Hill Regional Hospital
Hill Regional Hospital publishes cash prices for 328 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Click a procedure to compare it with other hospitals nearby.
Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 508 of the 508 prices listed here, the cash price in Hill Regional Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen Wwo | $1,200.00 | $1,200.00 | $120.00–$1,020.00 | — |
| Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2v | $300.00 | $300.00 | $30.00–$255.00 | — |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 Xr Ankle 3v Bilat | $325.00 | $325.00 | $33.00–$276.00 | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle 3+ Views Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle 3+ Views Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Abi | $525.00 | $525.00 | $53.00–$446.00 | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Ext Wo | $3,170.00 | $3,170.00 | $317.00–$2,695.00 | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Fl Esophagus | $275.00 | $275.00 | $28.00–$234.00 | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Scan Body | $2,774.00 | $2,774.00 | $277.00–$2,358.00 | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Complet Bilat | $1,346.00 | $1,346.00 | $135.00–$1,144.00 | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Rt | $673.00 | $673.00 | $67.00–$572.00 | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Lt | $673.00 | $673.00 | $67.00–$572.00 | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Lt | $641.00 | $641.00 | $64.00–$545.00 | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Rt | $641.00 | $641.00 | $64.00–$545.00 | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abdomen Pelvis | $8,025.00 | $8,025.00 | $803.00–$6,821.00 | — |
| CT angiography (CTA) of the head CPT 70496 Cta Brain | $3,775.00 | $3,775.00 | $378.00–$3,209.00 | — |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck | $3,775.00 | $3,775.00 | $378.00–$3,209.00 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest | $4,157.00 | $4,157.00 | $416.00–$3,533.00 | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring | $405.00 | $405.00 | $41.00–$344.00 | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd Pelvis Wo | $6,857.00 | $6,857.00 | $686.00–$5,828.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $8,025.00 | $8,025.00 | $803.00–$6,821.00 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd Pelvis Wwo | $8,561.00 | $8,561.00 | $856.00–$7,277.00 | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W | $4,157.00 | $4,157.00 | $416.00–$3,533.00 | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo | $3,572.00 | $3,572.00 | $357.00–$3,036.00 | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Sinus Wo | $2,993.00 | $2,993.00 | $299.00–$2,544.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $2,993.00 | $2,993.00 | $299.00–$2,544.00 | — |
| CT scan of the head with contrast CPT 70460 Ct Head W | $3,578.00 | $3,578.00 | $358.00–$3,041.00 | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head Wwo | $1,200.00 | $1,200.00 | $120.00–$1,020.00 | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumb Spine Wo | $3,382.00 | $3,382.00 | $338.00–$2,875.00 | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cerv Spine Wo | $3,382.00 | $3,382.00 | $338.00–$2,875.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,200.00 | $1,200.00 | $120.00–$1,020.00 | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid Duplex Scan | $1,237.00 | $1,237.00 | $124.00–$1,051.00 | — |
| Chest CT scan without and with contrast CPT 71270 Ct Chest Wwo | $4,425.00 | $4,425.00 | $443.00–$3,761.00 | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2v | $300.00 | $300.00 | $30.00–$255.00 | — |
| Chest X-ray, single view CPT 71045 Xr Chest 1v | $100.00 | $100.00 | $10.00–$85.00 | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 Xr Clavicle Bilat | $275.00 | $275.00 | $28.00–$234.00 | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr Clavicle Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr Clavicle Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal | $572.00 | $572.00 | $57.00–$486.00 | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Axial | $275.00 | $275.00 | $28.00–$234.00 | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Pelvis Preg 2nd Trim Detail | $1,288.00 | $1,288.00 | $129.00–$1,095.00 | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Low Dose Pulmonary Nodule | $572.00 | $572.00 | $57.00–$486.00 | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo | $3,572.00 | $3,572.00 | $357.00–$3,036.00 | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W | $4,157.00 | $4,157.00 | $416.00–$3,533.00 | — |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $518.00 | $518.00 | $52.00–$440.00 | — |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $435.00 | $435.00 | $44.00–$370.00 | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Lower Extremity Duplex Art Bilat | $1,797.00 | $1,797.00 | $180.00–$1,527.00 | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Extremity Veins Duplex Bilateral | $1,151.00 | $1,151.00 | $115.00–$978.00 | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Tte 2d W Dopp Wo | $3,583.00 | $3,583.00 | $358.00–$3,046.00 | — |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 Xr Elbow 3v Bilat | $325.00 | $325.00 | $33.00–$276.00 | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Xr Elbow 3v Unilat Rt | $325.00 | $325.00 | $33.00–$276.00 | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Xr Elbow 3v Unilat Lt | $325.00 | $325.00 | $33.00–$276.00 | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit Ear Wo | $1,200.00 | $1,200.00 | $120.00–$1,020.00 | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones 3v | $275.00 | $275.00 | $28.00–$234.00 | — |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 Xr Forearm 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobil Wo Pharm | $377.00 | $377.00 | $38.00–$320.00 | — |
