.30 | $76.65 | — | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB TEST | $152.60 | $436.00 | $52.06–$350.55 | 31% below | 65% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB TEST | $152.60 | $436.00 | $218.00 | — | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $38.52 | $110.03 | $16.51–$108.98 | 57% below | 65% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $38.52 | $110.03 | $55.02 | — | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOME | $55.65 | $159.00 | $12.22–$127.84 | 46% below | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MIC AB | $60.90 | $174.00 | $12.22–$139.90 | 41% below | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PERIODASE ANTIBODIES | $64.75 | $185.00 | $12.22–$148.74 | 37% below | 65% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOME | $55.65 | $159.00 | $79.50 | — | 65% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MIC AB | $60.90 | $174.00 | $87.00 | — | 65% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PERIODASE ANTIBODIES | $64.75 | $185.00 | $92.50 | — | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMNE | $99.96 | $285.60 | $14.11–$229.63 | 23% below | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMNE | $99.96 | $285.60 | $142.80 | — | 65% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $54.86 | $156.72 | $23.51–$147.32 | 37% below | 65% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $54.86 | $156.72 | $78.36 | — | 65% |
| Uric acid blood test CPT 84550 URIC ACID | $29.40 | $84.00 | $3.80–$67.54 | 76% below | 65% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $29.40 | $84.00 | $42.00 | — | 65% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $48.65 | $139.00 | $2.66–$111.76 | 55% below | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $48.65 | $139.00 | $69.50 | — | 65% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/OUT MICRO | $31.15 | $89.00 | $1.89–$71.56 | 38% below | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/OUT MICRO | $31.15 | $89.00 | $44.50 | — | 65% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINECOLONY COUNT | $94.85 | $271.00 | $6.78–$217.89 | 45% below | 65% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINECOLONY COUNT | $94.85 | $271.00 | $135.50 | — | 65% |
| Urine pregnancy test, read by color change CPT 81025 HCG TEST (URINE) | $85.05 | $243.00 | $5.34–$195.38 | 29% below | 65% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG TEST (URINE) | $85.05 | $243.00 | $121.50 | — | 65% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $51.09 | $145.95 | $12.67–$117.35 | 49% below | 65% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $51.09 | $145.95 | $72.98 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D25-OH | $76.23 | $217.80 | $24.86–$175.12 | 38% below | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN DY 2.5(OH) TOTAL | $77.18 | $220.50 | $24.86–$177.29 | 37% below | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D25-OH | $76.23 | $217.80 | $108.90 | — | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN DY 2.5(OH) TOTAL | $77.18 | $220.50 | $110.25 | — | 65% |
| Zinc blood test CPT 84630 ZINC | $17.00 | $48.55 | $7.29–$47.94 | 77% below | 65% |
| Zinc blood test inpatient CPT 84630 ZINC | $17.00 | $48.55 | $24.28 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG TUMOR MARKER | $56.70 | $162.00 | $12.64–$130.25 | 36% below | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCGQUANTATIVE | $141.40 | $404.00 | $12.64–$324.82 | 59% above | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG TUMOR MARKER | $56.70 | $162.00 | $81.00 | — | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCGQUANTATIVE | $141.40 | $404.00 | $202.00 | — | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 LHRT CATH WITH ANGIO | $8,494.15 | $24,269.00 | $1,456.14–$12,750.00 | 45% below | 65% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHRT CATH WITH ANGIO | $8,494.15 | $24,269.00 | $1,600.00–$12,134.50 | — | 65% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION-ER | $544.42 | $1,555.47 | $233.33–$1,480.34 | 72% below | 65% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION-ER | $544.42 | $1,555.47 | $777.74 | — | 65% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION | $231.70 | $661.98 | $99.30–$2,831.00 | 90% below | 65% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION | $231.70 | $661.98 | $330.99 | — | 65% |
| Coronary stent placement, one artery CPT 92928 SINGLE VESSEL INTRACORN STENT | $4,474.05 | $12,783.00 | $766.98–$37,354.97 | 63% below | 65% |
