Hospital Wichita Falls, TX

Clay County Memorial Hospital

Clay County Memorial Hospital in Henrietta, TX publishes cash prices for 259 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 184 of 257 procedures and above it for 73. By typical cash price it ranks #76 of 301 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

310 W South Street, Henrietta, TX 76365 Collected Sep 27, 2026 Source price file (940) 538-5621

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451362 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs TexasOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Rt 3 Views $166.00 $237.00 $47.00–$76.00 49% below 30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Lt 3 Views $166.00 $237.00 $47.00–$76.00 49% below 30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Lmt Bil Noninvsve Physlg Stdies Xtrmty A $267.00 $382.00 $76.00–$122.00 56% below 30%
Breast ultrasound, complete, one breast CPT 76641 Sono Breast Ultrasound $278.00 $397.00 $79.00–$127.00 37% below 30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest $2,570.00 $3,671.00 $734.00–$1,175.00 9% below 30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring $88.00 $125.00 $25.00–$40.00 54% below 30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Test Ct Chest/abd/pelvis Wo Contrast $3,073.00 $4,390.00 $878.00–$1,405.00 8% below 30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd Pel Wo Contrast $3,073.00 $4,390.00 $878.00–$1,405.00 8% below 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $3,681.00 $5,259.00 $1,052.00–$1,683.00 5% below 30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd Pelvis W And Wo Contrast $3,755.00 $5,365.00 $1,073.00–$1,717.00 10% below 30%
CT scan of the abdomen with contrast CPT 74160 Ct Abd W Contrast $1,684.00 $2,406.00 $481.00–$770.00 36% below 30%
CT scan of the abdomen without contrast CPT 74150 Ct Abd Wo Contrast $1,437.00 $2,053.00 $411.00–$657.00 29% below 30%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Facial Sinus Wo Contrast $1,266.00 $1,808.00 $362.00–$579.00 24% below 30%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan $1,155.00 $1,650.00 $330.00–$528.00 39% below 30%
CT scan of the head with contrast CPT 70460 Ct Head W Contrast $1,419.00 $2,027.00 $405.00–$649.00 19% below 30%
CT scan of the head without and with contrast CPT 70470 Ct Head W & Wo Contrast $1,728.00 $2,468.00 $494.00–$790.00 26% below 30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L Spine Wo Contrast $1,474.00 $2,106.00 $421.00–$674.00 28% below 30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C Spine Wo Contrast $1,474.00 $2,106.00 $421.00–$674.00 30% below 30%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $1,649.00 $2,355.00 $471.00–$754.00 25% below 30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Sono Carotid Dup Scan $1,450.00 $2,071.00 $414.00–$663.00 5% above 30%
Chest X-ray, 2 views CPT 71046 Chest Pa And Lateral $151.00 $216.00 $43.00–$69.00 62% below 30%
Chest X-ray, single view CPT 71045 Chest 1 View $106.00 $151.00 $30.00–$48.00 67% below 30%
Chest X-ray, single view CPT 71045 Chest 1 View And Or Po $149.00 $213.00 $43.00–$68.00 54% below 30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Sono Renal $407.00 $581.00 $116.00–$186.00 45% below 30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Sono Doppler Renal $421.00 $601.00 $120.00–$192.00 43% below 30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Sono Abdominal Aorta $443.00 $633.00 $127.00–$203.00 40% below 30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo Contrast $1,160.00 $1,657.00 $331.00–$530.00 37% below 30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W Contrast $1,718.00 $2,454.00 $491.00–$785.00 24% below 30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Sono Doppler Arterial Lower Ext Bilat $870.00 $1,243.00 $249.00–$398.00 — 30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dop Venous Bilat Upper $468.00 $669.00 $134.00–$214.00 — 30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Sono Dop Venous Bilateral $1,450.00 $2,071.00 $414.00–$663.00 — 30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Stat Sono Dop Venous Bilat $1,625.00 $2,321.00 $464.00–$743.00 — 30%
Knee X-ray, 3 views one side CPT 73562 Knee Rt 3 Views $174.00 $249.00 $50.00–$80.00 48% below 30%
Knee X-ray, 3 views one side CPT 73562 Knee Lt 3 Views $174.00 $249.00 $50.00–$80.00 48% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono Pancreas $316.00 $452.00 $90.00–$145.00 50% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono Abdomen Limited $352.00 $503.00 $101.00–$161.00 44% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono Gallbladder $407.00 $581.00 $116.00–$186.00 35% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono Soft Tissue Adb Wall-lower Back $407.00 $581.00 $116.00–$186.00 35% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono Hepatic $407.00 $581.00 $116.00–$186.00 35% below 30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Low Dose Wo Contrast $1,160.00 $1,657.00 $331.00–$530.00 383% above 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint $1,628.00 $2,325.00 $465.00–$744.00 20% below 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Lle Joint W Wo Contrast $3,255.00 $4,650.00 $930.00–$1,488.00 17% above 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Rle Joint W Wo Contrast $3,255.00 $4,650.00 $930.00–$1,488.00 17% above 30%
MRI of the abdomen without contrast CPT 74181 Mri Abd Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 27% below 30%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abd W Wo Contrast $3,255.00 $4,650.00 $930.00–$1,488.00 at median 30%
MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 26% below 30%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan $2,538.00 $3,625.00 $725.00–$1,160.00 16% below 30%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal $1,628.00 $2,325.00 $465.00–$744.00 29% below 30%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri L Spine W Wo Contrast $3,255.00 $4,650.00 $930.00–$1,488.00 2% above 30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T Spine Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 24% below 30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri C Spine W Wo Contrast $3,255.00 $4,650.00 $930.00–$1,488.00 at median 30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C Spine Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 30% below 30%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W Wo Contra $3,255.00 $4,650.00 $930.00–$1,488.00 4% below 30%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 34% below 30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Lue Joint Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 9% below 30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Rue Joint Wo Contrast $1,628.00 $2,325.00 $465.00–$744.00 9% below 30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Sono Bladder $114.00 $163.00 $33.00–$52.00 77% below 30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Sono Pelvic $407.00 $581.00 $116.00–$186.00 53% below 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus $706.00 $1,008.00 $202.00–$323.00 8% above 30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Sono Preg Comp Less Than 14 Wks $706.00 $1,008.00 $202.00–$323.00 15% above 30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Sono Pregnancy Limited $410.00 $585.00 $117.00–$187.00 11% below 30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Rt 3 View $158.00 $225.00 $45.00–$72.00 49% below 30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt 3 View $167.00 $239.00 $48.00–$76.00 46% below 30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt 2 View $167.00 $239.00 $48.00–$76.00 46% below 30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Rt 2 View $167.00 $239.00 $48.00–$76.00 46% below 30%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina $367.00 $524.00 $105.00–$168.00 43% below 30%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen $627.00 $895.00 $179.00–$286.00 27% below 30%
Ultrasound of the scrotum and testicles CPT 76870 Sono Testicles $447.00 $638.00 $128.00–$204.00 27% below 30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Sono Head Neck Thyroid $335.00 $479.00 $96.00–$153.00 47% below 30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Sono Soft Tissue Head And Neck $335.00 $479.00 $96.00–$153.00 47% below 30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Dop Venous Upper Ext U $468.00 $669.00 $134.00–$214.00 42% below 30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Sono Dop Venous Unilateral $986.00 $1,408.00 $282.00–$451.00 23% above 30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Stat Sono Dop Venous Unilateral $1,180.00 $1,685.00 $337.00–$539.00 47% above 30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Lt 3 View $174.00 $249.00 $50.00–$80.00 44% below 30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Rt 3 View $174.00 $249.00 $50.00–$80.00 44% below 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Rt 2 Views $174.00 $248.00 $50.00–$79.00 53% below 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Lt 2 View $174.00 $248.00 $50.00–$79.00 53% below 30%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1v X Ray A $146.00 $209.00 $42.00–$67.00 57% below 30%
X-ray of the ankle, 2 views one side CPT 73600 Ankle Lt 2 View $151.00 $216.00 $43.00–$69.00 47% below 30%
X-ray of the ankle, 2 views one side CPT 73600 Ankle Rt 2 Views $151.00 $216.00 $43.00–$69.00 47% below 30%
X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Rt 3 Views $125.00 $179.00 $36.00–$57.00 48% below 30%
X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Lt 3 Views $125.00 $179.00 $36.00–$57.00 48% below 30%
X-ray of the foot, 2 views one side CPT 73620 Foot Rt 2 Views $129.00 $184.00 $37.00–$59.00 55% below 30%
X-ray of the foot, 2 views one side CPT 73620 Foot Lt 2 View $129.00 $184.00 $37.00–$59.00 55% below 30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Lt 3 Views $163.00 $233.00 $47.00–$75.00 55% below 30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Rt 3 Views $163.00 $233.00 $47.00–$75.00 55% below 30%
X-ray of the hand, 3 or more views one side CPT 73130 Hand Lt 3 Views $166.00 $237.00 $47.00–$76.00 49% below 30%
X-ray of the hand, 3 or more views one side CPT 73130 Hand Rt 3 Views $166.00 $237.00 $47.00–$76.00 49% below 30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Lt 2 View $141.00 $202.00 $40.00–$65.00 49% below 30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Rt 1 Or 2 Views $141.00 $202.00 $40.00–$65.00 49% below 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 2 View $196.00 $280.00 $56.00–$90.00 58% below 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 3 View $232.00 $331.00 $66.00–$106.00 50% below 30%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back $300.00 $429.00 $86.00–$137.00 52% below 30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Dorsal 2 View $174.00 $249.00 $50.00–$80.00 57% below 30%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones $148.00 $212.00 $42.00–$68.00 49% below 30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 3 Views Or Less $241.00 $345.00 $69.00–$110.00 36% below 30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical $271.00 $387.00 $77.00–$124.00 28% below 30%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 View $138.00 $197.00 $39.00–$63.00 63% below 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Coccyx 2 Views $127.00 $182.00 $36.00–$58.00 61% below 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum $180.00 $257.00 $51.00–$82.00 45% below 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum/coccyx 2v $307.00 $439.00 $88.00–$140.00 6% below 30%