| Hand X-ray, 2 views both sides CPT 73120 Xr Hand 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 Xr Calcaneus 2v Bilat | $275.00 | $275.00 | $28.00–$234.00 | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr Calcaneus 2+ Unilat Views Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr Calcaneus 2+ Unilat Views Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended | $727.00 | $727.00 | $73.00–$618.00 | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep 95806 | $727.00 | $727.00 | $73.00–$618.00 | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnograph-cpap Ge 6 Yo Ge 4 Param | $4,275.00 | $4,275.00 | $428.00–$3,634.00 | — |
| Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3v Bilat | $325.00 | $325.00 | $33.00–$276.00 | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3v Unilat Rt | $325.00 | $325.00 | $33.00–$276.00 | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3v Unilat Lt | $325.00 | $325.00 | $33.00–$276.00 | — |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 Xr Knee 4+ Views Bilat | $275.00 | $275.00 | $28.00–$234.00 | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Knee 4+ Views Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Knee 4+ Views Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Ext Wo | $3,170.00 | $3,170.00 | $317.00–$2,695.00 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited Wo | $1,422.00 | $1,422.00 | $142.00–$1,209.00 | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Soft Tissue Trunk | $496.00 | $496.00 | $50.00–$422.00 | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Extremity Ltd Joint Unilat Rt | $605.00 | $605.00 | $61.00–$514.00 | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Extremity Ltd Joint Unilat Lt | $605.00 | $605.00 | $61.00–$514.00 | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr | $534.00 | $534.00 | $53.00–$454.00 | — |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 Xr Tib Fib 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tib Fib 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tib Fib 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head Wo | $3,720.00 | $3,720.00 | $372.00–$3,162.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $3,720.00 | $3,720.00 | $372.00–$3,162.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Joint Wwo Lt | $1,350.00 | $1,350.00 | $135.00–$1,148.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Joint Wwo Rt | $1,350.00 | $1,350.00 | $135.00–$1,148.00 | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen Wo | $1,350.00 | $1,350.00 | $135.00–$1,148.00 | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Wwo | $3,707.00 | $3,707.00 | $371.00–$3,151.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo | $3,046.00 | $3,046.00 | $305.00–$2,589.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $3,310.00 | $3,310.00 | $331.00–$2,814.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $3,310.00 | $3,310.00 | $331.00–$2,814.00 | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumb Spine Wwo | $3,707.00 | $3,707.00 | $371.00–$3,151.00 | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thor Spine Wo | $3,310.00 | $3,310.00 | $331.00–$2,814.00 | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cerv Spine Wwo | $1,350.00 | $1,350.00 | $135.00–$1,148.00 | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cerv Spine Wo | $3,310.00 | $3,310.00 | $331.00–$2,814.00 | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wwo | $1,350.00 | $1,350.00 | $135.00–$1,148.00 | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo | $1,350.00 | $1,350.00 | $135.00–$1,148.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 Mri Upper Joint Wo Bilat | $2,500.00 | $2,500.00 | $250.00–$2,125.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Joint Wo Lt | $3,720.00 | $3,720.00 | $372.00–$3,162.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Joint Wo Rt | $3,720.00 | $3,720.00 | $372.00–$3,162.00 | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr Cervical Spine 4-5v | $275.00 | $275.00 | $28.00–$234.00 | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Neck Soft Tissue W | $3,775.00 | $3,775.00 | $378.00–$3,209.00 | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Neck Soft Tissue Wo | $3,189.00 | $3,189.00 | $319.00–$2,711.00 | — |
| Neck soft tissue X-ray CPT 70360 Xr Neck Soft Tissue | $275.00 | $275.00 | $28.00–$234.00 | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocrd Spect Mult | $6,074.00 | $6,074.00 | $607.00–$5,163.00 | — |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis Wo | $3,284.00 | $3,284.00 | $328.00–$2,791.00 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder | $560.00 | $560.00 | $56.00–$476.00 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis W Tv Nonob | $560.00 | $560.00 | $56.00–$476.00 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob | $1,606.00 | $1,606.00 | $161.00–$1,365.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $572.00 | $572.00 | $57.00–$486.00 | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Pelvis Preg 14 Wks | $1,083.00 | $1,083.00 | $108.00–$921.00 | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pelvis Preg Ltd | $1,346.00 | $1,346.00 | $135.00–$1,144.00 | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr Rib Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr Rib Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Pregabalin (Lyrica) 75mg Cap Ud | $19.00 | $19.00 | $2.00–$16.00 | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Pregabalin (Lyrica) 25mg Cap | $20.00 | $20.00 | $2.00–$17.00 | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Pregabalin (Lyrica) 50mg Cap | $24.00 | $24.00 | $2.00–$20.00 | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xr Rib Unilat Pa Cxr Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xr Rib Unilat Pa Cxr Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $406.00 | $406.00 | $41.00–$345.00 | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Xr Shoulder 2v Bilat | $275.00 | $275.00 | $28.00–$234.00 | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2+ Views Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2+ Views Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr Skull Limited | $275.00 | $275.00 | $28.00–$234.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $3,861.00 | $3,861.00 | $386.00–$3,282.00 | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Fl Modified Barium Swallow | $977.00 | $977.00 | $98.00–$830.00 | — |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 Xr Femur 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thor Spine Wo | $3,382.00 | $3,382.00 | $338.00–$2,875.00 | — |
