Community Hospital - McCook
Community Hospital - McCook in McCook, NE publishes cash prices for 280 common procedures listed here, from its own machine-readable price file updated Dec 27, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Nebraska median for 159 of 277 procedures and above it for 117. By typical cash price it ranks #8 of 34 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1301 East H Street, McCook NE 69001 Collected Sep 27, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE 3+ VIEWS | $95.63 | $106.25 | $55.25–$102.00 | 59% below | 10% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEW - MC | $103.50 | $115.00 | $59.80–$110.40 | 56% below | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL DOPPLER | $562.28 | $624.75 | $324.87–$599.76 | 52% above | 10% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $711.90 | $791.00 | $411.32–$759.36 | 53% above | 10% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN | $1,962.90 | $2,181.00 | $1,134.12–$2,093.76 | 19% above | 10% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST-COMPLETE - CH | $287.55 | $319.50 | $166.14–$306.72 | 34% below | 10% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST-COMPLETE LEFT | $624.15 | $693.50 | $360.62–$665.76 | 43% above | 10% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST, COMPLETE, RIGHT | $624.15 | $693.50 | $360.62–$665.76 | 43% above | 10% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 BREAST-LIMITED - MC | $236.70 | $263.00 | $136.76–$252.48 | 29% below | 10% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST-LIMITED RIGHT | $439.20 | $488.00 | $253.76–$468.48 | 32% above | 10% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST, LIMITED LEFT | $439.20 | $488.00 | $253.76–$468.48 | 32% above | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST | $3,420.45 | $3,800.50 | $1,976.26–$3,648.48 | 18% above | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING TEST - | $93.60 | $104.00 | $54.08–$99.84 | 25% below | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING TEST | $601.43 | $668.25 | $347.49–$641.52 | 381% above | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CON | $4,162.95 | $4,625.50 | $2,405.26–$4,440.48 | 48% above | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST | $4,680.45 | $5,200.50 | $2,704.26–$4,992.48 | 25% above | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/O W/CONTR | $5,308.65 | $5,898.50 | $3,067.22–$5,662.56 | 27% above | 10% |
| CT scan of the abdomen with contrast CPT 74160 ABDOMEN W/CONTRAST | $2,683.13 | $2,981.25 | $1,550.25–$2,862.00 | 18% above | 10% |
| CT scan of the abdomen without contrast CPT 74150 ABDOMEN W/O CONTRAST | $2,446.65 | $2,718.50 | $1,413.62–$2,609.76 | 35% above | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 FACIAL OR SINUS W/O CONTR | $1,942.65 | $2,158.50 | $1,122.42–$2,072.16 | 27% above | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 LIMITED SINUS W/O CONTRAS | $1,942.65 | $2,158.50 | $1,122.42–$2,072.16 | 27% above | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE | $1,942.65 | $2,158.50 | $1,122.42–$2,072.16 | 27% above | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST | $2,080.35 | $2,311.50 | $1,201.98–$2,219.04 | 30% above | 10% |
| CT scan of the head with contrast CPT 70460 HEAD W/CONTRAST | $2,351.25 | $2,612.50 | $1,358.50–$2,508.00 | 19% above | 10% |
| CT scan of the head without and with contrast CPT 70470 HEAD W/O W/CONTRAST | $2,679.75 | $2,977.50 | $1,548.30–$2,858.40 | 26% above | 10% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE W/O CONTRAST | $2,379.83 | $2,644.25 | $1,375.01–$2,538.48 | 25% above | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE W/O CONTRA | $2,450.93 | $2,723.25 | $1,416.09–$2,614.32 | 28% above | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 LIMITED CERVICAL W/O CONT | $2,450.93 | $2,723.25 | $1,416.09–$2,614.32 | 28% above | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/CONTRAST | $2,737.80 | $3,042.00 | $1,581.84–$2,920.32 | 20% above | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BILATERAL | $1,538.10 | $1,709.00 | $888.68–$1,640.64 | — | 10% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS FRONTAL/LAT | $87.08 | $96.75 | $50.31–$92.88 | 65% below | 10% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW FRONTAL LATE | $87.08 | $96.75 | $50.31–$92.88 | 65% below | 10% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS, PA AND LAT | $354.60 | $394.00 | $204.88–$378.24 | 43% above | 10% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW FRONTAL | $67.28 | $74.75 | $38.87–$71.76 | 65% below | 10% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW - MC | $72.68 | $80.75 | $41.99–$77.52 | 62% below | 10% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW | $293.85 | $326.50 | $169.78–$313.44 | 53% above | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL-COMPLETE | $833.40 | $926.00 | $481.52–$888.96 | 9% above | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITOMETRY AXIAL S | $499.28 | $554.75 | $288.47–$532.56 | 33% above | 10% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US COMPLETE - MC | $487.13 | $541.25 | $281.45–$519.60 | 1% below | 10% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB COMPLETE | $837.68 | $930.75 | $483.99–$893.52 | 71% above | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST W/O CONTRAST | $2,374.43 | $2,638.25 | $1,371.89–$2,532.72 | 26% above | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST W/CONTRAST | $2,578.73 | $2,865.25 | $1,489.93–$2,750.64 | 12% above | 10% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAGNOSTIC DIGITAL | $462.15 | $513.50 | $267.02–$492.96 | 3% above | 10% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DUPLEX BILATERA | $1,275.75 | $1,417.50 | $737.10–$1,360.80 | 23% above | 10% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 THIGH VELOCITY STUDY BILA | $1,275.75 | $1,417.50 | $737.10–$1,360.80 | 23% above | 10% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DUPLEX BILATERAL U | $715.73 | $795.25 | $413.53–$763.44 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W M MODE, DOPPLER | $2,392.43 | $2,658.25 | $1,382.29–$2,551.92 | 19% above | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 BILIARY DUCT (HIDA SCAN) | $1,998.00 | $2,220.00 | $1,154.40–$2,131.20 | 38% above | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY -UNATTENDED H | $492.75 | $547.50 | $284.70–$525.60 | 32% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLIT NIGHT | $4,823.10 | $5,359.00 | $2,786.68–$5,144.64 | 36% above | 10% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $106.43 | $118.25 | $61.49–$113.52 | 69% below | 10% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEW - MC | $115.20 | $128.00 | $66.56–$122.88 | 66% below | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN-LIMITED - MC | $245.03 | $272.25 | $141.57–$261.36 | 53% below | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN-LIMITED | $724.05 | $804.50 | $418.34–$772.32 | 40% above | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CA SCREE | $1,862.33 | $2,069.25 | $1,076.01–$1,986.48 | 432% above | 10% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 BREAST BILATERAL W W/O CO | $3,563.33 | $3,959.25 | $2,058.81–$3,800.88 | — | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LOW EXT JTS ONLY W/O CONT | $2,755.13 | $3,061.25 | $1,591.85–$2,938.80 | 12% above | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 LOW EXT JOINTS WO/W CONT | $3,761.55 | $4,179.50 | $2,173.34–$4,012.32 | 12% above | 10% |
