CHI St Lukes Health Memorial Lufkin
Listed in its price file as “Memorial Health System of East Texas”.
CHI St Lukes Health Memorial Lufkin in Lufkin, TX publishes cash prices for 267 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 254 of 263 procedures and above it for 7. By typical cash price it ranks #26 of 240 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1201 W Frank Ave, Lufkin, TX 75902 Collected Sep 27, 2026 Source price file (936) 634-8111
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 450211 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMP MIN 3VWS | $259.05 | $1,727.00 | $83.23–$1,554.30 | 27% below | 85% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMP MIN 3 VIEWS | $264.30 | $1,762.00 | $83.23–$1,585.80 | 26% below | 85% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMP MIN 3VWS | $259.05 | $1,727.00 | $880.77–$1,554.30 | — | 85% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMP MIN 3 VIEWS | $264.30 | $1,762.00 | $898.62–$1,585.80 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX | $210.57 | $1,403.75 | $121.84–$1,263.38 | 70% below | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI TCOM | $210.60 | $1,404.00 | $121.84–$1,263.60 | 70% below | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX | $210.57 | $1,403.75 | $715.92–$1,263.38 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI TCOM | $210.60 | $1,404.00 | $716.04–$1,263.60 | — | 85% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY | $851.19 | $5,674.57 | $379.82–$5,107.12 | 53% below | 85% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY | $851.19 | $5,674.57 | $2,894.04–$5,107.12 | — | 85% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE SCRN | $375.30 | $2,502.00 | $100.51–$2,251.80 | 15% below | 85% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE SCRN | $375.30 | $2,502.00 | $1,276.02–$2,251.80 | — | 85% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US MALE BREAST UNILATERAL LIMITED | $312.75 | $2,085.00 | $83.23–$1,876.50 | 10% below | 85% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US MALE BREAST UNILATERAL LIMITED | $312.75 | $2,085.00 | $1,063.35–$1,876.50 | — | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO THORACIC AORTA | $1,202.25 | $8,015.00 | $168.27–$7,213.50 | 63% below | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $1,226.76 | $8,178.36 | $168.27–$7,360.53 | 62% below | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO THORACIC AORTA | $1,202.25 | $8,015.00 | $4,087.65–$7,213.50 | — | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W/WO CONTRAST | $1,226.76 | $8,178.36 | $4,170.97–$7,360.53 | — | 85% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY ARTS W/O CALC EVAL | $201.30 | $1,342.00 | $220.58–$1,207.80 | 88% below | 85% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY ARTS W/O CALC EVAL | $201.30 | $1,342.00 | $684.42–$1,207.80 | — | 85% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONT (QUAL CALC) | $43.50 | $290.00 | $83.23–$1,103.00 | 79% below | 85% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CONT (QUAL CALC) | $43.50 | $290.00 | $147.90–$261.00 | — | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAS | $1,672.80 | $11,152.00 | $228.48–$10,036.80 | 50% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT CYSTOGRAM | $1,672.80 | $11,152.00 | $228.48–$10,036.80 | 50% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONT (RENAL STONE) | $1,672.82 | $11,152.07 | $228.48–$10,036.87 | 50% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,672.82 | $11,152.07 | $228.48–$10,036.87 | 50% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT CYSTOGRAM | $1,672.80 | $11,152.00 | $5,687.52–$10,036.80 | — | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAS | $1,672.80 | $11,152.00 | $5,687.52–$10,036.80 | — | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONT (RENAL STONE) | $1,672.82 | $11,152.07 | $5,687.56–$10,036.87 | — | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,672.82 | $11,152.07 | $5,687.56–$10,036.87 | — | 85% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $2,042.40 | $13,616.00 | $337.57–$12,254.40 | 48% below | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $2,042.40 | $13,616.00 | $6,944.16–$12,254.40 | — | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $2,242.50 | $14,950.00 | $337.57–$13,455.00 | 46% below | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $2,242.50 | $14,950.00 | $7,624.50–$13,455.00 | — | 85% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,449.62 | $9,664.11 | $168.27–$8,697.70 | 46% below | 85% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST | $1,449.62 | $9,664.11 | $4,928.70–$8,697.70 | — | 85% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $840.90 | $5,606.00 | $100.51–$5,045.40 | 61% below | 85% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $840.90 | $5,606.00 | $2,859.06–$5,045.40 | — | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $946.77 | $6,311.76 | $100.51–$5,680.59 | 44% below | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT TMJ W/O CONTRAST | $946.80 | $6,312.00 | $100.51–$5,680.80 | 44% below | 85% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $946.77 | $6,311.76 | $3,219.00–$5,680.59 | — | 85% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT TMJ W/O CONTRAST | $946.80 | $6,312.00 | $3,219.12–$5,680.80 | — | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN (CODE TPA) W/O CON | $815.40 | $5,436.00 | $100.51–$4,892.40 | 58% below | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN (CODE TPA) W/O CON | $815.40 | $5,436.00 | $2,772.36–$4,892.40 | — | 85% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST | $1,141.50 | $7,610.00 | $168.27–$6,849.00 | 44% below | 85% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST | $1,141.50 | $7,610.00 | $3,881.10–$6,849.00 | — | 85% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $1,337.10 | $8,914.00 | $168.27–$8,022.60 | 43% below | 85% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST | $1,337.10 | $8,914.00 | $4,546.14–$8,022.60 | — | 85% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O CONTRAST | $1,011.30 | $6,742.00 | $100.51–$6,067.80 | 55% below | 85% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O CONTRAST | $1,011.30 | $6,742.00 | $3,438.42–$6,067.80 | — | 85% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $1,031.70 | $6,878.00 | $100.51–$6,190.20 | 51% below | 85% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $1,031.70 | $6,878.00 | $3,507.78–$6,190.20 | — | 85% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,482.30 | $9,882.00 | $168.27–$8,893.80 | 34% below | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $1,482.30 | $9,882.00 | $5,039.82–$8,893.80 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILAT | $567.18 | $3,781.14 | $228.48–$3,403.03 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CID US CAROTID EXAM BILAT | $567.30 | $3,782.00 | $228.48–$3,403.80 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILAT | $567.18 | $3,781.14 | $1,928.39–$3,403.03 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CID US CAROTID EXAM BILAT | $567.30 | $3,782.00 | $1,928.82–$3,403.80 | — | 85% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA /LATERAL 2 VIEWS | $199.95 | $1,333.00 | $83.23–$1,199.70 | 52% below | 85% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA /LATERAL 2 VIEWS | $199.95 | $1,333.00 | $679.83–$1,199.70 | — | 85% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $152.53 | $1,016.85 | $76.10–$915.17 | 56% below | 85% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 (EMPLOYEE) | $152.55 | $1,017.00 | $76.10–$915.30 | 56% below | 85% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $152.53 | $1,016.85 | $518.60–$915.17 | — | 85% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 (EMPLOYEE) | $152.55 | $1,017.00 | $518.67–$915.30 | — | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL & BLADDER | $545.83 | $3,638.81 | $100.51–$3,274.93 | 26% below | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM | $545.85 | $3,639.00 | $100.51–$3,275.10 | 26% below | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL & BLADDER | $545.83 | $3,638.81 | $1,855.80–$3,274.93 | — | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM | $545.85 | $3,639.00 | $1,855.89–$3,275.10 | — | 85% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY SCAN | $230.55 | $1,537.00 | $57.58–$1,383.30 | 45% below | 85% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY SCAN | $230.55 | $1,537.00 | $783.87–$1,383.30 | — | 85% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US MFM COMPREH ANATOMY OB | $184.80 | $1,232.00 | $159.22–$1,108.80 | 78% below | 85% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US MFM COMPREH ANATOMY OB | $184.80 | $1,232.00 | $628.32–$1,108.80 | — | 85% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST- DIAGNOSTIC | $728.90 | $4,859.28 | $100.51–$4,373.36 | 63% below | 85% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT HIGH RES CT CHEST WO CONTRAST-DIAGNOS | $729.00 | $4,860.00 | $100.51–$4,374.00 | 63% below | 85% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST- DIAGNOSTIC | $728.90 | $4,859.28 | $2,478.24–$4,373.36 | — | 85% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT HIGH RES CT CHEST WO CONTRAST-DIAGNOS | $729.00 | $4,860.00 | $2,478.60–$4,374.00 | — | 85% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST-DIAGNOSTIC | $918.45 | $6,123.00 | $168.27–$5,510.70 | 59% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST-DIAGNOSTIC | $918.45 | $6,123.00 | $3,122.73–$5,510.70 | — | 85% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMO SCRN DIAG DIR DIGITAL-BILAT | $152.10 | $1,014.00 | $226.30–$912.60 | — | 85% |
| Diagnostic mammogram, both breasts CPT 77066 ZZ BCCCP MAMMO DIAG DIR DIG-BIL | $152.10 | $1,014.00 | $226.30–$912.60 | 58% below | 85% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM MAMMO SCRN DIAG DIR DIGITAL-BILAT | $152.10 | $1,014.00 | $517.14–$912.60 | — | 85% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 ZZ BCCCP MAMMO DIAG DIR DIG-BIL | $152.10 | $1,014.00 | $517.14–$912.60 | — | 85% |
| Diagnostic mammogram, one breast CPT 77065 MM MAMMO DIAG DIR DIGITAL-UNIL | $100.35 | $669.00 | $167.25–$602.10 | 63% below | 85% |
| Diagnostic mammogram, one breast CPT 77065 ZZ BCCCP MAMMO DIAG DIR DIG-UNI | $100.35 | $669.00 | $167.25–$602.10 | 63% below | 85% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MM MAMMO DIAG DIR DIGITAL-UNIL | $100.35 | $669.00 | $341.19–$602.10 | — | 85% |
| Diagnostic mammogram, one breast inpatient CPT 77065 ZZ BCCCP MAMMO DIAG DIR DIG-UNI | $100.35 | $669.00 | $341.19–$602.10 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIES LEGS BILAT | $465.43 | $3,102.84 | $228.48–$2,792.56 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 CID US ARTERIES LEG BILATERAL | $465.45 | $3,103.00 | $228.48–$2,792.70 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIES LEGS BILAT | $465.43 | $3,102.84 | $1,582.45–$2,792.56 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 CID US ARTERIES LEG BILATERAL | $465.45 | $3,103.00 | $1,582.53–$2,792.70 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEINS BILAT LEGS | $622.41 | $4,149.36 | $228.48–$3,734.43 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS REFLUX STUDY BILATERAL | $622.50 | $4,150.00 | $228.48–$3,735.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEINS BILAT LEGS | $622.41 | $4,149.36 | $2,116.18–$3,734.43 | — | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS REFLUX STUDY BILATERAL | $622.50 | $4,150.00 | $2,116.50–$3,735.00 | — | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CID TTE COMPLETE/BUBBLE STUDY | $935.70 | $6,238.00 | $100.00–$5,614.20 | 64% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO M-MODE & 2-D (ECHO) | $935.70 | $6,238.00 | $100.00–$5,614.20 | 64% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CID TTE COMPLETE/BUBBLE STUDY | $935.70 | $6,238.00 | $3,181.38–$5,614.20 | — | 85% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO M-MODE & 2-D (ECHO) | $935.70 | $6,238.00 | $3,181.38–$5,614.20 | — | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM PIP CHOLESCINTOGRAM WO EJF | $897.30 | $5,982.00 | $379.82–$5,383.80 | 47% below | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM PIP CHOLESCINTOGRAM WO EJF | $897.30 | $5,982.00 | $3,050.82–$5,383.80 | — | 85% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 8 HOUR SLEEP STUDY W CPAP | $1,830.15 | $12,201.00 | $100.00–$10,980.90 | 62% below | 85% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 8 HOUR SLEEP STUDY W CPAP | $1,830.15 | $12,201.00 | $6,222.51–$10,980.90 | — | 85% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3VWS | $194.30 | $1,295.27 | $83.23–$1,165.75 | 44% below | 85% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3VWS | $194.30 | $1,295.27 | $660.59–$1,165.75 | — | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS | $391.35 | $2,609.00 | $100.51–$2,348.10 | 42% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PYLORUS | $391.35 | $2,609.00 | $1,330.59–$2,348.10 | — | 85% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREEN W/O CONTRAST | $270.19 | $1,801.25 | $100.51–$1,621.13 | 12% above | 85% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREEN W/O CONTRAST | $270.19 | $1,801.25 | $918.64–$1,621.13 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE WO CONTRAST | $1,606.80 | $10,712.00 | $228.48–$9,640.80 | 26% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI KNEE WO CONTRAST | $1,606.80 | $10,712.00 | $5,463.12–$9,640.80 | — | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT WO/W CONT | $2,608.50 | $17,390.00 | $337.57–$15,651.00 | 13% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT WO/W CONT | $2,608.50 | $17,390.00 | $8,868.90–$15,651.00 | — | 85% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $889.80 | $5,932.00 | $228.48–$5,338.80 | 61% below | 85% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP | $889.80 | $5,932.00 | $3,025.32–$5,338.80 | — | 85% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $1,533.90 | $10,226.00 | $337.57–$9,203.40 | 53% below | 85% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST | $1,533.90 | $10,226.00 | $5,215.26–$9,203.40 | — | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,335.69 | $8,904.60 | $228.48–$8,014.14 | 39% below | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD (BRAIN) W/O CONT | $1,335.75 | $8,905.00 | $228.48–$8,014.50 | 39% below | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,335.69 | $8,904.60 | $4,541.35–$8,014.14 | — | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD (BRAIN) W/O CONT | $1,335.75 | $8,905.00 | $4,541.55–$8,014.50 | — | 85% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONT | $2,177.25 | $14,515.00 | $337.57–$13,063.50 | 28% below | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONT | $2,177.25 | $14,515.00 | $7,402.65–$13,063.50 | — | 85% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LSPINE W/O CONTRAST | $1,177.19 | $7,847.88 | $228.48–$7,063.10 | 49% below | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LSPINE W/O CONTRAST | $1,177.19 | $7,847.88 | $4,002.42–$7,063.10 | — | 85% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LSPINE WO/W CONT | $1,965.90 | $13,106.00 | $337.57–$11,795.40 | 38% below | 85% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LSPINE WO/W CONT | $1,965.90 | $13,106.00 | $6,684.06–$11,795.40 | — | 85% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI TSPINE W/O CONTRAST | $1,499.59 | $9,997.25 | $228.48–$8,997.53 | 30% below | 85% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI TSPINE W/O CONTRAST | $1,499.59 | $9,997.25 | $5,098.60–$8,997.53 | — | 85% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CSPINE WO/W CONT | $2,065.35 | $13,769.00 | $337.57–$12,392.10 | 37% below | 85% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CSPINE WO/W CONT | $2,065.35 | $13,769.00 | $7,022.19–$12,392.10 | — | 85% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CSPINE W/O CONTRAST | $1,229.40 | $8,196.00 | $228.48–$7,376.40 | 49% below | 85% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CSPINE W/O CONTRAST | $1,229.40 | $8,196.00 | $4,179.96–$7,376.40 | — | 85% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W/WO CONTRAST | $1,584.36 | $10,562.39 | $337.57–$9,506.16 | 53% below | 85% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $1,584.45 | $10,563.00 | $337.57–$9,506.70 | 53% below | 85% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE W/WO CONTRAST | $1,584.36 | $10,562.39 | $5,386.82–$9,506.16 | — | 85% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST | $1,584.45 | $10,563.00 | $5,387.13–$9,506.70 | — | 85% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE WO CONTRAST | $1,077.45 | $7,183.00 | $228.48–$6,464.70 | 57% below | 85% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE WO CONTRAST | $1,077.45 | $7,183.00 | $3,663.33–$6,464.70 | — | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SHOULDER WO CONTRAST | $1,434.15 | $9,561.00 | $228.48–$8,604.90 | 20% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI SHOULDER WO CONTRAST | $1,434.15 | $9,561.00 | $4,876.11–$8,604.90 | — | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HIET THALLIUM REST/REDISTRIBUTION | $2,204.25 | $14,695.00 | $769.67–$13,225.50 | 49% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM THALLIUM REST REDISTRIBUTION | $2,204.25 | $14,695.00 | $769.67–$13,225.50 | 49% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HIET THALLIUM REST/REDISTRIBUTION | $2,204.25 | $14,695.00 | $7,494.45–$13,225.50 | — | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM THALLIUM REST REDISTRIBUTION | $2,204.25 | $14,695.00 | $7,494.45–$13,225.50 | — | 85% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT TUMOR IMAG SKULL THIGH | $1,764.15 | $11,761.00 | $1,378.69–$10,584.90 | 61% below | 85% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT TUMOR IMAG SKULL THIGH | $1,764.15 | $11,761.00 | $5,998.11–$10,584.90 | — | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up one side CPT 76857 US GROIN UNILATERAL | $282.45 | $1,883.00 | $100.51–$1,694.70 | 45% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient one side CPT 76857 US GROIN UNILATERAL | $282.45 | $1,883.00 | $960.33–$1,694.70 | — | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) both sides CPT 76856 US GROIN BILATERAL | $605.55 | $4,037.00 | $100.51–$3,633.30 | — | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient both sides CPT 76856 US GROIN BILATERAL | $605.55 | $4,037.00 | $2,058.87–$3,633.30 | — | 85% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP > 14 WKS (TA) | $561.75 | $3,745.00 | $100.51–$3,370.50 | 15% below | 85% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP > 14 WKS (TA) | $561.75 | $3,745.00 | $1,909.95–$3,370.50 | — | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 W (TA) | $484.21 | $3,228.02 | $100.51–$2,905.22 | 27% below | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US MFM OB < 14 WKS | $484.35 | $3,229.00 | $100.51–$2,906.10 | 27% below | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 W (TA) | $484.21 | $3,228.02 | $1,646.30–$2,905.22 | — | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US MFM OB < 14 WKS | $484.35 | $3,229.00 | $1,646.79–$2,906.10 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $285.15 | $1,901.00 | $100.51–$1,710.90 | 42% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $285.15 | $1,901.00 | $969.51–$1,710.90 | — | 85% |
| Screening mammogram, both breasts CPT 77067 MM MAMMO SCRN DIR DIGITAL | $118.35 | $789.00 | $187.00–$710.10 | 61% below | 85% |
| Screening mammogram, both breasts CPT 77067 ZZ BCCCP MAMMO SCREEN DIR DIGITAL | $118.35 | $789.00 | $187.00–$710.10 | 61% below | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 MM MAMMO SCRN DIR DIGITAL | $118.35 | $789.00 | $402.39–$710.10 | — | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 ZZ BCCCP MAMMO SCREEN DIR DIGITAL | $118.35 | $789.00 | $402.39–$710.10 | — | 85% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMP | $184.35 | $1,229.00 | $83.23–$1,106.10 | 40% below | 85% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER MINIMUM 2 VIEWS | $188.10 | $1,254.00 | $83.23–$1,128.60 | 39% below | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER COMP | $184.35 | $1,229.00 | $626.79–$1,106.10 | — | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER MINIMUM 2 VIEWS | $188.10 | $1,254.00 | $639.54–$1,128.60 | — | 85% |
| Sleep study in a lab (polysomnography) CPT 95810 8 HOUR SLEEP STUDY WO CPAP | $1,122.51 | $7,483.34 | $100.00–$6,735.01 | 76% below | 85% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 8 HOUR SLEEP STUDY WO CPAP | $1,122.51 | $7,483.34 | $3,816.51–$6,735.01 | — | 85% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SP MODIFIED BARIUM SWALLOW | $258.38 | $1,722.50 | $168.27–$1,550.25 | 57% below | 85% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL MOD BARIUM SWALLOW | $258.45 | $1,723.00 | $168.27–$1,550.70 | 57% below | 85% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SP MODIFIED BARIUM SWALLOW | $258.38 | $1,722.50 | $878.48–$1,550.25 | — | 85% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL MOD BARIUM SWALLOW | $258.45 | $1,723.00 | $878.73–$1,550.70 | — | 85% |
| Transvaginal pelvic ultrasound CPT 76830 US INTRAVAGINAL PELVIS NON-OB | $305.40 | $2,036.00 | $100.51–$1,832.40 | 54% below | 85% |
| Transvaginal pelvic ultrasound CPT 76830 US INTRAVAGINAL PELV | $311.70 | $2,078.00 | $100.51–$1,870.20 | 53% below | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US INTRAVAGINAL PELVIS NON-OB | $305.40 | $2,036.00 | $1,038.36–$1,832.40 | — | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US INTRAVAGINAL PELV | $311.70 | $2,078.00 | $1,059.78–$1,870.20 | — | 85% |
| Transvaginal ultrasound during pregnancy CPT 76817 US MFM INTRAVAGINAL OB | $324.00 | $2,160.00 | $100.51–$1,944.00 | 45% below | 85% |
| Transvaginal ultrasound during pregnancy CPT 76817 US INTRAVAGINAL OB | $324.00 | $2,159.97 | $100.51–$1,943.98 | 45% below | 85% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US MFM INTRAVAGINAL OB | $324.00 | $2,160.00 | $1,101.60–$1,944.00 | — | 85% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US INTRAVAGINAL OB | $324.00 | $2,159.97 | $1,101.59–$1,943.98 | — | 85% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $520.50 | $3,470.00 | $100.51–$3,123.00 | 40% below | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $520.50 | $3,470.00 | $1,769.70–$3,123.00 | — | 85% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM (TESTICLE) | $535.80 | $3,572.00 | $100.51–$3,214.80 | 28% below | 85% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM (TESTES) | $546.75 | $3,645.00 | $100.51–$3,280.50 | 27% below | 85% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM (TESTICLE) | $535.80 | $3,572.00 | $1,821.72–$3,214.80 | — | 85% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM (TESTES) | $546.75 | $3,645.00 | $1,858.95–$3,280.50 | — | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SALIVARY GLANDS | $522.00 | $3,480.00 | $100.51–$3,132.00 | 19% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SALIVARY GLANDS | $522.00 | $3,480.00 | $1,774.80–$3,132.00 | — | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL UGI | $371.02 | $2,473.42 | $168.27–$2,226.08 | 50% below | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL UGI | $371.02 | $2,473.42 | $1,261.45–$2,226.08 | — | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEINS ARM UNIL | $398.40 | $2,656.00 | $100.51–$2,390.40 | 50% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEINS ARM UNIL | $398.40 | $2,656.00 | $1,354.56–$2,390.40 | — | 85% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR NAVICULAR MIN 3 VIEWS | $238.35 | $1,589.00 | $83.23–$1,430.10 | 34% below | 85% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR NAVICULAR MIN 3 VIEWS | $238.35 | $1,589.00 | $810.39–$1,430.10 | — | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP COMP 2-3 VIEWS | $131.74 | $878.22 | $83.23–$790.40 | 67% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PELVIS 2-3 VIEWS | $131.85 | $879.00 | $83.23–$791.10 | 67% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP COMP 2-3 VIEWS | $131.74 | $878.22 | $447.90–$790.40 | — | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP W PELVIS 2-3 VIEWS | $131.85 | $879.00 | $448.29–$791.10 | — | 85% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW (KUB) | $160.90 | $1,072.62 | $83.23–$965.36 | 53% below | 85% |
| X-ray of the abdomen, 1 view CPT 74018 FL SITZMARK COLON TRANSIT EXAM | $160.95 | $1,073.00 | $83.23–$965.70 | 53% below | 85% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW (KUB) | $160.90 | $1,072.62 | $547.04–$965.36 | — | 85% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 FL SITZMARK COLON TRANSIT EXAM | $160.95 | $1,073.00 | $547.23–$965.70 | — | 85% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2VWS | $137.55 | $917.00 | $83.23–$825.30 | 52% below | 85% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2VWS | $137.55 | $917.00 | $467.67–$825.30 | — | 85% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER | $201.75 | $1,345.00 | $83.23–$1,210.50 | 16% below | 85% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 2 VIEWS | $205.95 | $1,373.00 | $83.23–$1,235.70 | 15% below | 85% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER | $201.75 | $1,345.00 | $685.95–$1,210.50 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 2 VIEWS | $205.95 | $1,373.00 | $700.23–$1,235.70 | — | 85% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2VWS | $175.50 | $1,170.00 | $83.23–$1,053.00 | 47% below | 85% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2VWS | $175.50 | $1,170.00 | $596.70–$1,053.00 | — | 85% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT MIN 3VWS | $272.91 | $1,819.36 | $83.23–$1,637.43 | 27% below | 85% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMP MIN 3 VW | $278.37 | $1,855.74 | $83.23–$1,670.17 | 25% below | 85% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT MIN 3VWS | $272.91 | $1,819.36 | $927.88–$1,637.43 | — | 85% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT COMP MIN 3 VW | $278.37 | $1,855.74 | $946.43–$1,670.17 | — | 85% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3VWS | $256.20 | $1,708.00 | $83.23–$1,537.20 | 33% below | 85% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND MIN 3VWS | $256.20 | $1,708.00 | $871.08–$1,537.20 | — | 85% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 VWS | $161.40 | $1,076.00 | $83.23–$968.40 | 42% below | 85% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 VWS | $161.40 | $1,076.00 | $548.76–$968.40 | — | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE (AP/LATERAL) | $396.60 | $2,644.00 | $100.51–$2,379.60 | 16% below | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE (AP/LATERAL) | $396.60 | $2,644.00 | $1,348.44–$2,379.60 | — | 85% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-S SPINE MIN 4 V | $514.95 | $3,433.00 | $100.51–$3,089.70 | 21% below | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-S SPINE MIN 4 V | $514.95 | $3,433.00 | $1,750.83–$3,089.70 | — | 85% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS | $227.29 | $1,515.23 | $100.51–$1,363.71 | 44% below | 85% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS | $227.29 | $1,515.23 | $772.77–$1,363.71 | — | 85% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE MIN 3VWS | $168.60 | $1,124.00 | $83.23–$1,011.60 | 42% below | 85% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE MIN 3VWS | $168.60 | $1,124.00 | $573.24–$1,011.60 | — | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERV SPINE 3 VWS OR LESS | $374.10 | $2,494.00 | $83.23–$2,244.60 | at median | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERV SPINE 3 VWS OR LESS | $374.10 | $2,494.00 | $1,271.94–$2,244.60 | — | 85% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VWS | $170.36 | $1,135.67 | $86.56–$1,022.11 | 54% below | 85% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VWS | $170.36 | $1,135.67 | $579.20–$1,022.11 | — | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MIN 2 W VIEWS | $222.00 | $1,480.00 | $83.23–$1,332.00 | 32% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX MIN 2 W VIEWS | $222.00 | $1,480.00 | $754.80–$1,332.00 | — | 85% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT ( SGPT ) | $60.30 | $402.00 | $4.45–$361.80 | 3% above | 85% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT ( SGPT ) | $60.30 | $402.00 | $205.02–$361.80 | — | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST ( SGOT ) | $60.30 | $402.00 | $4.35–$361.80 | 3% above | 85% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST ( SGOT ) | $60.30 | $402.00 | $205.02–$361.80 | — | 85% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $164.25 | $1,095.00 | $8.08–$985.50 | 58% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 CF-HEPATITIS PANEL | $191.85 | $1,279.00 | $8.08–$1,151.10 | 51% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $164.25 | $1,095.00 | $558.45–$985.50 | — | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 CF-HEPATITIS PANEL | $191.85 | $1,279.00 | $652.29–$1,151.10 | — | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE F041 | $2.55 | $17.00 | $4.25–$22.43 | 90% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELLON ALLERGEN | $2.70 | $18.00 | $4.38–$22.43 | 89% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STACHYBOTRYUS ATRA IGE | $3.15 | $21.00 | $4.38–$22.43 | 88% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EL GLUTEN IGE | $4.35 | $29.00 | $4.38–$26.10 | 83% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SINGLE ALLERGEN | $6.00 | $40.00 | $4.38–$36.00 | 77% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACARUS MITE | $8.10 | $54.00 | $4.38–$48.60 | 68% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EL MEAT ALLERGY | $8.70 | $58.00 | $4.38–$52.20 | 66% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE MOSQUITO | $8.85 | $59.00 | $4.38–$53.10 | 65% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILLETIA TRITICI M201 | $9.75 | $65.00 | $4.38–$58.50 | 62% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT IGE | $10.20 | $68.00 | $4.38–$61.20 | 60% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EL MILK ALLERGY | $10.35 | $69.00 | $4.38–$62.10 | 60% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PENICILLIUM | $15.36 | $102.37 | $4.38–$92.14 | 40% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE | $19.05 | $127.00 | $4.38–$114.30 | 26% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BLACK WALNUT IGE TREE | $19.20 | $128.00 | $4.38–$115.20 | 25% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CORN ALLERGEN | $19.95 | $133.00 | $4.38–$119.70 | 22% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG YOLK ALLERGEN | $19.97 | $133.10 | $4.38–$119.79 | 22% below | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YEAST AB IGE | $20.40 | $136.00 | $4.38–$122.40 | 20% below | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE F041 | $2.55 | $17.00 | $8.67–$15.30 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELLON ALLERGEN | $2.70 | $18.00 | $9.18–$16.20 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STACHYBOTRYUS ATRA IGE | $3.15 | $21.00 | $10.71–$18.90 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EL GLUTEN IGE | $4.35 | $29.00 | $14.79–$26.10 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SINGLE ALLERGEN | $6.00 | $40.00 | $20.40–$36.00 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACARUS MITE | $8.10 | $54.00 | $27.54–$48.60 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EL MEAT ALLERGY | $8.70 | $58.00 | $29.58–$52.20 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE MOSQUITO | $8.85 | $59.00 | $30.09–$53.10 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILLETIA TRITICI M201 | $9.75 | $65.00 | $33.15–$58.50 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT IGE | $10.20 | $68.00 | $34.68–$61.20 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EL MILK ALLERGY | $10.35 | $69.00 | $35.19–$62.10 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PENICILLIUM | $15.36 | $102.37 | $52.21–$92.14 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IGE | $19.05 | $127.00 | $64.77–$114.30 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BLACK WALNUT IGE TREE | $19.20 | $128.00 | $65.28–$115.20 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CORN ALLERGEN | $19.95 | $133.00 | $67.83–$119.70 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EGG YOLK ALLERGEN | $19.97 | $133.10 | $67.89–$119.79 | — | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST AB IGE | $20.40 | $136.00 | $69.36–$122.40 | — | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 EL CYCLIC CITRULLINATED PEP | $10.35 | $69.00 | $10.88–$62.10 | 80% below | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $60.90 | $405.96 | $10.88–$365.37 | 18% above | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 EL CYCLIC CITRULLINATED PEP | $10.35 | $69.00 | $35.19–$62.10 | — | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $60.90 | $405.96 | $207.04–$365.37 | — | 85% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $74.70 | $498.00 | $10.16–$448.20 | 28% below | 85% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $74.70 | $498.00 | $253.98–$448.20 | — | 85% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP B - NATRIURETIC PEPTIDE | $75.46 | $503.06 | $32.98–$452.76 | 62% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ED BNP | $75.60 | $504.00 | $32.98–$453.60 | 62% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP B - NATRIURETIC PEPTIDE | $75.46 | $503.06 | $256.57–$452.76 | — | 85% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ED BNP | $75.60 | $504.00 | $257.04–$453.60 | — | 85% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $85.23 | $568.14 | $7.11–$511.33 | 67% below | 85% |
| Basic metabolic panel (blood test) CPT 80048 ED CHEM 8 | $85.35 | $569.00 | $7.11–$512.10 | 67% below | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $85.23 | $568.14 | $289.76–$511.33 | — | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 ED CHEM 8 | $85.35 | $569.00 | $290.19–$512.10 | — | 85% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURG PATH & MICRO | $212.10 | $1,414.00 | $50.50–$1,272.60 | 31% below | 85% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SURG PATH & MICRO | $212.10 | $1,414.00 | $721.14–$1,272.60 | — | 85% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD LABCORP | $66.30 | $442.00 | $8.67–$397.80 | 72% below | 85% |
| Blood culture for bacteria CPT 87040 CF-CULTURE BLOOD | $74.70 | $498.00 | $8.67–$448.20 | 69% below | 85% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $82.80 | $552.00 | $8.67–$496.80 | 65% below | 85% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD LABCORP | $66.30 | $442.00 | $225.42–$397.80 | — | 85% |
| Blood culture for bacteria inpatient CPT 87040 CF-CULTURE BLOOD | $74.70 | $498.00 | $253.98–$448.20 | — | 85% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $82.80 | $552.00 | $281.52–$496.80 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 EL DRAW FEE | $2.55 | $17.00 | $4.25–$26.49 | 88% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SANE VENIPUNCTURE | $10.65 | $71.00 | $8.19–$63.90 | 48% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 QUEST LAB DRAW FEE | $10.65 | $71.00 | $8.19–$63.90 | 48% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 EL DRAW FEE | $2.55 | $17.00 | $8.67–$15.30 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 QUEST LAB DRAW FEE | $10.65 | $71.00 | $36.21–$63.90 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SANE VENIPUNCTURE | $10.65 | $71.00 | $36.21–$63.90 | — | 85% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD | $25.95 | $173.00 | $3.30–$155.70 | 47% below | 85% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD | $25.95 | $173.00 | $88.23–$155.70 | — | 85% |
| Blood lead test CPT 83655 EL LEAD | $6.00 | $40.00 | $10.00–$52.33 | 88% below | 85% |
| Blood lead test CPT 83655 LEAD BLOOD ADULT | $23.40 | $156.00 | $10.17–$140.40 | 54% below | 85% |
| Blood lead test inpatient CPT 83655 EL LEAD | $6.00 | $40.00 | $20.40–$36.00 | — | 85% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD ADULT | $23.40 | $156.00 | $79.56–$140.40 | — | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 STAT LAB PREGNANCY SERUM QUAL | $65.70 | $438.00 | $6.32–$394.20 | 64% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 STAT LAB PREGNANCY SERUM QUAL | $65.70 | $438.00 | $223.38–$394.20 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CF-ABO | $18.75 | $125.00 | $2.51–$337.92 | 79% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CF-EL TYPE & RH | $19.80 | $132.00 | $2.51–$337.92 | 78% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CF-WRIGHT STAIN FOR EOSINOPHILS | $30.75 | $205.00 | $2.51–$337.92 | 65% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $65.23 | $434.84 | $2.51–$434.84 | 26% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 GCRBC TYPE & RH | $65.25 | $435.00 | $2.51–$435.00 | 26% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CF-ABO | $18.75 | $125.00 | $63.75–$112.50 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CF-EL TYPE & RH | $19.80 | $132.00 | $67.32–$118.80 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CF-WRIGHT STAIN FOR EOSINOPHILS | $30.75 | $205.00 | $104.55–$184.50 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $65.23 | $434.84 | $221.77–$391.36 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 GCRBC TYPE & RH | $65.25 | $435.00 | $221.85–$391.50 | — | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 EL CARDIO CRP RISK | $8.70 | $58.00 | $4.35–$52.20 | 85% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CF-CRP | $32.40 | $216.00 | $4.35–$194.40 | 44% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $41.70 | $278.00 | $4.35–$250.20 | 28% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 EL CARDIO CRP RISK | $8.70 | $58.00 | $29.58–$52.20 | — | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CF-CRP | $32.40 | $216.00 | $110.16–$194.40 | — | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $41.70 | $278.00 | $141.78–$250.20 | — | 85% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CF-DIFFICILE A B | $63.75 | $425.00 | $31.31–$382.50 | 67% below | 85% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CF-DIFFICILE A B | $63.75 | $425.00 | $216.75–$382.50 | — | 85% |
| CA 19-9 blood test (tumor marker) CPT 86301 EL CA 19 9 | $10.35 | $69.00 | $17.25–$89.75 | 92% below | 85% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 CARBOHYDRATE ANTIGEN | $90.30 | $602.00 | $17.48–$541.80 | 32% below | 85% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 EL CA 19 9 | $10.35 | $69.00 | $35.19–$62.10 | — | 85% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9 CARBOHYDRATE ANTIGEN | $90.30 | $602.00 | $307.02–$541.80 | — | 85% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $71.70 | $478.00 | $17.48–$430.20 | 55% below | 85% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $71.70 | $478.00 | $243.78–$430.20 | — | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CF CORONAVIRUS 2019 IN HOUSE | $23.55 | $157.00 | $39.25–$157.00 | 72% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS 2019 LUFKIN 3HR | $30.10 | $200.62 | $43.10–$200.62 | 64% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS 2019 | $30.15 | $201.00 | $43.10–$201.00 | 64% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CF CORONAVIRUS 2019 IN HOUSE | $23.55 | $157.00 | $80.07–$141.30 | — | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS 2019 LUFKIN 3HR | $30.10 | $200.62 | $102.32–$180.56 | — | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS 2019 | $30.15 | $201.00 | $102.51–$180.90 | — | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 EL CHLAMYDIA URINE | $17.25 | $115.00 | $28.75–$151.07 | 86% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA GC DNA PCR | $54.90 | $366.00 | $29.48–$329.40 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 EL CHLAMYDIA URINE | $17.25 | $115.00 | $58.65–$103.50 | — | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA GC DNA PCR | $54.90 | $366.00 | $186.66–$329.40 | — | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CORONARY RISK | $102.36 | $682.38 | $7.66–$614.15 | 58% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CORONARY RISK | $102.36 | $682.38 | $348.02–$614.15 | — | 85% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $53.86 | $359.04 | $6.53–$323.14 | 43% below | 85% |