| Coronary stent placement, one artery inpatient CPT 92928 SINGLE VESSEL INTRACORN STENT | $4,474.05 | $12,783.00 | $1,600.00–$6,391.50 | — | 65% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $33.71 | $96.30 | $0.40–$3,635.00 | 78% below | 65% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN | $33.71 | $96.30 | $48.15 | — | 65% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $60.48 | $172.80 | $0.40–$3,635.00 | 84% below | 65% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $60.48 | $172.80 | $86.40 | — | 65% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPHINGOGRAPHY-INJ | $144.90 | $414.00 | $62.10–$3,635.00 | 64% below | 65% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPHINGOGRAPHY-INJ | $144.90 | $414.00 | $207.00 | — | 65% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE | $237.30 | $678.00 | $0.40–$3,635.00 | 49% below | 65% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D | $266.35 | $761.00 | $0.40–$3,635.00 | 43% below | 65% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE | $237.30 | $678.00 | $339.00 | — | 65% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D | $266.35 | $761.00 | $380.50 | — | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATIONSHOULDERHIPKNEE | $436.10 | $1,246.00 | $22.71–$3,635.00 | 26% below | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATIONSHOULDERHIPKNEE | $436.10 | $1,246.00 | $623.00 | — | 65% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 VANTUS INSERTION ONLY | $54.50 | $155.70 | $0.40–$3,635.00 | 77% below | 65% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 VANTUS INSERTION ONLY | $54.50 | $155.70 | $77.85 | — | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATIONANGKLEWRISTELBOW | $430.15 | $1,229.00 | $18.78–$3,635.00 | 27% below | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATIONANGKLEWRISTELBOW | $430.15 | $1,229.00 | $614.50 | — | 65% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATIONTOES OR FINGERS | $423.50 | $1,210.00 | $17.66–$3,635.00 | 18% above | 65% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATIONTOES OR FINGERS | $423.50 | $1,210.00 | $605.00 | — | 65% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $207.20 | $592.00 | $0.40–$3,635.00 | 64% below | 65% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $207.20 | $592.00 | $296.00 | — | 65% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH W/WO LV GRAM | $4,122.09 | $11,777.40 | $706.65–$12,750.00 | 63% below | 65% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH W/WO LV GRAM | $4,122.09 | $11,777.40 | $1,600.00–$5,888.70 | — | 65% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE 1 | $54.18 | $154.80 | $0.40–$3,635.00 | 81% below | 65% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE 1 | $54.18 | $154.80 | $77.40 | — | 65% |
| Pacemaker implant (dual chamber) CPT 33208 PERM. PACER - DUAL CHAMBER | $4,933.53 | $14,095.80 | $652.26–$27,399.84 | 74% below | 65% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PERM. PACER - DUAL CHAMBER | $4,933.53 | $14,095.80 | $1,600.00–$7,047.90 | — | 65% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS IN SDS | $1,321.43 | $3,775.50 | $302.06–$2,640.00 | 19% below | 65% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS | $1,321.43 | $3,775.50 | $302.06–$2,640.00 | 19% below | 65% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS | $1,321.43 | $3,775.50 | $1,887.75 | — | 65% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS IN SDS | $1,321.43 | $3,775.50 | $1,887.75 | — | 65% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $393.40 | $1,124.00 | $89.11–$3,635.00 | 25% below | 65% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $393.40 | $1,124.00 | $562.00 | — | 65% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 URS ESWL | $7,302.75 | $20,865.00 | $1,177.54–$10,432.50 | 4% above | 65% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 ESWL | $7,302.75 | $20,865.00 | $1,177.54–$10,432.50 | 4% above | 65% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 ESWL | $7,302.75 | $20,865.00 | $10,432.50 | — | 65% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 URS ESWL | $7,302.75 | $20,865.00 | $10,432.50 | — | 65% |
| Short arm splint (forearm and hand) CPT 29125 PT APPL OF FOREARM SPL&STA | $106.75 | $305.00 | $0.40–$297.13 | 63% below | 65% |
| Short arm splint (forearm and hand) CPT 29125 OT APPL OF FOREARM SPL&STA | $106.75 | $305.00 | $0.40–$297.13 | 63% below | 65% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT APPL OF FOREARM SPL&STA | $106.75 | $305.00 | $152.50 | — | 65% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PT APPL OF FOREARM SPL&STA | $106.75 | $305.00 | $152.50 | — | 65% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $193.90 | $554.00 | $0.40–$372.29 | 29% below | 65% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $193.90 | $554.00 | $277.00 | — | 65% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP RP SCALPNECKAXILLAETRU | $259.00 | $740.00 | $0.40–$3,635.00 | 33% below | 65% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP RP SCALPNECKAXILLAETRU | $259.00 | $740.00 | $370.00 | — | 65% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN | $332.85 | $951.00 | $0.40–$3,635.00 | 24% below | 65% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN | $332.85 | $951.00 | $475.50 | — | 65% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $690.90 | $1,974.00 | $276.53–$3,635.00 | 39% below | 65% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURELUMBAR-DX | $690.90 | $1,974.00 | $276.53–$3,635.00 | 39% below | 65% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURELUMBAR-DX | $690.90 | $1,974.00 | $987.00 | — | 65% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $690.90 | $1,974.00 | $987.00 | — | 65% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $339.15 | $969.00 | $0.40–$519.39 | 29% below | 65% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $339.15 | $969.00 | $484.50 | — | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $254.10 | $726.00 | $0.40–$473.20 | 44% below | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $254.10 | $726.00 | $363.00 | — | 65% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENIAL BIOPSY OF SKIN | $281.30 | $803.70 | $0.40–$3,635.00 | 9% below | 65% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN | $332.85 | $951.00 | $0.40–$3,635.00 | 8% above | 65% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENIAL BIOPSY OF SKIN | $281.30 | $803.70 | $401.85 | — | 65% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN | $332.85 | $951.00 | $475.50 | — | 65% |
| Thoracentesis with imaging guidance CPT 32555 CT-THOR | $524.30 | $1,498.00 | $180.77–$3,635.00 | 63% below | 65% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/US GUIDE | $524.30 | $1,498.00 | $180.77–$3,635.00 | 63% below | 65% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/US GUIDE | $524.30 | $1,498.00 | $749.00 | — | 65% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT-THOR | $524.30 | $1,498.00 | $749.00 | — | 65% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ | $133.88 | $382.50 | $24.47–$3,635.00 | 72% below | 65% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ | $133.88 | $382.50 | $191.25 | — | 65% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST CORE BX W/US GUIDANCE | $1,029.70 | $2,942.00 | $302.06–$3,707.70 | 67% below | 65% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BREAST CORE BX W/US GUIDANCE | $1,029.70 | $2,942.00 | $1,471.00 | — | 65% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKINSUBCUT TISSUE | $682.50 | $1,950.00 | $150.52–$2,831.00 | 33% below | 65% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKINSUBCUT TISSUE | $682.50 | $1,950.00 | $975.00 | — | 65% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-ER | $227.50 | $650.00 | $27.20–$3,635.00 | 79% below | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-5TH FLOOR | $239.25 | $683.55 | $27.20–$3,635.00 | 78% below | 65% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-DS | $268.10 | $766.00 | $27.20–$3,635.00 | 75% below | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-ER | $227.50 | $650.00 | $325.00 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-5TH FLOOR | $239.25 | $683.55 | $341.78 | — | 65% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-DS | $268.10 | $766.00 | $383.00 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT ADDL | $185.92 | $531.18 | $79.68–$531.18 | 11% below | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $186.20 | $532.00 | $79.80–$532.00 | 11% below | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT ADDL | $185.92 | $531.18 | $265.59 | — | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $186.20 | $532.00 | $266.00 | — | 65% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO THERAPY ADMIN IV UPTO1HR | $508.99 | $1,454.25 | $218.14–$840.22 | 24% below | 65% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO THERAPY ADMIN IV UPTO1HR | $508.99 | $1,454.25 | $727.13 | — | 65% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE IN ER 1ST HOUR | $2,534.35 | $7,241.00 | $434.46–$5,687.00 | 14% below | 65% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE IN ER 1ST HOUR | $2,534.35 | $7,241.00 | $3,620.50 | — | 65% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRM-AWAK/DRSY | $606.01 | $1,731.45 | $259.72–$981.69 | 41% below | 65% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ELECTROENCEPHALOGRM-AWAK/DRSY | $606.01 | $1,731.45 | $865.73 | — | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG/SDAY/DDR | $289.10 | $826.00 | $59.50–$413.00 | at median | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG/SDAY/DDR | $289.10 | $826.00 | $413.00 | — | 65% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 EMERGENCY EXAM | $276.85 | $791.00 | $47.46–$1,811.00 | 4% below | 65% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 EMERGENCY EXAM | $276.85 | $791.00 | $395.50 | — | 65% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II EMERGENCY EXAM | $520.80 | $1,488.00 | $51.36–$1,811.00 | 3% above | 65% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II