Eastern Plumas Health Care
Eastern Plumas Health Care in Porola, CA publishes cash prices for 208 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 California median for 136 of 204 procedures and above it for 67. By typical cash price it ranks #45 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
500 1st Avenue Porola, CA 96122 Collected Sep 27, 2026 Source price file (530) 832-6500
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 051300 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 73610 - XR Ankle Complete 3+ Views Bilateral Report | $84.00 | $105.00 | $11.13–$11.45 | — | 20% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 73610 - XR Ankle Complete 3+ Views Bilateral | $309.60 | $387.00 | $155.50 | — | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 73610 - XR Ankle Complete 3+ Views Left Report | $56.00 | $70.00 | $25.00 | 87% below | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 73610 - XR Ankle Complete 3+ Views Left | $354.40 | $443.00 | $443.00 | 15% below | 20% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 73610 - XR Ankle Complete 3+ Views Bilateral Report | $84.00 | $105.00 | $11.13–$11.45 | — | 20% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 73610 - XR Ankle Complete 3+ Views Bilateral | $309.60 | $387.00 | $155.50 | — | 20% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 73610 - XR Ankle Complete 3+ Views Left Report | $56.00 | $70.00 | $25.00 | — | 20% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 73610 - XR Ankle Complete 3+ Views Left | $354.40 | $443.00 | $443.00 | — | 20% |
| Breast ultrasound, complete, one breast both sides CPT 76641 76641 - US Breast Complete Bilat Report | $264.00 | $330.00 | $92.37 | — | 20% |
| Breast ultrasound, complete, one breast both sides CPT 76641 76641 - US Breast Complete Bilat | $508.00 | $635.00 | $196.32 | — | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 76641 - US Breast Complete Left Report | $176.00 | $220.00 | $6.84–$31.42 | 68% below | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 76641 - US Breast Complete Left | $514.40 | $643.00 | $546.55 | 8% below | 20% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 76641 - US Breast Complete Bilat Report | $264.00 | $330.00 | $92.37 | — | 20% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 76641 - US Breast Complete Bilat | $508.00 | $635.00 | $196.32 | — | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 76641 - US Breast Complete Left Report | $176.00 | $220.00 | $6.84–$31.42 | — | 20% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 76641 - US Breast Complete Left | $514.40 | $643.00 | $546.55 | — | 20% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 76642 - US Breast Limited Bilateral Report | $408.00 | $510.00 | $6.37–$166.05 | — | 20% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 76642 - US Breast Limited Bilateral | $1,328.00 | $1,660.00 | $780.86 | — | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 76642 - US Breast Limited Left | $664.00 | $830.00 | $166.00–$390.43 | 63% above | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 76642 - US Breast Limited Bilateral Report | $408.00 | $510.00 | $6.37–$166.05 | — | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 76642 - US Breast Limited Bilateral | $1,328.00 | $1,660.00 | $780.86 | — | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 76642 - US Breast Limited Left | $664.00 | $830.00 | $166.00–$390.43 | — | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 - CT Angio Chest Report | $469.60 | $587.00 | $16.90 | 85% below | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 - CT Angio Chest | $3,380.80 | $4,226.00 | $25.67 | 8% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 - CT Angio Chest Report | $469.60 | $587.00 | $16.90 | — | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 - CT Angio Chest | $3,380.80 | $4,226.00 | $25.67 | — | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 - CT Abdomen and Pelvis w/o Contrast Report | $581.60 | $727.00 | $79.17 | 79% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 - CT Abdomen and Pelvis w/o Contrast | $2,656.00 | $3,320.00 | $3,253.60 | 5% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176 - CT Abdomen and Pelvis w/o Contrast Report | $581.60 | $727.00 | $79.17 | — | 20% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176 - CT Abdomen and Pelvis w/o Contrast | $2,656.00 | $3,320.00 | $3,253.60 | — | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - CT Abdomen and Pelvis w/ Contrast Report | $611.20 | $764.00 | $75.48–$84.43 | 85% below | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 - CT Abdomen and Pelvis w/ Contrast | $5,600.00 | $7,000.00 | $322.19–$6,790.00 | 40% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 - CT Abdomen and Pelvis w/ Contrast Report | $611.20 | $764.00 | $75.48–$84.43 | — | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 - CT Abdomen and Pelvis w/ Contrast | $5,600.00 | $7,000.00 | $322.19–$6,790.00 | — | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 - CT Abdomen and Pelvis w/ + w/o Contrast Report | $671.20 | $839.00 | $50.22 | 85% below | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 - CT Abdomen and Pelvis w/ + w/o Contrast | $2,032.80 | $2,541.00 | $248.69 | 54% below | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 - CT Abdomen and Pelvis w/ + w/o Contrast Report | $671.20 | $839.00 | $50.22 | — | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 - CT Abdomen and Pelvis w/ + w/o Contrast | $2,032.80 | $2,541.00 | $248.69 | — | 20% |
| CT scan of the abdomen without contrast CPT 74150 74150 - CT Abdomen w/o Contrast Report | $386.40 | $483.00 | $49.72 | 79% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 74150 - CT Abdomen w/o Contrast | $1,392.00 | $1,740.00 | $818.50 | 26% below | 20% |
| CT scan of the abdomen without contrast inpatient CPT 74150 74150 - CT Abdomen w/o Contrast Report | $386.40 | $483.00 | $49.72 | — | 20% |
| CT scan of the abdomen without contrast inpatient CPT 74150 74150 - CT Abdomen w/o Contrast | $1,392.00 | $1,740.00 | $818.50 | — | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 70486 - CT Maxillofacial w/o Contrast Report | $369.60 | $462.00 | $7.58–$36.71 | 83% below | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 70486 - CT Maxillofacial w/o Contrast | $1,162.40 | $1,453.00 | $290.60–$683.49 | 47% below | 20% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 70486 - CT Maxillofacial w/o Contrast Report | $369.60 | $462.00 | $7.58–$36.71 | — | 20% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 70486 - CT Maxillofacial w/o Contrast | $1,162.40 | $1,453.00 | $290.60–$683.49 | — | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 - CT Brain/Head w/o Contrast Report | $276.80 | $346.00 | $39.54 | 88% below | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 - CT Brain/Head w/o Contrast | $1,735.20 | $2,169.00 | $134.61–$2,103.93 | 24% below | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 - CT Brain/Head w/o Contrast Report | $276.80 | $346.00 | $39.54 | — | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 - CT Brain/Head w/o Contrast | $1,735.20 | $2,169.00 | $134.61–$2,103.93 | — | 20% |
| CT scan of the head without and with contrast CPT 70470 70470 - CT Brain/Head w/ + w/o Contrast Report | $415.20 | $519.00 | $50.55–$54.58 | 85% below | 20% |
| CT scan of the head without and with contrast CPT 70470 70470 - CT Brain/Head w/ + w/o Contrast | $2,155.20 | $2,694.00 | $2,289.90 | 23% below | 20% |
| CT scan of the head without and with contrast inpatient CPT 70470 70470 - CT Brain/Head w/ + w/o Contrast Report | $415.20 | $519.00 | $50.55–$54.58 | — | 20% |
| CT scan of the head without and with contrast inpatient CPT 70470 70470 - CT Brain/Head w/ + w/o Contrast | $2,155.20 | $2,694.00 | $2,289.90 | — | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 - CT Spine Lumbar w/o Contrast Report | $376.80 | $471.00 | $39.61–$42.76 | 87% below | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 - CT Spine Lumbar w/o Contrast | $1,453.60 | $1,817.00 | $1,780.66 | 48% below | 20% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 72131 - CT Spine Lumbar w/o Contrast Report | $376.80 | $471.00 | $39.61–$42.76 | — | 20% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 72131 - CT Spine Lumbar w/o Contrast | $1,453.60 | $1,817.00 | $1,780.66 | — | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 - CT Spine Cervical w/o Contrast Report | $332.80 | $416.00 | $192.00 | 89% below | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 - CT Spine Cervical w/o Contrast | $1,453.60 | $1,817.00 | $824.93 | 50% below | 20% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 72125 - CT Spine Cervical w/o Contrast Report | $332.80 | $416.00 | $192.00 | — | 20% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 72125 - CT Spine Cervical w/o Contrast | $1,453.60 | $1,817.00 | $824.93 | — | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis wo | $2,062.40 | $2,578.00 | $77.76–$1,594.84 | 19% below | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis wo | $2,062.40 | $2,578.00 | $77.76–$1,594.84 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 - US Carotid Duplex Bilateral Report | $166.40 | $208.00 | $35.79 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 - US Carotid Duplex Bilateral | $1,068.00 | $1,335.00 | $1,239.65 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 93880 - US Carotid Duplex Bilateral Report | $166.40 | $208.00 | $35.79 | — | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 93880 - US Carotid Duplex Bilateral | $1,068.00 | $1,335.00 | $1,239.65 | — | 20% |
| Chest X-ray, 2 views CPT 71046 71046 - XR Chest 2 Views Report | $71.20 | $89.00 | $2.05 | 81% below | 20% |
| Chest X-ray, 2 views CPT 71046 71046 - XR Chest 2 Views | $331.20 | $414.00 | $247.00–$334.31 | 14% below | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 71046 - XR Chest 2 Views Report | $71.20 | $89.00 | $2.05 | — | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 71046 - XR Chest 2 Views | $331.20 | $414.00 | $247.00–$334.31 | — | 20% |
| Chest X-ray, single view CPT 71045 71045 - XR Chest 1 View Report | $58.40 | $73.00 | $1.71 | 83% below | 20% |
| Chest X-ray, single view CPT 71045 71045 - XR Chest 1 View | $233.60 | $292.00 | $13.27–$283.24 | 31% below | 20% |
| Chest X-ray, single view inpatient CPT 71045 71045 - XR Chest 1 View Report | $58.40 | $73.00 | $1.71 | — | 20% |
