Harlingen Medical Center
Harlingen Medical Center in Harlingen, TX publishes cash prices for 300 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 270 of 298 procedures and above it for 19. By typical cash price it ranks #6 of 240 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
5501 South Expressway 77 Harlingen, TX 78550 Collected Sep 27, 2026 Source price file (956) 365-1000
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 450855 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Harlingen Medical Center in Harlingen, TX:
- Feb 2, 2024 Warning notice
- May 13, 2024 Case closed
- Jul 21, 2025 Warning notice
- Aug 28, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
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 both sides CPT 73610 XR ANKLE COMP,MIN 3VWS,BILAT - 73610 - 407001108 | $86.00 | $536.36 | $36.75–$786.99 | — | 84% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE COMP,MIN 3VWS,BILAT - 73610 - 416701108 | $86.00 | $311.50 | $36.75–$786.99 | — | 72% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMP,MIN 3VWS - 73610 - 407001030 | $86.00 | $786.99 | $36.75–$786.99 | 76% below | 89% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMP,MIN 3VWS - 73610 - 416701030 | $86.00 | $765.93 | $36.75–$786.99 | 76% below | 89% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI'S ANKLE BRACHIE INDICES | $133.00 | $525.50 | $12.60–$450.56 | 81% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US NON INV PHYS ST EXT ART 1 LEV | $133.00 | $532.40 | $12.60–$450.56 | 81% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TC PO2/ABI SINGLE LEVEL | $133.00 | $563.20 | $12.60–$450.56 | 81% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US NON INV PHYS ST EXT ART 1 L | $133.00 | $250.05 | $12.60–$450.56 | 81% below | 47% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS - 74220 - 416701050 | $175.00 | $1,148.00 | $97.56–$1,211.00 | 65% below | 85% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS - 74220 - 407001050 | $175.00 | $1,451.01 | $97.56–$1,211.00 | 65% below | 88% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL - 78306 - 407004015 | $399.00 | $2,756.78 | $275.66–$2,205.42 | 78% below | 86% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL - 78306 - 416704015 | $399.00 | $2,217.00 | $275.66–$2,205.42 | 78% below | 82% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL | $104.00 | $988.46 | $83.13–$1,211.00 | — | 89% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST BIL | $104.00 | $1,306.00 | $83.13–$1,211.00 | 76% below | 92% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Unilateral | $104.00 | $1,028.35 | $83.13–$1,211.00 | 76% below | 90% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST,B-SCAN,UNIL OR BILAT | $86.00 | $962.00 | $68.43–$962.00 | — | 91% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilateral Limited | $86.00 | $712.06 | $68.43–$962.00 | 75% below | 88% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST INC ADD SECTIONS - 71275 - 416703170 | $175.00 | $4,591.75 | $175.06–$3,673.40 | 95% below | 96% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST INC ADD SECTIONS - 71275 - 407003170 | $175.00 | $4,591.75 | $175.06–$3,673.40 | 95% below | 96% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO QUAN CALCIUM - 75574 - 416703073 | $348.00 | $1,848.75 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CARDIAC ANGIO W CONTRAST CTTA | $348.00 | $1,917.57 | $151.31–$1,760.00 | 79% below | 82% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CARDIAC ANGIO W CONTRAST CCTA | $348.00 | $1,866.25 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO DISEASE STRXR - 75574 - 407003076 | $348.00 | $1,523.75 | $151.31–$1,760.00 | 79% below | 77% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO DYE | $348.00 | $1,830.75 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO STRXR QUAN CAL - 75574 - 407003009 | $348.00 | $2,200.00 | $151.31–$1,760.00 | 79% below | 84% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA HEART FUNCT ADD-ON - 75574 - 407003077 | $348.00 | $605.22 | $151.31–$1,760.00 | 79% below | 43% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO STRXR - 75574 - 407003074 | $348.00 | $1,866.25 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO STRXR - 75574 - 416703074 | $348.00 | $1,866.25 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO STRXR QUAN CAL - 75574 - 416703009 | $348.00 | $2,200.00 | $151.31–$1,760.00 | 79% below | 84% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA HEART WWO DYE FUNC - 75574 - 416703071 | $348.00 | $1,500.75 | $151.31–$1,760.00 | 79% below | 77% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA W/WO DYE | $348.00 | $1,830.75 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO DISEASE STRXR - 75574 - 416703076 | $348.00 | $1,523.75 | $151.31–$1,760.00 | 79% below | 77% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA WWO QUAN CALCIUM - 75574 - 407003073 | $348.00 | $1,848.75 | $151.31–$1,760.00 | 79% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA HEART FUNCT ADD-ON - 75574 - 416703077 | $348.00 | $605.22 | $151.31–$1,760.00 | 79% below | 43% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ZZY CT CCTA HEART WWO DYE FUNC - 75574 - 407003071 | $348.00 | $1,500.75 | $151.31–$1,760.00 | 79% below | 77% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 ZZY CT CCTA HEART WO DYE QUAL - 75571 - 407003070 | $86.00 | $186.90 | $46.73–$400.60 | 58% below | 54% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC WO QUAN CALCIUM SCORE - 75571 - 407003100 | $86.00 | $186.90 | $46.73–$400.60 | 58% below | 54% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC WO QUAN CALCIUM SCORE - 75571 - 416703100 | $86.00 | $186.90 | $46.73–$400.60 | 58% below | 54% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART SAVER PROMOTIONAL | $86.00 | $400.60 | $46.73–$400.60 | 58% below | 79% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 ZZY CT CCTA HEART WO DYE QUAL - 75571 - 416703070 | $86.00 | $186.90 | $46.73–$400.60 | 58% below | 54% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WO CONTRAST - 74176 - 416703380 | $238.00 | $4,465.59 | $188.11–$3,893.34 | 93% below | 95% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WO CONTRAST - 74176 - 407003380 | $238.00 | $4,866.68 | $188.11–$3,893.34 | 93% below | 95% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W/ CONTRAST - 74177 - 407003385 | $348.00 | $6,225.62 | $312.08–$4,980.50 | 91% below | 94% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W/ CONTRAST - 74177 - 416703385 | $348.00 | $5,137.50 | $312.08–$4,980.50 | 91% below | 93% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/ WO CONTRAST - 74178 - 407003390 | $348.00 | $7,372.93 | $348.74–$5,898.34 | 92% below | 95% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/ WO CONTRAST - 74178 - 416703390 | $348.00 | $7,372.93 | $348.74–$5,898.34 | 92% below | 95% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CON - 74160 - 416703005 | $175.00 | $3,060.92 | $175.06–$3,023.78 | 93% below | 94% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CON - 74160 - 407003005 | $175.00 | $3,779.73 | $175.06–$3,023.78 | 93% below | 95% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN,W/CONTRAST - 70460 - 407003040 | $175.00 | $3,060.92 | $152.36–$2,448.74 | 91% below | 94% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN,W/CONTRAST - 70460 - 416703040 | $175.00 | $2,979.00 | $152.36–$2,448.74 | 91% below | 94% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST - 70470 - 416703045 | $175.00 | $3,635.30 | $175.06–$2,908.24 | 92% below | 95% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST - 70470 - 407003045 | $175.00 | $3,635.30 | $175.06–$2,908.24 | 92% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CON - 72193 - 407003110 | $175.00 | $3,454.46 | $175.06–$2,763.57 | 92% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CON - 72193 - 416703110 | $175.00 | $2,979.00 | $175.06–$2,763.57 | 92% below | 94% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US EXTRACRANIAL ART,DUP,COMP B | $238.00 | $1,080.35 | $187.79–$1,469.33 | 84% below | 78% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US EXTRACRANIAL ART,DUP,COMP BIL | $238.00 | $1,836.66 | $187.79–$1,469.33 | 84% below | 87% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT W/ LAT DECUB - 71046 - 407001113 | $86.00 | $674.04 | $33.75–$674.04 | 79% below | 87% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2VWS - 71046 - 416701090 | $86.00 | $674.04 | $33.75–$674.04 | 79% below | 87% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2VWS - 71046 - 407001090 | $86.00 | $674.04 | $33.75–$674.04 | 79% below | 87% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT W/ LAT DECUB - 71046 - 416701113 | $86.00 | $656.00 | $33.75–$674.04 | 79% below | 87% |
| Chest X-ray, single view CPT 71045 XR CHEST, 1 VIEW - 71045 - 407001085 | $86.00 | $463.40 | $25.73–$463.40 | 75% below | 81% |
| Chest X-ray, single view CPT 71045 XR CHEST, 1 VIEW - 71045 - 416701085 | $86.00 | $463.40 | $25.73–$463.40 | 75% below | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL,B-SCAN - 76770 - 407005006 | $104.00 | $1,336.78 | $70.46–$1,211.00 | 86% below | 92% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL,B-SCAN - 76770 - 416705006 | $104.00 | $281.83 | $70.46–$1,211.00 | 86% below | 63% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL 1/>SIT | $104.00 | $549.10 | $39.09–$549.10 | 75% below | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX/CHEST W/CONTRAST - 71260 - 416703025 | $175.00 | $3,060.92 | $171.74–$2,796.11 | 92% below | 94% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX/CHEST W/CONTRAST - 71260 - 407003025 | $175.00 | $3,463.19 | $171.74–$2,796.11 | 92% below | 95% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX/ABD/PEL WITH CON | $175.00 | $3,495.14 | $171.74–$2,796.11 | 92% below | 95% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM DX MAMMO INCL CAD BI - 77066 - 407002005 | $104.00 | $768.57 | $38.74–$768.57 | — | 86% |