| MRI of the abdomen without contrast CPT 74181 ABDOMEN | $3,257.33 | $3,619.25 | $1,882.01–$3,474.48 | 20% above | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W W/O CONTRAST | $4,336.20 | $4,818.00 | $2,505.36–$4,625.28 | 18% above | 10% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN | $3,638.70 | $4,043.00 | $2,102.36–$3,881.28 | 52% above | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN, WO/W CONTRAST | $4,113.23 | $4,570.25 | $2,376.53–$4,387.44 | 10% above | 10% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE | $3,466.80 | $3,852.00 | $2,003.04–$3,697.92 | 18% above | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 L-SPINE WO/W CONTRAST | $4,236.53 | $4,707.25 | $2,447.77–$4,518.96 | 13% above | 10% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE | $3,697.65 | $4,108.50 | $2,136.42–$3,944.16 | 27% above | 10% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 C-SPINE, WO/W CONTRAST | $4,401.23 | $4,890.25 | $2,542.93–$4,694.64 | 18% above | 10% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE | $3,581.78 | $3,979.75 | $2,069.47–$3,820.56 | 19% above | 10% |
| MRI of the pelvis without and with contrast CPT 72197 PELVIS W/O W CONTRAST | $4,289.63 | $4,766.25 | $2,478.45–$4,575.60 | 38% above | 10% |
| MRI of the pelvis without and with contrast CPT 72197 PROSTATE W W/O CONTRAST | $4,289.63 | $4,766.25 | $2,478.45–$4,575.60 | 38% above | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O CONTRAST | $3,231.45 | $3,590.50 | $1,867.06–$3,446.88 | 37% above | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 PROSTATE W/O CONTRAST | $4,312.13 | $4,791.25 | $2,491.45–$4,599.60 | 82% above | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MN MYO PERF SPECT MULTI | $4,393.80 | $4,882.00 | $2,538.64–$4,686.72 | 20% above | 10% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT SKULL BASE - MID T | $6,931.35 | $7,701.50 | $4,004.78–$7,393.44 | 28% above | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON LIMITED OR BLA | $135.00 | $150.00 | $78.00–$144.00 | 56% below | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NONOBSTETRIC LIMIT | $554.40 | $616.00 | $320.32–$591.36 | 82% above | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS US - MC | $293.85 | $326.50 | $169.78–$313.44 | 60% below | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS | $826.20 | $918.00 | $477.36–$881.28 | 12% above | 10% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PREGNANCY-2ND & 3RD TRIME | $888.08 | $986.75 | $513.11–$947.28 | 32% above | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY-1ST TRIMESTER - | $327.38 | $363.75 | $189.15–$349.20 | 45% below | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY-1ST TRIMESTER | $738.23 | $820.25 | $426.53–$787.44 | 24% above | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB - LIMITED - MC | $226.58 | $251.75 | $130.91–$241.68 | 33% below | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB - LIMITED | $483.53 | $537.25 | $279.37–$515.76 | 44% above | 10% |
| Screening mammogram, both breasts CPT 77067 MAMMO DIGITAL SCREENING | $395.10 | $439.00 | $228.28–$421.44 | 96% above | 10% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEWS | $90.23 | $100.25 | $52.13–$96.24 | 71% below | 10% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE - MC | $97.88 | $108.75 | $56.55–$104.40 | 68% below | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY BASELINE | $4,240.13 | $4,711.25 | $2,449.85–$4,522.80 | 36% above | 10% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW E | $608.85 | $676.50 | $351.78–$649.44 | 22% above | 10% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAPHY - | $333.90 | $371.00 | $192.92–$356.16 | 37% below | 10% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAPHY | $715.05 | $794.50 | $413.14–$762.72 | 34% above | 10% |
| Transvaginal ultrasound during pregnancy CPT 76817 USOUND OB TRANSVAGINAL - | $257.85 | $286.50 | $148.98–$275.04 | 44% below | 10% |
| Transvaginal ultrasound during pregnancy CPT 76817 USOUND OB TRANSVAGINAL | $620.78 | $689.75 | $358.67–$662.16 | 34% above | 10% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE - MC | $324.45 | $360.50 | $187.46–$346.08 | 60% below | 10% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE | $886.95 | $985.50 | $512.46–$946.08 | 10% above | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR US - MC | $281.03 | $312.25 | $162.37–$299.76 | 53% below | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR | $729.68 | $810.75 | $421.59–$778.32 | 21% above | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID - MC | $309.83 | $344.25 | $179.01–$330.48 | 46% below | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID | $658.35 | $731.50 | $380.38–$702.24 | 15% above | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE NECK/THYROID | $658.35 | $731.50 | $380.38–$702.24 | 15% above | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/O KUB | $647.10 | $719.00 | $373.88–$690.24 | 37% above | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX UNI UPPER/L | $302.18 | $335.75 | $174.59–$322.32 | 70% below | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UNI RIGHT U | $1,108.80 | $1,232.00 | $640.64–$1,182.72 | 12% above | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UNI LEFT UP | $1,108.80 | $1,232.00 | $640.64–$1,182.72 | 12% above | 10% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE 3 VIEWS | $106.43 | $118.25 | $61.49–$113.52 | 66% below | 10% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE 3VIEWS | $106.43 | $118.25 | $61.49–$113.52 | 66% below | 10% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS - MC | $115.20 | $128.00 | $66.56–$122.88 | 63% below | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2-3 VIEWS | $122.40 | $136.00 | $70.72–$130.56 | 21% below | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2-3 VIEW | $122.40 | $136.00 | $70.72–$130.56 | 21% below | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2-3 VIEW - MC | $132.53 | $147.25 | $76.57–$141.36 | 14% below | 10% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $78.53 | $87.25 | $45.37–$83.76 | 65% below | 10% |
| X-ray of the abdomen, 1 view CPT 74018 KUB,ABDOMEN - MC | $85.05 | $94.50 | $49.14–$90.72 | 62% below | 10% |
| X-ray of the abdomen, 1 view CPT 74018 KUB,ABDOMEN | $324.68 | $360.75 | $187.59–$346.32 | 44% above | 10% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $83.25 | $92.50 | $48.10–$88.80 | 55% below | 10% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEW - CH | $90.00 | $100.00 | $52.00–$96.00 | 51% below | 10% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2 VIEWS | $97.65 | $108.50 | $56.42–$104.16 | 43% below | 10% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER - MC | $105.53 | $117.25 | $60.97–$112.56 | 38% below | 10% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $72.68 | $80.75 | $41.99–$77.52 | 63% below | 10% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEW - MC | $78.53 | $87.25 | $45.37–$83.76 | 60% below | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE 3- VIEWS | $90.23 | $100.25 | $52.13–$96.24 | 62% below | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE 3 VIEWS | $90.23 | $100.25 | $52.13–$96.24 | 62% below | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT MIN 3 VIEW - MC | $97.65 | $108.50 | $56.42–$104.16 | 59% below | 10% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 + VIEWS | $94.73 | $105.25 | $54.73–$101.04 | 72% below | 10% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3+ VIEWS | $94.73 | $105.25 | $54.73–$101.04 | 72% below | 10% |
