Lester E Cox Medical Centers
Lester E Cox Medical Centers in Springfield, MO publishes cash prices for 275 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 Missouri median for 266 of 274 procedures and above it for 6. By typical cash price it ranks #8 of 60 Missouri hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
3801 S National Ave,Springfield,MO,65807 Collected Sep 27, 2026 Source price file (417) 269-6000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 260040 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $129.03 | $512.04 | $49.19–$615.68 | 57% below | 75% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $129.03 | $512.04 | $78.07–$554.14 | 57% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $111.05 | $440.66 | $104.15–$470.00 | 68% below | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $163.27 | $647.88 | $96.68–$1,240.87 | 62% below | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $560.38 | $2,223.73 | $270.48–$2,828.27 | 62% below | 75% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $270.85 | $1,074.80 | $104.20–$1,074.80 | 29% below | 75% |
| Breast ultrasound, complete, one breast CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST | $406.27 | $1,612.20 | $104.20–$1,612.20 | 6% above | 75% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $177.19 | $703.12 | $86.74–$703.12 | 40% below | 75% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $265.78 | $1,054.68 | $86.74–$1,054.68 | 10% below | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $871.58 | $3,458.64 | $174.82–$2,182.61 | 55% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $560.39 | $2,223.77 | $173.86–$2,223.77 | 61% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST | $632.29 | $2,509.08 | $347.73–$2,743.25 | 55% below | 75% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $140.08 | $555.89 | $86.74–$1,715.00 | 66% above | 75% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $1,231.06 | $4,885.14 | $237.82–$4,885.14 | 42% below | 75% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $1,435.19 | $5,695.18 | $347.73–$3,433.98 | 40% below | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $1,587.60 | $6,300.00 | $347.73–$3,536.04 | 46% below | 75% |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $781.91 | $3,102.82 | $174.82–$1,874.91 | 50% below | 75% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $623.02 | $2,472.31 | $104.20–$2,472.31 | 42% below | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $599.91 | $2,380.61 | $104.20–$2,380.61 | 44% below | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $636.49 | $2,525.76 | $104.20–$1,715.00 | 49% below | 75% |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $762.46 | $3,025.62 | $174.82–$1,715.00 | 47% below | 75% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $814.96 | $3,233.98 | $174.82–$3,233.98 | 54% below | 75% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $709.58 | $2,815.80 | $104.20–$2,815.80 | 49% below | 75% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $722.77 | $2,868.14 | $104.20–$2,868.14 | 55% below | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $735.58 | $2,918.97 | $174.82–$1,808.20 | 55% below | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $428.97 | $1,702.27 | $168.56–$470.00 | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $428.97 | $1,702.27 | $237.82–$1,702.27 | 48% below | 75% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $117.75 | $467.28 | $55.44–$615.68 | 53% below | 75% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $96.69 | $383.69 | $55.44–$615.68 | 54% below | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $295.44 | $1,172.40 | $104.20–$791.60 | 48% below | 75% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $147.44 | $585.09 | $79.14–$739.61 | 57% below | 75% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $132.21 | $524.63 | $168.56–$1,688.05 | 80% below | 75% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $659.85 | $2,618.44 | $104.20–$2,618.44 | 49% below | 75% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $734.70 | $2,915.46 | $174.82–$1,744.38 | 55% below | 75% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $154.32 | $612.39 | $44.76–$820.79 | 30% below | 75% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $102.88 | $408.26 | $36.36–$641.64 | 56% below | 75% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $378.10 | $1,500.41 | $168.56–$555.33 | 46% below | 75% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $528.54 | $2,097.39 | $168.56–$510.32 | 34% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,124.31 | $4,461.56 | $474.71–$2,122.00 | 26% below | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM | $608.03 | $2,412.83 | $398.46–$2,828.27 | 56% below | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $1,147.61 | $4,554.00 | $830.23–$4,554.00 | 56% below | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) | $1,704.06 | $6,762.16 | $830.23–$6,762.16 | 35% below | 75% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $130.18 | $516.58 | $49.19–$615.68 | 52% below | 75% |
| Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS | $130.18 | $516.58 | $86.74–$615.68 | 52% below | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $249.70 | $990.89 | $104.20–$990.89 | 50% below | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $237.76 | $943.51 | $104.20–$1,715.00 | 45% below | 75% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $1,186.24 | $4,707.32 | $102.08–$4,707.32 | — | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $788.51 | $3,129.00 | $237.82–$3,129.00 | 58% below | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $788.51 | $3,129.00 | $237.82–$3,129.00 | 58% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,097.78 | $4,356.28 | $347.73–$4,909.44 | 51% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $1,097.78 | $4,356.28 | $347.73–$4,356.28 | 51% below | 75% |
| MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $867.87 | $3,443.92 | $237.82–$3,443.92 | 48% below | 75% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $1,271.63 | $5,046.17 | $347.73–$5,322.79 | 48% below | 75% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $789.53 | $3,133.04 | $237.82–$3,133.04 | 51% below | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $1,159.07 | $4,599.50 | $347.73–$4,599.50 | 55% below | 75% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $847.32 | $3,362.38 | $237.82–$3,362.38 | 54% below | 75% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $1,161.04 | $4,607.29 | $347.73–$4,607.29 | 53% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $912.73 | $3,621.94 | $237.82–$3,621.94 | 48% below | 75% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $1,292.23 | $5,127.89 | $347.73–$5,127.89 | 48% below | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $879.07 | $3,488.36 | $237.82–$3,488.36 | 56% below | 75% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $1,170.39 | $4,644.39 | $347.73–$5,308.37 | 54% below | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $901.56 | $3,577.60 | $237.82–$3,577.60 | 52% below | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $835.19 | $3,314.26 | $237.82–$3,314.26 | 55% below | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $835.19 | $3,314.26 | $237.82–$3,314.26 | 55% below | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $1,419.60 | $5,633.34 | $960.23–$9,159.19 | 65% below | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $1,973.93 | $7,833.04 | $1,425.24–$10,116.35 | 57% below | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN | $2,039.61 | $8,093.70 | $1,425.24–$10,116.35 | 56% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS | $180.72 | $717.13 | $68.78–$739.61 | 55% below | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $301.74 | $1,197.39 | $104.20–$739.61 | 54% below | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $89.22 | $354.04 | $104.20–$739.61 | 84% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $107.71 | $427.42 | $104.20–$739.61 | 79% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $239.35 | $949.82 | $104.20–$949.82 | 53% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $63.30 | $251.20 | $68.78–$739.61 | 82% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $140.67 | $558.23 | $68.78–$739.61 | 61% below | 75% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $114.01 | $452.44 | $33.79–$452.44 | 31% below | 75% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $122.77 | $487.17 | $49.19–$615.68 | 55% below | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $1,471.98 | $5,841.18 | $427.95–$5,841.18 | 42% below | 75% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $700.18 | $2,778.49 | $474.71–$2,778.49 | 60% below | 75% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION | $204.68 | $812.21 | $96.68–$1,240.87 | 54% below | 75% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $100.52 | $398.88 | $104.20–$739.61 | 83% below | 75% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $223.37 | $886.40 | $104.20–$739.61 | 62% below | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $81.73 | $324.32 | $68.78–$739.61 | 83% below | 75% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $336.09 | $1,333.68 | $104.20–$964.37 | 57% below | 75% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $290.05 | $1,150.98 | $104.20–$739.61 | 50% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $122.90 | $487.68 | $104.20–$739.61 | 78% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $273.10 | $1,083.73 | $104.20–$739.61 | 52% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $220.15 | $873.60 | $52.76–$1,240.87 | 61% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $352.36 | $1,398.26 | $104.20–$1,398.26 | 37% below | 75% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $123.34 | $489.46 | $49.19–$615.68 | 53% below | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $94.84 | $376.36 | $86.74–$615.68 | 60% below | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $107.25 | $425.61 | $78.07–$554.14 | 55% below | 75% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $102.20 | $405.56 | $55.44–$615.68 | 53% below | 75% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY OF ANKLE; 2 VIEWS | $116.08 | $460.63 | $86.74–$615.68 | 39% below | 75% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $116.08 | $460.63 | $49.19–$615.68 | 39% below | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $87.88 | $348.72 | $49.19–$615.68 | 57% below | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS | $87.88 | $348.72 | $86.74–$615.68 | 57% below | 75% |