| Diagnostic mammogram, one breast CPT 77065 MM DX MAMMO INCL CAD UNI - 77065 - 407002004 | $81.00 | $615.47 | $31.02–$615.47 | 70% below | 87% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUP LOWER EXT ART,BILAT - 93925 - 407005090 | $238.00 | $1,702.05 | $233.52–$1,361.64 | — | 86% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUP LOWER EXT ART,BILAT - 93925 - 416705090 | $238.00 | $1,080.35 | $233.52–$1,361.64 | — | 78% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUP SCAN OF EXT VEINS,BIL - 93970 - 416705031 | $238.00 | $564.78 | $141.20–$1,574.95 | 89% below | 58% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUP SCAN OF EXT VEINS,BIL - 93970 - 416705303 | $238.00 | $564.78 | $141.20–$1,574.95 | 89% below | 58% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUP SCAN OF EXT VEINS,BIL - 93970 - 416705030 | $238.00 | $1,080.35 | $141.20–$1,574.95 | 89% below | 78% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUP SCAN OF EXT VEINS,BIL - 93970 - 407005030 | $238.00 | $1,968.69 | $141.20–$1,574.95 | 89% below | 88% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO TRANS 2D/MM COMP W/CF/ - 93306 - 407005020 | $546.00 | $2,603.78 | $122.59–$2,083.02 | 79% below | 79% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO TRANS 2D/MM COMP W/CF/ - 93306 - 416705020 | $546.00 | $2,432.30 | $122.59–$2,083.02 | 79% below | 78% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILI INCLUDE GALLBLA | $399.00 | $1,818.40 | $303.06–$1,454.72 | 76% below | 78% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP | $858.00 | $6,565.24 | $330.89–$5,252.19 | 82% below | 87% |
| Knee X-ray, 3 views both sides CPT 73562 XR BILATERAL KNEE 3VWS | $86.00 | $1,233.00 | $41.10–$1,211.00 | — | 93% |
| Knee X-ray, 3 views CPT 73562 XR KNEE,3VWS - 73562 - 407001230 | $86.00 | $836.52 | $41.10–$1,211.00 | 75% below | 90% |
| Knee X-ray, 3 views CPT 73562 XR KNEE,3VWS - 73562 - 416701230 | $86.00 | $400.60 | $41.10–$1,211.00 | 75% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE BODY | $104.00 | $891.99 | $70.46–$1,135.92 | 85% below | 88% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL,LIMITED,SINGLE ORGAN - 76705 - 407005003 | $104.00 | $1,135.92 | $70.46–$1,135.92 | 85% below | 91% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL,LIMITED,SINGLE ORGAN - 76705 - 416705003 | $104.00 | $281.83 | $70.46–$1,135.92 | 85% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE WO - 73721 - 407006027 | $238.00 | $3,254.15 | $172.92–$2,603.32 | 89% below | 93% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANKLE WO - 73721 - 416706029 | $238.00 | $717.21 | $172.92–$2,603.32 | 89% below | 67% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANY JNT LOW EXT. W/O CON - 73721 - 407006022 | $238.00 | $3,077.50 | $172.92–$2,603.32 | 89% below | 92% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI HIP WO - 73721 - 407006028 | $238.00 | $3,162.13 | $172.92–$2,603.32 | 89% below | 92% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANKLE WO - 73721 - 407006029 | $238.00 | $3,162.13 | $172.92–$2,603.32 | 89% below | 92% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI HIP WO - 73721 - 416706028 | $238.00 | $691.68 | $172.92–$2,603.32 | 89% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANY JNT LOW EXT. W/O CON - 73721 - 416706022 | $238.00 | $691.68 | $172.92–$2,603.32 | 89% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE WO - 73721 - 416706027 | $238.00 | $717.21 | $172.92–$2,603.32 | 89% below | 67% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI HIP WWO - 73723 - 407006277 | $348.00 | $4,269.71 | $289.41–$3,415.77 | 88% below | 92% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR JOINT LOW EXT,W/WO CON - 73723 - 416706275 | $348.00 | $1,157.64 | $289.41–$3,415.77 | 88% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANKLE WWO - 73723 - 416706278 | $348.00 | $1,157.64 | $289.41–$3,415.77 | 88% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI KNEE WWO - 73723 - 416706276 | $348.00 | $1,157.64 | $289.41–$3,415.77 | 88% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR JOINT LOW EXT,W/WO CON - 73723 - 407006275 | $348.00 | $4,155.44 | $289.41–$3,415.77 | 88% below | 92% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI HIP WWO - 73723 - 416706277 | $348.00 | $1,157.64 | $289.41–$3,415.77 | 88% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI KNEE WWO - 73723 - 407006276 | $348.00 | $4,269.71 | $289.41–$3,415.77 | 88% below | 92% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANKLE WWO - 73723 - 407006278 | $348.00 | $4,269.71 | $289.41–$3,415.77 | 88% below | 92% |
| MRI of the abdomen without contrast CPT 74181 MRCP (ABD) WITHOUT CONT - 74181 - 407006011 | $238.00 | $4,084.31 | $201.81–$3,267.45 | 90% below | 94% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN,W/O CONTRAST - 74181 - 407006010 | $238.00 | $4,084.31 | $201.81–$3,267.45 | 90% below | 94% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN,W/O CONTRAST - 74181 - 416706010 | $238.00 | $3,211.00 | $201.81–$3,267.45 | 90% below | 93% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO CON - 74183 - 416706051 | $348.00 | $4,212.75 | $348.50–$4,450.64 | 89% below | 92% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO CON - 74183 - 407006051 | $348.00 | $4,328.60 | $348.50–$4,450.64 | 89% below | 92% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP (ABD) W/WO CONT - 74183 - 407006102 | $348.00 | $5,414.50 | $348.50–$4,450.64 | 89% below | 94% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP (ABD) WITH/WITHOUT CONT | $348.00 | $5,563.30 | $348.50–$4,450.64 | 89% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN AND IAC'S WO CONTRAS - 70551 - 416706019 | $238.00 | $3,830.75 | $202.15–$3,251.83 | 89% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/STEM,W/O CONT - 70551 - 416706020 | $238.00 | $3,830.75 | $202.15–$3,251.83 | 89% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN AND IAC'S WO CONTRAS - 70551 - 407006019 | $238.00 | $3,936.10 | $202.15–$3,251.83 | 89% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/STEM,W/O CONT - 70551 - 407006020 | $238.00 | $4,064.79 | $202.15–$3,251.83 | 89% below | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/STEM,W/WO CONTRAST - 70553 - 416706030 | $348.00 | $4,413.23 | $328.11–$4,867.89 | 88% below | 92% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN AND IAC'S W/WO CONTR - 70553 - 416706031 | $348.00 | $4,413.23 | $328.11–$4,867.89 | 88% below | 92% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/STEM,W/WO CONTRAST - 70553 - 407006030 | $348.00 | $6,084.86 | $328.11–$4,867.89 | 88% below | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN AND IAC'S W/WO CONTR - 70553 - 407006031 | $348.00 | $4,534.59 | $328.11–$4,867.89 | 88% below | 92% |
| MRI of the lower back, no contrast dye CPT 72148 MR SPINAL CANAL,LUMBAR,W/O CON - 72148 - 416706075 | $238.00 | $3,551.25 | $197.14–$2,936.44 | 90% below | 93% |
| MRI of the lower back, no contrast dye CPT 72148 MR SPINAL CANAL,LUMBAR,W/O CON - 72148 - 407006075 | $238.00 | $3,670.55 | $197.14–$2,936.44 | 90% below | 94% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINAL CANAL,LUMBAR,W/WO CO | $348.00 | $4,664.14 | $329.13–$4,619.64 | 89% below | 93% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINAL CANAL,LUMBAR,W/WO CON | $348.00 | $5,774.55 | $329.13–$4,619.64 | 89% below | 94% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINAL CANAL,THORACIC,W/O CON - 72146 - 407006095 | $238.00 | $4,058.88 | $196.14–$3,247.10 | 89% below | 94% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINAL CANAL,THORACIC,W/O CON - 72146 - 416706095 | $238.00 | $3,950.25 | $196.14–$3,247.10 | 89% below | 94% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SPINAL CANAL,CERV,W/WO CON - 72156 - 407006055 | $348.00 | $4,786.10 | $329.79–$3,828.88 | 89% below | 93% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SPINAL CANAL,CERV,W/WO CON - 72156 - 416706055 | $348.00 | $4,658.00 | $329.79–$3,828.88 | 89% below | 93% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SPINAL CANAL,CERV,W/O CONT | $238.00 | $3,491.80 | $196.48–$2,793.44 | 90% below | 93% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SPINAL CANAL, CERV,W/O CONT | $238.00 | $3,398.35 | $196.48–$2,793.44 | 90% below | 93% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CON - 72197 - 407006320 | $348.00 | $4,229.25 | $347.16–$3,383.40 | 90% below | 92% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CON - 72197 - 416706320 | $348.00 | $4,116.06 | $347.16–$3,383.40 | 90% below | 92% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CON - 72195 - 407006315 | $238.00 | $3,871.36 | $233.47–$3,097.09 | 90% below | 94% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CON - 72195 - 416706315 | $238.00 | $2,956.00 | $233.47–$3,097.09 | 90% below | 92% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CON - 72195 - 407006351 | $238.00 | $3,767.75 | $233.47–$3,097.09 | 90% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI WRIST WO - 73221 - 416706026 | $238.00 | $717.21 | $172.92–$2,603.69 | 87% below | 67% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ELBOW WO - 73221 - 407006023 | $238.00 | $3,254.61 | $172.92–$2,603.69 | 87% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SHOULDER WO - 73221 - 416706024 | $238.00 | $1,152.80 | $172.92–$2,603.69 | 87% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI WRIST WO - 73221 - 407006026 | $238.00 | $3,162.65 | $172.92–$2,603.69 | 87% below | 92% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ELBOW WO - 73221 - 416706023 | $238.00 | $717.21 | $172.92–$2,603.69 | 87% below | 67% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR ANY JNT UP EXT. W/O CON - 73221 - 407006021 | $238.00 | $3,162.65 | $172.92–$2,603.69 | 87% below | 92% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SHOULDER WO - 73221 - 407006024 | $238.00 | $3,162.65 | $172.92–$2,603.69 | 87% below | 92% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR ANY JNT UP EXT. W/O CON - 73221 - 416706021 | $238.00 | $691.68 | $172.92–$2,603.69 | 87% below | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC REST/STRESS WALL/EF - 78452 - 416704100 | $1,294.00 | $6,260.50 | $438.05–$7,073.86 | 70% below | 79% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC REST/STRESS WALL/EF - 78452 - 407004100 | $1,294.00 | $8,842.32 | $438.05–$7,073.86 | 70% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic(NON-OB) limited | $104.00 | $1,163.14 | $50.79–$1,163.14 | 80% below | 91% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC(NONOBSTETRIC) - 76856 - 407005155 | $104.00 | $1,336.78 | $96.28–$1,211.00 | 88% below | 92% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC(NONOBSTETRIC) - 76856 - 416705155 | $104.00 | $1,301.00 | $96.28–$1,211.00 | 88% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS,B-SCAN,COMP - 76805 - 416705007 | $104.00 | $1,301.00 | $104.51–$1,211.00 | 84% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14WKS | $104.00 | $1,336.78 | $104.51–$1,211.00 | 84% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS,B-SCAN,COMP - 76805 - 407005007 | $104.00 | $1,301.00 | $104.51–$1,211.00 | 84% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHO EXAM PREGNANT UTERUS, CMPLT | $104.00 | $1,301.00 | $104.51–$1,211.00 | 84% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SINGLE FETUS | $104.00 | $535.02 | $104.51–$1,211.00 | 84% below | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS - 76801 - 416705011 | $104.00 | $769.00 | $104.51–$1,006.95 | 84% below | 86% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS - 76801 - 407005011 | $104.00 | $1,006.95 | $104.51–$1,006.95 | 84% below | 90% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB AFI/POSITION - 76815 - 407005085 | $104.00 | $809.23 | $81.20–$809.23 | 79% below | 87% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHO EXAM PREGNANT UTERUS LMTD | $104.00 | $540.75 | $81.20–$809.23 | 79% below | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL ULTRASOUND | $104.00 | $540.75 | $81.20–$809.23 | 79% below | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS,LTD,FETAL - 76815 - 407005165 | $104.00 | $551.75 | $81.20–$809.23 | 79% below | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB AFI/POSITION - 76815 - 416705085 | $104.00 | $551.75 | $81.20–$809.23 | 79% below | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS,LTD,FETAL - 76815 - 416705165 | $104.00 | $551.75 | $81.20–$809.23 | 79% below | 81% |