Lab tests

ProcedureCash price List priceInsurers payvs TexasOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt-alt (Labc) $67.00 $95.00 $19.00–$30.00 14% above 29%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt-alt $67.00 $95.00 $19.00–$30.00 14% above 29%
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot-ast $64.00 $91.00 $18.00–$29.00 13% above 30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (Labc) $308.00 $440.00 $88.00–$141.00 21% below 30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel $308.00 $440.00 $88.00–$141.00 21% below 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Weed $67.00 $96.00 $19.00–$31.00 144% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel, Animal $67.00 $96.00 $19.00–$31.00 144% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Environmental (Labc) $109.00 $156.00 $31.00–$50.00 297% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Soybean $132.00 $189.00 $38.00–$60.00 381% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg Whites $132.00 $189.00 $38.00–$60.00 381% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Wheat $132.00 $189.00 $38.00–$60.00 381% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Seafood $162.00 $232.00 $46.00–$74.00 490% above 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Food & Tree Nut Allergy Panel W/ Reflex $164.00 $234.00 $47.00–$75.00 497% above 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti Ccp (Labc) $52.00 $74.00 $15.00–$24.00 5% below 30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana,multiplex Panel 1 $145.00 $207.00 $41.00–$66.00 59% above 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt Pro Bnp (Labc) $165.00 $235.00 $47.00–$75.00 11% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (Daily) $165.00 $235.00 $47.00–$75.00 11% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (M-w-f) $165.00 $235.00 $47.00–$75.00 11% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt Pro Bnp $165.00 $235.00 $47.00–$75.00 11% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 S/o Nt Probnp $248.00 $354.00 $71.00–$113.00 33% above 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Cmp 14 (Labc) $248.00 $354.00 $71.00–$113.00 33% above 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 S/o Bnp $248.00 $354.00 $71.00–$113.00 33% above 30%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel $98.00 $140.00 $28.00–$45.00 61% below 30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Path Biopsy Tc $174.00 $249.00 $50.00–$80.00 41% below 30%
Blood culture for bacteria CPT 87040 Culture Blood No.2 $82.00 $117.00 $23.00–$37.00 66% below 30%
Blood culture for bacteria CPT 87040 Culture Blood $82.00 $117.00 $23.00–$37.00 66% below 30%
Blood culture for bacteria CPT 87040 Culture Blood (Labc) $82.00 $117.00 $23.00–$37.00 66% below 30%
Blood glucose (sugar) test CPT 82947 Glucose $49.00 $70.00 $14.00–$22.00 7% above 30%
Blood lead test CPT 83655 Lead, Adult (Labc) $91.00 $130.00 $26.00–$42.00 72% above 30%
Blood lead test CPT 83655 Lead $91.00 $130.00 $26.00–$42.00 72% above 30%
Blood lead test CPT 83655 Lead, Pediatric (Labc) $91.00 $130.00 $26.00–$42.00 72% above 30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 So Preg Serum, Qualitative $50.00 $72.00 $14.00–$23.00 64% below 31%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg Test Serum $53.00 $76.00 $15.00–$24.00 61% below 30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Typing $362.00 $517.00 $103.00–$165.00 310% above 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 So Crp Inflammatory $65.00 $93.00 $19.00–$30.00 12% above 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp Dup Charge $65.00 $93.00 $19.00–$30.00 12% above 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp Inflammatory $65.00 $93.00 $19.00–$30.00 12% above 30%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff Toxin B Pcr $210.00 $300.00 $60.00–$96.00 19% above 30%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff Toxin B Pcr (Labc) $210.00 $300.00 $60.00–$96.00 19% above 30%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 (Labc) $98.00 $140.00 $28.00–$45.00 28% below 30%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 $98.00 $140.00 $28.00–$45.00 28% below 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 $167.00 $238.00 $48.00–$76.00 4% above 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 (Labc) $167.00 $238.00 $48.00–$76.00 4% above 30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Cov-2 Rna Pcr $237.00 $338.00 $68.00–$108.00 166% above 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Rna Urogenital (Labc) $95.00 $135.00 $27.00–$43.00 25% below 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Rna Urogenital $95.00 $135.00 $27.00–$43.00 25% below 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids $66.00 $94.00 $19.00–$30.00 67% below 30%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated $69.00 $99.00 $20.00–$32.00 26% below 30%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated $49.00 $70.00 $14.00–$22.00 50% below 30%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $248.00 $354.00 $71.00–$113.00 27% below 30%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer (Labc) $169.00 $242.00 $48.00–$77.00 3% below 30%
D-dimer blood test (blood clot marker) CPT 85379 So D-dimer $169.00 $242.00 $48.00–$77.00 3% below 30%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer $169.00 $242.00 $48.00–$77.00 3% below 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s (Labc) $118.00 $169.00 $34.00–$54.00 23% below 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s $118.00 $169.00 $34.00–$54.00 23% below 30%
Estradiol blood test CPT 82670 Estradiol Level (Labc) $99.00 $142.00 $28.00–$45.00 32% below 30%
