Glen Rose Medical Center
Listed in its price file as “Somervell County Hospital District dba Glen Rose Medical Center”.
Glen Rose Medical Center in Glen Rose, TX publishes cash prices for 316 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 above the Texas median for 213 of 314 procedures and below it for 100. By typical cash price it ranks #172 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 344 of the 344 prices listed here, the cash price in Glen Rose Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle 3+ Views | $450.00 | $450.00 | $180.00–$428.00 | 26% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Scan Total Body | $1,745.00 | $1,745.00 | $686.00–$1,658.00 | 4% below | — |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete | $550.00 | $550.00 | $220.00–$523.00 | 24% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limit | $550.00 | $550.00 | $220.00–$523.00 | 59% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest | $932.00 | $932.00 | $207.00–$885.00 | 67% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Coronary Calcium Scoring | $301.00 | $301.00 | $138.00–$286.00 | 58% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen & Pelvis Wo | $1,192.00 | $1,192.00 | $207.00–$1,132.00 | 64% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,953.00 | $1,953.00 | $207.00–$1,855.00 | 50% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen & Pelvis W/wo | $1,953.00 | $1,953.00 | $207.00–$1,855.00 | 53% below | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ | $932.00 | $932.00 | $207.00–$885.00 | 64% below | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o | $573.00 | $573.00 | $207.00–$544.00 | 73% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillo/sinus W/o Cont | $573.00 | $573.00 | $207.00–$544.00 | 66% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $573.00 | $573.00 | $207.00–$544.00 | 70% below | — |
| CT scan of the head with contrast CPT 70460 Ct Head W/contrast | $932.00 | $932.00 | $207.00–$885.00 | 47% below | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head W/wo Contrast | $932.00 | $932.00 | $207.00–$885.00 | 60% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-spine W/o Contrast | $573.00 | $573.00 | $207.00–$544.00 | 72% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-spine W/o | $573.00 | $573.00 | $207.00–$544.00 | 73% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $932.00 | $932.00 | $207.00–$885.00 | 58% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid Doppler | $1,444.00 | $1,444.00 | $578.00–$1,372.00 | 2% above | — |
| Chest X-ray, 2 views CPT 71046 Chest 2v | $450.00 | $450.00 | $180.00–$428.00 | 14% above | — |
| Chest X-ray, single view CPT 71045 Chest 1 View | $450.00 | $450.00 | $180.00–$428.00 | 38% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $1,067.00 | $1,067.00 | $427.00–$1,014.00 | 44% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Dxa Absorpt Hip/spine | $173.00 | $173.00 | $69.00–$164.00 | 58% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa App Skel Rad,wrist,heel | $132.00 | $132.00 | $53.00–$125.00 | 40% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $573.00 | $573.00 | $207.00–$544.00 | 69% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/contrast | $932.00 | $932.00 | $207.00–$885.00 | 58% below | — |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $407.00 | $407.00 | $163.00–$387.00 | 11% above | — |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $407.00 | $407.00 | $163.00–$387.00 | 50% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Us Arterial Lower Ext Bil | $1,075.00 | $1,075.00 | $430.00–$1,021.00 | 49% below | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Doppler Bilat | $1,577.00 | $1,577.00 | $631.00–$1,498.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo 2d W/colorflow | $2,002.00 | $2,002.00 | $801.00–$1,902.00 | 23% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hida Scan W/o Med | $2,303.00 | $2,303.00 | $686.00–$2,188.00 | 38% above | — |
