Brownfield Regional Medical Center
Brownfield Regional Medical Center in Brownfield, TX publishes cash prices for 274 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 173 of 270 procedures and above it for 97. By typical cash price it ranks #71 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
705 East Felt Street, Brownfield, TX 79316 Collected Sep 27, 2026 Source price file (806) 637-8252
Acute care hospital Emergency department CCN 450399 · CMS hospital register
The price file shows no self-pay discount
For 484 of the 500 prices listed here, the cash price in Brownfield Regional Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Brownfield Regional Medical Center in Brownfield, TX:
- Feb 1, 2024 Warning notice
- May 13, 2024 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Comp Lt | $281.00 | $281.00 | $87.00–$233.00 | 21% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Comp Rt | $281.00 | $281.00 | $87.00–$233.00 | 21% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Cv Ankle/brachial Bilat | $610.00 | $610.00 | $133.00–$506.00 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete | $375.00 | $375.00 | $105.00–$311.00 | 15% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limited | $301.00 | $301.00 | $87.00–$250.00 | 13% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W Contrast Diagnostic | $1,523.00 | $1,523.00 | $175.00–$1,264.00 | 46% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W&wo Diagnostic | $1,575.00 | $1,575.00 | $175.00–$1,307.00 | 44% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Renal Stone Protocol | $1,094.00 | $1,094.00 | $239.00–$908.00 | 67% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd/plvs Wo | $1,094.00 | $1,094.00 | $239.00–$908.00 | 67% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,716.00 | $1,716.00 | $349.00–$1,424.00 | 56% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Urogram With | $2,172.00 | $2,172.00 | $349.00–$1,803.00 | 48% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/plvs W&wo | $2,172.00 | $2,172.00 | $349.00–$1,803.00 | 48% below | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abd W Contrast | $1,273.00 | $1,273.00 | $175.00–$1,057.00 | 51% below | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abd Wo Contrast | $1,224.00 | $1,224.00 | $105.00–$1,016.00 | 42% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillo/paranasal Sinuses Wo | $1,212.00 | $1,212.00 | $105.00–$1,006.00 | 27% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,212.00 | $1,212.00 | $105.00–$1,006.00 | 36% below | — |
| CT scan of the head with contrast CPT 70460 Ct Head Or Brain W Contrast | $1,699.00 | $1,699.00 | $175.00–$1,410.00 | 4% below | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W&wo Contrast | $2,011.00 | $2,011.00 | $175.00–$1,669.00 | 14% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Wo Contrast | $1,212.00 | $1,212.00 | $105.00–$1,006.00 | 41% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine Wo Contrast | $1,212.00 | $1,212.00 | $105.00–$1,006.00 | 43% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,699.00 | $1,699.00 | $175.00–$1,410.00 | 23% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Cv Carotid Duplex Imaging | $868.00 | $868.00 | $239.00–$720.00 | 39% below | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views Pa/lateral | $207.00 | $207.00 | $87.00–$172.00 | 47% below | — |
| Chest X-ray, single view CPT 71045 Xr Chest 1v | $175.00 | $175.00 | $87.00–$145.00 | 46% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal; Aorta; Bladder | $399.00 | $399.00 | $105.00–$331.00 | 46% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $399.00 | $399.00 | $105.00–$331.00 | 46% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Xr Bone Density Back And Hip | $342.00 | $342.00 | $105.00–$284.00 | 18% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Xr Bone Density Wrists Only | $342.00 | $342.00 | $87.00–$284.00 | 55% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Ob Detailed Evaluation | $868.00 | $868.00 | $239.00–$720.00 | 18% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo Contrast Diagnostic | $1,212.00 | $1,212.00 | $105.00–$1,006.00 | 34% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W Contrast Diagnostic | $1,523.00 | $1,523.00 | $175.00–$1,264.00 | 31% below | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Cv Art Duplex Imag Lower Ext Comp Bilat | $868.00 | $868.00 | $239.00–$720.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Cv Venous Duplex Imaging Bilat | $868.00 | $868.00 | $239.00–$720.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Cv Echocard 2d W&wo M-mode | $1,353.00 | $1,353.00 | $546.00–$1,123.00 | 48% below | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee W Sunrise Lt | $281.00 | $281.00 | $87.00–$233.00 | 15% below | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee W Sunrise Rt | $281.00 | $281.00 | $87.00–$233.00 | 15% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abd Limited | $399.00 | $399.00 | $105.00–$331.00 | 37% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $415.00 | $2,151.00 | $239.00–$1,785.00 | 80% below | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Any Jt W&wo Rt | $465.00 | $3,123.00 | $349.00–$2,592.00 | 83% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Any Jt W&wo Lt | $465.00 | $3,123.00 | $349.00–$2,592.00 | 83% below | 85% |
| MRI of the abdomen without contrast CPT 74181 Mri Abd Wo Cont | $415.00 | $2,151.00 | $239.00–$1,785.00 | 81% below | 81% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abd Wwo Cont | $465.00 | $3,123.00 | $349.00–$2,592.00 | 86% below | 85% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Cont | $415.00 | $2,151.00 | $239.00–$1,785.00 | 81% below | 81% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $465.00 | $3,123.00 | $349.00–$2,592.00 | 85% below | 85% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $415.00 | $2,151.00 | $239.00–$1,785.00 | 82% below | 81% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W&wo Contrast | $465.00 | $3,123.00 | $349.00–$2,592.00 | 85% below | 85% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic Wo Contrast | $415.00 | $2,151.00 | $239.00–$1,785.00 | 81% below | 81% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W&wo Contrast | $465.00 | $3,123.00 | $349.00–$2,592.00 | 86% below | 85% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical Wo Contrast | $415.00 | $2,151.00 | $239.00–$1,785.00 | 82% below | 81% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W&wo Cont | $465.00 | $3,123.00 | $349.00–$2,592.00 | 86% below | 85% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Cont | $415.00 | $2,151.00 | $239.00–$1,785.00 | 83% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Any Jt Wo Lt | $415.00 | $2,151.00 | $239.00–$1,785.00 | 77% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Any Jt Wo Rt | $415.00 | $2,151.00 | $239.00–$1,785.00 | 77% below | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited Non Ob | $261.00 | $261.00 | $105.00–$217.00 | 47% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Trans