| Screening mammogram, both breasts both sides CPT 77067 MM MAMMO SCREENING BILATERAL | $86.00 | $472.90 | $23.83–$472.90 | — | 82% |
| Screening mammogram, both breasts CPT 77067 MM PROMOTIONAL SCRN MAMMOGRAM | $86.00 | $472.90 | $23.83–$472.90 | 72% below | 82% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER,COMP,MIN 2VWS - 73030 - 407001350 | $86.00 | $811.05 | $35.09–$811.05 | 72% below | 89% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER,COMP,MIN 2VWS - 73030 - 416701350 | $86.00 | $811.05 | $35.09–$811.05 | 72% below | 89% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPOHY 4 OR MORE | $858.00 | $6,565.24 | $330.89–$5,252.19 | 82% below | 87% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US ECHO W/STRESS W SUPERVISION | $546.00 | $2,326.80 | $117.27–$1,861.44 | 80% below | 77% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BARIUM SWALLOW W/VIDEO - 74230 - 407001122 | $175.00 | $982.21 | $124.96–$982.21 | 71% below | 82% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BARIUM SWALLOW W/VIDEO - 74230 - 416701122 | $175.00 | $704.24 | $124.96–$982.21 | 71% below | 75% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB - 76830 - 407005092 | $104.00 | $1,015.62 | $104.51–$1,015.62 | 84% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 US ECHO TRANSVAGINAL - 76830 - 416705265 | $104.00 | $728.57 | $104.51–$1,015.62 | 84% below | 86% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB - 76830 - 416705092 | $104.00 | $728.57 | $104.51–$1,015.62 | 84% below | 86% |
| Transvaginal pelvic ultrasound CPT 76830 US NEONATAL HEAD - 76830 - 416705084 | $104.00 | $728.57 | $104.51–$1,015.62 | 84% below | 86% |
| Transvaginal pelvic ultrasound CPT 76830 US ECHO TRANSVAGINAL - 76830 - 407005265 | $104.00 | $728.57 | $104.51–$1,015.62 | 84% below | 86% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB - 76817 - 407005093 | $104.00 | $911.01 | $92.89–$911.01 | 82% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB - 76817 - 416705093 | $104.00 | $657.25 | $92.89–$911.01 | 82% below | 84% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL,B-SCAN,COMPLETE - 76700 - 407005005 | $104.00 | $1,515.56 | $70.46–$1,212.45 | 88% below | 93% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL,B-SCAN,COMPLETE - 76700 - 416705005 | $104.00 | $281.83 | $70.46–$1,212.45 | 88% below | 63% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS - 76870 - 416705190 | $104.00 | $930.00 | $100.24–$998.77 | 86% below | 89% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS - 76870 - 407005190 | $104.00 | $998.77 | $100.24–$998.77 | 86% below | 90% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK ECHO,B-SCAN - 76536 - 416705001 | $104.00 | $281.83 | $70.46–$1,068.30 | 84% below | 63% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK ECHO,B-SCAN - 76536 - 407005001 | $104.00 | $1,068.30 | $70.46–$1,068.30 | 84% below | 90% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI TRACT,W/O KUB - 74240 - 416701066 | $175.00 | $605.22 | $122.96–$1,445.90 | 76% below | 71% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI TRACT,W/O KUB - 74240 - 407001066 | $175.00 | $1,451.01 | $122.96–$1,445.90 | 76% below | 88% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 D-19 XR UPPER GI W/SMALL BOWEL - 74240 - 416701435 | $175.00 | $798.75 | $122.96–$1,445.90 | 76% below | 78% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 D-19 XR UPPER GI W/SMALL BOWEL - 74240 - 407001435 | $175.00 | $1,807.37 | $122.96–$1,445.90 | 76% below | 90% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 D-19 XR HD UGI W/SML BOWEL | $175.00 | $1,619.00 | $122.96–$1,445.90 | 76% below | 89% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 D-19 XR HD UGI W/SML BOWEL SER | $175.00 | $1,619.00 | $122.96–$1,445.90 | 76% below | 89% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 D-19 XR UGI W/SBFT - 74240 - 416701163 | $175.00 | $1,619.00 | $122.96–$1,445.90 | 76% below | 89% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 D-19 XR UGI W/SBFT - 74240 - 407001163 | $175.00 | $1,619.00 | $122.96–$1,445.90 | 76% below | 89% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DOP SCAN OF EXT VEINS LTD/U - 93971 - 416705034 | $104.00 | $484.70 | $104.51–$1,061.91 | 87% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DOP SCAN OF EXT VEINS LTD/U - 93971 - 407005037 | $104.00 | $1,291.86 | $104.51–$1,061.91 | 87% below | 92% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DOP SCAN OF EXT VEINS LTD/UNIL | $104.00 | $1,327.39 | $104.51–$1,061.91 | 87% below | 92% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST,COMP,MIN 3 VWS - 73110 - 407001455 | $86.00 | $818.40 | $41.44–$818.40 | 76% below | 89% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST,COMP,MIN 3 VWS - 73110 - 416701455 | $86.00 | $818.40 | $41.44–$818.40 | 76% below | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $86.00 | $722.00 | $47.78–$741.86 | 79% below | 88% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR PELVIS&HIPS,INF/CHILD,MIN 2 - 73502 - 407001186 | $86.00 | $722.00 | $47.78–$741.86 | 79% below | 88% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR PELVIS&HIPS,INF/CHILD,MIN 2 - 73502 - 416701186 | $86.00 | $722.00 | $47.78–$741.86 | 79% below | 88% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT W PELVIS 2-3 VEW - 73502 - 416701216 | $86.00 | $644.52 | $47.78–$741.86 | 79% below | 87% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT W PELVIS 2-3 VEW - 73502 - 407001216 | $86.00 | $741.86 | $47.78–$741.86 | 79% below | 88% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN,1VW ANTEROPOSTERIOR - 74018 - 407001010 | $86.00 | $519.92 | $30.40–$519.92 | 75% below | 83% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN,1VW ANTEROPOSTERIOR - 74018 - 416701010 | $86.00 | $519.92 | $30.40–$519.92 | 75% below | 83% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE,2VWS,BILAT - 73600 - 416701460 | $86.00 | $186.90 | $32.41–$519.33 | — | 54% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE,2VWS,BILAT - 73600 - 407001460 | $86.00 | $474.00 | $32.41–$519.33 | — | 82% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE,2VWS - 73600 - 416701035 | $86.00 | $519.33 | $32.41–$519.33 | 70% below | 83% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE,2VWS - 73600 - 407001035 | $86.00 | $519.33 | $32.41–$519.33 | 70% below | 83% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS,RT HAND,MIN 2VWS - 73140 - 407001160 | $86.00 | $638.59 | $38.43–$638.59 | 64% below | 87% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS,LT HAND,MIN 2VWS - 73140 - 416701610 | $86.00 | $311.50 | $38.43–$638.59 | 64% below | 72% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS,LT HAND,MIN 2VWS - 73140 - 407001610 | $86.00 | $638.59 | $38.43–$638.59 | 64% below | 87% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS,RT HAND,MIN 2VWS - 73140 - 416701160 | $86.00 | $311.50 | $38.43–$638.59 | 64% below | 72% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT,2VWS - 73620 - 416701175 | $86.00 | $508.61 | $28.74–$558.96 | 74% below | 83% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT,2VWS - 73620 - 407001175 | $86.00 | $558.96 | $28.74–$558.96 | 74% below | 85% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMP,MIN 3 VWS - 73630 - 407001180 | $86.00 | $770.60 | $34.41–$770.60 | 77% below | 89% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMP,MIN 3 VWS - 73630 - 416701180 | $86.00 | $400.60 | $34.41–$770.60 | 77% below | 79% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR HANDS BILAT MIN 3VWS - 73130 - 416701231 | $86.00 | $191.78 | $37.43–$771.64 | — | 55% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR HANDS BILAT MIN 3VWS - 73130 - 407001231 | $86.00 | $400.60 | $37.43–$771.64 | — | 79% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3VWS - 73130 - 407001195 | $86.00 | $771.64 | $37.43–$771.64 | 78% below | 89% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3VWS - 73130 - 416701195 | $86.00 | $400.60 | $37.43–$771.64 | 78% below | 79% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE/PATELLA 2VW-BILAT - 73560 - 416701157 | $86.00 | $400.60 | $34.41–$733.73 | — | 79% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE, PATELLA 1 OR 2 VIEWS - 73560 - 407001225 | $86.00 | $733.73 | $34.41–$733.73 | 69% below | 88% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE, PATELLA 1 OR 2 VIEWS - 73560 - 416701225 | $86.00 | $733.73 | $34.41–$733.73 | 69% below | 88% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE,LUMBOSACRAL,2 OR 3 VW | $104.00 | $809.23 | $40.10–$809.23 | 78% below | 87% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE,LUMBOSACRAL,2 OR 3 VWS | $104.00 | $809.23 | $40.10–$809.23 | 78% below | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE,LUMBOSACRAL,MIN 4 VWS - 72110 - 416701245 | $104.00 | $562.55 | $52.13–$1,363.70 | 84% below | 82% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-S SPINE 4+VWS W BENDING - 72110 - 416701246 | $104.00 | $1,704.62 | $52.13–$1,363.70 | 84% below | 94% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-S SPINE 4+VWS W BENDING - 72110 - 407001246 | $104.00 | $1,704.62 | $52.13–$1,363.70 | 84% below | 94% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE,LUMBOSACRAL,MIN 4 VWS - 72110 - 407001245 | $104.00 | $1,250.47 | $52.13–$1,363.70 | 84% below | 92% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE,THORACIC,2VWS - 72070 - 407001405 | $104.00 | $809.23 | $33.08–$809.23 | 74% below | 87% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE,THORACIC,2VWS - 72070 - 416701405 | $104.00 | $809.23 | $33.08–$809.23 | 74% below | 87% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES,COMP,MIN OF 3 VWS - 70160 - 407001275 | $86.00 | $733.64 | $37.76–$733.64 | 71% below | 88% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES,COMP,MIN OF 3 VWS - 70160 - 416701275 | $86.00 | $186.90 | $37.76–$733.64 | 71% below | 54% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE,CERV,2 OR 3 VWS - 72040 - 407001075 | $86.00 | $641.60 | $39.76–$641.60 | 77% below | 87% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE,CERV,2 OR 3 VWS - 72040 - 416701075 | $86.00 | $641.60 | $39.76–$641.60 | 77% below | 87% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS,1 OR 2 VWS - 72170 - 407001300 | $104.00 | $809.23 | $28.06–$809.23 | 72% below | 87% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS,1 OR 2 VWS - 72170 - 416701300 | $104.00 | $578.02 | $28.06–$809.23 | 72% below | 82% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX,MIN 2 VWS - 72220 - 407001330 | $86.00 | $741.86 | $32.75–$741.86 | 74% below | 88% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX,MIN 2 VWS - 72220 - 416701330 | $86.00 | $635.99 | $32.75–$741.86 | 74% below | 86% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO TRANSFERASE (ALT) | $5.00 | $250.71 | $4.45–$200.57 | 91% below | 98% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 alanine amino (ALT) (SGPT) | $5.00 | $83.47 | $4.45–$200.57 | 91% below | 94% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINO TRANSFRASE (AST) | $5.00 | $250.71 | $4.35–$200.57 | 91% below | 98% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE | $47.00 | $238.15 | $40.01–$190.52 | 88% below | 80% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Beta Lactoglobulin | $5.00 | $32.60 | $4.38–$166.84 | 80% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ovalbumin | $5.00 | $20.00 | $4.38–$166.84 | 80% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE, QUANT/SEMQ ALL | $5.00 | $58.25 | $4.38–$166.84 | 80% below | 91% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE,BASIC FOOD | $5.00 | $208.55 | $4.38–$166.84 | 80% below | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING IGE | $5.00 | $33.50 | $4.38–$166.84 | 80% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Banana | $5.00 | $32.60 | $4.38–$166.84 | 80% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Casein | $5.00 | $33.50 | $4.38–$166.84 | 80% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Alpha Lactalbumin | $5.00 | $32.60 | $4.38–$166.84 | 80% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ovomucoid | $5.00 | $37.60 | $4.38–$166.84 | 80% below | 87% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA | $12.00 | $103.98 | $10.88–$83.18 | 77% below | 88% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANITBODIES (ANA) | $12.00 | $60.45 | $10.16–$48.36 | 88% below | 80% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA-CHRG ONLY | $12.00 | $60.45 | $10.16–$48.36 | 88% below | 80% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $39.00 | $276.40 | $32.98–$221.12 | 80% below | 86% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 L4 SURG PATH,GROSS & MICRO EXA | $52.00 | $407.92 | $19.83–$326.34 | 83% below | 87% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 L4 SURG PATH GR & MIC-CHARGE | $52.00 | $393.51 | $19.83–$326.34 | 83% below | 87% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD VENIPU | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 308090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 300090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 301590075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 309090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCTURE - 36415 - 319090075 | $9.00 | $44.15 | $2.70–$35.32 | 56% below | 80% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCTURE - 36415 - 400090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCTURE - 36415 - 404090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCTURE - 36415 - 408090175 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 302090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 319590075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE COLLECT VENOUS BL | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE - 36415 - 416090425 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE - 36415 - 405080000 | $9.00 | $44.15 | $2.70–$35.32 | 56% below | 80% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLOOD-VENIPUNCT - 36415 - 307090075 | $9.00 | $40.00 | $2.70–$35.32 | 56% below | 78% |
| Blood lead test CPT 83655 LEAD,BLOOD | $12.00 | $60.55 | $10.17–$87.40 | 76% below | 80% |
| Blood lead test CPT 83655 LEAD,URINE | $12.00 | $109.25 | $10.17–$87.40 | 76% below | 89% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO DISCREPANCY | $133.00 | $84.45 | $2.51–$450.56 | 51% above | -57% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING | $133.00 | $563.20 | $2.51–$450.56 | 51% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO AND RH | $133.00 | $232.00 | $2.51–$450.56 | 51% above | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO RH GROUPING,PATIENT | $133.00 | $97.63 | $2.51–$450.56 | 51% above | -36% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-CHRG ONLY | $133.00 | $563.20 | $2.51–$450.56 | 51% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $5.00 | $32.67 | $4.35–$26.14 | 91% below | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile toxin gene NAA | $37.00 | $186.35 | $31.31–$149.08 | 81% below | 80% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE REVOGEN | $37.00 | $186.35 | $31.31–$149.08 | 81% below | 80% |
| CA 19-9 blood test (tumor marker) CPT 86301 IA,QUANT,CA 19-9 | $20.00 | $248.00 | $17.48–$198.40 | 85% below | 92% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 - 86304 - 405063450 | $20.00 | $104.05 | $17.48–$198.40 | 88% below | 81% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 - 86304 - 405066725 | $20.00 | $248.00 | $17.48–$198.40 | 88% below | 92% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL | $51.00 | $51.31 | $12.83–$400.00 | 38% below | 1% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC | $51.00 | $70.00 | $12.83–$400.00 | 38% below | 27% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 DIAGNOSTIC | $51.00 | $500.00 | $12.83–$400.00 | 38% below | 90% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 RNA NAAT QUAL | $51.00 | $256.55 | $12.83–$400.00 | 38% below | 80% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS,PROBE | $35.00 | $175.45 | $29.48–$140.36 | 72% below | 80% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA, PCR | $35.00 | $175.45 | $29.48–$140.36 | 72% below | 80% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - 80061 - 405010447 | $13.00 | $300.03 | $11.25–$259.42 | 95% below | 96% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - 80061 - 405010815 | $13.00 | $324.28 | $11.25–$259.42 | 95% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF - 85025 - 405020090 | $7.00 | $191.12 | $6.53–$152.90 | 93% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF | $7.00 | $177.50 | $6.53–$152.90 | 93% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF - 85025 - 405020095 | $7.00 | $186.00 | $6.53–$152.90 | 93% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF | $7.00 | $191.12 | $6.53–$152.90 | 93% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM,AUT | $7.00 | $186.00 | $6.53–$152.90 | 93% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM,AUTO | $7.00 | $186.00 | $6.53–$152.90 | 93% below | 96% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $6.00 | $191.12 | $5.43–$152.90 | 94% below | 97% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET COUNT AUTO - 85027 - 405020093 | $6.00 | $116.00 | $5.43–$152.90 | 94% below | 95% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET COUNT AUT0 | $6.00 | $116.00 | $5.43–$152.90 | 94% below | 95% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET COUNT AUTO - 85027 - 405020094 | $6.00 | $116.00 | $5.43–$152.90 | 94% below | 95% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM&PLATELET CNT,AUTO | $6.00 | $164.75 | $5.43–$152.90 | 94% below | 96% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT,PE/DVT | $10.00 | $198.00 | $8.55–$158.40 | 95% below | 95% |
| D-dimer blood test (blood clot marker) CPT 85379 PRO TIME - CHRG ONLY | $10.00 | $198.00 | $8.55–$158.40 | 95% below | 95% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $22.00 | $167.38 | $18.67–$133.90 | 86% below | 87% |
| Estradiol blood test CPT 82670 ESTRADIOL | $27.00 | $139.70 | $23.47–$111.76 | 82% below | 81% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE(F | $18.00 | $92.90 | $15.61–$74.32 | 89% below | 81% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $19.00 | $308.25 | $16.49–$246.60 | 91% below | 94% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN - 82728 - 405018255 | $13.00 | $486.00 | $11.45–$399.50 | 87% below | 97% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN - 82728 - 405066550 | $13.00 | $486.00 | $11.45–$399.50 | 87% below | 97% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN - 82728 - 405018250 | $13.00 | $499.37 | $11.45–$399.50 | 87% below | 97% |
| Folate (folic acid) blood test CPT 82746 FOLATE - 82746 - 405017450 | $14.00 | $473.00 | $12.35–$378.40 | 83% below | 97% |
| Folate (folic acid) blood test CPT 82746 FOLATE - 82746 - 405066202 | $14.00 | $73.50 | $12.35–$378.40 | 83% below | 81% |
| Free T3 thyroid hormone test CPT 84481 T3,FREE | $16.00 | $84.70 | $14.23–$67.76 | 89% below | 81% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, FREE | $9.00 | $442.00 | $5.50–$353.60 | 91% below | 98% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 - 84439 - 405010245 | $9.00 | $22.00 | $5.50–$353.60 | 91% below | 59% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 - 84439 - 405060112 | $9.00 | $45.10 | $5.50–$353.60 | 91% below | 80% |
| Free testosterone test CPT 84402 TESTOSTERONE,FREE | $25.00 | $127.35 | $21.39–$101.88 | 77% below | 80% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE,1ST 3 HR | $12.00 | $412.00 | $10.81–$329.60 | 93% below | 97% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA, PCR | $35.00 | $175.45 | $29.48–$140.36 | 75% below | 80% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae amplifie | $35.00 | $175.45 | $29.48–$140.36 | 75% below | 80% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB - 86677 - 405068065 | $16.00 | $176.83 | $14.15–$141.46 | 88% below | 91% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB - 86677 - 405010078 | $16.00 | $88.93 | $14.15–$141.46 | 88% below | 82% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN | $14.00 | $171.75 | $12.08–$137.40 | 83% below | 92% |
| H. pylori stool antigen test CPT 87338 H PYLORI,STOOL AG BY EIA | $14.00 | $154.13 | $12.08–$137.40 | 83% below | 91% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA,QUANT,BDNA,3RD G | $85.00 | $425.50 | $71.48–$340.40 | 74% below | 80% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 ANTIBODY | $13.00 | $254.25 | $11.52–$203.40 | 86% below | 95% |