| Chest X-ray, single view inpatient CPT 71045 71045 - XR Chest 1 View | $233.60 | $292.00 | $13.27–$283.24 | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 - US Retroperitoneal Complete Report | $239.20 | $299.00 | $33.51 | 72% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 - US Retroperitoneal Complete | $766.40 | $958.00 | $132.42 | 10% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 76770 - US Retroperitoneal Complete Report | $239.20 | $299.00 | $33.51 | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 76770 - US Retroperitoneal Complete | $766.40 | $958.00 | $132.42 | — | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 - BD Bone Density DEXA Axial Skeleton Report | $59.20 | $74.00 | $4.97 | 87% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 - BD Bone Density DEXA Axial Skeleton | $135.20 | $169.00 | $134.61 | 71% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 - BD Bone Density DEXA Axial Skeleton Report | $59.20 | $74.00 | $4.97 | — | 20% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 - BD Bone Density DEXA Axial Skeleton | $135.20 | $169.00 | $134.61 | — | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 - BD Bone Density DEXA App Skeleton Report | $59.20 | $74.00 | $10.39–$10.68 | 78% below | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 77081 - BD Bone Density DEXA App Skeleton | $287.20 | $359.00 | $239.24 | 8% above | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 77081 - BD Bone Density DEXA App Skeleton Report | $59.20 | $74.00 | $10.39–$10.68 | — | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 77081 - BD Bone Density DEXA App Skeleton | $287.20 | $359.00 | $239.24 | — | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 - CT Chest w/o Contrast Report | $376.80 | $471.00 | $290.33 | 79% below | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 - CT Chest w/o Contrast | $1,830.40 | $2,288.00 | $1,886.46 | 1% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 - CT Chest w/o Contrast Report | $376.80 | $471.00 | $290.33 | — | 20% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 - CT Chest w/o Contrast | $1,830.40 | $2,288.00 | $1,886.46 | — | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 - CT Chest w/ Contrast Report | $399.20 | $499.00 | $307.59 | 83% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 - CT Chest w/ Contrast | $1,740.00 | $2,175.00 | $1,598.52 | 26% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 - CT Chest w/ Contrast Report | $399.20 | $499.00 | $307.59 | — | 20% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 - CT Chest w/ Contrast | $1,740.00 | $2,175.00 | $1,598.52 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 - Report MG Mammo Digital Diagnostic CAD Bilat | $206.40 | $258.00 | $45.32 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic CAD Bilat. | $532.00 | $665.00 | $651.70 | — | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Bilat Mammo Diagnostic CAD | $1,146.40 | $1,433.00 | $154.70–$1,218.05 | — | 20% |
| Diagnostic mammogram, both breasts CPT 77066 77066 MG Mammo Digital Diagnostic CAD B/L | $850.40 | $1,063.00 | $198.80–$500.04 | 108% above | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 - Report Mammo Diag Dig CAD LT | $240.80 | $301.00 | $7.51–$34.84 | 32% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right CAD | $415.20 | $519.00 | $91.72 | 18% above | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 MG Mammo Implant Digital Diag RT | $667.20 | $834.00 | $166.80–$392.31 | 89% above | 20% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 - US Lower Ext Arterial Duplex Bilateral Report | $159.20 | $199.00 | $31.94–$33.39 | — | 20% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 - US Lower Ext Arterial Duplex Bilateral | $1,245.60 | $1,557.00 | $612.73–$640.86 | — | 20% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 93925 - US Lower Ext Arterial Duplex Bilateral Report | $159.20 | $199.00 | $31.94–$33.39 | — | 20% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 93925 - US Lower Ext Arterial Duplex Bilateral | $1,245.60 | $1,557.00 | $612.73–$640.86 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 - US Lower Ext Venous Duplex Bilateral Report | $224.80 | $281.00 | $6.26 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 - US Lower Ext Venous Duplex Bilateral | $1,356.80 | $1,696.00 | $982.04–$1,645.12 | — | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 93970 - US Lower Ext Venous Duplex Bilateral Report | $224.80 | $281.00 | $6.26 | — | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 93970 - US Lower Ext Venous Duplex Bilateral | $1,356.80 | $1,696.00 | $982.04–$1,645.12 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 - US Echo 2D Comp w/ Color Flow Doppler REPORT | $428.80 | $536.00 | $414.00 | 82% below | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Comp w/ Color Flow Doppler | $2,740.00 | $3,425.00 | $682.74–$3,322.25 | 13% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 - US Echo 2D Comp w/ Color Flow Doppler REPORT | $428.80 | $536.00 | $414.00 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Comp w/ Color Flow Doppler | $2,740.00 | $3,425.00 | $682.74–$3,322.25 | — | 20% |
| Knee X-ray, 3 views both sides CPT 73562 73562 - Report XR Knee 3 Views Bilateral | $78.40 | $98.00 | $1.21 | — | 20% |
| Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 Views Bilateral | $513.60 | $642.00 | $501.76–$627.20 | — | 20% |
| Knee X-ray, 3 views one side CPT 73562 73562 - XR Knee 3 Views Left Report | $57.60 | $72.00 | $7.42 | 86% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 73562 - XR Knee 3 Views Left | $394.40 | $493.00 | $109.64 | 3% below | 20% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 73562 - Report XR Knee 3 Views Bilateral | $78.40 | $98.00 | $1.21 | — | 20% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 Views Bilateral | $513.60 | $642.00 | $501.76–$627.20 | — | 20% |
| Knee X-ray, 3 views inpatient one side CPT 73562 73562 - XR Knee 3 Views Left Report | $57.60 | $72.00 | $7.42 | — | 20% |
| Knee X-ray, 3 views inpatient one side CPT 73562 73562 - XR Knee 3 Views Left | $394.40 | $493.00 | $109.64 | — | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - Report US Abdomen Limited | $192.80 | $241.00 | $5.46 | 77% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 - US Abdomen Limited | $573.60 | $717.00 | $132.42–$369.38 | 31% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 - Report US Abdomen Limited | $192.80 | $241.00 | $5.46 | — | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 - US Abdomen Limited | $573.60 | $717.00 | $132.42–$369.38 | — | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271 - CT Lung Cancer Screening Report | $360.80 | $451.00 | $56.49–$57.93 | 9% below | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271 - CT Lung Cancer Screening | $2,257.60 | $2,822.00 | $328.19–$1,880.58 | 468% above | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 71271 - CT Lung Cancer Screening Report | $360.80 | $451.00 | $56.49–$57.93 | — | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 71271 - CT Lung Cancer Screening | $2,257.60 | $2,822.00 | $328.19–$1,880.58 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 73721 - MRI LE Joint w/o Contrast Bilat Report | $620.80 | $776.00 | $61.78 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LE Joint w/o Contrast Bilat | $3,868.80 | $4,836.00 | $2,949.96 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 - MRI LE Joint w/o Contrast Left Report | $310.40 | $388.00 | $33.98 | 88% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 73721 - MRI LE Joint w/o Contrast Left | $1,934.40 | $2,418.00 | $1,249.48 | 23% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 73721 - MRI LE Joint w/o Contrast Bilat Report | $620.80 | $776.00 | $61.78 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LE Joint w/o Contrast Bilat | $3,868.80 | $4,836.00 | $2,949.96 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 - MRI LE Joint w/o Contrast Left Report | $310.40 | $388.00 | $33.98 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 73721 - MRI LE Joint w/o Contrast Left | $1,934.40 | $2,418.00 | $1,249.48 | — | 20% |
| MRI of the abdomen without contrast CPT 74181 74183 - MRI Abdomen w/ + w/o Contrast | $2,267.20 | $2,834.00 | $2,295.54 | 15% below | 20% |
| MRI of the abdomen without contrast inpatient CPT 74181 74183 - MRI Abdomen w/ + w/o Contrast | $2,267.20 | $2,834.00 | $2,295.54 | — | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 - MRI Abdomen w/ + w/o Contrast Report | $332.80 | $416.00 | $92.53 | 92% below | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 - MRI Abdomen w/ + w/o Contrast | $1,560.00 | $1,950.00 | $859.95 | 64% below | 20% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183 - MRI Abdomen w/ + w/o Contrast Report | $332.80 | $416.00 | $92.53 | — | 20% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183 - MRI Abdomen w/ + w/o Contrast | $1,560.00 | $1,950.00 | $859.95 | — | 20% |
| MRI of the brain, no contrast dye CPT 70551 70551 - MRI Brain w/o Contrast Report | $219.20 | $274.00 | $63.45 | 92% below | 20% |
| MRI of the brain, no contrast dye CPT 70551 70551 - MRI Brain w/o Contrast | $1,101.60 | $1,377.00 | $566.77 | 58% below | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 - MRI Brain w/o Contrast Report | $219.20 | $274.00 | $63.45 | — | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 70551 - MRI Brain w/o Contrast | $1,101.60 | $1,377.00 | $566.77 | — | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 - MRI Brain w/ + w/o Contrast Report | $524.00 | $655.00 | $88.68 | 86% below | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 70553 - MRI Brain w/ + w/o Contrast | $3,143.20 | $3,929.00 | $3,489.91 | 16% below | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 - MRI Brain w/ + w/o Contrast Report | $524.00 | $655.00 | $88.68 | — | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 70553 - MRI Brain w/ + w/o Contrast | $3,143.20 | $3,929.00 | $3,489.91 | — | 20% |
| MRI of the lower back, no contrast dye CPT 72148 72148 - MRI Spine Lumbar w/o Contrast Report | $339.20 | $424.00 | $67.52 | 87% below | 20% |
