Coquille Valley Hospital
Coquille Valley Hospital in Coquille, OR publishes cash prices for 239 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Oregon median for 137 of 237 procedures and above it for 99. By typical cash price it ranks #15 of 42 Oregon hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
940 E. 5TH STREET COQUILLE, COQUILLE, OR 97423 Collected Sep 27, 2026 Source price file (541) 396-3101
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 381312 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views - CLINIC XRAY | $212.88 | $304.11 | $191.59–$288.90 | 20% 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% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 Ultrasound Pelvic Limited - CLINIC | $210.16 | $300.23 | $189.14–$285.22 | 32% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Transvaginal US (Ofc) - CLINIC | $543.61 | $776.58 | $489.25–$737.75 | 16% above | 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 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 | 17% 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 | 20% 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 | 32% 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 | 5% 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 | 45% 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 | 6% above | 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 | 4% 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% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab, S MAYO | $88.89 | $126.99 | $13.60–$120.64 | 71% 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 | 39% 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% |
| Basic metabolic panel (blood test) CPT 80048 BMP 6 | $60.05 | $85.78 | $8.88–$81.49 | 28% above | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP 6 | $60.05 | $85.78 | $8.88–$81.49 | — | 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 | 47% 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 | 8% above | 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 | 26% 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% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $44.45 | $63.50 | $5.44–$60.33 | 18% 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 | 7% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff Send Out | $201.18 | $287.40 | $39.13–$273.03 | 31% 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 | 6% above | 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% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel 2 | $60.05 | $85.78 | $14.06–$81.49 | 10% 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 | 14% 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 | 66% above | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP 5 | $76.42 | $109.17 | $11.09–$103.71 | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $140.36 | $200.51 | $10.69–$190.48 | 6% above | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT | $140.36 | $200.51 | $10.69–$190.48 | — | 30% |
| Estradiol blood test CPT 82670 Estradiol, Serum MAYO | $103.71 | $148.16 | $29.34–$140.75 | 3% above | 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 | 17% 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 | 35% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Level | $92.79 | $132.56 | $14.31–$125.93 | 68% 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 | 16% 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 | 1% above | 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 | 15% 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 | 105% above | 30% |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $100.59 | $143.70 | $26.74–$136.52 | — | 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 | 25% 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 | 12% 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 | 53% 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 | 22% 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% |
| 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 | 18% 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 | 15% 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 | 11% 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 | 5% above | 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 | 2% above | 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 | 16% above | 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 | 12% above | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (LH), Serum MAYO | $91.24 | $130.34 | $19.45–$123.82 | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $88.12 | $125.88 | $7.23–$119.59 | 39% 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 | 50% above | 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 | 44% 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% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic | $72.52 | $103.60 | $19.31–$98.42 | at median | 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 | 13% 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 | 32% above | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $72.52 | $103.60 | $6.31–$98.42 | — | 30% |
| Progesterone blood test CPT 84144 Progesterone, S MAYO | $88.12 | $125.88 | $21.90–$119.59 | 2% above | 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 | 32% 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 | 11% 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% |
| Rubella antibody test (immunity check) CPT 86762 86762 MAYO Add On | $49.91 | $71.30 | $15.11–$67.74 | 17% 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% |