| HIV-1 and HIV-2 antibody test CPT 86703 STAT HIV 1/2 TEST | $13.00 | $245.25 | $11.52–$203.40 | 86% below | 95% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV VIRUS A/O/2 AG/AB 4GEN | $24.00 | $120.40 | $20.23–$96.32 | 83% below | 80% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $35.00 | $175.45 | $29.48–$140.36 | 51% below | 80% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C - 83036 - 405010080 | $9.00 | $239.41 | $5.70–$191.53 | 90% below | 96% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c - 83036 - 405010085 | $9.00 | $22.80 | $5.70–$191.53 | 90% below | 61% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C - 83036 - 405062850 | $9.00 | $233.00 | $5.70–$191.53 | 90% below | 96% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $10.00 | $53.70 | $9.02–$42.96 | 84% below | 81% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $10.00 | $51.65 | $8.68–$41.32 | 87% below | 81% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY - 86803 - 405039661 | $14.00 | $71.35 | $11.99–$57.08 | 84% below | 80% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA,PCR | $42.00 | $251.07 | $35.99–$200.86 | 87% below | 83% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV I ANTIBODY | $13.00 | $102.75 | $11.08–$82.20 | 85% below | 87% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV II ANTIBODY | $19.00 | $102.75 | $16.25–$82.20 | 79% below | 82% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN,HS | $12.00 | $71.10 | $10.88–$56.88 | 85% below | 83% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $17.00 | $89.60 | $15.05–$71.68 | 89% below | 81% |
| Insulin blood test CPT 83525 INSULIN,TOTAL | $11.00 | $147.96 | $9.60–$118.37 | 87% below | 93% |
| Iron blood test (serum iron) CPT 83540 IRON | $6.00 | $206.53 | $5.43–$165.22 | 93% below | 97% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $8.00 | $396.00 | $7.34–$325.51 | 92% below | 98% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPICITY | $8.00 | $406.89 | $7.34–$325.51 | 92% below | 98% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE (LH) | $18.00 | $92.60 | $15.56–$173.32 | 88% below | 81% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $18.00 | $216.65 | $15.56–$173.32 | 88% below | 92% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE - 83690 - 405018480 | $6.00 | $260.99 | $5.79–$208.79 | 94% below | 98% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE - 83690 - 405066055 | $6.00 | $254.00 | $5.79–$208.79 | 94% below | 98% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $17.00 | $187.25 | $14.31–$149.80 | 79% below | 91% |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.00 | $33.50 | $5.63–$26.80 | 87% below | 82% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA,IGM | $12.00 | $129.23 | $10.82–$103.38 | 54% below | 91% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA,IGG | $12.00 | $129.23 | $10.82–$103.38 | 54% below | 91% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $47.00 | $95.75 | $4.83–$95.75 | 81% below | 51% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE - 84154 - 405018110 | $18.00 | $174.25 | $15.45–$169.05 | 84% below | 90% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE - 84154 - 405063145 | $18.00 | $211.31 | $15.45–$169.05 | 84% below | 91% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL | $18.00 | $278.00 | $6.10–$222.40 | 78% below | 94% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $18.00 | $91.95 | $6.10–$222.40 | 78% below | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $18.00 | $24.40 | $6.10–$222.40 | 78% below | 26% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Smear Image Guided | $26.00 | $139.84 | $22.35–$111.87 | 65% below | 81% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO THN LYR PREP | $26.00 | $133.05 | $22.35–$111.87 | 65% below | 80% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IG (IMAGE GUIDED) | $26.00 | $133.05 | $22.35–$111.87 | 65% below | 80% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $41.00 | $206.40 | $34.68–$165.12 | 82% below | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $6.00 | $250.71 | $5.05–$200.57 | 89% below | 98% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME,PTL (PTT) | $6.00 | $100.00 | $5.05–$200.57 | 89% below | 94% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT MIX 1-1 - CHRG ONLY | $6.00 | $244.00 | $5.05–$200.57 | 89% below | 98% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMO ANEUPLOIDY SEQ | $759.00 | $3,795.25 | $637.60–$3,036.20 | 13% below | 80% |
| Progesterone blood test CPT 84144 PROGESTERONE | $20.00 | $104.30 | $17.52–$83.44 | 83% below | 81% |
| Prolactin blood test CPT 84146 TRH STIM PANEL,HYPERPROLACTEM | $19.00 | $526.50 | $16.28–$421.20 | 84% below | 96% |
| Prolactin blood test CPT 84146 PROLACTIN | $19.00 | $96.90 | $16.28–$421.20 | 84% below | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 405020400 | $4.00 | $212.69 | $3.60–$170.15 | 92% below | 98% |
| Prothrombin time (PT/INR) clotting test CPT 85610 APTT, B - CHRG ONLY | $4.00 | $207.00 | $3.60–$170.15 | 92% below | 98% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 405085610 | $4.00 | $72.73 | $3.60–$170.15 | 92% below | 95% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $12.00 | $175.00 | $10.58–$140.00 | 92% below | 93% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMP OPTICAL | $12.00 | $74.30 | $10.58–$140.00 | 92% below | 84% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUMP OPT INST | $12.00 | $101.77 | $10.58–$140.00 | 92% below | 88% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A AND B EACH | $16.00 | $175.58 | $7.06–$140.46 | 86% below | 91% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA DIR. OBS.-CHRG ONLY | $16.00 | $28.25 | $7.06–$140.46 | 86% below | 43% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO | $16.00 | $91.25 | $7.06–$140.46 | 86% below | 82% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GRP.A,RAPID | $16.00 | $147.96 | $13.89–$118.37 | 85% below | 89% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS GROUP A SCREEN | $16.00 | $58.50 | $13.89–$118.37 | 85% below | 73% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANT | $5.00 | $30.83 | $4.76–$203.20 | 91% below | 84% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-CHRG ONLY | $5.00 | $254.00 | $4.76–$203.20 | 91% below | 98% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY,IGG | $14.00 | $71.95 | $12.09–$57.56 | 64% below | 81% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $8.00 | $157.21 | $7.48–$125.77 | 92% below | 95% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECES | $4.00 | $60.93 | $3.68–$72.00 | 91% below | 93% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, FECAL | $4.00 | $90.00 | $3.68–$72.00 | 91% below | 96% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical FOBT | $15.00 | $108.25 | $13.37–$86.60 | 81% below | 86% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL(CSF) | $4.00 | $33.50 | $3.59–$66.58 | 93% below | 88% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST,QUAL | $4.00 | $80.99 | $3.59–$66.58 | 93% below | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $4.00 | $83.22 | $3.59–$66.58 | 93% below | 95% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD TEST | $61.00 | $309.90 | $52.06–$247.92 | 72% below | 80% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL | $25.00 | $129.05 | $21.68–$103.24 | 80% below | 81% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO ANTIBODY | $14.00 | $72.75 | $12.22–$218.21 | 86% below | 81% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL PROTEIN-1 | $14.00 | $272.76 | $12.22–$218.21 | 86% below | 95% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY | $14.00 | $152.51 | $12.22–$218.21 | 86% below | 91% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB- CHRG ONLY | $14.00 | $148.43 | $12.22–$218.21 | 86% below | 91% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $16.00 | $84.00 | $14.11–$67.20 | 88% below | 81% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplifie | $35.00 | $45.39 | $11.35–$45.39 | 60% below | 23% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS,WITHOUT MICRO | $3.00 | $94.79 | $2.92–$75.83 | 92% below | 97% |
| Urinalysis without microscope exam, manual CPT 81002 URINE ICTO TEST | $3.00 | $18.10 | $2.92–$75.83 | 92% below | 83% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE,URIE COLONY COUNT | $8.00 | $307.22 | $6.78–$245.78 | 94% below | 97% |
| Urine pregnancy test, read by color change CPT 81025 HCG,QUALITATIVE,URINE | $8.00 | $153.50 | $7.23–$126.18 | 91% below | 95% |
| Urine pregnancy test, read by color change CPT 81025 HCG QUAL, URINE | $8.00 | $157.72 | $7.23–$126.18 | 91% below | 95% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $15.00 | $75.40 | $12.67–$60.32 | 83% below | 80% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEROL(VITAMIN D) | $29.00 | $292.25 | $24.86–$233.80 | 75% below | 90% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY | $29.00 | $148.00 | $24.86–$233.80 | 75% below | 80% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY LCMS | $29.00 | $164.40 | $24.86–$233.80 | 75% below | 82% |
| Zinc blood test CPT 84630 ZINC | $11.00 | $128.44 | $9.57–$102.75 | 84% below | 91% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,SERUM QUANTITATIVE | $15.00 | $549.00 | $12.64–$451.28 | 87% below | 97% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE | $15.00 | $564.10 | $12.64–$451.28 | 87% below | 97% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,SERUM,QUANTITATIVE | $15.00 | $549.00 | $12.64–$451.28 | 87% below | 97% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TES | $15.00 | $252.25 | $12.64–$451.28 | 87% below | 94% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd ant ntrbdy cervical | $12,833.00 | $25,068.40 | $1,263.45–$25,068.40 | 83% above | 49% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888 | $7,253.00 | $17,169.60 | $865.35–$14,507.12 | at median | 58% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $7,253.00 | $18,749.40 | $944.97–$14,999.52 | 49% above | 61% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo | $3,270.00 | $4,177.83 | $210.56–$4,177.83 | 19% below | 22% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs | $3,270.00 | $15,590.90 | $785.78–$12,472.72 | 21% below | 79% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC LV/CORONARY - 93458 - 457091481 | $3,240.00 | $15,281.80 | $770.20–$16,171.12 | 73% below | 79% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC LV/CORONARY - 93458 - 401091481 | $3,240.00 | $15,281.80 | $770.20–$16,171.12 | 73% below | 79% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC LV/CORONARY - 93458 - 91481 | $3,240.00 | $20,213.90 | $770.20–$16,171.12 | 73% below | 84% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT - 92960 - 401090100 | $660.00 | $1,801.95 | $90.82–$2,690.94 | 61% below | 63% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 XR CARDIOVERSION - 92960 - 407001565 | $660.00 | $2,869.45 | $90.82–$2,690.94 | 61% below | 77% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 XR CARDIOVERSION - 92960 - 416701565 | $660.00 | $1,801.95 | $90.82–$2,690.94 | 61% below | 63% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $660.00 | $1,801.95 | $90.82–$2,690.94 | 61% below | 63% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT - 92960 - 90100 | $660.00 | $3,363.68 | $90.82–$2,690.94 | 61% below | 80% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION PROCEDURE | $660.00 | $3,363.68 | $90.82–$2,690.94 | 61% below | 80% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL | $660.00 | $3,273.65 | $90.82–$2,690.94 | 61% below | 80% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - OUTPATIENT ONLY | $660.00 | $3,363.68 | $90.82–$2,690.94 | 61% below | 80% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $1,952.00 | $10,383.60 | $523.33–$8,306.88 | 50% below | 81% |