| MRI of the lower back, no contrast dye CPT 72148 72148 - MRI Spine Lumbar w/o Contrast | $1,934.40 | $2,418.00 | $1,249.48 | 24% below | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 - MRI Spine Lumbar w/o Contrast Report | $339.20 | $424.00 | $67.52 | — | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 - MRI Spine Lumbar w/o Contrast | $1,934.40 | $2,418.00 | $1,249.48 | — | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T Spine | $2,273.60 | $2,842.00 | $209.95–$2,699.90 | 5% below | 20% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T Spine | $2,273.60 | $2,842.00 | $209.95–$2,699.90 | — | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 - MRI Spine Cervical w/o Contrast Report | $339.20 | $424.00 | $59.03–$62.12 | 87% below | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 - MRI Spine Cervical w/o Contrast | $1,934.40 | $2,418.00 | $1,137.43 | 24% below | 20% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 72141 - MRI Spine Cervical w/o Contrast Report | $339.20 | $424.00 | $59.03–$62.12 | — | 20% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 72141 - MRI Spine Cervical w/o Contrast | $1,934.40 | $2,418.00 | $1,137.43 | — | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Sacrum w/o Contrast | $334.40 | $418.00 | $58.15 | 84% below | 20% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Sacrum w/o Contrast | $334.40 | $418.00 | $58.15 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 73221 - MRI UE Joint w/o Contrast Bilat Report | $620.80 | $776.00 | $42.62 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 73221 - MRI UE Joint w/o Contrast Bilat | $3,868.80 | $4,836.00 | $2,274.85 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 73221 - MRI UE Joint w/o Contrast Left Report | $310.40 | $388.00 | $12.61–$58.00 | 87% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 73221 - MRI UE Joint w/o Contrast Left | $1,934.40 | $2,418.00 | $483.60–$1,137.43 | 21% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 73221 - MRI UE Joint w/o Contrast Bilat Report | $620.80 | $776.00 | $42.62 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 73221 - MRI UE Joint w/o Contrast Bilat | $3,868.80 | $4,836.00 | $2,274.85 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 73221 - MRI UE Joint w/o Contrast Left Report | $310.40 | $388.00 | $12.61–$58.00 | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 73221 - MRI UE Joint w/o Contrast Left | $1,934.40 | $2,418.00 | $483.60–$1,137.43 | — | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 - US Bladder Scan Report | $121.60 | $152.00 | $20.85–$21.12 | 77% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 - US Bladder Scan | $399.20 | $499.00 | $200.50 | 23% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 - US Bladder Scan Report | $121.60 | $152.00 | $20.85–$21.12 | — | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 - US Bladder Scan | $399.20 | $499.00 | $200.50 | — | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 - US Pelvic Non OB Report | $224.00 | $280.00 | $15.12–$29.15 | 76% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 - US Pelvic Non OB | $630.40 | $788.00 | $636.31 | 33% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 - US Pelvic Non OB Report | $224.00 | $280.00 | $15.12–$29.15 | — | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 - US Pelvic Non OB | $630.40 | $788.00 | $636.31 | — | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 - US Greater Than 14 Weeks Report | $322.40 | $403.00 | $162.36 | 56% below | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 - US OB > 14 Weeks Limited | $629.60 | $787.00 | $243.51 | 14% below | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 - US Greater Than 14 Weeks Report | $322.40 | $403.00 | $162.36 | — | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 - US OB > 14 Weeks Limited | $629.60 | $787.00 | $243.51 | — | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 - US OB < 14 Weeks Single Report | $319.20 | $399.00 | $91.74–$235.26 | 54% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 - US OB < 14 Weeks Single | $598.40 | $748.00 | $143.52 | 14% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 - US OB < 14 Weeks Single Report | $319.20 | $399.00 | $91.74–$235.26 | — | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 - US OB < 14 Weeks Single | $598.40 | $748.00 | $143.52 | — | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 - US OB Limited Report | $194.40 | $243.00 | $108.36 | 61% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 - US OB Limited | $371.20 | $464.00 | $162.54 | 26% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 - US OB Limited Report | $194.40 | $243.00 | $108.36 | — | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 - US OB Limited | $371.20 | $464.00 | $162.54 | — | 20% |
| Screening mammogram, both breasts both sides CPT 77067 77067 - MG Mammo Digital Screening Bilateral. Report | $157.60 | $197.00 | $34.84–$51.27 | — | 20% |
| Screening mammogram, both breasts both sides CPT 77067 Bilat Mammo Diagnostic CAD | $932.00 | $1,165.00 | $103.90–$1,106.75 | — | 20% |
| Screening mammogram, both breasts CPT 77067 LT MG Digital Screening | $220.00 | $275.00 | $307.11 | 15% below | 20% |
| Screening mammogram, both breasts CPT 77067 77067 - Report B/L MG Digital Screening | $228.00 | $285.00 | $32.12 | 12% below | 20% |
| Screening mammogram, both breasts CPT 77067 77063 ref ADD-ON technical mg mammo BIL | $560.00 | $700.00 | $96.98 | 116% above | 20% |
| Screening mammogram, both breasts CPT 77067 77067 Scrn Mammography | $596.80 | $746.00 | $24.95–$723.62 | 130% above | 20% |
| Screening mammogram, both breasts one side CPT 77067 77067 - Report RT MG Digital Screening | $124.00 | $155.00 | $40.06 | 52% below | 20% |
| Screening mammogram, both breasts one side CPT 77067 77067 MG Mammo Digital Screening LT | $352.00 | $440.00 | $95.80 | 36% above | 20% |
| Screening mammogram, both breasts inpatient CPT 77067 LT MG Digital Screening | $220.00 | $275.00 | $307.11 | — | 20% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 73030 - Report XR Shoulder Complete 2+ Views Bilat | $116.80 | $146.00 | $1.89–$12.04 | — | 20% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Complete 2+ Views Bilat | $652.80 | $816.00 | $45.62–$383.85 | — | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 73030 - XR Shoulder Complete 2+ Views Left Report | $58.40 | $73.00 | $8.87 | 89% below | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 73030 - XR Shoulder Complete 2+ Views Left | $222.40 | $278.00 | $40.66 | 56% below | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 73030 - Report XR Shoulder Complete 2+ Views Bilat | $116.80 | $146.00 | $1.89–$12.04 | — | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Complete 2+ Views Bilat | $652.80 | $816.00 | $45.62–$383.85 | — | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 73030 - XR Shoulder Complete 2+ Views Left Report | $58.40 | $73.00 | $8.87 | — | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 73030 - XR Shoulder Complete 2+ Views Left | $222.40 | $278.00 | $40.66 | — | 20% |
| Transvaginal pelvic ultrasound CPT 76830 76830 - US Transvaginal Non-OB Report | $224.00 | $280.00 | $29.19–$29.46 | 60% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 76830 - US Transvaginal Non-OB | $406.40 | $508.00 | $204.11–$238.96 | 28% below | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 - US Transvaginal Non-OB Report | $224.00 | $280.00 | $29.19–$29.46 | — | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 - US Transvaginal Non-OB | $406.40 | $508.00 | $204.11–$238.96 | — | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 - US OB Transvaginal Report | $209.60 | $262.00 | $91.20 | 64% below | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 - US OB Transvaginal | $340.80 | $426.00 | $155.31 | 41% below | 20% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 - US OB Transvaginal Report | $209.60 | $262.00 | $91.20 | — | 20% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 - US OB Transvaginal | $340.80 | $426.00 | $155.31 | — | 20% |
| Ultrasound of the abdomen, complete CPT 76700 76700 - US Abdomen Complete Report | $261.60 | $327.00 | $20.55 | 74% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 76700 - US Abdomen Complete | $980.80 | $1,226.00 | $403.09 | 1% below | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 - US Abdomen Complete Report | $261.60 | $327.00 | $20.55 | — | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 - US Abdomen Complete | $980.80 | $1,226.00 | $403.09 | — | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 76870 - US Scrotum (Contents) Report | $205.60 | $257.00 | $17.71–$26.75 | 77% below | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 76870 - US Scrotum (Contents) | $406.40 | $508.00 | $252.99 | 54% below | 20% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 - US Scrotum (Contents) Report | $205.60 | $257.00 | $17.71–$26.75 | — | 20% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 - US Scrotum (Contents) | $406.40 | $508.00 | $252.99 | — | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 - US Thyroid Report | $182.40 | $228.00 | $13.50–$24.11 | 78% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 - US Thyroid | $563.20 | $704.00 | $580.45 | 32% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 - US Thyroid Report | $182.40 | $228.00 | $13.50–$24.11 | — | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 - US Thyroid | $563.20 | $704.00 | $580.45 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 - Report US Upper Ext Venous Duplex Left | $148.00 | $185.00 | $4.05–$18.79 | 82% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 - US Lower Ext Venous Duplex Left | $1,235.20 | $1,544.00 | $188.80–$726.30 | 46% above | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 93971 - Report US Upper Ext Venous Duplex Left | $148.00 | $185.00 | $4.05–$18.79 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 93971 - US Lower Ext Venous Duplex Left | $1,235.20 | $1,544.00 | $188.80–$726.30 | — | 20% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 73110 - Report XR Wrist Complete 3+ Views Bilateral | $144.00 | $180.00 | $2.45–$11.13 | — | 20% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral | $367.20 | $459.00 | $79.20–$215.91 | — | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 73110 - XR Wrist Complete 3+ Views Left Report | $56.00 | $70.00 | $8.19 | 87% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 73110 - XR Wrist Complete 3+ Views Left | $206.40 | $258.00 | $252.84–$297.21 | 52% below | 20% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 73110 - Report XR Wrist Complete 3+ Views Bilateral | $144.00 | $180.00 | $2.45–$11.13 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral | $367.20 | $459.00 | $79.20–$215.91 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 73110 - XR Wrist Complete 3+ Views Left Report | $56.00 | $70.00 | $8.19 