| Toe X-ray, 2 or more views both sides CPT 73660 Xr Toe 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 2v Or 3v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 2v Or 3v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $742.00 | $742.00 | $74.00–$631.00 | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Pelvis Preg Transvaginal | $742.00 | $742.00 | $74.00–$631.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $1,793.00 | $1,793.00 | $179.00–$1,524.00 | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum | $1,606.00 | $1,606.00 | $161.00–$1,365.00 | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid | $572.00 | $572.00 | $57.00–$486.00 | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head Neck Soft Tissue | $1,571.00 | $1,571.00 | $157.00–$1,335.00 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Fl Upper Gi Single Contrast | $1,646.00 | $1,646.00 | $165.00–$1,399.00 | — |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 Xr Humerus Bilat | $275.00 | $275.00 | $28.00–$234.00 | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Extremity Veins Duplex Unilateral | $898.00 | $898.00 | $90.00–$763.00 | — |
| Wrist X-ray, 2 views both sides CPT 73100 Xr Wrist 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 Xr Wrist 3v Bilat | $325.00 | $325.00 | $33.00–$276.00 | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3+ Views Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3+ Views Unilat Lt | $325.00 | $325.00 | $33.00–$276.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip Pelvis 2-3v Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip Pelvis 2-3v Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1v | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the ankle, 2 views both sides CPT 73600 Xr Ankle 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 Xr Finger 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the foot, 2 views both sides CPT 73620 Xr Foot 2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 Xr Foot 3+ Views Bilat | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3+ Views Unilat Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3+ Views Unilat Lt | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the hand, 3 or more views both sides CPT 73130 Xr Hand 3v Bilat | $325.00 | $325.00 | $33.00–$276.00 | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Wrist Unilat 3v Rt | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand 3v Unilat Rt | $325.00 | $325.00 | $33.00–$276.00 | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand 3v Unilat Lt | $325.00 | $325.00 | $33.00–$276.00 | — |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Xr Knee 1-2v Bilat | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1-2v Unilat Lt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1-2v Unilat Rt | $300.00 | $300.00 | $30.00–$255.00 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Lumbar Spine 2 To 3v | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Thoracic Spine 2 View | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Cervical Spine 23 Views | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis | $275.00 | $275.00 | $28.00–$234.00 | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2v | $275.00 | $275.00 | $28.00–$234.00 | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocort Acth | $1,245.00 | $1,245.00 | $125.00–$1,058.00 | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt | $335.00 | $335.00 | $34.00–$285.00 | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Non-alcoholic Fatty Liver Disease Advanc | $101.00 | $101.00 | $10.00–$86.00 | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast | $417.00 | $417.00 | $42.00–$354.00 | — |
| Albumin blood test CPT 82040 Albumin Serum | $318.00 | $318.00 | $32.00–$270.00 | — |
| Aldosterone blood test CPT 82088 Aldosterone | $1,395.00 | $1,395.00 | $140.00–$1,186.00 | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $167.00 | $167.00 | $17.00–$142.00 | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Serum | $76.00 | $76.00 | $8.00–$65.00 | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 A-fetoprotein (Afp) Tetra Profile | $716.00 | $716.00 | $72.00–$609.00 | — |
| Ammonia blood test CPT 82140 Ammonia | $647.00 | $647.00 | $65.00–$550.00 | — |
| Amylase blood test CPT 82150 Amylase | $460.00 | $460.00 | $46.00–$391.00 | — |
| Amylase blood test CPT 82150 Amylase Body Fluid | $460.00 | $460.00 | $46.00–$391.00 | — |
| Amylase blood test CPT 82150 Amylase Urine | $460.00 | $460.00 | $46.00–$391.00 | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody | $374.00 | $374.00 | $37.00–$318.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana W Ref. | $392.00 | $392.00 | $39.00–$333.00 | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-probnp | $455.00 | $455.00 | $46.00–$387.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Csf Bacteial Culture With Cytospin Gs | $64.00 | $64.00 | $6.00–$54.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Oxidase Chg | $75.00 | $75.00 | $8.00–$64.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Indole Cheg | $75.00 | $75.00 | $8.00–$64.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture Sendout | $181.00 | $181.00 | $18.00–$154.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 B Pertussis Nasopharyngeal Culture | $674.00 | $674.00 | $67.00–$573.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bacteria Other | $674.00 | $674.00 | $67.00–$573.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum | $674.00 | $674.00 | $67.00–$573.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $215.00 | $215.00 | $22.00–$183.00 | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $204.00 | $204.00 | $20.00–$173.00 | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Neonatal | $204.00 | $204.00 | $20.00–$173.00 | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Gross Lvl4 | $104.00 | $104.00 | $10.00–$88.00 | — |
