Hospital Dallas-Fort Worth-Arlington, TX

Cook Childrens Medical Center - Prosper

Cook Childrens Medical Center - Prosper in Prosper, TX publishes cash prices for 194 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 153 of 193 procedures and below it for 39. By typical cash price it ranks #211 of 306 Texas hospitals and #57 of 82 hospitals in the Dallas, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

4100 W University Drive, Prosper, TX 75078 Collected Sep 27, 2026 Source price file Check a bill from this hospital (945) 204-4100

Children's hospital Nonprofit hospital Emergency department CCN 453317 · CMS hospital register NPI 1215609896

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Cook Childrens Medical Center - Prosper is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & WO CONTRAST	$5,377.22	$7,169.63	$227.23–$273.09	87% above	25%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & WO CONTRAST	$5,377.22	$7,169.63	$2,652.76–$6,596.06	—	25%
Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEWS	$366.52	$488.69	$34.55–$148.14	6% below	25%
Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN 2 VIEWS	$366.52	$488.69	$180.82–$449.59	—	25%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMPLETE 3 VIEWS	$438.39	$584.52	$216.27–$537.76	16% above	25%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMPLETE 3 VIEWS	$438.39	$584.52	$216.27–$537.76	—	25%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT EXTREMITY UPPER	$2,464.08	$3,285.44	$125.91–$148.14	33% above	25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT EXTREMITY UPPER	$2,464.08	$3,285.44	$1,215.61–$3,022.60	—	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGEAL CONTRAST SWALLOW	$726.90	$969.20	$91.89–$249.95	45% above	25%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGEAL CONTRAST SWALLOW	$726.90	$969.20	$358.60–$891.66	—	25%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST	$957.64	$1,276.85	$68.33–$120.42	157% above	25%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST	$957.64	$1,276.85	$472.43–$1,174.70	—	25%
CT angiography (CTA) of the head CPT 70496 HC CT HEAD ANGIO W & WO CONTRAST	$5,392.63	$7,190.17	$227.23–$278.01	91% above	25%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT HEAD ANGIO W & WO CONTRAST	$5,392.63	$7,190.17	$2,660.36–$6,614.96	—	25%
CT angiography (CTA) of the neck CPT 70498 HC CT NECK ANGIO W & WO CONTRAST	$5,018.33	$6,691.10	$227.23–$278.01	93% above	25%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT NECK ANGIO W & WO CONTRAST	$5,018.33	$6,691.10	$2,475.71–$6,155.81	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT THORAX ANGIO W & WO CONTRAS	$5,888.05	$7,850.73	$227.23–$278.01	108% above	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT THORAX ANGIO W & WO CONTRAS	$5,888.05	$7,850.73	$2,904.77–$7,222.67	—	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT CORONARY ANGIOGRAM	$5,802.89	$7,737.18	$227.23–$278.01	248% above	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT CORONARY ANGIOGRAM	$5,802.89	$7,737.18	$2,862.76–$7,118.21	—	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CALCIUM SCORING	$3,178.95	$4,238.60	$68.33–$120.42	1578% above	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CALCIUM SCORING	$3,178.95	$4,238.60	$1,568.28–$3,899.51	—	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PEL WO	$5,377.79	$7,170.38	$208.77–$323.66	60% above	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PEL WO	$5,377.79	$7,170.38	$2,653.04–$6,596.75	—	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PEL WITH	$6,226.82	$8,302.42	$278.01–$510.64	60% above	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PEL WITH	$6,226.82	$8,302.42	$3,071.90–$7,638.23	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PEL W/WO	$8,937.41	$11,916.55	$278.01–$510.64	114% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PEL W/WO	$8,937.41	$11,916.55	$4,409.12–$10,963.23	—	25%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$4,304.87	$5,739.82	$227.23–$249.95	65% above	25%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$4,304.87	$5,739.82	$2,123.73–$5,280.63	—	25%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN	$4,000.94	$5,334.59	$1,973.80–$4,907.82	98% above	25%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN	$4,000.94	$5,334.59	$1,973.80–$4,907.82	—	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT CONE BEAM	$1,572.82	$2,097.09	$125.91–$148.14	6% below	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CONE BEAM CT OF HEAD, NECK	$1,769.82	$2,359.76	$125.91–$148.14	6% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT PARANASAL SINUSES	$1,829.08	$2,438.77	$125.91–$148.14	10% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MANDIBLE	$1,829.08	$2,438.77	$125.91–$148.14	10% above	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL	$2,340.92	$3,121.23	$125.91–$148.14	40% above	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT CONE BEAM	$1,572.82	$2,097.09	$775.92–$1,929.32	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CONE BEAM CT OF HEAD, NECK	$1,769.82	$2,359.76	$873.11–$2,170.98	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MANDIBLE	$1,829.08	$2,438.77	$902.34–$2,243.67	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT PARANASAL SINUSES	$1,829.08	$2,438.77	$902.34–$2,243.67	—	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL	$2,340.92	$3,121.23	$1,154.86–$2,871.53	—	25%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD	$2,843.56	$3,791.41	$120.56–$148.14	49% above	25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD	$2,843.56	$3,791.41	$1,402.82–$3,488.10	—	25%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$3,312.33	$4,416.44	$169.80–$249.95	88% above	25%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$3,312.33	$4,416.44	$1,634.08–$4,063.12	—	25%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W & WO CONTRAST	$4,416.21	$5,888.28	$199.21–$249.95	94% above	25%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W & WO CONTRAST	$4,416.21	$5,888.28	$2,178.66–$5,417.22	—	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR	$3,265.05	$4,353.40	$125.91–$148.14	59% above	25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR	$3,265.05	$4,353.40	$1,610.76–$4,005.13	—	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL	$4,000.94	$5,334.59	$125.91–$148.14	94% above	25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL	$4,000.94	$5,334.59	$1,973.80–$4,907.82	—	25%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$3,171.09	$4,228.12	$227.23–$249.95	44% above	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$3,171.09	$4,228.12	$1,564.40–$3,889.87	—	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC SONO DOPPLER CAROTID BILAT	$996.55	$1,328.73	$477.01–$1,222.43	—	25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC SONO DOPPLER EXTRACRANIAL BIL	$790.07	$1,053.43	$168.87–$323.66	40% below	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC SONO DOPPLER CAROTID BILAT	$996.55	$1,328.73	$477.01–$1,222.43	—	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC SONO DOPPLER EXTRACRANIAL BIL	$790.07	$1,053.43	$378.18–$969.16	—	25%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W & WO CONTRAST	$4,891.19	$6,521.59	$227.23–$249.95	80% above	25%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W & WO CONTRAST	$4,891.19	$6,521.59	$2,412.99–$5,999.86	—	25%
Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS	$500.51	$667.35	$31.61–$120.42	27% above	25%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS	$500.51	$667.35	$246.92–$613.96	—	25%
Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW	$426.99	$569.32	$22.78–$120.42	32% above	25%
Chest X-ray, single view CPT 71045 HC CHEST & ABDOMEN 1 FILM	$489.42	$652.56	$22.78–$120.42	51% above	25%
Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW	$426.99	$569.32	$210.65–$523.77	—	25%