| 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 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 | 47% 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 | 32% 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 | 68% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, S MAYO | $124.99 | $178.56 | $27.10–$169.63 | 101% 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 | 9% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $63.94 | $91.34 | $17.64–$86.77 | — | 30% |
| Uric acid blood test CPT 84550 Uric Acid | $32.75 | $46.78 | $4.75–$44.44 | 28% 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 | 18% 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 pregnancy test, read by color change CPT 81025 Pregnancy Test Urine | $54.58 | $77.97 | $9.04–$74.07 | 1% above | 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 | 7% 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 | 5% 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 | 92% 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 | 54% 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 ACL reconstruction or repair of the knee CPT 29888 Arthroscopically Aided Anterior Cruciate Ligament Repair/Augmentation Or Reconstruction - CLINIC | $1,288.34 | $1,840.48 | $1,159.50–$1,748.46 | 55% below | 30% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY W/ROTATOR CUFF REP | $2,754.12 | $3,934.46 | $2,478.71–$3,737.74 | 11% below | 30% |
| 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 | 41% 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% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 3575 CLSD TRMNT DIST FIB FX WO MANIP ED Charge | $601.20 | $858.86 | $322.03–$815.92 | 4% above | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 3575 CLSD TRMNT DIST FIB FX WO MANIP ED Charge - CLINIC | $740.77 | $1,058.24 | $666.69–$1,005.33 | 28% above | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 3583 CLSD METATARSAL FX W/O MANIP ED Charge | $456.94 | $652.77 | $411.25–$620.13 | 20% below | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 3583 CLSD METATARSAL FX W/O MANIP ED Charge - CLINIC | $537.25 | $767.50 | $483.53–$729.13 | 5% below | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 Correction bunion w/ metatarsal osteotomy - CLINIC | $1,167.73 | $1,668.18 | $1,050.95–$1,584.77 | 85% below | 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 - CLINIC | $1,472.39 | $2,103.41 | $1,325.15–$1,998.24 | 70% below | 30% |
| Carpal tunnel release, open surgery CPT 64721 CARPEL TUNNEL RELEASE | $1,472.39 | $2,103.41 | $1,325.15–$1,998.24 | 70% below | 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 | 22% 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% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION PROCEDURE - CLINIC | $252.64 | $360.92 | $227.38–$342.87 | 48% below | 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% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 distal radial fx, Colles, Smith, epiphyseal separation, w/o manipulation - CLINIC | $810.95 | $1,158.50 | $729.86–$1,100.58 | 56% above | 30% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLY SNARE | $1,124.42 | $1,606.31 | $1,011.98–$1,525.99 | 52% below | 30% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLY SNARE - CLINIC | $1,124.42 | $1,606.31 | $1,011.98–$1,525.99 | 52% 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 | 21% 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 | $1,159.51 | $1,656.44 | $1,043.56–$1,573.62 | 8% below | 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 | 117% 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 | $970.03 | $1,385.75 | $873.02–$1,316.46 | 53% below | 30% |
| Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY; SURGERY, FACILITY FEE | $2,913.56 | $4,162.23 | $2,622.20–$3,954.12 | 42% 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% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colposcopy of the cervix; w/ biopsy(s) of the cervix and endocervical curettage - CLINIC | $678.02 | $968.60 | $610.22–$920.17 | 60% above | 30% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) | $1,023.34 | $1,461.92 | $921.01–$1,388.82 | 74% below | 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 | 63% 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% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION FIRST LESION - CLINIC | $283.84 | $405.48 | $255.45–$385.21 | 67% above | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Lavage - CLINIC | $31.97 | $45.67 | $28.77–$43.39 | 59% below | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 REMOVAL IMPACTED CERUMEN/IRRIGATION & LAVAGE | $87.33 | $124.76 | $78.60–$118.52 | 11% 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% |
| Earwax removal with instruments, one ear CPT 69210 3612 CERUMEN REMOVAL ED Charge - CLINIC | $112.29 | $160.41 | $101.06–$152.39 | at median | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial sampling w/ or w/o endocervical sampling, w/o cervical dilation; any method - CLINIC | $415.87 | $594.10 | $374.28–$564.40 | at median | 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 (or nerv - CLINIC | $236.03 | $337.18 | $212.42–$320.32 | 89% below | 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 | 45% 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 | 259% 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 | $941.95 | $1,345.64 | $847.75–$1,278.36 | 65% below | 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 | 64% 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 | $1,870.65 | $2,672.36 | $1,683.59–$2,538.74 | 80% below | 30% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY; SURGERY, FACILITY FEE | $5,492.42 | $7,846.32 | $4,943.18–$7,454.00 | 43% 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% |
