Hospital Coos Bay-North Bend, OR

Coquille Valley Hospital

Coquille Valley Hospital in Coquille, OR publishes cash prices for 348 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oregon median for 199 of 346 procedures and above it for 137. By typical cash price it ranks #21 of 49 Oregon hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

940 E. 5TH STREET COQUILLE, COQUILLE, OR 97423 Collected Sep 27, 2026 Source price file Check a bill from this hospital (541) 396-3101

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 381312 · CMS hospital register NPI 1730223967

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Coquille Valley Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Cont	$1,494.02	$2,134.31	$1,344.62–$2,027.59	14% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Cont	$1,494.02	$2,134.31	$1,344.62–$2,027.59	—	30%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views - CLINIC XRAY	$265.12	$378.74	$238.61–$359.80	10% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Rt - CLINIC XRAY	$199.63	$285.18	$179.66–$270.92	29% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Lt - CLINIC XRAY	$199.63	$285.18	$179.66–$270.92	29% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Ankle Brachial Index	$382.08	$545.83	$343.87–$518.54	27% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Ankle Brachial Index	$382.08	$545.83	$343.87–$518.54	—	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,012.13	$1,445.90	$910.92–$1,373.61	10% below	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Shoulder w/o Cont Bil	$2,024.26	$2,891.80	$1,821.83–$2,747.21	80% above	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,012.13	$1,445.90	$910.92–$1,373.61	—	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Shoulder w/o Cont Bil	$2,024.26	$2,891.80	$1,821.83–$2,747.21	—	30%
Breast ultrasound, complete, one breast CPT 76641 US Breast Bil.	$610.55	$872.21	$549.49–$828.60	70% above	30%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Lt.	$304.89	$435.56	$274.40–$413.78	15% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Rt.	$304.89	$435.56	$274.40–$413.78	15% below	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Bil.	$610.55	$872.21	$549.49–$828.60	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Rt.	$304.89	$435.56	$274.40–$413.78	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Lt.	$304.89	$435.56	$274.40–$413.78	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$281.49	$402.13	$253.34–$382.02	7% below	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$281.49	$402.13	$253.34–$382.02	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Pelvis-Abd	$2,704.99	$3,864.27	$2,434.49–$3,671.06	9% above	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen +Pelvis w/ + w/o Cont	$2,704.99	$3,864.27	$2,434.49–$3,671.06	9% above	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen +Pelvis w/ Cont	$2,704.99	$3,864.27	$2,434.49–$3,671.06	9% above	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Pelvis-Abd	$2,704.99	$3,864.27	$2,434.49–$3,671.06	—	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen +Pelvis w/ + w/o Cont	$2,704.99	$3,864.27	$2,434.49–$3,671.06	—	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen +Pelvis w/ Cont	$2,704.99	$3,864.27	$2,434.49–$3,671.06	—	30%
CT angiography (CTA) of the head CPT 70496 CT Angio Head	$1,630.48	$2,329.26	$1,467.43–$2,212.80	16% below	30%
CT angiography (CTA) of the head CPT 70496 CT Angio Head/Neck //BILLED w/: CVH 70498 CT Angio Neck	$1,630.48	$2,329.26	$1,467.43–$2,212.80	16% below	30%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head	$1,630.48	$2,329.26	$1,467.43–$2,212.80	—	30%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head/Neck //BILLED w/: CVH 70498 CT Angio Neck	$1,630.48	$2,329.26	$1,467.43–$2,212.80	—	30%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck	$1,783.31	$2,547.59	$1,604.98–$2,420.21	7% below	30%
CT angiography (CTA) of the neck CPT 70498 CVH 70498 CT Angio Neck	$1,783.31	$2,547.59	$1,604.98–$2,420.21	7% below	30%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck	$1,783.31	$2,547.59	$1,604.98–$2,420.21	—	30%
CT angiography (CTA) of the neck inpatient CPT 70498 CVH 70498 CT Angio Neck	$1,783.31	$2,547.59	$1,604.98–$2,420.21	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Thoracic	$1,879.23	$2,684.61	$1,691.30–$2,550.38	2% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,879.23	$2,684.61	$1,691.30–$2,550.38	2% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Thoracic	$1,879.23	$2,684.61	$1,691.30–$2,550.38	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$1,879.23	$2,684.61	$1,691.30–$2,550.38	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,901.06	$2,715.80	$1,710.95–$2,580.01	10% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,901.06	$2,715.80	$1,710.95–$2,580.01	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$2,417.26	$3,453.23	$2,175.53–$3,280.57	5% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST	$2,417.26	$3,453.23	$2,175.53–$3,280.57	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont	$2,995.84	$4,279.77	$2,696.26–$4,065.78	1% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis w/ + w/o Cont	$2,995.84	$4,279.77	$2,696.26–$4,065.78	1% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis w/ + w/o Cont	$2,995.84	$4,279.77	$2,696.26–$4,065.78	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont	$2,995.84	$4,279.77	$2,696.26–$4,065.78	—	30%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Cont	$1,260.88	$1,801.25	$1,134.79–$1,711.19	15% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Cont	$1,260.88	$1,801.25	$1,134.79–$1,711.19	—	30%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Cont	$995.76	$1,422.51	$896.18–$1,351.38	12% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Cont	$995.76	$1,422.51	$896.18–$1,351.38	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$971.59	$1,387.98	$874.43–$1,318.58	10% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$971.59	$1,387.98	$874.43–$1,318.58	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont	$987.96	$1,411.37	$889.16–$1,340.80	2% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Cont	$987.96	$1,411.37	$889.16–$1,340.80	—	30%
CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Cont	$1,044.10	$1,491.57	$939.69–$1,416.99	20% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Cont	$1,044.10	$1,491.57	$939.69–$1,416.99	—	30%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Cont	$1,285.05	$1,835.78	$1,156.54–$1,743.99	18% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Cont	$1,285.05	$1,835.78	$1,156.54–$1,743.99	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Cont	$1,140.79	$1,629.70	$1,026.71–$1,548.22	12% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Cont	$1,140.79	$1,629.70	$1,026.71–$1,548.22	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Cont	$1,156.39	$1,651.98	$1,040.75–$1,569.38	5% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Cont	$1,156.39	$1,651.98	$1,040.75–$1,569.38	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Cont	$1,204.74	$1,721.05	$1,084.26–$1,635.00	18% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Cont	$1,204.74	$1,721.05	$1,084.26–$1,635.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Doppler Bil	$843.70	$1,205.29	$759.33–$1,145.03	19% below	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Duplex Bil	$843.70	$1,205.29	$759.33–$1,145.03	19% below	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Carotid Duplex Bil	$843.70	$1,205.29	$759.33–$1,145.03	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Carotid Doppler Bil	$843.70	$1,205.29	$759.33–$1,145.03	—	30%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$1,686.62	$2,409.46	$1,517.96–$2,288.99	10% below	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX DX C-/C+	$1,686.62	$2,409.46	$1,517.96–$2,288.99	—	30%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views - CLINIC XRAY	$212.88	$304.11	$191.59–$288.90	21% below	30%
Chest X-ray, single view CPT 71045 XR Chest 1 View - CLINIC XRAY	$138.80	$198.28	$124.92–$188.37	45% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Lt - CLINIC XRAY	$179.35	$256.21	$161.41–$243.40	17% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Rt - CLINIC XRAY	$179.35	$256.21	$161.41–$243.40	17% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Comp	$449.93	$642.75	$404.93–$610.61	21% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Comp	$449.93	$642.75	$404.93–$610.61	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA Bone Density Scan FAMC	$297.09	$424.41	$267.38–$403.19	23% below	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD DEXA Bone Density Scan FAMC	$297.09	$424.41	$267.38–$403.19	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnant < 14 Weeks 1st Gest //BILLED w/: CVH 93975 US Abdomen/Pelvic/Scrotal Art/Vein Comp	$598.86	$855.51	$538.97–$812.73	5% below	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnant < 14 Weeks 1st Gest //BILLED w/: CVH 93975 US Abdomen/Pelvic/Scrotal Art/Vein Comp	$598.86	$855.51	$538.97–$812.73	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,116.62	$1,595.17	$1,004.96–$1,515.41	9% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Cont	$1,116.62	$1,595.17	$1,004.96–$1,515.41	9% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C-	$1,116.62	$1,595.17	$1,004.96–$1,515.41	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Cont	$1,116.62	$1,595.17	$1,004.96–$1,515.41	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$1,309.22	$1,870.32	$1,178.30–$1,776.80	14% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX C+	$1,309.22	$1,870.32	$1,178.30–$1,776.80	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$252.64	$360.92	$227.38–$342.87	—	30%