Abd | $582.00 | $582.00 | $105.00–$483.00 | 32% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $582.00 | $582.00 | $105.00–$483.00 | 11% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Preg Comp <14 Wks | $582.00 | $582.00 | $105.00–$483.00 | 9% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Preg Limited | $399.00 | $399.00 | $105.00–$331.00 | 17% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2v Lt | $281.00 | $281.00 | $87.00–$233.00 | 8% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2v Rt | $281.00 | $281.00 | $87.00–$233.00 | 8% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $582.00 | $582.00 | $105.00–$483.00 | 11% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Preg Transvaginal | $582.00 | $582.00 | $105.00–$483.00 | 4% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $438.00 | $438.00 | $105.00–$364.00 | 49% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum & Contents | $582.00 | $582.00 | $105.00–$483.00 | 15% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid | $438.00 | $438.00 | $105.00–$364.00 | 31% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Cv Venous Dup Imaging Lt | $582.00 | $582.00 | $105.00–$483.00 | 28% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Cv Venous Dup Imaging Rt | $582.00 | $582.00 | $105.00–$483.00 | 28% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3v Lt | $207.00 | $207.00 | $87.00–$172.00 | 33% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3v Rt | $207.00 | $207.00 | $87.00–$172.00 | 33% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2v Rt | $207.00 | $207.00 | $87.00–$172.00 | 44% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2v Lt | $207.00 | $207.00 | $87.00–$172.00 | 44% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen Ap | $175.00 | $175.00 | $87.00–$145.00 | 48% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Lt | $207.00 | $207.00 | $87.00–$172.00 | 14% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Rt | $207.00 | $207.00 | $87.00–$172.00 | 14% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3v Rt | $207.00 | $207.00 | $87.00–$172.00 | 44% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3v Lt | $207.00 | $207.00 | $87.00–$172.00 | 44% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Comp Lt | $207.00 | $207.00 | $87.00–$172.00 | 42% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Comp Rt | $207.00 | $207.00 | $87.00–$172.00 | 42% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Lt | $207.00 | $207.00 | $87.00–$172.00 | 25% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee Rt | $207.00 | $207.00 | $87.00–$172.00 | 25% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 To 3 Views | $281.00 | $281.00 | $105.00–$233.00 | 40% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $359.00 | $359.00 | $105.00–$298.00 | 45% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2v | $281.00 | $281.00 | $105.00–$233.00 | 31% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones Comp | $207.00 | $207.00 | $87.00–$172.00 | 27% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views | $281.00 | $281.00 | $87.00–$233.00 | 25% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis | $281.00 | $281.00 | $105.00–$233.00 | 24% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2v | $207.00 | $207.00 | $87.00–$172.00 | 37% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgp-t | $37.00 | $37.00 | $5.00–$31.00 | 37% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgo-t | $37.00 | $37.00 | $5.00–$31.00 | 37% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute | $154.00 | $154.00 | $48.00–$128.00 | 60% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Food | $29.00 | $29.00 | $5.00–$24.00 | 17% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Sw | $37.00 | $37.00 | $5.00–$31.00 | 49% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Each (Radioimmunoassay) | $73.00 | $73.00 | $5.00–$61.00 | 195% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody | $42.00 | $42.00 | $13.00–$35.00 | 21% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana | $39.00 | $39.00 | $12.00–$32.00 | 57% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-terminal Pro Brain Natriuretic Peptide | $204.00 | $204.00 | $39.00–$169.00 | 6% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $73.00 | $73.00 | $8.00–$61.00 | 71% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology (Rudd Only) | $403.00 | $403.00 | $52.00–$334.00 | 36% above | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $34.00 | $34.00 | $10.00–$28.00 | 86% below | — |
| Blood culture for bacteria CPT 87040 Blood Culture With Ard | $130.00 | $130.00 | $10.00–$108.00 | 46% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $9.00 | $9.00 | $6.00–$11.00 | 56% below | — |
| Blood glucose (sugar) test CPT 82947 O'sullivan-fasting | $35.00 | $35.00 | $4.00–$29.00 | 29% below | — |
| Blood glucose (sugar) test CPT 82947 Glucose Quant Blood | $38.00 | $38.00 | $4.00–$32.00 | 22% below | — |
| Blood lead test CPT 83655 Lead | $73.00 | $73.00 | $12.00–$61.00 | 39% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual- Serum | $59.00 | $59.00 | $8.00–$49.00 | 67% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group (Abo)for Cord Blood Only | $24.00 | $24.00 | $3.00–$20.00 | 73% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cov-blood Group | $24.00 | $24.00 | $3.00–$20.00 | 73% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo | $198.00 | $198.00 | $3.00–$164.00 | 119% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein Inflamation | $17.00 | $17.00 | $5.00–$14.00 | 71% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C.cifficle Pcr | $30.00 | $30.00 | $21.00–$43.00 | 84% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $125.00 | $125.00 | $21.00–$104.00 | 6% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $67.00 | $67.00 | $21.00–$56.00 | 58% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Sars-cov-2 Rna | $89.00 | $89.00 | $51.00–$74.00 | 1% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Id Now Covid 19 | $134.00 | $134.00 | $51.00–$111.00 | 51% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Amplified | $113.00 | $113.00 | $35.00–$94.00 | 9% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $139.00 | $139.00 | $13.00–$115.00 | 32% below | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $53.00 | $53.00 | $8.00–$44.00 | 42% below | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $50.00 | $50.00 | $6.00–$42.00 | 52% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $110.00 | $110.00 | $11.00–$91.00 | 68% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer | $26.00 | $26.00 | $10.00–$22.00 | 85% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-sulfate | $176.00 | $176.00 | $22.00–$146.00 | 14% above | — |