EMERGENCY EXAM | $520.80 | $1,488.00 | $744.00 | — | 65% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III EMERGENCY EXAM | $846.30 | $2,418.00 | $51.36–$3,616.00 | 5% below | 65% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III EMERGENCY EXAM | $846.30 | $2,418.00 | $1,209.00 | — | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV EMERGENCY EXAM | $1,269.45 | $3,627.00 | $175.00–$5,687.00 | 12% below | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV EMERGENCY EXAM | $1,269.45 | $3,627.00 | $1,813.50 | — | 65% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V EMERGENCY EXAM | $1,627.50 | $4,650.00 | $279.00–$5,687.00 | 30% below | 65% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V EMERGENCY EXAM | $1,627.50 | $4,650.00 | $2,325.00 | — | 65% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGICAL CARDIAC STRESS | $1,001.35 | $2,861.00 | $311.90–$1,430.50 | 30% below | 65% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMACOLOGICAL CARDIAC STRESS | $1,001.35 | $2,861.00 | $1,430.50 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INF 31 MIN TO 1 HR | $257.60 | $736.00 | $91.00–$539.08 | 47% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION THERAPY | $257.60 | $736.00 | $91.00–$539.08 | 47% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION THERAPY | $257.60 | $736.00 | $368.00 | — | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INF 31 MIN TO 1 HR | $257.60 | $736.00 | $368.00 | — | 65% |
| IV infusion of a medicine, first hour CPT 96365 OP/OBS IV DRUG THERAPY | $392.00 | $1,120.00 | $146.38–$560.00 | 26% below | 65% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OP/OBS IV DRUG THERAPY | $392.00 | $1,120.00 | $560.00 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ/IM INJECTION | $141.40 | $404.00 | $60.60–$202.00 | 18% below | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINISTRATION IM INJECTION | $141.40 | $404.00 | $60.60–$202.00 | 18% below | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP/OBS IM INJ ANTIBIOTIC | $282.10 | $806.00 | $71.29–$403.00 | 64% above | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP/OBS SUBQ/IM INJ | $282.10 | $806.00 | $71.29–$403.00 | 64% above | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMINISTRATION IM INJECTION | $141.40 | $404.00 | $202.00 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ/IM INJECTION | $141.40 | $404.00 | $202.00 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP/OBS SUBQ/IM INJ | $282.10 | $806.00 | $403.00 | — | 65% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP/OBS IM INJ ANTIBIOTIC | $282.10 | $806.00 | $403.00 | — | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSC RE-EDUC MVMT EA 15M | $55.65 | $159.00 | $23.85–$255.00 | 51% below | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED 15 MIN | $113.40 | $324.00 | $48.60–$255.00 | at median | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUC 15MIN | $113.40 | $324.00 | $48.60–$255.00 | at median | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSC RE-EDUC MVMT EA 15M | $55.65 | $159.00 | $79.50 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUC 15MIN | $113.40 | $324.00 | $162.00 | — | 65% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED 15 MIN | $113.40 | $324.00 | $162.00 | — | 65% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT 3 | $158.76 | $453.60 | $68.04–$244.84 | 42% below | 65% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL III | $198.14 | $566.10 | $45.00–$335.00 | 27% below | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT VISIT 3 | $158.76 | $453.60 | $226.80 | — | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL III | $198.14 | $566.10 | $283.05 | — | 65% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT 4 | $192.78 | $550.80 | $82.62–$414.53 | 46% below | 65% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $240.62 | $687.48 | $45.00–$414.53 | 32% below | 65% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT VISIT 4 | $192.78 | $550.80 | $275.40 | — | 65% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $240.62 | $687.48 | $343.74 | — | 65% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT 5 | $226.49 | $647.10 | $97.07–$540.96 | 38% below | 65% |