| X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEW - MC | $102.60 | $114.00 | $59.28–$109.44 | 69% below | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEWS | $89.33 | $99.25 | $51.61–$95.28 | 67% below | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEW - MC | $96.75 | $107.50 | $55.90–$103.20 | 64% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL 2-3 VIE | $104.40 | $116.00 | $60.32–$111.36 | 68% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2-3 VIEW - M | $112.95 | $125.50 | $65.26–$120.48 | 65% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2-3 VIEW | $470.93 | $523.25 | $272.09–$502.32 | 44% above | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL 4 VIEWS | $133.88 | $148.75 | $77.35–$142.80 | 67% below | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL 4 VIEW | $133.88 | $148.75 | $77.35–$142.80 | 67% below | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE COMP MIN 4 V | $550.13 | $611.25 | $317.85–$586.80 | 34% above | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEW | $110.93 | $123.25 | $64.09–$118.32 | 59% below | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORATIC 2 VIEWS | $110.93 | $123.25 | $64.09–$118.32 | 59% below | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEW - M | $120.15 | $133.50 | $69.42–$128.16 | 56% below | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEW | $385.88 | $428.75 | $222.95–$411.60 | 43% above | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES, COMPLETE - M | $106.20 | $118.00 | $61.36–$113.28 | 60% below | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES, COMPLETE | $350.55 | $389.50 | $202.54–$373.92 | 33% above | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL; 2-3 VIEWS | $103.28 | $114.75 | $59.67–$110.16 | 60% below | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 VIEW | $103.28 | $114.75 | $59.67–$110.16 | 60% below | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEW - | $111.60 | $124.00 | $64.48–$119.04 | 57% below | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEW | $366.53 | $407.25 | $211.77–$390.96 | 41% above | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS | $72.68 | $80.75 | $41.99–$77.52 | 68% below | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS - MC | $78.53 | $87.25 | $45.37–$83.76 | 65% below | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS | $373.95 | $415.50 | $216.06–$398.88 | 64% above | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX - MC | $90.45 | $100.50 | $52.26–$96.48 | 65% below | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX | $335.48 | $372.75 | $193.83–$357.84 | 31% above | 10% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE (GPT) - MC | $12.60 | $14.00 | $7.28–$13.44 | 79% below | 10% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE (GPT) | $79.20 | $88.00 | $45.76–$84.48 | 33% above | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE,(GOT) - MC | $12.38 | $13.75 | $7.15–$13.20 | 74% below | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE,(GOT) | $76.95 | $85.50 | $44.46–$82.08 | 63% above | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LS HEP 1 & HEPC AB - MC | $114.53 | $127.25 | $66.17–$122.16 | 63% below | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP 1 & HEPC AB | $336.15 | $373.50 | $194.22–$358.56 | 7% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EACH AL | $15.75 | $17.50 | $9.10–$16.80 | 63% below | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEEP | $39.15 | $43.50 | $22.62–$41.76 | 52% below | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN - MC | $38.70 | $43.00 | $22.36–$41.28 | 13% below | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $128.48 | $142.75 | $74.23–$137.04 | 190% above | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (CONGESTIVE HEART FAI | $152.33 | $169.25 | $88.01–$162.48 | 20% below | 10% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL - M | $23.40 | $26.00 | $13.52–$24.96 | 82% below | 10% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $148.73 | $165.25 | $85.93–$158.64 | 13% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE PROC LEVEL 04 | $80.55 | $89.50 | $46.54–$85.92 | 58% below | 10% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE - MC | $40.73 | $45.25 | $23.53–$43.44 | 77% below | 10% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $261.23 | $290.25 | $150.93–$278.64 | 45% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENTIPUNCTURE OR FINGER S | $6.30 | $7.00 | $3.64–$6.72 | 70% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENTIPUNCTURE - MC | $6.53 | $7.25 | $3.77–$6.96 | 69% below | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF SPECIMEN, V | $32.40 | $36.00 | $18.72–$34.56 | 56% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECTRALAB COLLECTION FEE | $32.40 | $36.00 | $18.72–$34.56 | 56% above | 10% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE - MC | $10.13 | $11.25 | $5.85–$10.80 | 76% below | 10% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $36.00 | $40.00 | $20.80–$38.40 | 13% below | 10% |
| Blood lead test CPT 83655 LEAD QUANT - MC | $29.03 | $32.25 | $16.77–$30.96 | 52% below | 10% |
| Blood lead test CPT 83655 LEAD QUANT | $91.35 | $101.50 | $52.78–$97.44 | 52% above | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY QUAL HCG SERUM | $135.68 | $150.75 | $78.39–$144.72 | 27% above | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, SROLIC - MC | $14.85 | $16.50 | $8.58–$15.84 | 72% below | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-TYPE | $81.90 | $91.00 | $47.32–$87.36 | 57% above | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN - MC | $21.38 | $23.75 | $12.35–$22.80 | 77% below | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $112.73 | $125.25 | $65.13–$120.24 | 21% above | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN, AMP PR | $60.75 | $67.50 | $35.10–$64.80 | 63% below | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN AMP PRO | $261.68 | $290.75 | $151.19–$279.12 | 58% above | 10% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN CA 1 | $56.48 | $62.75 | $32.63–$60.24 | 51% below | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 - MC | $45.00 | $50.00 | $26.00–$48.00 | 59% below | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 | $222.98 | $247.75 | $128.83–$237.84 | 103% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 (INHOUSE) - CH | $177.08 | $196.75 | $102.31–$188.88 | 52% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 (INHOUSE) | $232.88 | $258.75 | $134.55–$248.40 | 99% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 | $235.35 | $261.50 | $135.98–$251.04 | 101% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - MC | $88.20 | $98.00 | $50.96–$94.08 | 19% below | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA | $142.88 | $158.75 | $82.55–$152.40 | 31% above | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ALBUMIN HUMAN 25 % SOLP | $27.21 | $30.23 | $15.72–$29.02 | 72% below | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ALBUMIN HUMAN 25 % SOLP | $27.21 | $30.23 | $15.72–$29.02 | 72% below | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE - MC | $36.90 | $41.00 | $21.32–$39.36 | 63% below | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $134.10 | $149.00 | $77.48–$143.04 | 36% above | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 ALBUMIN HUMAN 25 % SOLP | $27.21 | $30.23 | $15.72–$29.02 | — | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 ALBUMIN HUMAN 25 % SOLP | $27.21 | $30.23 | $15.72–$29.02 | — | 10% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF - MC | $39.60 | $44.00 | $22.88–$42.24 | 52% below | 10% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF | $109.13 | $121.25 | $63.05–$116.40 | 31% above | 10% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF - MC | $45.90 | $51.00 | $26.52–$48.96 | 34% below | 10% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $83.93 | $93.25 | $48.49–$89.52 | 21% above | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC P | $174.60 | $194.00 | $100.88–$186.24 | 20% above | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - MC | $27.90 | $31.00 | $16.12–$29.76 | 79% below | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $178.43 | $198.25 | $103.09–$190.32 | 34% above | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE - MC | $66.83 | $74.25 | $38.61–$71.28 | 53% below | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $214.88 | $238.75 | $124.15–$229.20 | 51% above | 10% |
| Estradiol blood test CPT 82670 ESTRADIOL - MC | $65.70 | $73.00 | $37.96–$70.08 | 42% below | 10% |
| Estradiol blood test CPT 82670 ESTRADIOL | $187.88 | $208.75 | $108.55–$200.40 | 67% above | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM OR UA (M) - MC | $46.80 | $52.00 | $27.04–$49.92 | 58% below | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM OR UA (M) | $152.55 | $169.50 | $88.14–$162.72 | 36% above | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN - MC | $237.38 | $263.75 | $137.15–$253.20 | 32% below | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $501.30 | $557.00 | $289.64–$534.72 | 44% above | 10% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN - MC | $35.33 | $39.25 | $20.41–$37.68 | 66% below | 10% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $137.03 | $152.25 | $79.17–$146.16 | 34% above | 10% |
| Folate (folic acid) blood test CPT 82746 FOLATES (FOLIC ACID) - MC | $34.65 | $38.50 | $20.02–$36.96 | 67% below | 10% |
| Folate (folic acid) blood test CPT 82746 FOLATES (FOLIC ACID) | $150.08 | $166.75 | $86.71–$160.08 | 42% above | 10% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE TRIIODOTHYRONINE | $59.40 | $66.00 | $34.32–$63.36 | 54% below | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE T4 - MC | $22.73 | $25.25 | $13.13–$24.24 | 69% below | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE T4 | $116.55 | $129.50 | $67.34–$124.32 | 59% above | 10% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE - MC | $59.85 | $66.50 | $34.58–$63.84 | 42% below | 10% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $180.68 | $200.75 | $104.39–$192.72 | 75% above | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST GLUCOSE DOS | $12.15 | $13.50 | $7.02–$12.96 | 75% below | 10% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE,TOLERANCE TEST,3 | $32.40 | $36.00 | $18.72–$34.56 | 72% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS DNA PROBE - MC | $88.20 | $98.00 | $50.96–$94.08 | 6% below | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONOCOCCUS DNA PROBE | $139.28 | $154.75 | $80.47–$148.56 | 48% above | 10% |
| H. pylori antibody blood test CPT 86677 HELI PYLORI ABS IGM | $175.50 | $195.00 | $101.40–$187.20 | 137% above | 10% |
| H. pylori antibody blood test CPT 86677 HELI PYLORI ABS IGA | $175.50 | $195.00 | $101.40–$187.20 | 137% above | 10% |
| H. pylori antibody blood test CPT 86677 HELI PYLORI ABS LGG | $175.73 | $195.25 | $101.53–$187.44 | 138% above | 10% |
| H. pylori stool antigen test CPT 87338 HELI PYLORI SPEC ANTIGEN | $96.30 | $107.00 | $55.64–$102.72 | 17% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA VIRAL LOAD - MC | $52.43 | $58.25 | $30.29–$55.92 | 91% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LS HIV RNA VIRAL LOAD | $464.18 | $515.75 | $268.19–$495.12 | 21% below | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY DETECTION - | $20.25 | $22.50 | $11.70–$21.60 | 55% below | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY DETECTION | $107.10 | $119.00 | $61.88–$114.24 | 141% above | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGEN/ANTIBODY | $36.45 | $40.50 | $21.06–$38.88 | 49% below | 10% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV SCREEN | $88.20 | $98.00 | $50.96–$94.08 | 3% below | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB-AIC (GLYCO HGB) - MC | $27.00 | $30.00 | $15.60–$28.80 | 59% below | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB-AIC (GLYCO HGB) | $88.20 | $98.00 | $50.96–$94.08 | 34% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B ANTIBODY - MC | $23.18 | $25.75 | $13.39–$24.72 | 74% below | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB | $161.55 | $179.50 | $93.34–$172.32 | 84% above | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG | $22.28 | $24.75 | $12.87–$23.76 | 74% below | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODIES - | $41.63 | $46.25 | $24.05–$44.40 | 52% below | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODIES | $134.10 | $149.00 | $77.48–$143.04 | 56% above | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA DETECTION | $477.68 | $530.75 | $275.99–$509.52 | 44% above | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 - MC | $40.05 | $44.50 | $23.14–$42.72 | 59% below | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 - MC | $40.05 | $44.50 | $23.14–$42.72 | 62% below | 10% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP (CAR | $39.38 | $43.75 | $22.75–$42.00 | 51% below | 10% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE - MC | $43.20 | $48.00 | $24.96–$46.08 | 69% below | 10% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $238.95 | $265.50 | $138.06–$254.88 | 71% above | 10% |
| Insulin blood test CPT 83525 INSULIN TOTAL - MC | $37.80 | $42.00 | $21.84–$40.32 | 64% below | 10% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $146.03 | $162.25 | $84.37–$155.76 | 40% above | 10% |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL SERUM - MC | $15.30 | $17.00 | $8.84–$16.32 | 76% below | 10% |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL SERUM | $75.83 | $84.25 | $43.81–$80.88 | 20% above | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 IBC, COMBINED, SERUM - MC | $20.70 | $23.00 | $11.96–$22.08 | 68% below | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 IBC, COMBINED, SERUM | $89.55 | $99.50 | $51.74–$95.52 | 38% above | 10% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL - MC | $22.05 | $24.50 | $12.74–$23.52 | 83% below | 10% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $162.00 | $180.00 | $93.60–$172.80 | 24% above | 10% |
| LH (luteinizing hormone) test CPT 83002 LUTEININZING HORMONE (LH) | $154.58 | $171.75 | $89.31–$164.88 | 24% above | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE - MC | $17.33 | $19.25 | $10.01–$18.48 | 81% below | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $132.53 | $147.25 | $76.57–$141.36 | 42% above | 10% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL - | $22.73 | $25.25 | $13.13–$24.24 | 81% below | 10% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $145.58 | $161.75 | $84.11–$155.28 | 20% above | 10% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES - | $39.38 | $43.75 | $22.75–$42.00 | 69% below | 10% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $235.58 | $261.75 | $136.11–$251.28 | 85% above | 10% |