| Hammertoe correction surgery CPT 28285 28285 Correction, hammertoe - CLINIC | $719.38 | $1,027.68 | $647.44–$976.30 | 37% below | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 - Hemorrhoidectomy, internal, by rubber band ligation(s) - CLINIC | $380.80 | $544.00 | $342.72–$516.80 | 48% below | 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% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONVER PRV HIP SX TO TOTAL HIP - CLINIC | $2,192.01 | $3,131.44 | $1,972.81–$2,974.87 | 55% below | 30% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONVER PRV HIP SX TO TOTAL HIP | $4,454.00 | $6,362.86 | $4,008.60–$6,044.72 | 8% below | 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 | $3,939.65 | $5,628.07 | $3,545.68–$5,346.67 | 14% above | 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 | 161% 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% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Catheter for hysterography . - CLINIC | $1,079.04 | $1,541.49 | $971.14–$1,464.42 | 285% above | 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 CPT 58563 58563 HYSTEROSCOPY W/ ENDO ABLATION | $7,883.76 | $11,262.51 | $7,095.38–$10,699.38 | 171% 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 | 20% above | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROSCOPY, SURGICAL; W BIOPSY ENDOMETRIUM, W OR WO D&C | $4,923.64 | $7,033.77 | $4,431.28–$6,682.08 | 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 - CLINIC | $472.31 | $674.73 | $425.08–$640.99 | 8% above | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 INSERTION, IUD | $472.31 | $674.73 | $425.08–$640.99 | 8% above | 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 10060 Phys Incision and Drainage of abscess - CLINIC | $186.36 | $266.23 | $167.72–$252.92 | 44% below | 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 | $1,304.54 | $1,863.63 | $1,174.09–$1,770.45 | 79% below | 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 | 23% 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 into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection tendon sheath, ligament, Aponeurosis - CLINIC | $150.49 | $214.99 | $135.44–$204.24 | 33% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASPIRATION LARGE JOINT - CLINIC | $86.00 | $122.86 | $77.40–$116.72 | 72% below | 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% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion, Non-Biodegradable Drug Delivery Implant - CLINIC | $403.99 | $577.13 | $363.59–$548.27 | 53% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 INFIL/ASPIR INTERMED JOINT - CLINIC | $72.87 | $104.10 | $65.58–$98.90 | 79% below | 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 - CLINIC | $71.51 | $102.16 | $64.36–$97.05 | 78% 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 | 33% below | 30% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 Knee arthroscopy/surgery | $2,229.16 | $3,184.51 | $2,006.24–$3,025.28 | 5% above | 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 | 168% 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 | $1,489.34 | $2,127.63 | $1,340.41–$2,021.25 | 3% below | 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 | 223% 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 | $1,547.83 | $2,211.18 | $1,393.04–$2,100.62 | 6% below | 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 | 195% above | 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% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage - CLINIC | $830.83 | $1,186.90 | $747.75–$1,127.56 | 54% below | 30% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY | $1,494.81 | $2,135.44 | $1,345.33–$2,028.67 | 69% below | 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 | 28% 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 | $2,169.22 | $3,098.89 | $1,952.30–$2,943.95 | 11% above | 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 | 215% 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 - CLINIC | $473.31 | $676.16 | $425.98–$642.35 | 31% below | 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 | 18% below | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 LUMBAR (CAUDAL) EPIDURAL w/ FLUOROSCOPY - CLINIC | $339.19 | $484.56 | $305.27–$460.33 | 79% 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 | 9% 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 - CLINIC | $324.67 | $463.82 | $292.21–$440.63 | 85% below | 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 | 1% below | 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% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 Laminectomy, w/ decompression of nerve root(s), 1 interspace, lumbar - CLINIC | $1,200.71 | $1,715.30 | $1,080.64–$1,629.54 | 90% below | 30% |
| Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 63047 Laminectomy, facetectomy/foraminotomy (uni or bi) w/decomp spinal cord/ nerve root[s], lumbar - CLINIC | $1,445.54 | $2,065.06 | $1,300.99–$1,961.81 | — | 30% |