| Catheter ablation for atrial fibrillation CPT 93656 EPS/ABLATION TRANSSEPTAL | $26,128.00 | $90,000.00 | $4,536.00–$72,000.00 | 28% below | 71% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $920.00 | $4,670.38 | $126.63–$3,736.30 | 19% below | 80% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $2,089.00 | $12,019.20 | $605.77–$9,615.36 | 11% below | 83% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block | $2,089.00 | $14,011.10 | $438.42–$11,208.88 | 70% above | 85% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP OR DVCE N | $2,089.00 | $8,698.75 | $438.42–$11,208.88 | 70% above | 76% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $1,196.00 | $7,898.60 | $398.09–$6,318.88 | 13% above | 85% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W SNARE OF LESI | $1,196.00 | $7,047.14 | $355.18–$5,637.71 | at median | 83% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BX | $1,196.00 | $7,047.14 | $355.18–$5,637.71 | at median | 83% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $929.00 | $5,214.23 | $262.80–$4,286.10 | 37% below | 82% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DX | $929.00 | $5,357.62 | $262.80–$4,286.10 | 37% below | 83% |
| Coronary stent placement, one artery CPT 92928 STNT PLCMT PERC SNG VSL R COR - 92928 - 90105 | $11,539.00 | $29,007.10 | $1,461.96–$38,676.16 | 1% below | 60% |
| Coronary stent placement, one artery CPT 92928 STNT PLCMT PERC SNG VSL L CIR - 92928 - 401090165 | $11,539.00 | $29,007.10 | $1,461.96–$38,676.16 | 1% below | 60% |
| Coronary stent placement, one artery CPT 92928 STENT W/PTCA INIT | $11,539.00 | $48,345.20 | $1,461.96–$38,676.16 | 1% below | 76% |
| Coronary stent placement, one artery CPT 92928 STNT PLCMT PER SNG VSL LAD ART - 92928 - 401090166 | $11,539.00 | $29,007.10 | $1,461.96–$38,676.16 | 1% below | 60% |
| Coronary stent placement, one artery CPT 92928 STNT PLCMT PERC SNG VSL L CIR - 92928 - 90165 | $11,539.00 | $29,007.10 | $1,461.96–$38,676.16 | 1% below | 60% |
| Coronary stent placement, one artery CPT 92928 STNT PLCMT PER SNG VSL LAD ART - 92928 - 90166 | $11,539.00 | $29,007.10 | $1,461.96–$38,676.16 | 1% below | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332 | $3,523.00 | $10,268.80 | $517.55–$8,215.04 | 19% below | 66% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $697.00 | $7,794.94 | $392.87–$6,235.95 | 37% below | 91% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,235.00 | $5,082.30 | $256.15–$5,082.30 | 22% below | 36% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $1,551.00 | $6,563.75 | $330.81–$5,251.00 | 54% below | 76% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EARWAX UNI | $58.00 | $402.06 | $20.26–$402.06 | 53% below | 86% |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted cerumen re | $58.00 | $402.06 | $19.72–$402.06 | 66% below | 86% |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPCTD CERUMEN SPX 1/B EA | $58.00 | $391.30 | $19.72–$402.06 | 66% below | 85% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSLSINS NDSC FRNT TISS RMVL | $7,054.00 | $5,425.82 | $273.46–$5,425.82 | 38% above | -30% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $3,726.00 | $4,069.36 | $205.10–$4,069.36 | 9% above | 8% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION C/T SPINE DIAG/THERA - 62321 - 416708175 | $705.00 | $1,796.43 | $90.54–$2,352.88 | 55% below | 61% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION C/T SPINE DIAG/THERA - 62321 - 442090060 | $705.00 | $2,941.10 | $90.54–$2,352.88 | 55% below | 76% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $6,471.00 | $18,020.50 | $908.23–$14,416.40 | at median | 64% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $3,579.00 | $11,528.70 | $581.05–$9,222.96 | 41% below | 69% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DX | $929.00 | $5,357.62 | $187.62–$4,286.10 | 18% above | 83% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $6,043.00 | $14,701.30 | $740.95–$12,086.62 | at median | 59% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph | $6,043.00 | $15,973.10 | $805.04–$12,778.48 | 27% below | 62% |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $3,270.00 | $5,543.77 | $279.41–$5,543.77 | 6% below | 41% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation | $5,000.00 | $10,294.10 | $518.82–$10,001.24 | at median | 51% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy | $3,235.00 | $10,456.70 | $527.02–$8,365.36 | 32% below | 69% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS-SINGLE - 10060 - 309010060 | $200.00 | $569.88 | $28.72–$1,015.30 | 57% below | 65% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS, SIMPLE/SINGLE | $200.00 | $1,269.12 | $28.72–$1,015.30 | 57% below | 84% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS-SINGLE - 10060 - 30010060 | $200.00 | $569.88 | $28.72–$1,015.30 | 57% below | 65% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS-SMPLE OR SNGL | $200.00 | $1,269.12 | $28.72–$1,015.30 | 57% below | 84% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $3,579.00 | $15,139.50 | $763.03–$12,111.60 | 42% below | 76% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $306.00 | $1,475.95 | $33.51–$1,180.76 | 31% below | 79% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspir and/or Injec Large Joint | $306.00 | $1,909.07 | $40.04–$6,659.23 | 57% below | 84% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHCEN/ASP/LARGE JNT/BURSA/GA | $306.00 | $1,305.85 | $40.04–$6,659.23 | 57% below | 77% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $306.00 | $8,324.04 | $40.04–$6,659.23 | 57% below | 96% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHCEN/ASP/INJ/INTERMED JNT/B | $306.00 | $1,237.40 | $33.51–$1,486.38 | 52% below | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir and/or Injec Inter Joint | $306.00 | $1,857.98 | $33.51–$1,486.38 | 52% below | 84% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspir and/or Injec Small Joint | $306.00 | $1,857.98 | $32.12–$1,486.38 | 35% below | 84% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery - 29882 - OR36029882 | $3,270.00 | $16,379.80 | $825.54–$13,103.84 | 43% below | 80% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 | $3,270.00 | $13,441.40 | $677.45–$10,753.12 | 45% below | 76% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880 | $3,270.00 | $13,812.70 | $696.16–$11,050.16 | 43% below | 76% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $6,043.00 | $12,679.80 | $639.06–$12,086.62 | 15% below | 52% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty | $10,625.00 | $23,488.60 | $1,183.83–$21,251.90 | 5% below | 55% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less | $10,625.00 | $22,303.80 | $1,124.11–$21,251.90 | 1% below | 52% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $6,043.00 | $15,080.30 | $760.05–$12,086.62 | 51% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $6,043.00 | $14,010.10 | $706.11–$12,086.62 | 26% below | 57% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa | $6,043.00 | $17,801.50 | $897.20–$14,241.20 | 30% below | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR INTERMED WOUND <=2.5CM | $406.00 | $1,277.00 | $64.36–$1,807.22 | 25% below | 68% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 repair, intermidiate wound, sc | $406.00 | $2,259.02 | $64.36–$1,807.22 | 25% below | 82% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH LV ONLY | $3,240.00 | $15,613.50 | $786.92–$12,490.80 | 67% below | 79% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION L-SPINE DIAG/THERAP | $705.00 | $1,796.43 | $90.54–$1,796.43 | 58% below | 61% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&strd tfrm epi ls 1 | $884.00 | $15,693.69 | $790.96–$12,554.95 | 38% below | 94% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery | $7,253.00 | $31,387.40 | $1,581.93–$25,109.92 | 17% below | 77% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar | $7,253.00 | $21,119.00 | $1,064.40–$16,895.20 | 18% below | 66% |
| Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy | $3,914.00 | $12,747.10 | $642.45–$10,197.68 | 9% below | 69% |
| Mastectomy (total removal of the breast) CPT 19303 Mast simple complete | $6,637.00 | $28,227.90 | $1,422.69–$22,582.32 | 10% above | 76% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE FIRST TRI | $3,235.00 | $15,282.50 | $422.51–$12,226.00 | 11% below | 79% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage | $3,235.00 | $8,383.19 | $422.51–$12,226.00 | 11% below | 61% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm< | $707.00 | $10,851.60 | $119.18–$8,681.28 | 13% below | 93% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE,SIMP/SI | $200.00 | $1,269.12 | $44.49–$1,015.30 | 44% below | 84% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE | $200.00 | $882.65 | $44.49–$1,015.30 | 44% below | 77% |
| Pacemaker implant (dual chamber) CPT 33208 INST/REP PERM PCMKR DUAL A&V | $10,448.00 | $29,638.00 | $1,493.76–$40,604.08 | 45% below | 65% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT PERM PCMKR DUAL A&V - 33208 - 401092035 | $10,448.00 | $29,638.00 | $1,493.76–$40,604.08 | 45% below | 65% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT PERM PCMKR DUAL A&V - 33208 - 92035 | $10,448.00 | $50,755.10 | $1,493.76–$40,604.08 | 45% below | 79% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMG GUIDE | $906.00 | $3,807.75 | $115.15–$4,381.96 | 44% below | 76% |
| Paracentesis with imaging guidance CPT 49083 CT ABDOMINAL PARACENTES W/IM - 49083 - 416703133 | $906.00 | $2,284.65 | $115.15–$4,381.96 | 44% below | 60% |
| Paracentesis with imaging guidance CPT 49083 US ABDOMINAL PARACENTES W/IM - 49083 - 416705065 | $906.00 | $2,284.65 | $115.15–$4,381.96 | 44% below | 60% |