| X-ray of the foot, 2 views CPT 73620 X-RAY OF FOOT; 2 VIEWS | $114.17 | $453.06 | $86.74–$615.68 | 42% below | 75% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $126.03 | $500.10 | $49.19–$615.68 | 54% below | 75% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $139.16 | $552.21 | $86.74–$615.68 | 45% below | 75% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $139.16 | $552.21 | $49.19–$615.68 | 45% below | 75% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $111.37 | $441.95 | $49.19–$615.68 | 51% below | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $140.19 | $556.30 | $49.19–$739.61 | 52% below | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $184.39 | $731.70 | $81.92–$739.61 | 57% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $118.20 | $469.04 | $104.20–$739.61 | 55% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $118.20 | $469.04 | $49.19–$739.61 | 55% below | 75% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS | $101.34 | $402.15 | $49.19–$615.68 | 59% below | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $136.28 | $540.80 | $49.19–$615.68 | 55% below | 75% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $103.52 | $410.79 | $49.19–$739.61 | 54% below | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS | $115.24 | $457.32 | $49.19–$615.68 | 56% below | 75% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $18.02 | $71.50 | $5.30–$135.00 | 63% below | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $22.89 | $90.85 | $5.30–$135.00 | 53% below | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $17.63 | $69.98 | $5.18–$135.00 | 62% below | 75% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $154.86 | $614.52 | $47.63–$467.08 | 34% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $11.59 | $45.98 | $5.22–$135.00 | 48% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $11.59 | $45.98 | $5.22–$135.00 | 48% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $33.86 | $134.35 | $12.95–$135.00 | 58% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $40.61 | $161.14 | $12.95–$135.00 | 49% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $45.15 | $179.17 | $12.09–$135.00 | 34% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $55.32 | $219.54 | $12.09–$135.00 | 19% below | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $72.14 | $286.28 | $39.26–$278.67 | 41% below | 75% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $56.05 | $222.41 | $8.46–$135.00 | 55% below | 75% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $121.33 | $481.48 | $38.03–$368.67 | 41% below | 75% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $71.98 | $285.65 | $10.32–$285.65 | 35% below | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $7.42 | $29.44 | $9.34–$135.00 | 56% below | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $7.42 | $29.44 | $9.34–$135.00 | 56% below | 75% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $19.81 | $78.62 | $3.93–$135.00 | 39% below | 75% |
| Blood lead test CPT 83655 LEAD LEVEL | $34.24 | $135.89 | $12.11–$135.00 | 37% below | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $55.37 | $219.74 | $7.52–$135.00 | 4% above | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $32.28 | $128.08 | $8.50–$941.27 | 55% below | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $40.35 | $160.10 | $8.50–$941.27 | 44% below | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $34.98 | $138.82 | $5.18–$135.00 | 41% below | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $67.32 | $267.13 | $37.27–$345.46 | 52% below | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $78.59 | $311.88 | $37.27–$345.46 | 44% below | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $55.66 | $220.86 | $20.81–$204.88 | 49% below | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $74.16 | $294.29 | $20.81–$204.88 | 32% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $52.42 | $208.00 | $51.31–$368.20 | 48% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $52.40 | $207.93 | $35.09–$345.46 | 42% below | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $41.39 | $164.23 | $13.39–$135.00 | 60% below | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $51.51 | $204.40 | $13.39–$135.00 | 50% below | 75% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $14.53 | $57.65 | $7.77–$135.00 | 73% below | 75% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $36.77 | $145.92 | $7.77–$145.92 | 31% below | 75% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $21.39 | $84.87 | $6.47–$135.00 | 56% below | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $98.91 | $392.50 | $10.56–$291.16 | 21% below | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $58.66 | $232.76 | $10.18–$135.00 | 53% below | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $61.11 | $242.50 | $10.18–$135.00 | 51% below | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $49.60 | $196.83 | $22.23–$218.87 | 64% below | 75% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $46.47 | $184.40 | $27.94–$274.99 | 68% below | 75% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $92.94 | $368.79 | $27.94–$274.99 | 35% below | 75% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $49.67 | $197.09 | $18.58–$182.92 | 51% below | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $91.40 | $362.71 | $19.63–$193.25 | 51% below | 75% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $45.14 | $179.14 | $13.63–$135.00 | 46% below | 75% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $38.66 | $153.41 | $14.70–$144.74 | 49% below | 75% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $54.05 | $214.48 | $16.94–$166.77 | 46% below | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $38.14 | $151.36 | $9.02–$135.00 | 49% below | 75% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $33.01 | $131.01 | $25.47–$250.74 | 74% below | 75% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $51.97 | $206.23 | $25.47–$250.74 | 59% below | 75% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $110.27 | $437.58 | $135.00–$437.58 | 60% below | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $21.79 | $86.48 | $4.75–$135.00 | 49% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $37.35 | $148.23 | $12.87–$135.00 | 59% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $59.32 | $235.41 | $35.09–$345.46 | 27% below | 75% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $64.94 | $257.71 | $16.85–$142.80 | 14% below | 75% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $50.66 | $201.02 | $14.38–$135.00 | 58% below | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $96.31 | $382.20 | $85.10–$837.66 | 72% below | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $53.22 | $211.20 | $24.08–$237.03 | 34% below | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $28.13 | $111.64 | $9.71–$135.00 | 54% below | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $31.07 | $123.29 | $10.74–$135.00 | 55% below | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $47.69 | $189.26 | $10.33–$135.00 | 26% below | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $65.59 | $260.27 | $14.27–$140.43 | 23% below | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $114.21 | $453.23 | $42.84–$421.67 | 62% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $24.33 | $96.54 | $13.19–$135.00 | 63% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $34.76 | $137.92 | $19.35–$190.52 | 43% below | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $31.09 | $123.36 | $12.95–$135.00 | 56% below | 75% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $69.22 | $274.70 | $17.92–$166.05 | 37% below | 75% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $24.90 | $98.80 | $11.43–$135.00 | 58% below | 75% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $24.68 | $97.95 | $6.47–$135.00 | 47% below | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $11.34 | $44.99 | $8.74–$135.00 | 83% below | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $30.59 | $121.37 | $8.74–$135.00 | 55% below | 75% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $54.37 | $215.77 | $8.68–$135.00 | 49% below | 75% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $46.49 | $184.49 | $18.52–$182.27 | 54% below | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $48.51 | $192.51 | $6.89–$135.00 | 23% below | 75% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $56.05 | $222.41 | $8.17–$135.00 | 58% below | 75% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $44.87 | $178.04 | $17.03–$167.64 | 51% below | 75% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $66.77 | $264.97 | $17.03–$167.64 | 27% below | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $38.02 | $150.89 | $6.70–$135.00 | 19% below | 75% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $29.14 | $115.63 | $12.88–$135.00 | 51% below | 75% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $29.14 | $115.63 | $12.88–$135.00 | 51% below | 75% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $27.19 | $107.88 | $5.18–$135.00 | 34% below | 75% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $150.03 | $595.37 | $47.81–$595.37 | 55% below | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $35.14 | $139.45 | $18.39–$181.05 | 54% below | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $44.76 | $177.62 | $18.39–$181.05 | 41% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $46.66 | $185.15 | $18.39–$181.05 | 39% below | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $37.61 | $149.25 | $26.61–$188.88 | 49% below | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $39.61 | $157.20 | $20.26–$148.62 | 46% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $77.00 | $305.57 | $41.28–$406.31 | 55% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $86.65 | $343.85 | $41.28–$406.31 | 49% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $36.52 | $144.92 | $6.01–$135.00 | 31% below | 75% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $37.95 | $150.58 | $20.86–$205.38 | 66% below | 75% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $62.82 | $249.30 | $19.38–$190.74 | 49% below | 75% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $97.84 | $388.26 | $19.38–$190.74 | 20% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.32 | $36.99 | $4.29–$135.00 | 67% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $20.71 | $82.19 | $4.29–$135.00 | 26% below | 75% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $37.92 | $150.49 | $16.55–$135.00 | 37% below | 75% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $29.60 | $117.47 | $16.53–$135.00 | 26% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $28.05 | $111.29 | $5.67–$135.00 | 37% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $40.06 | $158.98 | $5.67–$135.00 | 10% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $21.33 | $84.64 | $14.39–$141.66 | 60% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $43.06 | $170.88 | $14.39–$141.66 | 18% below | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $20.21 | $80.20 | $2.70–$135.00 | 41% below | 75% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $76.90 | $305.16 | $12.31–$135.00 | 35% below | 75% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $23.44 | $93.01 | $8.90–$135.00 | 59% below | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $15.24 | $60.49 | $4.38–$135.00 | 29% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $24.45 | $97.02 | $15.92–$156.59 | 52% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $13.97 | $55.42 | $4.27–$135.00 | 53% below | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $114.76 | $455.40 | $61.98–$610.11 | 40% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $57.43 | $227.88 | $25.81–$254.11 | 52% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $38.92 | $154.46 | $14.55–$143.23 | 49% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $48.18 | $191.21 | $16.80–$191.21 | 5% above | 75% |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $54.32 | $215.57 | $35.09–$345.46 | 61% below | 75% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $24.20 | $96.04 | $4.52–$135.00 | 43% below | 75% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $29.42 | $116.75 | $3.17–$135.00 | 21% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $7.17 | $28.47 | $2.25–$135.00 | 64% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $15.94 | $63.27 | $2.25–$135.00 | 21% below | 75% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $9.39 | $37.26 | $3.48–$135.00 | 28% below | 75% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $44.48 | $176.51 | $8.07–$135.00 | 31% below | 75% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $44.45 | $176.40 | $8.61–$135.00 | 11% below | 75% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $39.33 | $156.08 | $15.08–$148.40 | 49% below | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $61.48 | $243.98 | $29.60–$291.41 | 55% below | 75% |
| Zinc blood test CPT 84630 ZINC LEVEL | $45.24 | $179.53 | $11.39–$135.00 | 26% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $50.29 | $199.56 | $15.05–$135.00 | 41% below | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $98.69 | $391.64 | $277.18–$9,091.00 | 62% below | 75% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $219.32 | $870.32 | $277.18–$9,091.00 | 16% below | 75% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $4,078.74 | $16,185.49 | $3,231.26–$16,185.49 | 61% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $572.50 | $2,271.81 | $658.77–$2,271.81 | 30% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $572.50 | $2,271.81 | $398.24–$2,271.81 | 30% below | 75% |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB | $12,752.47 | $50,605.02 | $4,463.00–$50,605.02 | 51% below | 75% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $6,458.72 | $25,629.84 | $11,506.17–$25,629.84 | 55% below | 75% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $51.98 | $206.27 | $60.20–$9,091.00 | 56% below | 75% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $35.03 | $139.00 | $58.80–$9,091.00 | 53% below | 75% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $77.84 | $308.88 | $58.80–$9,091.00 | 5% above | 75% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $33.24 | $131.90 | $46.99–$9,091.00 | 64% below | 75% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $73.86 | $293.11 | $46.99–$9,091.00 | 19% below | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $675.07 | $2,678.83 | $703.56–$4,463.00 | 34% below | 75% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL | $856.56 | $3,399.06 | $881.56–$4,463.00 | 17% below | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $230.32 | $913.95 | $49.40–$4,463.00 | 20% below | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $107.89 | $428.13 | $102.71–$9,091.00 | 52% below | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $114.55 | $454.58 | $180.81–$4,463.00 | 42% below | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $114.55 | $454.58 | $305.94–$4,463.00 | 42% below | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $163.83 | $650.12 | $180.81–$4,463.00 | 23% below | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $364.07 | $1,444.72 | $180.81–$4,463.00 | 70% above | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $110.46 | $438.35 | $180.81–$4,463.00 | 45% below | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $245.48 | $974.11 | $180.81–$4,463.00 | 23% above | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $101.68 | $403.49 | $148.81–$4,463.00 | 49% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $225.96 | $896.65 | $148.81–$4,463.00 | 13% above | 75% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $4,018.38 | $15,945.96 | $3,231.26–$15,945.96 | 43% below | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $733.28 | $2,909.83 | $703.56–$4,463.00 | 24% below | 75% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,847.66 | $7,332.00 | $587.67–$7,332.00 | 66% above | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $871.60 | $3,458.73 | $521.39–$4,463.00 | 42% below | 75% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS | $170.38 | $676.11 | $325.40–$3,468.00 | 31% below | 75% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $60.21 | $238.91 | $60.20–$9,091.00 | 63% below | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $148.64 | $589.86 | $305.94–$4,463.00 | 51% below | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $148.64 | $589.86 | $265.34–$4,463.00 | 51% below | 75% |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE | $4,868.80 | $19,320.64 | $2,122.00–$12,346.47 | 72% below | 75% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $840.81 | $3,336.56 | $663.31–$4,463.00 | 3% below | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $1,321.39 | $5,243.60 | $1,177.61–$9,091.00 | 8% below | 75% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $234.75 | $931.56 | $198.37–$9,091.00 | 23% below | 75% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $130.98 | $519.76 | $125.00–$9,091.00 | 45% below | 75% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $126.23 | $500.90 | $78.83–$9,091.00 | 24% below | 75% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $126.23 | $500.90 | $100.00–$9,091.00 | 24% below | 75% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $104.52 | $414.76 | $405.17–$9,091.00 | 60% below | 75% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $80.79 | $320.59 | $60.20–$9,091.00 | 45% below | 75% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $179.53 | $712.43 | $60.20–$9,091.00 | 22% above | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $181.17 | $718.91 | $265.34–$4,463.00 | 64% below | 75% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $780.50 | $3,097.22 | $625.24–$4,463.00 | 13% below | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $134.72 | $534.60 | $180.81–$4,463.00 | 34% below | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $299.38 | $1,188.00 | $180.81–$4,463.00 | 46% above | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $404.91 | $1,606.80 | $439.72–$3,468.00 | 38% below | 75% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $404.91 | $1,606.80 | $243.86–$3,468.00 | 38% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $117.12 | $464.76 | $29.24–$520.00 | 26% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $53.21 | $211.14 | $2,031.00 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $117.12 | $464.76 | $2,031.00 | — | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $90.88 | $360.63 | $206.85–$583.10 | 79% below | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $201.95 | $801.39 | $206.85–$1,095.00 | 53% below | 75% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST | $130.55 | $518.04 | $92.91–$325.87 | 24% below | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $1,124.99 | $4,464.23 | $534.18–$3,725.00 | 16% below | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $3,165.38 | $12,561.03 | $534.18–$3,725.00 | 135% above | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $182.27 | $723.29 | $168.43–$723.29 | 76% below | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY | $405.04 | $1,607.32 | $215.21–$1,607.32 | 46% below | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $45.06 | $178.81 | $28.71–$193.00 | 76% below | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $100.13 | $397.36 | $58.80–$397.36 | 47% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $97.38 | $386.43 | $84.05–$520.00 | 30% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $97.38 | $386.43 | $57.94–$520.00 | 30% below | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $186.01 | $738.12 | $153.04–$970.00 | 22% below | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $186.01 | $738.12 | $94.80–$970.00 | 22% below | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $347.14 | $1,377.54 | $150.46–$1,416.00 | 21% below | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $554.34 | $2,199.76 | $415.89–$2,423.00 | 17% below | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $554.34 | $2,199.76 | $239.80–$2,423.00 | 17% below | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $837.26 | $3,322.48 | $593.57–$3,322.48 | 21% below | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $837.26 | $3,322.48 | $356.46–$3,094.00 | 21% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $359.21 | $1,425.42 | $188.16–$1,425.42 | 56% below | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $144.84 | $574.78 | $81.08–$1,095.00 | 41% below | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $144.84 | $574.78 | $212.01–$574.78 | 41% below | 75% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $69.99 | $277.72 | $141.55–$1,095.00 | 77% below | 75% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $155.52 | $617.16 | $141.55–$1,095.00 | 49% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $22.71 | $90.10 | $27.39–$285.00 | 77% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $50.46 | $200.23 | $27.39–$520.00 | 48% below | 75% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $164.79 | $653.91 | $371.93–$685.00 | 64% below | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $36.33 | $144.15 | $30.56–$144.15 | 59% below | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES | $36.33 | $144.15 | $30.56–$326.00 | 59% below | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $18.87 | $74.88 | $25.22–$275.00 | 57% below | 75% |