Chest X-ray, single view inpatient CPT 71045 HC CHEST & ABDOMEN 1 FILM	$489.42	$652.56	$241.45–$600.36	—	25%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE 2 VIEW-AP	$499.81	$666.41	$29.04–$120.42	48% above	25%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE 1 VIEW	$331.76	$442.34	$147.03–$406.95	—	25%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE 2 VIEW-AP	$499.81	$666.41	$246.57–$613.10	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC SONO RETROPERITONEAL	$1,401.07	$1,868.09	$118.72–$148.14	90% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC RENAL ULTRASOUND	$490.31	$653.74	$217.30–$601.44	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC SONO RETROPERITONEAL	$1,401.07	$1,868.09	$691.19–$1,718.64	—	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL SPINE	$911.39	$1,215.19	$43.74–$148.14	119% above	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL SPINE	$911.39	$1,215.19	$449.62–$1,117.97	—	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA FOREARM	$460.93	$614.57	$29.40–$120.42	109% above	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR DXA BONE DENSITY EXTREMITY	$911.14	$1,214.85	$29.40–$120.42	313% above	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA FOREARM	$460.93	$614.57	$227.39–$565.40	—	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR DXA BONE DENSITY EXTREMITY	$911.14	$1,214.85	$449.49–$1,117.66	—	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX	$3,847.67	$5,130.23	$125.91–$148.14	129% above	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX	$3,847.67	$5,130.23	$1,898.19–$4,719.81	—	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$4,086.17	$5,448.23	$204.36–$249.95	89% above	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$4,086.17	$5,448.23	$2,015.85–$5,012.37	—	25%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC SONO DOPPLER ARTERIAL LEXT BIL	$1,561.79	$2,082.38	$212.18–$323.66	14% below	25%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC SONO DOPPLER ARTERIAL LEXT BIL	$1,561.79	$2,082.38	$747.57–$1,915.79	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC SONO DOPPLER VENOUS EXT BILAT	$946.94	$1,262.58	$166.51–$323.66	—	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC SONO DOPPLER VENOUS EXT BILAT	$946.94	$1,262.58	$453.27–$1,161.57	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D M MODE WITH DOPPLER & CF W	$3,046.56	$4,062.08	$1,350.24–$3,737.11	30% above	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D M MODE WITH DOPPLER & CLFL	$4,427.05	$5,902.73	$1,962.07–$5,430.51	89% above	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D M MODE WITH DOPPLER & CF W	$3,046.56	$4,062.08	$1,350.24–$3,737.11	—	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D M MODE WITH DOPPLER & CLFL	$4,427.05	$5,902.73	$1,962.07–$5,430.51	—	25%
Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEWS	$411.89	$549.19	$28.30–$120.42	27% above	25%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 1 VIEW	$384.44	$512.59	$170.38–$471.58	—	25%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEWS	$411.89	$549.19	$203.20–$505.25	—	25%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW COMPLETE 3 VIEWS MIN	$463.94	$618.59	$32.71–$120.42	21% above	25%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW COMPLETE 3 VIEWS MIN	$463.94	$618.59	$228.88–$569.10	—	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SELLA W/O PITUITARY	$2,256.17	$3,008.22	$125.91–$148.14	34% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT	$3,537.77	$4,717.02	$125.91–$148.14	111% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT IAC	$3,537.77	$4,717.02	$125.91–$148.14	111% above	25%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT MASTOIDS	$3,538.72	$4,718.29	$1,745.77–$4,340.83	111% above	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SELLA W/O PITUITARY	$2,256.17	$3,008.22	$1,113.04–$2,767.56	—	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT	$3,537.77	$4,717.02	$1,745.30–$4,339.66	—	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT IAC	$3,537.77	$4,717.02	$1,745.30–$4,339.66	—	25%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT MASTOIDS	$3,538.72	$4,718.29	$1,745.77–$4,340.83	—	25%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMPLETE	$546.13	$728.17	$43.00–$148.14	29% above	25%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMPLETE	$546.13	$728.17	$269.42–$669.92	—	25%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$463.55	$618.07	$26.83–$120.42	23% above	25%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 1 VIEW	$287.18	$382.91	$127.28–$352.28	—	25%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$463.55	$618.07	$228.69–$568.62	—	25%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEWS	$366.67	$488.89	$29.40–$148.14	11% above	25%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 1 VIEW	$306.92	$409.23	$136.03–$376.49	—	25%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEWS	$366.67	$488.89	$180.89–$449.78	—	25%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEOUS 2 VIEW MIN	$473.62	$631.49	$28.30–$120.42	64% above	25%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEOUS 2 VIEW MIN	$473.62	$631.49	$233.65–$580.97	—	25%
Knee X-ray, 3 views CPT 73562 HC KNEE 3 VIEWS	$438.39	$584.52	$37.13–$120.42	8% above	25%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEWS	$438.39	$584.52	$216.27–$537.76	—	25%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMPLETE MIN 4 VIEWS	$468.27	$624.36	$41.17–$148.14	10% above	25%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMPLETE MIN 4 VIEWS	$468.27	$624.36	$231.01–$574.41	—	25%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT EXTREMITY LOWER	$2,464.08	$3,285.44	$1,215.61–$3,022.60	39% above	25%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT EXTREMITY LOWER	$2,464.08	$3,285.44	$1,215.61–$3,022.60	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC IR ULTRASOUND FOLLOW UP - LIMITED ABDOMEN	$328.77	$438.36	$95.93–$148.14	48% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC SONO ABDOMEN LIMITED	$440.76	$587.68	$95.93–$148.14	30% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC SONO PYLORIC	$721.88	$962.50	$95.93–$148.14	15% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC SONO ADRENALS	$871.13	$1,161.51	$95.93–$148.14	38% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US SOFT ABDOMEN	$893.93	$1,191.90	$95.93–$148.14	42% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC SONO SPLEEN	$922.46	$1,229.95	$95.93–$148.14	47% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC SONO REFLUX EVALUATION	$1,203.83	$1,605.11	$95.93–$148.14	91% above	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC IR ULTRASOUND FOLLOW UP - LIMITED ABDOMEN	$328.77	$438.36	$162.19–$403.29	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO ABDOMEN LIMITED	$440.76	$587.68	$217.44–$540.67	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO PYLORIC	$721.88	$962.50	$356.13–$885.50	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO ADRENALS	$871.13	$1,161.51	$429.76–$1,068.59	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US SOFT ABDOMEN	$893.93	$1,191.90	$441.00–$1,096.55	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO SPLEEN	$922.46	$1,229.95	$455.08–$1,131.55	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC SONO REFLUX EVALUATION	$1,203.83	$1,605.11	$593.89–$1,476.70	—	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC IR ULTRASOUND FOLLOW UP - LIMITED EXTREMITY	$328.77	$438.36	$33.39–$151.03	29% below	25%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC SONO SOFT TISSUE EXTREMITY	$721.88	$962.50	$33.39–$151.03	55% above	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC IR ULTRASOUND FOLLOW UP - LIMITED EXTREMITY	$328.77	$438.36	$162.19–$403.29	—	25%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC SONO SOFT TISSUE EXTREMITY	$721.88	$962.50	$356.13–$885.50	—	25%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG (TIB,FIB) 2 VIEWS	$494.08	$658.77	$243.74–$606.07	43% above	25%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC LEG (TIB,FIB) 3 VIEWS	$526.31	$701.74	$259.64–$645.60	52% above	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG (TIB,FIB) 1 VIEW	$461.90	$615.86	$204.71–$566.59	—	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG (TIB,FIB) 2 VIEWS	$494.08	$658.77	$243.74–$606.07	—	25%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC LEG (TIB,FIB) 3 VIEWS	$526.31	$701.74	$259.64–$645.60	—	25%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRI ELBOW W CONTRAST	$3,027.81	$4,037.08	$255.54–$323.66	42% above	25%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA BRAIN ANGIO	$4,046.25	$5,395.00	$255.54–$323.66	89% above	25%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA BRAIN ANGIO VENOUS	$4,046.25	$5,395.00	$255.54–$323.66	89% above	25%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRI ELBOW W CONTRAST	$3,027.81	$4,037.08	$1,493.72–$3,714.11	—	25%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA BRAIN ANGIO VENOUS	$4,046.25	$5,395.00	$1,996.15–$4,963.40	—	25%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA BRAIN ANGIO	$4,046.25	$5,395.00	$1,996.15–$4,963.40	—	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI KNEE	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI TOES	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI HIP	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANKLE	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI HIP	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI TOES	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANKLE	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI KNEE	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANKLE W & WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	3% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI TOES W/WO CONTRAST	$3,255.57	$4,340.76	$464.22–$510.64	3% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI KNEE W & WO CONTRAST	$3,255.57	$4,340.76	$464.22–$510.64	3% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI HIP W/WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	3% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI HIP W/WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANKLE W & WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI TOES W/WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI KNEE W & WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	—	25%