| Magnesium blood test CPT 83735 MAGNESIUM - MC | $25.43 | $28.25 | $14.69–$27.12 | 60% below | 10% |
| Magnesium blood test CPT 83735 MAGNESIUM | $92.70 | $103.00 | $53.56–$98.88 | 47% above | 10% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES - MC | $27.90 | $31.00 | $16.12–$29.76 | 64% below | 10% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES | $131.18 | $145.75 | $75.79–$139.92 | 71% above | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SC | $35.55 | $39.50 | $20.54–$37.92 | 34% below | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE SCREEN SLIDE | $36.90 | $41.00 | $21.32–$39.36 | 32% below | 10% |
| Obstetric blood test panel CPT 80055 OB PANEL - MC | $132.30 | $147.00 | $76.44–$141.12 | 27% below | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE - MC | $42.98 | $47.75 | $24.83–$45.84 | 66% below | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $150.30 | $167.00 | $86.84–$160.32 | 18% above | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA IMMUNOASSAY TOTAL - M | $46.35 | $51.50 | $26.78–$49.44 | 50% below | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA IMMUNOASSAY TOTAL | $141.08 | $156.75 | $81.51–$150.48 | 51% above | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP, LIQUID BASED | $40.73 | $45.25 | $23.53–$43.44 | 15% below | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR SYTOLOGIC VAG | $138.38 | $153.75 | $79.95–$147.60 | 187% above | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH - MC | $74.48 | $82.75 | $43.03–$79.44 | 65% below | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH | $287.55 | $319.50 | $166.14–$306.72 | 36% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TI | $33.53 | $37.25 | $19.37–$35.76 | 50% below | 10% |
| Progesterone blood test CPT 84144 PROGESTERONE, SERUM (A) - | $49.50 | $55.00 | $28.60–$52.80 | 54% below | 10% |
| Progesterone blood test CPT 84144 PROGESTERONE, SERUM (A) | $172.35 | $191.50 | $99.58–$183.84 | 61% above | 10% |
| Prolactin blood test CPT 84146 PROLACTIN - MC | $49.05 | $54.50 | $28.34–$52.32 | 43% below | 10% |
| Prolactin blood test CPT 84146 PROLACTIN | $194.63 | $216.25 | $112.45–$207.60 | 126% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - MC | $10.13 | $11.25 | $5.85–$10.80 | 78% below | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $69.08 | $76.75 | $39.91–$73.68 | 53% above | 10% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A OR B | $31.28 | $34.75 | $18.07–$33.36 | 40% below | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $49.05 | $54.50 | $28.34–$52.32 | 1% above | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN - MC | $51.08 | $56.75 | $29.51–$54.48 | 5% above | 10% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN - | $25.20 | $28.00 | $14.56–$26.88 | 44% below | 10% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $79.88 | $88.75 | $46.15–$85.20 | 78% above | 10% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN - MC | $31.05 | $34.50 | $17.94–$33.12 | 59% below | 10% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $118.80 | $132.00 | $68.64–$126.72 | 59% above | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDI RATE MINI TUBE - MC | $4.05 | $4.50 | $2.34–$4.32 | 91% below | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDI RATE MINI TUBE | $58.50 | $65.00 | $33.80–$62.40 | 31% above | 10% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $239.85 | $266.50 | $138.58–$255.84 | 5% below | 10% |
| Stool ova and parasites exam CPT 87177 O & P CONCENTRATION - MC | $19.80 | $22.00 | $11.44–$21.12 | 69% below | 10% |
| Stool ova and parasites exam CPT 87177 O & P CONCENTRATION | $110.93 | $123.25 | $64.09–$118.32 | 72% above | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT 1-3 | $17.33 | $19.25 | $10.01–$18.48 | 11% below | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT 1-3 - MC | $18.00 | $20.00 | $10.40–$19.20 | 8% below | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (SYPHILLIS) (VDRL) AN | $61.20 | $68.00 | $35.36–$65.28 | 60% above | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB INTERFERON (QUANTIFERO | $96.30 | $107.00 | $55.64–$102.72 | 52% below | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL - MC | $60.53 | $67.25 | $34.97–$64.56 | 31% below | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $170.10 | $189.00 | $98.28–$181.44 | 95% above | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LS TPO - MC | $36.45 | $40.50 | $21.06–$38.88 | 41% below | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO | $132.53 | $147.25 | $76.57–$141.36 | 115% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 T S H - MC | $42.30 | $47.00 | $24.44–$45.12 | 57% below | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $132.30 | $147.00 | $76.44–$141.12 | 35% above | 10% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD - MC | $12.38 | $13.75 | $7.15–$13.20 | 76% below | 10% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD ONLY | $69.30 | $77.00 | $40.04–$73.92 | 37% above | 10% |
| Uric acid blood test CPT 84550 URIC ACID, BODY FLUID | $69.98 | $77.75 | $40.43–$74.64 | 38% above | 10% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO - MC | $21.38 | $23.75 | $12.35–$22.80 | 53% below | 10% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $63.00 | $70.00 | $36.40–$67.20 | 38% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED | $17.33 | $19.25 | $10.01–$18.48 | 28% below | 10% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED - M | $18.00 | $20.00 | $10.40–$19.20 | 25% below | 10% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY ANY METH | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 PH, SCREEN URINE | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 ALBUMIN, QUAL.,URINNE | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 ACETONE,QUAL.,URINE | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 HEMOGLOBIN, URINE | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 BILE, QUAL.,URINE | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 SUGAR, QUAL., URINE | $49.50 | $55.00 | $28.60–$52.80 | 106% above | 10% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTOMATED | $7.43 | $8.25 | $4.29–$7.92 | 65% below | 10% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE - MC | $23.40 | $26.00 | $13.52–$24.96 | 65% below | 10% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $96.30 | $107.00 | $55.64–$102.72 | 42% above | 10% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $26.55 | $29.50 | $15.34–$28.32 | 53% below | 10% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG QUALITATIVE H | $108.00 | $120.00 | $62.40–$115.20 | 89% above | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 - MC | $35.33 | $39.25 | $20.41–$37.68 | 69% below | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $158.40 | $176.00 | $91.52–$168.96 | 40% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY - MC | $75.38 | $83.75 | $43.55–$80.40 | 42% below | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $202.73 | $225.25 | $117.13–$216.24 | 55% above | 10% |