| Knee X-ray, 3 views CPT 73562 Knee 3 Views | $450.00 | $450.00 | $180.00–$428.00 | 36% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal | $362.00 | $362.00 | $145.00–$344.00 | 42% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdo Bld,glbld,liv,pan,spln | $784.00 | $784.00 | $314.00–$745.00 | 25% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Lung Cancer Screening | $332.00 | $332.00 | $153.00–$315.00 | 38% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 42% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Lwr Ext Jt W/wo Con | $1,953.00 | $1,953.00 | $405.00–$1,855.00 | 29% below | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Con | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 46% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/wo Con | $1,953.00 | $1,953.00 | $405.00–$1,855.00 | 40% below | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 46% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $1,953.00 | $1,953.00 | $405.00–$1,855.00 | 35% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 48% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri L-spine W/wo Contrast | $1,953.00 | $1,953.00 | $405.00–$1,855.00 | 39% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T-spine W/o Contrast | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 44% below | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri C-spine W/wo Contrast | $1,953.00 | $1,953.00 | $405.00–$1,855.00 | 40% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C-spine W/o Contrast | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 49% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/wo Contrast | $1,953.00 | $1,953.00 | $405.00–$1,855.00 | 42% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 51% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Upper Ext Jt W/o | $1,192.00 | $1,192.00 | $405.00–$1,132.00 | 33% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myoc Stdy Rest/stress Multi | $5,948.00 | $5,948.00 | $686.00–$5,651.00 | 37% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited | $550.00 | $550.00 | $220.00–$523.00 | 12% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $1,238.00 | $1,238.00 | $495.00–$1,176.00 | 44% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $863.00 | $863.00 | $345.00–$820.00 | 32% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob 1st Tri 1st Gest | $565.00 | $565.00 | $226.00–$537.00 | 12% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $644.00 | $644.00 | $258.00–$612.00 | 35% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $450.00 | $450.00 | $180.00–$428.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder 2+ Views | $450.00 | $450.00 | $180.00–$428.00 | 47% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified Barium Swallow | $1,028.00 | $1,028.00 | $411.00–$977.00 | 71% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $847.00 | $847.00 | $339.00–$805.00 | 30% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $847.00 | $847.00 | $339.00–$805.00 | 51% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $1,129.00 | $1,129.00 | $452.00–$1,073.00 | 31% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Testicular | $817.00 | $817.00 | $327.00–$776.00 | 19% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tiss Head/neck/thyroid | $863.00 | $863.00 | $345.00–$820.00 | 37% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Venous Doppler Uni | $805.00 | $805.00 | $322.00–$765.00 | at median | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist 3+ Views | $450.00 | $450.00 | $180.00–$428.00 | 45% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Magnesium Rbc (So) | $110.00 | $110.00 | $44.00–$105.00 | 70% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip W/pelvis 2-3 Views | $450.00 | $450.00 | $180.00–$428.00 | 22% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View | $450.00 | $450.00 | $180.00–$428.00 | 33% above | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views | $450.00 | $450.00 | $180.00–$428.00 | 59% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Finger(s) | $450.00 | $450.00 | $180.00–$428.00 | 87% above | — |
| X-ray of the foot, 2 views CPT 73620 Foot 2 Views | $450.00 | $450.00 | $180.00–$428.00 | 35% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3+ Views | $450.00 | $450.00 | $180.00–$428.00 | 21% above | — |
