Hospital Dallas-Fort Worth-Arlington, TX

Cook Children's Medical Center

Cook Children's Medical Center in Fort Worth, TX publishes cash prices for 258 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 124 of 201 procedures and below it for 77. By typical cash price it ranks #154 of 240 Texas hospitals and #53 of 81 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

801 Seventh Avenue, Fort Worth, TX 76104 Collected Sep 27, 2026 Source price file (682) 885-4000

Children's hospital Emergency department CCN 453300 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Cook Children's Medical Center in Fort Worth, TX:

Apr 8, 2024 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMPLETE 3 VIEWS	$438.39	$584.52	$140.28–$537.76	—	25%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGEAL CONTRAST SWALLOW	$726.90	$969.20	$232.61–$891.66	—	25%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE A/O JOINT WHOLEBODY	$2,658.91	$3,545.21	$850.85–$3,261.59	—	25%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST	$957.64	$1,276.85	$306.44–$1,174.70	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT THORAX ANGIO W & WO CONTRAS	$5,888.05	$7,850.73	$1,884.18–$7,222.67	—	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT CORONARY ANGIOGRAM	$5,802.89	$7,737.18	$1,856.92–$7,118.21	—	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CALCIUM SCORING	$3,178.95	$4,238.60	$1,017.26–$3,899.51	—	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PEL WO	$5,377.79	$7,170.38	$1,720.89–$6,596.75	—	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PEL WITH	$6,226.82	$8,302.42	$1,992.58–$7,638.23	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PEL W/WO	$8,937.41	$11,916.55	$2,859.97–$10,963.23	—	25%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$4,304.87	$5,739.82	$1,377.56–$5,280.63	—	25%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN	$4,000.94	$5,334.59	$1,280.30–$4,907.82	—	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT CONE BEAM	$1,572.82	$2,097.09	$114.46–$148.14	7% below	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CONE BEAM CT OF HEAD, NECK	$1,769.82	$2,359.76	$114.46–$148.14	4% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MANDIBLE	$1,829.08	$2,438.77	$117.30–$167.57	8% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT PARANASAL SINUSES	$1,829.08	$2,438.77	$117.30–$167.57	8% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL	$2,340.92	$3,121.23	$117.30–$167.57	38% above	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT CONE BEAM	$1,572.82	$2,097.09	$503.30–$1,929.32	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CONE BEAM CT OF HEAD, NECK	$1,769.82	$2,359.76	$566.34–$2,170.98	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT PARANASAL SINUSES	$1,829.08	$2,438.77	$585.30–$2,243.67	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MANDIBLE	$1,829.08	$2,438.77	$585.30–$2,243.67	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL	$2,340.92	$3,121.23	$749.10–$2,871.53	—	25%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD	$2,843.56	$3,791.41	$96.96–$148.14	46% above	25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD	$2,843.56	$3,791.41	$909.94–$3,488.10	—	25%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$3,312.33	$4,416.44	$135.27–$249.95	64% above	25%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$3,312.33	$4,416.44	$1,059.95–$4,063.12	—	25%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W & WO CONTRAST	$4,416.21	$5,888.28	$159.14–$249.95	90% above	25%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W & WO CONTRAST	$4,416.21	$5,888.28	$1,413.19–$5,417.22	—	25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR	$3,265.05	$4,353.40	$1,044.82–$4,005.13	—	25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL	$4,000.94	$5,334.59	$1,280.30–$4,907.82	—	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$3,171.09	$4,228.12	$1,014.75–$3,889.87	—	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC SONO DOPPLER CAROTID BILAT	$996.55	$1,328.73	$168.87–$317.78	—	25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC SONO DOPPLER EXTRACRANIAL BIL	$790.07	$1,053.43	$168.87–$323.66	45% below	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC SONO DOPPLER CAROTID BILAT	$996.55	$1,328.73	$318.90–$1,222.43	—	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC SONO DOPPLER EXTRACRANIAL BIL	$790.07	$1,053.43	$252.82–$969.16	—	25%
Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS	$500.51	$667.35	$160.16–$613.96	21% above	25%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS	$500.51	$667.35	$160.16–$613.96	—	25%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EVAL, CHEST SINGLE VIEW	$68.21	$90.95	$20.71–$120.42	80% below	25%
Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW	$426.99	$569.32	$136.64–$523.77	23% above	25%
Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EVAL, CHEST SINGLE VIEW	$68.21	$90.95	$21.83–$83.67	—	25%
Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW	$426.99	$569.32	$136.64–$523.77	—	25%
Chest X-ray, single view inpatient CPT 71045 HC CHEST & ABDOMEN 1 FILM	$489.42	$652.56	$156.61–$600.36	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC SONO RETROPERITONEAL	$1,401.07	$1,868.09	$448.34–$1,718.64	—	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL SPINE	$911.39	$1,215.19	$291.65–$1,117.97	—	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR DXA BONE DENSITY EXTREMITY	$911.14	$1,214.85	$26.73–$120.42	313% above	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA FOREARM	$460.93	$614.57	$147.50–$565.40	—	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR DXA BONE DENSITY EXTREMITY	$911.14	$1,214.85	$291.56–$1,117.66	—	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX	$3,847.67	$5,130.23	$1,231.26–$4,719.81	—	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$4,086.17	$5,448.23	$1,307.58–$5,012.37	—	25%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC SONO DOPPLER ARTERIAL LEXT BIL	$1,561.79	$2,082.38	$212.18–$317.78	32% below	25%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC SONO DOPPLER ARTERIAL LEXT BIL	$1,561.79	$2,082.38	$499.77–$1,915.79	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC SONO DOPPLER VENOUS EXT BILAT	$946.94	$1,262.58	$166.51–$317.78	—	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC SONO DOPPLER VENOUS EXT BILAT	$946.94	$1,262.58	$303.02–$1,161.57	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D M MODE WITH DOPPLER & CLFL	$4,427.05	$5,902.73	$1,416.66–$5,430.51	71% above	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D M MODE WITH DOPPLER & CF W	$3,046.56	$4,062.08	$974.90–$3,737.11	—	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D M MODE WITH DOPPLER & CLFL	$4,427.05	$5,902.73	$1,416.66–$5,430.51	—	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY WITH SERIAL	$3,889.23	$5,185.64	$1,244.55–$4,770.79	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STAGING 4 W/INT INPT>6YR	$8,954.74	$11,939.65	$2,865.52–$10,984.48	87% above	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEP STAGING 4 W/INIT PRES T>6	$10,928.66	$14,571.55	$3,497.17–$13,405.83	128% above	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STAGING 4 W/INT INPT>6YR	$8,954.74	$11,939.65	$2,865.52–$10,984.48	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEP STAGING 4 W/INIT PRES T>6	$10,928.66	$14,571.55	$3,497.17–$13,405.83	—	25%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEWS	$438.39	$584.52	$140.28–$537.76	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC IR ULTRASOUND FOLLOW UP - LIMITED ABDOMEN	$328.77	$438.36	$87.21–$148.14	51% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC IR ULTRASOUND FOLLOW UP - LIMITED ABDOMEN	$328.77	$438.36	$105.21–$403.29	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO ABDOMEN LIMITED	$440.76	$587.68	$141.04–$540.67	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO PYLORIC	$721.88	$962.50	$231.00–$885.50	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO ADRENALS	$871.13	$1,161.51	$278.76–$1,068.59	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US SOFT ABDOMEN	$893.93	$1,191.90	$286.06–$1,096.55	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO SPLEEN	$922.46	$1,229.95	$295.19–$1,131.55	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO REFLUX EVALUATION	$1,203.83	$1,605.11	$385.23–$1,476.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANKLE	$2,244.05	$2,992.06	$718.09–$2,752.70	4% above	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI TOES	$2,244.05	$2,992.06	$185.96–$323.66	4% above	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI HIP	$2,244.05	$2,992.06	$185.96–$323.66	4% above	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI KNEE	$2,244.05	$2,992.06	$185.96–$323.66	4% above	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI TOES	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI KNEE	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI HIP	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANKLE	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI HIP W/WO CONTRAST	$3,255.57	$4,340.76	$357.48–$510.69	8% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI TOES W/WO CONTRAST	$3,255.57	$4,340.76	$357.48–$510.69	8% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANKLE W & WO CONTRAST	$3,255.57	$4,340.76	$357.48–$510.69	8% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI KNEE W & WO CONTRAST	$3,255.57	$4,340.76	$357.48–$510.69	8% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI KNEE W & WO CONTRAST	$3,255.57	$4,340.76	$1,041.78–$3,993.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANKLE W & WO CONTRAST	$3,255.57	$4,340.76	$1,041.78–$3,993.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI HIP W/WO CONTRAST	$3,255.57	$4,340.76	$1,041.78–$3,993.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI TOES W/WO CONTRAST	$3,255.57	$4,340.76	$1,041.78–$3,993.50	—	25%
MRI of the abdomen without contrast CPT 74181 HC MRI KIDNEYS W/O RENAL	$2,243.83	$2,991.77	$180.65–$323.66	2% below	25%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN	$2,244.05	$2,992.06	$180.65–$323.66	2% below	25%
MRI of the abdomen without contrast CPT 74181 HC MRI ADRENALS	$2,244.05	$2,992.06	$232.31–$323.66	2% below	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN LIMITED	$1,812.23	$2,416.30	$579.91–$2,223.00	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI KIDNEYS W/O RENAL	$2,243.83	$2,991.77	$718.02–$2,752.43	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ADRENALS	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN FOR LIVER QUANT	$2,362.04	$3,149.38	$755.85–$2,897.43	—	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ADRENALS W & WO CONTRAST	$3,255.57	$4,340.76	$312.68–$510.64	at median	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI RENOGRAM	$3,371.30	$4,495.07	$404.30–$510.64	3% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI KIDNEYS W & WO CONTRAST	$4,406.63	$5,875.51	$312.68–$510.64	35% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W & WO CONTRAST	$4,762.36	$6,349.81	$312.68–$510.64	46% above	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ADRENALS W & WO CONTRAST	$3,255.57	$4,340.76	$1,041.78–$3,993.50	—	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI RENOGRAM	$3,371.30	$4,495.07	$1,078.82–$4,135.46	—	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI KIDNEYS W & WO CONTRAST	$4,406.63	$5,875.51	$1,410.12–$5,405.47	—	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W & WO CONTRAST	$4,762.36	$6,349.81	$1,523.95–$5,841.83	—	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN NEURO RESEARCH	$480.54	$640.72	$218.85–$323.66	78% below	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN NEST DTI	$549.42	$732.56	$218.85–$323.66	75% below	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN LIMITED	$2,244.05	$2,992.06	$180.06–$323.66	2% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN DTI SKYRA 521	$2,807.02	$3,742.69	$180.06–$323.66	28% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI PITUITARY	$2,807.02	$3,742.69	