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
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off 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
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off 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% |