Estradiol blood test CPT 82670 Estradiol Level $99.00 $142.00 $28.00–$45.00 32% below 30%
Estradiol blood test CPT 82670 Estradiol Ultrasensitive $156.00 $223.00 $45.00–$71.00 7% above 30%
Estradiol blood test CPT 82670 Estradiol Ultrasensitive (Labc) $156.00 $223.00 $45.00–$71.00 7% above 30%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Hormone (Labc) $141.00 $202.00 $40.00–$65.00 12% below 30%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Hormone $141.00 $202.00 $40.00–$65.00 12% below 30%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool (Labc) $292.00 $417.00 $83.00–$133.00 37% above 30%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool $292.00 $417.00 $83.00–$133.00 37% above 30%
Ferritin blood test (iron stores) CPT 82728 Ferritin $94.00 $134.00 $27.00–$43.00 9% below 30%
Ferritin blood test (iron stores) CPT 82728 S/o Ferritin $94.00 $134.00 $27.00–$43.00 9% below 30%
Folate (folic acid) blood test CPT 82746 S/o Folic Acid Serum $127.00 $181.00 $36.00–$58.00 37% above 30%
Folate (folic acid) blood test CPT 82746 Folic Acid Serum $127.00 $181.00 $36.00–$58.00 37% above 30%
Free T3 thyroid hormone test CPT 84481 Free T-3 (Labc) $75.00 $107.00 $21.00–$34.00 46% below 30%
Free T3 thyroid hormone test CPT 84481 So Free T-3 $75.00 $107.00 $21.00–$34.00 46% below 30%
Free T3 thyroid hormone test CPT 84481 Free T3 $75.00 $107.00 $21.00–$34.00 46% below 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Er Free T4 $59.00 $85.00 $17.00–$27.00 34% below 31%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 $59.00 $85.00 $17.00–$27.00 34% below 31%
Free testosterone test CPT 84402 Testosterone, Free/total/shbg(labc) $106.00 $152.00 $30.00–$49.00 4% below 30%
Free testosterone test CPT 84402 Testosterone, Free $106.00 $152.00 $30.00–$49.00 4% below 30%
Free testosterone test CPT 84402 Testosterone, Free (Labc) $106.00 $152.00 $30.00–$49.00 4% below 30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Charge Only Ghp $335.00 $478.00 $96.00–$153.00 25% below 30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel $335.00 $478.00 $96.00–$153.00 25% below 30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2hr Post Prandial $53.00 $75.00 $15.00–$24.00 43% below 29%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Screen, 50g $53.00 $75.00 $15.00–$24.00 43% below 29%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, Gestational 50gms $56.00 $80.00 $16.00–$26.00 40% below 30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Specimens $144.00 $206.00 $41.00–$66.00 5% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae (Labc) $85.00 $121.00 $24.00–$39.00 40% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae $85.00 $121.00 $24.00–$39.00 40% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae Rna Throat $116.00 $166.00 $33.00–$53.00 18% below 30%
H. pylori stool antigen test CPT 87338 Helicobacter Ag Stool (Labc) $211.00 $302.00 $60.00–$97.00 122% above 30%
H. pylori stool antigen test CPT 87338 Helicobacter Ag Stool $211.00 $302.00 $60.00–$97.00 122% above 30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Quantitative Rna $216.00 $309.00 $62.00–$99.00 33% below 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2, Ag/ab 4ht Gen $144.00 $205.00 $41.00–$66.00 2% above 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2, Ag/ab 4ht Gen (Labc) $144.00 $205.00 $41.00–$66.00 2% above 30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv $165.00 $236.00 $47.00–$76.00 133% above 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Retire Hemoglobin A1c $95.00 $136.00 $27.00–$44.00 3% above 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c $95.00 $136.00 $27.00–$44.00 3% above 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Labc) $115.00 $164.00 $33.00–$52.00 25% above 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 So Hgba1c (Labc) $115.00 $164.00 $33.00–$52.00 25% above 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgba1c W/reflex To Glycomark $162.00 $231.00 $46.00–$74.00 76% above 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen $83.00 $119.00 $24.00–$38.00 6% above 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen (Labc) $83.00 $119.00 $24.00–$38.00 6% above 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Viral Rna,pcr Reflex To Lipa $179.00 $255.00 $51.00–$82.00 39% below 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C/rna Pcr $189.00 $270.00 $54.00–$86.00 36% below 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Charge Only Hepatitis C/rna Pcr $189.00 $270.00 $54.00–$86.00 36% below 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C/rna Pcr (Labc) $189.00 $270.00 $54.00–$86.00 36% below 30%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab $55.00 $78.00 $16.00–$25.00 30% below 29%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp Cardiac $57.00 $82.00 $16.00–$26.00 28% below 30%
High-sensitivity CRP (hs-CRP) test CPT 86141 Crp Cardiac (Labc) $57.00 $82.00 $16.00–$26.00 28% below 30%
Homocysteine blood test CPT 83090 Homocysteine Level $80.00 $114.00 $23.00–$36.00 47% below 30%
Homocysteine blood test CPT 83090 Homocysteine Level (Labc) $80.00 $114.00 $23.00–$36.00 47% below 30%
Insulin blood test CPT 83525 Insulin Level $50.00 $72.00 $14.00–$23.00 40% below 31%
Insulin blood test CPT 83525 Insulin Level (Labc) $50.00 $72.00 $14.00–$23.00 40% below 31%
Kidney function blood test panel CPT 80069 Kidney function panel test $150.00 $214.00 $43.00–$68.00 21% below 30%
LH (luteinizing hormone) test CPT 83002 Lutenizing Hormone (Labc) $82.00 $117.00 $23.00–$37.00 46% below 30%
LH (luteinizing hormone) test CPT 83002 Lutenizing Hormone $82.00 $117.00 $23.00–$37.00 46% below 30%
Lipase blood test (pancreas enzyme) CPT 83690 So Lipase $76.00 $108.00 $22.00–$35.00 23% below 30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Daily) $76.00 $108.00 $22.00–$35.00 23% below 30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $76.00 $108.00 $22.00–$35.00 23% below 30%