MRI of the abdomen without contrast CPT 74181 HC MRI KIDNEYS W/O RENAL	$2,243.83	$2,991.77	$255.54–$323.66	2% above	25%
MRI of the abdomen without contrast CPT 74181 HC MRI ADRENALS	$2,244.05	$2,992.06	$255.54–$323.66	2% above	25%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN	$2,244.05	$2,992.06	$255.54–$323.66	2% above	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN LIMITED	$1,812.23	$2,416.30	$803.18–$2,223.00	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI KIDNEYS W/O RENAL	$2,243.83	$2,991.77	$1,106.95–$2,752.43	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ADRENALS	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN FOR LIVER QUANT	$2,362.04	$3,149.38	$1,046.85–$2,897.43	—	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ADRENALS W & WO CONTRAST	$3,255.57	$4,340.76	$444.73–$510.64	2% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI RENOGRAM	$3,371.30	$4,495.07	$444.73–$510.64	6% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI KIDNEYS W & WO CONTRAST	$4,406.63	$5,875.51	$444.73–$510.64	38% above	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W & WO CONTRAST	$4,762.36	$6,349.81	$444.73–$510.64	50% above	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ADRENALS W & WO CONTRAST	$3,255.57	$4,340.76	$1,606.08–$3,993.50	—	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI RENOGRAM	$3,371.30	$4,495.07	$1,663.18–$4,135.46	—	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI KIDNEYS W & WO CONTRAST	$4,406.63	$5,875.51	$2,173.94–$5,405.47	—	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W & WO CONTRAST	$4,762.36	$6,349.81	$2,349.43–$5,841.83	—	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN NEURO RESEARCH	$480.54	$640.72	$240.74–$323.66	78% below	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN NEST DTI	$549.42	$732.56	$240.74–$323.66	75% below	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN LIMITED	$2,244.05	$2,992.06	$240.74–$323.66	2% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI IAC	$2,807.02	$3,742.69	$240.74–$323.66	28% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI PITUITARY	$2,807.02	$3,742.69	$240.74–$323.66	28% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN DTI SKYRA 521	$2,807.02	$3,742.69	$240.74–$323.66	28% above	25%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN	$2,807.02	$3,742.69	$240.74–$323.66	28% above	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN NEURO RESEARCH	$480.54	$640.72	$237.07–$589.46	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN NEST DTI	$549.42	$732.56	$271.05–$673.96	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN LIMITED	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN	$2,807.02	$3,742.69	$1,384.80–$3,443.27	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI IAC	$2,807.02	$3,742.69	$1,384.80–$3,443.27	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN DTI SKYRA 521	$2,807.02	$3,742.69	$1,384.80–$3,443.27	—	25%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI PITUITARY	$2,807.02	$3,742.69	$1,384.80–$3,443.27	—	25%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & WO CONTRAST	$3,025.81	$4,034.41	$393.64–$510.64	at median	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & WO CONTRAST	$3,025.81	$4,034.41	$1,492.73–$3,711.66	—	25%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR	$2,462.63	$3,283.50	$234.12–$323.66	8% above	25%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR	$2,462.63	$3,283.50	$1,214.90–$3,020.82	—	25%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR W & WO CONTRAST	$3,741.42	$4,988.56	$395.11–$510.64	17% above	25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR W & WO CONTRAST	$3,741.42	$4,988.56	$1,845.77–$4,589.48	—	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC	$3,034.98	$4,046.64	$234.50–$323.66	42% above	25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC	$3,034.98	$4,046.64	$1,497.26–$3,722.91	—	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL W & WO CONTRAST	$3,743.45	$4,991.27	$395.85–$510.64	15% above	25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL W & WO CONTRAST	$3,743.45	$4,991.27	$1,846.77–$4,591.97	—	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL	$3,034.98	$4,046.64	$234.12–$323.66	31% above	25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL	$3,034.98	$4,046.64	$1,497.26–$3,722.91	—	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI UROGRAM	$2,869.58	$3,826.11	$443.63–$510.64	15% below	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI SACRUM WITH AND WITHOUT CONTRAST	$3,518.38	$4,691.17	$443.63–$510.64	4% above	25%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & WO CONTRAST	$3,518.38	$4,691.17	$443.63–$510.64	4% above	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI UROGRAM	$2,869.58	$3,826.11	$1,415.66–$3,520.02	—	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI SACRUM WITH AND WITHOUT CONTRAST	$3,518.38	$4,691.17	$1,735.73–$4,315.88	—	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & WO CONTRAST	$3,518.38	$4,691.17	$1,735.73–$4,315.88	—	25%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI SACRUM WITHOUT	$3,034.98	$4,046.64	$255.54–$323.66	24% above	25%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS	$3,034.98	$4,046.64	$255.54–$323.66	24% above	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS	$3,034.98	$4,046.64	$1,497.26–$3,722.91	—	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI SACRUM WITHOUT	$3,034.98	$4,046.64	$1,497.26–$3,722.91	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI SHOULDER	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI FINGER	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI WRIST	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ELBOW	$2,244.05	$2,992.06	$1,107.06–$2,752.70	2% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI FINGER	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI SHOULDER	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI WRIST	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI ELBOW	$2,244.05	$2,992.06	$1,107.06–$2,752.70	—	25%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL 4 VIEWS	$953.00	$1,270.66	$470.14–$1,169.01	75% above	25%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL 4 VIEWS	$953.00	$1,270.66	$470.14–$1,169.01	—	25%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$4,295.43	$5,727.24	$211.34–$249.95	110% above	25%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$4,295.43	$5,727.24	$2,119.08–$5,269.06	—	25%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK	$3,990.55	$5,320.73	$125.91–$148.14	129% above	25%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK	$3,990.55	$5,320.73	$1,968.67–$4,895.07	—	25%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$430.69	$574.25	$29.40–$120.42	81% above	25%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$430.69	$574.25	$212.47–$528.31	—	25%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS	$2,226.26	$2,968.35	$125.91–$148.14	36% above	25%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS	$2,226.26	$2,968.35	$1,098.29–$2,730.88	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED	$461.90	$615.86	$55.87–$151.03	4% below	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SOFT TISSUE PELVIS	$893.93	$1,191.90	$55.87–$151.03	85% above	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED	$312.57	$416.76	$138.53–$383.42	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED	$461.90	$615.86	$227.87–$566.59	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SOFT TISSUE PELVIS	$893.93	$1,191.90	$441.00–$1,096.55	—	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC SONO PELVIC EVALUATION	$713.46	$951.28	$105.91–$151.03	17% below	25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC SONO PELVIC EVALUATION	$713.46	$951.28	$351.97–$875.18	—	25%