| Occupational therapy evaluation, low complexity CPT 97165 EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES | $79.38 | $315.00 | $93.80–$375.00 | 43% below | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $106.40 | $422.24 | $91.50–$422.24 | 38% below | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $78.12 | $310.00 | $91.50–$326.00 | 39% below | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $82.29 | $326.56 | $91.50–$326.56 | 47% below | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES | $39.57 | $157.01 | $25.92–$326.00 | 51% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $39.48 | $156.68 | $27.16–$375.00 | 49% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $39.48 | $156.68 | $27.16–$375.00 | 49% below | 75% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $15.52 | $61.58 | $12.57–$275.00 | 30% below | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $71.77 | $284.81 | $121.95–$147.41 | 64% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $42.34 | $168.03 | $55.85–$89.52 | 64% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $58.52 | $232.23 | $82.22–$116.48 | 63% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $31.84 | $126.36 | $30.22–$89.52 | 54% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $75.07 | $297.89 | $30.22–$32.34 | 10% above | 75% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $150.96 | $599.04 | $140.00–$599.04 | 44% below | 75% |
| Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER | $98.25 | $389.88 | $71.67–$389.88 | 38% below | 75% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $51.32 | $203.67 | $60.53–$685.00 | 76% below | 75% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $87.94 | $348.98 | $101.08–$685.00 | 81% below | 75% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $195.43 | $775.51 | $101.08–$685.00 | 57% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES | $36.54 | $145.00 | $32.30–$326.00 | 56% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $37.64 | $149.36 | $32.30–$326.00 | 54% below | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $84.77 | $336.38 | $43.92–$285.00 | 55% below | 75% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula | $19.78 | $78.49 | $78.49 | 61% below | 75% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2024-2025 Formula | $20.29 | $80.53 | $80.53 | 60% below | 75% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty PFS 2024-2025 Age 12 and older | $1,344.56 | $5,335.56 | $216.32–$5,335.56 | 393% above | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula | $6.68 | $26.50 | $21.07–$26.50 | 89% below | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2024-2025 Formula | $7.45 | $29.57 | $21.07–$29.57 | 88% below | 75% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $54.24 | $215.24 | $215.24 | 51% below | 75% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix | $65.09 | $258.30 | $258.30 | 41% below | 75% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix | $47.88 | $190.01 | $190.01 | 42% below | 75% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $60.69 | $240.82 | $240.82 | 27% below | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B | $41.72 | $165.56 | $116.13–$165.56 | 47% below | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $41.90 | $166.27 | $116.13–$166.27 | 46% below | 75% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $35.45 | $140.69 | $140.69 | 79% below | 75% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $84.28 | $334.43 | $334.43 | 49% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo | $184.45 | $731.93 | $105.95–$173.14 | 43% above | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Gamunex-C | $1,156.74 | $4,590.25 | $4,590.25 | 798% above | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $85.88 | $340.78 | $340.78 | 72% below | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero | $121.88 | $483.67 | $483.67 | 60% below | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 | $169.28 | $671.73 | $671.73 | 68% below | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $217.27 | $862.19 | $476.29–$862.19 | 59% below | 75% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $185.88 | $737.60 | $220.23–$737.60 | at median | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $255.37 | $1,013.39 | $315.22–$2,237.43 | 71% below | 75% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $340.90 | $1,352.79 | $175.53–$2,237.43 | 61% below | 75% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGLES VACCINE FOR INJECTION INTO MUSCLE | $131.28 | $520.94 | $520.94 | 45% below | 75% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix | $131.28 | $520.94 | $520.94 | 45% below | 75% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $58.02 | $230.22 | $230.22 | 19% below | 75% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac | $60.60 | $240.49 | $240.49 | 15% below | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $34.99 | $138.85 | $138.85 | 65% below | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $35.21 | $139.72 | $139.72 | 65% below | 75% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $118.83 | $471.53 | $471.53 | at median | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $24.51 | $97.26 | $27.39–$76.79 | 59% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $24.56 | $97.48 | $27.39–$76.79 | 58% below | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $24.51 | $97.26 | $27.39–$520.00 | 48% below | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $24.56 | $97.48 | $27.39–$97.48 | 48% below | 75% |
Source file: https://cdn.coxhealth.com/documents/440577118_lester-e-cox-medical-centers_standardcharges.csv