| New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT LEVEL 5 NEW | $272.04 | $777.24 | $45.00–$540.96 | 26% below | 65% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT VISIT 5 | $226.49 | $647.10 | $323.55 | — | 65% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT LEVEL 5 NEW | $272.04 | $777.24 | $388.62 | — | 65% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT 2 | $126.63 | $361.80 | $54.27–$180.90 | 39% below | 65% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT LEVEL 2 NEW | $143.52 | $410.04 | $45.00–$335.00 | 31% below | 65% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT 2 | $126.63 | $361.80 | $180.90 | — | 65% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT LEVEL 2 NEW | $143.52 | $410.04 | $205.02 | — | 65% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY INI EA15 | $33.31 | $95.15 | $14.28–$98.98 | 50% below | 65% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRITION THERAPY INI EA15 | $33.31 | $95.15 | $47.58 | — | 65% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL: LOW COMPLEXITY | $145.95 | $417.00 | $62.55–$293.82 | 46% below | 65% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL: LOW COMPLEXITY | $145.95 | $417.00 | $208.50 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL: HIGH COMPLEXITY | $157.50 | $450.00 | $67.50–$273.31 | 48% below | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION | $241.50 | $690.00 | $90.00–$345.00 | 21% below | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL: HIGH COMPLEXITY | $157.50 | $450.00 | $225.00 | — | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION | $241.50 | $690.00 | $345.00 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL: LOW COMPLEXITY | $137.55 | $393.00 | $58.95–$273.31 | 42% below | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT-EVALUATION LOW 20MIN | $144.43 | $412.65 | $61.90–$273.31 | 39% below | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL: LOW COMPLEXITY | $137.55 | $393.00 | $196.50 | — | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT-EVALUATION LOW 20MIN | $144.43 | $412.65 | $206.33 | — | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL: MODERATE COMPLEXITY | $150.31 | $429.45 | $64.42–$273.31 | 47% below | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL: MODERATE COMPLEXITY | $150.31 | $429.45 | $214.73 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $48.65 | $139.00 | $20.85–$255.00 | 57% below | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-LYMPHEDEMA-MANUAL 15MIN | $120.75 | $345.00 | $51.75–$255.00 | 7% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $120.75 | $345.00 | $51.75–$255.00 | 7% above | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MIN | $48.65 | $139.00 | $69.50 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-LYMPHEDEMA-MANUAL 15MIN | $120.75 | $345.00 | $172.50 | — | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15 MIN | $120.75 | $345.00 | $172.50 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPUTIC EXERCISE 15 MIN | $102.20 | $292.00 | $43.80–$255.00 | 18% below | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15MIN | $109.55 | $313.00 | $46.95–$255.00 | 12% below | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15MIN | $109.55 | $313.00 | $46.95–$255.00 | 12% below | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPUTIC EXERCISE 15 MIN | $102.20 | $292.00 | $146.00 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE 15MIN | $109.55 | $313.00 | $156.50 | — | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15MIN | $109.55 | $313.00 | $156.50 | — | 65% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $30.24 | $86.40 | $12.96–$69.26 | 38% below | 65% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $30.24 | $86.40 | $43.20 | — | 65% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PT VISIT 5 | $158.76 | $453.60 | $68.04–$356.45 | 57% below | 65% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PT LEVEL 5 | $190.64 | $544.68 | $45.00–$356.45 | 48% below | 65% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PT VISIT 5 | $158.76 | $453.60 | $226.80 | — | 65% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PT LEVEL 5 | $190.64 | $544.68 | $272.34 | — | 65% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PT VISIT 3 | $113.40 | $324.00 | $48.60–$164.00 | 51% below | 65% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT LEVEL 3 EST | $142.09 | $405.96 | $45.00–$335.00 | 38% below | 65% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PT VISIT 3 | $113.40 | $324.00 | $162.00 | — | 65% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT LEVEL 3 EST | $142.09 | $405.96 | $202.98 | — | 65% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PT VISIT 4 | $136.40 | $389.70 | $58.46–$252.83 | 53% below | 65% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PT LEVEL 4 | $163.87 | $468.18 | $45.00–$335.00 | 43% below | 65% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PT VISIT 4 | $136.40 | $389.70 | $194.85 | — | 65% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PT LEVEL 4 | $163.87 | $468.18 | $234.09 | — | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PT VISIT 2 | $90.72 | $259.20 | $38.88–$129.60 | 53% below | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PT LEVEL 2 | $113.17 | $323.34 | $45.00–$335.00 | 42% below | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PT VISIT 2 | $90.72 | $259.20 | $129.60 | — | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PT LEVEL 2 | $113.17 | $323.34 | $161.67 | — | 65% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PT CONSULTATION LEVEL 3 | $203.00 | $580.00 | $87.00–$307.50 | 192% above | 65% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PT CONSULTATION LEVEL 3 | $203.00 | $580.00 | $290.00 | — | 65% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PT CONSULTATION LEVEL 4 | $300.65 | $859.00 | $128.85–$494.26 | 184% above | 65% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PT CONSULTATION LEVEL 4 | $300.65 | $859.00 | $429.50 | — | 65% |