| Zinc blood test CPT 84630 ZINC, URINE OR SERUM -MC | $13.95 | $15.50 | $8.06–$14.88 | 61% below | 10% |
| Zinc blood test CPT 84630 ZINC, URINE OR SERUM (M) | $114.53 | $127.25 | $66.17–$122.16 | 223% above | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC QU | $148.73 | $165.25 | $85.93–$158.64 | 68% above | 10% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST BIOPSY, W PLCMT LC | $3,531.60 | $3,924.00 | $2,040.48–$3,767.04 | 56% above | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIC VERSION SHOCK TREA | $511.65 | $568.50 | $295.62–$545.76 | 59% below | 10% |
| Cataract surgery with lens implant CPT 66984 MEMANTINE-DONEPEZIL 28-10 MG CSPX | $508.54 | $565.04 | $293.82–$542.44 | 84% below | 10% |
| Cataract surgery with lens implant CPT 66984 MEMANTINE-DONEPEZIL 28-10 MG CSPX | $508.54 | $565.04 | $293.82–$542.44 | 84% below | 10% |
| Cataract surgery with lens implant inpatient CPT 66984 MEMANTINE-DONEPEZIL 28-10 MG CSPX | $508.54 | $565.04 | $293.82–$542.44 | — | 10% |
| Complex cataract surgery with lens implant CPT 66982 HISTAMINE PHOSPHATE 1 (2.75) MG/ML SOLN | $356.40 | $396.00 | $205.92–$380.16 | 86% below | 10% |
| Complex cataract surgery with lens implant CPT 66982 HISTAMINE PHOSPHATE 1 (2.75) MG/ML SOLN | $356.40 | $396.00 | $205.92–$380.16 | 86% below | 10% |
| Complex cataract surgery with lens implant inpatient CPT 66982 HISTAMINE PHOSPHATE 1 (2.75) MG/ML SOLN | $356.40 | $396.00 | $205.92–$380.16 | — | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION ANY METHOD BE | $126.90 | $141.00 | $73.32–$135.36 | 1% below | 10% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $92.48 | $102.75 | $53.43–$98.64 | 25% above | 10% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL | $195.30 | $217.00 | $112.84–$208.32 | 4% below | 10% |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION | $219.15 | $243.50 | $126.62–$233.76 | at median | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SIMPLE OR SI | $290.03 | $322.25 | $167.57–$309.36 | 12% above | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SINGLE OR SI | $290.03 | $322.25 | $167.57–$309.36 | 12% above | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 EMERG ROOM I&D OF SUBCUTA | $470.48 | $522.75 | $271.83–$501.84 | 82% above | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 EMERG ROOM ARTHRO/ASP/INJ | $137.25 | $152.50 | $79.30–$146.40 | 28% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP/INJ/ M | $150.30 | $167.00 | $86.84–$160.32 | 21% below | 10% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION NEXPLANON | $352.58 | $391.75 | $203.71–$376.08 | 56% above | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 EMERGENCY ROOM ARTHROCENT | $119.03 | $132.25 | $68.77–$126.96 | 42% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP/INJ IN | $127.80 | $142.00 | $73.84–$136.32 | 37% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP INJ SM | $125.10 | $139.00 | $72.28–$133.44 | 14% below | 10% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 IdaruCIZUMAB 5 GRAM SOLN | $4,569.21 | $5,076.90 | $2,639.99–$4,873.82 | 531% above | 10% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 IdaruCIZUMAB 5 GRAM SOLN | $4,569.21 | $5,076.90 | $2,639.99–$4,873.82 | 531% above | 10% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 IdaruCIZUMAB 5 GRAM SOLN | $4,569.21 | $5,076.90 | $2,639.99–$4,873.82 | — | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE UP TO 2.5 C | $571.73 | $635.25 | $330.33–$609.84 | 38% above | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 EMERGENCY ROOM LAC INTERM | $604.80 | $672.00 | $349.44–$645.12 | 46% above | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE BENIGN LESION T/A/ | $268.65 | $298.50 | $155.22–$286.56 | 13% below | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE BENIGN LESION F/E/ | $301.95 | $335.50 | $174.46–$322.08 | 12% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PART/ | $243.23 | $270.25 | $140.53–$259.44 | 9% below | 10% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ | $1,348.20 | $1,498.00 | $778.96–$1,438.08 | 85% above | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 TOE NAIL REMOVAL PERMANEN | $315.68 | $350.75 | $182.39–$336.72 | 5% below | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 I & D REMOVAL FB SUBCUT S | $346.95 | $385.50 | $200.46–$370.08 | 1% above | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 FOR-BOD SUBCUTAN T | $504.00 | $560.00 | $291.20–$537.60 | 47% above | 10% |
| Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM | $266.63 | $296.25 | $154.05–$284.40 | 38% above | 10% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $202.05 | $224.50 | $116.74–$215.52 | 34% above | 10% |
| Short arm splint (forearm and hand) CPT 29125 EMERGENCY ROOM SHORT ARM | $240.53 | $267.25 | $138.97–$256.56 | 59% above | 10% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG | $246.60 | $274.00 | $142.48–$263.04 | 35% above | 10% |
| Short leg splint (calf to foot) CPT 29515 EMERGENCY ROOM SPLINT - S | $326.48 | $362.75 | $188.63–$348.24 | 109% above | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SUPRFIC S/N | $173.70 | $193.00 | $100.36–$185.28 | 16% below | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EMERGENCY ROOM LAC SIMPLE | $340.88 | $378.75 | $196.95–$363.60 | 64% above | 10% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY SKIN, PUNCH 1 LESI | $240.98 | $267.75 | $139.23–$257.04 | 5% below | 10% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISE MALIGNANT LESION T | $377.78 | $419.75 | $218.27–$402.96 | 12% below | 10% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG 1-15 | $174.38 | $193.75 | $100.75–$186.00 | 11% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 EMERGENCY ROOM SPINAL PUN | $579.60 | $644.00 | $334.88–$618.24 | 56% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SUPRFIC S/N/A | $240.08 | $266.75 | $138.71–$256.08 | 3% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 EMERGENCY ROOM LAC SIMPLE | $346.95 | $385.50 | $200.46–$370.08 | 48% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL REPR SUPRFIC F/E/E/N | $238.73 | $265.25 | $137.93–$254.64 | 5% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EMERGENCY ROOM LAC SIMPLE | $384.08 | $426.75 | $221.91–$409.68 | 68% above | 10% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SI | $189.90 | $211.00 | $109.72–$202.56 | 10% above | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION | $122.40 | $136.00 | $70.72–$130.56 | 12% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 EMERG RM INJECT SNGL/MULT | $184.73 | $205.25 | $106.73–$197.04 | 33% above | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BIOPSY, W PLCMT LC | $2,506.28 | $2,784.75 | $1,448.07–$2,673.36 | 37% above | 10% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT ANY METHOD WART | $214.43 | $238.25 | $123.89–$228.72 | 26% above | 10% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 EMERGENCY ROOM BLOOD TRAN | $724.50 | $805.00 | $418.60–$772.80 | 4% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT | $31.73 | $35.25 | $18.33–$33.84 | 69% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP SUBSEQUENT TREATMENTS | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SMALL VOLUME NEB INITIAL | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SMALL VOL NEB SUBSEQUENT | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INITAL TREATMENT | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METANEB, INITIAL | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METANEB, SUBSEQUENT | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI ACUTE AIRWAY OBSTRUCT | $247.73 | $275.25 | $143.13–$264.24 | 144% above | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF TO 1 HR SGL | $675.68 | $750.75 | $390.39–$720.72 | 38% above | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITIAL PROLONG CARE 30-7 | $517.05 | $574.50 | $298.74–$551.52 | 17% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $1,795.50 | $1,995.00 | $1,037.40–$1,915.20 | 189% above | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - MC | $68.40 | $76.00 | $39.52–$72.96 | 66% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $74.70 | $83.00 | $43.16–$79.68 | 63% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - ROUTINE | $333.68 | $370.75 | $192.79–$355.92 | 67% above | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM BRIEF | $207.00 | $230.00 | $119.60–$220.80 | 80% above | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM MINOR | $342.00 | $380.00 | $197.60–$364.80 | 93% above | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LOW SEVERI | $512.33 | $569.25 | $296.01–$546.48 | 113% above | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM MODERATE S | $789.30 | $877.00 | $456.04–$841.92 | 89% above | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM HIGH SEVER | $1,180.35 | $1,311.50 | $681.98–$1,259.04 | 102% above | 10% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS | $1,204.43 | $1,338.25 | $695.89–$1,284.72 | 14% above | 10% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCH TRMT 50 FAMILY W/PA | $202.50 | $225.00 | $117.00–$216.00 | 2% below | 10% |
| Group psychotherapy session CPT 90853 BEHAVIORAL HEALTH, GROUP | $1,080.68 | $1,200.75 | $624.39–$1,152.72 | 427% above | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSIONS, HYDRATION, | $424.35 | $471.50 | $245.18–$452.64 | 29% above | 10% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO | $405.68 | $450.75 | $234.39–$432.72 | 29% above | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION | $28.13 | $31.25 | $16.25–$30.00 | 72% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION,SUBQ OR INTRAMU | $162.00 | $180.00 | $93.60–$172.80 | 62% above | 10% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EV | $272.70 | $303.00 | $157.56–$290.88 | 31% above | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $108.00 | $120.00 | $62.40–$115.20 | 41% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT DETAILED HIST | $208.80 | $232.00 | $120.64–$222.72 | 2% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COMPREHENSIVE | $310.50 | $345.00 | $179.40–$331.20 | 3% above | 10% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT HIGH COMPLEXI | $410.40 | $456.00 | $237.12–$437.76 | 11% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT EXPANDED FOCU | $139.28 | $154.75 | $80.47–$148.56 | 3% above | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INIT AS | $90.90 | $101.00 | $52.52–$96.96 | 101% above | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTR-CURT INITIAL | $90.90 | $101.00 | $52.52–$96.96 | 101% above | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTR-TREN INITIAL | $90.90 | $101.00 | $52.52–$96.96 | 101% above | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EMPLOYER BACK EVALUATION | $123.08 | $136.75 | $71.11–$131.28 | 12% below | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 NCTA EMPLOYER BACK EVALUA | $123.08 | $136.75 | $71.11–$131.28 | 12% below | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN | $106.43 | $118.25 | $61.49–$113.52 | 24% above | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EACH | $112.50 | $125.00 | $65.00–$120.00 | 40% above | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15 M | $112.50 | $125.00 | $65.00–$120.00 | 40% above | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX 15 MIN-TRE | $112.50 | $125.00 | $65.00–$120.00 | 40% above | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX 15 MIN-CUR | $112.50 | $125.00 | $65.00–$120.00 | 40% above | 10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 NEW PATIENT WELLNESS EXAM | $245.70 | $273.00 | $141.96–$262.08 | 3% above | 10% |
| Preventive checkup, new patient aged 40–64 CPT 99386 NEW PATIENT WELLNESS EXAM | $284.63 | $316.25 | $164.45–$303.60 | 7% above | 10% |
| Preventive checkup, new patient aged 65 or older CPT 99387 NEW PAIENT WELLNESS EXAM | $308.48 | $342.75 | $178.23–$329.04 | 18% above | 10% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 EST PATIENT WELLNESS EXAM | $221.85 | $246.50 | $128.18–$236.64 | 7% above | 10% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 EST PATIENT WELLNESS EXAM | $235.80 | $262.00 | $136.24–$251.52 | 7% above | 10% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 EST PATIENT WELLNESS EXAM | $253.13 | $281.25 | $146.25–$270.00 | 13% above | 10% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EV | $301.95 | $335.50 | $174.46–$322.08 | 32% above | 10% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCH TRMT 30 IND W/O E&M | $133.20 | $148.00 | $76.96–$142.08 | 16% below | 10% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCH TRMT 30 IND | $310.50 | $345.00 | $179.40–$331.20 | 97% above | 10% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCH TRMT 45 IND W/O E&M | $177.30 | $197.00 | $102.44–$189.12 | 4% below | 10% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCH TRMT 45 IND | $254.93 | $283.25 | $147.29–$271.92 | 38% above | 10% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCH TRMT 60 IND W/O E&M | $202.50 | $225.00 | $117.00–$216.00 | 7% below | 10% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCH TRMT 60 IND | $326.70 | $363.00 | $188.76–$348.48 | 50% above | 10% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION 3-10 MI | $45.45 | $50.50 | $26.26–$48.48 | 64% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT COMPR | $335.70 | $373.00 | $193.96–$358.08 | 60% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT EXPAN | $169.20 | $188.00 | $97.76–$180.48 | 35% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT DETAI | $241.20 | $268.00 | $139.36–$257.28 | 48% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT FOCUS | $112.50 | $125.00 | $65.00–$120.00 | 32% above | 10% |