| X-ray of the hand, 3 or more views CPT 73130 Hand 3+ Views | $450.00 | $450.00 | $180.00–$428.00 | 27% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Knee 2 Views | $450.00 | $450.00 | $180.00–$428.00 | 62% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 2-3 Views | $632.00 | $632.00 | $253.00–$600.00 | 35% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $632.00 | $632.00 | $253.00–$600.00 | 3% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views | $632.00 | $632.00 | $253.00–$600.00 | 56% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones 3+ V | $450.00 | $450.00 | $180.00–$428.00 | 58% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2-3 Views | $450.00 | $450.00 | $180.00–$428.00 | 20% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 Views | $632.00 | $632.00 | $253.00–$600.00 | 70% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx 2+ V | $450.00 | $450.00 | $180.00–$428.00 | 37% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt | $34.00 | $34.00 | $14.00–$32.00 | 42% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast | $34.00 | $34.00 | $14.00–$32.00 | 42% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile Acute | $310.00 | $310.00 | $124.00–$295.00 | 20% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ige Allergen Specific Ea | $34.00 | $34.00 | $14.00–$32.00 | 37% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Cy Citrullinated Pept | $84.00 | $84.00 | $34.00–$80.00 | 59% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana | $79.00 | $79.00 | $32.00–$75.00 | 14% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Natriuretic Peptide | $255.00 | $255.00 | $102.00–$242.00 | 33% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $55.00 | $55.00 | $22.00–$52.00 | 78% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Clinical Path No. 4 | $199.00 | $199.00 | $80.00–$189.00 | 33% below | — |
| Blood culture for bacteria CPT 87040 Culture Blood | $67.00 | $67.00 | $27.00–$64.00 | 72% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine | $14.00 | $14.00 | $6.00–$13.00 | 32% below | — |
| Blood glucose (sugar) test CPT 82947 Glucose Vp Fasting/random | $26.00 | $26.00 | $10.00–$25.00 | 47% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test | $49.00 | $49.00 | $20.00–$47.00 | 73% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo | $19.00 | $19.00 | $8.00–$18.00 | 79% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $34.00 | $34.00 | $14.00–$32.00 | 42% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile | $242.00 | $242.00 | $97.00–$230.00 | 30% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9- | $135.00 | $135.00 | $54.00–$128.00 | 2% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $135.00 | $135.00 | $54.00–$128.00 | 16% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Id Now | $334.00 | $334.00 | $134.00–$317.00 | 277% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Q Gc Chlamydia Dna | $228.00 | $228.00 | $91.00–$217.00 | 84% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $87.00 | $87.00 | $35.00–$83.00 | 57% below | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $51.00 | $51.00 | $20.00–$48.00 | 44% below | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $42.00 | $42.00 | $17.00–$40.00 | 60% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $69.00 | $69.00 | $28.00–$66.00 | 80% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $66.00 | $66.00 | $26.00–$63.00 | 62% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate | $145.00 | $145.00 | $58.00–$138.00 | 6% below | — |
| Estradiol blood test CPT 82670 Estradiol Inhouse | $182.00 | $182.00 | $73.00–$173.00 | 24% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh (Follicle Stim Hrmn) | $121.00 | $121.00 | $48.00–$115.00 | 24% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $89.00 | $89.00 | $36.00–$85.00 | 14% below | — |
| Folate (folic acid) blood test CPT 82746 Folate | $96.00 | $96.00 | $38.00–$91.00 | 10% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $110.00 | $110.00 | $44.00–$105.00 | 21% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $59.00 | $59.00 | $24.00–$56.00 | 32% below | — |
| Free testosterone test CPT 84402 Testosterone Free | $166.00 | $166.00 | $66.00–$158.00 | 50% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $457.00 | $457.00 | $183.00–$434.00 | 2% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose | $31.00 | $31.00 | $12.00–$29.00 | 68% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tol (3 W/glucose) | $84.00 | $84.00 | $34.00–$80.00 | 48% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Amplified Probe | $228.00 | $228.00 | $91.00–$217.00 | 63% above | — |