| Paracentesis with imaging guidance CPT 49083 US ABDOMINAL PARACENTES W/IM - 49083 - 407005065 | $906.00 | $5,477.45 | $115.15–$4,381.96 | 44% below | 83% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $906.00 | $4,131.80 | $115.15–$4,381.96 | 44% below | 78% |
| Paracentesis with imaging guidance CPT 49083 CT ABDOMINAL PARACENTES W/IM - 49083 - 407003133 | $906.00 | $2,284.65 | $115.15–$4,381.96 | 44% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MATRIX - 11750 - 408090062 | $406.00 | $2,259.02 | $57.52–$1,807.22 | 49% below | 82% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MATRIX - 11750 - 416090225 | $406.00 | $2,198.56 | $57.52–$1,807.22 | 49% below | 82% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $406.00 | $1,141.35 | $57.52–$1,807.22 | 49% below | 64% |
| Prostate biopsy CPT 55700 Biopsy of prostate | $2,004.00 | $8,887.92 | $447.95–$7,110.34 | 24% below | 77% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $3,914.00 | $12,431.40 | $626.54–$9,945.12 | 20% below | 69% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY - 10120 - 416091205 | $406.00 | $1,570.40 | $71.35–$7,417.51 | 36% below | 74% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and removal of foreig | $406.00 | $2,198.56 | $71.35–$7,417.51 | 36% below | 82% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision/Rem of Foreign Body | $406.00 | $1,415.70 | $71.35–$7,417.51 | 36% below | 71% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY - 10120 - 408091205 | $406.00 | $2,259.02 | $71.35–$7,417.51 | 36% below | 82% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION REMOVAL FOREIGN BODY | $406.00 | $1,570.40 | $71.35–$7,417.51 | 36% below | 74% |
| Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl | $406.00 | $9,271.89 | $71.35–$7,417.51 | 36% below | 96% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid | $6,043.00 | $15,589.90 | $785.73–$12,471.92 | 22% below | 61% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCREEN, HI RISK IND | $929.00 | $4,029.55 | $203.09–$3,223.64 | 13% below | 77% |
| Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum | $3,314.00 | $2,712.91 | $136.73–$2,712.91 | 9% below | -22% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHOCK | $3,523.00 | $8,780.58 | $442.54–$10,093.76 | 36% below | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $3,523.00 | $12,617.20 | $442.54–$10,093.76 | 36% below | 72% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT FOREARM TO WRIST | $133.00 | $765.86 | $38.60–$765.86 | 54% below | 83% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT CALF TO FOOT | $162.00 | $968.25 | $48.80–$968.25 | 48% below | 83% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $3,270.00 | $7,544.92 | $380.26–$6,998.00 | 23% below | 57% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR<2.5,HEAD,EXTR,TR - 12001 - 408091217 | $200.00 | $1,269.12 | $44.49–$1,015.30 | 53% below | 84% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR<2.5,HEAD,EXTR,TR - 12001 - 442090500 | $200.00 | $882.65 | $44.49–$1,015.30 | 53% below | 77% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE | $406.00 | $1,758.00 | $113.89–$1,406.40 | 11% below | 77% |
| Skin tag removal, up to 15 tags CPT 11200 Skin tag removal < or= 15 | $200.00 | $589.15 | $29.69–$589.15 | 37% below | 66% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR LUMBAR PUNCTURE - 62270 - 416701012 | $705.00 | $1,796.43 | $90.54–$3,445.55 | 33% below | 61% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR LUMBAR PUNCTURE - 62270 - 407001012 | $705.00 | $3,048.95 | $90.54–$3,445.55 | 33% below | 77% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX | $705.00 | $4,306.94 | $90.54–$3,445.55 | 33% below | 84% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $705.00 | $1,796.43 | $90.54–$3,445.55 | 33% below | 61% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6-7.5 CM,HEAD,EXT | $200.00 | $1,269.12 | $63.96–$1,269.12 | 58% below | 84% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR <2.5CM EENT AREA | $200.00 | $1,269.12 | $63.96–$1,269.12 | 53% below | 84% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) - 52601 - 412090150 | $5,359.00 | $24,388.10 | $467.25–$19,510.48 | 23% below | 78% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) - 52601 - OR36052601 | $5,359.00 | $9,270.89 | $467.25–$19,510.48 | 23% below | 42% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $406.00 | $816.60 | $97.77–$816.60 | 13% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG GUIDE | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS TUBE INSERTION - 32555 - 416703048 | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS TUBE INSERTION - 32555 - 407003048 | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 XR THORACEN ASP INT/SUBSEQ | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEUA W/IMAGING | $627.00 | $2,760.20 | $93.75–$2,548.24 | 56% below | 77% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS TUBE INSERTION - 32555 - 407005047 | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/CATH PLCMNT - 32555 - 91629 | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 Thoracent for aspiration w ima | $627.00 | $3,185.30 | $93.75–$2,548.24 | 56% below | 80% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS TUBE INSERTION - 32555 - 416705047 | $627.00 | $1,860.03 | $93.75–$2,548.24 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 THORA NEEDLE/CATH ASP IMAGING | $627.00 | $2,344.25 | $93.75–$2,548.24 | 56% below | 73% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $5,917.00 | $11,641.50 | $586.73–$11,641.50 | 24% above | 49% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils | $3,314.00 | $11,904.80 | $600.00–$9,523.84 | 25% below | 72% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $12,833.00 | $25,579.50 | $1,289.21–$25,579.50 | at median | 50% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $12,833.00 | $21,848.70 | $1,101.17–$21,848.70 | at median | 41% |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint - 23472 - OR36023472 | $17,527.00 | $29,105.50 | $1,466.92–$29,105.50 | at median | 40% |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $1,607.00 | $10,708.00 | $539.68–$8,566.40 | 52% below | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection(s) single/multiple t | $306.00 | $1,305.85 | $39.11–$1,044.68 | 47% below | 77% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery | $6,043.00 | $12,114.70 | $610.58–$12,086.62 | 22% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Breast Biopsy 1st Lesion | $1,650.00 | $9,893.28 | $498.62–$7,914.62 | 40% below | 83% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GI EGD W BALLOON DILAT | $1,918.00 | $8,389.40 | $422.83–$6,711.52 | 31% above | 77% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI EGD W BX | $906.00 | $5,477.45 | $276.06–$4,381.96 | 5% below | 83% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GI SCOPE W/SUBMUC INJ | $906.00 | $3,996.60 | $201.43–$3,197.28 | 24% above | 77% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GI EGD W SNARE WIRE | $1,918.00 | $10,669.00 | $537.72–$8,535.20 | 69% above | 82% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPER GI EGD W GUIDEWIRE DIL | $906.00 | $7,057.25 | $355.69–$5,645.80 | 24% above | 87% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $906.00 | $45,911.70 | $276.06–$36,729.36 | 14% below | 98% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI EGD DX | $906.00 | $5,477.45 | $276.06–$36,729.36 | 14% below | 83% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST | $6,068.00 | $14,123.50 | $711.82–$12,137.36 | 355% above | 57% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy | $5,359.00 | $14,800.80 | $745.96–$11,840.64 | 1% above | 64% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $2,089.00 | $11,904.80 | $600.00–$9,523.84 | 54% below | 82% |
| Wart removal, up to 14 warts CPT 17110 SKIN DESTRUCT B9 LESION 1-14 | $200.00 | $816.60 | $41.16–$816.60 | 5% below | 76% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUB Q DEBRIDEMENT - 11042 - 301511042 | $406.00 | $1,810.72 | $69.25–$9,313.20 | 60% below | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE FIRST 20 SQ CM | $406.00 | $1,570.40 | $69.25–$9,313.20 | 60% below | 74% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement SQ </= 20sq cm | $406.00 | $1,374.05 | $69.25–$9,313.20 | 60% below | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN SUBCUTAN. TISSUE | $406.00 | $1,758.00 | $69.25–$9,313.20 | 60% below | 77% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUB Q DEBRIDEMENT - 11042 - 309011042 | $406.00 | $1,810.72 | $69.25–$9,313.20 | 60% below | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/< | $406.00 | $11,641.50 | $69.25–$9,313.20 | 60% below | 97% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUB Q DEBRIDEMENT - 11042 - 305011042 | $406.00 | $1,810.72 | $69.25–$9,313.20 | 60% below | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUB Q DEBRIDEMENT - 11042 - 302011042 | $406.00 | $1,810.72 | $69.25–$9,313.20 | 60% below | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SUB Q DEBRIDEMENT - 11042 - 300011042 | $406.00 | $1,810.72 | $69.25–$9,313.20 | 60% below | 78% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul | $7,253.00 | $19,266.00 | $971.01–$15,412.80 | 9% below | 62% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT - ONCE DAY | $441.00 | $1,966.84 | $45.16–$1,594.85 | 53% below | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT - 36430 - 301590032 | $441.00 | $1,967.15 | $45.16–$1,594.85 | 53% below | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT - ED | $441.00 | $1,913.90 | $45.16–$1,594.85 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT PER VISIT | $441.00 | $1,966.84 | $45.16–$1,594.85 | 53% below | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT-ONCE/DAY | $441.00 | $1,914.20 | $45.16–$1,594.85 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODCUT-ONCE DA | $441.00 | $1,966.84 | $45.16–$1,594.85 | 53% below | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOODPRODUCE-ONCE/DAY | $441.00 | $1,993.56 | $45.16–$1,594.85 | 53% below | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT - 36430 - 302090032 | $441.00 | $1,967.15 | $45.16–$1,594.85 | 53% below | 78% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT-ONCE DAY | $441.00 | $1,914.20 | $45.16–$1,594.85 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOODPRODUCT-ONCE/DAY | $441.00 | $1,940.20 | $45.16–$1,594.85 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT(ONCE/DAY) | $441.00 | $1,914.20 | $45.16–$1,594.85 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $441.00 | $1,940.20 | $45.16–$1,594.85 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 INFUSION BLOOD PRODUCT ONCE DA | $441.00 | $1,967.15 | $45.16–$1,594.85 | 53% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HYPERTONIC