Rib X-ray, one side, 2 views CPT 71100 HC RIBS 2 VIEWS	$592.04	$789.39	$34.55–$120.42	66% above	25%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC RIBS 2 VIEWS	$592.04	$789.39	$292.07–$726.24	—	25%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS 3 VIEWS	$609.82	$813.09	$39.70–$148.14	55% above	25%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS 3 VIEWS	$609.82	$813.09	$300.84–$748.04	—	25%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER 2 VIEWS	$411.89	$549.19	$30.51–$120.42	20% above	25%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER 2 VIEWS	$411.89	$549.19	$203.20–$505.25	—	25%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUS SERIES COMPLETE	$652.77	$870.36	$38.95–$120.42	55% above	25%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUS SERIES COMPLETE	$652.77	$870.36	$322.03–$800.73	—	25%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL 1 VIEW	$247.93	$330.57	$37.85–$148.14	29% below	25%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL 2 VIEWS	$324.38	$432.51	$37.85–$148.14	8% below	25%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL 1 VIEW	$247.93	$330.57	$122.31–$304.12	—	25%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL 2 VIEWS	$324.38	$432.51	$160.03–$397.91	—	25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOW FUNCTION STUDY II	$1,178.05	$1,570.73	$125.91–$249.95	96% above	25%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOW FUNCTION STUDY II	$1,178.05	$1,570.73	$581.17–$1,445.07	—	25%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC FEMUR 2 VIEWS	$494.08	$658.77	$34.19–$120.42	41% above	25%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC FEMUR 2 VIEWS	$494.08	$658.77	$243.74–$606.07	—	25%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC	$2,959.16	$3,945.54	$125.91–$148.14	49% above	25%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC	$2,959.16	$3,945.54	$1,459.85–$3,629.90	—	25%
Toe X-ray, 2 or more views CPT 73660 HC TOES MIN 2 VIEWS	$326.73	$435.64	$29.40–$120.42	11% above	25%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOES MIN 2 VIEWS	$326.73	$435.64	$161.19–$400.79	—	25%
Ultrasound of the abdomen, complete CPT 76700 HC SONO ABDOMEN COMPLETE	$1,009.17	$1,345.56	$125.91–$148.14	17% above	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC SONO ABDOMEN COMPLETE	$1,009.17	$1,345.56	$497.86–$1,237.92	—	25%
Ultrasound of the scrotum and testicles CPT 76870 HC SONO TESTICULAR	$678.93	$905.24	$70.94–$148.14	11% above	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC SCROTAL U/S	$308.17	$410.89	$136.58–$378.02	—	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC SONO TESTICULAR	$678.93	$905.24	$334.94–$832.82	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC ULTRASOUND THYROID HANDHELD	$179.60	$239.47	$122.03–$148.14	72% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC SONO THYROID	$603.77	$805.02	$122.03–$148.14	4% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC SONO PAROTID	$624.22	$832.29	$122.03–$148.14	1% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC SONO SOFT TISSUE HEAD NECK	$793.66	$1,058.21	$122.03–$148.14	26% above	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC ULTRASOUND THYROID POST SURGICAL	$905.40	$1,207.20	$122.03–$148.14	44% above	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC ULTRASOUND THYROID HANDHELD	$179.60	$239.47	$88.60–$220.31	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SONO THYROID	$603.77	$805.02	$297.86–$740.62	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SONO PAROTID	$624.22	$832.29	$307.95–$765.71	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SONO SOFT TISSUE HEAD NECK	$793.66	$1,058.21	$391.54–$973.55	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC ULTRASOUND THYROID POST SURGICAL	$905.40	$1,207.20	$446.66–$1,110.62	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI SERIES	$1,252.19	$1,669.59	$117.25–$249.95	70% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI WITH SMALL BOWEL	$2,118.35	$2,824.46	$117.25–$249.95	188% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI SERIES	$1,252.19	$1,669.59	$617.75–$1,536.02	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI WITH SMALL BOWEL	$2,118.35	$2,824.46	$1,045.05–$2,598.50	—	25%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS 2 VIEWS	$499.81	$666.41	$30.14–$120.42	41% above	25%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS 1 VIEW	$461.90	$615.86	$204.71–$566.59	—	25%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS 2 VIEWS	$499.81	$666.41	$246.57–$613.10	—	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC SONO DOPPLER VENOUS EXT UNI	$871.13	$1,161.51	$105.50–$150.72	8% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC SONO DOPPLER VENOUS EXT UNI	$871.13	$1,161.51	$416.98–$1,068.59	—	25%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEWS	$421.64	$562.19	$32.71–$120.42	33% above	25%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 1 VIEW	$394.50	$526.00	$174.84–$483.92	—	25%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEWS	$421.64	$562.19	$208.01–$517.21	—	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HC NAVICULAR SERIES WRIST 8V	$453.88	$605.17	$36.39–$120.42	18% above	25%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST 3 VIEWS MIN COMPLETE	$453.88	$605.17	$36.39–$120.42	18% above	25%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC NAVICULAR SERIES WRIST 8V	$453.88	$605.17	$223.91–$556.76	—	25%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST 3 VIEWS MIN COMPLETE	$453.88	$605.17	$223.91–$556.76	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC HIP JOINT MIN 2 VIEWS	$459.24	$612.32	$43.00–$120.42	14% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC PELVIS & HIPS INFANT - CHILD	$617.53	$823.37	$43.00–$120.42	53% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC HIP JOINT MIN 2 VIEWS	$459.24	$612.32	$226.56–$563.33	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC PELVIS & HIPS INFANT - CHILD	$617.53	$823.37	$304.65–$757.50	—	25%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW	$421.64	$562.19	$28.30–$120.42	24% above	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW	$421.64	$562.19	$208.01–$517.21	—	25%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$416.29	$555.05	$205.37–$510.65	39% above	25%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 1 VIEW	$384.44	$512.59	$170.38–$471.58	—	25%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$416.29	$555.05	$205.37–$510.65	—	25%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER MIN 2 VIEWS	$398.51	$531.35	$33.44–$120.42	51% above	25%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER MIN 2 VIEWS	$398.51	$531.35	$196.60–$488.84	—	25%
X-ray of the foot, 2 views CPT 73620 HC FOOT WEIGHT BEARING 2 VIEWS	$411.89	$549.19	$203.20–$505.25	24% above	25%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEWS	$411.89	$549.19	$203.20–$505.25	24% above	25%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEWS	$411.89	$549.19	$203.20–$505.25	—	25%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT WEIGHT BEARING 2 VIEWS	$411.89	$549.19	$203.20–$505.25	—	25%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT COMPLETE 3 VIEWS	$438.39	$584.52	$216.27–$537.76	18% above	25%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT COMPLETE 3 VIEWS	$438.39	$584.52	$216.27–$537.76	—	25%
X-ray of the hand, 3 or more views CPT 73130 HC HAND 3 VIEWS	$438.39	$584.52	$33.09–$120.42	12% above	25%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND 3 VIEWS	$438.39	$584.52	$216.27–$537.76	—	25%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 2 VIEWS	$421.64	$562.19	$32.34–$120.42	43% above	25%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 2 VIEWS	$421.64	$562.19	$208.01–$517.21	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 VIEW	$431.39	$575.19	$212.82–$529.17	8% below	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 3 VIEW	$606.13	$808.17	$299.02–$743.52	30% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 VIEW	$431.39	$575.19	$212.82–$529.17	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 3 VIEW	$606.13	$808.17	$299.02–$743.52	—	25%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBO-SACRAL COMPLETE	$778.18	$1,037.57	$383.90–$954.56	24% above	25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBO-SACRAL COMPLETE	$778.18	$1,037.57	$383.90–$954.56	—	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS POS 2	$486.05	$648.07	$239.79–$596.22	21% above	25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS POS 2	$486.05	$648.07	$239.79–$596.22	—	25%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMPLETE	$486.36	$648.48	$34.19–$120.42	67% above	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMPLETE	$486.36	$648.48	$239.94–$596.60	—	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 2 VIEWS	$359.29	$479.05	$177.25–$440.73	4% below	