Diagnostic mammogram, one breast one side CPT 77065 MA Post Biopsy Lt	$197.28	$281.83	$177.55–$267.74	37% below	30%
Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast w/ Tomo Rt. //BILLED w/: 77061 MA Diag Breast w/ Tomo; RT	$197.28	$281.83	$177.55–$267.74	37% below	30%
Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast w/ Tomo Lt. //BILLED w/: 77061 MA Diag Breast w/ Tomo; LT	$197.28	$281.83	$177.55–$267.74	37% below	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Post Biopsy Lt	$197.28	$281.83	$177.55–$267.74	—	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US LE Art Duplex Bil	$915.44	$1,307.77	$823.90–$1,242.38	13% below	30%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LE Art Duplex Bil	$915.44	$1,307.77	$823.90–$1,242.38	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$754.81	$1,078.30	$679.33–$1,024.39	31% below	30%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$754.81	$1,078.30	$679.33–$1,024.39	—	30%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Rt - CLINIC XRAY	$155.18	$221.68	$139.66–$210.60	36% below	30%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Lt - CLINIC XRAY	$155.18	$221.68	$139.66–$210.60	36% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Rt - CLINIC XRAY	$183.24	$261.77	$164.92–$248.68	25% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Lt - CLINIC XRAY	$183.24	$261.77	$164.92–$248.68	25% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$883.47	$1,262.10	$795.12–$1,199.00	17% below	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$883.47	$1,262.10	$795.12–$1,199.00	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Min 3 Views - CLINIC XRAY	$237.83	$339.75	$214.04–$322.76	31% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Lt - CLINIC XRAY	$171.55	$245.07	$154.39–$232.82	35% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Rt - CLINIC XRAY	$171.55	$245.07	$154.39–$232.82	35% below	30%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Rt - CLINIC XRAY	$131.01	$187.15	$117.90–$177.79	46% below	30%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Lt - CLINIC XRAY	$131.01	$187.15	$117.90–$177.79	46% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Rt - CLINIC XRAY	$139.58	$199.40	$125.62–$189.43	32% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Lt - CLINIC XRAY	$139.58	$199.40	$125.62–$189.43	32% below	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED SIMULTANEOUS RECORDING	$400.80	$572.57	$360.72–$543.94	33% below	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED SIMULTANEOUS RECORDING	$400.80	$572.57	$360.72–$543.94	—	30%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Lt - CLINIC XRAY	$207.42	$296.31	$186.68–$281.49	27% below	30%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Rt - CLINIC XRAY	$207.42	$296.31	$186.68–$281.49	27% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Lt - CLINIC XRAY	$253.42	$362.03	$228.08–$343.93	29% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Rt - CLINIC XRAY	$253.42	$362.03	$228.08–$343.93	29% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Rt	$1,004.33	$1,434.76	$903.90–$1,363.02	10% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,004.33	$1,434.76	$903.90–$1,363.02	10% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,004.33	$1,434.76	$903.90–$1,363.02	—	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/o Cont Rt	$1,004.33	$1,434.76	$903.90–$1,363.02	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ltd	$367.27	$524.67	$330.54–$498.44	25% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ltd	$367.27	$524.67	$330.54–$498.44	—	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Ltd Lt	$303.32	$433.32	$272.99–$411.65	at median	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Ltd Lt	$303.32	$433.32	$272.99–$411.65	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening	$504.70	$721.00	$454.23–$684.95	70% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening	$504.70	$721.00	$454.23–$684.95	—	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Rt - CLINIC XRAY	$171.55	$245.07	$154.39–$232.82	31% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Lt - CLINIC XRAY	$171.55	$245.07	$154.39–$232.82	31% below	30%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head Venography w/o Cont	$1,615.67	$2,308.10	$1,454.10–$2,192.70	14% below	30%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head w/o Cont	$1,615.67	$2,308.10	$1,454.10–$2,192.70	14% below	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head Venography w/o Cont	$1,615.67	$2,308.10	$1,454.10–$2,192.70	—	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head w/o Cont	$1,615.67	$2,308.10	$1,454.10–$2,192.70	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$1,614.10	$2,305.86	$1,452.69–$2,190.57	9% below	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$1,614.10	$2,305.86	$1,452.69–$2,190.57	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,015.33	$4,307.62	$2,713.80–$4,092.24	13% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,015.33	$4,307.62	$2,713.80–$4,092.24	13% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,015.33	$4,307.62	$2,713.80–$4,092.24	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,015.33	$4,307.62	$2,713.80–$4,092.24	—	30%
MRI of the abdomen without contrast CPT 74181 MRI MRCP	$1,155.60	$1,650.86	$1,040.04–$1,568.32	37% below	30%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Cont	$1,986.05	$2,837.22	$1,787.45–$2,695.36	8% above	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP	$1,155.60	$1,650.86	$1,040.04–$1,568.32	—	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Cont	$1,986.05	$2,837.22	$1,787.45–$2,695.36	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Cont	$2,859.39	$4,084.84	$2,573.45–$3,880.60	2% below	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Cont	$2,859.39	$4,084.84	$2,573.45–$3,880.60	—	30%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Cont	$1,574.34	$2,249.06	$1,416.91–$2,136.61	15% below	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Cont	$1,574.34	$2,249.06	$1,416.91–$2,136.61	—	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Cont	$3,085.52	$4,407.88	$2,776.96–$4,187.49	1% below	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Cont	$3,085.52	$4,407.88	$2,776.96–$4,187.49	—	30%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Cont	$1,722.49	$2,460.70	$1,550.24–$2,337.67	8% below	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Cont	$1,722.49	$2,460.70	$1,550.24–$2,337.67	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Cont	$3,128.41	$4,469.15	$2,815.56–$4,245.69	5% above	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Cont	$3,128.41	$4,469.15	$2,815.56–$4,245.69	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Cont	$1,791.12	$2,558.74	$1,612.01–$2,430.80	4% below	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Cont	$1,791.12	$2,558.74	$1,612.01–$2,430.80	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Cont	$3,071.48	$4,387.83	$2,764.33–$4,168.44	7% above	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Cont	$3,071.48	$4,387.83	$2,764.33–$4,168.44	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Cont	$1,630.48	$2,329.26	$1,467.43–$2,212.80	9% below	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Cont	$1,630.48	$2,329.26	$1,467.43–$2,212.80	—	30%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Cont	$1,614.10	$2,305.86	$1,452.69–$2,190.57	41% below	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Cont	$1,614.10	$2,305.86	$1,452.69–$2,190.57	—	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Cont	$1,986.05	$2,837.22	$1,787.45–$2,695.36	11% above	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Cont	$1,986.05	$2,837.22	$1,787.45–$2,695.36	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Cont Rt	$1,540.03	$2,200.04	$1,386.03–$2,090.04	13% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,540.03	$2,200.04	$1,386.03–$2,090.04	13% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Cont Rt	$1,540.03	$2,200.04	$1,386.03–$2,090.04	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,540.03	$2,200.04	$1,386.03–$2,090.04	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cerv Min 4 Views - CLINIC XRAY	$334.52	$477.88	$301.06–$453.99	11% below	30%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Cont	$1,148.59	$1,640.84	$1,033.73–$1,558.80	22% below	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Cont	$1,148.59	$1,640.84	$1,033.73–$1,558.80	—	30%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Cont	$924.02	$1,320.03	$831.62–$1,254.03	17% below	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Cont	$924.02	$1,320.03	$831.62–$1,254.03	—	30%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue - CLINIC XRAY	$139.57	$199.38	$125.61–$189.41	44% below	30%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cont	$1,124.42	$1,606.31	$1,011.98–$1,525.99	6% below	30%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Cont	$1,124.42	$1,606.31	$1,011.98–$1,525.99	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited	$304.89	$435.56	$274.40–$413.78	6% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OB Limited	$304.89	$435.56	$274.40–$413.78	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$385.20	$550.29	$346.68–$522.78	26% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Comp	$385.20	$550.29	$346.68–$522.78	26% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$385.20	$550.29	$346.68–$522.78	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Comp	$385.20	$550.29	$346.68–$522.78	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant < 14 Weeks 1st Gest+Transvag //BILLED w/: CVH 76817 US Pregnant Transvaginal & CVH 93975 INT US Abdomen/Pelvic/Scrotal Art/Vein Comp	$257.33	$367.61	$231.59–$349.23	45% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant < 14 Weeks 1st Gest+Transvag //BILLED w/: CVH 76817 US Pregnant Transvaginal & CVH 93975 INT US Abdomen/Pelvic/Scrotal Art/Vein Comp	$257.33	$367.61	$231.59–$349.23	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Ltd	$304.89	$435.56	$274.40–$413.78	15% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Ltd	$304.89	$435.56	$274.40–$413.78	—	30%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Lt - CLINIC XRAY	$169.99	$242.84	$152.99–$230.70	36% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Rt - CLINIC XRAY	$169.99	$242.84	$152.99–$230.70	36% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs Min 3 Views (Rt or Lt) w/ AP Chest - CLINIC XRAY	$294.75	$421.07	$265.27–$400.02	9% below	30%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$252.64	$360.92	$90.72–$342.87	—	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY EXAM OF SHOULDER	$175.44	$250.63	$157.90–$238.10	37% below	30%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Comp Min 3 Views - CLINIC XRAY	$237.83	$339.75	$214.04–$322.76	17% below	30%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull less than 4 Views - CLINIC XRAY	$186.36	$266.23	$167.72–$252.92	33% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Lt - CLINIC XRAY	$175.44	$250.63	$157.90–$238.10	30% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Rt - CLINIC XRAY	$175.44	$250.63	$157.90–$238.10	30% below	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Cont	$1,124.42	$1,606.31	$1,011.98–$1,525.99	7% below	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Cont	$1,124.42	$1,606.31	$1,011.98–$1,525.99	—	30%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Lt - CLINIC XRAY	$162.97	$232.82	$146.68–$221.18	19% below	30%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Rt - CLINIC XRAY	$162.97	$232.82	$146.68–$221.18	19% below	30%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$344.65	$492.36	$310.19–$467.74	26% below	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$344.65	$492.36	$310.19–$467.74	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$283.84	$405.48	$255.45–$385.21	22% below	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$283.84	$405.48	$255.45–$385.21	—	30%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Comp	$513.86	$734.09	$462.48–$697.39	15% below	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Comp	$513.86	$734.09	$462.48–$697.39	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum +Contents	$329.06	$470.08	$296.15–$446.58	38% below	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum +Contents	$329.06	$470.08	$296.15–$446.58	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$488.91	$698.44	$440.02–$663.52	at median	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head +Neck Soft Tissue	$488.91	$698.44	$440.02–$663.52	at median	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Neck	$488.91	$698.44	$440.02–$663.52	at median	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Neck	$488.91	$698.44	$440.02–$663.52	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head +Neck Soft Tissue	$488.91	$698.44	$440.02–$663.52	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$488.91	$698.44	$440.02–$663.52	—	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Lt - CLINIC XRAY	$183.24	$261.77	$164.92–$248.68	30% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Rt - CLINIC XRAY	$183.24	$261.77	$164.92–$248.68	30% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$489.69	$699.56	$440.72–$664.58	24% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY	$489.69	$699.56	$440.72–$664.58	—	30%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Rt - CLINIC XRAY	$139.58	$199.40	$125.62–$189.43	38% below	30%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Lt - CLINIC XRAY	$139.58	$199.40	$125.62–$189.43	38% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Lt - CLINIC XRAY	$183.24	$261.77	$164.92–$248.68	35% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Rt - CLINIC XRAY	$183.24	$261.77	$164.92–$248.68	35% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$136.47	$194.95	$122.82–$185.20	50% below	30%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View - CLINIC XRAY	$201.18	$287.40	$181.06–$273.03	19% below	30%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Lt - CLINIC XRAY	$139.58	$199.40	$125.62–$189.43	45% below	30%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Rt - CLINIC XRAY	$139.58	$199.40	$125.62–$189.43	45% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Lt - CLINIC XRAY	$162.97	$232.82	$146.68–$221.18	27% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Rt - CLINIC XRAY	$162.97	$232.82	$146.68–$221.18	27% below	30%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Rt - CLINIC XRAY	$175.44	$250.63	$157.90–$238.10	22% below	30%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Lt - CLINIC XRAY	$175.44	$250.63	$157.90–$238.10	22% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Lt - CLINIC XRAY	$207.42	$296.31	$186.68–$281.49	23% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Rt - CLINIC XRAY	$207.42	$296.31	$186.68–$281.49	23% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Lt - CLINIC XRAY	$207.42	$296.31	$186.68–$281.49	33% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Rt - CLINIC XRAY	$207.42	$296.31	$186.68–$281.49	33% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Lt - CLINIC XRAY	$166.87	$238.38	$150.18–$226.46	32% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Rt - CLINIC XRAY	$166.87	$238.38	$150.18–$226.46	32% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views - CLINIC XRAY	$253.42	$362.03	$228.08–$343.93	21% below	30%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Min 4 Views - CLINIC XRAY	$406.62	$580.88	$365.95–$551.84	1% above	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views - CLINIC XRAY	$232.37	$331.96	$209.13–$315.36	23% below	30%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Min 3 Views - CLINIC XRAY	$151.27	$216.10	$136.14–$205.30	33% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cerv 2 or 3 Views - CLINIC XRAY	$242.51	$346.44	$218.26–$329.12	6% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views - CLINIC XRAY	$143.47	$204.96	$129.12–$194.71	49% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum +Coccyx Min 2 Views - CLINIC XRAY	$213.65	$305.22	$192.29–$289.96	15% below	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$28.07	$40.10	$5.57–$38.10	17% above	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$28.07	$40.10	$5.57–$38.10	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$28.07	$40.10	$5.44–$38.10	2% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$28.07	$40.10	$5.44–$38.10	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Profile Mayo	$226.14	$323.05	$50.01–$306.90	2% above	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Profile Mayo	$226.14	$323.05	$50.01–$306.90	—	30%
Albumin blood test CPT 82040 Albumin Level	$28.07	$40.10	$5.20–$38.10	10% above	30%
Albumin blood test inpatient CPT 82040 Albumin Level	$28.07	$40.10	$5.20–$38.10	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$31.97	$45.67	$5.44–$43.39	27% above	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$31.97	$45.67	$5.44–$43.39	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein, Tumor Marker, S MAYO	$102.93	$147.04	$17.61–$139.69	42% above	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein, Tumor Marker, S MAYO	$102.93	$147.04	$17.61–$139.69	—	30%
Ammonia blood test CPT 82140 Ammonia Level	$88.12	$125.88	$15.30–$119.59	at median	30%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$88.12	$125.88	$15.30–$119.59	—	30%
Amylase blood test CPT 82150 Amylase Level	$48.34	$69.06	$6.80–$65.61	at median	30%
Amylase blood test inpatient CPT 82150 Amylase Level	$48.34	$69.06	$6.80–$65.61	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab, S MAYO	$88.89	$126.99	$13.60–$120.64	57% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab, S MAYO	$88.89	$126.99	$13.60–$120.64	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab, S MAYO	$73.30	$104.71	$12.69–$99.47	16% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab, S MAYO	$73.30	$104.71	$12.69–$99.47	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT Pro-BNP	$201.18	$287.40	$41.22–$273.03	27% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT Pro-BNP	$201.18	$287.40	$41.22–$273.03	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$60.05	$85.78	$9.05–$81.49	7% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$60.05	$85.78	$9.05–$81.49	—	30%
Basic metabolic panel (blood test) CPT 80048 BMP 6	$60.05	$85.78	$8.88–$81.49	25% above	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP 6	$60.05	$85.78	$8.88–$81.49	—	30%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$34.31	$49.02	$5.27–$46.57	35% above	30%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$34.31	$49.02	$5.27–$46.57	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HYSTO-MICRO EXAM LEVEL IV	$201.18	$287.40	$181.06–$273.03	2% above	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HYSTO-MICRO EXAM LEVEL IV	$201.18	$287.40	$181.06–$273.03	—	30%