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 73110 - XR Wrist Complete 3+ Views Left | $206.40 | $258.00 | $252.84–$297.21 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 73502 - XR Hip 2-3 Views w/AP Pelvis Left Report | $69.60 | $87.00 | $5.70 | 82% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 73502 - XR Hip 2-3 Views w/AP Pelvis Left | $469.60 | $587.00 | $193.00 | 23% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 73502 - XR Hip 2-3 Views w/AP Pelvis Left Report | $69.60 | $87.00 | $5.70 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 73502 - XR Hip 2-3 Views w/AP Pelvis Left | $469.60 | $587.00 | $193.00 | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 74018 - XR Abdomen 1 View Report | $58.40 | $73.00 | $58.95 | 81% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 74018 - XR Abdomen 1 View | $288.00 | $360.00 | $352.80 | 5% below | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 74018 - XR Abdomen 1 View Report | $58.40 | $73.00 | $58.95 | — | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 74018 - XR Abdomen 1 View | $288.00 | $360.00 | $352.80 | — | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 73600 - XR Ankle 2 Views Left Report | $53.60 | $67.00 | $7.01 | 82% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 73600 - XR Ankle 2 Views Left | $191.20 | $239.00 | $96.03 | 37% below | 20% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 73600 - XR Ankle 2 Views Left Report | $53.60 | $67.00 | $7.01 | — | 20% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 73600 - XR Ankle 2 Views Left | $191.20 | $239.00 | $96.03 | — | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 73140 - XR Finger(s) 2+ Views Left Report | $44.00 | $55.00 | $6.69–$10.38 | 83% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 73140 - XR Finger(s) 2+ Views Left | $159.20 | $199.00 | $193.03 | 40% below | 20% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 73140 - XR Finger(s) 2+ Views Left Report | $44.00 | $55.00 | $6.69–$10.38 | — | 20% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 73140 - XR Finger(s) 2+ Views Left | $159.20 | $199.00 | $193.03 | — | 20% |
| X-ray of the foot, 2 views both sides CPT 73620 73620 - XR Foot 2 Views Bilateral Report | $107.20 | $134.00 | $9.74 | — | 20% |
| X-ray of the foot, 2 views both sides CPT 73620 73620 - XR Foot 2 Views Bilateral | $531.20 | $664.00 | $192.06–$312.35 | — | 20% |
| X-ray of the foot, 2 views one side CPT 73620 73620 - XR Foot 2 Views Left Report | $53.60 | $67.00 | $6.49–$6.68 | 82% below | 20% |
| X-ray of the foot, 2 views one side CPT 73620 73620 - XR Foot 2 Views Left | $265.60 | $332.00 | $199.24 | 12% below | 20% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 73620 - XR Foot 2 Views Bilateral Report | $107.20 | $134.00 | $9.74 | — | 20% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 73620 - XR Foot 2 Views Bilateral | $531.20 | $664.00 | $192.06–$312.35 | — | 20% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 73620 - XR Foot 2 Views Left Report | $53.60 | $67.00 | $6.49–$6.68 | — | 20% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 73620 - XR Foot 2 Views Left | $265.60 | $332.00 | $199.24 | — | 20% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 73630 - Report XR Foot Complete 3+ Views Bilateral | $112.00 | $140.00 | $6.30–$10.66 | — | 20% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete 3+ Views Bilateral | $657.60 | $822.00 | $805.56 | — | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 73630 - XR Foot Complete 3+ Views Left Report | $56.00 | $70.00 | $7.72 | 86% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 73630 - XR Foot Complete 3+ Views Left | $262.40 | $328.00 | $278.80 | 34% below | 20% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 73630 - Report XR Foot Complete 3+ Views Bilateral | $112.00 | $140.00 | $6.30–$10.66 | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete 3+ Views Bilateral | $657.60 | $822.00 | $805.56 | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 73630 - XR Foot Complete 3+ Views Left Report | $56.00 | $70.00 | $7.72 | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 73630 - XR Foot Complete 3+ Views Left | $262.40 | $328.00 | $278.80 | — | 20% |
| X-ray of the hand, 3 or more views both sides CPT 73130 73130 - XR Hand Complete 3+ Views Bilateral Report | $84.00 | $105.00 | $6.83–$11.45 | — | 20% |
| X-ray of the hand, 3 or more views both sides CPT 73130 73130 - XR Hand Complete 3+ Views Bilateral | $734.40 | $918.00 | $772.24 | — | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 73130 - XR Hand Complete 3+ Views Left Report | $56.00 | $70.00 | $9.91 | 87% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 73130 - XR Hand Complete 3+ Views Left | $262.40 | $328.00 | $14.53–$200.21 | 38% below | 20% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 73130 - XR Hand Complete 3+ Views Bilateral Report | $84.00 | $105.00 | $6.83–$11.45 | — | 20% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 73130 - XR Hand Complete 3+ Views Bilateral | $734.40 | $918.00 | $772.24 | — | 20% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 73130 - XR Hand Complete 3+ Views Left Report | $56.00 | $70.00 | $9.91 | — | 20% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 73130 - XR Hand Complete 3+ Views Left | $262.40 | $328.00 | $14.53–$200.21 | — | 20% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 73560 - XR Knee 1 or 2 Views Bilateral Report | $115.20 | $144.00 | $6.51–$11.00 | — | 20% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 73560 - XR Knee 1 or 2 Views Bilateral | $848.00 | $1,060.00 | $65.80–$498.62 | — | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 73560 - Report XR Knee 1 or 2 Views Right | $57.60 | $72.00 | $1.58–$11.00 | 83% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 73560 - XR Knee 1 or 2 Views Left | $424.00 | $530.00 | $63.24–$249.31 | 25% above | 20% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 73560 - XR Knee 1 or 2 Views Bilateral Report | $115.20 | $144.00 | $6.51–$11.00 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 73560 - XR Knee 1 or 2 Views Bilateral | $848.00 | $1,060.00 | $65.80–$498.62 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 73560 - Report XR Knee 1 or 2 Views Right | $57.60 | $72.00 | $1.58–$11.00 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 73560 - XR Knee 1 or 2 Views Left | $424.00 | $530.00 | $63.24–$249.31 | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 - XR Spine Lumbosacral 2 or 3 Views Report | $80.80 | $101.00 | $6.92–$9.82 | 82% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 - XR Spine Lumbosacral 2 or 3 Views | $424.00 | $530.00 | $450.50 | 7% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 - XR Spine Lumbosacral 2 or 3 Views Report | $80.80 | $101.00 | $6.92–$9.82 | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 - XR Spine Lumbosacral 2 or 3 Views | $424.00 | $530.00 | $450.50 | — | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 - XR Spine Lumbosacral 4+ Views Report | $102.40 | $128.00 | $12.35 | 83% below | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 - XR Spine Lumbosacral 4+ Views | $570.40 | $713.00 | $72.83 | 3% below | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 - XR Spine Lumbosacral 4+ Views Report | $102.40 | $128.00 | $12.35 | — | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 - XR Spine Lumbosacral 4+ Views | $570.40 | $713.00 | $72.83 | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 - XR Spine Cervical 2 or 3 Views Report | $71.20 | $89.00 | $8.81 | 84% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040 - XR Spine Cervical 2 or 3 Views | $392.00 | $490.00 | $436.28 | 9% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 - XR Spine Cervical 2 or 3 Views Report | $71.20 | $89.00 | $8.81 | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 - XR Spine Cervical 2 or 3 Views | $392.00 | $490.00 | $436.28 | — | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 - XR Pelvis 1 or 2 Views Report | $56.00 | $70.00 | $1.65–$7.42 | 85% below | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 - XR Pelvis 1 or 2 Views | $204.00 | $255.00 | $51.00–$119.95 | 44% below | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 - XR Pelvis 1 or 2 Views Report | $56.00 | $70.00 | $1.65–$7.42 | — | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 - XR Pelvis 1 or 2 Views | $204.00 | $255.00 | $51.00–$119.95 | — | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 - XR Sacrum/Coccyx 2+ Views Report | $56.00 | $70.00 | $7.42 | 87% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220 - XR Sacrum/Coccyx 2+ Views | $222.40 | $278.00 | $130.77 | 48% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220 - XR Sacrum/Coccyx 2+ Views Report | $56.00 | $70.00 | $7.42 | — | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220 - XR Sacrum/Coccyx 2+ Views | $222.40 | $278.00 | $130.77 | — | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $50.40 | $63.00 | $36.43–$41.98 | 17% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $50.40 | $63.00 | $36.43–$41.98 | — | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $50.40 | $63.00 | $37.66–$41.98 | 14% above | 20% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $50.40 | $63.00 | $37.66–$41.98 | — | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel (4) LC | $211.20 | $264.00 | $157.82–$175.93 | 13% below | 20% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Panel (4) LC | $211.20 | $264.00 | $157.82–$175.93 | — | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD FISH | $17.60 | $22.00 | $14.66 | 112% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alder Grey LC | $23.20 | $29.00 | $17.34–$19.33 | 179% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut (#602512) | $27.20 | $34.00 | $22.66 | 227% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD MEAT | $60.00 | $75.00 | $54.00 | 621% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Dander LC | $204.80 | $256.00 | $170.60 | 2362% above | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD FISH | $17.60 | $22.00 | $14.66 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alder Grey LC | $23.20 | $29.00 | $17.34–$19.33 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut (#602512) | $27.20 | $34.00 | $22.66 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD MEAT | $60.00 | $75.00 | $54.00 | — | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Dander LC | $204.80 | $256.00 | $170.60 | — | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-CCP