| H. pylori stool antigen test CPT 87338 H Pylori Antigen In Stool | $93.00 | $93.00 | $37.00–$88.00 | 11% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpcv High Risk Types | $228.00 | $228.00 | $91.00–$217.00 | 221% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $63.00 | $63.00 | $25.00–$60.00 | 32% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab Qual | $70.00 | $70.00 | $28.00–$67.00 | 10% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag | $67.00 | $67.00 | $27.00–$64.00 | 9% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $93.00 | $93.00 | $37.00–$88.00 | 7% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitus C Viral Rna | $94.00 | $94.00 | $38.00–$89.00 | 68% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Antibody | $86.00 | $86.00 | $34.00–$82.00 | 7% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Anitbody | $126.00 | $126.00 | $50.00–$120.00 | 40% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp Cardio Send Out | $84.00 | $84.00 | $34.00–$80.00 | 5% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Cardiovas Sendout | $116.00 | $116.00 | $46.00–$110.00 | 23% below | — |
| Insulin blood test CPT 83525 Insulin Totaleach Send Out | $74.00 | $74.00 | $30.00–$70.00 | 11% below | — |
| Iron blood test (serum iron) CPT 83540 Iron Serum | $42.00 | $42.00 | $17.00–$40.00 | 53% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $57.00 | $57.00 | $23.00–$54.00 | 42% below | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $56.00 | $56.00 | $22.00–$53.00 | 81% below | — |
| LH (luteinizing hormone) test CPT 83002 Lutenizing Hormone Send Out | $120.00 | $120.00 | $48.00–$114.00 | 21% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum | $45.00 | $45.00 | $18.00–$43.00 | 54% below | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $53.00 | $53.00 | $21.00–$50.00 | 82% below | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab | $111.00 | $111.00 | $44.00–$105.00 | 34% above | — |
| Magnesium blood test CPT 83735 Magnesium Serum | $44.00 | $44.00 | $18.00–$42.00 | at median | — |
| Measles (rubeola) antibody test CPT 86765 Measles Ab (Rubeola) | $84.00 | $84.00 | $34.00–$80.00 | 192% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen | $34.00 | $34.00 | $14.00–$32.00 | 63% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $120.00 | $120.00 | $48.00–$114.00 | 6% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $120.00 | $120.00 | $48.00–$114.00 | 36% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap Test For Cancerous Cells | $173.00 | $173.00 | $69.00–$164.00 | 135% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Thin Prep | $114.00 | $114.00 | $46.00–$108.00 | 25% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact | $268.00 | $268.00 | $107.00–$255.00 | 24% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $39.00 | $39.00 | $16.00–$37.00 | 27% below | — |
| Progesterone blood test CPT 84144 Progesterone Sendout | $136.00 | $136.00 | $54.00–$129.00 | 18% above | — |
| Prolactin blood test CPT 84146 Prolactin Sendout | $126.00 | $126.00 | $50.00–$120.00 | 9% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rhematoid Factor Quant | $37.00 | $37.00 | $15.00–$35.00 | 32% below | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Titer | $94.00 | $94.00 | $38.00–$89.00 | 138% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Automated | $18.00 | $18.00 | $7.00–$17.00 | 73% below | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasite Smr Con Id | $58.00 | $58.00 | $23.00–$55.00 | 38% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Bld Fecal For Screening | $28.00 | $28.00 | $11.00–$27.00 | 27% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Ia Monitor | $103.00 | $103.00 | $41.00–$98.00 | 41% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Vdrl | $28.00 | $28.00 | $11.00–$27.00 | 47% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Serum | $168.00 | $168.00 | $67.00–$160.00 | 39% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liv,kid,thy Microsomal Ab | $95.00 | $95.00 | $38.00–$90.00 | 6% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $109.00 | $109.00 | $44.00–$104.00 | 11% below | — |
| Uric acid blood test CPT 84550 Uric Acid | $29.00 | $29.00 | $12.00–$28.00 | 73% below | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $64.00 | $64.00 | $26.00–$61.00 | 45% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $15.00 | $15.00 | $6.00–$14.00 | 70% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine | $52.00 | $52.00 | $21.00–$49.00 | 63% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $98.00 | $98.00 | $39.00–$93.00 | 8% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-25-oh | $192.00 | $192.00 | $77.00–$182.00 | 72% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative | $98.00 | $98.00 | $39.00–$93.00 | 10% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Remv Adenoids Prim <12 Yrs | $13,759.00 | $13,759.00 | $4,467.00–$13,071.00 | 267% above | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appy;rupt Appendix W/absc | $8,892.00 | $8,892.00 | $4,090.00–$8,447.00 | 168% above | — |