Blood culture for bacteria CPT 87040 Blood Culture	$120.86	$172.66	$10.84–$164.03	10% above	30%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$120.86	$172.66	$10.84–$164.03	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$20.27	$28.96	$9.81–$27.51	1% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$20.27	$28.96	$9.81–$27.51	—	30%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$32.75	$46.78	$4.13–$44.44	36% above	30%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$32.75	$46.78	$4.13–$44.44	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum	$72.52	$103.60	$7.90–$98.42	at median	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum	$72.52	$103.60	$7.90–$98.42	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORH 7; Billed w/: RH FACTOR	$40.55	$57.93	$3.14–$55.03	25% below	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORH 7; Billed w/: RH FACTOR	$40.55	$57.93	$3.14–$55.03	—	30%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$29.63	$42.33	$4.15–$40.21	16% above	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$29.63	$42.33	$4.15–$40.21	—	30%
C-peptide blood test CPT 84681 C-Peptide, S MAYO	$109.94	$157.06	$21.85–$149.21	22% above	30%
C-peptide blood test inpatient CPT 84681 C-Peptide, S MAYO	$109.94	$157.06	$21.85–$149.21	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$44.45	$63.50	$5.44–$60.33	16% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$44.45	$63.50	$5.44–$60.33	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff by Xpert	$141.91	$202.73	$39.13–$192.59	9% below	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff Send Out	$201.18	$287.40	$39.13–$273.03	28% above	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. Diff by Xpert	$141.91	$202.73	$39.13–$192.59	—	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. Diff Send Out	$201.18	$287.40	$39.13–$273.03	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 (CA 125), Serum MAYO	$109.17	$155.95	$21.85–$148.15	3% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 (CA 125), Serum MAYO	$109.17	$155.95	$21.85–$148.15	—	30%
Calcium blood test, total CPT 82310 Calcium Level	$29.63	$42.33	$5.42–$40.21	16% above	30%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$29.63	$42.33	$5.42–$40.21	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (CEA), Serum MAYO	$104.49	$149.27	$19.91–$141.81	28% above	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (CEA), Serum MAYO	$104.49	$149.27	$19.91–$141.81	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$84.99	$121.42	$13.52–$115.35	40% above	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY	$84.99	$121.42	$13.52–$115.35	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel 2	$60.05	$85.78	$14.06–$81.49	4% above	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel 2	$60.05	$85.78	$14.06–$81.49	—	30%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ Auto Diff	$44.45	$63.50	$8.16–$60.33	8% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ Auto Diff	$44.45	$63.50	$8.16–$60.33	—	30%
Complete blood count (CBC), no differential CPT 85027 Hemogram 2	$31.97	$45.67	$6.79–$43.39	4% above	30%
Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram 2	$31.97	$45.67	$6.79–$43.39	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 CMP 5	$76.42	$109.17	$11.09–$103.71	38% above	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP 5	$76.42	$109.17	$11.09–$103.71	—	30%
Cortisol blood test, total CPT 82533 Cortisol, Serum MAYO	$95.13	$135.90	$17.12–$129.11	16% above	30%
Cortisol blood test, total inpatient CPT 82533 Cortisol, Serum MAYO	$95.13	$135.90	$17.12–$129.11	—	30%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$48.34	$69.06	$6.84–$65.61	13% above	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$48.34	$69.06	$6.84–$65.61	—	30%
Creatinine blood test CPT 82565 Creatinine Level	$31.97	$45.67	$5.38–$43.39	29% above	30%
Creatinine blood test CPT 82565 Creat Level 1	$31.97	$45.67	$5.38–$43.39	29% above	30%
Creatinine blood test inpatient CPT 82565 Creatinine Level	$31.97	$45.67	$5.38–$43.39	—	30%
Creatinine blood test inpatient CPT 82565 Creat Level 1	$31.97	$45.67	$5.38–$43.39	—	30%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$140.36	$200.51	$10.69–$190.48	8% above	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$140.36	$200.51	$10.69–$190.48	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen	$98.25	$140.36	$65.25–$133.34	70% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen	$98.25	$140.36	$65.25–$133.34	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes 3	$35.87	$51.24	$7.36–$48.68	at median	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes 3	$35.87	$51.24	$7.36–$48.68	—	30%
Estradiol blood test CPT 82670 Estradiol, Serum MAYO	$103.71	$148.16	$29.34–$140.75	7% below	30%
Estradiol blood test inpatient CPT 82670 Estradiol, Serum MAYO	$103.71	$148.16	$29.34–$140.75	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$87.33	$124.76	$19.51–$118.52	9% above	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$87.33	$124.76	$19.51–$118.52	—	30%
Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum MAYO	$74.85	$106.93	$14.31–$101.58	34% above	30%
Ferritin blood test (iron stores) CPT 82728 Ferritin Level	$92.79	$132.56	$14.31–$125.93	66% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum MAYO	$74.85	$106.93	$14.31–$101.58	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Level	$92.79	$132.56	$14.31–$125.93	—	30%
Folate (folic acid) blood test CPT 82746 Folate	$72.52	$103.60	$15.44–$98.42	17% below	30%
Folate (folic acid) blood test inpatient CPT 82746 Folate	$72.52	$103.60	$15.44–$98.42	—	30%
Free T3 thyroid hormone test CPT 84481 T3 (Triiodothyronine), Free, S MAYO	$67.84	$96.91	$17.79–$92.06	6% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 T3 (Triiodothyronine), Free, S MAYO	$67.84	$96.91	$17.79–$92.06	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$52.24	$74.63	$9.47–$70.90	14% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4	$52.24	$74.63	$9.47–$70.90	—	30%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$100.59	$143.70	$26.74–$136.52	66% above	30%
Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE	$100.59	$143.70	$26.74–$136.52	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma-Glutamyltransferase (GGT), Serum MAYO	$37.43	$53.47	$7.56–$50.80	25% above	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma-Glutamyltransferase (GGT), Serum MAYO	$37.43	$53.47	$7.56–$50.80	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel 4	$140.36	$200.51	$126.32–$190.48	39% below	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel 4	$140.36	$200.51	$126.32–$190.48	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$71.74	$102.48	$4.99–$97.36	108% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$71.74	$102.48	$4.99–$97.36	—	30%
Glucose tolerance test, 3 samples CPT 82951 .GTT-3 Hr	$143.48	$204.97	$13.51–$194.72	83% above	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT-3 Hr	$143.48	$204.97	$13.51–$194.72	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Detect / Quant, P MAYO	$302.55	$432.21	$89.36–$410.60	14% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA Detect / Quant, P MAYO	$302.55	$432.21	$89.36–$410.60	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 Antibody	$60.05	$85.78	$14.40–$81.49	9% below	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1&2 Antibody	$60.05	$85.78	$14.40–$81.49	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 and HIV-2 Antigen and Antibody Routine Screen, Plasma MAYO	$74.07	$105.82	$25.28–$100.53	7% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 and HIV-2 Antigen and Antibody Routine Screen, Plasma MAYO	$74.07	$105.82	$25.28–$100.53	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87556 - Mycobacteria TB PCR - STATE SENDOUT	$135.51	$193.58	$36.84–$183.90	55% above	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87556 - Mycobacteria TB PCR - STATE SENDOUT	$135.51	$193.58	$36.84–$183.90	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$56.15	$80.21	$10.20–$76.20	17% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$56.15	$80.21	$10.20–$76.20	—	30%
Hemoglobin blood test CPT 85018 Hemoglobin	$20.27	$28.96	$2.49–$27.51	16% above	30%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$20.27	$28.96	$2.49–$27.51	—	30%
Hepatitis B core antibody test (total) CPT 86704 HBc Total Ab, w/Reflex, S MAYO	$59.50	$85.00	$12.65–$80.75	8% below	30%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$81.88	$116.97	$12.65–$111.12	27% above	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBc Total Ab, w/Reflex, S MAYO	$59.50	$85.00	$12.65–$80.75	—	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL	$81.88	$116.97	$12.65–$111.12	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$82.66	$118.08	$11.28–$112.18	31% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$82.66	$118.08	$11.28–$112.18	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$60.05	$85.78	$10.85–$81.49	9% above	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$60.05	$85.78	$10.85–$81.49	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$60.05	$85.78	$14.98–$81.49	18% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$60.05	$85.78	$14.98–$81.49	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Detect/Quant, S MAYO	$216.78	$309.68	$44.98–$294.20	10% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA Detect/Quant, S MAYO	$216.78	$309.68	$44.98–$294.20	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, High Sensitivity, Serum MAYO	$88.89	$126.99	$13.60–$120.64	46% above	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, High Sensitivity, Serum MAYO	$88.89	$126.99	$13.60–$120.64	—	30%
Homocysteine blood test CPT 83090 Homocysteine, Total, Plasma MAYO	$83.43	$119.19	$18.82–$113.23	1% below	30%
Homocysteine blood test inpatient CPT 83090 Homocysteine, Total, Plasma MAYO	$83.43	$119.19	$18.82–$113.23	—	30%
Insulin blood test CPT 83525 Insulin, S MAYO	$49.12	$70.17	$12.00–$66.66	10% below	30%
Insulin blood test inpatient CPT 83525 Insulin, S MAYO	$49.12	$70.17	$12.00–$66.66	—	30%