| Estradiol blood test CPT 82670 Estradiol, Total | $90.00 | $90.00 | $28.00–$75.00 | 39% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $60.00 | $60.00 | $19.00–$50.00 | 63% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin (Fecal) | $194.00 | $194.00 | $20.00–$161.00 | 9% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $44.00 | $44.00 | $14.00–$37.00 | 57% below | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid | $47.00 | $47.00 | $15.00–$39.00 | 46% below | — |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $55.00 | $55.00 | $17.00–$46.00 | 61% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $81.00 | $81.00 | $9.00–$67.00 | 7% below | — |
| Free testosterone test CPT 84402 Testosterone Free | $154.00 | $154.00 | $25.00–$128.00 | 39% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1 Hour Glucose Non Fasting Post Dose | $40.00 | $40.00 | $5.00–$33.00 | 59% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 O'sullivan-loaded | $40.00 | $40.00 | $5.00–$33.00 | 59% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Gtt (3 Specimens) | $103.00 | $103.00 | $13.00–$85.00 | 36% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhoeae Amplified | $113.00 | $113.00 | $35.00–$94.00 | 19% below | — |
| H. pylori antibody blood test CPT 86677 H Pylori Igg Titer | $161.00 | $161.00 | $17.00–$134.00 | 23% above | — |
| H. pylori antibody blood test CPT 86677 H Pylori (Elisa) | $161.00 | $161.00 | $17.00–$134.00 | 23% above | — |
| H. pylori stool antigen test CPT 87338 H Pylori Antigen Stool | $87.00 | $87.00 | $14.00–$72.00 | 16% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant (Viral Load) | $511.00 | $511.00 | $85.00–$424.00 | 56% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv In House | $40.00 | $40.00 | $14.00–$33.00 | 56% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1 & 2 | $70.00 | $70.00 | $24.00–$58.00 | 51% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Typing | $211.00 | $211.00 | $35.00–$175.00 | 197% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb Glyco A1c | $73.00 | $73.00 | $10.00–$61.00 | 21% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Qual | $35.00 | $35.00 | $11.00–$29.00 | 45% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen (Hbsag) | $34.00 | $34.00 | $10.00–$28.00 | 54% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $46.00 | $46.00 | $14.00–$38.00 | 47% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Quant Rna / Pcr Viral Load | $139.00 | $139.00 | $43.00–$115.00 | 53% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Mcp-hsv 1 | $79.00 | $79.00 | $13.00–$66.00 | 2% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsvab 1 2 Igg | $139.00 | $139.00 | $13.00–$115.00 | 72% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Mcp-hsv Antibody Ii | $116.00 | $116.00 | $19.00–$96.00 | 29% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protien (Cardiac) | $42.00 | $42.00 | $13.00–$35.00 | 47% below | — |
| Homocysteine blood test CPT 83090 Homocystine Cardiac | $110.00 | $110.00 | $18.00–$91.00 | 27% below | — |
| Homocysteine blood test CPT 83090 Homocystine | $110.00 | $110.00 | $18.00–$91.00 | 27% below | — |
| Insulin blood test CPT 83525 Insulin Level Total | $110.00 | $110.00 | $11.00–$91.00 | 32% above | — |
| Iron blood test (serum iron) CPT 83540 Iron (Total) | $21.00 | $21.00 | $6.00–$17.00 | 76% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Tibc | $28.00 | $28.00 | $9.00–$23.00 | 71% below | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $110.00 | $110.00 | $9.00–$91.00 | 62% below | — |
| LH (luteinizing hormone) test CPT 83002 Lh | $60.00 | $60.00 | $19.00–$50.00 | 60% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $59.00 | $59.00 | $7.00–$49.00 | 40% below | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $73.00 | $73.00 | $8.00–$61.00 | 75% below | — |
| Lyme disease antibody test CPT 86618 Lymes Screen | $231.00 | $231.00 | $17.00–$192.00 | 179% above | — |
| Magnesium blood test CPT 83735 Magnesium Rbc | $42.00 | $42.00 | $7.00–$35.00 | 5% below | — |
| Magnesium blood test CPT 83735 Magnesium | $52.00 | $52.00 | $7.00–$43.00 | 18% above | — |
| Magnesium blood test CPT 83735 Magnesium Urine | $52.00 | $52.00 | $7.00–$43.00 | 18% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Measles Igg | $42.00 | $42.00 | $13.00–$35.00 | 46% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Measles Anitboby Igm | $78.00 | $78.00 | $13.00–$65.00 | 171% above | — |
| Measles (rubeola) antibody test CPT 86765 Mcp-rubeola Measles | $92.00 | $92.00 | $13.00–$76.00 | 219% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test | $37.00 | $37.00 | $5.00–$31.00 | 60% below | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $434.00 | $434.00 | $48.00–$360.00 | 71% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $117.00 | $117.00 | $18.00–$97.00 | 4% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $117.00 | $117.00 | $18.00–$97.00 | 32% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Thin Layer Prep | $72.00 | $72.00 | $20.00–$60.00 | 21% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $133.00 | $133.00 | $41.00–$110.00 | 39% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $52.00 | $52.00 | $6.00–$43.00 | 3% below | — |
| Progesterone blood test CPT 84144 Progesterone | $67.00 | $67.00 | $21.00–$56.00 | 42% below | — |
| Prolactin blood test CPT 84146 Prolactin | $63.00 | $63.00 | $19.00–$52.00 | 45% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $64.00 | $64.00 | $4.00–$53.00 | 35% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen (In House) | $66.00 | $66.00 | $13.00–$55.00 | 44% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Uds Sphd Patient | $66.00 | $66.00 | $13.00–$55.00 | 44% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen (Send Out) | $80.00 | $80.00 | $13.00–$66.00 | 33% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Alcohol-urine | $96.00 | $96.00 | $13.00–$80.00 | 19% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Meconium Marijuana Screen | $109.00 | $109.00 | $13.00–$90.00 | 8% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Meconium Amphetamine Screen | $110.00 | $110.00 | $13.00–$91.00 | 7% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Opiates | $128.00 | $128.00 | $13.00–$106.00 | 8% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Meconium Cocaine Metabolite | $201.00 | $201.00 | $13.00–$167.00 | 69% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Gastric Drug Screen | $209.00 | $209.00 | $13.00–$173.00 | 76% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Test | $73.00 | $73.00 | $17.00–$61.00 | 28% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant | $19.00 | $19.00 | $6.00–$16.00 | 65% below | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igm Immunity Screen | $46.00 | $46.00 | $14.00–$38.00 | 16% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Immunity Screen | $46.00 | $46.00 | $14.00–$38.00 | 16% above | — |