| Speech and language evaluation CPT 92523 SPEECH LANGUAGE EVAL | $270.85 | $773.85 | $90.00–$630.93 | 36% below | 65% |
| Speech and language evaluation CPT 92523 SPEECH PRODUCTION & LANG COMP | $270.85 | $773.85 | $90.00–$630.93 | 36% below | 65% |
| Speech and language evaluation inpatient CPT 92523 SPEECH PRODUCTION & LANG COMP | $270.85 | $773.85 | $386.93 | — | 65% |
| Speech and language evaluation inpatient CPT 92523 SPEECH LANGUAGE EVAL | $270.85 | $773.85 | $386.93 | — | 65% |
| Speech therapy session, individual CPT 92507 SPEECH LANGUAGE TX 45 MIN | $83.65 | $239.00 | $35.85–$255.00 | 63% below | 65% |
| Speech therapy session, individual CPT 92507 SPEECH LANGUAGE EVALPER SESS | $83.65 | $239.00 | $35.85–$255.00 | 63% below | 65% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH LANGUAGE EVALPER SESS | $83.65 | $239.00 | $119.50 | — | 65% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH LANGUAGE TX 45 MIN | $83.65 | $239.00 | $119.50 | — | 65% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION SPIROMETRY | $231.53 | $661.50 | $99.23–$437.19 | 35% below | 65% |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION SPIROMETRY | $231.53 | $661.50 | $330.75 | — | 65% |
| Spirometry before and after a bronchodilator CPT 94060 PUL FUNC PRE&POST SPIROMETRY | $204.75 | $585.00 | $87.75–$697.40 | 67% below | 65% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PUL FUNC PRE&POST SPIROMETRY | $204.75 | $585.00 | $292.50 | — | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIV 15 MIN | $96.04 | $274.38 | $41.16–$255.00 | 18% below | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES15MIN | $96.04 | $274.38 | $41.16–$255.00 | 18% below | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIV 15 MIN | $96.04 | $274.38 | $137.19 | — | 65% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES15MIN | $96.04 | $274.38 | $137.19 | — | 65% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $115.50 | $330.00 | $49.50–$297.13 | 58% below | 65% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CC THERAPEUTIC PHLEBOTOMY | $115.50 | $330.00 | $45.00–$335.00 | 58% below | 65% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $115.50 | $330.00 | $165.00 | — | 65% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CC THERAPEUTIC PHLEBOTOMY | $115.50 | $330.00 | $165.00 | — | 65% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIVALENT 2024-2025SYR | $5.18 | $14.80 | $1.63–$25.42 | 89% below | 65% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIVALENT 2024-2025SYR | $5.18 | $14.80 | $1.63–$23.09 | — | 65% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 SQ MMR VACCINE | $76.68 | $219.08 | $32.87–$219.08 | 69% below | 65% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 SQ MMR VACCINE | $76.68 | $219.08 | $72.30–$341.77 | — | 65% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 0.5ML SYR | $93.20 | $266.27 | $29.29–$266.27 | 64% below | 65% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 0.5ML SYR | $93.20 | $266.27 | $29.29–$415.39 | — | 65% |
| Rabies vaccine, one dose CPT 90675 RABIES VACHUMAN DIPLOID 2.5IU | $216.67 | $619.05 | $92.86–$899.26 | 79% below | 65% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACHUMAN DIPLOID 2.5IU | $216.67 | $619.05 | $204.29–$965.72 | — | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTHERIA ADULT INJ | $62.92 | $179.76 | $26.97–$129.43 | 52% below | 65% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPTHERIA ADULT INJ | $62.92 | $179.76 | $59.33–$280.43 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTHPERTUSS(ACELL)TET VAC | $61.74 | $176.39 | $26.46–$130.81 | 63% below | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (DIPTHPERTTET) | $95.57 | $273.03 | $40.96–$196.59 | 42% below | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPTHPERTUSS(ACELL)TET VAC | $61.74 | $176.39 | $58.21–$275.17 | — | 65% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (DIPTHPERTTET) | $95.57 | $273.03 | $90.10–$425.93 | — | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE | $74.90 | $214.00 | $32.10–$191.09 | 4% below | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE | $74.90 | $214.00 | $107.00 | — | 65% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE ADDL | $38.15 | $109.00 | $16.35–$54.50 | 31% below | 65% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN VACCINE ADDL | $38.15 | $109.00 | $54.50 | — | 65% |