| Blood culture for bacteria CPT 87040 Culture Blood | $368.00 | $368.00 | $37.00–$313.00 | — |
| Blood culture for bacteria CPT 87040 Culture Blood Send Out | $368.00 | $368.00 | $37.00–$313.00 | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine | $30.00 | $30.00 | $3.00–$26.00 | — |
| Blood glucose (sugar) test CPT 82947 Glucose Quant | $137.00 | $137.00 | $14.00–$116.00 | — |
| Blood lead test CPT 83655 Lead Blood Adult | $61.00 | $61.00 | $6.00–$52.00 | — |
| Blood lead test CPT 83655 Lead Level Adult | $428.00 | $428.00 | $43.00–$364.00 | — |
| Blood lead test CPT 83655 Lead Level Pediatric | $428.00 | $428.00 | $43.00–$364.00 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual Urine | $127.00 | $127.00 | $13.00–$108.00 | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo And Rh | $38.00 | $38.00 | $4.00–$32.00 | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Blood Typing Abo | $131.00 | $131.00 | $13.00–$111.00 | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Quan | $321.00 | $321.00 | $32.00–$273.00 | — |
| C-peptide blood test CPT 84681 C-peptide | $985.00 | $985.00 | $99.00–$837.00 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $330.00 | $330.00 | $33.00–$281.00 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid19 Prb | $116.00 | $116.00 | $12.00–$99.00 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid19 Rapid | $128.00 | $128.00 | $13.00–$109.00 | — |
| Calcium blood test, total CPT 82310 Calcium Total | $373.00 | $373.00 | $37.00–$317.00 | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Fluid | $190.00 | $190.00 | $19.00–$162.00 | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Ag | $835.00 | $835.00 | $84.00–$710.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster Antibodies Igm | $549.00 | $549.00 | $55.00–$467.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab | $549.00 | $549.00 | $55.00–$467.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster Antibodies Igg | $549.00 | $549.00 | $55.00–$467.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlmyd Trach Dna Amp | $296.00 | $296.00 | $30.00–$252.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct/gc Thrt/rect | $323.00 | $323.00 | $32.00–$275.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gonorrhae | $338.00 | $338.00 | $34.00–$287.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia U/s | $338.00 | $338.00 | $34.00–$287.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gc Chlamydia With Trich | $426.00 | $426.00 | $43.00–$362.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $338.00 | $338.00 | $34.00–$287.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $236.00 | $236.00 | $24.00–$201.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $239.00 | $239.00 | $24.00–$203.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol Total | $1,152.00 | $1,152.00 | $115.00–$979.00 | — |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk Total | $345.00 | $345.00 | $35.00–$293.00 | — |
| Creatinine blood test CPT 82565 Creatinine Blood | $161.00 | $161.00 | $16.00–$137.00 | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Serum | $144.00 | $144.00 | $14.00–$122.00 | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Coag | $326.00 | $326.00 | $33.00–$277.00 | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Quant Poc | $826.00 | $826.00 | $83.00–$702.00 | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s | $151.00 | $151.00 | $15.00–$128.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen | $216.00 | $216.00 | $22.00–$184.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol/ethanol | $216.00 | $216.00 | $22.00–$184.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Metabolite Urine | $216.00 | $216.00 | $22.00–$184.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Monitor Screen 14-drug Class Profile | $1,025.00 | $1,025.00 | $103.00–$871.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Gastric Contents | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Phencyclydine Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamines Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Prs Drg Ia Anaz | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Lsd Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Barbiturate Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazipine Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Umbilical Cord | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Serum | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Meconium | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methamphetamines Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Urine | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Propoxyphene Level | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Mellaril Level | $1,273.00 | $1,273.00 | $127.00–$1,082.00 | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $463.00 | $463.00 | $46.00–$394.00 | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr Vca | $158.00 | $158.00 | $16.00–$134.00 | — |
| Estradiol blood test CPT 82670 Estradiol | $185.00 | $185.00 | $19.00–$157.00 | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Hormone | $896.00 | $896.00 | $90.00–$762.00 | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $697.00 | $697.00 | $70.00–$592.00 | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Evaluation Profile | $398.00 | $398.00 | $40.00–$338.00 | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Inhouse | $441.00 | $441.00 | $44.00–$375.00 | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity Sendout | $441.00 | $441.00 | $44.00–$375.00 | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid Serum | $582.00 | $582.00 | $58.00–$495.00 | — |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $378.00 | $378.00 | $38.00–$321.00 | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine T4 Free | $503.00 | $503.00 | $50.00–$428.00 | — |