Liver function blood test panel CPT 80076 Liver function blood test $86.00 $123.00 $25.00–$39.00 66% below 30%
Lyme disease antibody test CPT 86618 Lyme Disease Screen $57.00 $82.00 $16.00–$26.00 31% below 30%
Lyme disease antibody test CPT 86618 Lyme Disease Screen (Labc) $57.00 $82.00 $16.00–$26.00 31% below 30%
Magnesium blood test CPT 83735 Magnesium Serum $91.00 $130.00 $26.00–$42.00 86% above 30%
Magnesium blood test CPT 83735 Magnesium Serum S/o $91.00 $130.00 $26.00–$42.00 86% above 30%
Measles (rubeola) antibody test CPT 86765 Rubeola Ab Igm $83.00 $119.00 $24.00–$38.00 131% above 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test $77.00 $110.00 $22.00–$35.00 32% below 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test $78.00 $111.00 $22.00–$36.00 13% below 30%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Smear W Hpv $85.00 $122.00 $24.00–$39.00 16% above 30%
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact (Plasma)(labc) $221.00 $315.00 $63.00–$101.00 1% above 30%
Parathyroid hormone (PTH) blood test CPT 83970 Calcium Pth Intact (Labc) $221.00 $315.00 $63.00–$101.00 1% above 30%
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact (Plasma) $221.00 $315.00 $63.00–$101.00 1% above 30%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone W/calcium $221.00 $315.00 $63.00–$101.00 1% above 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test $58.00 $83.00 $17.00–$27.00 7% above 30%
Progesterone blood test CPT 84144 Progesterone Assay (Labc) $92.00 $132.00 $26.00–$42.00 19% below 30%
Progesterone blood test CPT 84144 Progesterone Assay $92.00 $132.00 $26.00–$42.00 19% below 30%
Progesterone blood test CPT 84144 Total & Free Progesterone (Labc) $577.00 $824.00 $165.00–$264.00 411% above 30%
Prolactin blood test CPT 84146 Prolactin $141.00 $202.00 $40.00–$65.00 22% above 30%
Prolactin blood test CPT 84146 Prolactin Macroadenoma $141.00 $202.00 $40.00–$65.00 22% above 30%
Prolactin blood test CPT 84146 Prolactin (Labc) $141.00 $202.00 $40.00–$65.00 22% above 30%
Prolactin blood test CPT 84146 Prolactin Macroadenoma (Labc) $141.00 $202.00 $40.00–$65.00 22% above 30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen W/reflex To Confirm $63.00 $90.00 $18.00–$29.00 50% below 30%
Rapid flu test (influenza antigen) CPT 87804 Flu Type B $57.00 $81.00 $16.00–$26.00 40% below 30%
Rapid flu test (influenza antigen) CPT 87804 Flu Type A $57.00 $81.00 $16.00–$26.00 40% below 30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Screen $51.00 $73.00 $15.00–$23.00 50% below 30%
Rheumatoid factor (RF) test CPT 86431 Leptospira Agglutinat (Labc) $114.00 $163.00 $33.00–$52.00 104% above 30%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody $117.00 $167.00 $33.00–$53.00 140% above 30%
Stool ova and parasites exam CPT 87177 Charge Only Ova/parasite Direct $62.00 $89.00 $18.00–$28.00 30% below 30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hemoccult Stool $53.00 $75.00 $15.00–$24.00 27% below 29%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold $207.00 $296.00 $59.00–$95.00 3% below 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold (Labc) $207.00 $296.00 $59.00–$95.00 3% below 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Do Not Use Quantifem Gold $234.00 $335.00 $67.00–$107.00 10% above 30%
Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone $78.00 $111.00 $22.00–$36.00 21% below 30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total Female &Pedia(labc) $86.00 $123.00 $25.00–$39.00 13% below 30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (Labc) $86.00 $123.00 $25.00–$39.00 13% below 30%
Testosterone blood test, total (not free testosterone) CPT 84403 S/o Testosterone, Total $86.00 $123.00 $25.00–$39.00 13% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Antibody $55.00 $79.00 $16.00–$25.00 39% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo $64.00 $92.00 $18.00–$29.00 29% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo (Labc) $64.00 $92.00 $18.00–$29.00 29% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab Igg $65.00 $93.00 $19.00–$30.00 28% below 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $71.00 $102.00 $20.00–$33.00 43% below 30%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis (Labc) $221.00 $315.00 $63.00–$101.00 153% above 30%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Male $221.00 $315.00 $63.00–$101.00 153% above 30%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis $221.00 $315.00 $63.00–$101.00 153% above 30%
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine Special $77.00 $110.00 $22.00–$35.00 46% below 30%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Quest $77.00 $110.00 $22.00–$35.00 46% below 30%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Special Quest $77.00 $110.00 $22.00–$35.00 46% below 30%
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine $77.00 $110.00 $22.00–$35.00 46% below 30%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 Level $53.00 $75.00 $15.00–$24.00 42% below 29%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (Labc) $53.00 $75.00 $15.00–$24.00 42% below 29%
Vitamin B12 (cobalamin) blood test CPT 82607 S/o B12 Level $53.00 $75.00 $15.00–$24.00 42% below 29%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitd D2,d3 (Labc) $63.00 $90.00 $18.00–$29.00 49% below 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D $90.00 $129.00 $26.00–$41.00 27% below 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D 25 Hydroxy (Labc) $90.00 $129.00 $26.00–$41.00 27% below 30%
Zinc blood test CPT 84630 Zinc Level Serum (Labc) $76.00 $108.00 $22.00–$35.00 10% above 30%