$180.06–$323.66	28% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI IAC	$2,807.02	$3,742.69	$180.06–$323.66	28% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN	$2,807.02	$3,742.69	$180.06–$323.66	28% above	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN NEURO RESEARCH	$480.54	$640.72	$153.77–$589.46	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN NEST DTI	$549.42	$732.56	$175.81–$673.96	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN LIMITED	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN DTI SKYRA 521	$2,807.02	$3,742.69	$898.25–$3,443.27	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN	$2,807.02	$3,742.69	$898.25–$3,443.27	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI IAC	$2,807.02	$3,742.69	$898.25–$3,443.27	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI PITUITARY	$2,807.02	$3,742.69	$898.25–$3,443.27	—	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI IAC W & WO CONTRAST	$3,025.81	$4,034.41	$293.53–$510.64	at median	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI PITUITARY W & WO CONTRAST	$3,025.81	$4,034.41	$293.53–$510.64	at median	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & WO CONTRAST	$3,025.81	$4,034.41	$293.53–$510.64	at median	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & WO CONTRAST	$3,025.81	$4,034.41	$968.26–$3,711.66	—	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI IAC W & WO CONTRAST	$3,025.81	$4,034.41	$968.26–$3,711.66	—	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI PITUITARY W & WO CONTRAST	$3,025.81	$4,034.41	$968.26–$3,711.66	—	25%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR	$2,462.63	$3,283.50	$175.64–$323.66	8% above	25%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR	$2,462.63	$3,283.50	$788.04–$3,020.82	—	25%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR W & WO CONTRAST	$3,741.42	$4,988.56	$294.41–$510.64	17% above	25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR W & WO CONTRAST	$3,741.42	$4,988.56	$1,197.25–$4,589.48	—	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC	$3,034.98	$4,046.64	$175.06–$323.66	41% above	25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC	$3,034.98	$4,046.64	$971.19–$3,722.91	—	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL W & WO CONTRAST	$3,743.45	$4,991.27	$295.00–$510.64	15% above	25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL W & WO CONTRAST	$3,743.45	$4,991.27	$1,197.90–$4,591.97	—	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL	$3,034.98	$4,046.64	$175.06–$323.66	27% above	25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL	$3,034.98	$4,046.64	$971.19–$3,722.91	—	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI UROGRAM	$2,869.58	$3,826.11	$311.50–$510.64	15% below	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI SACRUM WITH AND WITHOUT CONTRAST	$3,518.38	$4,691.17	$311.50–$510.64	4% above	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & WO CONTRAST	$3,518.38	$4,691.17	$311.50–$510.64	4% above	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI UROGRAM	$2,869.58	$3,826.11	$918.27–$3,520.02	—	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI SACRUM WITH AND WITHOUT CONTRAST	$3,518.38	$4,691.17	$1,125.88–$4,315.88	—	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & WO CONTRAST	$3,518.38	$4,691.17	$1,125.88–$4,315.88	—	25%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS	$3,034.98	$4,046.64	$211.30–$323.66	22% above	25%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI SACRUM WITHOUT	$3,034.98	$4,046.64	$211.30–$323.66	22% above	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI SACRUM WITHOUT	$3,034.98	$4,046.64	$971.19–$3,722.91	—	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS	$3,034.98	$4,046.64	$971.19–$3,722.91	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI SHOULDER	$2,244.05	$2,992.06	$718.09–$2,752.70	25% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI FINGER	$2,244.05	$2,992.06	$718.09–$2,752.70	25% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI WRIST	$2,244.05	$2,992.06	$718.09–$2,752.70	25% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ELBOW	$2,244.05	$2,992.06	$718.09–$2,752.70	25% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI SHOULDER	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI FINGER	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI ELBOW	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI WRIST	$2,244.05	$2,992.06	$718.09–$2,752.70	—	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL SPECT MULTI	$6,685.89	$8,914.52	$386.36–$1,839.60	54% above	25%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL SPECT MULTI	$6,685.89	$8,914.52	$2,139.48–$8,201.36	—	25%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC NM PET CT TORSO	$7,297.85	$9,730.46	$2,335.31–$8,952.02	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED	$461.90	$615.86	$147.81–$566.59	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SOFT TISSUE PELVIS	$893.93	$1,191.90	$286.06–$1,096.55	—	25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC SONO PELVIC EVALUATION	$713.46	$951.28	$228.31–$875.18	—	25%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER 2 VIEWS	$411.89	$549.19	$131.81–$505.25	—	25%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMPHY SLEEP 4 OR M INPT>6	$6,731.03	$8,974.70	$2,153.93–$8,256.72	44% above	25%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMOGRPHY SLEEP 4 OR MOR>6	$8,261.60	$11,015.46	$2,643.71–$10,134.22	77% above	25%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMPHY SLEEP 4 OR M INPT>6	$6,731.03	$8,974.70	$2,153.93–$8,256.72	—	25%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMOGRPHY SLEEP 4 OR MOR>6	$8,261.60	$11,015.46	$2,643.71–$10,134.22	—	25%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOW FUNCTION STUDY II	$1,178.05	$1,570.73	$376.98–$1,445.07	—	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC SONO ABDOMEN COMPLETE	$1,009.17	$1,345.56	$322.93–$1,237.92	—	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC SCROTAL U/S	$308.17	$410.89	$98.61–$378.02	—	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC SONO TESTICULAR	$678.93	$905.24	$217.26–$832.82	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC ULTRASOUND THYROID HANDHELD	$179.60	$239.47	$57.47–$220.31	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SONO THYROID	$603.77	$805.02	$193.20–$740.62	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SONO PAROTID	$624.22	$832.29	$199.75–$765.71	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SONO SOFT TISSUE HEAD NECK	$793.66	$1,058.21	$253.97–$973.55	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC ULTRASOUND THYROID POST SURGICAL	$905.40	$1,207.20	$289.73–$1,110.62	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI WITH SMALL BOWEL	$2,118.35	$2,824.46	$106.59–$249.95	188% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI SERIES	$1,252.19	$1,669.59	$400.70–$1,536.02	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI WITH SMALL BOWEL	$2,118.35	$2,824.46	$677.87–$2,598.50	—	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC SONO DOPPLER VENOUS EXT UNI	$871.13	$1,161.51	$105.50–$150.72	8% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC SONO DOPPLER VENOUS EXT UNI	$871.13	$1,161.51	$278.76–$1,068.59	—	25%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST 3 VIEWS MIN COMPLETE	$453.88	$605.17	$145.24–$556.76	—	25%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC NAVICULAR SERIES WRIST 8V	$453.88	$605.17	$145.24–$556.76	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC PELVIS & HIPS INFANT - CHILD	$617.53	$823.37	$197.61–$757.50	53% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC HIP JOINT MIN 2 VIEWS	$459.24	$612.32	$146.96–$563.33	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC PELVIS & HIPS INFANT - CHILD	$617.53	$823.37	$197.61–$757.50	—	25%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EVAL, ABDOMEN SINGLE	$27.24	$36.32	$25.73–$120.42	92% below	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EVAL, ABDOMEN SINGLE	$27.24	$36.32	$8.72–$33.41	—	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW	$421.64	$562.19	$134.93–$517.21	—	25%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$416.29	$555.05	$133.21–$510.65	—	25%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER MIN 2 VIEWS	$398.51	$531.35	$127.52–$488.84	—	25%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEWS	$411.89	$549.19	$131.81–$505.25	—	25%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT WEIGHT BEARING 2 VIEWS	$411.89	$549.19	$131.81–$505.25	—	25%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMPLETE 3 VIEWS	$438.39	$584.52	$140.28–$537.76	—	25%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND 3 VIEWS	$438.39	$584.52	$140.28–$537.76	—	25%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 2 VIEWS	$421.64	$562.19	$134.93–$517.21	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 VIEW	$431.39	$575.19	$138.05–$529.17	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 3 VIEW	$606.13	$808.17	$193.96–$743.52	—	25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBO-SACRAL COMPLETE	$778.18	$1,037.57	$249.02–$954.56	—	25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS POS 2	$486.05	$648.07	$155.54–$596.22	—	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMPLETE	$486.36	$648.48	$155.64–$596.60	—	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2 VIEWS	$359.29	$479.05	$114.97–$440.73	—	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 3 VIEWS	$588.03	$784.04	$188.17–$721.32	—	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2-3 VIEWS LAT	$668.18	$890.90	$213.82–$819.63	—	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 VIEW	$434.06	$578.75	$138.90–$532.45	—	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS WITH LATERAL HIP	$515.22	$686.96	$164.87–$632.00	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC COCCYX 2 VIEWS	$384.44	$512.59	$123.02–$471.58	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM 2 VIEWS	$389.09	$518.79	$124.51–$477.29	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX	$559.50	$746.00	$179.04–$686.32	—	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT	$120.40	$160.53	$38.53–$147.69	105% above	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT	$120.40	$160.53	$38.53–$147.69	105% above	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT	$120.40	$160.53	$38.53–$147.69	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT	$120.40	$160.53	$38.53–$147.69	—	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT	$120.40	$160.53	$38.53–$147.69	105% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST	$120.40	$160.53	$38.53–$147.69	105% above	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST	$120.40	$160.53	$38.53–$147.69	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT	$120.40	$160.53	$38.53–$147.69	—	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$1,223.97	$1,631.96	$391.67–$1,501.40	216% above	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$1,223.97	$1,631.96	$391.67–$1,501.40	—	25%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN	$47.32	$63.09	$4.38–$5.74	85% above	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN	$47.32	$63.09	$15.14–$58.04	—	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANALYZER-ANA	$201.24	$268.32	$64.40–$246.85	95% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR ANTIBODY	$235.25	$313.67	$10.16–$13.30	128% above	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANALYZER-ANA	$201.24	$268.32	$64.40–$246.85	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR ANTIBODY	$235.25	$313.67	$75.28–$288.58	—	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BNP	$253.61	$338.14	$32.98–$43.19	29% above	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC PROBRAIN NATRIURETIC PEPTIDE	$352.82	$470.42	$32.98–$43.19	80% above	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BNP	$253.61	$338.14	$81.15–$311.09	—	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC PROBRAIN NATRIURETIC PEPTIDE	$352.82	$470.42	$112.90–$432.79	