| Stool ova and parasites exam CPT 87177 Stool O & P Id W Direct Smears | $28.00 | $28.00 | $9.00–$23.00 | 70% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Occult Blood (Screen) | $31.00 | $31.00 | $4.00–$26.00 | 19% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood 3 Spec | $31.00 | $31.00 | $4.00–$26.00 | 19% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood (1 Spec) | $31.00 | $31.00 | $4.00–$26.00 | 19% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood | $31.00 | $31.00 | $4.00–$26.00 | 19% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl | $52.00 | $52.00 | $4.00–$43.00 | 2% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $52.00 | $52.00 | $4.00–$43.00 | 2% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold | $224.00 | $224.00 | $62.00–$186.00 | 2% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $84.00 | $84.00 | $26.00–$70.00 | 30% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Auotantibodies | $47.00 | $47.00 | $15.00–$39.00 | 48% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Antibody Igg | $169.00 | $169.00 | $15.00–$140.00 | 88% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $110.00 | $110.00 | $17.00–$91.00 | 11% below | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Pcr | $92.00 | $92.00 | $35.00–$76.00 | 5% above | — |
| Uric acid blood test CPT 84550 Uric Acid Blood | $15.00 | $15.00 | $5.00–$12.00 | 86% below | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $37.00 | $37.00 | $3.00–$31.00 | 68% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $15.00 | $15.00 | $2.00–$12.00 | 70% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $17.00 | $17.00 | $3.00–$14.00 | 53% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine | $26.00 | $26.00 | $8.00–$22.00 | 82% below | — |
| Urine pregnancy test, read by color change CPT 81025 Hcg (Qual) Urine | $44.00 | $44.00 | $9.00–$37.00 | 51% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 | $49.00 | $49.00 | $15.00–$41.00 | 46% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 2 | $74.00 | $74.00 | $30.00–$61.00 | 34% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 3 | $74.00 | $74.00 | $30.00–$61.00 | 34% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $96.00 | $96.00 | $30.00–$80.00 | 14% below | — |
| Zinc blood test CPT 84630 Zinc | $96.00 | $96.00 | $11.00–$80.00 | 39% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Ts-beta Hcg | $106.00 | $106.00 | $15.00–$88.00 | 3% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quant | $110.00 | $110.00 | $15.00–$91.00 | 1% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Appendectomy, open surgery CPT 44950 Appendectomy | $7,106.00 | $7,106.00 | $4,988.00–$7,442.00 | 23% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting both sides CPT 27786 Clo Tx Distal Fibu Fx Wo Manip-bilat | $614.00 | $614.00 | $247.00–$510.00 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clo Tx Distal Fibular Fx;wo Manip | $614.00 | $614.00 | $247.00–$510.00 | 32% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 Clo Tx Distal Fibu Fx Wo Manip-lt | $614.00 | $614.00 | $247.00–$510.00 | 32% above | — |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 Clo Tx Metatar Fx Wo Manip Each-rt | $614.00 | $614.00 | $247.00–$510.00 | 119% above | — |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 Clo Tx Metatarsal Fx W/o Manip Each-lt | $614.00 | $614.00 | $247.00–$510.00 | 119% above | — |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 Clo Tx Metatarsal Fx Wo Manip Each Lt | $644.00 | $644.00 | $247.00–$535.00 | 130% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elect Elec Conv Arrhy Ext | $1,349.00 | $1,349.00 | $661.00–$1,120.00 | 11% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elect Convert Arrhy-59 | $1,349.00 | $1,349.00 | $661.00–$1,120.00 | 11% below | — |
| Cervical biopsy CPT 57500 Bx Cervix, Sing/mult W/wo Fulguration | $1,653.00 | $1,653.00 | $921.00–$1,372.00 | 43% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Surg Excision Not Newborn | $4,082.00 | $4,082.00 | $2,090.00–$3,388.00 | 30% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circ W/clamp/device W/reg Block(any Age) | $4,082.00 | $4,082.00 | $2,090.00–$3,388.00 | 232% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circ Surg Excision Newborn | $4,082.00 | $4,082.00 | $697.00–$3,388.00 | 80% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting both sides CPT 25600 Clo Tx Distal Rad Fx W/wo Fx Ulnr Sty-bi | $614.00 | $614.00 | $247.00–$510.00 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clo Tx Dist Rad Fx/epi Sep W/wo Uln Fxlt | $614.00 | $614.00 | $247.00–$510.00 | 20% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clo Tx Distal Radial Fx W/wo Fx Ulnr Sty | $614.00 | $614.00 | $247.00–$510.00 | 20% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clo Tx Dist Rad Fx/epi Sep W/wo Uln Fxrt | $614.00 | $614.00 | $247.00–$510.00 | 20% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 Clo Tx Distal Rad Fx W/wo Fx Ulnr Sty-lt | $614.00 | $614.00 | $247.00–$510.00 | 20% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $2,440.00 | $2,440.00 | $1,196.00–$2,025.00 | 102% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $2,440.00 | $2,440.00 | $1,196.00–$2,025.00 | 104% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $2,379.00 | $2,379.00 | $930.00–$1,975.00 | 54% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix With Loop Electrode Bx | $5,294.00 | $5,294.00 | $3,236.00–$4,394.00 | 50% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy W/bx Cervix/endocerv Curettag | $685.00 | $685.00 | $305.00–$569.00 | 177% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $1,317.00 | $1,317.00 | $697.00–$1,093.00 | 18% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy (Sep Procedure) | $1,402.00 | $1,402.00 | $697.00–$1,164.00 | 26% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction, B9/premalig Les, 1st Lesion | $419.00 | $419.00 | $201.00–$348.00 | 106% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Imp Cerumen By Irrig Uni | $148.00 | $148.00 | $59.00–$123.00 | 20% above | — |
| Earwax removal with instruments, one ear CPT 69210 Remov Impctd Cerumen 1/both Ears | $169.00 | $169.00 | $59.00–$140.00 | 9% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx Wo Cervical Dilatation | $649.00 | $649.00 | $202.00–$539.00 | 76% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Anes Agnt Lumbr/sacrl Sngl Lev | $1,586.00 | $1,586.00 | $884.00–$1,316.00 | 6% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Anes Paravetbral Facet Jt/nerve Lumb | $1,586.00 | $1,586.00 | $884.00–$1,316.00 | 6% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Flex Sig Dx W/wo Coll Spec 2nd Proc-59 | $1,657.00 | $1,657.00 | $930.00–$1,375.00 | 110% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Flex Sig Dx | $1,657.00 | $1,657.00 | $930.00–$1,375.00 | 110% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $10,838.00 | $10,838.00 | $6,044.00–$8,996.00 | 52% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap Surg; Cholecystectomy With Cholangio | $10,122.00 | $10,122.00 | $6,044.00–$8,401.00 | 22% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap Surg; Cholecystectomy With Explorati | $10,122.00 | $10,122.00 | $6,044.00–$8,401.00 | 22% above | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $10,122.00 | $10,122.00 | $7,106.00–$8,401.00 | 215% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy, Internal, By Rubber Ba | $1,599.00 | $1,599.00 | $930.00–$1,327.00 | 79% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy, Internal And External, | $4,909.00 | $4,909.00 | $2,775.00–$4,074.00 | 35% above | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Tot Abd W/w/o Rem Of Tubes/ovaries W/col | $10,710.00 | $10,710.00 | $7,518.00–$8,889.00 | 156% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath/intro Of Saline/contrst Hysterosalp | $530.00 | $530.00 | $372.00–$440.00 | 39% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy, Endometrial Ablations | $9,791.00 | $9,791.00 | $5,001.00–$8,127.00 | 96% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W/bx Endomet/polyp W/wo D&c | $5,294.00 | $5,294.00 | $3,236.00–$4,394.00 | 11% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy, W/bx Endometrium/polypecto | $5,603.00 | $5,603.00 | $3,236.00–$4,650.00 | 18% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Iud | $223.00 | $223.00 | $157.00–$185.00 | 41% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision And Drainage Abscess, Simple/si | $405.00 | $405.00 | $201.00–$336.00 | 13% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simpl/sngl | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simp/single | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simpl/sngl-fa | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple Single-ta | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple, Single-f2 | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Finger-f5 | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simp/single 2nd Procedure | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 Incision/drainage Abscess Simp/sngl-rt | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 I&d Abscess Simpl/sngl Left 2nd Digit | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 I&d Abscess Simpl/sngl Rt 3rd Digit | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 I&d Abscess Simple Single-left | $465.00 | $465.00 | $201.00–$386.00 | 1% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $7,673.00 | $7,673.00 | $3,579.00–$6,369.00 | 24% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) both sides CPT 20550 Inj Tendon Sheath/liga/gang Cyst-bilat | $606.00 | $606.00 | $307.00–$503.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 Inj Tendon Sheath/liga/gang Cyst-lt | $606.00 | $606.00 | $307.00–$503.00 | 37% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 Inj Sngl Tendon Sheath/liga/aponeur-rt | $606.00 | $606.00 | $307.00–$503.00 | 37% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Arthro/aspir/inj Maj Jt/bursa-bilat | $606.00 | $606.00 | $307.00–$503.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro/aspir/inj Maj Jt/bursa | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthro/aspir/inj Maj Jt/bursa-rt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthro/aspir/inj Maj Jt/bursa-lt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthrocen/aspir/injec Maj Jt/bursa-lt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Arthrocentesis Maj Jt/bursa-rt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Norplant Contraceptive | $396.00 | $396.00 | $133.00–$329.00 | 65% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 Arthro/aspir/inj Intrmd Jt/bursa-bilat | $606.00 | $606.00 | $307.00–$503.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocen/asp/inj Interm Jt/bursa-59rt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthro/aspir/inj Intrmd Jt/bursa-lt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocen/aspir/inj Intermed Jt/bursa-lt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocen/aspir/inj Intermed Jt/bursa-rt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Arthrocent/aspir/inj Intrmd Jt/bursa-rt | $606.00 | $606.00 | $307.00–$503.00 | 2% above | — |
| Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 Arthro/aspir/inj Sm Jt Bursa-bilat | $606.00 | $606.00 | $307.00–$503.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Arthro/aspir/inj Sm Jt Bursa-lt | $606.00 | $606.00 | $307.00–$503.00 | 38% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Arthrocent/aspir &/Or Inj Sm Jt/bursa-rt | $606.00 | $606.00 | $307.00–$503.00 | 38% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Surg Lap Total Hyster Uterus 250g Or < | $18,373.00 | $18,373.00 | $10,626.00–$15,250.00 | 124% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Surg Lap Total Hyster Uterus 250g Or < | $18,373.00 | $18,373.00 | $10,626.00–$15,250.00 | 71% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap Surg; Repair Initial Inguinal Hernia | $10,122.00 | $10,122.00 | $6,044.00–$8,401.00 | 18% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Surg; Repair Recurrent Inguinal Hern | $10,122.00 | $10,122.00 | $6,044.00–$8,401.00 | 24% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Lap Surg Rem Adnexal Structures | $11,247.00 | $11,247.00 | $6,044.00–$9,335.00 | 31% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lay Clo Sclp/ax/trnk/extrm 2.5/less-f2 | $726.00 | $726.00 | $406.00–$603.00 | 37% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lay Clo Sclp/ax/trnk/extrm 2.5/less-f1 | $726.00 | $726.00 | $406.00–$603.00 | 37% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lay Clo Sclp/ax/trnk/extrm;2.5/less | $726.00 | $726.00 | $406.00–$603.00 | 37% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 Lay Clo Sclp/ax/trnk/extrm;2.5/less-rt | $726.00 | $726.00 | $406.00–$603.00 | 37% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $2,023.00 | $2,023.00 | $884.00–$1,679.00 | 59% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abort Completed Surg 1st Trime | $5,559.00 | $5,559.00 | $3,236.00–$4,614.00 | 53% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les Trnk Arm Lg 0.5 Cm Or Less | $1,278.00 | $1,278.00 | $708.00–$1,061.00 | 59% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les Marg Noskn Tg/trnk/arm/lg .5 | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 66% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les No Skn Tg Trnk Arm Lg 0.5cm< | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 66% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les Marg Noskn Tg/trnk/arm/lg.5l | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 66% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les Marg Noskn Tg/trnk/arm/lg.5b | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 66% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Les Trk/ext 0.5cm Or < 59rt | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 66% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Bnign Les Face/ear/eyeli, </= 0.5cm | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 46% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 Exc B9 Les Face/ear/eyeli, </= 0.5cm-rt | $1,339.00 | $1,339.00 | $708.00–$1,111.00 | 46% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp, Sngl-f7 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp, Sngl-fa | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp, Sngl-t4 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp, Sngl-t5 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp, Sngl-ta | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp/sngl-fa59 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Place Simple Single-f5 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Simp/single | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate T3 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate/part/comp Simp Sngl-f6 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate;part/comp Simp, Sngl-f5 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate T8 | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Simp/single T9 | $440.00 | $440.00 | $201.00–$365.00 | 35% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate Part/comp Simp/sngl T9 | $440.00 | $440.00 | $201.00–$365.00 | 35% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Simp/sing | $925.00 | $925.00 | $201.00–$768.00 | 185% above | — |