| Free testosterone test CPT 84402 Testosterone Free And Total | $157.00 | $157.00 | $16.00–$133.00 | — |
| Free testosterone test CPT 84402 Bioavailable+free Testosterone | $384.00 | $384.00 | $38.00–$326.00 | — |
| Free testosterone test CPT 84402 Testosterone Free | $695.00 | $695.00 | $70.00–$591.00 | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt | $428.00 | $428.00 | $43.00–$364.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Tolerance 1hr 50g | $250.00 | $250.00 | $25.00–$213.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ggt 2 Hour Test | $250.00 | $250.00 | $25.00–$213.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Tolerance 2hr | $250.00 | $250.00 | $25.00–$213.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Tolerance 3hr | $250.00 | $250.00 | $25.00–$213.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Dose | $250.00 | $250.00 | $25.00–$213.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrho Dna Amppr | $296.00 | $296.00 | $30.00–$252.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious Agent Detection By Dna Rna | $323.00 | $323.00 | $32.00–$275.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae, Pharyngeal Swab, | $351.00 | $351.00 | $35.00–$298.00 | — |
| H. pylori antibody blood test CPT 86677 H. Pylori Igg | $838.00 | $838.00 | $84.00–$712.00 | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Stool Antigen | $144.00 | $144.00 | $14.00–$122.00 | — |
| H. pylori stool antigen test CPT 87338 Hpyloristooleia | $333.00 | $333.00 | $33.00–$283.00 | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Dna Quant | $982.00 | $982.00 | $98.00–$835.00 | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Human Immunodeficiency Virus 1 (Hiv-1) | $982.00 | $982.00 | $98.00–$835.00 | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv Point Of Care | $201.00 | $201.00 | $20.00–$171.00 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 4th Generation | $201.00 | $201.00 | $20.00–$171.00 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv1 Ag W Hiv 1 2 Ab | $201.00 | $201.00 | $20.00–$171.00 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Rna | $201.00 | $201.00 | $20.00–$171.00 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Eia | $201.00 | $201.00 | $20.00–$171.00 | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus (Hpv) (Aptima) | $351.00 | $351.00 | $35.00–$298.00 | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High Risk Types | $396.00 | $396.00 | $40.00–$337.00 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $505.00 | $505.00 | $51.00–$429.00 | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $59.00 | $59.00 | $6.00–$50.00 | — |
| Hemoglobin blood test CPT 85018 Hemoglobin Sysmex | $59.00 | $59.00 | $6.00–$50.00 | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Tot | $129.00 | $129.00 | $13.00–$110.00 | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis Acute Panel | $1,464.00 | $1,464.00 | $146.00–$1,244.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab | $406.00 | $406.00 | $41.00–$345.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Employee Health Panel | $1,976.00 | $1,976.00 | $198.00–$1,680.00 | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag | $321.00 | $321.00 | $32.00–$273.00 | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab | $706.00 | $706.00 | $71.00–$600.00 | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Quant | $1,202.00 | $1,202.00 | $120.00–$1,022.00 | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp Highly Sens | $71.00 | $71.00 | $7.00–$60.00 | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hscrp | $130.00 | $130.00 | $13.00–$111.00 | — |
| Homocysteine blood test CPT 83090 Homocysteine | $708.00 | $708.00 | $71.00–$602.00 | — |
| Insulin blood test CPT 83525 Insulin Total | $69.00 | $69.00 | $7.00–$59.00 | — |
| Iron blood test (serum iron) CPT 83540 Iron | $408.00 | $408.00 | $41.00–$347.00 | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron And Tibc | $176.00 | $176.00 | $18.00–$150.00 | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $316.00 | $316.00 | $32.00–$269.00 | — |
| LH (luteinizing hormone) test CPT 83002 Leuteinizing Hormone | $783.00 | $783.00 | $78.00–$666.00 | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate | $1,064.00 | $1,064.00 | $106.00–$904.00 | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $1,064.00 | $1,064.00 | $106.00–$904.00 | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid | $277.00 | $277.00 | $28.00–$235.00 | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Serum | $277.00 | $277.00 | $28.00–$235.00 | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum | $354.00 | $354.00 | $35.00–$301.00 | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $354.00 | $354.00 | $35.00–$301.00 | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $374.00 | $374.00 | $37.00–$318.00 | — |
| Lyme disease antibody test CPT 86618 Lyme Ab/line Blot Reflex | $170.00 | $170.00 | $17.00–$145.00 | — |
| Magnesium blood test CPT 83735 Magnesium Serum | $341.00 | $341.00 | $34.00–$290.00 | — |
| Magnesium blood test CPT 83735 Magnesium Urine | $341.00 | $341.00 | $34.00–$290.00 | — |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, Igg | $129.00 | $129.00 | $13.00–$110.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab | $757.00 | $757.00 | $76.00–$643.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies Igg | $757.00 | $757.00 | $76.00–$643.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies Igm | $757.00 | $757.00 | $76.00–$643.00 | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Poc Screen | $318.00 | $318.00 | $32.00–$270.00 | — |
| Mumps immunity blood test CPT 86735 Mumps Antibody | $75.00 | $75.00 | $8.00–$64.00 | — |
| Mumps immunity blood test CPT 86735 Mumps Antibodies Igm | $695.00 | $695.00 | $70.00–$591.00 | — |
| Mumps immunity blood test CPT 86735 Mumps Ab | $695.00 | $695.00 | $70.00–$591.00 | — |