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 3 VIEWS	$588.03	$784.04	$290.09–$721.32	58% above	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 2-3 VIEWS LAT	$668.18	$890.90	$329.63–$819.63	79% above	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2 VIEWS	$359.29	$479.05	$177.25–$440.73	—	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 3 VIEWS	$588.03	$784.04	$290.09–$721.32	—	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2-3 VIEWS LAT	$668.18	$890.90	$329.63–$819.63	—	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 VIEW	$434.06	$578.75	$33.09–$148.14	17% above	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS WITH LATERAL HIP	$515.22	$686.96	$33.09–$148.14	39% above	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 VIEW	$434.06	$578.75	$214.14–$532.45	—	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS WITH LATERAL HIP	$515.22	$686.96	$254.18–$632.00	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC COCCYX 2 VIEWS	$384.44	$512.59	$29.40–$120.42	17% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM 2 VIEWS	$389.09	$518.79	$29.40–$120.42	19% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX	$559.50	$746.00	$29.40–$120.42	71% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC COCCYX 2 VIEWS	$384.44	$512.59	$189.66–$471.58	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM 2 VIEWS	$389.09	$518.79	$191.95–$477.29	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX	$559.50	$746.00	$276.02–$686.32	—	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$155.06	$206.74	$68.72–$190.20	683% above	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$155.06	$206.74	$68.72–$190.20	—	25%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$108.23	$144.31	$3.93–$4.32	144% above	25%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$108.23	$144.31	$53.39–$132.77	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC URINE HCG, QUALITATIVE	$67.57	$90.09	$7.52–$8.27	51% below	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC URINE HCG, QUALITATIVE	$67.57	$90.09	$33.33–$82.88	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C	$151.49	$201.99	$9.71–$10.68	65% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C	$151.49	$201.99	$74.74–$185.83	—	25%
Hemoglobin blood test CPT 85018 HC TOTAL HEMOGLOBIN	$50.63	$67.51	$2.37–$2.61	8% above	25%
Hemoglobin blood test inpatient CPT 85018 HC TOTAL HEMOGLOBIN	$50.63	$67.51	$24.98–$62.11	—	25%
Lactate (lactic acid) blood test CPT 83605 HC LACATE	$343.10	$457.46	$11.57–$12.73	250% above	25%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACATE	$343.10	$457.46	$169.26–$420.86	—	25%
Potassium blood test CPT 84132 HC POTASSIUM	$108.23	$144.31	$4.76–$5.24	66% above	25%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$108.23	$144.31	$53.39–$132.77	—	25%
Sodium blood test CPT 84295 HC SODIUM	$108.23	$144.31	$4.81–$5.29	74% above	25%
Sodium blood test inpatient CPT 84295 HC SODIUM	$108.23	$144.31	$53.39–$132.77	—	25%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS POC	$42.03	$56.04	$2.25–$2.48	16% below	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS POC	$42.03	$56.04	$20.73–$51.56	—	25%
Urinalysis without microscope exam, manual CPT 81002 HC URINE SCREEN, DIPSTICK	$44.27	$59.02	$3.48–$3.83	24% above	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE SCREEN, DIPSTICK	$44.27	$59.02	$21.84–$54.30	—	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC TREATMENT OF ANKLE FRACTURE	$1,183.39	$1,577.85	$524.48–$1,451.62	154% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC TREATMENT OF ANKLE FRACTURE	$1,183.39	$1,577.85	$524.48–$1,451.62	—	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$2,592.17	$3,456.22	$1,148.85–$3,179.72	83% above	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION	$2,592.17	$3,456.22	$1,148.85–$3,179.72	—	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC NEWBORN CIR (UNDER 3 MO)	$637.02	$849.36	$83.99–$979.20	48% below	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC NEWBORN CIR (UNDER 3 MO)	$637.02	$849.36	$282.33–$781.41	—	25%
Circumcision, surgical, older than a newborn CPT 54160 HC NEWBORN CIR (28 DAYS OR LESS)	$636.86	$849.14	$282.25–$781.21	72% below	25%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC NEWBORN CIR (28 DAYS OR LESS)	$636.86	$849.14	$282.25–$781.21	—	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC DISTAL RADIAL FX OR EPIPHYS SE	$1,183.39	$1,577.85	$524.48–$1,451.62	131% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC DISTAL RADIAL FX OR EPIPHYS SE	$1,183.39	$1,577.85	$524.48–$1,451.62	—	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION; FIRST LESION	$297.16	$396.21	$47.45–$67.79	49% above	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION; FIRST LESION	$297.16	$396.21	$131.70–$364.51	—	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT,	$289.72	$386.29	$128.40–$355.39	137% above	25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNLAT,	$289.72	$386.29	$128.40–$355.39	—	25%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN	$288.58	$384.77	$127.90–$353.99	81% above	25%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN	$288.58	$384.77	$127.90–$353.99	—	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D	$419.16	$558.88	$90.77–$129.68	10% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS (SIMPLE)	$896.61	$1,195.48	$397.38–$1,099.84	92% above	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D	$419.16	$558.88	$185.77–$514.17	—	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS (SIMPLE)	$896.61	$1,195.48	$397.38–$1,099.84	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR	$1,168.94	$1,558.59	$518.08–$1,433.90	78% above	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR	$1,168.94	$1,558.59	$518.08–$1,433.90	—	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC SUPPRELIN PLACEMENT	$288.51	$384.68	$55.11–$78.74	20% above	25%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC SUPPRELIN PLACEMENT	$288.51	$384.68	$127.87–$353.91	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAC REPAIR/INTER. UP TO 2.5	$1,217.41	$1,623.21	$539.56–$1,493.35	129% above	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAC REPAIR/INTER. UP TO 2.5	$1,217.41	$1,623.21	$539.56–$1,493.35	—	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TRUNK/ARMS/LEGS<0.5CM	$1,381.95	$1,842.60	$72.20–$116.69	72% above	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TRUNK/ARMS/LEGS<0.5CM	$1,381.95	$1,842.60	$612.48–$1,695.19	—	25%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF NAIL PLATE	$809.02	$1,078.69	$358.56–$992.39	163% above	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF NAIL PLATE	$809.02	$1,078.69	$358.56–$992.39	—	25%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT,ANESTHETIC, OCCPITCA NE	$2,055.48	$2,740.64	$910.99–$2,521.39	381% above	25%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT,ANESTHETIC, OCCPITCA NE	$2,055.48	$2,740.64	$910.99–$2,521.39	—	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL MATRIX IGTN	$724.81	$966.41	$87.53–$127.07	38% above	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL INGROWN	$2,095.55	$2,794.06	$928.75–$2,570.54	298% above	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL MATRIX IGTN	$724.81	$966.41	$321.23–$889.10	—	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL INGROWN	$2,095.55	$2,794.06	$928.75–$2,570.54	—	25%
Removal of a foreign object under the skin, simple CPT 10120 HC R.F.B. SIMPLE SC	$1,567.39	$2,089.85	$694.67–$1,922.66	195% above	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC R.F.B. SIMPLE SC	$1,567.39	$2,089.85	$694.67–$1,922.66	—	25%
Short arm cast (elbow to hand) CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$138.80–$384.16	12% above	25%
Short arm cast (elbow to hand) CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$138.80–$384.16	12% above	25%
Short arm cast (elbow to hand) CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$139.50–$386.10	13% above	25%
Short arm cast (elbow to hand) CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$55.41–$79.16	13% above	25%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST	$1,236.08	$1,648.11	$547.83–$1,516.26	343% above	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$138.80–$384.16	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC OT SHORT ARM CAST	$313.17	$417.56	$138.80–$384.16	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$139.50–$386.10	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PT SHORT ARM CAST	$314.75	$419.67	$55.41–$79.16	—	25%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION OF FOREARM CAST	$1,236.08	$1,648.11	$547.83–$1,516.26	—	25%
Short arm splint (forearm and hand) CPT 29125 HC PLASTER SPLINTS SHORT ARM	$729.40	$972.53	$323.27–$894.73	191% above	25%