| Appendectomy, open surgery CPT 44950 Appendectomy | $11,243.00 | $11,243.00 | $4,467.00–$10,681.00 | 94% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrosc Repair/recon Lig Knee | $24,717.00 | $24,717.00 | $4,467.00–$23,481.00 | 241% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthrosc Sho W/rotat Cuff Rep | $24,717.00 | $24,717.00 | $4,467.00–$23,481.00 | 404% above | — |
| Botox injections for chronic migraine CPT 64615 Chemodenervation Of Muscle Bil | $925.00 | $925.00 | $426.00–$4,467.00 | 66% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dst Fib Fx Lat Mals W/o M | $728.00 | $728.00 | $335.00–$4,467.00 | 56% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metatrsl Fx W/o Man | $825.00 | $825.00 | $380.00–$4,467.00 | 195% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Hallux Valgus W/dist Meta Ost | $10,007.00 | $10,007.00 | $4,467.00–$9,507.00 | 148% above | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 Correction Of Bunion | $10,090.00 | $10,090.00 | $4,467.00–$9,586.00 | 144% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arr Ext | $1,985.00 | $1,985.00 | $794.00–$1,886.00 | 31% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Artial Fibrillation | $2,146.00 | $2,146.00 | $858.00–$2,039.00 | 41% above | — |
| Carpal tunnel release, open surgery CPT 64721 Neuroplasty Med Nerve Car Tun | $6,205.00 | $6,205.00 | $2,854.00–$5,895.00 | 59% above | — |
| Cervical biopsy CPT 57500 Biopsy Of Cervix W/wo Fulg | $2,434.00 | $2,434.00 | $1,120.00–$4,467.00 | 110% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum Surg Exc>28 Days O | $6,698.00 | $6,698.00 | $3,081.00–$6,363.00 | 113% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/regionl Block | $6,632.00 | $6,632.00 | $3,051.00–$6,300.00 | 440% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dist Rad Fx/epi Sep W/o M | $825.00 | $825.00 | $380.00–$4,467.00 | 61% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $3,664.00 | $3,664.00 | $1,685.00–$4,467.00 | 203% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $3,664.00 | $3,664.00 | $1,685.00–$4,467.00 | 206% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $3,539.00 | $3,539.00 | $1,628.00–$4,467.00 | 130% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colp Cx W/vag Loop Elec Bx Cer | $9,271.00 | $9,271.00 | $4,265.00–$8,807.00 | 162% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colpo Cer Bx Cer&endo Curret | $997.00 | $997.00 | $459.00–$4,467.00 | 304% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $2,309.00 | $2,309.00 | $1,062.00–$4,467.00 | 108% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage Non-ob | $9,271.00 | $9,271.00 | $4,265.00–$8,807.00 | 128% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Pre-malig Lesn 1st Les | $635.00 | $635.00 | $292.00–$4,467.00 | 213% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy Gen Anes | $4,780.00 | $4,780.00 | $2,199.00–$4,541.00 | 40% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local Anes | $1,680.00 | $1,680.00 | $773.00–$4,467.00 | 115% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Impactd Cerumen W/irrig | $197.00 | $197.00 | $91.00–$4,467.00 | 59% above | — |
| Earwax removal with instruments, one ear CPT 69210 Rem Impactd Cerumen W/instr | $197.00 | $197.00 | $91.00–$4,467.00 | 26% above | — |
| Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen(sep | $341.00 | $341.00 | $157.00–$4,467.00 | 119% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/wo Endo Bx | $648.00 | $648.00 | $298.00–$4,467.00 | 76% above | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/sinus Endo W Total Ethmo | $20,578.00 | $20,578.00 | $4,467.00–$19,549.00 | 303% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Of Th Sbst Cer/thr W/im Gd | $2,244.00 | $2,244.00 | $1,032.00–$4,467.00 | 56% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Par Fac Jt Lum/sac 1 Lvl | $2,909.00 | $2,909.00 | $1,338.00–$4,467.00 | 72% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10cm Red | $12,255.00 | $12,255.00 | $4,467.00–$11,642.00 | 85% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Her 1st W/prost<3 Cm Rd | $12,255.00 | $12,255.00 | $4,467.00–$11,642.00 | 103% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex Diag | $2,804.00 | $2,804.00 | $1,290.00–$4,467.00 | 255% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $20,187.00 | $20,187.00 | $4,467.00–$19,178.00 | 183% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparoscope To Rem Gallbladder | $20,187.00 | $20,187.00 | $4,467.00–$19,178.00 | 144% above | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $12,367.00 | $12,367.00 | $4,467.00–$11,749.00 | 285% above | — |