—	25%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$564.56	$752.74	$7.11–$9.31	121% above	25%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$564.56	$752.74	$180.66–$692.52	—	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC KIDNEY LM SEND OUT	$373.17	$497.56	$119.41–$457.76	21% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATH	$815.17	$1,086.89	$260.85–$999.94	165% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CONSULT WITH SLIDE PREPERATION	$2,340.93	$3,121.24	$749.10–$2,871.54	660% above	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC KIDNEY LM SEND OUT	$373.17	$497.56	$119.41–$457.76	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS/MICRO LEVEL IV EXAM	$602.69	$803.58	$192.86–$739.29	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATH	$815.17	$1,086.89	$260.85–$999.94	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CONSULT WITH SLIDE PREPERATION	$2,340.93	$3,121.24	$749.10–$2,871.54	—	25%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$254.05	$338.73	$8.67–$11.35	6% above	25%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$254.05	$338.73	$81.30–$311.63	—	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLCT OF BLD BY VENIPUNCTURE	$15.83	$21.10	$5.06–$19.41	23% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLCT OF BLD BY VENIPUNCTURE	$15.83	$21.10	$5.06–$19.41	23% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC DRAWING FEE	$47.63	$63.51	$15.24–$58.43	132% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$155.06	$206.74	$49.62–$190.20	656% above	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLCT OF BLD BY VENIPUNCTURE	$15.83	$21.10	$5.06–$19.41	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLCT OF BLD BY VENIPUNCTURE	$15.83	$21.10	$5.06–$19.41	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC DRAWING FEE	$47.63	$63.51	$15.24–$58.43	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$155.06	$206.74	$49.62–$190.20	—	25%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, POC	$74.51	$99.35	$3.30–$4.32	51% above	25%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, POC	$43.88	$58.50	$14.04–$53.82	—	25%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$108.23	$144.31	$34.63–$132.77	—	25%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE RANDOM	$120.40	$160.53	$38.53–$147.69	—	25%
Blood lead test CPT 83655 HC LEAD	$54.47	$72.63	$10.17–$13.32	7% above	25%
Blood lead test inpatient CPT 83655 HC LEAD	$54.47	$72.63	$17.43–$66.82	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC SERUM PREGNANCY, QUALITATIVE	$142.06	$189.41	$6.32–$8.27	21% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC URINE HCG, QUALITATIVE	$67.57	$90.09	$21.62–$82.88	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC SERUM PREGNANCY, QUALITATIVE	$142.06	$189.41	$45.46–$174.26	—	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPE ABO(NEW BORN)	$117.43	$156.57	$2.51–$3.29	33% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPE ABO	$117.43	$156.57	$2.51–$3.29	33% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPE; ABO/RH	$204.60	$272.80	$2.51–$3.29	132% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO BLOOD TYPING	$241.75	$322.33	$2.51–$3.29	174% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO DISC-CARTER	$257.36	$343.15	$2.51–$3.29	191% above	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ISOHEMAGLUTT TITER, IGM	$411.53	$548.70	$2.51–$3.29	366% above	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPE ABO	$117.43	$156.57	$37.58–$144.04	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPE ABO(NEW BORN)	$117.43	$156.57	$37.58–$144.04	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPE; ABO/RH	$204.60	$272.80	$65.47–$250.98	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO BLOOD TYPING	$241.75	$322.33	$77.36–$296.54	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO DISC-CARTER	$257.36	$343.15	$82.36–$315.70	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ISOHEMAGLUTT TITER, IGM	$411.53	$548.70	$131.69–$504.80	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$50.44	$67.25	$16.14–$61.87	13% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD CRP	$114.32	$152.42	$36.58–$140.23	96% above	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$50.44	$67.25	$16.14–$61.87	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD CRP	$114.32	$152.42	$36.58–$140.23	—	25%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIM DIFFICIL PCR,TOX B	$340.88	$454.50	$31.31–$41.00	76% above	25%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIM DIFFICIL PCR,TOX B	$340.88	$454.50	$109.08–$418.14	—	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER ANTIGEN 125	$88.90	$118.53	$17.48–$22.89	45% below	25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CANCER ANTIGEN 125	$88.90	$118.53	$28.45–$109.05	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 PCR	$220.84	$294.45	$70.67–$270.89	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$73.25	$97.66	$29.48–$38.60	41% below	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACOMATIS PCR NEW	$158.30	$211.06	$29.48–$38.60	27% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS TMA	$73.25	$97.66	$23.44–$89.85	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACOMATIS PCR NEW	$158.30	$211.06	$50.65–$194.18	—	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC POC LIPID PANEL - PBBC	$46.52	$62.03	$14.89–$57.07	81% below	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$388.33	$517.77	$124.26–$476.35	60% above	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC POC LIPID PANEL - PBBC	$46.52	$62.03	$14.89–$57.07	—	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$388.33	$517.77	$124.26–$476.35	—	25%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFF	$193.43	$257.90	$6.53–$8.55	106% above	25%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFF	$193.43	$257.90	$61.90–$237.27	—	25%
Complete blood count (CBC), no differential CPT 85027 HC CBC W MAN DIFF	$134.14	$178.85	$5.43–$7.12	28% above	25%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W MAN DIFF	$134.14	$178.85	$42.92–$164.54	—	25%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$912.48	$1,216.64	$291.99–$1,119.31	152% above	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$912.48	$1,216.64	$291.99–$1,119.31	—	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$228.89	$305.19	$18.67–$24.45	45% above	25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$228.89	$305.19	$73.25–$280.77	—	25%
Estradiol blood test CPT 82670 HC ESTRADIOL	$152.54	$203.38	$23.47–$30.73	1% above	25%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$152.54	$203.38	$48.81–$187.11	—	25%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH	$211.69	$282.25	$15.61–$20.44	32% above	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH	$211.69	$282.25	$67.74–$259.67	—	25%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$1,057.04	$1,409.39	$16.49–$21.59	394% above	25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$1,057.04	$1,409.39	$338.25–$1,296.64	—	25%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN (CMC)	$143.19	$190.92	$45.82–$175.65	40% above	25%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN (CMC)	$143.19	$190.92	$45.82–$175.65	—	25%
Folate (folic acid) blood test CPT 82746 HC FOLATE SERUM	$105.34	$140.45	$33.71–$129.21	27% above	25%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE SERUM	$105.34	$140.45	$33.71–$129.21	—	25%
Free T3 thyroid hormone test CPT 84481 HC T3, FREE	$146.47	$195.29	$46.87–$179.67	4% below	25%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3, FREE	$146.47	$195.29	$46.87–$179.67	—	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 (CMC)	$136.90	$182.53	$43.81–$167.93	33% above	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 (CMC)	$136.90	$182.53	$43.81–$167.93	—	25%
Free testosterone test CPT 84402 HC FREE TESTOSTERONE	$360.65	$480.86	$115.41–$442.39	226% above	25%
Free testosterone test inpatient CPT 84402 HC FREE TESTOSTERONE	$360.65	$480.86	$115.41–$442.39	—	25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$1,244.21	$1,658.94	$398.15–$1,526.22	165% above	25%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$1,244.21	$1,658.94	$398.15–$1,526.22	—	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLU PP 2 HR	$119.89	$159.85	$3.99–$5.23	5% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLU PP 2 HR	$119.89	$159.85	$38.36–$147.06	—	25%
Glucose tolerance test, 3 samples CPT 82951 HC GTT, 3 SPECIMENS	$119.89	$159.85	$10.81–$14.16	26% below	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GTT, 3 SPECIMENS	$119.89	$159.85	$38.36–$147.06	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONFIRMATION	$73.25	$97.66	$29.48–$38.60	48% below	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NELSSERIA GONORRHOEAE PCR NEW	$158.30	$211.06	$29.48–$38.60	12% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE TMA CONFIRMATION	$73.25	$97.66	$23.44–$89.85	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NELSSERIA GONORRHOEAE PCR NEW	$158.30	$211.06	$50.65–$194.18	—	25%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI STOOL AG	$185.27	$247.02	$12.08–$15.82	127% above	25%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG, FECAL	$222.70	$296.93	$12.08–$15.82	173% above	25%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI STOOL AG	$185.27	$247.02	$59.28–$227.26	—	25%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG, FECAL	$222.70	$296.93	$71.26–$273.18	—	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANTITATIVE NAAT	$400.02	$533.36	$71.48–$93.61	23% above	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV RNA QUANTITATIVE PCR	$809.57	$1,079.42	$259.06–$993.07	148% above	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANTITATIVE NAAT	$400.02	$533.36	$128.01–$490.69	—	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV RNA QUANTITATIVE PCR	$809.57	$1,079.42	$259.06–$993.07	—	25%
HIV-1 and HIV-2 antibody test CPT 86703 HC BONE MARROW-HIV 1/2	$52.49	$69.98	$11.52–$15.08	45% below	25%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1 AND HIV-2, SINGLE ASSAY	$209.37	$279.16	$11.52–$15.08	120% above	25%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC BONE MARROW-HIV 1/2	$52.49	$69.98	$16.80–$64.38	—	25%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1 AND HIV-2, SINGLE ASSAY	$209.37	$279.16	$67.00–$256.83	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN	$272.01	$362.68	$8.16–$10.68	195% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C	$151.49	$201.99	$48.48–$185.83	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN	$272.01	$362.68	$87.04–$333.67	—	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC BONE MARROW-HBSAG	$77.94	$103.92	$8.68–$11.36	1% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC DMT-HBSAG (HEP B SURFACE)	$235.25	$313.66	$8.68–$11.36	198% above	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$253.22	$337.63	$8.68–$11.36	221% above	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC BONE MARROW-HBSAG	$77.94	$103.92	$24.94–$95.61	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC DMT-HBSAG (HEP B SURFACE)	$235.25	$313.66	$75.28–$288.57	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$253.22	$337.63	$81.03–$310.62	—	25%
Hepatitis C antibody blood test (screening) CPT 86803 HC BONE MARROW-HCV	$83.62	$111.49	$11.99–$15.70	4% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C VIRUS ANTIBODY	$282.20	$376.27	$11.99–$15.70	224% above	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC BONE MARROW-HCV	$83.62	$111.49	$26.76–$102.57	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C VIRUS ANTIBODY	$282.20	$376.27	$90.30–$346.17	—	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANT PCR	$717.10	$956.13	$35.99–$47.12	125% above	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANT PCR	$717.10	$956.13	$229.47–$879.64	—	25%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1	$79.10	$105.46	$11.08–$14.51	8% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX I ABS, IG	$225.31	$300.41	$11.08–$14.51	163% above	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1	$79.10	$105.46	$25.31–$97.02	—	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX I ABS, IG	$225.31	$300.41	$72.10–$276.38	—	25%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 GLYCOPROTEIN G AB, IGG	$115.46	$153.94	$16.25–$21.29	28% above	25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 GLYCOPROTEIN G AB, IGG	$115.46	$153.94	$36.95–$141.62	—	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C R P	$136.90	$182.53	$43.81–$167.93	72% above	25%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C R P	$136.90	$182.53	$43.81–$167.93	—	25%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE	$513.44	$684.58	$15.05–$19.71	242% above	25%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE	$513.44	$684.58	$164.30–$629.81	—	25%