SPUTUM INDUCTION | $218.00 | $1,378.08 | $43.63–$1,102.46 | 7% above | 84% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TX - 94640 - 413090865 | $218.00 | $958.00 | $43.63–$1,102.46 | 7% above | 77% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TX - 94640 - 413090863 | $218.00 | $984.35 | $43.63–$1,102.46 | 7% above | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $218.00 | $865.60 | $43.63–$1,102.46 | 7% above | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 ED SVC CRITICAL CARE 30-75 MIN | $825.00 | $3,912.35 | $400.28–$3,129.88 | 68% below | 79% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG - AWAKE & DROWSY | $215.00 | $1,383.85 | $69.75–$1,107.08 | 78% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 301590012 | $58.00 | $243.83 | $8.45–$326.71 | 80% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 XR EKG-12 LEAD - 93005 - 416701136 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 XR EKG-12 LEAD - 93005 - 407001136 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 309090012 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - 12 LEAD - 93005 - 307090000 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 404090003 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 31793005 | $58.00 | $167.70 | $8.45–$326.71 | 80% below | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - 12 LEAD - 93005 - 408090684 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 305090012 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 302090012 | $58.00 | $243.83 | $8.45–$326.71 | 80% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 30193005 | $58.00 | $167.70 | $8.45–$326.71 | 80% below | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - 12 LEAD - 93005 - 400090002 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - 12 LEAD - 93005 - 309190505 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 90012 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD - 93005 - 300090012 | $58.00 | $373.40 | $8.45–$326.71 | 80% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD | $58.00 | $287.19 | $8.45–$326.71 | 80% below | 80% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - 12 LEAD - 93005 - 413090684 | $58.00 | $408.39 | $8.45–$326.71 | 80% below | 86% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED SVC LVL 1 W/DX TEST &/OR PR | $84.00 | $391.40 | $51.23–$501.53 | 71% below | 79% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED SVC LVL 1 WO/DX TEST &/OR P | $84.00 | $501.53 | $51.23–$501.53 | 71% below | 83% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED SVC LVL 2 WO/DX TEST &/OR P | $153.00 | $920.35 | $51.23–$920.35 | 68% below | 83% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED SVC LVL 2 W/DX TEST &/OR PR | $153.00 | $920.35 | $51.23–$920.35 | 68% below | 83% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LEV III | $272.00 | $2,592.38 | $51.23–$2,073.90 | 67% below | 90% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED SVC LVL 3 W/DX TEST &/OR PR | $272.00 | $2,592.38 | $51.23–$2,073.90 | 67% below | 90% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $417.00 | $3,311.63 | $63.65–$2,649.30 | 69% below | 87% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXPLOSION CODE FOR CHRG CHANGE | $417.00 | $1,262.80 | $63.65–$2,649.30 | 69% below | 67% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED SVC LVL 4 W/DX TEST &/OR PR | $417.00 | $3,311.63 | $63.65–$2,649.30 | 69% below | 87% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED SVC LVL 5 W/DX TEST &/OR PR | $595.00 | $3,778.22 | $190.42–$3,022.58 | 74% below | 84% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HIGH MDM | $595.00 | $3,778.22 | $190.42–$3,022.58 | 74% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM CV STRESS EKG TRACING - 93017 - 416704008 | $215.00 | $1,383.85 | $67.23–$1,451.79 | 85% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM CV STRESS EKG TRACING - 93017 - 407004008 | $215.00 | $1,814.74 | $67.23–$1,451.79 | 85% below | 88% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 US CV STRESS W/TREADMILL-TRACING - 93017 - 407005017 | $215.00 | $1,334.00 | $67.23–$1,451.79 | 85% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 US CV STRESS W/TREADMILL W-WO RXA - 93017 - 416705018 | $215.00 | $1,334.00 | $67.23–$1,451.79 | 85% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 US CV STRESS W/TREADMILL W-WO RXA - 93017 - 407005018 | $215.00 | $1,334.00 | $67.23–$1,451.79 | 85% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 US CV STRESS W/TREADMILL-TRACING - 93017 - 416705017 | $215.00 | $1,334.00 | $67.23–$1,451.79 | 85% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITIAL UP TO 1 - 96360 - 319090700 | $212.00 | $1,346.29 | $110.28–$1,077.03 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITIAL UP TO 1 - 96360 - 301590700 | $212.00 | $603.85 | $110.28–$1,077.03 | 57% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITIAL TO 1HR | $212.00 | $1,346.29 | $110.28–$1,077.03 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITIAL UP TO 1 HR | $212.00 | $1,346.29 | $110.28–$1,077.03 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITIAL UP TO 1 - 96360 - 300090700 | $212.00 | $1,346.29 | $110.28–$1,077.03 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITI UP TO 1HR | $212.00 | $1,310.26 | $110.28–$1,077.03 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OP IV HYDRATE INITIAL UP TO 1 - 96360 - 307090700 | $212.00 | $603.85 | $110.28–$1,077.03 | 57% below | 65% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 407096365 | $212.00 | $945.00 | $208.21–$1,077.03 | 58% below | 78% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 400090600 | $212.00 | $1,346.29 | $208.21–$1,077.03 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 319090600 | $212.00 | $1,346.29 | $208.21–$1,077.03 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 307090600 | $212.00 | $1,310.26 | $208.21–$1,077.03 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HOUR | $212.00 | $1,310.26 | $208.21–$1,077.03 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 416090600 | $212.00 | $945.00 | $208.21–$1,077.03 | 58% below | 78% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 301590600 | $212.00 | $1,346.29 | $208.21–$1,077.03 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 OP IV INF TX/DX UP TO 1 HR - 96365 - 408090600 | $212.00 | $1,346.29 | $208.21–$1,077.03 | 58% below | 84% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ THER/PROPH/DIAG SC/IM - 96372 - 416090615 | $71.00 | $310.55 | $71.97–$429.75 | 58% below | 77% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ THER/PROPH/DIAG SC/IM - 96372 - 408090615 | $71.00 | $429.75 | $71.97–$429.75 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ THER/PROPH/DIAG SC/IM - 96372 - 319090615 | $71.00 | $429.75 | $71.97–$429.75 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ THER/PROPH/DIAG SC/IM - 96372 - 400090615 | $71.00 | $418.25 | $71.97–$429.75 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ THER/PROPH/DIAG SC/IM - 96372 - 408090616 | $71.00 | $418.25 | $71.97–$429.75 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ THER/PROPH/DIAG SC/IM - 96372 - 30090015 | $71.00 | $429.75 | $71.97–$429.75 | 58% below | 83% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DX INTERVIEW EXAM | $177.00 | $382.65 | $19.29–$354.86 | 54% below | 54% |
| Neuromuscular re-education, 15 minutes CPT 97112 FINE MOTOR EXERCISES EA 15 MIN | $31.00 | $171.75 | $8.66–$137.40 | 73% below | 82% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION | $31.00 | $171.75 | $8.66–$137.40 | 73% below | 82% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY INIT 15m | $25.00 | $168.20 | $2.57–$134.56 | 57% below | 85% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL/INTERVENTION EA 15MIN | $25.00 | $51.00 | $2.57–$134.56 | 57% below | 51% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION | $98.00 | $425.37 | $17.68–$340.30 | 63% below | 77% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $98.00 | $350.70 | $17.68–$340.30 | 63% below | 72% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $95.00 | $527.50 | $26.59–$422.00 | 69% below | 82% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $95.00 | $308.82 | $15.56–$389.96 | 60% below | 69% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION | $95.00 | $487.45 | $15.56–$389.96 | 60% below | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $95.00 | $475.18 | $23.95–$380.14 | 67% below | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/PER 15 MIN | $27.00 | $137.00 | $6.90–$109.60 | 76% below | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCEDURE EA/15MIN | $28.00 | $135.60 | $6.83–$108.48 | 77% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES/PER 15 M | $28.00 | $135.60 | $6.83–$108.48 | 77% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 GROSS MOTOR EXERCISES EA 15 MI | $28.00 | $135.60 | $6.83–$108.48 | 77% below | 79% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC INTERACTIVE DX-EXA | $177.00 | $382.65 | $19.29–$354.86 | 46% below | 54% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAVIOR CHNG SMOKING 3-10MIN - 99406 - 408090023 | $37.00 | $126.15 | $6.36–$152.80 | 21% below | 71% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAVIOR CHNG SMOKING 3-10MIN - 99406 - 30090020 | $37.00 | $152.80 | $6.36–$152.80 | 21% below | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAVIOR CHNG SMOKING 3-10MIN - 99406 - 317090020 | $37.00 | $135.14 | $6.36–$152.80 | 21% below | 73% |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY - INDIV | $74.00 | $372.00 | $18.75–$297.60 | 68% below | 80% |
| Spirometry (breathing test) CPT 94010 BASELINE PFT | $215.00 | $977.82 | $49.28–$782.26 | 45% below | 78% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST DILATOR | $373.00 | $1,383.85 | $69.75–$1,107.08 | 41% below | 73% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/PER 15 | $34.00 | $177.00 | $8.92–$141.60 | 71% below | 81% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $133.00 | $346.69 | $17.47–$277.35 | 47% below | 62% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE | $319.00 | — | $43.74–$1,023.00 | 69% below | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine , intramuscular | $319.00 | $1,174.65 | $43.74–$1,023.00 | 69% below | 73% |
| Rabies vaccine, one dose CPT 90675 Subcut. Infusion for therapy o | $319.00 | $867.95 | $43.74–$1,023.00 | 69% below | 63% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMN | $71.00 | $429.75 | $21.66–$343.80 | 8% below | 83% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMNISTRATION | $71.00 | $429.75 | $21.66–$343.80 | 8% below | 83% |
Source file: https://harlingenmedicalcenter.com/wp-content/uploads/2026/09/007880_HarlingenMedicalCenter_standardcharges.json