Zinc blood test CPT 84630 Zinc Level Serum $76.00 $108.00 $22.00–$35.00 10% above 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorioni $67.00 $95.00 $19.00–$30.00 39% below 29%

Surgery and procedures

ProcedureCash price List priceInsurers payvs TexasOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Treat Distal Fi $342.00 $488.00 $98.00–$156.00 27% below 30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Trmt Of Metacar $407.00 $581.00 $116.00–$186.00 45% above 30%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction Hallux Val $4,265.00 $6,093.00 $1,219.00–$1,950.00 2% above 30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric $567.00 $810.00 $162.00–$259.00 61% below 30%
Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery $2,467.00 $3,524.00 $705.00–$1,128.00 32% below 30%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens $4,514.00 $6,448.00 $1,290.00–$2,063.00 8% above 30%
Cervical biopsy CPT 57500 Bx Cervix $1,578.00 $2,254.00 $451.00–$721.00 31% above 30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision $4,562.00 $6,517.00 $1,303.00–$2,085.00 40% above 30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed/trmnt Of Distal $519.00 $741.00 $148.00–$237.00 1% above 30%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope $4,552.00 $6,503.00 $1,301.00–$2,081.00 281% above 30%
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope $3,896.00 $5,566.00 $1,113.00–$1,781.00 210% above 30%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope $2,783.00 $3,975.00 $795.00–$1,272.00 81% above 30%
Complex cataract surgery with lens implant CPT 66982 Cataract Surgery Complex $5,349.00 $7,642.00 $1,528.00–$2,445.00 21% above 30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy $2,013.00 $2,876.00 $575.00–$920.00 75% above 30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation/curettage Ute $2,713.00 $3,875.00 $775.00–$1,240.00 35% below 30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destroy Benign/primal $103.00 $147.00 $29.00–$47.00 48% below 30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Unilater $129.00 $184.00 $37.00–$59.00 5% above 30%
Earwax removal with instruments, one ear CPT 69210 Cerumen Disimpaction $99.00 $142.00 $28.00–$45.00 38% below 30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Epidural Inj Cervical Thoracic $639.00 $913.00 $183.00–$292.00 56% below 30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Md Epidural Inj Cervical Thoracic $639.00 $913.00 $183.00–$292.00 56% below 30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Md Facet Proc Lumbar Single $281.00 $401.00 $80.00–$128.00 83% below 30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Facet Proc Lumbar Single $429.00 $613.00 $123.00–$196.00 75% below 30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy $312.00 $445.00 $89.00–$142.00 66% below 30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Flexible Sigmoidoscopy $2,783.00 $3,975.00 $795.00–$1,272.00 203% above 30%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope $8,168.00 $11,669.00 $2,334.00–$3,734.00 at median 30%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap Chole W/cholangiog $7,272.00 $10,388.00 $2,078.00–$3,324.00 12% below 30%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap Chole W/io Cholang $8,672.00 $12,389.00 $2,478.00–$3,964.00 5% above 30%
Hammertoe correction surgery CPT 28285 Repair Of Hammer Toe $4,562.00 $6,517.00 $1,303.00–$2,085.00 30% above 30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W/biopsy $3,730.00 $5,328.00 $1,066.00–$1,705.00 22% below 30%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Simple $500.00 $714.00 $143.00–$228.00 7% above 30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older $7,097.00 $10,139.00 $2,028.00–$3,244.00 14% above 30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath Ligament $141.00 $202.00 $40.00–$65.00 68% below 30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Md Inj Tendon Sheath Ligament $141.00 $202.00 $40.00–$65.00 68% below 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Md Drainage/injection Joint $162.00 $232.00 $46.00–$74.00 73% below 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drainage/injection Joint $284.00 $405.00 $81.00–$130.00 52% below 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain Inj Joint Bursa W/o Us $130.00 $186.00 $37.00–$60.00 78% below 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Md Drain Inj Joint Bursa W/o Us $130.00 $186.00 $37.00–$60.00 78% below 30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Md Inj Finger-toe $466.00 $666.00 $133.00–$213.00 31% above 30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Inj Finger-toe $538.00 $769.00 $154.00–$246.00 52% above 30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laporoscopic Appendect $5,948.00 $8,497.00 $1,699.00–$2,719.00 16% below 30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Repr Ing Hernia/bil/i/ $7,097.00 $10,139.00 $2,028.00–$3,244.00 43% below 30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser $1,037.00 $1,481.00 $296.00–$474.00 22% below 30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layered Closure Of Wou $498.00 $711.00 $142.00–$228.00 6% below 30%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance $629.00 $899.00 $180.00–$288.00 62% below 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance $548.00 $783.00 $157.00–$251.00 60% below 30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal Of Skin Lesion $606.00 $865.00 $173.00–$277.00 25% below 30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal Skin Lesion $801.00 $1,144.00 $229.00–$366.00 1% below 30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Lesion Face $707.00 $1,010.00 $202.00–$323.00 10% below 30%
Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate $197.00 $282.00 $56.00–$90.00 32% below 30%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate $203.00 $290.00 $58.00–$93.00 30% below 30%