Insulin blood test CPT 83525 HC INSULIN	$108.92	$145.23	$9.60–$12.57	28% above	25%
Insulin blood test CPT 83525 HC INSULIN 2 HR	$142.33	$189.77	$9.60–$12.57	67% above	25%
Insulin blood test CPT 83525 HC INSULIN RANDOM	$142.38	$189.84	$9.60–$12.57	67% above	25%
Insulin blood test CPT 83525 HC INSULIN TOTAL	$148.07	$197.42	$9.60–$12.57	74% above	25%
Insulin blood test inpatient CPT 83525 HC INSULIN	$108.92	$145.23	$34.86–$133.61	—	25%
Insulin blood test inpatient CPT 83525 HC INSULIN 2 HR	$142.33	$189.77	$45.54–$174.59	—	25%
Insulin blood test inpatient CPT 83525 HC INSULIN RANDOM	$142.38	$189.84	$45.56–$174.65	—	25%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL	$148.07	$197.42	$47.38–$181.63	—	25%
Iron blood test (serum iron) CPT 83540 HC IRON SERUM	$185.12	$246.83	$5.43–$7.12	108% above	25%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON SERUM	$185.12	$246.83	$59.24–$227.08	—	25%
Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY	$227.04	$302.72	$7.34–$9.61	132% above	25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY	$227.04	$302.72	$72.65–$278.50	—	25%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$533.18	$710.91	$170.62–$654.04	62% above	25%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$533.18	$710.91	$170.62–$654.04	—	25%
LH (luteinizing hormone) test CPT 83002 HC LH	$221.43	$295.24	$15.56–$20.37	46% above	25%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH	$221.43	$295.24	$70.86–$271.62	—	25%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE SERUM	$127.85	$170.47	$5.79–$7.58	30% above	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE SERUM	$127.85	$170.47	$40.91–$156.83	—	25%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$461.11	$614.81	$147.55–$565.63	60% above	25%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$461.11	$614.81	$147.55–$565.63	—	25%
Magnesium blood test CPT 83735 HC MAGNESIUM SERUM	$120.40	$160.53	$5.63–$7.37	162% above	25%
Magnesium blood test CPT 83735 HC UR MG	$1,962.45	$2,616.60	$5.63–$7.37	4166% above	25%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM SERUM	$120.40	$160.53	$38.53–$147.69	—	25%
Magnesium blood test inpatient CPT 83735 HC UR MG	$1,962.45	$2,616.60	$627.98–$2,407.27	—	25%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGG	$329.20	$438.93	$10.82–$14.17	1154% above	25%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGM	$329.20	$438.93	$10.82–$14.17	1154% above	25%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGG	$329.20	$438.93	$105.34–$403.82	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGM	$329.20	$438.93	$105.34–$403.82	—	25%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODY(MONO)	$174.99	$233.32	$4.35–$5.70	82% above	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODY(MONO)	$174.99	$233.32	$56.00–$214.65	—	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$334.25	$445.66	$15.45–$20.23	303% above	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$334.25	$445.66	$106.96–$410.01	—	25%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH	$361.57	$482.09	$34.68–$45.41	63% above	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH	$361.57	$482.09	$115.70–$443.52	—	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-LA	$120.81	$161.08	$38.66–$148.19	126% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS-PTT	$136.86	$182.48	$43.80–$167.88	156% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$212.81	$283.75	$68.10–$261.05	299% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME, PART	$214.24	$285.65	$68.56–$262.80	301% above	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT-LA	$120.81	$161.08	$38.66–$148.19	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS-PTT	$136.86	$182.48	$43.80–$167.88	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT	$212.81	$283.75	$68.10–$261.05	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME, PART	$214.24	$285.65	$68.56–$262.80	—	25%
Progesterone blood test CPT 84144 HC PROGESTERONE	$228.89	$305.19	$73.25–$280.77	89% above	25%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$228.89	$305.19	$73.25–$280.77	—	25%
Prolactin blood test CPT 84146 HC PROLACTIN	$221.43	$295.24	$70.86–$271.62	84% above	25%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$221.43	$295.24	$70.86–$271.62	—	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS-PT	$66.47	$88.63	$21.27–$81.54	41% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PT)	$114.78	$153.04	$36.73–$140.80	143% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT	$138.85	$185.13	$44.43–$170.32	194% above	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS-PT	$66.47	$88.63	$21.27–$81.54	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME (PT)	$114.78	$153.04	$36.73–$140.80	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT	$138.85	$185.13	$44.43–$170.32	—	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC COTININE	$238.28	$317.71	$10.58–$13.86	59% above	25%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC COTININE	$238.28	$317.71	$76.25–$292.29	—	25%
Rapid flu test (influenza antigen) CPT 87804 HC ED LITE INFLUENZA A RAPID	$18.38	$24.50	$5.88–$22.54	84% below	25%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A AG, RAPID EIA	$145.07	$193.43	$46.42–$177.96	28% above	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC ED LITE INFLUENZA A RAPID	$18.38	$24.50	$5.88–$22.54	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC ED LITE INFLUENZA B RAPID	$18.38	$24.50	$5.88–$22.54	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A AG, RAPID EIA	$145.07	$193.43	$46.42–$177.96	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA B AG, RAPID EIA	$145.07	$193.43	$46.42–$177.96	—	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC UCC RAPID STREP GRPA,EIA	$18.38	$24.50	$13.89–$18.18	83% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP GRPA,EIA	$59.62	$79.49	$19.08–$73.13	45% below	25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC UCC RAPID STREP GRPA,EIA	$18.38	$24.50	$5.88–$22.54	—	25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP GRPA,EIA	$59.62	$79.49	$19.08–$73.13	—	25%
Rheumatoid factor (RF) test CPT 86431 HC ANALYZER-RHEUMATOID FACTOR	$62.99	$83.98	$4.76–$6.24	13% above	25%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$321.83	$429.10	$4.76–$6.24	480% above	25%
Rheumatoid factor (RF) test inpatient CPT 86431 HC ANALYZER-RHEUMATOID FACTOR	$62.99	$83.98	$20.16–$77.26	—	25%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$321.83	$429.10	$102.98–$394.77	—	25%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM	$77.27	$103.02	$24.72–$94.78	97% above	25%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG	$268.94	$358.59	$12.09–$15.83	585% above	25%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGM	$77.27	$103.02	$24.72–$94.78	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG	$268.94	$358.59	$86.06–$329.90	—	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC ERYTHROCYTE SEDIMENTATION RATE	$112.36	$149.81	$35.95–$137.83	68% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC AMIODARONE AND METABOLITE	$464.44	$619.25	$2.27–$2.97	593% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC ERYTHROCYTE SEDIMENTATION RATE	$112.36	$149.81	$35.95–$137.83	—	25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC AMIODARONE AND METABOLITE	$464.44	$619.25	$148.62–$569.71	—	25%
Stool ova and parasites exam CPT 87177 HC O & P DIRECT EXAM CHARGE	$92.62	$123.49	$7.48–$9.79	10% below	25%
Stool ova and parasites exam CPT 87177 HC O & P CONCENTRATE EXAM CHARGE	$192.62	$256.83	$7.48–$9.79	88% above	25%
Stool ova and parasites exam CPT 87177 HC ARTHROPOD IDENTIFICATION	$275.00	$366.66	$7.48–$9.79	168% above	25%
Stool ova and parasites exam inpatient CPT 87177 HC O & P DIRECT EXAM CHARGE	$92.62	$123.49	$29.64–$113.61	—	25%
Stool ova and parasites exam inpatient CPT 87177 HC O & P CONCENTRATE EXAM CHARGE	$192.62	$256.83	$61.64–$236.28	—	25%
Stool ova and parasites exam inpatient CPT 87177 HC ARTHROPOD IDENTIFICATION	$275.00	$366.66	$88.00–$337.33	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR RAPID PLASMA REAGIN	$43.88	$58.50	$3.59–$4.70	22% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC BONE MARROW-SYPHILIS	$47.01	$62.68	$3.59–$4.70	16% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL. SERUM	$51.91	$69.21	$3.59–$4.70	8% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL, CSF	$61.83	$82.44	$3.59–$4.70	10% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR RAPID PLASMA REAGIN	$43.88	$58.50	$14.04–$53.82	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC BONE MARROW-SYPHILIS	$47.01	$62.68	$15.04–$57.67	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL. SERUM	$51.91	$69.21	$16.61–$63.67	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL, CSF	$61.83	$82.44	$19.79–$75.84	—	25%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$335.25	$447.00	$107.28–$411.24	168% above	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$335.25	$447.00	$107.28–$411.24	—	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANALYZER-THYROIDS PEROXIDASE	$105.34	$140.45	$12.22–$16.01	8% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-TPO	$145.84	$194.45	$12.22–$16.01	49% above	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LKM AB	$314.23	$418.97	$12.22–$16.01	222% above	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANALYZER-THYROIDS PEROXIDASE	$105.34	$140.45	$33.71–$129.21	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-TPO	$145.84	$194.45	$46.67–$178.89	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LKM AB	$314.23	$418.97	$100.55–$385.45	—	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$138.30	$184.40	$44.26–$169.65	6% above	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$138.30	$184.40	$44.26–$169.65	—	25%
Uric acid blood test CPT 84550 HC URIC ACID	$115.50	$154.00	$3.80–$4.97	4% above	25%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$115.50	$154.00	$36.96–$141.68	—	25%
Urinalysis with microscope exam, automated CPT 81001 HC UA; WITH MICROSCOPY	$189.71	$252.95	$2.66–$3.49	62% above	25%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA; WITH MICROSCOPY	$189.71	$252.95	$60.71–$232.71	—	25%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS	$14.25	$19.00	$1.89–$2.48	74% below	25%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE	$38.99	$51.98	$12.48–$47.82	28% below	25%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS POC	$42.03	$56.04	$1.89–$2.48	22% below	25%
Urinalysis without microscope exam, automated CPT 81003 HC BLOOD, UA	$53.69	$71.59	$1.89–$2.48	at median	25%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE	$63.77	$85.02	$20.40–$78.22	18% above	25%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY, URINE	$67.90	$90.53	$1.89–$2.48	26% above	25%
Urinalysis without microscope exam, automated CPT 81003 HC UA	$76.86	$102.48	$1.89–$2.48	43% above	25%