Iron blood test (serum iron) CPT 83540 Iron Level	$40.55	$57.93	$6.79–$55.03	at median	30%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$40.55	$57.93	$6.79–$55.03	—	30%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$48.34	$69.06	$9.18–$65.61	13% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$48.34	$69.06	$9.18–$65.61	—	30%
Kidney function blood test panel CPT 80069 Renal Panel 6	$60.05	$85.78	$9.11–$81.49	25% above	30%
Kidney function blood test panel inpatient CPT 80069 Renal Panel 6	$60.05	$85.78	$9.11–$81.49	—	30%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH), Serum MAYO	$91.24	$130.34	$19.45–$123.82	13% above	30%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (LH), Serum MAYO	$91.24	$130.34	$19.45–$123.82	—	30%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid 1	$80.31	$114.73	$12.15–$108.99	8% above	30%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid 1	$80.31	$114.73	$12.15–$108.99	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$40.55	$57.93	$6.34–$55.03	30% above	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$40.55	$57.93	$6.34–$55.03	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$88.12	$125.88	$7.23–$119.59	38% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$88.12	$125.88	$7.23–$119.59	—	30%
Liver function blood test panel CPT 80076 Hepatic Panel 4	$44.45	$63.50	$8.58–$60.33	7% above	30%
Liver function blood test panel inpatient CPT 80076 Hepatic Panel 4	$44.45	$63.50	$8.58–$60.33	—	30%
Lyme disease antibody test CPT 86618 Lyme Disease Serology, S MAYO	$65.51	$93.58	$17.88–$88.90	at median	30%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology, S MAYO	$65.51	$93.58	$17.88–$88.90	—	30%
Magnesium blood test CPT 83735 Magnesium Level	$46.00	$65.72	$7.04–$62.43	33% above	30%
Magnesium blood test inpatient CPT 83735 Magnesium Level	$46.00	$65.72	$7.04–$62.43	—	30%
Measles (rubeola) antibody test CPT 86765 MMRV Immune Status Profile, S MAYO; Billed w/: 86735 MAYO Add On & 86762 MAYO & 86787 MAYO	$56.15	$80.21	$13.52–$76.20	5% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 MMRV Immune Status Profile, S MAYO; Billed w/: 86735 MAYO Add On & 86762 MAYO & 86787 MAYO	$56.15	$80.21	$13.52–$76.20	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$44.45	$63.50	$5.44–$60.33	10% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$44.45	$63.50	$5.44–$60.33	—	30%
Mumps immunity blood test CPT 86735 86735 MAYO Add On	$44.45	$63.50	$13.70–$60.33	9% below	30%
Mumps immunity blood test inpatient CPT 86735 86735 MAYO Add On	$44.45	$63.50	$13.70–$60.33	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic	$72.52	$103.60	$19.31–$98.42	4% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic	$72.52	$103.60	$19.31–$98.42	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Bill Cytopathology, Cervical or Vaginal collection in preservative fluid, thin layer prep - CLINIC	$102.30	$146.14	$27.94–$138.83	13% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone (PTH), Serum MAYO	$141.91	$202.73	$43.34–$192.59	14% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone (PTH), Serum MAYO	$141.91	$202.73	$43.34–$192.59	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$72.52	$103.60	$6.31–$98.42	33% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$72.52	$103.60	$6.31–$98.42	—	30%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$32.75	$46.78	$4.98–$44.44	9% above	30%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$32.75	$46.78	$4.98–$44.44	9% above	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$32.75	$46.78	$4.98–$44.44	—	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level	$32.75	$46.78	$4.98–$44.44	—	30%
Potassium blood test CPT 84132 Potassium Level	$35.87	$51.24	$5.00–$48.68	65% above	30%
Potassium blood test inpatient CPT 84132 Potassium Level	$35.87	$51.24	$5.00–$48.68	—	30%
Progesterone blood test CPT 84144 Progesterone, S MAYO	$88.12	$125.88	$21.90–$119.59	17% below	30%
Progesterone blood test inpatient CPT 84144 Progesterone, S MAYO	$88.12	$125.88	$21.90–$119.59	—	30%
Prolactin blood test CPT 84146 Prolactin, Serum MAYO	$102.93	$147.04	$20.35–$139.69	15% above	30%
Prolactin blood test inpatient CPT 84146 Prolactin, Serum MAYO	$102.93	$147.04	$20.35–$139.69	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$31.97	$45.67	$4.50–$43.39	14% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$31.97	$45.67	$4.50–$43.39	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Fentanyl, Urine	$49.18	$70.26	$13.23–$66.75	27% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Fentanyl, Urine	$49.18	$70.26	$13.23–$66.75	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Screen	$48.34	$69.06	$17.36–$65.61	12% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Screen	$48.34	$69.06	$17.36–$65.61	—	30%
Rh blood typing CPT 86901 RH FACTOR	$40.55	$57.93	$3.14–$55.03	3% below	30%
Rh blood typing inpatient CPT 86901 RH FACTOR	$40.55	$57.93	$3.14–$55.03	—	30%
Rubella antibody test (immunity check) CPT 86762 86762 MAYO Add On	$49.91	$71.30	$15.11–$67.74	10% above	30%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 MAYO Add On	$49.91	$71.30	$15.11–$67.74	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate	$28.07	$40.10	$2.84–$38.10	at median	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate	$28.07	$40.10	$2.84–$38.10	—	30%
Sodium blood test CPT 84295 Sodium Level	$28.07	$40.10	$5.05–$38.10	8% above	30%
Sodium blood test inpatient CPT 84295 Sodium Level	$28.07	$40.10	$5.05–$38.10	—	30%
Stool ova and parasites exam CPT 87177 Parasitic Examination MAYO; Billed w/: 87209 MAYO Add On	$70.18	$100.26	$9.35–$95.25	30% above	30%
Stool ova and parasites exam inpatient CPT 87177 Parasitic Examination MAYO; Billed w/: 87209 MAYO Add On	$70.18	$100.26	$9.35–$95.25	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 5	$33.53	$47.90	$4.60–$45.51	3% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Screen 5	$33.53	$47.90	$4.60–$45.51	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal immuniochemical test	$60.82	$86.89	$16.72–$82.55	10% above	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal immuniochemical test	$60.82	$86.89	$16.72–$82.55	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$42.11	$60.15	$13.90–$57.14	22% above	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$42.11	$60.15	$13.90–$57.14	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin w/ Reflex MCL	$42.11	$60.15	$4.48–$57.14	31% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin w/ Reflex MCL	$42.11	$60.15	$4.48–$57.14	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold In-Tube, B MAYO	$217.55	$310.79	$65.08–$295.25	24% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold In-Tube, B MAYO	$217.55	$310.79	$65.08–$295.25	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$104.49	$149.27	$27.10–$141.81	46% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, S MAYO	$124.99	$178.56	$27.10–$169.63	75% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$104.49	$149.27	$27.10–$141.81	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, S MAYO	$124.99	$178.56	$27.10–$169.63	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$63.94	$91.34	$17.64–$86.77	12% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$63.94	$91.34	$17.64–$86.77	—	30%
Total cholesterol blood test CPT 82465 Cholesterol Total	$28.07	$40.10	$4.57–$38.10	17% above	30%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$28.07	$40.10	$4.57–$38.10	—	30%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$79.53	$113.62	$14.89–$107.94	6% above	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$79.53	$113.62	$14.89–$107.94	—	30%
Triglycerides blood test CPT 84478 Triglycerides	$31.97	$45.67	$6.03–$43.39	25% above	30%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$31.97	$45.67	$6.03–$43.39	—	30%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$120.86	$172.66	$13.09–$164.03	15% above	30%
Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANT	$120.86	$172.66	$13.09–$164.03	—	30%
Uric acid blood test CPT 84550 Uric Acid	$32.75	$46.78	$4.75–$44.44	13% above	30%
Uric acid blood test inpatient CPT 84550 Uric Acid	$32.75	$46.78	$4.75–$44.44	—	30%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis 1	$24.96	$35.65	$3.33–$33.87	24% below	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis 1	$24.96	$35.65	$3.33–$33.87	—	30%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$56.15	$80.21	$8.47–$76.20	7% above	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$56.15	$80.21	$8.47–$76.20	—	30%
Urine microalbumin (albumin) test CPT 82043 Urine Micro Albumin	$35.87	$51.24	$6.07–$48.68	19% below	30%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine Micro Albumin	$35.87	$51.24	$6.07–$48.68	—	30%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine	$54.58	$77.97	$9.04–$74.07	at median	30%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine	$54.58	$77.97	$9.04–$74.07	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12	$80.31	$114.73	$15.83–$108.99	4% above	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12	$80.31	$114.73	$15.83–$108.99	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$86.56	$123.65	$31.08–$117.47	17% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$86.56	$123.65	$31.08–$117.47	—	30%
Zinc blood test CPT 84630 Zinc, S MAYO	$54.58	$77.97	$11.96–$74.07	57% above	30%