| Complete blood count (CBC) with differential CPT 85025 STAT LAB CBC W AUTO DIFF | $66.00 | $440.00 | $6.53–$396.00 | 30% below | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF | $53.86 | $359.04 | $183.12–$323.14 | — | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 STAT LAB CBC W AUTO DIFF | $66.00 | $440.00 | $224.40–$396.00 | — | 85% |
| Complete blood count (CBC), no differential CPT 85027 CBC (HEMOGRAM ONLY) | $42.39 | $282.54 | $5.43–$254.29 | 60% below | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC (HEMOGRAM ONLY) | $42.39 | $282.54 | $144.10–$254.29 | — | 85% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $199.35 | $1,329.00 | $8.87–$1,196.10 | 45% below | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $199.35 | $1,329.00 | $677.79–$1,196.10 | — | 85% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE | $46.65 | $311.00 | $8.55–$279.90 | 75% below | 85% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE | $46.65 | $311.00 | $158.61–$279.90 | — | 85% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $111.00 | $740.00 | $18.67–$666.00 | 30% below | 85% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $111.00 | $740.00 | $377.40–$666.00 | — | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM NONPREG | $105.60 | $704.00 | $23.47–$633.60 | 30% below | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM NONPREG | $105.60 | $704.00 | $359.04–$633.60 | — | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $78.30 | $522.00 | $15.61–$469.80 | 51% below | 85% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $78.30 | $522.00 | $266.22–$469.80 | — | 85% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL | $70.95 | $473.00 | $16.49–$425.70 | 67% below | 85% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL | $70.95 | $473.00 | $241.23–$425.70 | — | 85% |
| Ferritin blood test (iron stores) CPT 82728 CF-FERRITIN | $69.30 | $462.00 | $11.45–$415.80 | 32% below | 85% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $75.75 | $505.00 | $11.45–$454.50 | 26% below | 85% |
| Ferritin blood test (iron stores) inpatient CPT 82728 CF-FERRITIN | $69.30 | $462.00 | $235.62–$415.80 | — | 85% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $75.75 | $505.00 | $257.55–$454.50 | — | 85% |
| Folate (folic acid) blood test CPT 82746 CF-FOLATE | $48.60 | $324.00 | $12.35–$291.60 | 41% below | 85% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $62.25 | $415.00 | $12.35–$373.50 | 25% below | 85% |
| Folate (folic acid) blood test inpatient CPT 82746 CF-FOLATE | $48.60 | $324.00 | $165.24–$291.60 | — | 85% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $62.25 | $415.00 | $211.65–$373.50 | — | 85% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $78.30 | $522.00 | $14.23–$469.80 | 48% below | 85% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $78.30 | $522.00 | $266.22–$469.80 | — | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIRECT DIALYSIS | $49.80 | $332.00 | $7.58–$298.80 | 52% below | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $54.75 | $365.00 | $7.58–$328.50 | 47% below | 85% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIRECT DIALYSIS | $49.80 | $332.00 | $169.32–$298.80 | — | 85% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $54.75 | $365.00 | $186.15–$328.50 | — | 85% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE AND TOTAL | $65.55 | $437.00 | $21.39–$393.30 | 41% below | 85% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE AND TOTAL | $65.55 | $437.00 | $222.87–$393.30 | — | 85% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE(3 SPECIMENS) | $46.71 | $311.40 | $10.81–$280.26 | 71% below | 85% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE(3 SPECIMENS) | $46.71 | $311.40 | $158.82–$280.26 | — | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PCR | $26.55 | $177.00 | $29.48–$159.30 | 81% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PCR | $26.55 | $177.00 | $90.27–$159.30 | — | 85% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM ANTIBODY | $52.35 | $349.00 | $14.15–$314.10 | 60% below | 85% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM ANTIBODY | $52.35 | $349.00 | $177.99–$314.10 | — | 85% |
| H. pylori stool antigen test CPT 87338 EL H PYLORI STOOL | $13.80 | $92.00 | $12.08–$82.80 | 83% below | 85% |
| H. pylori stool antigen test CPT 87338 HELICOBCTER PYLORI STOOL | $38.25 | $255.00 | $12.08–$229.50 | 53% below | 85% |
| H. pylori stool antigen test inpatient CPT 87338 EL H PYLORI STOOL | $13.80 | $92.00 | $46.92–$82.80 | — | 85% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBCTER PYLORI STOOL | $38.25 | $255.00 | $130.05–$229.50 | — | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT EXPANDED RANGE | $141.19 | $941.25 | $71.48–$847.13 | 57% below | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCR QUANT | $141.30 | $942.00 | $71.48–$847.80 | 57% below | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT EXPANDED RANGE | $141.19 | $941.25 | $480.04–$847.13 | — | 85% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA BY PCR QUANT | $141.30 | $942.00 | $480.42–$847.80 | — | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 EL HIV 1/2 DO | $10.35 | $69.00 | $17.25–$104.71 | 93% below | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERATION IH | $42.23 | $281.52 | $20.23–$253.37 | 71% below | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CF-HIV 12 | $44.85 | $299.00 | $20.23–$269.10 | 69% below | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 EL HIV 1/2 DO | $10.35 | $69.00 | $35.19–$62.10 | — | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4TH GENERATION IH | $42.23 | $281.52 | $143.58–$253.37 | — | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CF-HIV 12 | $44.85 | $299.00 | $152.49–$269.10 | — | 85% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK | $38.55 | $257.00 | $29.48–$231.30 | 46% below | 85% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $40.95 | $273.00 | $29.48–$245.70 | 42% below | 85% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HIGH RISK | $38.55 | $257.00 | $131.07–$231.30 | — | 85% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK | $40.95 | $273.00 | $139.23–$245.70 | — | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN | $57.90 | $386.00 | $8.16–$347.40 | 37% below | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN | $57.90 | $386.00 | $196.86–$347.40 | — | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CF-HEP B SURFACE AB | $42.60 | $284.00 | $9.02–$255.60 | 33% below | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY | $54.75 | $365.00 | $9.02–$328.50 | 14% below | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CF-HEP B SURFACE AB | $42.60 | $284.00 | $144.84–$255.60 | — | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY | $54.75 | $365.00 | $186.15–$328.50 | — | 85% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $49.80 | $332.00 | $8.68–$298.80 | 37% below | 85% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $49.80 | $332.00 | $169.32–$298.80 | — | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $49.12 | $327.42 | $11.99–$294.68 | 44% below | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 CF-HEPATITS C AB | $55.20 | $368.00 | $11.99–$331.20 | 37% below | 85% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $49.12 | $327.42 | $166.99–$294.68 | — | 85% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 CF-HEPATITS C AB | $55.20 | $368.00 | $187.68–$331.20 | — | 85% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV NUCLEIC ACID RNA QN TMA | $157.80 | $1,052.00 | $35.99–$946.80 | 50% below | 85% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV NUCLEIC ACID RNA QN TMA | $157.80 | $1,052.00 | $536.52–$946.80 | — | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 SPECIFIC AB IGG | $10.50 | $70.00 | $11.08–$63.00 | 88% below | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM AB | $15.15 | $101.00 | $11.08–$90.90 | 82% below | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SVIDMPLEX VIRUS 1 2 W RFX | $22.19 | $147.90 | $11.08–$133.11 | 74% below | 85% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG | $22.95 | $153.00 | $11.08–$137.70 | 73% below | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 SPECIFIC AB IGG | $10.50 | $70.00 | $35.70–$63.00 | — | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM AB | $15.15 | $101.00 | $51.51–$90.90 | — | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SVIDMPLEX VIRUS 1 2 W RFX | $22.19 | $147.90 | $75.43–$133.11 | — | 85% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGG | $22.95 | $153.00 | $78.03–$137.70 | — | 85% |
| Herpes blood test, HSV-2 antibody CPT 86696 EL HSV 1 & 2 | $13.80 | $92.00 | $16.25–$83.75 | 85% below | 85% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX IGG TYPE SP AB | $44.85 | $299.00 | $16.25–$269.10 | 50% below | 85% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 EL HSV 1 & 2 | $13.80 | $92.00 | $46.92–$82.80 | — | 85% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX IGG TYPE SP AB | $44.85 | $299.00 | $152.49–$269.10 | — | 85% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIOVASCULAR | $52.65 | $351.00 | $15.05–$315.90 | 65% below | 85% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIOVASCULAR | $52.65 | $351.00 | $179.01–$315.90 | — | 85% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $52.18 | $347.82 | $9.60–$313.04 | 39% below | 85% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $52.18 | $347.82 | $177.39–$313.04 | — | 85% |
| Iron blood test (serum iron) CPT 83540 CF-IRON | $32.40 | $216.00 | $5.43–$194.40 | 64% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON ( FE )BLOOD | $34.74 | $231.54 | $5.43–$208.39 | 61% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE | $34.80 | $232.00 | $5.43–$208.80 | 61% below | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 CF-IRON | $32.40 | $216.00 | $110.16–$194.40 | — | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON ( FE )BLOOD | $34.74 | $231.54 | $118.09–$208.39 | — | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE | $34.80 | $232.00 | $118.32–$208.80 | — | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 UIBC | $8.10 | $54.00 | $7.34–$48.60 | 92% below | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $48.05 | $320.28 | $7.34–$288.26 | 51% below | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 CF-TIBC | $49.80 | $332.00 | $7.34–$298.80 | 49% below | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC | $8.10 | $54.00 | $27.54–$48.60 | — | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $48.05 | $320.28 | $163.35–$288.26 | — | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 CF-TIBC | $49.80 | $332.00 | $169.32–$298.80 | — | 85% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $142.32 | $948.75 | $7.29–$853.88 | 57% below | 85% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $142.32 | $948.75 | $483.87–$853.88 | — | 85% |
| LH (luteinizing hormone) test CPT 83002 LH LUTEINIZING HORMONE | $61.80 | $412.00 | $15.56–$370.80 | 59% below | 85% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH LUTEINIZING HORMONE | $61.80 | $412.00 | $210.12–$370.80 | — | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM | $43.20 | $288.00 | $5.79–$259.20 | 56% below | 85% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM | $43.20 | $288.00 | $146.88–$259.20 | — | 85% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL | $115.20 | $768.00 | $6.86–$691.20 | 60% below | 85% |
| Liver function blood test panel inpatient CPT 80076 LIVER FUNCTION PANEL | $115.20 | $768.00 | $391.68–$691.20 | — | 85% |
| Lyme disease antibody test CPT 86618 EL LYME DISEASE AB W REFLEX | $10.35 | $69.00 | $14.31–$73.29 | 87% below | 85% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG | $81.90 | $546.00 | $14.31–$491.40 | 1% below | 85% |
| Lyme disease antibody test inpatient CPT 86618 EL LYME DISEASE AB W REFLEX | $10.35 | $69.00 | $35.19–$62.10 | — | 85% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB IGG | $81.90 | $546.00 | $278.46–$491.40 | — | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $7.80 | $52.00 | $5.63–$46.80 | 83% below | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $31.95 | $213.00 | $5.63–$191.70 | 31% below | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $35.19 | $234.60 | $5.63–$211.14 | 24% below | 85% |
| Magnesium blood test CPT 83735 24HR MAGNESIUM | $43.13 | $287.50 | $5.63–$258.75 | 6% below | 85% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $7.80 | $52.00 | $26.52–$46.80 | — | 85% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $31.95 | $213.00 | $108.63–$191.70 | — | 85% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM | $35.19 | $234.60 | $119.65–$211.14 | — | 85% |
| Magnesium blood test inpatient CPT 83735 24HR MAGNESIUM | $43.13 | $287.50 | $146.63–$258.75 | — | 85% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM AB | $5.82 | $38.76 | $9.69–$55.36 | 78% below | 85% |
| Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA AB CSF | $12.69 | $84.60 | $10.82–$76.14 | 52% below | 85% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $43.66 | $291.01 | $10.82–$261.91 | 66% above | 85% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $47.55 | $317.00 | $10.82–$285.30 | 81% above | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM AB | $5.82 | $38.76 | $19.77–$34.89 | — | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES RUBEOLA AB CSF | $12.69 | $84.60 | $43.15–$76.14 | — | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG | $43.66 | $291.01 | $148.42–$261.91 | — | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM | $47.55 | $317.00 | $161.67–$285.30 | — | 85% |
| Mono test (heterophile antibody, Monospot) CPT 86308 EL MONO SCREEN | $6.00 | $40.00 | $4.35–$36.00 | 94% below | 85% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT | $38.87 | $259.08 | $4.35–$233.18 | 60% below | 85% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 EL MONO SCREEN | $6.00 | $40.00 | $20.40–$36.00 | — | 85% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT | $38.87 | $259.08 | $132.14–$233.18 | — | 85% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.79 | $438.60 | $15.45–$394.74 | 42% below | 85% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $65.79 | $438.60 | $223.69–$394.74 | — | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE | $99.75 | $665.00 | $15.45–$598.50 | 20% above | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE | $99.75 | $665.00 | $339.15–$598.50 | — | 85% |
| Pap test (liquid-based, automated screening with review) CPT 88175 EL SUREPATH | $12.90 | $86.00 | $21.50–$115.16 | 82% below | 85% |
| Pap test (liquid-based, automated screening with review) CPT 88175 EL SUREPATH W HPV | $19.05 | $127.00 | $22.35–$115.16 | 74% below | 85% |
| Pap test (liquid-based, automated screening with review) CPT 88175 GYNECOLOGIC PAP TEST | $21.90 | $146.00 | $22.35–$131.40 | 70% below | 85% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 EL SUREPATH | $12.90 | $86.00 | $43.86–$77.40 | — | 85% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 EL SUREPATH W HPV | $19.05 | $127.00 | $64.77–$114.30 | — | 85% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 GYNECOLOGIC PAP TEST | $21.90 | $146.00 | $74.46–$131.40 | — | 85% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 EL PAP WITH HPV | $16.50 | $110.00 | $17.02–$99.00 | 82% below | 85% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THIN PREP AND HPV | $28.65 | $191.00 | $17.02–$171.90 | 69% below | 85% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 EL PAP WITH HPV | $16.50 | $110.00 | $56.10–$99.00 | — | 85% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP THIN PREP AND HPV | $28.65 | $191.00 | $97.41–$171.90 | — | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C TERMINAL | $90.30 | $602.00 | $34.68–$541.80 | 59% below | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $99.15 | $660.96 | $34.68–$594.87 | 55% below | 85% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH C TERMINAL | $90.30 | $602.00 | $307.02–$541.80 | — | 85% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $99.15 | $660.96 | $337.09–$594.87 | — | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLASTIN TM | $54.75 | $365.00 | $5.05–$328.50 | 3% above | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PARTIAL THROMBOPLASTIN TM | $54.75 | $365.00 | $186.15–$328.50 | — | 85% |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $51.90 | $346.00 | $17.52–$311.40 | 57% below | 85% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM | $51.90 | $346.00 | $176.46–$311.40 | — | 85% |
| Prolactin blood test CPT 84146 PROLACTIN | $74.85 | $499.00 | $16.28–$449.10 | 38% below | 85% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $74.85 | $499.00 | $254.49–$449.10 | — | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME PT INR | $37.18 | $247.86 | $3.60–$223.08 | 21% below | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 ED PROTIME INR | $37.20 | $248.00 | $3.60–$223.20 | 21% below | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME PT INR | $37.18 | $247.86 | $126.41–$223.08 | — | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ED PROTIME INR | $37.20 | $248.00 | $126.48–$223.20 | — | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFUENZA B ANTIGEN | $22.05 | $147.00 | $13.90–$132.30 | 81% below | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFUENZA A ANTIGEN | $22.50 | $150.00 | $13.90–$135.00 | 80% below | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFUENZA B ANTIGEN | $22.05 | $147.00 | $74.97–$132.30 | — | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFUENZA A ANTIGEN | $22.50 | $150.00 | $76.50–$135.00 | — | 85% |
| Rheumatoid factor (RF) test CPT 86431 CF-RA | $26.40 | $176.00 | $4.76–$158.40 | 52% below | 85% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $28.16 | $187.68 | $4.76–$168.92 | 49% below | 85% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR SEND OUT | $28.20 | $188.00 | $4.76–$169.20 | 49% below | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 CF-RA | $26.40 | $176.00 | $89.76–$158.40 | — | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $28.16 | $187.68 | $95.72–$168.92 | — | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR SEND OUT | $28.20 | $188.00 | $95.88–$169.20 | — | 85% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $24.18 | $161.16 | $12.09–$145.05 | 38% below | 85% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM | $24.18 | $161.16 | $82.20–$145.05 | — | 85% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $52.05 | $347.00 | $7.48–$312.30 | 49% below | 85% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $52.05 | $347.00 | $176.97–$312.30 | — | 85% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STAT LAB OCCULT BLOOD | $28.69 | $191.25 | $3.68–$172.13 | 36% below | 85% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD ONE SPECIMEN | $28.80 | $192.00 | $3.68–$172.80 | 36% below | 85% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STAT LAB OCCULT BLOOD | $28.69 | $191.25 | $97.54–$172.13 | — | 85% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD ONE SPECIMEN | $28.80 | $192.00 | $97.92–$172.80 | — | 85% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY | $24.75 | $165.00 | $13.37–$148.50 | 68% below | 85% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY | $24.75 | $165.00 | $84.15–$148.50 | — | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CF-RPR | $26.10 | $174.00 | $3.59–$156.60 | 54% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR CORD BLOOD ONLY | $34.32 | $228.75 | $3.59–$205.88 | 39% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $34.35 | $229.00 | $3.59–$206.10 | 39% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CF-RPR | $26.10 | $174.00 | $88.74–$156.60 | — | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR CORD BLOOD ONLY | $34.32 | $228.75 | $116.67–$205.88 | — | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $34.35 | $229.00 | $116.79–$206.10 | — | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 EL QUANTIFERON TB NO INCUBATE | $25.95 | $173.00 | $43.25–$267.71 | 88% below | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB NO INCUBATE | $43.65 | $291.00 | $52.06–$267.71 | 80% below | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 EL QUANTIFERON TB NO INCUBATE | $25.95 | $173.00 | $88.23–$155.70 | — | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB NO INCUBATE | $43.65 | $291.00 | $148.41–$261.90 | — | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TEST0STERONE TOT | $81.60 | $544.00 | $21.68–$489.60 | 35% below | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TEST0STERONE TOT | $81.60 | $544.00 | $277.44–$489.60 | — | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 EL THYROID PEROXIDASE AB | $6.90 | $46.00 | $11.50–$62.83 | 93% below | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL ANTIBODY | $50.34 | $335.58 | $12.22–$302.03 | 48% below | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS | $50.40 | $336.00 | $12.22–$302.40 | 48% below | 85% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 EL THYROID PEROXIDASE AB | $6.90 | $46.00 | $23.46–$41.40 | — | 85% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI MICROSOMAL ANTIBODY | $50.34 | $335.58 | $171.15–$302.03 | — | 85% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS | $50.40 | $336.00 | $171.36–$302.40 | — | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENSITIVE | $73.35 | $489.00 | $14.11–$440.10 | 44% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRA SENSITIVE | $73.35 | $489.00 | $249.39–$440.10 | — | 85% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS PCR | $26.55 | $177.00 | $29.48–$159.30 | 70% below | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS PCR | $26.55 | $177.00 | $90.27–$159.30 | — | 85% |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $42.39 | $282.54 | $3.80–$254.29 | 62% below | 85% |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $42.39 | $282.54 | $144.10–$254.29 | — | 85% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPIC | $57.75 | $385.00 | $2.66–$346.50 | 51% below | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPIC | $57.75 | $385.00 | $196.35–$346.50 | — | 85% |
| Urinalysis without microscope exam, automated CPT 81003 SP GRAVITY URINE | $14.10 | $94.00 | $1.89–$84.60 | 74% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $15.30 | $102.00 | $1.89–$91.80 | 72% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITHOUT MICROSCOSPIC | $20.51 | $136.68 | $1.89–$123.02 | 62% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 STAT LAB URINE DIPSTICK | $25.13 | $167.50 | $1.89–$150.75 | 53% below | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SP GRAVITY URINE | $14.10 | $94.00 | $47.94–$84.60 | — | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $15.30 | $102.00 | $52.02–$91.80 | — | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITHOUT MICROSCOSPIC | $20.51 | $136.68 | $69.71–$123.02 | — | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 STAT LAB URINE DIPSTICK | $25.13 | $167.50 | $85.43–$150.75 | — | 85% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT | $55.80 | $372.00 | $6.78–$334.80 | 61% below | 85% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY COUNT | $55.80 | $372.00 | $189.72–$334.80 | — | 85% |
| Urine pregnancy test, read by color change CPT 81025 STAT LAB URINE PREGNANCY | $79.05 | $527.00 | $7.23–$474.30 | 12% below | 85% |
| Urine pregnancy test, read by color change inpatient CPT 81025 STAT LAB URINE PREGNANCY | $79.05 | $527.00 | $268.77–$474.30 | — | 85% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CF-B12 | $25.95 | $173.00 | $12.67–$155.70 | 71% below | 85% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $33.30 | $222.00 | $12.67–$199.80 | 63% below | 85% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CF-B12 | $25.95 | $173.00 | $88.23–$155.70 | — | 85% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $33.30 | $222.00 | $113.22–$199.80 | — | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 EL VIT D HYDROX D2 D3 | $12.90 | $86.00 | $21.50–$128.60 | 89% below | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $63.45 | $423.00 | $24.86–$380.70 | 46% below | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 EL VIT D HYDROX D2 D3 | $12.90 | $86.00 | $43.86–$77.40 | — | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D | $63.45 | $423.00 | $215.73–$380.70 | — | 85% |
| Zinc blood test CPT 84630 ZINC SERUM | $28.80 | $192.00 | $9.57–$172.80 | 58% below | 85% |
| Zinc blood test inpatient CPT 84630 ZINC SERUM | $28.80 | $192.00 | $97.92–$172.80 | — | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG II | $75.15 | $501.00 | $12.64–$450.90 | 33% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG II | $75.15 | $501.00 | $255.51–$450.90 | — | 85% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MM STEREO BRST BX/CLIP PLCMNT/SPEC XRAY | $1,072.50 | $7,150.00 | $511.75–$6,435.00 | 69% below | 85% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MM STEREO BRST BX/CLIP PLCMNT/SPEC XRAY | $1,072.50 | $7,150.00 | $3,646.50–$6,435.00 | — | 85% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC W/CONONARY LV | $6,979.35 | $46,529.00 | $100.00–$41,876.10 | 41% below | 85% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC W/CONONARY LV | $6,979.35 | $46,529.00 | $23,729.79–$41,876.10 | — | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION | $388.35 | $2,589.00 | $100.00–$2,330.10 | 77% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION | $388.35 | $2,589.00 | $100.00–$2,330.10 | 77% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION LUF | $388.35 | $2,589.00 | $100.00–$2,330.10 | 77% below | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION | $388.35 | $2,589.00 | $1,320.39–$2,330.10 | — | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION | $388.35 | $2,589.00 | $1,320.39–$2,330.10 | — | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION LUF | $388.35 | $2,589.00 | $1,320.39–$2,330.10 | — | 85% |
| Catheter ablation for atrial fibrillation CPT 93656 EP & ABLATE AGENIC TX AFIB PV | $7,908.45 | $52,723.00 | $100.00–$62,828.58 | 78% below | 85% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP & ABLATE AGENIC TX AFIB PV | $7,908.45 | $52,723.00 | $26,888.73–$47,450.70 | — | 85% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $301.50 | $2,010.00 | $686.75–$5,388.12 | 75% below | 85% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $301.50 | $2,010.00 | $1,025.10–$1,809.00 | — | 85% |
| Coronary stent placement, one artery CPT 92928 CORONARY STENT SINGLE VESSEL | $6,200.25 | $41,335.00 | $100.00–$37,201.50 | 47% below | 85% |