Urinalysis without microscope exam, automated CPT 81003 HC UA;AUTO WITHOUT MICROSCOP	$76.90	$102.53	$24.61–$94.33	43% above	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS	$14.25	$19.00	$4.56–$17.48	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE	$38.99	$51.98	$12.48–$47.82	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS POC	$42.03	$56.04	$13.45–$51.56	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD, UA	$53.69	$71.59	$17.18–$65.86	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE	$63.77	$85.02	$20.40–$78.22	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY, URINE	$67.90	$90.53	$21.73–$83.29	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC UA	$76.86	$102.48	$24.60–$94.28	—	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC UA;AUTO WITHOUT MICROSCOP	$76.90	$102.53	$24.61–$94.33	—	25%
Urinalysis without microscope exam, manual CPT 81002 HC POC URINE KETONES	$12.19	$16.25	$2.92–$3.83	66% below	25%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS POC	$13.43	$17.90	$2.92–$3.83	62% below	25%
Urinalysis without microscope exam, manual CPT 81002 HC URINE SCREEN, DIPSTICK	$44.27	$59.02	$2.92–$3.83	24% above	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC POC URINE KETONES	$12.19	$16.25	$3.90–$14.95	—	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS POC	$13.43	$17.90	$4.30–$16.47	—	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE SCREEN, DIPSTICK	$44.27	$59.02	$14.16–$54.30	—	25%
Urine culture for bacteria, with colony count CPT 87086 HC POCT URINE CULTURE - PBBC	$23.27	$31.02	$6.78–$8.88	84% below	25%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE	$183.98	$245.31	$6.78–$8.88	29% above	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC POCT URINE CULTURE - PBBC	$23.27	$31.02	$7.44–$28.54	—	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE	$183.98	$245.31	$58.87–$225.69	—	25%
Urine pregnancy test, read by color change CPT 81025 HC POC URINGE HCG DIPSTICK	$6.53	$8.70	$7.23–$9.47	93% below	25%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY, QUALITATIVE	$142.06	$189.41	$7.23–$9.47	58% above	25%
Urine pregnancy test, read by color change inpatient CPT 81025 HC POC URINGE HCG DIPSTICK	$6.53	$8.70	$2.09–$8.00	—	25%
Urine pregnancy test, read by color change inpatient CPT 81025 HC HCG URINE	$9.16	$12.21	$2.93–$11.23	—	25%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY, QUALITATIVE	$142.06	$189.41	$45.46–$174.26	—	25%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$115.85	$154.47	$12.67–$16.59	28% above	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$115.85	$154.47	$37.07–$142.11	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D, 25 HYDROXY	$121.64	$162.18	$24.86–$32.56	3% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$352.52	$470.02	$24.86–$32.56	199% above	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D, 25 HYDROXY	$121.67	$162.23	$38.94–$149.25	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$352.52	$470.02	$112.80–$432.42	—	25%
Zinc blood test CPT 84630 HC ZINC, URINE	$47.96	$63.94	$9.57–$12.53	31% below	25%
Zinc blood test CPT 84630 HC ZINC SERUM	$246.40	$328.53	$9.57–$12.53	257% above	25%
Zinc blood test inpatient CPT 84630 HC ZINC, URINE	$47.96	$63.94	$15.35–$58.82	—	25%
Zinc blood test inpatient CPT 84630 HC ZINC SERUM	$246.40	$328.53	$78.85–$302.25	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BHCG QUANT (CMC)	$177.65	$236.87	$12.64–$16.56	58% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BHCG, CSF	$199.64	$266.18	$12.64–$16.56	78% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BHCG QUANT (CMC)	$177.65	$236.87	$56.85–$217.92	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BHCG, CSF	$199.64	$266.18	$63.88–$244.89	—	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC TREATMENT OF ANKLE FRACTURE	$1,183.39	$1,577.85	$378.68–$1,451.62	154% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC TREATMENT OF ANKLE FRACTURE	$1,183.39	$1,577.85	$378.68–$1,451.62	—	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC METATARSAL FX, W/O MANIP	$507.38	$676.50	$127.98–$262.29	81% above	25%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC METATARSAL FX, W/O MANIP	$507.38	$676.50	$162.36–$622.38	—	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$2,592.17	$3,456.22	$829.49–$3,179.72	53% above	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSON	$3,115.55	$4,154.06	$94.01–$134.30	83% above	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$2,592.17	$3,456.22	$829.49–$3,179.72	—	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSON	$3,115.55	$4,154.06	$996.97–$3,821.74	—	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC NEWBORN CIR (UNDER 3 MO)	$637.02	$849.36	$83.99–$979.20	48% below	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC NEWBORN CIR (UNDER 3 MO)	$637.02	$849.36	$203.85–$781.41	—	25%
Circumcision, surgical, older than a newborn CPT 54160 HC NEWBORN CIR (28 DAYS OR LESS)	$636.86	$849.14	$203.79–$781.21	72% below	25%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC NEWBORN CIR (28 DAYS OR LESS)	$636.86	$849.14	$203.79–$781.21	—	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC DISTAL RADIAL FX OR EPIPHYS SE	$1,183.39	$1,577.85	$378.68–$1,451.62	109% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC DISTAL RADIAL FX OR EPIPHYS SE	$1,183.39	$1,577.85	$378.68–$1,451.62	—	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION; FIRST LESION	$297.16	$396.21	$47.45–$67.79	46% above	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION; FIRST LESION	$297.16	$396.21	$95.09–$364.51	—	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT - PBBC	$126.88	$169.17	$13.56–$19.37	2% above	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT - PBBC	$126.88	$169.17	$40.60–$155.64	2% above	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT,	$289.72	$386.29	$13.56–$19.37	134% above	25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT - PBBC	$126.88	$169.17	$40.60–$155.64	—	25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT - PBBC	$126.88	$169.17	$40.60–$155.64	—	25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT,	$289.72	$386.29	$92.71–$355.39	—	25%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN	$288.58	$384.77	$28.59–$40.85	68% above	25%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN	$288.58	$384.77	$92.34–$353.99	—	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D	$419.16	$558.88	$90.77–$129.68	10% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS (SIMPLE)	$896.61	$1,195.48	$286.92–$1,099.84	92% above	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D	$419.16	$558.88	$134.13–$514.17	—	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS (SIMPLE)	$896.61	$1,195.48	$286.92–$1,099.84	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR	$1,168.94	$1,558.59	$374.06–$1,433.90	63% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR	$1,168.94	$1,558.59	$374.06–$1,433.90	—	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC SUPPRELIN PLACEMENT	$288.51	$384.68	$55.11–$78.74	20% above	25%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC SUPPRELIN PLACEMENT	$288.51	$384.68	$92.32–$353.91	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAC REPAIR/INTER. UP TO 2	$379.84	$506.45	$130.26–$214.62	30% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR/INTER.WNDS UP TO 2.5	$1,055.65	$1,407.53	$337.81–$1,294.93	94% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAC REPAIR/INTER. UP TO 2.5	$1,217.41	$1,623.21	$389.57–$1,493.35	124% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAC REPAIR/INTER. UP TO 2	$379.84	$506.45	$121.55–$465.93	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR/INTER.WNDS UP TO 2.5	$1,055.65	$1,407.53	$337.81–$1,294.93	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAC REPAIR/INTER. UP TO 2.5	$1,217.41	$1,623.21	$389.57–$1,493.35	—	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TRUNK/ARMS/LEGS<0.5CM	$1,381.95	$1,842.60	$442.22–$1,695.19	69% above	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TRUNK/ARMS/LEGS<0.5CM	$1,381.95	$1,842.60	$442.22–$1,695.19	—	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BEN LESION F/E/E/N/L < .5	$677.60	$903.47	$91.07–$130.10	26% below	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BEN LESION F/E/E/N/L < .5	$677.60	$903.47	$216.83–$831.19	—	25%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE	$168.38	$224.50	$46.27–$66.11	53% below	25%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF NAIL PLATE	$809.02	$1,078.69	$46.27–$66.11	127% above	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE	$168.38	$224.50	$53.88–$206.54	—	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF NAIL PLATE	$809.02	$1,078.69	$258.89–$992.39	—	25%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT,ANESTHETIC, OCCPITCA NE	$2,055.48	$2,740.64	$657.75–$2,521.39	381% above	25%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT,ANESTHETIC, OCCPITCA NE	$2,055.48	$2,740.64	$657.75–$2,521.39	—	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL MATRIX IGTN	$724.81	$966.41	$231.94–$889.10	9% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL INGROWN	$2,095.55	$2,794.06	$87.53–$127.07	164% above	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL MATRIX IGTN	$724.81	$966.41	$231.94–$889.10	—	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL INGROWN	$2,095.55	$2,794.06	$670.57–$2,570.54	—	25%
Removal of a foreign object under the skin, simple CPT 10120 HC R.F.B. SIMPLE SC - PBBC	$294.60	$392.80	$94.27–$361.38	54% below	25%
Removal of a foreign object under the skin, simple CPT 10120 HC R.F.B. SIMPLE SC - PBBC	$294.60	$392.80	$89.59–$129.57	54% below	25%
Removal of a foreign object under the skin, simple CPT 10120 HC R.F.B. SIMPLE SC	$1,567.39	$2,089.85	$89.59–$129.57	146% above	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC R.F.B. SIMPLE SC - PBBC	$294.60	$392.80	$94.27–$361.38	—	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC R.F.B. SIMPLE SC - PBBC	$294.60	$392.80	$94.27–$361.38	—	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC R.F.B. SIMPLE SC	$1,567.39	$2,089.85	$501.56–$1,922.66	—	25%
Short arm cast (elbow to hand) CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$100.21–$384.16	2% above	25%
Short arm cast (elbow to hand) CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$55.41–$79.16	2% above	25%
Short arm cast (elbow to hand) CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$55.41–$79.16	3% above	25%
Short arm cast (elbow to hand) CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$100.72–$386.10	3% above	25%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST	$1,236.08	$1,648.11	$395.55–$1,516.26	303% above	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$100.21–$384.16	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$100.21–$384.16	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$100.72–$386.10	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$100.72–$386.10	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION OF FOREARM CAST	$1,236.08	$1,648.11	$395.55–$1,516.26	—	25%
Short arm splint (forearm and hand) CPT 29125 HC PLASTER SPLINTS SHORT ARM	$729.40	$972.53	$233.41–$894.73	153% above	25%
Short arm splint (forearm and hand) inpatient CPT 29125 HC PLASTER SPLINTS SHORT ARM	$729.40	$972.53	$233.41–$894.73	—	25%
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$1,236.08	$1,648.11	$395.55–$1,516.26	264% above	25%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST	$1,236.08	$1,648.11	$395.55–$1,516.26	—	25%
Short leg splint (calf to foot) CPT 29515 HC PLASTER SPLINTS SHORT LEG	$707.93	$943.91	$43.32–$61.89	127% above	25%
Short leg splint (calf to foot) inpatient CPT 29515 HC OT SPLINT SHORT LEG	$243.35	$324.47	$77.87–$298.51	—	25%