Zinc blood test inpatient CPT 84630 Zinc, S MAYO	$54.58	$77.97	$11.96–$74.07	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Quantitative	$100.59	$143.70	$15.80–$136.52	41% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Quantitative	$100.59	$143.70	$15.80–$136.52	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY W/ROTATOR CUFF REP; SURGERY, FACILITY FEE	$4,361.33	$6,230.47	$3,925.20–$5,918.95	15% above	30%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY W/ROTATOR CUFF REP; SURGERY, FACILITY FEE	$4,361.33	$6,230.47	$3,925.20–$5,918.95	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 3614 CARDIOVERSION ELECTIVE ED Charge	$1,001.22	$1,430.31	$901.10–$1,358.79	32% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External	$1,001.22	$1,430.31	$901.10–$1,358.79	32% below	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion External	$1,001.22	$1,430.31	$901.10–$1,358.79	—	30%
Carpal tunnel release, open surgery CPT 64721 CARPEL TUNNEL RELEASE; SURGERY, FACILITY FEE	$3,762.85	$5,375.50	$3,386.57–$5,106.73	21% below	30%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPEL TUNNEL RELEASE; SURGERY, FACILITY FEE	$3,762.85	$5,375.50	$3,386.57–$5,106.73	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 distal radial fx, Colles, Smith, epiphyseal separation, w/o manipulation	$257.33	$367.61	$231.59–$349.23	51% below	30%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLY SNARE; SURGERY, FACILITY FEE	$2,809.85	$4,014.07	$2,528.86–$3,813.37	20% above	30%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/POLY SNARE; SURGERY, FACILITY FEE	$2,809.85	$4,014.07	$2,528.86–$3,813.37	—	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY; SURGERY, FACILITY FEE	$2,720.19	$3,885.99	$2,448.17–$3,691.69	40% above	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY; SURGERY, FACILITY FEE	$2,720.19	$3,885.99	$2,448.17–$3,691.69	—	30%
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY; SURGERY, FACILITY FEE	$2,913.56	$4,162.23	$2,622.20–$3,954.12	38% above	30%
Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY; SURGERY, FACILITY FEE	$2,913.56	$4,162.23	$2,622.20–$3,954.12	—	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical); SURGERY, FACILITY FEE	$1,472.45	$2,103.50	$1,325.21–$1,998.33	66% below	30%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical); SURGERY, FACILITY FEE	$1,472.45	$2,103.50	$1,325.21–$1,998.33	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 REMOVAL IMPACTED CERUMEN/IRRIGATION & LAVAGE	$87.33	$124.76	$78.60–$118.52	12% above	30%
Earwax removal with instruments, one ear CPT 69210 3612 CERUMEN REMOVAL ED Charge	$80.31	$114.73	$72.28–$108.99	28% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 Inj(s), of diag or therap substance(s), incl needle or cath placement; w/ imaging guidanc; SURGERY, FACILITY FEE	$2,312.77	$3,303.96	$2,081.49–$3,138.76	20% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 Inj(s), of diag or therap substance(s), incl needle or cath placement; w/ imaging guidanc; SURGERY, FACILITY FEE	$2,312.77	$3,303.96	$2,081.49–$3,138.76	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 Injection, diagnostic or therapuetic agent, paravertebral facet (zygapophyseal) joint, w/ image guidance, lumbar or sacral; single level; SURGERY, FACILITY FEE	$1,156.39	$1,651.98	$1,040.75–$1,569.38	40% below	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 Injection, diagnostic or therapuetic agent, paravertebral facet (zygapophyseal) joint, w/ image guidance, lumbar or sacral; single level; SURGERY, FACILITY FEE	$1,156.39	$1,651.98	$1,040.75–$1,569.38	—	30%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Repair of anterior abdominal hernia(s), any approach, initial, incl implantation of mesh or other prosthesis; SURGERY, FACILITY FEE	$5,942.56	$8,489.37	$5,348.30–$8,064.90	88% above	30%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Repair of anterior abdominal hernia(s), any approach, initial, incl implantation of mesh or other prosthesis; SURGERY, FACILITY FEE	$5,942.56	$8,489.37	$5,348.30–$8,064.90	—	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 Repair ant. abd hernia(s), any apprch, init., incl plcmt mesh/prosth; < 3 cm, reduce; SURGERY, FACILITY FEE	$4,469.40	$6,384.86	$4,022.46–$6,065.62	243% above	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 Repair ant. abd hernia(s), any apprch, init., incl plcmt mesh/prosth; < 3 cm, reduce; SURGERY, FACILITY FEE	$4,469.40	$6,384.86	$4,022.46–$6,065.62	—	30%
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY; SURGERY, FACILITY FEE	$5,492.42	$7,846.32	$4,943.18–$7,454.00	53% below	30%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY; SURGERY, FACILITY FEE	$5,492.42	$7,846.32	$4,943.18–$7,454.00	—	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 46255 ED HEMORRHOIDECTOMY SIMPLE CHARGE	$345.43	$493.47	$310.89–$468.80	94% below	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 46255 ED HEMORRHOIDECTOMY SIMPLE CHARGE; SURGERY, FACILITY FEE	$3,132.30	$4,474.72	$2,819.07–$4,250.98	46% below	30%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 46255 ED HEMORRHOIDECTOMY SIMPLE CHARGE; SURGERY, FACILITY FEE	$3,132.30	$4,474.72	$2,819.07–$4,250.98	—	30%
Hysterectomy through an abdominal incision (total) CPT 58150 58150 TOTAL ABD HYSTERECTOMY, W OR W/O REMOVAL OF TUBES, W OR W/O REMOVAL OF OVARIES; SURGERY, FACILITY FEE	$8,977.80	$12,825.43	$8,080.02–$12,184.16	51% above	30%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 58150 TOTAL ABD HYSTERECTOMY, W OR W/O REMOVAL OF TUBES, W OR W/O REMOVAL OF OVARIES; SURGERY, FACILITY FEE	$8,977.80	$12,825.43	$8,080.02–$12,184.16	—	30%
Hysteroscopy with endometrial ablation CPT 58563 58563 HYSTEROSCOPY W/ ENDO ABLATION; SURGERY, FACILITY FEE	$4,899.25	$6,998.93	$4,409.33–$6,648.98	69% above	30%
Hysteroscopy with endometrial ablation inpatient CPT 58563 58563 HYSTEROSCOPY W/ ENDO ABLATION; SURGERY, FACILITY FEE	$4,899.25	$6,998.93	$4,409.33–$6,648.98	—	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROSCOPY, SURGICAL; W BIOPSY ENDOMETRIUM, W OR WO D&C; SURGERY, FACILITY FEE	$4,014.74	$5,735.34	$3,613.26–$5,448.57	47% above	30%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 HYSTEROSCOPY, SURGICAL; W BIOPSY ENDOMETRIUM, W OR WO D&C; SURGERY, FACILITY FEE	$4,014.74	$5,735.34	$3,613.26–$5,448.57	—	30%
IUD insertion (the device itself billed separately) CPT 58300 58300 INSERTION, IUD; SURGERY, FACILITY FEE	$1,472.45	$2,103.50	$1,325.21–$1,998.33	237% above	30%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 INSERTION, IUD; SURGERY, FACILITY FEE	$1,472.45	$2,103.50	$1,325.21–$1,998.33	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 3509 I & D ABSCESS ED Charge	$372.73	$532.47	$335.46–$505.85	11% above	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA; SURGERY, FACILITY FEE	$4,808.41	$6,869.15	$4,327.56–$6,525.69	46% below	30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INGUINAL HERNIA; SURGERY, FACILITY FEE	$4,808.41	$6,869.15	$4,327.56–$6,525.69	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASPIRATION LARGE JOINT	$231.60	$330.85	$208.44–$314.31	26% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASPIRATION LARGE JOINT	$708.55	$1,012.22	$637.70–$961.61	127% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 KNEE, HIP, SHOULDER JOINT INJECTION; SURGERY, FACILITY FEE	$1,948.88	$2,784.12	$1,754.00–$2,644.91	525% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ASPIRATION LARGE JOINT	$708.55	$1,012.22	$637.70–$961.61	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 KNEE, HIP, SHOULDER JOINT INJECTION; SURGERY, FACILITY FEE	$1,948.88	$2,784.12	$1,754.00–$2,644.91	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, aspiration and/or injection; Medium joint or bursa	$238.61	$340.87	$214.75–$323.83	31% below	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 INFIL/ASPIR SMALL JOINT	$214.43	$306.33	$192.99–$291.01	32% below	30%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 Knee arthroscopy/surgery; SURGERY, FACILITY FEE	$5,702.40	$8,146.28	$5,132.16–$7,738.97	56% above	30%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 29882 Knee arthroscopy/surgery; SURGERY, FACILITY FEE	$5,702.40	$8,146.28	$5,132.16–$7,738.97	—	30%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY CHARGE; SURGERY, FACILITY FEE	$4,946.12	$7,065.89	$4,451.51–$6,712.60	54% above	30%
Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY CHARGE; SURGERY, FACILITY FEE	$4,946.12	$7,065.89	$4,451.51–$6,712.60	—	30%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY MEDIAL & LATERAL; SURGERY, FACILITY FEE	$4,840.07	$6,914.38	$4,356.06–$6,568.66	at median	30%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY MEDIAL & LATERAL; SURGERY, FACILITY FEE	$4,840.07	$6,914.38	$4,356.06–$6,568.66	—	30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY; SURGERY, FACILITY FEE	$3,493.72	$4,991.03	$3,144.35–$4,741.48	70% below	30%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY; SURGERY, FACILITY FEE	$3,493.72	$4,991.03	$3,144.35–$4,741.48	—	30%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 Laparoscopy, surgical; w/ removal of adnexal structures (partial or total oophorectomy and/o; SURGERY, FACILITY FEE	$6,186.36	$8,837.65	$5,567.72–$8,395.77	114% above	30%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 Laparoscopy, surgical; w/ removal of adnexal structures (partial or total oophorectomy and/o; SURGERY, FACILITY FEE	$6,186.36	$8,837.65	$5,567.72–$8,395.77	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities 2.5 cm or less	$564.55	$806.50	$508.10–$766.18	6% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 LUMBAR (CAUDAL) EPIDURAL w/ FLUOROSCOPY; SURGERY, FACILITY FEE	$1,766.94	$2,524.20	$1,590.25–$2,397.99	12% above	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 LUMBAR (CAUDAL) EPIDURAL w/ FLUOROSCOPY; SURGERY, FACILITY FEE	$1,766.94	$2,524.20	$1,590.25–$2,397.99	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Injection(s) anesthetic agent and/or steroid, transforaminal epidural w/imaging guidance; lumb; SURGERY, FACILITY FEE	$2,081.49	$2,973.56	$1,873.34–$2,824.88	26% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Injection(s) anesthetic agent and/or steroid, transforaminal epidural w/imaging guidance; lumb; SURGERY, FACILITY FEE	$2,081.49	$2,973.56	$1,873.34–$2,824.88	—	30%