Occipital nerve block (injection for headaches) CPT 64405 Md Inj Anes Occipital Nerve $213.00 $304.00 $61.00–$97.00 50% below 30%
Occipital nerve block (injection for headaches) CPT 64405 Inj Anes Occipital Nerve $659.00 $941.00 $188.00–$301.00 54% above 30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed $772.00 $1,103.00 $221.00–$353.00 47% above 30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumbar/sac Facet Jnt $1,574.00 $2,249.00 $450.00–$720.00 44% below 30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Md Destroy Lumbar/sac Facet Jnt $1,574.00 $2,249.00 $450.00–$720.00 44% below 30%
Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure $2,407.00 $3,439.00 $688.00–$1,100.00 51% below 30%
Removal of a foreign object under the skin, simple CPT 10120 Incision/rmvl Foreign $384.00 $549.00 $110.00–$176.00 28% below 30%
Removal of a foreign object under the skin, simple CPT 10120 Rmvl Fb Subcutns Tissues Smple Incision $422.00 $603.00 $121.00–$193.00 21% below 30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Md Colonoscopy Screen Not High Risk $665.00 $950.00 $190.00–$304.00 2% below 30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Screen Not High Risk $1,995.00 $2,850.00 $570.00–$912.00 193% above 30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Cncr Scrn $2,783.00 $3,975.00 $795.00–$1,272.00 178% above 30%
Short arm cast (elbow to hand) CPT 29075 Application Of Forearm $300.00 $428.00 $86.00–$137.00 9% above 30%
Short arm splint (forearm and hand) CPT 29125 Application Short Arm $336.00 $480.00 $96.00–$154.00 39% above 30%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast $336.00 $480.00 $96.00–$154.00 at median 30%
Short leg splint (calf to foot) CPT 29515 Ot Splint Short Leg $144.00 $206.00 $41.00–$66.00 46% below 30%
Short leg splint (calf to foot) CPT 29515 Application Short Leg $211.00 $301.00 $60.00–$96.00 21% below 30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Smple Rpar Sclp/nck/trnk/ext 2.5 Cm Or < $309.00 $442.00 $88.00–$141.00 15% below 30%
Skin biopsy, punch, one lesion CPT 11104 Removal Of Skin Lesion $865.00 $1,235.00 $247.00–$395.00 93% above 30%
Skin biopsy, punch, one lesion CPT 11104 Md Removal Of Skin Lesion $865.00 $1,235.00 $247.00–$395.00 93% above 30%
Skin tag removal, up to 15 tags CPT 11200 Removal Skin Lesion $305.00 $435.00 $87.00–$139.00 4% below 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Wnd Trunk/arm/leg 2.5 Cm Or Less $156.00 $223.00 $45.00–$71.00 66% below 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.5-7.5 $286.00 $409.00 $82.00–$131.00 37% below 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Scalp/ext Simple 2.6-7.5 Cm $313.00 $447.00 $89.00–$143.00 31% below 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.6-7.5 $331.00 $473.00 $95.00–$151.00 28% below 30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Superfic $320.00 $457.00 $91.00–$146.00 18% below 30%
TURP (transurethral resection of the prostate) CPT 52601 Cystoscopy Resection P $6,609.00 $9,441.00 $1,888.00–$3,021.00 6% below 30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Lesion Single $430.00 $614.00 $123.00–$196.00 19% above 30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Md Tangntl Bx Skin Lesion Single $430.00 $614.00 $123.00–$196.00 19% above 30%
Tonsil and adenoid removal, age 12 or older CPT 42821 T & A Under 12 Years O $4,562.00 $6,517.00 $1,303.00–$2,085.00 21% above 30%
Tonsil and adenoid removal, age 12 or older CPT 42821 T & A Over 12 Years Ol $4,562.00 $6,517.00 $1,303.00–$2,085.00 21% above 30%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 $3,290.00 $4,700.00 $940.00–$1,504.00 31% below 30%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision $2,006.00 $2,866.00 $573.00–$917.00 41% below 30%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscle $129.00 $184.00 $37.00–$59.00 78% below 30%
Trigger point injections, 1 or 2 muscles CPT 20552 Md Tp Inj 1-2 Muscles $194.00 $277.00 $55.00–$89.00 66% below 30%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopic Tubal Lig $5,802.00 $8,289.00 $1,658.00–$2,652.00 17% above 30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Md Esophageal Dilatation $2,718.00 $3,883.00 $777.00–$1,243.00 85% above 30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophageal Dilatation $2,925.00 $4,179.00 $836.00–$1,337.00 99% above 30%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope $1,946.00 $2,780.00 $556.00–$890.00 47% above 30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Endoscopic Exc/destruc $1,339.00 $1,913.00 $383.00–$612.00 18% above 30%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope $2,783.00 $3,975.00 $795.00–$1,272.00 91% above 30%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Vasectomy $2,874.00 $4,105.00 $821.00–$1,314.00 37% below 30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Of Skin Su $403.00 $575.00 $115.00–$184.00 60% below 30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Md Debridement Skin/tissu $478.00 $683.00 $137.00–$219.00 53% below 30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin/tissu $581.00 $830.00 $166.00–$266.00 43% below 30%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs TexasOff list
Blood transfusion (giving blood or blood components) CPT 36430 Bld Trans/bld Compon/2 $96.00 $137.00 $27.00–$44.00 89% below 30%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Administration $1,059.00 $1,513.00 $303.00–$484.00 20% above 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Small Vol Nebulizer/ea $63.00 $90.00 $18.00–$29.00 69% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Or Vapor Inhal $66.00 $94.00 $19.00–$30.00 68% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb-ea Tx $76.00 $108.00 $22.00–$35.00 63% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb-initial Tx $99.00 $141.00 $28.00–$45.00 51% below 30%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care First Hour $1,772.00 $2,532.00 $506.00–$810.00 32% below 30%