Short arm splint (forearm and hand) inpatient CPT 29125 HC PLASTER SPLINTS SHORT ARM	$729.40	$972.53	$323.27–$894.73	—	25%
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$1,236.08	$1,648.11	$547.83–$1,516.26	264% above	25%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST	$1,236.08	$1,648.11	$547.83–$1,516.26	—	25%
Short leg splint (calf to foot) CPT 29515 HC PT SPLINT SHORT LEG	$243.35	$324.47	$107.85–$298.51	11% below	25%
Short leg splint (calf to foot) CPT 29515 HC OT SPLINT SHORT LEG	$243.35	$324.47	$107.85–$298.51	11% below	25%
Short leg splint (calf to foot) CPT 29515 HC PLASTER SPLINTS SHORT LEG	$707.93	$943.91	$313.76–$868.40	158% above	25%
Short leg splint (calf to foot) inpatient CPT 29515 HC PT SPLINT SHORT LEG	$243.35	$324.47	$107.85–$298.51	—	25%
Short leg splint (calf to foot) inpatient CPT 29515 HC OT SPLINT SHORT LEG	$243.35	$324.47	$107.85–$298.51	—	25%
Short leg splint (calf to foot) inpatient CPT 29515 HC PLASTER SPLINTS SHORT LEG	$707.93	$943.91	$313.76–$868.40	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC LACER. REPAIR < 2.5 CM	$545.30	$727.06	$241.67–$668.90	51% above	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC LACER. REPAIR < 2.5 CM	$545.30	$727.06	$241.67–$668.90	—	25%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$40.37–$119.19	26% below	25%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$150.28–$415.93	—	25%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAG	$268.37	$357.82	$65.43–$93.47	16% below	25%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKIN TAG	$543.11	$724.15	$240.71–$666.22	70% above	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAG	$268.37	$357.82	$118.94–$329.19	—	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL SKIN TAG	$543.11	$724.15	$240.71–$666.22	—	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR PUNCTUR	$995.59	$1,327.45	$53.63–$394.29	5% below	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC IR LUMBAR PUNCTURE	$1,256.85	$1,675.80	$53.63–$394.29	20% above	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOTIC	$2,053.77	$2,738.36	$910.23–$2,519.29	96% above	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR PUNCTUR	$995.59	$1,327.45	$441.24–$1,221.25	—	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC IR LUMBAR PUNCTURE	$1,256.85	$1,675.80	$557.04–$1,541.74	—	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP DIAGNOTIC	$2,053.77	$2,738.36	$910.23–$2,519.29	—	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC LACER. REPAIR 2.6 CM-7.5	$545.30	$727.06	$241.67–$668.90	19% above	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC LACER. REPAIR 2.6 CM-7.5	$545.30	$727.06	$241.67–$668.90	—	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC LACER. REPAIR UP TO 2.5 C	$545.30	$727.06	$241.67–$668.90	40% above	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC LACER. REPAIR UP TO 2.5 C	$545.30	$727.06	$241.67–$668.90	—	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$32.41–$96.35	6% below	25%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY OF SKIN - INITIAL	$339.08	$452.10	$150.28–$415.93	—	25%
Wart removal, up to 14 warts CPT 17110 HC BENIGN LESIONS<14	$150.28	$200.37	$57.47–$82.10	25% below	25%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESION	$692.40	$923.20	$306.87–$849.34	246% above	25%
Wart removal, up to 14 warts inpatient CPT 17110 HC BENIGN LESIONS<14	$150.28	$200.37	$66.60–$184.34	—	25%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESION	$692.40	$923.20	$306.87–$849.34	—	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20 SQ CM OR LESS	$1,630.81	$2,174.41	$722.77–$2,000.46	61% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20 SQ CM OR LESS	$1,630.81	$2,174.41	$722.77–$2,000.46	—	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$1,645.75	$2,194.33	$729.40–$2,018.78	94% above	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$1,645.75	$2,194.33	$729.40–$2,018.78	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction both sides CPT 94640 HC BI-PAP SUBSEQUENT	$699.95	$933.26	$310.22–$858.60	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER AND TREATMENT	$86.42	$115.23	$38.30–$106.01	58% below	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL NEBULIZER TREATMENT	$314.54	$419.38	$139.40–$385.83	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED/NON PRESSURIZED INHALATION TREATMENT	$314.63	$419.50	$139.44–$385.94	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT SUBSEQ	$325.58	$434.10	$144.29–$399.37	60% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CAYSTON, ALTERA NEB SUBSQ TRT	$325.58	$434.10	$144.29–$399.37	60% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT INITIAL	$335.20	$446.93	$148.56–$411.18	65% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC METERED DOSE INHALER DELIVERY	$392.48	$523.30	$173.94–$481.44	93% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INTRAPULMON PERCUS VENTILATION	$450.50	$600.67	$199.66–$552.62	122% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEB TREATMENT INIT	$906.80	$1,209.07	$401.89–$1,112.34	346% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC CAYSTON, ALTERA NEB INITAL TRT	$1,185.56	$1,580.74	$525.44–$1,454.28	483% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient both sides CPT 94640 HC BI-PAP SUBSEQUENT	$699.95	$933.26	$310.22–$858.60	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER AND TREATMENT	$86.42	$115.23	$38.30–$106.01	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEB TREATMENT SUBSEQ	$90.68	$120.91	$40.19–$111.24	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL NEBULIZER TREATMENT	$314.54	$419.38	$139.40–$385.83	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PRESSURIZED/NON PRESSURIZED INHALATION TREATMENT	$314.63	$419.50	$139.44–$385.94	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CAYSTON, ALTERA NEB SUBSQ TRT	$325.58	$434.10	$144.29–$399.37	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT SUBSEQ	$325.58	$434.10	$144.29–$399.37	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT INITIAL	$335.20	$446.93	$148.56–$411.18	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC METERED DOSE INHALER DELIVERY	$392.48	$523.30	$173.94–$481.44	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INTRAPULMON PERCUS VENTILATION	$450.50	$600.67	$199.66–$552.62	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEB TREATMENT INIT	$906.80	$1,209.07	$401.89–$1,112.34	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC CAYSTON, ALTERA NEB INITAL TRT	$1,185.56	$1,580.74	$525.44–$1,454.28	—	25%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION 1ST HOUR	$709.89	$946.52	$114.93–$164.19	31% above	25%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INFUSION 1ST HOUR	$709.89	$946.52	$314.62–$870.80	—	25%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC AUDIO COMPREH-AIR/BN/SRT/WRS	$331.85	$442.47	$147.08–$407.07	11% above	25%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC AUDIO COMPREH-AIR/BN/SRT/WRS	$331.85	$442.47	$147.08–$407.07	—	25%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MINUTES	$4,832.83	$6,443.77	$2,248.88–$5,928.27	87% above	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74 MINUTES	$4,832.83	$6,443.77	$2,248.88–$5,928.27	—	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE W/INTERP	$1,946.68	$2,595.57	$862.77–$2,387.92	99% above	25%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE W/INTERP	$1,946.68	$2,595.57	$862.77–$2,387.92	—	25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG W INTERP	$492.99	$657.32	$218.49–$604.73	245% above	25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG W INTERP	$492.99	$657.32	$218.49–$604.73	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG W/O INTERP	$296.92	$395.89	$131.59–$364.22	5% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG W/O INTERP	$296.92	$395.89	$131.59–$364.22	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER DISCHARGE LEVEL I	$463.72	$618.29	$228.77–$568.83	77% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER DISCHARGE LEVEL I	$463.72	$618.29	$228.77–$568.83	—	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER DISCHARGE LEVEL II	$864.73	$1,152.97	$426.60–$1,060.73	84% above	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER DISCHARGE LEVEL II	$864.73	$1,152.97	$426.60–$1,060.73	—	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER DISCHARGE LEVEL III	$1,519.07	$2,025.42	$749.41–$1,863.39	85% above	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER DISCHARGE LEVEL III	$1,519.07	$2,025.42	$749.41–$1,863.39	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER DISCHARGE LEVEL IV	$2,714.45	$3,619.26	$1,339.13–$3,329.72	107% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER DISCHARGE LEVEL IV	$2,714.45	