| Mumps immunity blood test CPT 86735 Mumps Antibodies Igg | $695.00 | $695.00 | $70.00–$591.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $139.00 | $139.00 | $14.00–$118.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $481.00 | $481.00 | $48.00–$409.00 | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Diag Auto Man Rs | $385.00 | $385.00 | $39.00–$327.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact And Calci | $592.00 | $592.00 | $59.00–$503.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Pth | $1,749.00 | $1,749.00 | $175.00–$1,487.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $504.00 | $504.00 | $50.00–$428.00 | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Blood | $352.00 | $352.00 | $35.00–$299.00 | — |
| Potassium blood test CPT 84132 Potassium Ser | $129.00 | $129.00 | $13.00–$110.00 | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Maternit21 Plus Core (Chr21,18,13,sex) | $2,277.00 | $2,277.00 | $228.00–$1,935.00 | — |
| Progesterone blood test CPT 84144 Progesterone | $763.00 | $763.00 | $76.00–$649.00 | — |
| Prolactin blood test CPT 84146 Prolactin | $796.00 | $796.00 | $80.00–$677.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $277.00 | $277.00 | $28.00–$235.00 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen 5 | $15.00 | $15.00 | $2.00–$13.00 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Dot Drug Screen | $52.00 | $52.00 | $5.00–$44.00 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hair Collection | $80.00 | $80.00 | $8.00–$68.00 | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Assay W Op | $749.00 | $749.00 | $75.00–$637.00 | — |
| Renin blood test CPT 84244 Renin | $1,114.00 | $1,114.00 | $111.00–$947.00 | — |
| Rh blood typing CPT 86901 Bb Blood Typing Rh D | $90.00 | $90.00 | $9.00–$77.00 | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Fact Quan | $234.00 | $234.00 | $23.00–$199.00 | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Panel | $466.00 | $466.00 | $47.00–$396.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $75.00 | $75.00 | $8.00–$64.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Ab | $250.00 | $250.00 | $25.00–$213.00 | — |
| Sodium blood test CPT 84295 Sodium Ser Pl Or Wb | $129.00 | $129.00 | $13.00–$110.00 | — |
| Stool ova and parasites exam CPT 87177 Ova Parasites Smears | $524.00 | $524.00 | $52.00–$445.00 | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, Immunoassay | $49.00 | $49.00 | $5.00–$42.00 | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Feces Eia | $95.00 | $95.00 | $10.00–$81.00 | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Trep Pallidum Confi | $80.00 | $80.00 | $8.00–$68.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Chromium, Plasma | $207.00 | $207.00 | $21.00–$176.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Pfa | $249.00 | $249.00 | $25.00–$212.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf | $408.00 | $408.00 | $41.00–$347.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $408.00 | $408.00 | $41.00–$347.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Urine Cytology | $685.00 | $685.00 | $69.00–$582.00 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold | $378.00 | $378.00 | $38.00–$321.00 | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $329.00 | $329.00 | $33.00–$280.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies | $618.00 | $618.00 | $62.00–$525.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroidperoxidase Antibodies | $618.00 | $618.00 | $62.00–$525.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $383.00 | $383.00 | $38.00–$326.00 | — |
| Total IgE blood test CPT 82785 Gammaglobulin Ige | $297.00 | $297.00 | $30.00–$252.00 | — |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $340.00 | $340.00 | $34.00–$289.00 | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroid Profile | $133.00 | $133.00 | $13.00–$113.00 | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine T4 Total | $503.00 | $503.00 | $50.00–$428.00 | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $417.00 | $417.00 | $42.00–$354.00 | — |
| Transferrin blood test CPT 84466 Transferrin | $95.00 | $95.00 | $10.00–$81.00 | — |
| Trichomonas test (NAAT) CPT 87661 T Vaginalis Amp | $275.00 | $275.00 | $28.00–$234.00 | — |
| Triglycerides blood test CPT 84478 Triglycerides Body Fluid | $447.00 | $447.00 | $45.00–$380.00 | — |
| Triglycerides blood test CPT 84478 Triglycerides Serum | $447.00 | $447.00 | $45.00–$380.00 | — |
| Troponin test, quantitative CPT 84484 Troponin Hs | $614.00 | $614.00 | $61.00–$522.00 | — |
| Uric acid blood test CPT 84550 Uric Acid Blood | $161.00 | $161.00 | $16.00–$137.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $218.00 | $218.00 | $22.00–$185.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $177.00 | $177.00 | $18.00–$150.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $10.00 | $10.00 | $1.00–$9.00 | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Colony Ct | $62.00 | $62.00 | $6.00–$53.00 | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine Bacteria Sendout | $81.00 | $81.00 | $8.00–$69.00 | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Qnt | $113.00 | $113.00 | $11.00–$96.00 | — |
| Urine pregnancy test, read by color change CPT 81025 Urine Preg Test Ql | $127.00 | $127.00 | $13.00–$108.00 | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 | $697.00 | $697.00 | $70.00–$592.00 | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Sendout | $697.00 | $697.00 | $70.00–$592.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-hydroxy | $433.00 | $433.00 | $43.00–$368.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3, 25-hydroxy | $433.00 | $433.00 | $43.00–$368.00 | — |