Short leg splint (calf to foot) inpatient CPT 29515 HC PLASTER SPLINTS SHORT LEG	$707.93	$943.91	$226.54–$868.40	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC LACER. REPAIR < 2.5 CM	$545.30	$727.06	$39.20–$56.00	29% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC LACER. REPAIR < 2.5 CM	$545.30	$727.06	$174.49–$668.90	—	25%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$40.37–$119.19	26% below	25%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$108.50–$415.93	—	25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MAL LESION T/A/L < .5	$1,381.58	$1,842.10	$442.10–$1,694.73	13% above	25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MAL LESION T/A/L < .5	$1,381.58	$1,842.10	$442.10–$1,694.73	—	25%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAG	$268.37	$357.82	$65.43–$93.47	16% below	25%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKIN TAG	$543.11	$724.15	$173.80–$666.22	70% above	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAG	$268.37	$357.82	$85.88–$329.19	—	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL SKIN TAG	$543.11	$724.15	$173.80–$666.22	—	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE	$411.34	$548.45	$53.63–$394.29	61% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR PUNCTUR	$995.59	$1,327.45	$53.63–$394.29	5% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC IR LUMBAR PUNCTURE	$1,256.85	$1,675.80	$53.63–$394.29	20% above	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOTIC	$2,053.77	$2,738.36	$53.63–$394.29	96% above	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE	$411.34	$548.45	$131.63–$504.57	—	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR PUNCTUR	$995.59	$1,327.45	$318.59–$1,221.25	—	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC IR LUMBAR PUNCTURE	$1,256.85	$1,675.80	$402.19–$1,541.74	—	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP DIAGNOTIC	$2,053.77	$2,738.36	$657.21–$2,519.29	—	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC LACER. REPAIR 2.6 CM-7.5	$545.30	$727.06	$174.49–$668.90	15% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC LACER. REPAIR 2.6 CM-7.5	$545.30	$727.06	$174.49–$668.90	—	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC LACER. REPAIR UP TO 2.5 C	$545.30	$727.06	$174.49–$668.90	29% above	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC LACER. REPAIR UP TO 2.5 C	$545.30	$727.06	$174.49–$668.90	—	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$32.41–$96.35	6% below	25%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$108.50–$415.93	—	25%
Wart removal, up to 14 warts CPT 17110 HC BENIGN LESIONS<14	$150.28	$200.37	$57.47–$82.10	29% below	25%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESION	$692.40	$923.20	$221.57–$849.34	228% above	25%
Wart removal, up to 14 warts inpatient CPT 17110 HC BENIGN LESIONS<14	$150.28	$200.37	$48.09–$184.34	—	25%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESION	$692.40	$923.20	$221.57–$849.34	—	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20SQCM OR LESS	$839.47	$1,119.29	$51.87–$214.62	18% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20 SQ CM OR LESS	$1,630.81	$2,174.41	$521.86–$2,000.46	59% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20SQCM OR LESS	$839.47	$1,119.29	$268.63–$1,029.75	—	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20 SQ CM OR LESS	$1,630.81	$2,174.41	$521.86–$2,000.46	—	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN UP TO 1 HOUR	$462.92	$617.23	$34.48–$49.26	51% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN UP TO 2 HOURS	$654.04	$872.05	$34.48–$49.26	31% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANFUSION,BLOOD OR BLD COMPON	$712.58	$950.10	$34.48–$49.26	24% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN UP TO 3 HOURS	$1,380.81	$1,841.08	$34.48–$49.26	47% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$1,645.75	$2,194.33	$526.64–$2,018.78	75% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN UP TO 4 HOURS	$1,829.09	$2,438.79	$34.48–$49.26	94% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN UP TO 5 HOURS	$2,135.36	$2,847.15	$34.48–$49.26	127% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMIN UP TO 7 HOURS	$2,523.52	$3,364.69	$34.48–$49.26	168% above	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN UP TO 1 HOUR	$462.92	$617.23	$148.14–$567.85	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN UP TO 2 HOURS	$654.04	$872.05	$209.29–$802.29	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANFUSION,BLOOD OR BLD COMPON	$712.58	$950.10	$228.02–$874.09	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN UP TO 3 HOURS	$1,380.81	$1,841.08	$441.86–$1,693.79	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$1,645.75	$2,194.33	$526.64–$2,018.78	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN UP TO 4 HOURS	$1,829.09	$2,438.79	$585.31–$2,243.69	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN UP TO 5 HOURS	$2,135.36	$2,847.15	$683.32–$2,619.38	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMIN UP TO 7 HOURS	$2,523.52	$3,364.69	$807.53–$3,095.51	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER AND TREATMENT	$86.42	$115.23	$7.96–$11.37	58% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL NEBULIZER TREATMENT	$314.54	$419.38	$7.96–$11.37	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT INITIAL	$335.20	$446.93	$7.96–$11.37	65% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEB TREATMENT INIT	$906.80	$1,209.07	$7.96–$11.37	346% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient both sides CPT 94640 HC BI-PAP SUBSEQUENT	$699.95	$933.26	$223.98–$858.60	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER AND TREATMENT	$86.42	$115.23	$27.66–$106.01	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEB TREATMENT SUBSEQ	$90.68	$120.91	$29.02–$111.24	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL NEBULIZER TREATMENT	$314.54	$419.38	$100.65–$385.83	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PRESSURIZED/NON PRESSURIZED INHALATION TREATMENT	$314.63	$419.50	$100.68–$385.94	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CAYSTON, ALTERA NEB SUBSQ TRT	$325.58	$434.10	$104.18–$399.37	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT SUBSEQ	$325.58	$434.10	$104.18–$399.37	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT INITIAL	$335.20	$446.93	$107.26–$411.18	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC METERED DOSE INHALER DELIVERY	$392.48	$523.30	$125.59–$481.44	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMON PERCUS VENTILATION	$450.50	$600.67	$144.16–$552.62	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEB TREATMENT INIT	$906.80	$1,209.07	$290.18–$1,112.34	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CAYSTON, ALTERA NEB INITAL TRT	$1,185.56	$1,580.74	$379.38–$1,454.28	—	25%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION 1ST HOUR	$709.89	$946.52	$114.93–$164.19	16% above	25%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INFUSION 1ST HOUR	$709.89	$946.52	$227.16–$870.80	—	25%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC AUDIO COMPREH-AIR/BN/SRT/WRS	$331.85	$442.47	$106.19–$407.07	11% above	25%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC AUDIO COMPREH-AIR/BN/SRT/WRS	$331.85	$442.47	$106.19–$407.07	—	25%
Critical care, first 30 to 74 minutes CPT 99291 HC CRIT CARE, EVAL & MGMT 1 HOUR	$417.75	$557.00	$237.62–$324.03	84% below	25%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MINUTES	$4,832.83	$6,443.77	$1,546.50–$5,928.27	87% above	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRIT CARE, EVAL & MGMT 1 HOUR	$417.75	$557.00	$133.68–$512.44	—	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74 MINUTES	$4,832.83	$6,443.77	$1,546.50–$5,928.27	—	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE W/INTERP	$1,946.68	$2,595.57	$622.94–$2,387.92	99% above	25%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE W/INTERP	$1,946.68	$2,595.57	$622.94–$2,387.92	—	25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG W INTERP	$492.99	$657.32	$157.76–$604.73	245% above	25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG W INTERP	$492.99	$657.32	$157.76–$604.73	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG W/O INTERP	$296.92	$395.89	$95.01–$364.22	at median	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG W/O INTERP	$296.92	$395.89	$95.01–$364.22	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC DISCHG LVL I CARE TEAM	$335.75	$447.66	$107.44–$411.85	17% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER DISCHARGE LEVEL I	$463.72	$618.29	$148.39–$568.83	62% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC DISCHG LVL I CARE TEAM	$335.75	$447.66	$107.44–$411.85	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER DISCHARGE LEVEL I	$463.72	$618.29	$148.39–$568.83	—	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC DISCHG LVL II CARE TEAM	$508.07	$677.43	$162.58–$623.24	6% above	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER DISCHARGE LEVEL II	$864.73	$1,152.97	$276.71–$1,060.73	80% above	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC DISCHG LVL II CARE TEAM	$508.07	$677.43	$162.58–$623.24	—	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER DISCHARGE LEVEL II	$864.73	$1,152.97	$276.71–$1,060.73	—	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC SANE EXAMINER FEE (LVL 3)	$174.75	$233.00	$55.92–$214.36	79% below	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC DISCHG LVL III CARE TEAM	$858.89	$1,145.19	$274.85–$1,053.57	4% above	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER DISCHARGE LEVEL III	$1,519.07	$2,025.42	$486.10–$1,863.39	84% above	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC SANE EXAMINER FEE (LVL 3)	$174.75	$233.00	$55.92–$214.36	—	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC DISCHG LVL III CARE TEAM	$858.89	$1,145.19	$274.85–$1,053.57	—	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER DISCHARGE LEVEL III	$1,519.07	$2,025.42	$486.10–$1,863.39	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC SANE EXAMINER FEE	$174.75	$233.00	$143.21	87% below	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC DISCHG LVL IV CARE TEAM	$1,477.11	$1,969.48	$143.21	8% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER DISCHARGE LEVEL IV	$2,714.45	$3,619.26	$143.21	99% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC SANE EXAMINER FEE	$174.75	$233.00	$55.92–$214.36	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC DISCHG LVL IV CARE TEAM	$1,477.11	$1,969.48	$472.68–$1,811.92	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER DISCHARGE LEVEL IV	$2,714.45	$3,619.26	$868.62–$3,329.72	—	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC SANE EXAMINER FEE (LVL 5)	$174.75	$233.00	$178.05	92% below	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC DISCHG LVL V-CARE TEAM	$2,784.30	$3,712.40	$178.05	20% above	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER DISCHARGE LEVEL V	$4,015.81	$5,354.41	$178.05	73% above	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC SANE EXAMINER FEE (LVL 5)	$174.75	$233.00	$55.92–$214.36	—	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC DISCHG LVL V-CARE TEAM	$2,784.30	$3,712.40	$890.98–$3,415.41	—	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER DISCHARGE LEVEL V	$4,015.81	$5,354.41	$1,285.06–$4,926.06	—	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS CARD TEST W/O INT	$1,494.05	$1,992.06	$478.09–$1,832.70	4% above	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC PHARMACOLOGIC STRESS TEST	$1,934.18	$2,578.90	$618.94–$2,372.59	34% above	25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS CARD TEST W/O INT	$1,494.05	$1,992.06	$478.09–$1,832.70	—	25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC PHARMACOLOGIC STRESS TEST	$1,934.18	$2,578.90	$618.94–$2,372.59	—	25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-MA- W/PATIENT	$483.74	$644.99	$154.80–$593.39	—	25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-PHD- W/PATIENT	$676.31	$901.75	$216.42–$829.61	—	25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY-MA- W/O PATIENT	$483.74	$644.99	$154.80–$593.39	—	25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY-PHD W/O PATIENT	$676.31	$901.75	$216.42–$829.61	—	25%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$164.56	$219.41	$1.10–$29.06	28% below	25%
Group psychotherapy session CPT 90853 HC PARTIAL HOSPITAL PHP	$2,179.18	$2,905.57	$20.34–$29.06	854% above	25%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY	$164.56	$219.41	$52.66–$201.86	—	25%