$3,619.26	$1,339.13–$3,329.72	—	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER DISCHARGE LEVEL V	$4,015.81	$5,354.41	$1,981.13–$4,926.06	100% above	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER DISCHARGE LEVEL V	$4,015.81	$5,354.41	$1,981.13–$4,926.06	—	25%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY-MA- W/PATIENT	$483.74	$644.99	$214.39–$593.39	72% above	25%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY-PHD- W/PATIENT	$676.31	$901.75	$299.74–$829.61	140% above	25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-MA- W/PATIENT	$483.74	$644.99	$214.39–$593.39	—	25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-PHD- W/PATIENT	$676.31	$901.75	$299.74–$829.61	—	25%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY-MA- W/O PATIENT	$483.74	$644.99	$214.39–$593.39	87% above	25%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY-PHD W/O PATIENT	$676.31	$901.75	$299.74–$829.61	162% above	25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY-MA- W/O PATIENT	$483.74	$644.99	$214.39–$593.39	—	25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY-PHD W/O PATIENT	$676.31	$901.75	$299.74–$829.61	—	25%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC HOLTER MONITOR W INTERP	$2,620.13	$3,493.51	$1,161.24–$3,214.03	273% above	25%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC HOLTER MONITOR W INTERP	$2,620.13	$3,493.51	$1,161.24–$3,214.03	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION INFUSION 1ST HOUR	$709.89	$946.52	$28.59–$40.85	58% above	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INITIAL MOD 59	$596.43	$795.24	$264.34–$731.62	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION INFUSION 1ST HOUR	$709.89	$946.52	$314.62–$870.80	—	25%
IV infusion of a medicine, first hour CPT 96365 HC THERAPEUTIC INFUSION 1ST HOUR	$709.89	$946.52	$56.29–$80.42	52% above	25%
IV infusion of a medicine, first hour CPT 96365 HC IVIG INFUSION 1ST HOUR	$709.89	$946.52	$56.29–$80.42	52% above	25%
IV infusion of a medicine, first hour CPT 96365 HC MEDICATION ADMIN IV, INITIAL	$956.42	$1,275.23	$56.29–$80.42	104% above	25%
IV infusion of a medicine, first hour CPT 96365 HC STIM W INFUSION 4 HOURS	$2,214.99	$2,953.32	$56.29–$80.42	373% above	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC THERAPEUTIC INFUSION 1ST HOUR	$709.89	$946.52	$314.62–$870.80	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IVIG INFUSION 1ST HOUR	$709.89	$946.52	$314.62–$870.80	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC MEDICATION ADMIN IV, INITIAL	$956.42	$1,275.23	$423.89–$1,173.21	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 HC STIM W INFUSION 4 HOURS	$2,214.99	$2,953.32	$981.68–$2,717.05	—	25%
IV push of a medicine, first drug CPT 96374 HC THER IV PUSH SINGLE/INITIAL	$231.50	$308.66	$32.71–$46.73	at median	25%
IV push of a medicine, first drug CPT 96374 HC IV-PUSH, SINGLE OR INTIAL	$596.43	$795.24	$32.71–$46.73	158% above	25%
IV push of a medicine, first drug CPT 96374 HC INITIAL STIM W IV PUSH, 1 HOUR	$914.76	$1,219.68	$32.71–$46.73	295% above	25%
IV push of a medicine, first drug CPT 96374 HC INITIAL STIM W IV PUSH, 2 HOUR	$1,341.95	$1,789.26	$32.71–$46.73	480% above	25%
IV push of a medicine, first drug CPT 96374 HC INITIAL STIM W IV PUSH, 3 HOUR	$1,768.60	$2,358.13	$32.71–$46.73	664% above	25%
IV push of a medicine, first drug CPT 96374 HC INITIAL STIM W IV PUSH, 4 HOUR	$2,214.38	$2,952.51	$32.71–$46.73	857% above	25%
IV push of a medicine, first drug inpatient CPT 96374 HC THER IV PUSH SINGLE/INITIAL	$231.50	$308.66	$102.60–$283.97	—	25%
IV push of a medicine, first drug inpatient CPT 96374 HC IV-PUSH, SINGLE OR INTIAL	$596.43	$795.24	$264.34–$731.62	—	25%
IV push of a medicine, first drug inpatient CPT 96374 HC INITIAL STIM W IV PUSH, 1 HOUR	$914.76	$1,219.68	$405.42–$1,122.11	—	25%
IV push of a medicine, first drug inpatient CPT 96374 HC INITIAL STIM W IV PUSH, 2 HOUR	$1,341.95	$1,789.26	$594.75–$1,646.12	—	25%
IV push of a medicine, first drug inpatient CPT 96374 HC INITIAL STIM W IV PUSH, 3 HOUR	$1,768.60	$2,358.13	$783.84–$2,169.48	—	25%
IV push of a medicine, first drug inpatient CPT 96374 HC INITIAL STIM W IV PUSH, 4 HOUR	$2,214.38	$2,952.51	$981.41–$2,716.31	—	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTC INJ SUBQ OR IM	$149.38	$199.17	$12.38–$17.69	2% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ, DIAGNOSTIC OR THERAPEUTIC	$237.41	$316.55	$12.38–$17.69	56% above	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SUB INJ/IV INF;15MIN OR LES	$295.13	$393.51	$12.38–$17.69	94% above	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTC INJ SUBQ OR IM	$149.38	$199.17	$66.20–$183.24	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ, DIAGNOSTIC OR THERAPEUTIC	$237.41	$316.55	$105.22–$291.23	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SUB INJ/IV INF;15MIN OR LES	$295.13	$393.51	$130.80–$362.03	—	25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC DX EVAL MASTER PREP	$527.01	$702.68	$131.15–$187.35	37% above	25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$639.34	$852.45	$283.35–$784.25	66% above	25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC DIAGNOSTIC INTERVIEW-PHD	$811.51	$1,082.01	$359.66–$995.45	111% above	25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC DX EVAL MASTER PREP	$527.01	$702.68	$233.57–$646.47	—	25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION	$639.34	$852.45	$283.35–$784.25	—	25%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC DIAGNOSTIC INTERVIEW-PHD	$811.51	$1,082.01	$359.66–$995.45	—	25%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEURO RE-ED	$69.12	$92.16	$30.63–$84.79	39% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEURO RE-ED	$69.12	$92.16	$30.63–$84.79	39% below	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEURO RE-ED	$69.12	$92.16	$30.63–$84.79	—	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEURO RE-ED	$69.12	$92.16	$30.63–$84.79	—	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC INITIAL VISIT	$162.38	$216.50	$50.70–$72.44	2% below	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC INITIAL VISIT	$162.38	$216.50	$71.96–$199.18	—	25%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY	$233.46	$311.28	$103.47–$286.38	4% below	25%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY	$233.46	$311.28	$103.47–$286.38	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY	$527.96	$703.94	$233.99–$647.62	73% above	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY	$527.96	$703.94	$233.99–$647.62	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY	$233.46	$311.28	$103.47–$286.38	17% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY	$233.46	$311.28	$103.47–$286.38	—	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MODCOMPLEXITY	$350.20	$466.93	$155.21–$429.58	39% above	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MODCOMPLEXITY	$350.20	$466.93	$155.21–$429.58	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT-MANL THER TECH(EA UNIT	$69.12	$92.16	$30.63–$84.79	38% below	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY(EA UNIT)	$69.12	$92.16	$30.63–$84.79	38% below	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY(EA UNIT)	$69.12	$92.16	$30.63–$84.79	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT-MANL THER TECH(EA UNIT	$69.12	$92.16	$30.63–$84.79	—	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EX - EA UNIT	$69.12	$92.16	$30.63–$84.79	38% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE EACH 15 MIN	$69.12	$92.16	$30.63–$84.79	38% below	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EX 15 MIN COMPLEX	$108.29	$144.38	$47.99–$132.83	3% below	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EX - EA UNIT	$69.12	$92.16	$30.63–$84.79	—	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT EXERCISE EACH 15 MIN	$69.12	$92.16	$30.63–$84.79	—	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER EX 15 MIN COMPLEX	$108.29	$144.38	$47.99–$132.83	—	25%
Psychiatric evaluation with medical services CPT 90792 HC DX EVAL MASTER PREP W/MED SERV	$526.86	$702.48	$149.71–$213.87	60% above	25%
Psychiatric evaluation with medical services inpatient CPT 90792 HC DX EVAL MASTER PREP W/MED SERV	$526.86	$702.48	$233.50–$646.28	—	25%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST EVAL PHD INIT HOUR	$868.85	$1,158.46	$385.07–$1,065.78	183% above	25%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST EVAL PHD INIT HOUR	$868.85	$1,158.46	$385.07–$1,065.78	—	25%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC CRISIS PSYCHOTHRY MA INIT 60 M	$596.70	$795.60	$264.46–$731.95	83% above	25%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC CRISIS PSYCHOTHY PHD INIT 60 M	$833.10	$1,110.80	$369.23–$1,021.94	155% above	25%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS PSYCHOTHRY MA INIT 60 M	$596.70	$795.60	$264.46–$731.95	—	25%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS PSYCHOTHY PHD INIT 60 M	$833.10	$1,110.80	$369.23–$1,021.94	—	25%