| Lumbar spinal fusion (posterior), one level CPT 22612 22612 ARTHRODESIS,POSTERIOR,LUMBAR 1 S - CLINIC | $2,056.38 | $2,937.68 | $1,850.74–$2,790.80 | — | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE BENIGN LESION 0.5CM - CLINIC | $488.13 | $697.33 | $439.32–$662.46 | 26% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 11730 REMOVAL OF NAIL PLATE | $152.83 | $218.33 | $137.55–$207.41 | 29% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Simple | $152.83 | $218.33 | $137.55–$207.41 | 29% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Simple - CLINIC | $166.87 | $238.38 | $150.18–$226.46 | 22% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 11730 REMOVAL OF NAIL PLATE | $184.81 | $264.01 | $166.33–$250.81 | 14% 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 | 64% below | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 - Injection, anesthetic agent; greater occipital nerve - CLINIC | $281.00 | $401.43 | $252.90–$381.36 | 53% 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% |
| Partial knee replacement (one compartment) CPT 27446 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment - CLINIC | $1,513.95 | $2,162.78 | $1,362.55–$2,054.64 | 55% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Nail Matrix for permanent removal - CLINIC | $349.34 | $499.05 | $314.40–$474.10 | 46% 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 | 41% 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 | 41% 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 - CLINIC | $755.59 | $1,079.41 | $680.03–$1,025.44 | 38% below | 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 | 85% 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 | 261% 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 CPT 10120 3510 FB REMOVAL SUBCUT ED Charge - CLINIC | $450.70 | $643.86 | $405.63–$611.67 | 12% above | 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 G0121 COLON CA SCR | $281.49 | $402.13 | $253.34–$382.02 | 70% below | 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 | 213% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121 COLON CA SCR | $281.49 | $402.13 | $253.34–$382.02 | — | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLOREC CANCER SCR | $598.08 | $854.40 | $538.27–$811.68 | 34% below | 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 | 228% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 APPL SHORT ARM CAST - CLINIC | $173.10 | $247.29 | $155.79–$234.93 | 44% below | 30% |
| Short arm cast (elbow to hand) CPT 29075 APPL SHORT ARM CAST | $230.03 | $328.61 | $207.02–$312.18 | 25% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 29125 SPLINT SHORT ARM APPLICATION ED Charge - CLINIC | $70.96 | $101.37 | $63.86–$96.30 | 55% 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 | 65% above | 30% |
| Short leg cast (below the knee) CPT 29405 3590 CAST SHORT LEG APPLICATION ED Charge - CLINIC | $112.29 | $160.41 | $101.06–$152.39 | 64% below | 30% |
| Short leg cast (below the knee) CPT 29405 3590 CAST SHORT LEG APPLICATION ED Charge | $230.03 | $328.61 | $207.02–$312.18 | 26% below | 30% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT - CLINIC | $185.58 | $265.12 | $167.03–$251.86 | 7% below | 30% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $265.90 | $379.85 | $239.31–$360.86 | 33% above | 30% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 Shoulder Arthroscopy/Surgery | $2,202.80 | $3,146.86 | $1,982.52–$2,989.52 | 11% 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 | 84% 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 | $462.40 | $660.57 | $416.16–$627.54 | 6% below | 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 | 374% above | 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 - CLINIC | $260.44 | $372.06 | $234.40–$353.46 | 24% below | 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 | $272.13 | $388.76 | $244.92–$369.32 | 5% 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 | 47% above | 30% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy of skin (including simple closure) single lesion - CLINIC | $536.47 | $766.39 | $482.83–$728.07 | 106% 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% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 EXC TR-EXT MAL+MARG 0.5 CM/< - CLINIC | $638.62 | $912.32 | $574.76–$866.70 | 33% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 EXCISION SKIN TAG | $191.04 | $272.92 | $171.94–$259.27 | 24% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 EXCISION SKIN TAG - CLINIC | $386.76 | $552.51 | $348.08–$524.88 | 54% above | 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 - CLINIC | $283.84 | $405.48 | $255.45–$385.21 | 28% 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 12011 SIMPLE REPAIR FACE <2.5 Clinic Charge - CLINIC | $244.07 | $348.67 | $219.66–$331.24 | 28% below | 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 | 24% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of skin (eg shave, scoop, saucerize, curette) single lesion | $216.78 | $309.68 | $195.10–$294.20 | 7% below | 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 | 31% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of skin (eg shave, scoop, saucerize, curette) single lesion - CLINIC | $426.53 | $609.33 | $383.88–$578.86 | 83% 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 - Report | $325.94 | $465.63 | $293.35–$442.35 | 79% below | 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 - Report | $325.94 | $465.63 | $293.35–$442.35 | — | 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 | $3,797.44 | $5,424.91 | $3,417.69–$5,153.66 | 1% above | 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 | 120% 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 | $3,885.55 | $5,550.78 | $3,496.99–$5,273.24 | 4% above | 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 | 127% 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 | $4,574.50 | $6,535.00 | $4,117.05–$6,208.25 | 66% below | 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 | $2,009.52 | $2,870.74 | $1,808.57–$2,727.20 | 110% above | 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 | 262% 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 - CLINIC | $126.32 | $180.46 | $113.69–$171.44 | 47% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 TRIGGER POINT INJ 1-2 MUSC GRP | $126.32 | $180.46 | $113.69–$171.44 | 47% below | 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% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 TRIGGER POINT INJ 1-2 MUSC GRP | $126.32 | $180.46 | $113.69–$171.44 | — | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy Lt - Report | $475.66 | $679.51 | $428.09–$645.53 | 83% 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 | 30% below | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy Lt - Report | $475.66 | $679.51 | $428.09–$645.53 | — | 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 - CLINIC | $813.29 | $1,161.84 | $731.96–$1,103.75 | 46% below | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $2,120.17 | $3,028.82 | $1,908.16–$2,877.38 | 41% 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 | 77% 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 | $977.20 | $1,396.00 | $879.48–$1,326.20 | 37% below | 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 | 42% 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% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and mo - CLINIC | $3,672.77 | $5,246.82 | $3,305.50–$4,984.48 | 21% below | 30% |
| Wart removal, up to 14 warts CPT 17110 17110 REMOVAL OF BENIGN LESIONS/UP TO 14 LESIONS - CLINIC | $262.78 | $375.40 | $236.50–$356.63 | 1% above | 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 | $139.58 | $199.40 | $125.62–$189.43 | 67% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBCUTAN - CLINIC | $184.81 | $264.01 | $166.33–$250.81 | 56% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBCUTAN | $226.14 | $323.05 | $203.52–$306.90 | 46% below | 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 | 71% 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% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TRMNT DISTAL RADIAL FX | $2,425.97 | $3,465.67 | $2,183.37–$3,292.39 | 5% above | 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 | 40% 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 | 5% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $131.78 | $188.25 | $118.60–$178.84 | 7% above | 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 CRITICAL CARE FIRST 30-74 MIN - 99291 | $644.08 | $920.12 | $217.69–$874.11 | 70% below | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MIN - 99291 | $644.08 | $920.12 | $579.68–$874.11 | 70% below | 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 | 4% below | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MIN - 99291 | $644.08 | $920.12 | $579.68–$874.11 | — | 30% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG/ECG 12 Lead; Complete - CLINIC | $202.74 | $289.63 | $182.47–$275.15 | 368% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (RT) | $152.83 | $218.33 | $137.55–$207.41 | 37% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (RT) - CLINIC | $152.83 | $218.33 | $137.55–$207.41 | 37% 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 | 30% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 ED PHY EXAM LEVEL I | $101.37 | $144.82 | $12.01–$137.58 | 26% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ED PHYS EXAM LEVEL II | $168.43 | $240.61 | $44.02–$228.58 | 35% 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 | 16% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ED PHYS EXAM LEVEL III | $265.12 | $378.74 | $75.54–$359.80 | 68% 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 | 63% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ED PHYS EXAM LEVEL IV | $385.20 | $550.29 | $128.48–$522.78 | 56% 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 | 52% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ED PHYS EXAM LEVEL V | $602.76 | $861.08 | $186.48–$818.03 | 54% 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 | 52% 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 | 87% 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 | 87% 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 90853 Group psychotherapy (other than multi-family group) - CLINIC | $48.34 | $69.06 | $43.51–$65.61 | 34% below | 30% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $711.14 | $1,015.92 | $640.03–$965.12 | 877% 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 | 18% 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% |
| 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 | 64% 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 | 19% above | 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 | 19% above | 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% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 - INTAKE Psychiatric diagnostic evaluation - CLINIC | $188.70 | $269.57 | $169.83–$256.09 | 34% below | 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 | 42% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit Level 3 New - 99203 - CLINIC | $343.10 | $490.14 | $308.79–$465.63 | 46% above | 30% |