| Coronary stent placement, one artery inpatient CPT 92928 CORONARY STENT SINGLE VESSEL | $6,200.25 | $41,335.00 | $21,080.85–$37,201.50 | — | 85% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ED REMOVAL CERUMEN IRRIGATION / LAVAGE | $40.95 | $273.00 | $36.31–$289.00 | 67% below | 85% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED REMOVAL CERUMEN IRRIGATION / LAVAGE | $40.95 | $273.00 | $139.23–$245.70 | — | 85% |
| Earwax removal with instruments, one ear CPT 69210 ED REMOVE IMPACTED EAR WAX UNI | $40.95 | $273.00 | $36.31–$289.00 | 76% below | 85% |
| Earwax removal with instruments, one ear inpatient CPT 69210 ED REMOVE IMPACTED EAR WAX UNI | $40.95 | $273.00 | $139.23–$245.70 | — | 85% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SP ESI CERV/THOR | $317.25 | $2,115.00 | $276.53–$2,016.00 | 80% below | 85% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SP ESI CERV/THOR | $317.25 | $2,115.00 | $1,078.65–$1,903.50 | — | 85% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SP INJ LUMB FACET LEV 1 W/FLUORO | $210.00 | $1,400.00 | $355.00–$2,411.19 | 88% below | 85% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 SP INJ LUMB FACET LEV 1 W/FLUORO | $210.00 | $1,400.00 | $714.00–$1,260.00 | — | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SP INJ PROC HYSTERO | $151.95 | $1,013.00 | $100.00–$911.70 | 60% below | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 FL INJ PROC HYSTERO G | $172.65 | $1,151.00 | $100.00–$1,035.90 | 55% below | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SP INJ PROC HYSTERO | $151.95 | $1,013.00 | $516.63–$911.70 | — | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 FL INJ PROC HYSTERO G | $172.65 | $1,151.00 | $587.01–$1,035.90 | — | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED I&D ABSC SMPL OR SGL | $176.87 | $1,179.12 | $49.78–$1,061.21 | 62% below | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAIN ABCESS SMPL/SGL | $177.00 | $1,180.00 | $49.78–$1,062.00 | 62% below | 85% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED I&D ABSC SMPL OR SGL | $176.87 | $1,179.12 | $601.36–$1,061.21 | — | 85% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAIN ABCESS SMPL/SGL | $177.00 | $1,180.00 | $601.80–$1,062.00 | — | 85% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SP INJ TENDON SHEATH/LIGAMENT | $120.45 | $803.00 | $17.15–$2,016.00 | 73% below | 85% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SP INJ TENDON SHEATH/LIGAMENT | $120.45 | $803.00 | $409.53–$722.70 | — | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FL DRNG/INJ MAJOR JOINT | $133.50 | $890.00 | $20.49–$2,016.00 | 81% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED DRAIN/INJ JOINT/BURSA W/O US | $133.50 | $890.00 | $20.49–$2,016.00 | 81% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 FL DRNG/INJ MAJOR JOINT | $133.50 | $890.00 | $453.90–$801.00 | — | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED DRAIN/INJ JOINT/BURSA W/O US | $133.50 | $890.00 | $453.90–$801.00 | — | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED DRAIN/INJ JOINT/BURSA W/O US0 | $108.15 | $721.00 | $17.15–$2,016.00 | 83% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FL DRNG/INJ INTERMED JOINT | $108.15 | $721.00 | $17.15–$2,016.00 | 83% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED DRAIN/INJ JOINT/BURSA W/O US0 | $108.15 | $721.00 | $367.71–$648.90 | — | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FL DRNG/INJ INTERMED JOINT | $108.15 | $721.00 | $367.71–$648.90 | — | 85% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 FL DRNG/INJ SMALL JOINT | $105.45 | $703.00 | $16.43–$2,016.00 | 78% below | 85% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 FL DRNG/INJ SMALL JOINT | $105.45 | $703.00 | $358.53–$632.70 | — | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED INTMD WND REPAIR S/A/T/EXT | $153.60 | $1,024.00 | $106.56–$1,054.83 | 72% below | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED INTMD WND REPAIR S/A/T/EXT | $153.60 | $1,024.00 | $522.24–$921.60 | — | 85% |
| Left heart catheterization, diagnostic CPT 93452 LHC W/LV ONLY | $6,062.55 | $40,417.00 | $100.00–$36,375.30 | 38% below | 85% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC W/LV ONLY | $6,062.55 | $40,417.00 | $20,612.67–$36,375.30 | — | 85% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECT SPINE LUMBAR/SACRAL | $437.25 | $2,915.00 | $276.53–$2,623.50 | 74% below | 85% |
| Lower-back epidural injection, with imaging guidance CPT 62323 SP ESI LUMBAR/SACRAL | $447.15 | $2,981.00 | $276.53–$2,682.90 | 74% below | 85% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECT SPINE LUMBAR/SACRAL | $437.25 | $2,915.00 | $1,486.65–$2,623.50 | — | 85% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SP ESI LUMBAR/SACRAL | $447.15 | $2,981.00 | $1,520.31–$2,682.90 | — | 85% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 SP LUMB NERVE RT BLOCK W/FLURO SNGLE | $415.95 | $2,773.00 | $355.00–$2,495.70 | 71% below | 85% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 SP LUMB NERVE RT BLOCK W/FLURO SNGLE | $415.95 | $2,773.00 | $1,414.23–$2,495.70 | — | 85% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE FIRST | $60.45 | $403.00 | $80.60–$529.62 | 83% below | 85% |
| Nail removal (partial or complete), one nail CPT 11730 ED SPL AVULSE NP SGL | $109.89 | $732.56 | $109.89–$659.31 | 69% below | 85% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE FIRST | $60.45 | $403.00 | $205.53–$362.70 | — | 85% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ED SPL AVULSE NP SGL | $109.89 | $732.56 | $373.61–$659.31 | — | 85% |
| Occipital nerve block (injection for headaches) CPT 64405 ED NJX AA&/STRD GR OCPL NRV | $156.75 | $1,045.00 | $21.91–$2,016.00 | 63% below | 85% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 ED NJX AA&/STRD GR OCPL NRV | $156.75 | $1,045.00 | $532.95–$940.50 | — | 85% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT/REPLC PM W VENT&ATRIAL LEAD | $4,653.45 | $31,023.00 | $3,326.00–$28,247.94 | 75% below | 85% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT/REPLC PM W VENT&ATRIAL LEAD | $4,653.45 | $31,023.00 | $15,821.73–$27,920.70 | — | 85% |
| Paracentesis with imaging guidance CPT 49083 ED ABD PARACENTESIS W/ IMAGING | $488.25 | $3,255.00 | $352.37–$2,929.50 | 70% below | 85% |
| Paracentesis with imaging guidance CPT 49083 US GUIDED PARACENTES | $498.15 | $3,321.00 | $352.37–$2,988.90 | 69% below | 85% |
| Paracentesis with imaging guidance inpatient CPT 49083 ED ABD PARACENTESIS W/ IMAGING | $488.25 | $3,255.00 | $1,660.05–$2,929.50 | — | 85% |
| Paracentesis with imaging guidance inpatient CPT 49083 US GUIDED PARACENTES | $498.15 | $3,321.00 | $1,693.71–$2,988.90 | — | 85% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED REM OF NAIL BED | $210.84 | $1,405.60 | $65.51–$2,016.00 | 73% below | 85% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED REM OF NAIL BED | $210.84 | $1,405.60 | $716.86–$1,265.04 | — | 85% |
| Prostate biopsy CPT 55700 US NEEDLE BX PROSTAT | $930.90 | $6,206.00 | $686.75–$5,585.40 | 65% below | 85% |
| Prostate biopsy inpatient CPT 55700 US NEEDLE BX PROSTAT | $930.90 | $6,206.00 | $3,165.06–$5,585.40 | — | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SP RHIZOTOMY LUMBAR SINGLE W/ FLURO | $1,054.17 | $7,027.80 | $694.26–$6,325.02 | 63% below | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SP RHIZOTOMY LUMBAR SINGLE W/FLUORO | $1,054.20 | $7,028.00 | $694.26–$6,325.20 | 63% below | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SP RHIZOTOMY LUMBAR SINGLE W/ FLURO | $1,054.17 | $7,027.80 | $3,584.18–$6,325.02 | — | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SP RHIZOTOMY LUMBAR SINGLE W/FLUORO | $1,054.20 | $7,028.00 | $3,584.28–$6,325.20 | — | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 ED INC & REM FB SQ SMPL | $281.07 | $1,873.74 | $70.51–$1,686.37 | 56% below | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL OF FOREIGN BODY | $281.10 | $1,874.00 | $70.51–$1,686.60 | 56% below | 85% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ED INC & REM FB SQ SMPL | $281.07 | $1,873.74 | $955.61–$1,686.37 | — | 85% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL OF FOREIGN BODY | $281.10 | $1,874.00 | $955.74–$1,686.60 | — | 85% |
| Short arm splint (forearm and hand) CPT 29125 ED APPLY SHORT ARM SPLINT STATIC | $124.50 | $830.00 | $71.96–$747.00 | 57% below | 85% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ED APPLY SHORT ARM SPLINT STATIC | $124.50 | $830.00 | $423.30–$747.00 | — | 85% |
| Short leg splint (calf to foot) CPT 29515 ED APPLY SHORT LEG SPLINT CALF FOOT | $122.56 | $817.02 | $27.87–$735.32 | 61% below | 85% |
| Short leg splint (calf to foot) inpatient CPT 29515 ED APPLY SHORT LEG SPLINT CALF FOOT | $122.56 | $817.02 | $416.69–$735.32 | — | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED SREP S/N/A/G/TR/E 2.5CM/< | $212.25 | $1,415.00 | $115.32–$1,273.50 | 50% below | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED SREP S/N/A/G/TR/E 2.5CM/< | $212.25 | $1,415.00 | $721.65–$1,273.50 | — | 85% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SINGLE LESION | $105.90 | $706.00 | $58.27–$1,054.83 | 77% below | 85% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SINGLE LESION | $105.90 | $706.00 | $360.06–$635.40 | — | 85% |
| Skin tag removal, up to 15 tags CPT 11200 ED REMOVAL OF SKIN TAGS | $107.70 | $718.00 | $107.70–$646.20 | 66% below | 85% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 ED REMOVAL OF SKIN TAGS | $107.70 | $718.00 | $366.18–$646.20 | — | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED DX LMBR SPI PNXR | $421.80 | $2,812.00 | $276.53–$2,530.80 | 60% below | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP | $421.80 | $2,812.00 | $276.53–$2,530.80 | 60% below | 85% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP | $421.80 | $2,812.00 | $1,434.12–$2,530.80 | — | 85% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED DX LMBR SPI PNXR | $421.80 | $2,812.00 | $1,434.12–$2,530.80 | — | 85% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED SREPS/N/A/G/TR/E 2.6-7.5CM | $278.10 | $1,854.00 | $115.32–$1,668.60 | 41% below | 85% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED SREPS/N/A/G/TR/E 2.6-7.5CM | $278.10 | $1,854.00 | $945.54–$1,668.60 | — | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED SREP F/E/N/L/MM 2.5CM/< | $212.25 | $1,415.00 | $115.32–$1,273.50 | 50% below | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED SREP F/E/N/L/MM 2.5CM/< | $212.25 | $1,415.00 | $721.65–$1,273.50 | — | 85% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SHAVE CURETTE 1 | $105.60 | $704.00 | $50.02–$633.60 | 71% below | 85% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SHAVE CURETTE 1 | $105.60 | $704.00 | $359.04–$633.60 | — | 85% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING GUIDANCE | $755.10 | $5,034.00 | $235.39–$4,530.60 | 47% below | 85% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS | $755.10 | $5,034.00 | $235.39–$4,530.60 | 47% below | 85% |
| Thoracentesis with imaging guidance CPT 32555 US GUIDED THORACENTE | $755.10 | $5,033.98 | $235.39–$4,530.59 | 47% below | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING GUIDANCE | $755.10 | $5,034.00 | $2,567.34–$4,530.60 | — | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US GUIDED THORACENTE | $755.10 | $5,033.98 | $2,567.33–$4,530.59 | — | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS | $755.10 | $5,034.00 | $2,567.34–$4,530.60 | — | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ED INJ SINGLE/MLT TRIGGER POINT 1/2 MUSL | $130.80 | $872.00 | $20.01–$2,016.00 | 77% below | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 SP INJ TRIGGER POINT 1 / 2 MUSCLES | $130.80 | $872.00 | $20.01–$2,016.00 | 77% below | 85% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED INJ SINGLE/MLT TRIGGER POINT 1/2 MUSL | $130.80 | $872.00 | $444.72–$784.80 | — | 85% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SP INJ TRIGGER POINT 1 / 2 MUSCLES | $130.80 | $872.00 | $444.72–$784.80 | — | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BX/CLIP PLCMNT | $2,078.70 | $13,858.00 | $511.75–$12,472.20 | 25% below | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BX/CLIP PLCMNT | $2,078.70 | $13,858.00 | $7,067.58–$12,472.20 | — | 85% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $633.60 | $4,224.00 | $352.37–$3,801.60 | 40% below | 85% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $633.60 | $4,224.00 | $2,154.24–$3,801.60 | — | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED DEB SUBQ TISSUE 20 SQ CM/< | $275.70 | $1,838.00 | $150.52–$2,957.00 | 73% below | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $275.70 | $1,838.00 | $150.52–$2,957.00 | 73% below | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $275.70 | $1,838.00 | $937.38–$1,654.20 | — | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED DEB SUBQ TISSUE 20 SQ CM/< | $275.70 | $1,838.00 | $937.38–$1,654.20 | — | 85% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 1 HOUR | $162.30 | $1,082.00 | $23.11–$2,016.00 | 83% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 1 HOUR LIV | $166.35 | $1,109.00 | $23.11–$2,016.00 | 82% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 2 HOURS LIV | $183.45 | $1,223.00 | $23.11–$2,016.00 | 81% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 2 HOURS | $195.15 | $1,301.00 | $23.11–$2,016.00 | 79% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 3 HOURS LIV | $204.75 | $1,365.00 | $23.11–$2,016.00 | 78% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 4 HOURS LIV | $210.75 | $1,405.00 | $23.11–$2,016.00 | 78% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 5 HR | $222.62 | $1,484.10 | $23.11–$2,016.00 | 76% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 1 HR | $228.13 | $1,520.82 | $23.11–$2,016.00 | 76% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 5 HOURS LIV | $238.20 | $1,588.00 | $23.11–$2,016.00 | 75% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 9-12 HR | $242.60 | $1,617.30 | $23.11–$2,016.00 | 74% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 5 HOURS | $253.35 | $1,689.00 | $23.11–$2,016.00 | 73% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 6 HR | $255.00 | $1,700.00 | $23.11–$2,016.00 | 73% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 6 HOURS | $265.05 | $1,767.00 | $23.11–$2,016.00 | 72% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 8-10 HOURS | $280.50 | $1,870.00 | $23.11–$2,016.00 | 70% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 7-8 HR | $289.35 | $1,929.00 | $23.11–$2,016.00 | 69% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 9-10 HOURS LIV | $298.35 | $1,989.00 | $23.11–$2,016.00 | 68% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 9-10 HOURS | $309.75 | $2,065.00 | $23.11–$2,016.00 | 67% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 2 HR | $328.69 | $2,191.25 | $23.11–$2,016.00 | 65% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 6-8 HOURS LIV | $344.07 | $2,293.75 | $23.11–$2,064.38 | 63% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 3 HR | $352.88 | $2,352.50 | $23.11–$2,117.25 | 63% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 7-8 HOURS | $361.69 | $2,411.25 | $23.11–$2,170.13 | 62% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 6 HOURS LIV | $366.00 | $2,440.00 | $23.11–$2,196.00 | 61% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 4 HR | $377.82 | $2,518.75 | $23.11–$2,266.88 | 60% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 3 HOURS | $381.19 | $2,541.25 | $23.11–$2,287.13 | 60% below | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 1 HOUR | $162.30 | $1,082.00 | $551.82–$973.80 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 1 HOUR LIV | $166.35 | $1,109.00 | $565.59–$998.10 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 2 HOURS LIV | $183.45 | $1,223.00 | $623.73–$1,100.70 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 2 HOURS | $195.15 | $1,301.00 | $663.51–$1,170.90 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 3 HOURS LIV | $204.75 | $1,365.00 | $696.15–$1,228.50 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 4 HOURS LIV | $210.75 | $1,405.00 | $716.55–$1,264.50 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 5 HR | $222.62 | $1,484.10 | $756.90–$1,335.69 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 1 HR | $228.13 | $1,520.82 | $775.62–$1,368.74 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 5 HOURS LIV | $238.20 | $1,588.00 | $809.88–$1,429.20 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 9-12 HR | $242.60 | $1,617.30 | $824.83–$1,455.57 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 5 HOURS | $253.35 | $1,689.00 | $861.39–$1,520.10 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 6 HR | $255.00 | $1,700.00 | $867.00–$1,530.00 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 6 HOURS | $265.05 | $1,767.00 | $901.17–$1,590.30 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 8-10 HOURS | $280.50 | $1,870.00 | $953.70–$1,683.00 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 7-8 HR | $289.35 | $1,929.00 | $983.79–$1,736.10 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 9-10 HOURS LIV | $298.35 | $1,989.00 | $1,014.39–$1,790.10 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 9-10 HOURS | $309.75 | $2,065.00 | $1,053.15–$1,858.50 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 2 HR | $328.69 | $2,191.25 | $1,117.54–$1,972.13 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 6-8 HOURS LIV | $344.07 | $2,293.75 | $1,169.82–$2,064.38 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 3 HR | $352.88 | $2,352.50 | $1,199.78–$2,117.25 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 7-8 HOURS | $361.69 | $2,411.25 | $1,229.74–$2,170.13 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 6 HOURS LIV | $366.00 | $2,440.00 | $1,244.40–$2,196.00 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 4 HR | $377.82 | $2,518.75 | $1,284.57–$2,266.88 | — | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 3 HOURS | $381.19 | $2,541.25 | $1,296.04–$2,287.13 | — | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 R/T NEBULIZER SPUTUM INDUCTION | $34.80 | $232.00 | $58.00–$564.24 | 83% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 R/T MEDICATED NEBULIZER/MDI TREAT | $72.62 | $484.11 | $100.00–$564.24 | 64% below | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 R/T NEBULIZER SPUTUM INDUCTION | $34.80 | $232.00 | $118.32–$208.80 | — | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 R/T MEDICATED NEBULIZER/MDI TREAT | $72.62 | $484.11 | $246.90–$435.70 | — | 85% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INF UP TO 1 HOUR | $148.95 | $993.00 | $248.25–$895.89 | 76% below | 85% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INF UP TO 1 HOUR | $148.95 | $993.00 | $506.43–$893.70 | — | 85% |
| Critical care, first 30 to 74 minutes CPT 99291 LEVEL 6-CRITICAL CARE FIRST 30-74 | $947.07 | $6,313.80 | $796.45–$5,682.42 | 63% below | 85% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6-CRITICAL CARE FIRST 30-74 | $947.07 | $6,313.80 | $3,220.04–$5,682.42 | — | 85% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG (AWAKE & DROWSY) 20-40 MINUTES | $345.00 | $2,300.00 | $100.00–$2,070.00 | 65% below | 85% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG (AWAKE & DROWSY) 20-40 MINUTES | $345.00 | $2,300.00 | $1,173.00–$2,070.00 | — | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HIET 12 LEAD EKG TRACING | $115.05 | $767.00 | $56.15–$690.30 | 61% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ORDER | $176.85 | $1,179.00 | $56.15–$1,061.10 | 40% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HIET 12 LEAD EKG TRACING | $115.05 | $767.00 | $391.17–$690.30 | — | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ORDER | $176.85 | $1,179.00 | $601.29–$1,061.10 | — | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TRIAGE ONLY | $59.82 | $398.75 | $31.90–$788.00 | 79% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1-MINOR CARE | $97.65 | $651.00 | $52.08–$788.00 | 66% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TRIAGE ONLY | $59.82 | $398.75 | $203.37–$358.88 | — | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1-MINOR CARE | $97.65 | $651.00 | $332.01–$585.90 | — | 85% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2-ROUTINE CARE | $174.45 | $1,163.00 | $93.04–$1,046.70 | 64% below | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2-ROUTINE CARE | $174.45 | $1,163.00 | $593.13–$1,046.70 | — | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3-INTERMEDIATE CARE | $306.90 | $2,046.00 | $163.68–$1,841.40 | 63% below | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3-INTERMEDIATE CARE | $306.90 | $2,046.00 | $1,043.46–$1,841.40 | — | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4-COMPREHENSIVE CARE | $481.35 | $3,209.00 | $265.00–$3,623.00 | 65% below | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4-COMPREHENSIVE CARE | $481.35 | $3,209.00 | $1,636.59–$2,888.10 | — | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5-INTENSIVE CARE | $697.50 | $4,650.00 | $265.00–$4,804.00 | 70% below | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5-INTENSIVE CARE | $697.50 | $4,650.00 | $2,371.50–$4,185.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG CARDIAC STRESS TEST | $637.32 | $4,248.75 | $100.00–$3,823.88 | 56% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIAC STRESS TRACING | $637.35 | $4,249.00 | $100.00–$3,824.10 | 56% below | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG CARDIAC STRESS TEST | $637.32 | $4,248.75 | $2,166.87–$3,823.88 | — | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIAC STRESS TRACING | $637.35 | $4,249.00 | $2,166.99–$3,824.10 | — | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL 31MINS | $179.40 | $1,196.00 | $82.52–$1,076.40 | 63% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL 31MINS | $179.40 | $1,196.00 | $609.96–$1,076.40 | — | 85% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY/DAIG UP TO 1 HR | $179.38 | $1,195.82 | $100.00–$1,076.24 | 65% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF IN <1 HR | $179.40 | $1,196.00 | $100.00–$1,076.40 | 65% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY/DIAG UP TO 1 HR | $179.40 | $1,196.00 | $100.00–$1,076.40 | 65% below | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY/DAIG UP TO 1 HR | $179.38 | $1,195.82 | $609.87–$1,076.24 | — | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF IN <1 HR | $179.40 | $1,196.00 | $609.96–$1,076.40 | — | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY/DIAG UP TO 1 HR | $179.40 | $1,196.00 | $609.96–$1,076.40 | — | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ SUBQ/IM | $51.26 | $341.70 | $67.27–$307.53 | 70% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ SUBQ/IM | $51.26 | $341.70 | $174.27–$307.53 | — | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 WMRC NEUROMUSC REEDUC EA 15 MIN | $36.12 | $240.76 | $60.19–$216.69 | 68% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 REHAB NEUROMUSC REEDUC EA 15 MIN | $36.15 | $241.00 | $60.25–$216.90 | 68% below | 85% |
| Neuromuscular re-education, 15 minutes CPT 97112 ACUTE NEUROMUSC REED EA 15M | $36.15 | $241.00 | $60.25–$216.90 | 68% below | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 WMRC NEUROMUSC REEDUC EA 15 MIN | $36.12 | $240.76 | $122.79–$216.69 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 ACUTE NEUROMUSC REED EA 15M | $36.15 | $241.00 | $122.91–$216.90 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 REHAB NEUROMUSC REEDUC EA 15 MIN | $36.15 | $241.00 | $122.91–$216.90 | — | 85% |
| New patient office visit, about 30 minutes CPT 99203 BCCCP OFFICE VISIT NEW PATIENT | $18.90 | $126.00 | $31.50–$126.00 | 93% below | 85% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PT 30 MIN | $59.70 | $398.00 | $59.70–$358.20 | 77% below | 85% |
| New patient office visit, about 30 minutes CPT 99203 WOUND CARE E&M NEW PT LVL 3 | $68.55 | $456.96 | $68.55–$411.27 | 73% below | 85% |
| New patient office visit, about 30 minutes inpatient CPT 99203 BCCCP OFFICE VISIT NEW PATIENT | $18.90 | $126.00 | $64.26–$113.40 | — | 85% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW PT 30 MIN | $59.70 | $398.00 | $202.98–$358.20 | — | 85% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WOUND CARE E&M NEW PT LVL 3 | $68.55 | $456.96 | $233.05–$411.27 | — | 85% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PT 45 MIN | $94.25 | $628.32 | $94.25–$565.49 | 71% below | 85% |
| New patient office visit, about 45 minutes CPT 99204 WOUND CARE E&M NEW PT LVL 4 | $102.36 | $682.38 | $100.00–$614.15 | 68% below | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW PT 45 MIN | $94.25 | $628.32 | $320.45–$565.49 | — | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WOUND CARE E&M NEW PT LVL 4 | $102.36 | $682.38 | $348.02–$614.15 | — | 85% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PT 60 MIN | $112.00 | $746.64 | $100.00–$671.98 | 67% below | 85% |
| New patient office visit, about 60 minutes CPT 99205 WOUND CARE E&M NEW PT LVL 5 | $124.39 | $829.26 | $100.00–$746.34 | 63% below | 85% |
| New patient office visit, about 60 minutes CPT 99205 HFC NEW PATIENT EVAL 1-2 HR | $160.05 | $1,067.00 | $100.00–$960.30 | 52% below | 85% |
| New patient office visit, about 60 minutes CPT 99205 HFC NEW PATIENT EVAL 2-4 HR | $246.90 | $1,646.00 | $100.00–$1,481.40 | 27% below | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW PT 60 MIN | $112.00 | $746.64 | $380.79–$671.98 | — | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WOUND CARE E&M NEW PT LVL 5 | $124.39 | $829.26 | $422.93–$746.34 | — | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HFC NEW PATIENT EVAL 1-2 HR | $160.05 | $1,067.00 | $544.17–$960.30 | — | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HFC NEW PATIENT EVAL 2-4 HR | $246.90 | $1,646.00 | $839.46–$1,481.40 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 DRESSING CHANGE SIMPLE NEW | $36.30 | $242.00 | $36.30–$217.80 | 81% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 DRESSING CHANGE INTER NEW | $40.65 | $271.00 | $40.65–$243.90 | 79% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PT 10 MIN | $45.30 | $302.00 | $45.30–$271.80 | 77% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PT 20 MIN | $51.30 | $342.00 | $51.30–$307.80 | 74% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WOUND CARE E&M NEW PT LVL 1 | $54.15 | $361.00 | $54.15–$324.90 | 72% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WOUND CARE E&M NEW PT LVL 2 | $66.56 | $443.70 | $66.56–$399.33 | 66% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 DRESSING CHANGE SIMPLE NEW | $36.30 | $242.00 | $123.42–$217.80 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 DRESSING CHANGE INTER NEW | $40.65 | $271.00 | $138.21–$243.90 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW PT 10 MIN | $45.30 | $302.00 | $154.02–$271.80 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW PT 20 MIN | $51.30 | $342.00 | $174.42–$307.80 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WOUND CARE E&M NEW PT LVL 1 | $54.15 | $361.00 | $184.11–$324.90 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WOUND CARE E&M NEW PT LVL 2 | $66.56 | $443.70 | $226.29–$399.33 | — | 85% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTR THERAPY ASSESSS 15MIN IP | $21.12 | $140.76 | $34.56–$126.69 | 64% below | 85% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 15 MIN | $25.56 | $170.34 | $34.56–$153.31 | 56% below | 85% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTR THERAPY ASSESSS 15MIN IP | $21.12 | $140.76 | $71.79–$126.69 | — | 85% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 15 MIN | $25.56 | $170.34 | $86.88–$153.31 | — | 85% |