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Simple	$152.83	$218.33	$137.55–$207.41	25% below	30%
Nail removal (partial or complete), one nail CPT 11730 11730 REMOVAL OF NAIL PLATE	$152.83	$218.33	$137.55–$207.41	25% below	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 REMOVAL OF NAIL PLATE	$152.83	$218.33	$137.55–$207.41	—	30%
Occipital nerve block (injection for headaches) CPT 64405 64405 - Injection, anesthetic agent; greater occipital nerve	$214.43	$306.33	$192.99–$291.01	42% below	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 - Injection, anesthetic agent; greater occipital nerve	$214.43	$306.33	$192.99–$291.01	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Nail Matrix for permanent removal	$384.43	$549.18	$345.98–$521.72	36% below	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Nail Matrix for permanent removal	$384.43	$549.18	$345.98–$521.72	36% below	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Excision Nail Matrix for permanent removal	$384.43	$549.18	$345.98–$521.72	—	30%
Removal of a breast lump, open surgery CPT 19120 19120 Excision breast mass/lesion w/o margins 1or more lesions	$2,261.31	$3,230.44	$2,035.18–$3,068.92	41% above	30%
Removal of a breast lump, open surgery CPT 19120 19120 Excision breast mass/lesion w/o margins 1or more lesions; SURGERY, FACILITY FEE	$4,417.35	$6,310.50	$3,975.62–$5,994.98	175% above	30%
Removal of a breast lump, open surgery inpatient CPT 19120 19120 Excision breast mass/lesion w/o margins 1or more lesions; SURGERY, FACILITY FEE	$4,417.35	$6,310.50	$3,975.62–$5,994.98	—	30%
Removal of a foreign object under the skin, simple CPT 10120 3510 FB REMOVAL SUBCUT ED Charge	$226.14	$323.05	$203.52–$306.90	44% below	30%
Removal of a foreign object under the skin, simple CPT 10120 3510 FB REMOVAL SUBCUT ED Charge	$226.14	$323.05	$203.52–$306.90	44% below	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 3510 FB REMOVAL SUBCUT ED Charge	$226.14	$323.05	$203.52–$306.90	—	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk; SURGERY, FACILITY FEE	$2,920.38	$4,171.97	$2,628.34–$3,963.37	64% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk; SURGERY, FACILITY FEE	$2,974.47	$4,249.24	$2,677.02–$4,036.78	192% above	30%
Short arm cast (elbow to hand) CPT 29075 APPL SHORT ARM CAST	$230.03	$328.61	$207.02–$312.18	13% below	30%
Short arm splint (forearm and hand) CPT 29125 29125 SPLINT SHORT ARM APPLICATION ED Charge	$262.78	$375.40	$236.50–$356.63	46% above	30%
Short leg cast (below the knee) CPT 29405 3590 CAST SHORT LEG APPLICATION ED Charge	$230.03	$328.61	$207.02–$312.18	21% below	30%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$265.90	$379.85	$239.31–$360.86	13% above	30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 Shoulder Arthroscopy/Surgery; SURGERY, FACILITY FEE	$3,645.77	$5,208.24	$3,281.19–$4,947.83	57% above	30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824 Shoulder Arthroscopy/Surgery; SURGERY, FACILITY FEE	$3,645.77	$5,208.24	$3,281.19–$4,947.83	—	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 SHOULDER ARTHROSCOPY; SURGERY, FACILITY FEE	$2,340.88	$3,344.11	$2,106.79–$3,176.90	at median	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY; SURGERY, FACILITY FEE	$2,340.88	$3,344.11	$2,106.79–$3,176.90	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 3515 2.5>SMPL LAC RPR SCALP NECK ED Charge	$351.67	$502.39	$316.51–$477.27	3% above	30%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy of skin (including simple closure) single lesion	$381.30	$544.72	$343.17–$517.48	50% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy of skin (including simple closure) single lesion	$381.30	$544.72	$343.17–$517.48	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 3606 LUMBAR PUNCTURE ED Charge	$314.24	$448.92	$282.82–$426.47	68% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR LACERATION SMPL 2.6-7.5	$458.50	$655.00	$412.65–$622.25	17% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 3521 2.5> SMPL LAC REP FACE EARS EYLDS NOSE ED Charge	$417.95	$597.07	$376.15–$567.22	23% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of skin (eg shave, scoop, saucerize, curette) single lesion	$304.10	$434.43	$273.69–$412.71	40% above	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential biopsy of skin (eg shave, scoop, saucerize, curette) single lesion	$304.10	$434.43	$273.69–$412.71	—	30%
Thoracentesis with imaging guidance CPT 32555 US Guide Thoracentesis	$1,370.82	$1,958.32	$1,233.74–$1,860.40	11% below	30%
Thoracentesis with imaging guidance inpatient CPT 32555 US Guide Thoracentesis	$1,370.82	$1,958.32	$1,233.74–$1,860.40	—	30%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY Charge; SURGERY, FACILITY FEE	$8,301.89	$11,859.84	$7,471.70–$11,266.85	10% above	30%
Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY Charge; SURGERY, FACILITY FEE	$8,301.89	$11,859.84	$7,471.70–$11,266.85	—	30%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY CHARGE; SURGERY, FACILITY FEE	$8,455.68	$12,079.54	$7,610.11–$11,475.56	39% above	30%
Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY CHARGE; SURGERY, FACILITY FEE	$8,455.68	$12,079.54	$7,610.11–$11,475.56	—	30%
Total shoulder replacement CPT 23472 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER; SURGERY, FACILITY FEE	$7,709.53	$11,013.61	$6,938.57–$10,462.93	42% below	30%
Total shoulder replacement inpatient CPT 23472 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER; SURGERY, FACILITY FEE	$7,709.53	$11,013.61	$6,938.57–$10,462.93	—	30%
Trigger finger release surgery CPT 26055 26055 Incise finger tendon sheath; SURGERY, FACILITY FEE	$3,453.57	$4,933.67	$3,108.21–$4,686.99	145% above	30%
Trigger finger release surgery inpatient CPT 26055 26055 Incise finger tendon sheath; SURGERY, FACILITY FEE	$3,453.57	$4,933.67	$3,108.21–$4,686.99	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 TRIGGER POINT INJ 1-2 MUSC GRP	$208.98	$298.54	$188.08–$283.61	13% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Lt	$1,900.28	$2,714.69	$1,710.25–$2,578.96	35% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy Lt	$1,900.28	$2,714.69	$1,710.25–$2,578.96	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy, flexible, transoral; w/ transendoscopic balloon dilation of esophagus (less than 30 mm diameter); SURGERY, FACILITY FEE	$1,411.52	$2,016.46	$1,270.37–$1,915.64	49% below	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy, flexible, transoral; w/ transendoscopic balloon dilation of esophagus (less than 30 mm diameter); SURGERY, FACILITY FEE	$1,411.52	$2,016.46	$1,270.37–$1,915.64	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY	$2,120.17	$3,028.82	$1,908.16–$2,877.38	39% above	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY; SURGERY, FACILITY FEE	$2,660.81	$3,801.15	$2,394.72–$3,611.09	74% above	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY; SURGERY, FACILITY FEE	$2,660.81	$3,801.15	$2,394.72–$3,611.09	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 GASTRO W/SNARE OF POLYP/LESION	$2,359.56	$3,370.80	$2,123.60–$3,202.26	46% above	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 GASTRO W/SNARE OF POLYP/LESION; SURGERY, FACILITY FEE	$3,486.31	$4,980.44	$3,137.68–$4,731.42	116% above	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 GASTRO W/SNARE OF POLYP/LESION; SURGERY, FACILITY FEE	$3,486.31	$4,980.44	$3,137.68–$4,731.42	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 43235 UPPER GI ENDOSCOPY; SURGERY, FACILITY FEE	$2,205.39	$3,150.55	$1,984.85–$2,993.02	27% above	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 UPPER GI ENDOSCOPY; SURGERY, FACILITY FEE	$2,205.39	$3,150.55	$1,984.85–$2,993.02	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 WC Debridement, subcutaneous tissue; first 20 sq cm or less	$722.06	$1,031.51	$649.85–$979.93	19% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 WC Debridement, subcutaneous tissue; first 20 sq cm or less	$722.06	$1,031.51	$649.85–$979.93	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood Products	$502.17	$717.38	$451.95–$681.51	37% below	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood Products	$502.17	$717.38	$451.95–$681.51	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AIRWAY INHALATION TREATMENT - CLINIC	$129.44	$184.92	$116.50–$175.67	24% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$131.78	$188.25	$118.60–$178.84	23% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$131.78	$188.25	$118.60–$178.84	—	30%