| Speech therapy session, individual CPT 92507 TREATMENT, SPEECH | $310.28 | $344.75 | $179.27–$330.96 | 49% above | 10% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $324.68 | $360.75 | $187.59–$346.32 | 43% above | 10% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST | $657.23 | $730.25 | $379.73–$701.04 | 51% above | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 | $159.08 | $176.75 | $91.91–$169.68 | 96% above | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PH+EBOTOMY, THERAPEUTIC, | $218.25 | $242.50 | $126.10–$232.80 | 14% above | 10% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE | $157.05 | $174.50 | $90.74–$167.52 | 21% below | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX | $157.05 | $174.50 | $90.74–$167.52 | 21% below | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE | $157.05 | $174.50 | $90.74–$167.52 | 21% below | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX | $157.05 | $174.50 | $90.74–$167.52 | 21% below | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX | $157.05 | $174.50 | $90.74–$167.52 | — | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE | $157.05 | $174.50 | $90.74–$167.52 | — | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE (TRIVAL | $27.00 | $30.00 | $15.60–$28.80 | 15% below | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE (TRIVAL | $27.00 | $30.00 | $15.60–$28.80 | 15% below | 10% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE (TRIVAL | $27.00 | $30.00 | $15.60–$28.80 | — | 10% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC, 9-V | $370.13 | $411.25 | $213.85–$394.80 | 8% above | 10% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAV VAC, 9-V | $370.13 | $411.25 | $213.85–$394.80 | 8% above | 10% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAV VAC, 9-V | $370.13 | $411.25 | $213.85–$394.80 | — | 10% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC. (ADULT) | $99.23 | $110.25 | $57.33–$105.84 | 46% above | 10% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC. (ADULT) | $99.23 | $110.25 | $57.33–$105.84 | 46% above | 10% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VAC. (ADULT) | $99.23 | $110.25 | $57.33–$105.84 | — | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC. (ADULT) | $110.70 | $123.00 | $63.96–$118.08 | 22% above | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC. (ADULT) | $110.70 | $123.00 | $63.96–$118.08 | 22% above | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE, ADUL | $124.20 | $138.00 | $71.76–$132.48 | 36% above | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT | $124.20 | $138.00 | $71.76–$132.48 | 36% above | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT | $124.20 | $138.00 | $71.76–$132.48 | 36% above | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE, ADUL | $124.20 | $138.00 | $71.76–$132.48 | 36% above | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC. (ADULT) | $110.70 | $123.00 | $63.96–$118.08 | — | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT | $124.20 | $138.00 | $71.76–$132.48 | — | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE, ADUL | $124.20 | $138.00 | $71.76–$132.48 | — | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE HIGH-DO | $112.50 | $125.00 | $65.00–$120.00 | 42% above | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE HIGH-DO | $112.50 | $125.00 | $65.00–$120.00 | 42% above | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE HIGH-DO | $112.50 | $125.00 | $65.00–$120.00 | — | 10% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMP/RUBELLA LIVE | $96.98 | $107.75 | $56.03–$103.44 | 14% below | 10% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR, VACCINE | $96.98 | $107.75 | $56.03–$103.44 | 14% below | 10% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR, VACCINE | $96.98 | $107.75 | $56.03–$103.44 | 14% below | 10% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMP/RUBELLA LIVE | $96.98 | $107.75 | $56.03–$103.44 | 14% below | 10% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR, VACCINE | $96.98 | $107.75 | $56.03–$103.44 | — | 10% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMP/RUBELLA LIVE | $96.98 | $107.75 | $56.03–$103.44 | — | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCO VAC. 20 VALENT 0 | $311.85 | $346.50 | $180.18–$332.64 | 36% below | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCO VAC. 20 VALENT 0 | $311.85 | $346.50 | $180.18–$332.64 | 36% below | 10% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCO VAC. 20 VALENT 0 | $311.85 | $346.50 | $180.18–$332.64 | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE | $151.43 | $168.25 | $87.49–$161.52 | 21% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACINE | $151.43 | $168.25 | $87.49–$161.52 | 21% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE | $151.43 | $168.25 | $87.49–$161.52 | 21% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACINE | $151.43 | $168.25 | $87.49–$161.52 | 21% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCO VAC. POLY. 25 MC | $151.43 | $168.25 | $87.49–$161.52 | 21% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCO VAC. POLY. 25 MC | $151.43 | $168.25 | $87.49–$161.52 | 21% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE | $151.43 | $168.25 | $87.49–$161.52 | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACINE | $151.43 | $168.25 | $87.49–$161.52 | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCO VAC. POLY. 25 MC | $151.43 | $168.25 | $87.49–$161.52 | — | 10% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE 120 MCG/0.5 M | $345.15 | $383.50 | $199.42–$368.16 | 9% below | 10% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE 120 MCG/0.5 M | $345.15 | $383.50 | $199.42–$368.16 | 9% below | 10% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE 120 MCG/0.5 M | $345.15 | $383.50 | $199.42–$368.16 | — | 10% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $632.25 | $702.50 | $365.30–$674.40 | 15% above | 10% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $632.25 | $702.50 | $365.30–$674.40 | 15% above | 10% |
| Rabies vaccine, one dose CPT 90675 INJECTION, IM RABIES VACC | $874.35 | $971.50 | $505.18–$932.64 | 59% above | 10% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE | $632.25 | $702.50 | $365.30–$674.40 | — | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (SHINGLES) VACCI | $206.55 | $229.50 | $119.34–$220.32 | 24% below | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (SHINGLES) VACCI | $206.55 | $229.50 | $119.34–$220.32 | 24% below | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE (RECOMB) 5 | $231.53 | $257.25 | $133.77–$246.96 | 15% below | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE (RECOMB) 5 | $231.53 | $257.25 | $133.77–$246.96 | 15% below | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX (SHINGLES) VACCI | $206.55 | $229.50 | $119.34–$220.32 | — | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE (RECOMB) 5 | $231.53 | $257.25 | $133.77–$246.96 | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS, DIPHTHERIA, PERT | $60.53 | $67.25 | $34.97–$64.56 | 32% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS, DIPHTHERIA, ADUL | $60.53 | $67.25 | $34.97–$64.56 | 32% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS, DIPHTHERIA, ADUL | $60.53 | $67.25 | $34.97–$64.56 | 32% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS, DIPHTHERIA, PERT | $60.53 | $67.25 | $34.97–$64.56 | 32% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS, DIPHTHERIA, ADUL | $60.53 | $67.25 | $34.97–$64.56 | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS, DIPHTHERIA, PERT | $60.53 | $67.25 | $34.97–$64.56 | — | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS, DIPHTHERIA, PERT | $60.53 | $67.25 | $34.97–$64.56 | 15% below | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS, DIPHTHERIA, PERT | $60.53 | $67.25 | $34.97–$64.56 | 15% below | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS, DIPHTHERIA, PERT | $60.53 | $67.25 | $34.97–$64.56 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION, VACCINE IM - M | $26.10 | $29.00 | $15.08–$27.84 | 24% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $27.00 | $30.00 | $15.60–$28.80 | 21% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION, VACCINE IM | $87.98 | $97.75 | $50.83–$93.84 | 157% above | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATI | $27.00 | $30.00 | $15.60–$28.80 | 35% below | 10% |
Source file: https://communitymccook.pt.panaceainc.com/MRFDownload/communitymccook/communitymccook