| Occupational therapy evaluation, low complexity CPT 97165 ACUTE OT EVALUATION LOW COMPLEXITY | $98.55 | $657.00 | $100.00–$591.30 | 63% below | 85% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 ACUTE OT EVALUATION LOW COMPLEXITY | $98.55 | $657.00 | $335.07–$591.30 | — | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 OP PT EVAL HIGH COMPLEXITY | $167.25 | $1,115.00 | $100.00–$1,003.50 | 45% below | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 OP PT EVAL HIGH COMPLEXITY | $167.25 | $1,115.00 | $568.65–$1,003.50 | — | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 OP PT INITIAL EVAL LOW COMPLEXITY | $100.35 | $669.00 | $100.00–$602.10 | 58% below | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 OP PT INITIAL EVAL LOW COMPLEXITY | $100.35 | $669.00 | $341.19–$602.10 | — | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 OP PT EVAL MODERATE COMPLEXITY | $133.80 | $892.00 | $100.00–$802.80 | 53% below | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 OP PT EVAL MODERATE COMPLEXITY | $133.80 | $892.00 | $454.92–$802.80 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ACUTE SOFT TISSUE MOBILIZATN 15M | $54.15 | $361.00 | $60.93–$324.90 | 52% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 WMRC MANUAL THER 15M (JT&ST MOB) | $54.15 | $361.00 | $60.93–$324.90 | 52% below | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 WMRC MANUAL THER 15M (JT&ST MOB) | $54.15 | $361.00 | $184.11–$324.90 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ACUTE SOFT TISSUE MOBILIZATN 15M | $54.15 | $361.00 | $184.11–$324.90 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ACUTE THERAPEUTIC EXERCISES 15M | $42.90 | $286.00 | $67.09–$257.40 | 65% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WMRC THERAPEUTIC EXER 15 MIN | $42.90 | $286.00 | $67.09–$257.40 | 65% below | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ACUTE THERAPEUTIC EXERCISES 15M | $42.90 | $286.00 | $145.86–$257.40 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WMRC THERAPEUTIC EXER 15 MIN | $42.90 | $286.00 | $145.86–$257.40 | — | 85% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $16.95 | $113.00 | $16.95–$101.70 | 64% below | 85% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $16.95 | $113.00 | $57.63–$101.70 | — | 85% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FOLLOW UP OFFICE VISIT EST PT 40M | $83.24 | $554.88 | $83.24–$499.40 | 73% below | 85% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOUND CARE E&M EST PT LVL 5 | $98.40 | $656.00 | $98.40–$590.40 | 68% below | 85% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HFC ESTABLISH PATIENT EVAL 1-2 HR | $164.48 | $1,096.50 | $100.00–$986.85 | 47% below | 85% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HFC ESTABLISH PATIENT EVAL 2-4 HR | $253.49 | $1,689.92 | $100.00–$1,520.93 | 18% below | 85% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FOLLOW UP OFFICE VISIT EST PT 40M | $83.24 | $554.88 | $282.99–$499.40 | — | 85% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WOUND CARE E&M EST PT LVL 5 | $98.40 | $656.00 | $334.56–$590.40 | — | 85% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HFC ESTABLISH PATIENT EVAL 1-2 HR | $164.48 | $1,096.50 | $559.22–$986.85 | — | 85% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HFC ESTABLISH PATIENT EVAL 2-4 HR | $253.49 | $1,689.92 | $861.86–$1,520.93 | — | 85% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FOLLOW UP OFFICE VISIT EST PT 15M | $62.73 | $418.20 | $62.73–$376.38 | 70% below | 85% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND CARE E&M EST PT LVL 3 | $66.87 | $445.74 | $66.87–$401.17 | 68% below | 85% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FOLLOW UP OFFICE VISIT EST PT 15M | $62.73 | $418.20 | $213.29–$376.38 | — | 85% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOUND CARE E&M EST PT LVL 3 | $66.87 | $445.74 | $227.33–$401.17 | — | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FOLLOW UP OFFICE VISIT EST PT 25M | $73.75 | $491.64 | $73.75–$442.48 | 73% below | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND CARE E&M EST PT LVL 4 | $83.39 | $555.90 | $83.39–$500.31 | 70% below | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FOLLOW UP OFFICE VISIT EST PT 25M | $73.75 | $491.64 | $250.74–$442.48 | — | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND CARE E&M EST PT LVL 4 | $83.39 | $555.90 | $283.51–$500.31 | — | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FOLLOW UP OFFICE VISIT EST PT 10M | $50.95 | $339.66 | $50.95–$305.70 | 69% below | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WOUND CARE E&M EST PT LVL 2 | $57.53 | $383.52 | $55.53–$345.17 | 65% below | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FOLLOW UP OFFICE VISIT EST PT 10M | $50.95 | $339.66 | $173.23–$305.70 | — | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WOUND CARE E&M EST PT LVL 2 | $57.53 | $383.52 | $195.60–$345.17 | — | 85% |
| Speech and language evaluation CPT 92523 EVAL SP SOUND W/LANG COMP/EXP | $136.35 | $909.00 | $100.00–$818.10 | 68% below | 85% |
| Speech and language evaluation inpatient CPT 92523 EVAL SP SOUND W/LANG COMP/EXP | $136.35 | $909.00 | $463.59–$818.10 | — | 85% |
| Speech therapy session, individual CPT 92507 WMRC INDIVIDUAL LANGUAGE THPY | $99.00 | $660.00 | $100.00–$594.00 | 57% below | 85% |
| Speech therapy session, individual inpatient CPT 92507 WMRC INDIVIDUAL LANGUAGE THPY | $99.00 | $660.00 | $336.60–$594.00 | — | 85% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $183.60 | $1,224.00 | $100.00–$1,101.60 | 53% below | 85% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $183.60 | $1,224.00 | $624.24–$1,101.60 | — | 85% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY WITH B D | $383.07 | $2,553.75 | $100.00–$2,298.38 | 39% below | 85% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY WITH B D | $383.07 | $2,553.75 | $1,302.42–$2,298.38 | — | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 WMRC FUNCTIONAL ACTIVITIES 15 MIN | $56.25 | $375.00 | $87.14–$337.50 | 52% below | 85% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ACUTE THERAPEUTIC/FUNCT ACTVIITY | $56.25 | $375.00 | $87.14–$337.50 | 52% below | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ACUTE THERAPEUTIC/FUNCT ACTVIITY | $56.25 | $375.00 | $191.25–$337.50 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WMRC FUNCTIONAL ACTIVITIES 15 MIN | $56.25 | $375.00 | $191.25–$337.50 | — | 85% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC <1 HR | $25.20 | $168.00 | $42.00–$337.92 | 90% below | 85% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC 1 TO 2 HRS | $42.00 | $280.00 | $70.00–$337.92 | 83% below | 85% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLB | $60.00 | $400.00 | $71.96–$360.00 | 76% below | 85% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC <1 HR | $25.20 | $168.00 | $85.68–$151.20 | — | 85% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC 1 TO 2 HRS | $42.00 | $280.00 | $142.80–$252.00 | — | 85% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLB | $60.00 | $400.00 | $204.00–$360.00 | — | 85% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC 2024 65UP-ADJMF59C(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML | $47.66 | $317.73 | $28.60–$285.96 | 41% below | 85% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC 2024 65UP-ADJMF59C(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML | $47.66 | $317.73 | $28.60–$285.96 | — | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE SUSR 1350 UNIT/0.5 ML0 | $391.52 | $2,610.13 | $231.60–$2,349.12 | 21% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE SUSR 1350 UNIT/0.5 ML0 | $391.52 | $2,610.13 | $365.42–$2,349.12 | — | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2024-25 6MOS UP(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML | $47.66 | $317.73 | $24.97–$285.96 | at median | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2024-25 6MOS UP(PF) SYRG 45 MCG (15 MCG X 3)/0.5 ML0 ML | $47.66 | $317.73 | $28.60–$285.96 | — | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VACCINE SOLR 1000-12500 TCID50/0.5 ML0 ML | $157.85 | $1,052.31 | $117.06–$947.08 | 36% below | 85% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VACCINE SOLR 1000-12500 TCID50/0.5 ML0 ML | $157.85 | $1,052.31 | $147.33–$947.08 | — | 85% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) SYRG 0.5 ML0 ML | $880.93 | $5,872.83 | $2,642.78–$5,285.55 | 56% above | 85% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) SYRG 0.5 ML0 ML | $880.93 | $5,872.83 | $822.20–$5,285.55 | — | 85% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC (PF) SUSR 2.5 UNIT1 ML | $1,294.44 | $8,629.54 | $300.27–$7,766.59 | 26% above | 85% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC (PF) SUSR 2.5 UNIT1 ML | $1,294.44 | $8,629.54 | $1,208.14–$7,766.59 | — | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 7YRS+ VIAL 2-2 LF UNIT/0.5 ML0 ML | $97.12 | $647.47 | $35.43–$582.72 | 26% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 7YRS+ SYRG 5-2 LF UNIT/0.5 ML0 ML | $122.02 | $813.43 | $35.43–$732.09 | 7% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 7YRS+ VIAL 5 LF UNIT- 2 LF UNIT/0.5ML0 ML | $127.90 | $852.61 | $35.43–$767.35 | 3% below | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 7YRS+ VIAL 2-2 LF UNIT/0.5 ML0 ML | $97.12 | $647.47 | $90.65–$582.72 | — | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 7YRS+ SYRG 5-2 LF UNIT/0.5 ML0 ML | $122.02 | $813.43 | $113.88–$732.09 | — | 85% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 7YRS+ VIAL 5 LF UNIT- 2 LF UNIT/0.5ML0 ML | $127.90 | $852.61 | $119.37–$767.35 | — | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (PF) 10 YRS+ (ADACEL) VIAL 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 M0 ML | $47.66 | $317.73 | $59.98–$285.96 | 71% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (PF) 10 YRS+ (ADACEL) SYRG 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 M0 ML | $140.06 | $933.74 | $59.98–$840.36 | 16% below | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (PF) 10 YRS+ (BOOSTRIX) SYRG 2.5-8-5 LF-MCG-LF/0.5ML0 ML | $317.20 | $2,114.64 | $59.98–$1,903.17 | 91% above | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (PF) 10 YRS+ (BOOSTRIX) VIAL 2.5-8-5 LF-MCG-LF/0.5ML0 ML | $326.34 | $2,175.56 | $59.98–$1,958.00 | 96% above | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (PF) 10 YRS+ (ADACEL) VIAL 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 M0 ML | $47.66 | $317.73 | $44.49–$285.96 | — | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (PF) 10 YRS+ (ADACEL) SYRG 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 M0 ML | $140.06 | $933.74 | $130.73–$840.36 | — | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (PF) 10 YRS+ (BOOSTRIX) SYRG 2.5-8-5 LF-MCG-LF/0.5ML0 ML | $317.20 | $2,114.64 | $296.05–$1,903.17 | — | 85% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (PF) 10 YRS+ (BOOSTRIX) VIAL 2.5-8-5 LF-MCG-LF/0.5ML0 ML | $326.34 | $2,175.56 | $304.58–$1,958.00 | — | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION 1 VACCINE LIV | $25.35 | $169.00 | $67.27–$186.36 | 67% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ASC IMMUNIZATION-1 VACCINE | $28.05 | $187.00 | $67.27–$186.36 | 64% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN 1ST VACC | $37.95 | $253.00 | $67.27–$227.70 | 51% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION 1 VACCINE | $46.65 | $311.00 | $67.27–$279.90 | 40% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION 1 VACCINE LIV | $25.35 | $169.00 | $86.19–$152.10 | — | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ASC IMMUNIZATION-1 VACCINE | $28.05 | $187.00 | $95.37–$168.30 | — | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN 1ST VACC | $37.95 | $253.00 | $129.03–$227.70 | — | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION 1 VACCINE | $46.65 | $311.00 | $158.61–$279.90 | — | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ASC IMMUNIZATION ADM- EA ADDL VAC | $21.60 | $144.00 | $27.76–$129.60 | 60% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED VACCINE ADMIN EA ADDL VACC | $22.05 | $147.00 | $27.76–$132.30 | 59% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACINE ADMIN EA ADDL | $22.35 | $149.00 | $27.76–$134.10 | 58% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ASC IMMUNIZATION ADM- EA ADDL VAC | $21.60 | $144.00 | $73.44–$129.60 | — | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED VACCINE ADMIN EA ADDL VACC | $22.05 | $147.00 | $74.97–$132.30 | — | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACINE ADMIN EA ADDL | $22.35 | $149.00 | $75.99–$134.10 | — | 85% |