Ab IgG and IgA (RDL) LC | $57.60 | $72.00 | $70.56 | 184% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-CCP Ab IgG + IgA (RDL) LC | $392.00 | $490.00 | $292.92–$326.54 | 1833% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Anti-CCP Ab IgG and IgA (RDL) LC | $57.60 | $72.00 | $70.56 | — | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Anti-CCP Ab IgG + IgA (RDL) LC | $392.00 | $490.00 | $292.92–$326.54 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 .ENA+DNA/DS+Sjogren's 016123 LC | $20.00 | $25.00 | $14.94–$16.66 | 43% below | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA by IFA, Reflex to Titer and Pattern | $53.60 | $67.00 | $40.05 | 54% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA by IFA, Reflex to 9-biomarker profile, dsDNA, RNP, Sm, SS-A, SS-B, Scl-70, Chromatin, Jo-1, Centromere B by Multiplex Immunoassay | $66.40 | $83.00 | $67.02 | 90% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA by IFA, Reflex to 11-biomarker Profile | $114.40 | $143.00 | $95.30 | 228% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 Plus Profile (RDL) 520180 | $387.20 | $484.00 | $289.34–$322.54 | 1010% above | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 .ENA+DNA/DS+Sjogren's 016123 LC | $20.00 | $25.00 | $14.94–$16.66 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA by IFA, Reflex to Titer and Pattern | $53.60 | $67.00 | $40.05 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA by IFA, Reflex to 9-biomarker profile, dsDNA, RNP, Sm, SS-A, SS-B, Scl-70, Chromatin, Jo-1, Centromere B by Multiplex Immunoassay | $66.40 | $83.00 | $67.02 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA by IFA, Reflex to 11-biomarker Profile | $114.40 | $143.00 | $95.30 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA 12 Plus Profile (RDL) 520180 | $387.20 | $484.00 | $289.34–$322.54 | — | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $174.40 | $218.00 | $1.24–$211.46 | 1% below | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP LC | $539.20 | $674.00 | $449.15 | 205% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $174.40 | $218.00 | $1.24–$211.46 | — | 20% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP LC | $539.20 | $674.00 | $449.15 | — | 20% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $98.40 | $123.00 | $8.29 | 49% below | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $98.40 | $123.00 | $8.29 | — | 20% |
| Blood culture for bacteria CPT 87040 Blood Culture Routine LC | $278.40 | $348.00 | $214.51 | 16% above | 20% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture Routine LC | $278.40 | $348.00 | $214.51 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Venipuncture Outside Collection | $20.00 | $25.00 | $14.94 | 18% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Only Venipuncture Outside Collection | $20.00 | $25.00 | $14.94 | — | 20% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $37.60 | $47.00 | $46.06 | at median | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting | $37.60 | $47.00 | $46.06 | — | 20% |
| Blood lead test CPT 83655 Lead Bld (Adult) LC | $53.60 | $67.00 | $40.05 | 276% above | 20% |
| Blood lead test CPT 83655 Lead 24h Ur LC | $84.00 | $105.00 | $11.87 | 489% above | 20% |
| Blood lead test inpatient CPT 83655 Lead Bld (Adult) LC | $53.60 | $67.00 | $40.05 | — | 20% |
| Blood lead test inpatient CPT 83655 Lead 24h Ur LC | $84.00 | $105.00 | $11.87 | — | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative | $70.40 | $88.00 | $68.29–$76.82 | 54% below | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative | $70.40 | $88.00 | $68.29–$76.82 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $56.00 | $70.00 | $54.32 | 27% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $56.00 | $70.00 | $54.32 | — | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein High Sens. | $121.60 | $152.00 | $5.08–$147.44 | 160% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein High Sens. | $121.60 | $152.00 | $5.08–$147.44 | — | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $92.00 | $115.00 | $18.50 | 85% above | 20% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $92.00 | $115.00 | $18.50 | — | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 Serum (Serial) LC | $92.00 | $115.00 | $68.75–$76.64 | 3% below | 20% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 Serum (Serial) LC | $92.00 | $115.00 | $68.75–$76.64 | — | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) | $228.00 | $285.00 | $170.37–$181.54 | 226% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) | $228.00 | $285.00 | $170.37–$181.54 | — | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C trach NAA LC | $156.00 | $195.00 | $116.57 | 186% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Gonococcus/Trichomonas vaginalis/Mycoplasma genitalium | $172.80 | $216.00 | $143.94 | 216% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C trach NAA LC | $156.00 | $195.00 | $116.57 | — | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/Gonococcus/Trichomonas vaginalis/Mycoplasma genitalium | $172.80 | $216.00 | $143.94 | — | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $140.00 | $175.00 | $5.09–$169.75 | 38% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $140.00 | $175.00 | $5.09–$169.75 | — | 20% |
| Complete blood count (CBC) with differential CPT 85025 AST LC | $34.40 | $43.00 | $25.71 | 69% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $230.40 | $288.00 | $7.61–$223.49 | 108% above | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 AST LC | $34.40 | $43.00 | $25.71 | — | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $230.40 | $288.00 | $7.61–$223.49 | — | 20% |
| Complete blood count (CBC), no differential CPT 85027 CBC Platelet No Differential LC | $70.40 | $88.00 | $6.34–$72.56 | 7% below | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC Platelet No Differential LC | $70.40 | $88.00 | $6.34–$72.56 | — | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $17.60 | $22.00 | $13.15 | 93% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 BUN/Creat Ratio LC | $232.00 | $290.00 | $10.35–$225.04 | 9% below | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $17.60 | $22.00 | $13.15 | — | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 BUN/Creat Ratio LC | $232.00 | $290.00 | $10.35–$225.04 | — | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $87.20 | $109.00 | $9.98 | 27% below | 20% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $87.20 | $109.00 | $9.98 | — | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE LC | $98.40 | $123.00 | $94.10 | 29% above | 20% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE LC | $98.40 | $123.00 | $94.10 | — | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL LC | $124.00 | $155.00 | $118.58 | 98% above | 20% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LC | $124.00 | $155.00 | $118.58 | — | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $30.40 | $38.00 | $30.69 | 66% below | 20% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LC | $30.40 | $38.00 | $30.69 | — | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $400.00 | $500.00 | $303.80–$739.70 | 449% above | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC | $888.00 | $1,110.00 | $969.03 | 1120% above | 20% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $400.00 | $500.00 | $303.80–$739.70 | — | 20% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal LC | $888.00 | $1,110.00 | $969.03 | — | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $122.40 | $153.00 | $13.36 | 46% above | 20% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $122.40 | $153.00 | $13.36 | — | 20% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $132.00 | $165.00 | $14.41 | 54% above | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $132.00 | $165.00 | $14.41 | — | 20% |
| Free T3 thyroid hormone test CPT 84481 .T3 Free LC | $75.20 | $94.00 | $75.91 | 18% above | 20% |
| Free T3 thyroid hormone test inpatient CPT 84481 .T3 Free LC | $75.20 | $94.00 | $75.91 | — | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $94.40 | $118.00 | $8.84–$97.29 | 39% above | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $94.40 | $118.00 | $8.84–$97.29 | — | 20% |
| Free testosterone test CPT 84402 % Free Testost LC | $44.00 | $55.00 | $32.88 | 6% above | 20% |
| Free testosterone test CPT 84402 Free Testost Direct LC | $112.80 | $141.00 | $116.25 | 171% above | 20% |
| Free testosterone test CPT 84402 FREE TEST | $134.40 | $168.00 | $128.52 | 223% above | 20% |
| Free testosterone test inpatient CPT 84402 % Free Testost LC | $44.00 | $55.00 | $32.88 | — | 20% |
| Free testosterone test inpatient CPT 84402 Free Testost Direct LC | $112.80 | $141.00 | $116.25 | — | 20% |
| Free testosterone test inpatient CPT 84402 FREE TEST | $134.40 | $168.00 | $128.52 | — | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $325.60 | $407.00 | $345.95 | 17% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Fasting | $37.60 | $47.00 | $36.47 | 15% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Screen (Glucose) | $43.20 | $54.00 | $4.19 | 3% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Fasting | $37.60 | $47.00 | $36.47 | — | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 1 hr | $238.40 | $298.00 | $11.27–$22.54 | 104% above | 20% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 1 hr | $238.40 | $298.00 | $11.27–$22.54 | — | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea | $156.00 | $195.00 | $116.57 | 193% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea | $156.00 | $195.00 | $116.57 | — | 20% |