| New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New - 99204 | $171.55 | $245.07 | $154.39–$232.82 | 44% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New - 99204 - CLINIC | $492.03 | $702.90 | $442.83–$667.76 | 60% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New - 99205 | $207.42 | $296.31 | $186.68–$281.49 | 45% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New - 99205 - CLINIC | $601.20 | $858.86 | $541.08–$815.92 | 60% above | 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 | 30% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit Level 2 New - 99202 - CLINIC | $226.14 | $323.05 | $203.52–$306.90 | 68% above | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREVENTATIVE/NEW PATIENT AGE 18 - 39 - CLINIC | $210.53 | $300.76 | $189.48–$285.72 | 15% above | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREVENTATIVE/NEW PATIENT AGE 40 - 64 - CLINIC | $325.16 | $464.52 | $292.65–$441.29 | 58% above | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 PREVENTATIVE NEW PATIENT AGE 65 AND OLDER - CLINIC | $444.47 | $634.95 | $400.02–$603.20 | 66% above | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 PREVENTATIVE ESTABLISHED AGE 18 - 39 - CLINIC | $159.85 | $228.36 | $143.87–$216.94 | 1% below | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 PREVENTATIVE ESTABLISHED AGE 40 - 64 - CLINIC | $304.89 | $435.56 | $274.40–$413.78 | 60% above | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PREVENTATIVE ESTABLISHED AGE 65 AND OLDER - CLINIC | $306.45 | $437.78 | $275.80–$415.89 | 16% above | 30% |
| Psychiatric evaluation with medical services CPT 90792 90792 Psychiatric diagnostic evaluation w/ medical services - CLINIC | $283.05 | $404.36 | $254.75–$384.14 | 11% above | 30% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy, 30 minutes w/ patient - CLINIC | $100.59 | $143.70 | $90.53–$136.52 | 19% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/ PATIENT 30 MINUTES | $261.22 | $373.17 | $235.10–$354.51 | 110% 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 90834 Psychotherapy, 45 minutes w/ patient - CLINIC | $113.06 | $161.52 | $101.76–$153.44 | 37% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $281.49 | $402.13 | $253.34–$382.02 | 56% 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 90837 Psychotherapy, 60 minutes w/ patient - CLINIC | $132.57 | $189.38 | $119.31–$179.91 | 45% below | 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 CPT 99406 SMOKING CESSATION 3-10 MIN - 99406 - CLINIC | $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 | 63% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit Level 5 Established - 99215 - CLINIC | $432.77 | $618.24 | $389.49–$587.33 | 5% above | 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, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Level 3 Established - 99213 Specialist - CLINIC | $230.80 | $329.72 | $207.72–$313.23 | 22% above | 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 | 56% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Level 4 Established - 99214 - CLINIC | $329.06 | $470.08 | $296.15–$446.58 | 18% above | 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% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit Level 2 Established - 99212 - CLINIC | $166.09 | $237.27 | $149.48–$225.41 | 65% above | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 E&M(OFFICE CONSULT)LEVEL 3 - 99243 - CLINIC | $230.03 | $328.61 | $207.02–$312.18 | 46% below | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 E&M(OFFICE CONSULT)LEVEL 4 - 99244 - CLINIC | $289.30 | $413.28 | $260.37–$392.62 | 52% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCODILATION RESPONSIVENESS - CLINIC | $381.30 | $544.72 | $343.17–$517.48 | 28% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 RT Pre & Post Spiro Charge | $461.62 | $659.46 | $415.46–$626.49 | 13% 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 | 48% 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 | 55% 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 | 18% 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 | 52% 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 | 28% 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 | 68% 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 | 15% 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 | 207% above | 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 | 57% 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 | 121% above | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 meningococcal vaccine (Menveo) - CLINIC | $104.49 | $149.27 | $94.04–$141.81 | 43% 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 | 39% 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 | 31% 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 | 70% above | 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 | 55% below | 30% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine for intramuscular use - CLINIC | $328.44 | $469.20 | $295.60–$469.20 | 38% below | 30% |
| Rabies vaccine, one dose CPT 90675 90675 Rabies Vaccine for Intramuscular Use Imovax - CLINIC | $375.40 | $536.28 | $337.86–$536.28 | 30% 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 | 76% 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 | 92% above | 30% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINATION - CLINIC | $170.54 | $243.63 | $153.49–$231.45 | 22% 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 | 16% 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 | 320% 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 | 63% 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 | 179% 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 | 41% below | 30% |
Source file: https://www.cvhospital.org/wp-content/uploads/2026/07/930579541_coquille-valley-hospital_standardcharges.csv