Critical care, first 30 to 74 minutes CPT 99291 Trauma Team Level I $4,688.00 $6,697.00 $1,339.00–$2,143.00 81% above 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead $138.00 $197.00 $39.00–$63.00 52% below 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room/simple $95.00 $136.00 $27.00–$44.00 64% below 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Roomlevel I $186.00 $266.00 $53.00–$85.00 29% below 30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Level Ii $305.00 $435.00 $87.00–$139.00 35% below 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Roomlevel Iii $511.00 $730.00 $146.00–$234.00 35% below 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Roomlevel Iv $788.00 $1,125.00 $225.00–$360.00 40% below 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Trauma Team Level Iii $976.00 $1,395.00 $279.00–$446.00 25% below 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Roomlevel V $897.00 $1,282.00 $256.00–$410.00 55% below 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Team Level Ii $3,126.00 $4,465.00 $893.00–$1,429.00 56% above 30%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min $609.00 $870.00 $174.00–$278.00 116% above 30%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min $580.00 $829.00 $166.00–$265.00 124% above 30%
Group psychotherapy session CPT 90853 Group psychotherapy $530.00 $757.00 $151.00–$242.00 176% above 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion $202.00 $288.00 $58.00–$92.00 55% below 30%
IV infusion of a medicine, first hour CPT 96365 Infusion Therapy $474.00 $677.00 $135.00–$217.00 1% above 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection/ther Prophilactic Im $159.00 $227.00 $45.00–$73.00 5% above 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Of Antibiotic Im $197.00 $281.00 $56.00–$90.00 30% above 30%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Ree $60.00 $86.00 $17.00–$28.00 47% below 30%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Ree $60.00 $86.00 $17.00–$28.00 47% below 30%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min $194.00 $277.00 $55.00–$89.00 8% below 30%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min $242.00 $346.00 $69.00–$111.00 24% below 30%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min $291.00 $415.00 $83.00–$133.00 13% below 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level Ii $146.00 $208.00 $42.00–$67.00 18% below 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Clinic Ii $146.00 $208.00 $42.00–$67.00 18% below 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level Ii $146.00 $208.00 $42.00–$67.00 18% below 30%
Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Level 1 010117 $153.00 $218.00 $44.00–$70.00 37% below 30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation Level 3 010117 $151.00 $215.00 $43.00–$69.00 51% below 30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Level 1 010117 $151.00 $215.00 $43.00–$69.00 28% below 30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Level 2 010117 $151.00 $215.00 $43.00–$69.00 43% below 30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy $62.00 $89.00 $18.00–$28.00 45% below 30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy $62.00 $89.00 $18.00–$28.00 45% below 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise $55.00 $78.00 $16.00–$25.00 52% below 29%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min $440.00 $628.00 $126.00–$201.00 133% above 30%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min $545.00 $778.00 $156.00–$249.00 99% above 30%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min $555.00 $793.00 $159.00–$254.00 102% above 30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min $64.00 $92.00 $18.00–$29.00 49% above 30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pat Level 5 $211.00 $301.00 $60.00–$96.00 32% below 30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pat Level 3 $153.00 $219.00 $44.00–$70.00 25% below 30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pat Level 4 $191.00 $273.00 $55.00–$87.00 13% below 30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pat Level 2 $291.00 $415.00 $83.00–$133.00 77% above 30%
Speech and language evaluation CPT 92523 St Laryngeal Function Study W/ Language $143.00 $204.00 $41.00–$65.00 66% below 30%
Speech therapy session, individual CPT 92507 St Treatment Of Spee $131.00 $187.00 $37.00–$60.00 39% below 30%
Spirometry (breathing test) CPT 94010 Heated/cool Mist-ea T $50.00 $71.00 $14.00–$23.00 86% below 30%
Spirometry (breathing test) CPT 94010 Pulmonary Function Tes $90.00 $128.00 $26.00–$41.00 75% below 30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity $53.00 $76.00 $15.00–$24.00 53% below 30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity $53.00 $76.00 $15.00–$24.00 53% below 30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiac Stress Test/tr $974.00 $1,392.00 $278.00–$445.00 31% below 30%

Vaccines

ProcedureCash price List priceInsurers payvs TexasOff list
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Depo-provera 150mg/ml $58.00 $83.00 $17.00–$27.00 68% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Tetanus Toxoid Im $76.00 $108.00 $22.00–$35.00 2% above 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Immunization $76.00 $108.00 $22.00–$35.00 2% above 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administer Tdap Im 7 Years Or Older $92.00 $132.00 $26.00–$42.00 23% above 30%

Source file: https://secure.claraprice.net/price-transparency/MAF8631799197/machine-readable/756000727_clay-county-memorial-hospital_standardcharges.json