Group psychotherapy session inpatient CPT 90853 HC PARTIAL HOSPITAL PHP	$2,179.18	$2,905.57	$697.34–$2,673.12	—	25%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC HOLTER MONITOR W INTERP	$2,620.13	$3,493.51	$838.44–$3,214.03	—	25%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC HOLTER MONITOR W INTERP	$2,620.13	$3,493.51	$838.44–$3,214.03	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION INFUSION 1ST HOUR	$709.89	$946.52	$227.16–$870.80	—	25%
IV infusion of a medicine, first hour CPT 96365 HC THERAPEUTIC INFUSION 1ST HOUR	$709.89	$946.52	$56.29–$80.42	40% above	25%
IV infusion of a medicine, first hour CPT 96365 HC IVIG INFUSION 1ST HOUR	$709.89	$946.52	$227.16–$870.80	40% above	25%
IV infusion of a medicine, first hour CPT 96365 HC STIM W INFUSION 4 HOURS	$2,214.99	$2,953.32	$56.29–$80.42	337% above	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IVIG INFUSION 1ST HOUR	$709.89	$946.52	$227.16–$870.80	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC THERAPEUTIC INFUSION 1ST HOUR	$709.89	$946.52	$227.16–$870.80	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC MEDICATION ADMIN IV, INITIAL	$956.42	$1,275.23	$306.06–$1,173.21	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC STIM W INFUSION 4 HOURS	$2,214.99	$2,953.32	$708.80–$2,717.05	—	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTC INJ SUBQ OR IM	$149.38	$199.17	$47.80–$183.24	11% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ, DIAGNOSTIC OR THERAPEUTIC	$237.41	$316.55	$75.97–$291.23	41% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SUB INJ/IV INF;15MIN OR LES	$295.13	$393.51	$12.38–$17.69	75% above	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SUB INJ EXECPT VACCINATION	$66.38	$88.50	$21.24–$81.42	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTC INJ SUBQ OR IM	$149.38	$199.17	$47.80–$183.24	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ, DIAGNOSTIC OR THERAPEUTIC	$237.41	$316.55	$75.97–$291.23	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SUB INJ/IV INF;15MIN OR LES	$295.13	$393.51	$94.44–$362.03	—	25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC DX EVAL MASTER PREP	$527.01	$702.68	$131.15–$187.35	37% above	25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC DX EVAL MASTER PREP	$527.01	$702.68	$168.64–$646.47	—	25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$639.34	$852.45	$204.59–$784.25	—	25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC DIAGNOSTIC INTERVIEW-PHD	$811.51	$1,082.01	$259.68–$995.45	—	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEURO RE-ED	$69.12	$92.16	$22.12–$84.79	—	25%
New patient office visit, about 30 minutes CPT 99203 HC URGENT CARE LVL 3-INITIAL	$212.36	$283.15	$67.96–$260.50	17% below	25%
New patient office visit, about 30 minutes CPT 99203 HC E&M, INITIAL LEVEL III	$224.12	$298.82	$71.72–$274.91	12% below	25%
New patient office visit, about 30 minutes CPT 99203 HC NEW PATIENT LVL 3	$289.22	$385.62	$68.51–$97.88	13% above	25%
New patient office visit, about 30 minutes inpatient CPT 99203 HC URGENT CARE LVL 3-INITIAL	$212.36	$283.15	$67.96–$260.50	—	25%
New patient office visit, about 30 minutes inpatient CPT 99203 HC E&M, INITIAL LEVEL III	$224.12	$298.82	$71.72–$274.91	—	25%
New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PATIENT LVL 3	$289.22	$385.62	$92.55–$354.77	—	25%
New patient office visit, about 45 minutes CPT 99204 HC URGENT CARE LVL 4-INITIAL	$302.74	$403.65	$100.24–$143.21	6% below	25%
New patient office visit, about 45 minutes CPT 99204 HC E&M, INITIAL LEVEL IV	$347.51	$463.34	$100.24–$143.21	8% above	25%
New patient office visit, about 45 minutes CPT 99204 HC NEW PATIENT LVL 4	$445.92	$594.56	$100.24–$143.21	39% above	25%
New patient office visit, about 45 minutes inpatient CPT 99204 HC URGENT CARE LVL 4-INITIAL	$302.74	$403.65	$96.88–$371.36	—	25%
New patient office visit, about 45 minutes inpatient CPT 99204 HC E&M, INITIAL LEVEL IV	$347.51	$463.34	$111.20–$426.27	—	25%
New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PATIENT LVL 4	$445.92	$594.56	$142.69–$547.00	—	25%
New patient office visit, about 60 minutes CPT 99205 HC URGENT CARE LVL 5-INITIAL	$366.15	$488.20	$124.64–$178.05	9% above	25%
New patient office visit, about 60 minutes CPT 99205 HC E&M, INITIAL LEVEL V	$438.78	$585.04	$124.64–$178.05	31% above	25%
New patient office visit, about 60 minutes CPT 99205 HC NEW PATIENT LVL 5	$563.13	$750.84	$124.64–$178.05	68% above	25%
New patient office visit, about 60 minutes inpatient CPT 99205 HC URGENT CARE LVL 5-INITIAL	$366.15	$488.20	$117.17–$449.14	—	25%
New patient office visit, about 60 minutes inpatient CPT 99205 HC E&M, INITIAL LEVEL V	$438.78	$585.04	$140.41–$538.24	—	25%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PATIENT LVL 5	$563.13	$750.84	$180.20–$690.77	—	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC URGENT CARE LVL 2-INITIAL	$144.19	$192.25	$50.70–$72.44	26% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M, INITIAL LEVEL II	$155.69	$207.58	$50.70–$72.44	20% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC INITIAL VISIT	$162.38	$216.50	$50.70–$72.44	17% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC INITIAL VISIT	$162.38	$216.50	$51.96–$199.18	17% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PATIENT LVL 2	$198.75	$265.00	$50.70–$72.44	2% above	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC URGENT CARE LVL 2-INITIAL	$144.19	$192.25	$46.14–$176.87	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC E&M, INITIAL LEVEL II	$155.69	$207.58	$49.82–$190.97	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC INITIAL VISIT	$162.38	$216.50	$51.96–$199.18	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC INITIAL VISIT	$162.38	$216.50	$51.96–$199.18	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PATIENT LVL 2	$198.75	$265.00	$63.60–$243.80	—	25%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY	$233.46	$311.28	$74.71–$286.38	13% below	25%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY	$233.46	$311.28	$74.71–$286.38	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC WR PT EVAL MOD COMPLEXITY	$127.34	$169.79	$122.00–$174.29	58% below	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC WR PT EVAL HIGH COMPLEXITY	$127.34	$169.79	$122.00–$174.29	58% below	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY	$527.96	$703.94	$122.00–$174.29	73% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION, HIGH COMP,EA EN	$527.96	$703.94	$122.00–$174.29	73% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC WR PT EVAL HIGH COMPLEXITY	$127.34	$169.79	$40.75–$156.21	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC WR PT EVAL MOD COMPLEXITY	$127.34	$169.79	$40.75–$156.21	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION, HIGH COMP,EA EN	$527.96	$703.94	$168.95–$647.62	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY	$527.96	$703.94	$168.95–$647.62	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC WR PT EVAL LOW COMPLEXITY	$145.76	$194.35	$122.00–$174.29	39% below	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY	$233.46	$311.28	$122.00–$174.29	2% below	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION, LOW COMP,EA ENC	$527.96	$703.94	$122.00–$174.29	123% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC WR PT EVAL LOW COMPLEXITY	$145.76	$194.35	$46.64–$178.80	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY	$233.46	$311.28	$74.71–$286.38	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION, LOW COMP,EA ENC	$527.96	$703.94	$168.95–$647.62	—	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MODCOMPLEXITY	$350.20	$466.93	$112.06–$429.58	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC WR PT MANUAL THERAPY - EA UNIT	$42.45	$56.60	$13.58–$52.07	62% below	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC WR PT MANUAL THERAPY - EA UNIT	$42.45	$56.60	$13.58–$52.07	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT-MANL THER TECH(EA UNIT	$69.12	$92.16	$22.12–$84.79	—	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE EACH 15 MIN	$69.12	$92.16	$22.12–$84.79	44% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EX 15 MIN COMPLEX	$108.29	$144.38	$34.65–$132.83	13% below	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC WR PT THER EX - EA UNIT	$52.06	$69.41	$16.66–$63.86	—	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT EXERCISE EACH 15 MIN	$69.12	$92.16	$22.12–$84.79	—	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EX 15 MIN COMPLEX	$108.29	$144.38	$34.65–$132.83	—	25%
Preventive checkup, new patient aged 18–39 CPT 99385 HC WELL CHECK, INITIAL 18YR - 39YRS	$260.22	$346.96	$83.27–$319.20	90% above	25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC WELL CHECK, INITIAL 18YR - 39YRS	$260.22	$346.96	$83.27–$319.20	—	25%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC WELL CHECK, ESTABLISHED 18YR-39YRS	$225.38	$300.51	$72.12–$276.47	133% above	25%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC WELL CHECK, ESTABLISHED 18YR-39YRS	$225.38	$300.51	$72.12–$276.47	—	25%
Psychiatric evaluation with medical services CPT 90792 HC DX EVAL MASTER PREP W/MED SERV	$526.86	$702.48	$149.71–$213.87	60% above	25%
Psychiatric evaluation with medical services inpatient CPT 90792 HC DX EVAL MASTER PREP W/MED SERV	$526.86	$702.48	$168.60–$646.28	—	25%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST EVAL PHD INIT HOUR	$868.85	$1,158.46	$91.36–$130.52	191% above	25%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST EVAL PHD INIT HOUR	$868.85	$1,158.46	$278.03–$1,065.78	—	25%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS PSYCHOTHRY MA INIT 60 M	$596.70	$795.60	$190.94–$731.95	—	25%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS PSYCHOTHY PHD INIT 60 M	$833.10	$1,110.80	$266.59–$1,021.94	—	25%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IND PSYCH-THERP MA 16-37 MN	$243.86	$325.14	$78.03–$299.13	—	25%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IND PSYCH-THERP PHD 16-37 MIN	$339.00	$452.00	$108.48–$415.84	—	25%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IND PSYCH-THERP MA 38-52 MN	$483.74	$644.99	$154.80–$593.39	—	25%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IND PSYCH-THERP PHD 38-52 MN	$600.58	$800.77	$192.18–$736.71	—	25%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IND PSYCH-THERP MA >53 MIN	$550.32	$733.76	$176.10–$675.06	—	25%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IND PSYCH-THERP PHD >53 MIN	$678.81	$905.08	$217.22–$832.67	—	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC URGENT CARE LVL 5 ESTAB	$294.94	$393.25	$94.38–$361.79	5% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M, ESTABLISHED LEVEL V	$305.96	$407.95	$90.57–$129.39	1% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC FOLLOW UP FEE LEVEL 5	$769.77	$1,026.36	$90.57–$129.39	149% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M ESTAB PT(COMPLEX) OP LV 5	$842.36	$1,123.14	$90.57–$129.39	172% above	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC URGENT CARE LVL 5 ESTAB	$294.94	$393.25	$94.38–$361.79	—	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC E&M, ESTABLISHED LEVEL V	$305.96	$407.95	$97.91–$375.31	—	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC FOLLOW UP FEE LEVEL 5	$769.77	$1,026.36	$246.33–$944.25	—	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC E&M ESTAB PT(COMPLEX) OP LV 5	$842.36	$1,123.14	$269.55–$1,033.29	—	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC URGENT CARE LVL 3 ESTAB	$136.35	$181.80	$41.90–$59.85	35% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M, ESTABLISHED LEVEL III	$150.28	$200.37	$41.90–$59.85	29% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FOLLOW UP FEE LEVEL 3	$336.60	$448.80	$41.90–$59.85	60% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LACTATION CONSULT IP ONLY	$408.02	$544.03	$41.90–$59.85	93% above	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M ESTAB PT (INTERMED)OP LV3	$557.76	$743.68	$41.90–$59.85	164% above	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC URGENT CARE LVL 3 ESTAB	$136.35	$181.80	$43.63–$167.26	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC E&M, ESTABLISHED LEVEL III	$150.28	$200.37	$48.09–$184.34	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC FOLLOW UP FEE LEVEL 