| Zinc blood test CPT 84630 Zinc | $655.00 | $655.00 | $66.00–$557.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Qual Serum | $127.00 | $127.00 | $13.00–$108.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant | $890.00 | $890.00 | $89.00–$757.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Fracture Rd W/o Manip Distal Fibu | $1,031.00 | $1,031.00 | $103.00–$876.00 | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Pt Treatment Closed Fibular Fracture | $1,075.00 | $1,075.00 | $108.00–$914.00 | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Reduction; Closed Fracture; W/o Manip Me | $1,031.00 | $1,031.00 | $103.00–$876.00 | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $2,810.00 | $2,810.00 | $281.00–$2,389.00 | — |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $20,458.00 | $20,458.00 | $2,046.00–$17,389.00 | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery | $6,500.00 | $6,500.00 | $650.00–$5,525.00 | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Rdctn; Clsd Frctr; W/o Mani Distal Radiu | $1,031.00 | $1,031.00 | $103.00–$876.00 | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $10,775.00 | $10,775.00 | $1,078.00–$9,159.00 | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $10,513.00 | $10,513.00 | $1,051.00–$8,936.00 | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $13,965.00 | $13,965.00 | $1,397.00–$11,870.00 | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Cerumen Removal; Syringe Irrigation/lava | $278.00 | $278.00 | $28.00–$236.00 | — |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Removal | $278.00 | $278.00 | $28.00–$236.00 | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Nerve Block, Sterile Ndl Inj W/us Facet | $4,112.00 | $4,112.00 | $411.00–$3,495.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $74,707.00 | $74,707.00 | $7,471.00–$63,501.00 | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage-simple | $898.00 | $898.00 | $90.00–$763.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Artho Major Joint/sterile Inj W/o Us | $1,306.00 | $1,306.00 | $131.00–$1,110.00 | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arth Intermed Joint/sterile Inj W/o Us | $1,306.00 | $1,306.00 | $131.00–$1,110.00 | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arth Intrmd Jnt/strle Inj W/o Us-finger | $1,306.00 | $1,306.00 | $131.00–$1,110.00 | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $36,334.00 | $36,334.00 | $3,633.00–$30,884.00 | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser | $4,520.00 | $4,520.00 | $452.00–$3,842.00 | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair;intermediate; S/a/ext 2.5cm< | $1,729.00 | $1,729.00 | $173.00–$1,470.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $24,038.00 | $24,038.00 | $2,404.00–$20,432.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $24,038.00 | $24,038.00 | $2,404.00–$20,432.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $23,847.00 | $23,847.00 | $2,385.00–$20,270.00 | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate | $898.00 | $898.00 | $90.00–$763.00 | — |
| Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block | $1,309.00 | $1,309.00 | $131.00–$1,113.00 | — |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis With Imaging Guid | $4,048.00 | $4,048.00 | $405.00–$3,441.00 | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $16,380.00 | $16,380.00 | $1,638.00–$13,923.00 | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Or Level 1st Hour (Pain Case) | $15,000.00 | $15,000.00 | $1,500.00–$12,750.00 | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Or Level 1 1st Hour (Pain Case) | $20,000.00 | $20,000.00 | $2,000.00–$17,000.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $21,121.00 | $21,121.00 | $2,112.00–$17,953.00 | — |
| Removal of a foreign object under the skin, simple CPT 10120 Soft Tissues Fb Removal; Subcutaneous; S | $1,729.00 | $1,729.00 | $173.00–$1,470.00 | — |
| Short arm cast (elbow to hand) CPT 29075 Cast; Short Arm | $1,206.00 | $1,206.00 | $121.00–$1,025.00 | — |
| Short arm splint (forearm and hand) CPT 29125 Splint; Short Arm | $560.00 | $560.00 | $56.00–$476.00 | — |
| Short leg cast (below the knee) CPT 29405 Cast; Short Leg | $1,206.00 | $1,206.00 | $121.00–$1,025.00 | — |
| Short leg splint (calf to foot) CPT 29515 Splint; Short Leg | $706.00 | $706.00 | $71.00–$600.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $53,424.00 | $53,424.00 | $5,342.00–$45,410.00 | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Lac 2.5 Cm Or Less | $898.00 | $898.00 | $90.00–$763.00 | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $3,173.00 | $3,173.00 | $317.00–$2,697.00 | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Puncture, Spinal, Lumbar, Diagnostic | $3,200.00 | $3,200.00 | $320.00–$2,720.00 | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Lac 2.6 Cm -7.5cm | $898.00 | $898.00 | $90.00–$763.00 | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Face; 2.5cm Or Less | $898.00 | $898.00 | $90.00–$763.00 | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesiswith Imaging Guidance | $2,708.00 | $2,708.00 | $271.00–$2,302.00 | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj1 Or 2 Muscles | $1,306.00 | $1,306.00 | $131.00–$1,110.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $14,375.00 | $14,375.00 | $1,438.00–$12,219.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $16,287.00 | $16,287.00 | $1,629.00–$13,844.00 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery | $46,832.00 | $46,832.00 | $4,683.00–$39,807.00 | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue<20 Cm | $1,729.00 | $1,729.00 | $173.00–$1,470.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transf 2 4 Hrs | $380.00 | $380.00 | $38.00–$323.00 | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion | $1,534.00 | $1,534.00 | $153.00–$1,304.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Initial | $650.00 | $650.00 | $65.00–$553.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Subsequent | $650.00 | $650.00 | $65.00–$553.00 | — |