| H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA | $574.40 | $718.00 | $696.46 | 674% above | 20% |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA | $574.40 | $718.00 | $696.46 | — | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 Quantitative, w/rflx | $1,816.00 | $2,270.00 | $75.64 | 2036% above | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 Quantitative, w/rflx | $1,816.00 | $2,270.00 | $75.64 | — | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 Rapid HIV Antibody 1/2 | $94.40 | $118.00 | $13.44 | 127% above | 20% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Rapid HIV Antibody 1/2 | $94.40 | $118.00 | $13.44 | — | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV p24 Antigen/Antibody With Reflex to Confirmation | $111.20 | $139.00 | $92.63–$117.95 | 84% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2 4TH GEN LC | $141.60 | $177.00 | $150.45 | 134% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV p24 Antigen/Antibody With Reflex to Confirmation | $111.20 | $139.00 | $92.63–$117.95 | — | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/O/2 4TH GEN LC | $141.60 | $177.00 | $150.45 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC | $41.60 | $52.00 | $31.09–$34.65 | 35% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C | $100.80 | $126.00 | $8.72–$122.22 | 56% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c LC | $41.60 | $52.00 | $31.09–$34.65 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C | $100.80 | $126.00 | $8.72–$122.22 | — | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf AB LC | $48.00 | $60.00 | $44.10–$58.80 | 25% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surf AB LC | $48.00 | $60.00 | $44.10–$58.80 | — | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR LC | $26.40 | $33.00 | $13.98 | 49% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody Cascade(PCR/Geno) LC | $40.00 | $50.00 | $42.50 | 23% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab LC | $63.20 | $79.00 | $13.98 | 21% above | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR LC | $26.40 | $33.00 | $13.98 | — | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody Cascade(PCR/Geno) LC | $40.00 | $50.00 | $42.50 | — | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab LC | $63.20 | $79.00 | $13.98 | — | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR Qn Rfx Geno LC | $621.60 | $777.00 | $464.49–$517.79 | 693% above | 20% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR Quant (Non-Graph) 550362 LC | $572.80 | $716.00 | $158.60–$477.14 | 631% above | 20% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR Qn Rfx Geno LC | $621.60 | $777.00 | $464.49–$517.79 | — | 20% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR Quant (Non-Graph) 550362 LC | $572.80 | $716.00 | $158.60–$477.14 | — | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Spec LC | $58.40 | $73.00 | $48.65 | 210% above | 20% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Spec LC | $58.40 | $73.00 | $48.65 | — | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Spec LC | $85.60 | $107.00 | $71.30 | 221% above | 20% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Spec LC | $85.60 | $107.00 | $71.30 | — | 20% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine LC | $72.00 | $90.00 | $53.80 | 75% above | 20% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine LC | $72.00 | $90.00 | $53.80 | — | 20% |
| Insulin blood test CPT 83525 Insulin | $50.40 | $63.00 | $6.82–$61.74 | 51% above | 20% |
| Insulin blood test inpatient CPT 83525 Insulin | $50.40 | $63.00 | $6.82–$61.74 | — | 20% |
| Iron blood test (serum iron) CPT 83540 Iron LC | $59.20 | $74.00 | $6.34 | 34% above | 20% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron LC | $59.20 | $74.00 | $6.34 | — | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron LC | $65.60 | $82.00 | $8.57 | 19% above | 20% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron LC | $65.60 | $82.00 | $8.57 | — | 20% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $140.00 | $175.00 | $142.10–$151.90 | 1% below | 20% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $140.00 | $175.00 | $142.10–$151.90 | — | 20% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH), S LC | $69.60 | $87.00 | $70.25 | 13% below | 20% |
| LH (luteinizing hormone) test CPT 83002 LH#1 (Luteinizing Hormone) LC | $140.80 | $176.00 | $133.76 | 77% above | 20% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (LH), S LC | $69.60 | $87.00 | $70.25 | — | 20% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH#1 (Luteinizing Hormone) LC | $140.80 | $176.00 | $133.76 | — | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $68.00 | $85.00 | $6.75–$82.45 | 10% below | 20% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $68.00 | $85.00 | $6.75–$82.45 | — | 20% |
| Liver function blood test panel CPT 80076 Hct LC | $76.00 | $95.00 | $75.08–$93.10 | 43% below | 20% |
| Liver function blood test panel inpatient CPT 80076 Hct LC | $76.00 | $95.00 | $75.08–$93.10 | — | 20% |
| Lyme disease antibody test CPT 86618 Lyme IgG/IgM LC | $127.20 | $159.00 | $95.05–$105.96 | 430% above | 20% |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgG/IgM LC | $127.20 | $159.00 | $95.05–$105.96 | — | 20% |
| Magnesium blood test CPT 83735 Magnesium LC | $61.60 | $77.00 | $6.57–$74.69 | 6% above | 20% |
| Magnesium blood test inpatient CPT 83735 Magnesium LC | $61.60 | $77.00 | $6.57–$74.69 | — | 20% |
| Measles (rubeola) antibody test CPT 86765 Mumps IgG Abs LC | $56.80 | $71.00 | $42.44–$47.31 | 172% above | 20% |
| Measles (rubeola) antibody test inpatient CPT 86765 Mumps IgG Abs LC | $56.80 | $71.00 | $42.44–$47.31 | — | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $49.60 | $62.00 | $37.06 | 47% below | 20% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $49.60 | $62.00 | $37.06 | — | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA %Free | $24.00 | $30.00 | $22.95 | 31% below | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA %Free | $24.00 | $30.00 | $22.95 | — | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA LC | $81.60 | $102.00 | $58.98–$67.97 | 74% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $179.20 | $224.00 | $18.02 | 283% above | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA LC | $81.60 | $102.00 | $58.98–$67.97 | — | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $179.20 | $224.00 | $18.02 | — | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970-Intact PTH (Includes Calcium) LC | $152.80 | $191.00 | $18.66–$254.56 | 48% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT LC | $183.20 | $229.00 | $136.90 | 77% above | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970-Intact PTH (Includes Calcium) LC | $152.80 | $191.00 | $18.66–$254.56 | — | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT LC | $183.20 | $229.00 | $136.90 | — | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $68.00 | $85.00 | $82.45 | 80% above | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $68.00 | $85.00 | $82.45 | — | 20% |
| Progesterone blood test CPT 84144 Progesterone LC | $92.80 | $116.00 | $88.74 | 69% above | 20% |
| Progesterone blood test inpatient CPT 84144 Progesterone LC | $92.80 | $116.00 | $88.74 | — | 20% |
| Prolactin blood test CPT 84146 Prolactin LC | $86.40 | $108.00 | $87.21 | 4% below | 20% |
| Prolactin blood test inpatient CPT 84146 Prolactin LC | $86.40 | $108.00 | $87.21 | — | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POCT | $44.80 | $56.00 | $33.48 | 6% below | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $85.60 | $107.00 | $4.20–$103.79 | 79% above | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POCT | $44.80 | $56.00 | $33.48 | — | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $85.60 | $107.00 | $4.20–$103.79 | — | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen POCT | $40.00 | $50.00 | $47.53 | 53% below | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Urine Drug Screen POCT | $40.00 | $50.00 | $47.53 | — | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A and B POCT | $33.60 | $42.00 | $33.92 | 55% below | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A and B POCT | $33.60 | $42.00 | $33.92 | — | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Test POCT | $33.60 | $42.00 | $40.74 | 68% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid | $87.20 | $109.00 | $82.84 | 18% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Test POCT | $33.60 | $42.00 | $40.74 | — | 20% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Rapid | $87.20 | $109.00 | $82.84 | — | 20% |
| Rheumatoid factor (RF) test CPT 86431 RA Latex Turbid LC | $35.20 | $44.00 | $25.44–$29.32 | 171% above | 20% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA Latex Turbid LC | $35.20 | $44.00 | $25.44–$29.32 | — | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $64.00 | $80.00 | $47.82 | 60% above | 20% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella | $64.00 | $80.00 | $47.82 | — | 20% |
| Stool ova and parasites exam CPT 87177 Ova and Parasite Exam | $39.20 | $49.00 | $47.53 | 119% above | 20% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Exam | $39.20 | $49.00 | $47.53 | — | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool POCT | $35.20 | $44.00 | $35.53 | 10% below | 20% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool POCT | $35.20 | $44.00 | $35.53 | — | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, IA | $294.40 | $368.00 | $219.99–$245.24 | 721% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fecal, IA | $294.40 | $368.00 | $219.99–$245.24 | — | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC | $19.20 | $24.00 | $4.18 | 29% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR LC | $19.20 | $24.00 | $4.18 | — | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QTF SINGLE | $222.40 | $278.00 | $269.66 | 214% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QTF SINGLE | $222.40 | $278.00 | $269.66 | — | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LC | $44.00 | $55.00 | $45.35 | 10% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC | $114.40 | $143.00 | $110.97 | 186% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LCMS LC | $600.00 | $750.00 | $122.50 | 1399% above | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LC | $44.00 | $55.00 | $45.35 | — | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone LC | $114.40 | $143.00 | $110.97 | — | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total LCMS LC | $600.00 | $750.00 | $122.50 | — | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 .Thyroid Peroxidase (TPO) Ab LC | $64.80 | $81.00 | $78.57 | 183% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Chromatin Ab IgG (RDL) LC | $88.00 | $110.00 | $65.76 | 285% above | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .Thyroid Peroxidase (TPO) Ab LC | $64.80 | $81.00 | $78.57 | — | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Chromatin Ab IgG (RDL) LC | $88.00 | $110.00 | $65.76 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Panel With TSH LC:TSH LC | $158.40 | $198.00 | $16.46–$192.06 | 89% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Panel With TSH LC:TSH LC | $158.40 | $198.00 | $16.46–$192.06 | — | 20% |
| Uric acid blood test CPT 84550 Uric Acid | $44.00 | $55.00 | $4.43–$53.35 | 28% below | 20% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $44.00 | $55.00 | $4.43–$53.35 | — | 20% |