| Nail removal (partial or complete), one nail one side CPT 11730 Avulsion Nail Plate Simp/sing-lt Grt Toe | $419.00 | $419.00 | $201.00–$348.00 | 29% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Anes Agent;greater Occipital Nv-bil | $1,069.00 | $1,069.00 | $307.00–$887.00 | 150% above | — |
| Occipital nerve block (injection for headaches) one side CPT 64405 Inj Anes Agent;greater Occipital Nv-rt | $1,069.00 | $1,069.00 | $307.00–$887.00 | 150% above | — |
| Occipital nerve block (injection for headaches) one side CPT 64405 Inj Anes Agent;greater Occipital Nv-lt | $1,069.00 | $1,069.00 | $307.00–$887.00 | 150% above | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/guidance | $1,737.00 | $1,737.00 | $907.00–$1,442.00 | 7% above | — |
| Paracentesis with imaging guidance CPT 49083 Excised Malignancy Over 4cm | $5,493.00 | $5,493.00 | $907.00–$4,559.00 | 238% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail/matrix Part/comp Perman-ta | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail/matrix Part/comp Perman-fa | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail/mtrx;part/comp;perm;bil L G Toe | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail/matrix Part/comp Perman-f5 | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail/matrix Part/comp Perman-t5 | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Mtrx Part/comp F2 | $1,140.00 | $1,140.00 | $406.00–$946.00 | 63% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Mtrx Part/comp Fa | $1,140.00 | $1,140.00 | $406.00–$946.00 | 63% above | — |
| Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Removal Nail/bed/fold-rt Grt Toe | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Removal Nail/bed/fold-lt Grt Toe | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Removal Nail/bed/fold-rt 5th Toe | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Exc Nail/mtrx Part/comp Perm Rt 2nd Toe | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Exc Nail/mtrx Part/comp Perm Lt 5th Dig | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Permanent removal of a nail and nail root (partial or complete) one side CPT 11750 Exc Nail/matrix Part/comp Lt 2nd Digit | $1,086.00 | $1,086.00 | $406.00–$901.00 | 55% above | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $6,216.00 | $6,216.00 | $3,914.00–$5,159.00 | 26% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Fb Subq Simple | $812.00 | $812.00 | $406.00–$674.00 | 50% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incs & Remv Fb Subq Tiss;simp | $812.00 | $812.00 | $406.00–$674.00 | 50% above | — |
| Removal of a foreign object under the skin, simple one side CPT 10120 Incis & Remov Fb, Subq Simple-lt 2nd Dig | $812.00 | $812.00 | $406.00–$674.00 | 50% above | — |
| Removal of a foreign object under the skin, simple one side CPT 10120 Incis & Remov Fb, Subq Simple-rt 5th Dig | $812.00 | $812.00 | $406.00–$674.00 | 50% above | — |
| Removal of a foreign object under the skin, simple one side CPT 10120 Incis & Remov Fb, Subq Simple-left | $812.00 | $812.00 | $406.00–$674.00 | 50% above | — |
| Removal of a foreign object under the skin, simple one side CPT 10120 Incis & Remov Fb, Subq Simple-rt | $812.00 | $812.00 | $406.00–$674.00 | 50% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Scrn Colonoscopy W/o Hi Risk | $1,879.00 | $1,879.00 | $930.00–$1,560.00 | 140% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Scrn Colonoscopy W/o Risk Dc After Anes | $1,879.00 | $1,879.00 | $930.00–$1,560.00 | 140% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal Ca Scrn Colnoscopy No Hi Risk | $1,879.00 | $1,879.00 | $930.00–$1,560.00 | 140% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Screening Colonoscopy Hi Risk Pt | $1,879.00 | $1,879.00 | $930.00–$1,560.00 | 39% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Screening Colonoscopy Hi Rsk Pt 2nd Proc | $1,879.00 | $1,879.00 | $930.00–$1,560.00 | 39% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Scrng Colon ^Risk Discon Post Anes Admin | $1,879.00 | $1,879.00 | $930.00–$1,560.00 | 39% above | — |
| Short arm cast (elbow to hand) both sides CPT 29075 Applic Cast Elb To Fing Short Arm-bilat | $641.00 | $641.00 | $280.00–$532.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 Applic Cast, Elbow To Finger(short Arm) | $641.00 | $641.00 | $280.00–$532.00 | 109% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Application Cast/elbow To Finger-rt | $640.00 | $640.00 | $280.00–$531.00 | 109% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Application Cast/elbow To Finger-lt | $641.00 | $641.00 | $280.00–$532.00 | 109% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 Applic Cast Elb To Fing Short Arm-lt | $641.00 | $641.00 | $280.00–$532.00 | 109% above | — |
| Short arm splint (forearm and hand) both sides CPT 29125 Applic Short Arm Splnt; Static-bilat | $378.00 | $378.00 | $133.00–$314.00 | — | — |
| Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint Static-rt59 | $378.00 | $378.00 | $133.00–$314.00 | 31% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 Applic Short Arm Splnt; Static-lt | $378.00 | $378.00 | $133.00–$314.00 | 31% above | — |
| Short leg cast (below the knee) CPT 29405 Applic Shrt Lg Cast(blw Knee To Toe)-bil | $641.00 | $641.00 | $280.00–$532.00 | 89% above | — |
| Short leg cast (below the knee) CPT 29405 Application Of Short-leg Cast | $641.00 | $641.00 | $280.00–$532.00 | 89% above | — |
| Short leg cast (below the knee) one side CPT 29405 Applic Shrt Lg Cast(blw Knee To Toe)-lt | $641.00 | $641.00 | $280.00–$532.00 | 89% above | — |
| Short leg splint (calf to foot) both sides CPT 29515 Denis-browne Splint Strapping-bilat | $311.00 | $311.00 | $162.00–$258.00 | — | — |
| Short leg splint (calf to foot) both sides CPT 29515 Applic Shrt Lg Splnt(calf To Ft)-bilat | $367.00 | $367.00 | $162.00–$305.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 Applic Short Leg Splint | $367.00 | $367.00 | $162.00–$305.00 | 31% above | — |
| Short leg splint (calf to foot) one side CPT 29515 Denis Browne Splint Strapping-rt | $311.00 | $311.00 | $162.00–$258.00 | 11% above | — |
| Short leg splint (calf to foot) one side CPT 29515 Denis-browne Splint Strapping-lt | $311.00 | $311.00 | $162.00–$258.00 | 11% above | — |