Critical care, first 30 to 74 minutes CPT 99291 99291 - FAC ED Critical Care	$2,067.93	$2,954.18	$1,861.13–$2,806.47	22% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (RT)	$152.83	$218.33	$137.55–$207.41	38% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (RT) - CLINIC	$152.83	$218.33	$137.55–$207.41	38% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG (RT)	$152.83	$218.33	$137.55–$207.41	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 FAC ED Level 1 -Room Charge	$96.69	$138.13	$87.02–$131.22	59% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - FAC ED Level 2 Room Charge	$216.78	$309.68	$195.10–$294.20	54% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - FAC ED Level 3 - Room Charge	$304.89	$435.56	$274.40–$413.78	64% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - FAC ED Level 4 Room Charge	$425.75	$608.22	$383.18–$577.81	68% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - FAC ED Level 5 - Room Charge	$637.85	$911.21	$574.06–$865.65	70% below	30%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$300.99	$429.98	$270.89–$408.48	90% above	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN	$300.99	$429.98	$270.89–$408.48	—	30%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$300.99	$429.98	$270.89–$408.48	96% above	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$300.99	$429.98	$270.89–$408.48	—	30%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$711.14	$1,015.92	$640.03–$965.12	706% above	30%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$711.14	$1,015.92	$640.03–$965.12	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION HYDRATION 31 MIN TO 1 HOUR	$331.40	$473.43	$298.26–$449.76	16% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION HYDRATION 31 MIN TO 1 HOUR	$331.40	$473.43	$298.26–$449.76	—	30%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION 1ST HR CHARGE [CVH]	$335.29	$478.99	$301.76–$455.04	24% below	30%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION 1ST HR CHARGE [CVH]	$335.29	$478.99	$301.76–$455.04	—	30%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH SINGLE OR INITIAL S CHARGE	$176.23	$251.75	$158.60–$239.16	29% below	30%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH SINGLE OR INITIAL S CHARGE	$176.23	$251.75	$158.60–$239.16	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - ED Subq/IM Injection	$31.97	$45.67	$28.77–$43.39	70% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION CHARGE - CLINIC	$104.49	$149.27	$94.04–$141.81	3% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION CHARGE	$104.49	$149.27	$94.04–$141.81	3% below	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - ED Subq/IM Injection	$31.97	$45.67	$28.77–$43.39	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION CHARGE	$104.49	$149.27	$94.04–$141.81	—	30%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit Level 3 New - 99203	$136.46	$194.94	$122.81–$185.19	36% below	30%
New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New - 99204	$171.55	$245.07	$154.39–$232.82	40% below	30%
New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New - 99205	$207.42	$296.31	$186.68–$281.49	40% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit Level 2 New - 99202	$94.35	$134.79	$84.92–$128.05	27% below	30%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/ PATIENT 30 MINUTES	$261.22	$373.17	$235.10–$354.51	100% above	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/ PATIENT 30 MINUTES	$261.22	$373.17	$235.10–$354.51	—	30%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES	$281.49	$402.13	$253.34–$382.02	44% above	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES	$281.49	$402.13	$253.34–$382.02	—	30%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES	$300.99	$429.98	$270.89–$408.48	26% above	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES	$300.99	$429.98	$270.89–$408.48	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MIN - 99406	$38.62	$55.17	$34.76–$52.41	14% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10 MIN - 99406	$38.62	$55.17	$34.76–$52.41	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit Level 5 Established - 99215	$153.62	$219.45	$138.25–$208.48	54% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office Visit Est Pt - Low MDM	$92.79	$132.56	$83.51–$125.93	51% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Level 4 Established - 99214	$121.64	$173.77	$109.48–$165.08	49% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit Level 2 Established - 99212	$88.89	$126.99	$80.00–$120.64	12% below	30%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$310.35	$443.35	$279.31–$421.18	23% above	30%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$310.35	$443.35	$279.31–$421.18	—	30%
Spirometry before and after a bronchodilator CPT 94060 RT Pre & Post Spiro Charge	$461.62	$659.46	$415.46–$626.49	19% below	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 RT Pre & Post Spiro Charge	$461.62	$659.46	$415.46–$626.49	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy 2.	$65.51	$93.58	$58.96–$88.90	67% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy 2. - CLINIC	$255.76	$365.37	$230.18–$347.10	28% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy 2.	$65.51	$93.58	$58.96–$88.90	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 91322 Moderna COVID-19 Vaccine 50 mcg/0.5mL prefilled 12y+ - CLINIC	$125.02	$178.60	$112.52–$169.67	43% below	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM	$129.02	$184.31	$116.12–$175.09	34% below	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use - CLINIC	$154.11	$220.16	$138.70–$209.15	34% below	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IP - CLINIC	$112.29	$160.41	$101.06–$152.39	53% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individual - CLINIC	$67.84	$96.91	$61.05–$92.06	20% above	30%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM - CLINIC	$101.21	$144.58	$91.09–$137.35	24% below	30%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 90673 Flublok Medication Charge - CLINIC	$61.96	$88.52	$55.77–$84.09	35% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 Fluarix Trivalent PFS 2025-2026 6mos + - CLINIC	$17.46	$24.94	$15.71–$23.69	50% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 Fluarix Trivalent PFS 6mos + - CLINIC	$31.97	$45.67	$28.77–$43.39	9% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0125-65 - influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus [CVH]	$59.50	$85.00	$53.55–$80.75	69% above	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM - CLINIC	$247.40	$353.43	$222.66–$335.76	24% below	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM - CLINIC	$96.63	$138.04	$86.97–$131.14	36% below	30%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage - CLINIC	$160.63	$229.47	$128.57–$218.00	55% above	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use - CLINIC	$59.26	$84.66	$53.34–$80.43	6% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM - CLINIC	$116.96	$167.09	$105.27–$158.74	11% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/mL Sus	$311.81	$445.44	$153.23–$423.17	196% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM - CLINIC	$116.18	$165.97	$62.06–$157.67	83% above	30%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 VaxCare - 90647 PedvaxHib - CLINIC	$26.51	$37.87	$23.86–$35.98	33% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Fluzone High-Dose 0.5mL Single dose syringe; Influenza Vaccine - 65+ yrs - CLINIC	$61.96	$88.52	$55.77–$88.52	14% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Clinic Fluzone High-Dose 0.7mL syringe 60 ug/0.7 mL IM - CLINIC	$68.62	$98.03	$61.76–$98.03	4% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ 0.5 mL - CLINIC	$81.25	$116.07	$73.12–$110.27	47% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccine - Pow [CVH]	$419.55	$599.36	$377.60–$569.39	175% above	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use - CLINIC	$247.55	$353.64	$222.79–$335.96	15% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 meningococcal vaccine (Menveo) - CLINIC	$104.49	$149.27	$94.04–$141.81	41% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE IM - CLINIC	$166.22	$237.46	$149.60–$225.59	38% below	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 90670 pneumococcal 13 - CLINIC	$158.29	$226.13	$142.46–$226.13	53% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 Pneumococcal 20-valent conjugate vaccine - CLINIC	$240.99	$344.27	$216.89–$327.06	29% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate vaccine - Sus	$591.51	$845.02	$532.36–$802.77	73% above	30%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 90684 Pneumococcal conjugate vaccine - CLINIC	$218.32	$311.88	$196.48–$296.29	41% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 - Pneumococcal 23-Valent Adult Vaccine - CLINIC	$107.74	$153.92	$96.97–$153.92	39% below	30%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM - CLINIC	$45.23	$64.61	$40.70–$61.38	57% below	30%
Rabies vaccine, one dose CPT 90675 Rabies vaccine for intramuscular use - CLINIC	$328.44	$469.20	$295.60–$469.20	40% below	30%
Rabies vaccine, one dose CPT 90675 90675 Rabies Vaccine for Intramuscular Use Imovax - CLINIC	$375.40	$536.28	$337.86–$536.28	31% below	30%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick embryo cell 2.5 intl units Pow	$938.74	$1,341.06	$667.13–$1,274.01	72% above	30%
Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell 2.5 intl units Pow	$1,023.23	$1,461.76	$667.13–$1,388.67	88% above	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL - CLINIC	$135.21	$193.15	$121.68–$183.49	at median	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINATION - CLINIC	$170.54	$243.63	$153.49–$231.45	18% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM - CLINIC	$38.99	$55.70	$35.09–$55.59	5% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids adult IM Susp 0 mL [CVH]	$195.02	$278.60	$55.59–$264.67	375% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids & acellular pertussis vaccine (TdaP), - CLINIC	$119.30	$170.43	$75.42–$161.91	88% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Sus [CVH]	$204.76	$292.52	$75.42–$277.89	222% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN	$53.03	$75.75	$47.72–$71.96	8% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION ADMIN EACH ADD	$24.18	$34.54	$21.76–$32.81	37% below	30%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.cvhospital.org/wp-content/uploads/2026/07/930579541_coquille-valley-hospital_standardcharges.csv