3	$336.60	$448.80	$107.71–$412.90	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LACTATION CONSULT IP ONLY	$408.02	$544.03	$130.57–$500.51	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC E&M ESTAB PT (INTERMED)OP LV3	$557.76	$743.68	$178.48–$684.19	—	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC URGENT CARE LVL 4 ESTAB	$204.49	$272.65	$58.83–$84.05	26% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M, ESTABLISHED LEVEL IV	$225.44	$300.59	$58.83–$84.05	18% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC FOLLOW UP FEE LEVEL 4	$523.76	$698.34	$58.83–$84.05	91% above	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M ESTISHED PT(EXTENDED)OPLV4	$800.65	$1,067.53	$58.83–$84.05	191% above	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC URGENT CARE LVL 4 ESTAB	$204.49	$272.65	$65.44–$250.84	—	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC E&M, ESTABLISHED LEVEL IV	$225.44	$300.59	$72.14–$276.54	—	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC FOLLOW UP FEE LEVEL 4	$523.76	$698.34	$167.60–$642.47	—	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC E&M ESTISHED PT(EXTENDED)OPLV4	$800.65	$1,067.53	$256.21–$982.13	—	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M, ESTABLISHED LEVEL II	$91.29	$121.72	$27.87–$39.81	44% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC URGENT CARE LVL 2 ESTAB	$95.21	$126.95	$27.87–$39.81	42% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LACTATION CONSULT IP ONLY	$204.23	$272.31	$27.87–$39.81	25% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC FOLLOW UP FEE LEVEL 2	$242.13	$322.84	$27.87–$39.81	48% above	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M ESTAB PT(LIMITED)OP LV 2	$546.98	$729.31	$27.87–$39.81	234% above	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC E&M, ESTABLISHED LEVEL II	$91.29	$121.72	$29.21–$111.98	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC URGENT CARE LVL 2 ESTAB	$95.21	$126.95	$30.47–$116.79	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LACTATION CONSULT IP ONLY	$204.23	$272.31	$65.35–$250.53	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC FOLLOW UP FEE LEVEL 2	$242.13	$322.84	$77.48–$297.01	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC E&M ESTAB PT(LIMITED)OP LV 2	$546.98	$729.31	$175.03–$670.97	—	25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC CONSULTATION FEE LEVEL 3	$769.77	$1,026.36	$246.33–$944.25	761% above	25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC CONSULTATION FEE LEVEL 3	$769.77	$1,026.36	$246.33–$944.25	—	25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC CONSULTATION FEE LEVEL 4	$1,091.42	$1,455.22	$349.25–$1,338.80	572% above	25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC CONSULTATION FEE LEVEL 4	$1,091.42	$1,455.22	$349.25–$1,338.80	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 1	$153.86	$205.14	$49.23–$188.73	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 2	$338.66	$451.55	$108.37–$415.43	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 3	$459.72	$612.96	$147.11–$563.92	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 4	$544.46	$725.94	$174.23–$667.86	—	25%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH SESSION - INDIV	$343.27	$457.69	$109.85–$421.07	—	25%
Spirometry (breathing test) CPT 94010 HC PEAK FLOW TREATMENT	$242.38	$323.17	$77.56–$297.32	38% below	25%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$679.89	$906.52	$217.56–$834.00	74% above	25%
Spirometry (breathing test) inpatient CPT 94010 HC PEAK FLOW TREATMENT	$242.38	$323.17	$77.56–$297.32	—	25%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$679.89	$906.52	$217.56–$834.00	—	25%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODIATION RESPONSIVENESS	$160.30	$213.73	$51.30–$196.63	74% below	25%
Spirometry before and after a bronchodilator CPT 94060 HC SPIR W/BRONCHODILATOR	$717.35	$956.47	$229.55–$879.95	14% above	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODIATION RESPONSIVENESS	$160.30	$213.73	$51.30–$196.63	—	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIR W/BRONCHODILATOR	$717.35	$956.47	$229.55–$879.95	—	25%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC TRANSCRANIAL MAGNETIC STIM	$1,998.18	$2,664.24	$639.42–$2,451.10	311% above	25%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC TRANSCRANIAL MAGNETIC STIM	$1,998.18	$2,664.24	$639.42–$2,451.10	—	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY	$69.12	$92.16	$22.12–$84.79	41% below	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY	$69.12	$92.16	$22.12–$84.79	—	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$872.72	$1,163.62	$85.46–$122.09	249% above	25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$872.72	$1,163.62	$279.27–$1,070.53	—	25%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC STRESS CARD TEST W/INTERP	$2,205.05	$2,940.07	$705.62–$2,704.86	46% above	25%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC STRESS CARD TEST W/INTERP	$2,205.05	$2,940.07	$705.62–$2,704.86	—	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA	$316.37	$421.83	$101.24–$388.08	36% below	25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA	$316.37	$421.83	$101.24–$388.08	36% below	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA	$316.37	$421.83	$101.24–$388.08	—	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA	$316.37	$421.83	$101.24–$388.08	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$12.00–$46.00	21% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$12.00–$46.00	21% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$12.00–$46.00	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$12.00–$46.00	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B (ADULT)	$223.32	$297.76	$71.46–$273.94	24% above	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B (ADULT)	$223.32	$297.76	$71.46–$273.94	24% above	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B	$223.32	$297.76	$71.46–$273.94	24% above	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B	$223.32	$297.76	$71.46–$273.94	24% above	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B	$223.32	$297.76	$71.46–$273.94	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B	$223.32	$297.76	$71.46–$273.94	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B (ADULT)	$223.32	$297.76	$71.46–$273.94	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B (ADULT)	$223.32	$297.76	$71.46–$273.94	—	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MMR	$246.59	$328.79	$78.91–$302.49	at median	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MMR	$246.59	$328.79	$78.91–$302.49	at median	25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MMR	$246.59	$328.79	$78.91–$302.49	—	25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MMR	$246.59	$328.79	$78.91–$302.49	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL POLYSACCHARIDE	$200.06	$266.74	$64.02–$245.40	24% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL POLYSACCHARIDE	$200.06	$266.74	$64.02–$245.40	24% below	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$108.96–$417.68	29% above	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$108.96–$417.68	29% above	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL POLYSACCHARIDE	$200.06	$266.74	$64.02–$245.40	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL POLYSACCHARIDE	$200.06	$266.74	$64.02–$245.40	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$108.96–$417.68	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$108.96–$417.68	—	25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$784.80–$3,008.40	139% above	25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$784.80–$3,008.40	139% above	25%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$784.80–$3,008.40	—	25%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$784.80–$3,008.40	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD PRESERVATIVE FREE	$93.05	$124.06	$29.77–$114.14	29% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD PRESERVATIVE FREE	$93.05	$124.06	$29.77–$114.14	29% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD PRESERVATIVE FREE	$93.05	$124.06	$29.77–$114.14	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD PRESERVATIVE FREE	$93.05	$124.06	$29.77–$114.14	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE, >7 YO (UCC)	$109.05	$145.40	$34.90–$133.77	34% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE, >7 YO (UCC)	$109.05	$145.40	$34.90–$133.77	34% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP	$172.15	$229.53	$55.09–$211.17	4% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP	$172.15	$229.53	$55.09–$211.17	4% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$89.88–$344.54	69% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$89.88–$344.54	69% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$90.60–$347.30	70% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$90.60–$347.30	70% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$97.44–$373.52	83% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$97.44–$373.52	83% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE, >7 YO (UCC)	$109.05	$145.40	$34.90–$133.77	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE, >7 YO (UCC)	$109.05	$145.40	$34.90–$133.77	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP	$172.15	$229.53	$55.09–$211.17	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP	$172.15	$229.53	$55.09–$211.17	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$89.88–$344.54	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$89.88–$344.54	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$90.60–$347.30	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$90.60–$347.30	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$97.44–$373.52	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$97.44–$373.52	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION - VACCINE CHALLENGE	$40.16	$53.55	$14.44–$20.63	48% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC RABIES VACCINE ADMINISTRATION	$43.25	$57.66	$14.44–$20.63	44% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION	$43.25	$57.66	$14.44–$20.63	44% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN OF HEP B VACCINE	$43.25	$57.66	$13.84–$53.05	44% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN OF PNEUMOCOCCAL VACCINE	$43.25	$57.66	$13.84–$53.05	44% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN, INITIAL W/O COUNSELING	$63.04	$84.05	$20.17–$77.33	19% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION - VACCINE CHALLENGE	$40.16	$53.55	$12.85–$49.27	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION	$43.25	$57.66	$13.84–$53.05	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN OF PNEUMOCOCCAL VACCINE	$43.25	$57.66	$13.84–$53.05	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN OF HEP B VACCINE	$43.25	$57.66	$13.84–$53.05	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC RABIES VACCINE ADMINISTRATION	$43.25	$57.66	$13.84–$53.05	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN, INITIAL W/O COUNSELING	$63.04	$84.05	$20.17–$77.33	—	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC SUBSEQUENT VACCINE ADMINISTRATION	$30.89	$41.19	$10.90–$15.57	42% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN, SUBSEQUENT W/O COUNSELING	$30.89	$41.18	$10.90–$15.57	42% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC RABIES VACCINATION ADMIN	$66.38	$88.50	$10.90–$15.57	24% above	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN	$277.31	$369.74	$88.74–$340.16	419% above	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN, SUBSEQUENT W/O COUNSELING	$30.89	$41.18	$9.88–$37.89	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC SUBSEQUENT VACCINE ADMINISTRATION	$30.89	$41.19	$9.89–$37.89	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC RABIES VACCINATION ADMIN	$66.38	$88.50	$21.24–$81.42	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN	$277.31	$369.74	$88.74–$340.16	—	25%

Source file: https://cookchildrens.pt.panaceainc.com/MRFDownload/cookchildrens/cookchildrens