Psychotherapy session, 30 minutes CPT 90832 HC IND PSYCH-THERP MA 16-37 MN	$243.86	$325.14	$108.08–$299.13	29% above	25%
Psychotherapy session, 30 minutes CPT 90832 HC IND PSYCH-THERP PHD 16-37 MIN	$339.00	$452.00	$150.24–$415.84	79% above	25%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IND PSYCH-THERP MA 16-37 MN	$243.86	$325.14	$108.08–$299.13	—	25%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IND PSYCH-THERP PHD 16-37 MIN	$339.00	$452.00	$150.24–$415.84	—	25%
Psychotherapy session, 45 minutes CPT 90834 HC IND PSYCH-THERP MA 38-52 MN	$483.74	$644.99	$214.39–$593.39	76% above	25%
Psychotherapy session, 45 minutes CPT 90834 HC IND PSYCH-THERP PHD 38-52 MN	$600.58	$800.77	$266.18–$736.71	119% above	25%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IND PSYCH-THERP MA 38-52 MN	$483.74	$644.99	$214.39–$593.39	—	25%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IND PSYCH-THERP PHD 38-52 MN	$600.58	$800.77	$266.18–$736.71	—	25%
Psychotherapy session, 60 minutes CPT 90837 HC IND PSYCH-THERP MA >53 MIN	$550.32	$733.76	$243.90–$675.06	100% above	25%
Psychotherapy session, 60 minutes CPT 90837 HC IND PSYCH-THERP PHD >53 MIN	$678.81	$905.08	$300.85–$832.67	147% above	25%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IND PSYCH-THERP MA >53 MIN	$550.32	$733.76	$243.90–$675.06	—	25%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IND PSYCH-THERP PHD >53 MIN	$678.81	$905.08	$300.85–$832.67	—	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LACTATION CONSULT IP ONLY	$408.02	$544.03	$41.90–$59.85	100% above	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LACTATION CONSULT IP ONLY	$408.02	$544.03	$180.84–$500.51	—	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LACTATION CONSULT IP ONLY	$204.23	$272.31	$27.87–$39.81	25% above	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LACTATION CONSULT IP ONLY	$204.23	$272.31	$90.52–$250.53	—	25%
Speech and language evaluation CPT 92523 HC SPEECH AND LANG EVAL LEVEL 1	$153.86	$205.14	$68.19–$188.73	64% below	25%
Speech and language evaluation CPT 92523 HC SPEECH AND LANG EVAL LEVEL 2	$338.66	$451.55	$150.10–$415.43	20% below	25%
Speech and language evaluation CPT 92523 HC SPEECH AND LANG EVAL LEVEL 3	$459.72	$612.96	$203.75–$563.92	9% above	25%
Speech and language evaluation CPT 92523 HC SPEECH AND LANG EVAL LEVEL 4	$544.46	$725.94	$241.30–$667.86	29% above	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 1	$153.86	$205.14	$68.19–$188.73	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 2	$338.66	$451.55	$150.10–$415.43	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 3	$459.72	$612.96	$203.75–$563.92	—	25%
Speech and language evaluation inpatient CPT 92523 HC SPEECH AND LANG EVAL LEVEL 4	$544.46	$725.94	$241.30–$667.86	—	25%
Speech therapy session, individual CPT 92507 HC SPEECH SESSION - INDIV	$343.27	$457.69	$152.14–$421.07	59% above	25%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH SESSION - INDIV	$343.27	$457.69	$152.14–$421.07	—	25%
Spirometry (breathing test) CPT 94010 HC PEAK FLOW TREATMENT	$242.38	$323.17	$107.42–$297.32	32% below	25%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$679.89	$906.52	$301.33–$834.00	91% above	25%
Spirometry (breathing test) inpatient CPT 94010 HC PEAK FLOW TREATMENT	$242.38	$323.17	$107.42–$297.32	—	25%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$679.89	$906.52	$301.33–$834.00	—	25%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODIATION RESPONSIVENESS	$160.30	$213.73	$71.04–$196.63	73% below	25%
Spirometry before and after a bronchodilator CPT 94060 HC SPIR W/BRONCHODILATOR	$717.35	$956.47	$317.93–$879.95	21% above	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODIATION RESPONSIVENESS	$160.30	$213.73	$71.04–$196.63	—	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIR W/BRONCHODILATOR	$717.35	$956.47	$317.93–$879.95	—	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY	$69.12	$92.16	$30.63–$84.79	38% below	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIV EA UNIT	$69.12	$92.16	$30.63–$84.79	38% below	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIV EA UNIT	$69.12	$92.16	$30.63–$84.79	—	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY	$69.12	$92.16	$30.63–$84.79	—	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$872.72	$1,163.62	$386.79–$1,070.53	267% above	25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$872.72	$1,163.62	$386.79–$1,070.53	—	25%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC STRESS CARD TEST W/INTERP	$2,205.05	$2,940.07	$977.28–$2,704.86	85% above	25%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC STRESS CARD TEST W/INTERP	$2,205.05	$2,940.07	$977.28–$2,704.86	—	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$16.62–$46.00	21% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$16.62–$46.00	21% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$16.62–$46.00	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$37.50	$50.00	$16.62–$46.00	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INJECTION (WRAPPER)	$165.94	$221.25	$73.54–$203.55	75% above	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INJECTION (WRAPPER)	$165.94	$221.25	$73.54–$203.55	75% above	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INJECTION (WRAPPER)	$165.94	$221.25	$73.54–$203.55	—	25%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INJECTION (WRAPPER)	$165.94	$221.25	$73.54–$203.55	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$150.91–$417.68	35% above	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$150.91–$417.68	35% above	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$150.91–$417.68	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT 25 MCG/0.5 ML INJECTION (WRAPPER)	$340.50	$454.00	$150.91–$417.68	—	25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$1,086.95–$3,008.40	139% above	25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$1,086.95–$3,008.40	139% above	25%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$1,086.95–$3,008.40	—	25%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,452.50	$3,270.00	$1,086.95–$3,008.40	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$124.48–$344.54	89% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$124.48–$344.54	89% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$125.48–$347.30	90% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$125.48–$347.30	90% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$134.95–$373.52	105% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$134.95–$373.52	105% above	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$124.48–$344.54	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$280.88	$374.50	$124.48–$344.54	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$125.48–$347.30	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH PERTUSSIS(ACEL) TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML (WRAPPER)	$283.13	$377.50	$125.48–$347.30	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$134.95–$373.52	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$304.50	$406.00	$134.95–$373.52	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION	$43.25	$57.66	$19.17–$53.05	42% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN OF PNEUMOCOCCAL VACCINE	$43.25	$57.66	$19.17–$53.05	42% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION	$43.25	$57.66	$19.17–$53.05	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN OF PNEUMOCOCCAL VACCINE	$43.25	$57.66	$19.17–$53.05	—	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC SUBSEQUENT VACCINE ADMINISTRATION	$30.89	$41.19	$13.69–$37.89	42% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN	$277.31	$369.74	$122.90–$340.16	419% above	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC SUBSEQUENT VACCINE ADMINISTRATION	$30.89	$41.19	$13.69–$37.89	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN	$277.31	$369.74	$122.90–$340.16	—	25%

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

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

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

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

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

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

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

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

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

Source file: https://cookchildrens.pt.panaceainc.com/MRFDownload/cookchildrens/cookchildrensprosper