| Urinalysis with microscope exam, automated CPT 81001 UA COMPLETE | $65.60 | $82.00 | $52.23 | 21% below | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA COMPLETE | $65.60 | $82.00 | $52.23 | — | 20% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dipstick POCT | $32.80 | $41.00 | $2.40–$65.96 | 24% below | 20% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Dipstick POCT | $32.80 | $41.00 | $2.40–$65.96 | — | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis w/Micro | $54.40 | $68.00 | $52.02–$78.03 | 97% above | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis w/Micro | $54.40 | $68.00 | $52.02–$78.03 | — | 20% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Routine LC | $84.00 | $105.00 | $7.91 | 39% below | 20% |
| Urine culture for bacteria, with colony count CPT 87086 .Ur Cult Comp 997600 LC | $96.00 | $120.00 | $7.91 | 31% below | 20% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Routine LC | $84.00 | $105.00 | $7.91 | — | 20% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 .Ur Cult Comp 997600 LC | $96.00 | $120.00 | $7.91 | — | 20% |
| Urine pregnancy test, read by color change CPT 81025 Beta hCG Qualitative Urine | $26.40 | $33.00 | $25.61–$32.01 | 69% below | 20% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Qualitative Urine | $26.40 | $33.00 | $25.61–$32.01 | — | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B-12 | $135.20 | $169.00 | $14.78–$163.93 | 119% above | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 | $135.20 | $169.00 | $14.78–$163.93 | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D | $131.20 | $164.00 | $29.01 | 105% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $132.00 | $165.00 | $29.01–$160.05 | 106% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXYVIT D D2 D3 | $416.80 | $521.00 | $375.12 | 552% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D | $131.20 | $164.00 | $29.01 | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level | $132.00 | $165.00 | $29.01–$160.05 | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 HYDROXYVIT D D2 D3 | $416.80 | $521.00 | $375.12 | — | 20% |
| Zinc blood test CPT 84630 Zinc | $50.40 | $63.00 | $37.66–$41.98 | 262% above | 20% |
| Zinc blood test CPT 84630 Zinc, Whole Blood | $148.80 | $186.00 | $182.28 | 969% above | 20% |
| Zinc blood test inpatient CPT 84630 Zinc | $50.40 | $63.00 | $37.66–$41.98 | — | 20% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood | $148.80 | $186.00 | $182.28 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HcG Quantative | $139.20 | $174.00 | $104.02 | at median | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HcG Quantative | $139.20 | $174.00 | $104.02 | — | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL TechFee | $251.20 | $314.00 | $126.17 | 86% below | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - CARDIOVERS ELECT ARRHYT X ProFee | $379.20 | $474.00 | $1,107.91 | 79% below | 20% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL TechFee | $251.20 | $314.00 | $126.17 | — | 20% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - CARDIOVERS ELECT ARRHYT X ProFee | $379.20 | $474.00 | $1,107.91 | — | 20% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/REM LESION SNARE TECHNIQUE | $671.20 | $839.00 | $211.07–$225.91 | 71% below | 20% |
| Colonoscopy with polyp removal CPT 45385 45385 Colonoscopy w/lesion removal | $2,008.00 | $2,510.00 | $3,181.55 | 12% below | 20% |
| Colonoscopy with tissue sample CPT 45380 45380 - COLONOSCOPY FLEXIBLE; WITH BIOPSY SINGLE OR MULTIPLE ProFee | $567.20 | $709.00 | $218.09 | 73% below | 20% |
| Colonoscopy with tissue sample CPT 45380 45380 Colonoscopy and biopsy | $1,813.60 | $2,267.00 | $1,355.21 | 13% below | 20% |
| Colonoscopy, diagnostic CPT 45378 45378 - COLONOSCOPY FLEXIBLE; DIAGNOSTIC INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee | $480.00 | $600.00 | $35.60–$160.48 | 77% below | 20% |
| Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY FLEXIBLE DIAGNOSTIC4 | $1,680.00 | $2,100.00 | $420.00–$987.84 | 19% below | 20% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 - removal impacted cerumen irrigation/lavage unilateral | $227.20 | $284.00 | $92.02 | 28% above | 20% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 - removal impacted cerumen irrigation/lavage unilateral | $227.20 | $284.00 | $92.02 | — | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 - I and D ABCESS CYST FURUNCLE PARONYCHIA SIMPLE | $295.20 | $369.00 | $98.44–$100.66 | 37% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 - I and D ABSCESS SIMPLE/SINGLE TechFee | $486.40 | $608.00 | $122.15–$374.79 | 4% above | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 - I and D ABCESS CYST FURUNCLE PARONYCHIA SIMPLE | $295.20 | $369.00 | $98.44–$100.66 | — | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 - I and D ABSCESS SIMPLE/SINGLE TechFee | $486.40 | $608.00 | $122.15–$374.79 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US TechFee | $103.20 | $129.00 | $51.83 | 86% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US ProFee | $149.60 | $187.00 | $39.51–$40.66 | 79% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US TechFee | $103.20 | $129.00 | $51.83 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US ProFee | $149.60 | $187.00 | $39.51–$40.66 | — | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 - ARTHROCENTESIS ASPIR/INJ INTERM JT/BURS W/O US TechFee | $84.00 | $105.00 | $102.90 | 85% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 - ARTHROCENTESIS ASPIR/INJ INTERM JT/BURS W/O US ProFee | $126.40 | $158.00 | $29.68 | 78% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 - ARTHROCENTESIS ASPIR/INJ INTERM JT/BURS W/O US TechFee | $84.00 | $105.00 | $102.90 | — | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 - ARTHROCENTESIS ASPIR/INJ INTERM JT/BURS W/O US ProFee | $126.40 | $158.00 | $29.68 | — | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee | $348.80 | $436.00 | $134.20–$175.18 | 60% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< ProFee | $636.80 | $796.00 | $123.37–$140.18 | 27% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee | $348.80 | $436.00 | $134.20–$175.18 | — | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< ProFee | $636.80 | $796.00 | $123.37–$140.18 | — | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 ER - Injection of anesthetic agent, greater occipital | $200.80 | $251.00 | $100.85 | 76% below | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 INJ GREATER OCCIPITAL NERVE ProFee | $283.20 | $354.00 | $46.08 | 66% below | 20% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 INJ GREATER OCCIPITAL NERVE ProFee | $283.20 | $354.00 | $46.08 | — | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 - INCISION REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee | $245.60 | $307.00 | $233.32 | 67% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 - I and REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $371.20 | $464.00 | $352.64 | 51% below | 20% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 - INCISION REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee | $245.60 | $307.00 | $233.32 | — | 20% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 - I and REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $371.20 | $464.00 | $352.64 | — | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee | $91.20 | $114.00 | $88.46 | 78% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC ProFee | $154.40 | $193.00 | $115.82 | 62% below | 20% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee | $91.20 | $114.00 | $88.46 | — | 20% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC ProFee | $154.40 | $193.00 | $115.82 | — | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 - APPLICATION SHORT LEG SPLINT CALF FOOT TechFee | $112.80 | $141.00 | $28.20–$66.33 | 77% below | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 - APPLICATION SHORT LEG SPLINT CALF FOOT ProFee | $166.40 | $208.00 | $44.90 | 66% below | 20% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 - APPLICATION SHORT LEG SPLINT CALF FOOT TechFee | $112.80 | $141.00 | $28.20–$66.33 | — | 20% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 - APPLICATION SHORT LEG SPLINT CALF FOOT ProFee | $166.40 | $208.00 | $44.90 | — | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee | $100.80 | $126.00 | $107.10 | 77% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< ProFee | $227.20 | $284.00 | $41.62–$133.19 | 49% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee | $100.80 | $126.00 | $107.10 | — | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< ProFee | $227.20 | $284.00 | $41.62–$133.19 | — | 20% |
| Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFe | $316.00 | $395.00 | $627.12–$783.90 | 19% below | 20% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFe | $316.00 | $395.00 | $627.12–$783.90 | — | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 - Lumbar Puncture Diagnost TechFee | $138.40 | $173.00 | $1,973.15 | 89% below | 20% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 - Lumbar Puncture Diagnost TechFee | $138.40 | $173.00 | $1,973.15 | — | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee | $132.80 | $166.00 | $126.16 | 80% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM ProFee | $272.00 | $340.00 | $258.40 | 60% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee | $132.80 | $166.00 | $126.16 | — | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM ProFee | $272.00 | $340.00 | $258.40 | — | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee | $124.80 | $156.00 | $36.56–$62.68 | 81% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< ProFee | $272.00 | $340.00 | $65.86 | 59% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee | $124.80 | $156.00 | $36.56–$62.68 | — | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< ProFee | $272.00 | $340.00 | $65.86 | — | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee | $86.40 | $108.00 | $43.39 | 86% below | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES ProFee | $126.40 | $158.00 | $32.13 | 80% below | 20% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee | $86.40 | $108.00 | $43.39 | — | 20% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES ProFee | $126.40 | $158.00 | $32.13 | — | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 19083 - US Breast Biopsy w/ US Guide Left | $1,136.00 | $1,420.00 | $570.56–$667.97 | 63% below | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 19083 - US Breast Biopsy w/ US Guide Left Report | $2,290.40 | $2,863.00 | $132.59–$135.97 | 26% below | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 19083 - US Breast Biopsy w/ US Guide Left | $1,136.00 | $1,420.00 | $570.56–$667.97 | — | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 19083 - US Breast Biopsy w/ US Guide Left Report | $2,290.40 | $2,863.00 | $132.59–$135.97 | — | 20% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EGD w/transendo balloon dilation of esophagus >30 mm | $1,509.60 | $1,887.00 | $887.64 | 39% below | 20% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EDG BALLOON DILATION ESOPHAGUS <30 MM DI | $2,355.20 | $2,944.00 | $66.80–$133.59 | 4% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 - EGD W BX SINGLE MULTIPLE PRO FEE | $363.20 | $454.00 | $26.77–$124.03 | 79% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 Egd biopsy single/multiple | $1,728.80 | $2,161.00 | $1,872.78 | 2% below | 20% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 - ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED ProFee | $735.20 | $919.00 | $74.21–$144.53 | 56% below | 20% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 Esophagogastroduodenoscopy flexible transoral; with insertion of guide wire followed by pass | $2,393.60 | $2,992.00 | $1,197.35 | 44% above | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD TRANSORAL DIAGNOSTIC | $317.60 | $397.00 | $54.98–$107.34 | 83% below | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD FLEX TRANSORAL DX W/BX | $1,300.00 | $1,625.00 | $652.92 | 31% below | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD TRANSORAL DIAGNOSTIC | $317.60 | $397.00 | $54.98–$107.34 | — | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 - BLOOD TRANSFUSION ADMIN CHARGE | $931.20 | $1,164.00 | $467.70 | 7% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse 1-4 Hours | $1,552.00 | $1,940.00 | $388.00–$779.49 | 78% above | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 - BLOOD TRANSFUSION ADMIN CHARGE | $931.20 | $1,164.00 | $467.70 | — | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse 1-4 Hours | $1,552.00 | $1,940.00 | $388.00–$779.49 | — | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NPPB TX Initial CHARGE | $100.00 | $125.00 | $121.25 | 68% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Sputum Induction Initial CHARGE | $200.00 | $250.00 | $86.24–$235.20 | 35% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Aerosol Initial CHARGE | $481.60 | $602.00 | $50.34–$201.36 | 56% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NPPB TX Initial CHARGE | $100.00 | $125.00 | $121.25 | — | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Sputum Induction Initial CHARGE | $200.00 | $250.00 | $86.24–$235.20 | — | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Aerosol Initial CHARGE | $481.60 | $602.00 | $50.34–$201.36 | — | 20% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - CRITICAL CARE FIRST HOUR ProFee | $870.40 | $1,088.00 | $251.84 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG | $556.80 | $696.00 | $73.96–$675.12 | 65% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG | $556.80 | $696.00 | $73.96–$675.12 | — | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - EMERGENCY DEPT VISIT LEVEL 1 | $80.00 | $100.00 | $10.64 | 79% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $278.40 | $348.00 | $60.64 | 28% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - EMERGENCY DEPT VISIT LEVEL 2 ProFee | $163.20 | $204.00 | $39.29–$100.46 | 78% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $760.80 | $951.00 | $74.69–$922.47 | 2% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - EMERGENCY DEPT VISIT LEVEL 3 ProFee | $280.00 | $350.00 | $66.39–$280.67 | 77% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $1,329.60 | $1,662.00 | $222.28–$1,612.14 | 10% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - EMERGENCY DEPT VISIT LEVEL 4 | $529.60 | $662.00 | $112.97–$405.41 | 73% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $2,044.00 | $2,555.00 | $1,706.23–$2,478.35 | 5% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - EMERGENCY DEPT VISIT LEVEL 5 ProFee | $780.00 | $975.00 | $165.07 | 76% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $2,943.20 | $3,679.00 | $750.56–$2,910.56 | 10% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INF HYDRATION 31 MIN TO 1HR CHARGE | $488.00 | $610.00 | $245.10–$246.17 | 7% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration first hour | $735.20 | $919.00 | $262.44 | 62% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - IV INF HYDRATION 31 MIN TO 1HR CHARGE | $488.00 | $610.00 | $245.10–$246.17 | — | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration first hour | $735.20 | $919.00 | $262.44 | — | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION 1ST HOUR CHARGE | $488.00 | $610.00 | $591.70 | 2% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx first hour | $735.20 | $919.00 | $156.47–$713.14 | 54% above | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV INFUSION 1ST HOUR CHARGE | $488.00 | $610.00 | $591.70 | — | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx first hour | $735.20 | $919.00 | $156.47–$713.14 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Subq/IM Injection | $241.60 | $302.00 | $234.35–$292.94 | 54% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - IM/SUBQ INJECTION CHARGE | $488.00 | $610.00 | $233.14 | 212% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Subq/IM Injection | $241.60 | $302.00 | $234.35–$292.94 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - IM/SUBQ INJECTION CHARGE | $488.00 | $610.00 | $233.14 | — | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 - OT Neuromuscular Reeducation Units | $86.40 | $108.00 | $18.08–$35.51 | 32% below | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 - OT Neuromuscular Reeducation Units | $86.40 | $108.00 | $18.08–$35.51 | — | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 97165 - OT Evaluation Units Low Complexity | $222.40 | $278.00 | $50.03–$211.28 | 14% below | 20% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 - OT Evaluation Units Low Complexity | $222.40 | $278.00 | $50.03–$211.28 | — | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163 - PT Evaluation Units High Complexity | $208.80 | $261.00 | $99.75–$122.77 | 53% below | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 97163 - PT Evaluation Units High Complexity | $208.80 | $261.00 | $99.75–$122.77 | — | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 - PT Evaluation Units Low Complexity | $208.80 | $261.00 | $253.17 | 14% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 97161 - PT Evaluation Units Low Complexity | $208.80 | $261.00 | $253.17 | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162 - PT Evaluation Units Moderate Complexity | $208.80 | $261.00 | $253.17 | 41% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 97162 - PT Evaluation Units Moderate Complexity | $208.80 | $261.00 | $253.17 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 - OT Manual Therapy Units | $137.60 | $172.00 | $16.80–$166.84 | 15% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 - OT Manual Therapy Units | $137.60 | $172.00 | $16.80–$166.84 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 - OT Therapeutic Exercise Units | $148.80 | $186.00 | $17.67–$180.42 | 15% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $223.20 | $279.00 | $58.98–$270.63 | 73% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 - OT Therapeutic Exercise Units | $148.80 | $186.00 | $17.67–$180.42 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $223.20 | $279.00 | $58.98–$270.63 | — | 20% |
| Speech and language evaluation CPT 92523 92523 - SLP Eval Lang ComprehensionExpress Unit | $472.00 | $590.00 | $258.82 | 3% above | 20% |
| Speech and language evaluation inpatient CPT 92523 92523 - SLP Eval Lang ComprehensionExpress Unit | $472.00 | $590.00 | $258.82 | — | 20% |
| Spirometry (breathing test) CPT 94010 RT Incentive Spirometry Initial CHARGE | $313.60 | $392.00 | $78.40–$157.51 | 3% below | 20% |
| Spirometry (breathing test) inpatient CPT 94010 RT Incentive Spirometry Initial CHARGE | $313.60 | $392.00 | $78.40–$157.51 | — | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry before and after | $212.00 | $265.00 | $190.80 | 72% below | 20% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry before and after | $212.00 | $265.00 | $190.80 | — | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 - OT Therapeutic Activities Units | $96.80 | $121.00 | $93.33–$97.71 | 29% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 - PT Therapeutic Activity Units | $96.80 | $121.00 | $20.05–$58.60 | 29% below | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 - OT Therapeutic Activities Units | $96.80 | $121.00 | $93.33–$97.71 | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 - PT Therapeutic Activity Units | $96.80 | $121.00 | $20.05–$58.60 | — | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY ONLY (THERAPEUTIC) | $87.20 | $109.00 | $41.66–$51.27 | 71% below | 20% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY ONLY (THERAPEUTIC) | $87.20 | $109.00 | $41.66–$51.27 | — | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose PF 2024-2025 [PLUM] | $211.20 | $264.00 | $157.82 | 68% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose PF 2024-2025 [PLUM] | $211.20 | $264.00 | $157.82 | — | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL PF Susp IM [PLUM] | $54.40 | $68.00 | $23.29–$33.11 | 31% below | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL PF Susp IM [PLUM] | $54.40 | $68.00 | $23.29–$33.11 | — | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Susp [PLUM] | $63.20 | $79.00 | $79.00 | 25% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Susp [PLUM] | $63.20 | $79.00 | $79.00 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 - IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee | $72.00 | $90.00 | $27.70–$36.16 | 29% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 1st vaccine | $185.60 | $232.00 | $139.24 | 84% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 - IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee | $72.00 | $90.00 | $27.70–$36.16 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 1st vaccine | $185.60 | $232.00 | $139.24 | — | 20% |
Source file: https://www.ephc.org/V3.0TallEPHC.csv