| Short leg splint (calf to foot) one side CPT 29515 Applic Shrt Lg Splnt(calf To Ft)-lt | $367.00 | $367.00 | $162.00–$305.00 | 31% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/nck/ax/gen/trk/ext 2.5<-fa | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/geni/trnk/ext 2.5< Lt59 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/gen/trnk/ext 2.5-f8 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/gen/trnk/ext 2.5<cm-f6 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/gen/trk/ext 2.5<-t4 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/gen/trk/ext 2.5<-f9 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/gen/trk/ext 2.5<-f1 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Rpr Sclp/ax/trnk/extr 2.5/<-t3 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/ax/trk/ext 2.5 Or Less-f4 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Repr Sclp/ax/geni/trnk/extr 2.5/le | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/nk/ax/gen/trk/ext 2.5cm>f7 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/nck/ax/gen/trk/ext 2.5<-f2 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/nck/ax/gen/trk/ext 2.5<-f3 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simp Rpr Sclp/nk/ax/gen/trk/ext 2.5cm>f5 | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 Simp Rpr Sclp/ax/geni/trnk/ext 2.5cm< Lt | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 Simp Rpr Sclp/ax/geni/trnk/ext 2.5cm< Rt | $380.00 | $380.00 | $201.00–$315.00 | 5% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx, Single Lesion | $411.00 | $411.00 | $289.00–$467.00 | 10% below | — |
| Skin tag removal, up to 15 tags CPT 11200 Remov Skin Tags Any Area; To 15 Lesions | $380.00 | $380.00 | $201.00–$315.00 | 19% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Remov Skn Tags Any Area 15< Les 2nd Proc | $380.00 | $380.00 | $201.00–$315.00 | 19% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnostic | $1,259.00 | $1,259.00 | $706.00–$1,045.00 | 20% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Punct Lumbar Dx | $1,259.00 | $1,259.00 | $706.00–$1,045.00 | 20% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f7 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f2 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f4 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f5 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f6 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f8 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rrp Scl/ax/gen/trk/ext 2.6-7.5cm-f9 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Repr Sclp/ax/geni/trnk 2.60to7.5 Cm | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Rpr Sclp/ax/gen/trk 2.6-7.5 Cm-t5 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Rpr Sclp/ax/gen/trk 2.6-7.5cm-f1 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Rpr Sclp/ax/gen/trk 2.6-7.5cm-f3 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Rpr Sclp/ax/gen/trk 2.6-7.5cm-fa | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simp Rpr Sclp/ax/gen/trk 2.6-7.5cm-lt59 | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 Sim Rpr Scl/ax/gen/trk/ext 2.6-7.5cm Rt | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 Simp Rpr Sclp/ax/gen/trk 2.6-7.5cm-lt | $380.00 | $380.00 | $201.00–$315.00 | 17% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simp Repr Fac/ear/nos/muc Mem;2.5/less | $380.00 | $380.00 | $201.00–$315.00 | 10% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simp Repr Fac/ear/nos 2.5/< 2nd Proced | $380.00 | $380.00 | $201.00–$315.00 | 10% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 Sim Repr Fac/ear/nos/muc Memb 2.5cm/< Lt | $380.00 | $380.00 | $201.00–$315.00 | 10% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 Sim Repr Fac/ear/nos/muc Memb 2.5cm/< Rt | $380.00 | $380.00 | $201.00–$315.00 | 10% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Bx, Single Lesion | $466.00 | $466.00 | $327.00–$467.00 | 29% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/mult Trigger Pt 1-2musc | $606.00 | $606.00 | $307.00–$503.00 | 5% above | — |
| Trigger point injections, 1 or 2 muscles one side CPT 20552 Inject Sing/mult Trigger Pt 1-2 Musc-lt | $606.00 | $606.00 | $307.00–$503.00 | 5% above | — |
| Trigger point injections, 1 or 2 muscles one side CPT 20552 Inject Sing/mult Trigger Pt 1-2 Musc-rt | $606.00 | $606.00 | $307.00–$503.00 | 5% above | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulg. Oviducts | $9,931.00 | $9,931.00 | $6,044.00–$8,243.00 | 101% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd With Dilation Of Esophagus | $3,314.00 | $3,314.00 | $1,918.00–$2,751.00 | 126% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $2,138.00 | $2,138.00 | $907.00–$1,775.00 | 107% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd W/remov Les Snare | $3,314.00 | $3,314.00 | $1,918.00–$2,751.00 | 191% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Ugi W/remov Tumor/polyp Snare-59 | $3,314.00 | $3,314.00 | $1,918.00–$2,751.00 | 191% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $2,138.00 | $2,138.00 | $907.00–$1,775.00 | 101% above | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/bilat W/postop Semen Exam | $5,197.00 | $5,197.00 | $2,090.00–$4,314.00 | — | — |
| Wart removal, up to 14 warts CPT 17110 Destr B9 Les/no Skn Tags To 14 Les | $380.00 | $380.00 | $201.00–$315.00 | 80% above | — |
| Wart removal, up to 14 warts CPT 17110 Dest B9 Les Not Skin Tags To 14-2nd Proc | $380.00 | $380.00 | $201.00–$315.00 | 80% above | — |
| Wart removal, up to 14 warts CPT 17110 Dest B9 Les Not Skin Tags Up To 14 F9 | $380.00 | $380.00 | $201.00–$315.00 | 80% above | — |
| Wart removal, up to 14 warts one side CPT 17110 Destr B9 Les/no Skn Tags To 14 Les Lt | $380.00 | $380.00 | $201.00–$315.00 | 80% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm both sides CPT 11042 Debrid;skin & Subq Tiss-bilat | $812.00 | $812.00 | $406.00–$674.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin/subq F3 | $812.00 | $812.00 | $406.00–$674.00 | 21% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid;skin & Subq Tiss | $812.00 | $812.00 | $406.00–$674.00 | 21% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 Debrid;skin & Subq Tiss-lt | $812.00 | $812.00 | $406.00–$674.00 | 21% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 Debridement; Skin And Subq Tissue-rt | $812.00 | $812.00 | $406.00–$674.00 | 21% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Admin Blood Transfusion-per Day | $880.00 | $880.00 | $441.00–$730.00 | 6% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Admin Blood Transfusion Per Day | $900.00 | $900.00 | $441.00–$747.00 | 4% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Subseq | $403.00 | $403.00 | $219.00–$334.00 | 98% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $403.00 | $403.00 | $219.00–$334.00 | 98% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Initial | $403.00 | $403.00 | $219.00–$334.00 | 98% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 C Care E&m 30-74 Min | $1,884.00 | $1,884.00 | $826.00–$1,564.00 | 27% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg | $566.00 | $566.00 | $216.00–$470.00 | 42% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads Tracing Wo Interp/report | $304.00 | $304.00 | $59.00–$252.00 | 3% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads Repeat Same Day/diff Physic | $304.00 | $304.00 | $59.00–$252.00 | 3% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads Repeat Same Day/same Physic | $304.00 | $304.00 | $59.00–$252.00 | 3% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 | $174.00 | $174.00 | $84.00–$144.00 | 34% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 With Mod 25 | $174.00 | $174.00 | $84.00–$144.00 | 34% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Visit E&m Self Lmtd/minor Extra | $174.00 | $174.00 | $84.00–$144.00 | 34% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 With Mod 25 | $323.00 | $323.00 | $153.00–$268.00 | 31% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit E&m Low Moderate Sev. Extra0 | $323.00 | $323.00 | $153.00–$268.00 | 31% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit E&m Low Moderate Sev. Extra | $323.00 | $323.00 | $153.00–$268.00 | 31% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit E&m Low/moder/sev/2nd Vis-25-27 | $323.00 | $323.00 | $153.00–$268.00 | 31% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 | $323.00 | $323.00 | $153.00–$268.00 | 31% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit E&m Moderate Sev. Extra | $569.00 | $569.00 | $273.00–$472.00 | 31% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 With Mod 25 | $569.00 | $569.00 | $273.00–$472.00 | 31% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 | $569.00 | $569.00 | $273.00–$472.00 | 31% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit E&m Moderate Sev/2nd Vis-25-27 | $569.00 | $569.00 | $273.00–$472.00 | 31% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 Mod 27 | $957.00 | $957.00 | $417.00–$794.00 | 30% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 | $957.00 | $957.00 | $417.00–$794.00 | 30% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 With Mod 25 | $957.00 | $957.00 | $417.00–$794.00 | 30% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Visit E&m High Sev/immed Sig/extra-27 | $957.00 | $957.00 | $417.00–$794.00 | 30% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er E&m High Sev/immed Thrt Life-25-27 | $1,413.00 | $1,413.00 | $595.00–$1,173.00 | 38% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 With Mod 25 | $1,413.00 | $1,413.00 | $595.00–$1,173.00 | 38% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 | $1,413.00 | $1,413.00 | $595.00–$1,173.00 | 38% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Visit E&m High Sev-immed Sig. Extra | $1,413.00 | $1,413.00 | $595.00–$1,173.00 | 38% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise Stress Test | $577.00 | $577.00 | $216.00–$479.00 | 60% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration Init To One Hr-59 | $446.00 | $446.00 | $213.00–$370.00 | 1% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration Init To One Hour | $446.00 | $446.00 | $213.00–$370.00 | 1% below | — |
| IV infusion of a medicine, first hour CPT 96365 Thera/prophy/diag Inj/inf/init 2nd Proc | $498.00 | $498.00 | $213.00–$413.00 | 5% above | — |
| IV infusion of a medicine, first hour CPT 96365 Thera/prophy/diag Inj/infusion | $498.00 | $498.00 | $213.00–$413.00 | 5% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Thera/prophy/diag Inj;subq Or Im | $170.00 | $170.00 | $72.00–$141.00 | 3% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Thera/prophy/diag Inj;subq Or Im-59 | $170.00 | $170.00 | $72.00–$141.00 | 3% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pta Neuromuscular Re-education Ea 15min | $92.00 | $92.00 | $32.00–$76.00 | 19% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Re-education Ea 15min | $92.00 | $92.00 | $32.00–$76.00 | 19% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-education Ea 15min | $92.00 | $92.00 | $32.00–$76.00 | 19% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Level I | $239.00 | $239.00 | $98.00–$198.00 | 11% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval L Iii | $243.00 | $243.00 | $95.00–$202.00 | 20% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Li | $198.00 | $198.00 | $95.00–$164.00 | 17% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Dnu Pt Eval Level Ii | $221.00 | $221.00 | $95.00–$183.00 | 22% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Lev Ii | $221.00 | $221.00 | $95.00–$183.00 | 22% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Ea 15min | $74.00 | $74.00 | $27.00–$61.00 | 34% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pta Manual Therapy Ea 15min | $74.00 | $74.00 | $27.00–$61.00 | 34% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15min | $74.00 | $74.00 | $27.00–$61.00 | 34% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Techniques Manip Ea 15 Min | $218.00 | $218.00 | $27.00–$181.00 | 95% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $81.00 | $81.00 | $28.00–$67.00 | 35% below | — |
| Speech and language evaluation CPT 92523 Eval Speech Sound (Articulation) W/comp | $523.00 | $523.00 | $221.00–$434.00 | 24% above | — |
| Speech therapy session, individual CPT 92507 Tx Speech Lang,voice,comm Individual | $208.00 | $208.00 | $74.00–$173.00 | 9% below | — |
| Spirometry (breathing test) CPT 94010 Spirometry W Graphic Record | $342.00 | $342.00 | $216.00–$284.00 | 9% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Spriometry W Bronch Dilation Resp | $581.00 | $581.00 | $373.00–$482.00 | 8% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Broncho Eval;spirom Pre&post Bronchodila | $680.00 | $680.00 | $373.00–$564.00 | 8% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pta Therapeutic Activities Ea 15 Min | $106.00 | $106.00 | $34.00–$88.00 | 10% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Ea 15 Min | $106.00 | $106.00 | $34.00–$88.00 | 10% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Ea 15 Min | $106.00 | $106.00 | $34.00–$88.00 | 10% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy (Therapeutic) | $124.00 | $124.00 | $87.00–$153.00 | 50% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-b W/o 20 Mcg /Ml Syringe Adult | $200.00 | $200.00 | $140.00–$166.00 | 11% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 (Pneumonia Vaccine) | $485.00 | $485.00 | $340.00–$403.00 | 14% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac Adult Vaccine | $121.00 | $121.00 | $85.00–$100.00 | 8% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Immun Admin Tdap | $132.00 | $132.00 | $93.00–$110.00 | 21% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Immun Admin Diph/tetan Pres Free, 7 & > | $132.00 | $132.00 | $93.00–$110.00 | 21% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Tp/lk Pfs 0.5 Ml Vaccine | $176.00 | $176.00 | $124.00–$146.00 | 6% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immun Admin 1 Vacc Sngl/combo >7 W/wo Dr | $154.00 | $154.00 | $72.00–$128.00 | 99% above | — |