| Critical care, first 30 to 74 minutes one side CPT 99291 Critical Care Lt 74m | $1,534.00 | $1,534.00 | $153.00–$1,304.00 | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake | $1,397.00 | $1,397.00 | $140.00–$1,187.00 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads Tracing Wo Int | $390.00 | $390.00 | $39.00–$332.00 | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Clindamycin 300mg/2ml Inj | $50.00 | $50.00 | $5.00–$43.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit Limited/minor | $980.00 | $980.00 | $98.00–$833.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Triage Only | $980.00 | $980.00 | $98.00–$833.00 | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit Low/moder Sev | $1,127.00 | $1,127.00 | $113.00–$958.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Intermediate Ed Vist | $1,984.00 | $1,984.00 | $198.00–$1,686.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit Moderate Seve | $1,984.00 | $1,984.00 | $198.00–$1,686.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit High/urgent S | $3,337.00 | $3,337.00 | $334.00–$2,836.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Extended Ed Visit | $3,337.00 | $3,337.00 | $334.00–$2,836.00 | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit High Severity&threa | $4,925.00 | $4,925.00 | $493.00–$4,186.00 | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing | $775.00 | $775.00 | $78.00–$659.00 | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration 1 Hr | $368.00 | $368.00 | $37.00–$313.00 | — |
| IV infusion of a medicine, first hour CPT 96365 Iv Therapy Dx 1 Hr | $762.00 | $762.00 | $76.00–$648.00 | — |
| IV push of a medicine, first drug CPT 96374 Therapeutic Iv Push | $488.00 | $488.00 | $49.00–$415.00 | — |
| IV push of a medicine, first drug CPT 96374 Injection Iv Push | $488.00 | $488.00 | $49.00–$415.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Dx Sq Im | $82.00 | $82.00 | $8.00–$70.00 | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Ther Px 1+ | $85.00 | $85.00 | $9.00–$72.00 | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-education Ea 15 Min | $225.00 | $225.00 | $23.00–$191.00 | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $1,800.00 | $1,800.00 | $180.00–$1,530.00 | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $1,937.00 | $1,937.00 | $194.00–$1,646.00 | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Contract New Patient Office Visit Lvl 2 | $200.00 | $200.00 | $20.00–$170.00 | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Office Visit Lvl 2 | $1,470.00 | $1,470.00 | $147.00–$1,250.00 | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initial Ea 15 Mn | $99.00 | $99.00 | $10.00–$84.00 | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutritional Assessment, Ea 15 Minutes | $173.00 | $173.00 | $17.00–$147.00 | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity | $600.00 | $600.00 | $60.00–$510.00 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity | $500.00 | $500.00 | $50.00–$425.00 | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity | $550.00 | $550.00 | $55.00–$468.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Ea 15 Min | $250.00 | $250.00 | $25.00–$213.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Mnl Ther Tqs 1+ Region | $500.00 | $500.00 | $50.00–$425.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $328.00 | $328.00 | $33.00–$279.00 | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Non-dot Physical | $40.00 | $40.00 | $4.00–$34.00 | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Contract Established Office Visit Lvl 5 | $150.00 | $150.00 | $15.00–$128.00 | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established Patient Office Visit Lvl 5 | $1,631.00 | $1,631.00 | $163.00–$1,386.00 | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Ob Triage Lvl 5 Ep | $3,047.00 | $3,047.00 | $305.00–$2,590.00 | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established Patient Office Visit Lvl 3 | $1,270.00 | $1,270.00 | $127.00–$1,080.00 | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ob Triage Lvl 3 Ep | $2,518.00 | $2,518.00 | $252.00–$2,140.00 | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Contract Established Office Visit Lvl 4 | $150.00 | $150.00 | $15.00–$128.00 | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established Patient Office Visit Lvl 4 | $1,451.00 | $1,451.00 | $145.00–$1,233.00 | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Ob Triage Lvl 4 Ep | $2,769.00 | $2,769.00 | $277.00–$2,354.00 | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Contract Established Office Visit Lvl 2 | $150.00 | $150.00 | $15.00–$128.00 | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established Patient Office Visit Lvl 2 | $1,090.00 | $1,090.00 | $109.00–$927.00 | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Ob Triage Lvl 2 Ep | $2,289.00 | $2,289.00 | $229.00–$1,946.00 | — |
| Speech therapy session, individual CPT 92507 St Hearing Treatment Indiv Visit | $406.00 | $406.00 | $41.00–$345.00 | — |
| Spirometry (breathing test) CPT 94010 Pft/spirometry | $43.00 | $43.00 | $4.00–$37.00 | — |
| Spirometry (breathing test) CPT 94010 Pft With Osha Questionnaire | $43.00 | $43.00 | $4.00–$37.00 | — |
| Spirometry (breathing test) CPT 94010 Spirometry | $150.00 | $150.00 | $15.00–$128.00 | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation Eval Pre/post | $300.00 | $300.00 | $30.00–$255.00 | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities Dir Ea 15 Min | $225.00 | $225.00 | $23.00–$191.00 | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Ther Actv Dir | $354.00 | $354.00 | $35.00–$301.00 | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Medroxyprogesterone 150mg/ml Inj | $671.00 | $671.00 | $67.00–$570.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Levetiracetam (Keppra) 500mg Tab | $10.00 | $10.00 | $1.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Famotidine (Pepcid) 20mg Tab | $10.00 | $10.00 | $1.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Fenofibrate 145 Mg Tablet | $12.00 | $12.00 | $1.00–$10.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Imm Adm Hep B Vaccine | $15.00 | $15.00 | $2.00–$13.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Imm Adm 1st Vaccine | $82.00 | $82.00 | $8.00–$70.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Diphenhydramine(benadryl) 25mg Cap | $1.00 | $1.00 | $1.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Megestrol (Megace) 40mg Tab | $10.00 | $10.00 | $1.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Sodium Bicarbonate 650mg Tab | $10.00 | $10.00 | $1.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Imm Adm Ea Add Vacc | $83.00 | $83.00 | $8.00–$71.00 | — |