| Hammertoe correction surgery CPT 28285 Repair Of Hammertoe | $10,007.00 | $10,007.00 | $4,467.00–$9,507.00 | 186% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidect Int Rub Bnd Lig | $2,804.00 | $2,804.00 | $1,290.00–$4,467.00 | 215% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemrrhoidecto Int&ext1col/grp | $8,633.00 | $8,633.00 | $3,971.00–$8,201.00 | 137% above | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Abd Hysterectomy | $10,681.00 | $10,681.00 | $4,467.00–$10,147.00 | 155% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hsc W/endometrial Ablation | $17,080.00 | $17,080.00 | $4,467.00–$16,226.00 | 242% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy W/biopsy | $11,001.00 | $11,001.00 | $4,467.00–$10,451.00 | 131% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion Of Intrauterine Dev | $8,115.00 | $8,115.00 | $3,733.00–$7,709.00 | 2042% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Inc/drain Abscess Simple | $635.00 | $635.00 | $292.00–$4,467.00 | 36% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Sq/skin Simpl | $635.00 | $635.00 | $292.00–$4,467.00 | 36% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $11,243.00 | $11,243.00 | $4,467.00–$10,681.00 | 81% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sngl Tendon Sheath/li | $925.00 | $925.00 | $426.00–$4,467.00 | 110% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/ligament | $1,688.00 | $1,688.00 | $776.00–$4,467.00 | 283% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Asp/inj Maj Jt | $925.00 | $925.00 | $426.00–$4,467.00 | 56% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Asp/inj Major Joint W/o Us | $2,207.00 | $2,207.00 | $1,015.00–$4,467.00 | 273% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Asp/inj Int Jt | $925.00 | $925.00 | $426.00–$4,467.00 | 56% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Asp/inj Intmd Joint W/o Us | $1,618.00 | $1,618.00 | $744.00–$4,467.00 | 173% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Asp/inj Sm Jt | $925.00 | $925.00 | $426.00–$4,467.00 | 111% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Asp/inj Small Joint W/o Us | $1,688.00 | $1,688.00 | $776.00–$4,467.00 | 285% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Artho Knee W/meniscus Repair | $11,226.00 | $11,226.00 | $4,467.00–$10,665.00 | 96% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $11,226.00 | $11,226.00 | $4,467.00–$10,665.00 | 90% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Artho Knee W/meniscectomy(m&l) | $11,226.00 | $11,226.00 | $4,467.00–$10,665.00 | 97% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthro Knee Deb/shv Artclr Crt | $10,007.00 | $10,007.00 | $4,467.00–$9,507.00 | 112% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Surgery Lap Appendectomy | $20,187.00 | $20,187.00 | $4,467.00–$19,178.00 | 185% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Lap Total Hyst 250g Or Less | $31,474.00 | $31,474.00 | $4,467.00–$29,900.00 | 284% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Lap Tot Hyst <250g W/tb/ov Rem | $31,474.00 | $31,474.00 | $4,467.00–$29,900.00 | 194% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap Inguinal Hernia Initial | $17,880.00 | $17,880.00 | $4,467.00–$16,986.00 | 44% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Inguinal Hernia Recurrent | $17,880.00 | $17,880.00 | $4,467.00–$16,986.00 | 119% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Lap Unilat Salpingo-ooph | $17,880.00 | $17,880.00 | $4,467.00–$16,986.00 | 108% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Rpr S/a/t/e 2.5cm/< | $1,221.00 | $1,221.00 | $562.00–$4,467.00 | 130% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $2,244.00 | $2,244.00 | $1,032.00–$4,467.00 | 34% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $2,909.00 | $2,909.00 | $1,338.00–$4,467.00 | 100% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Lumbar Back Disc | $23,585.00 | $23,585.00 | $4,467.00–$22,406.00 | 168% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam W/decom Spinal Cord Lum | $23,585.00 | $23,585.00 | $4,467.00–$22,406.00 | 166% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Sin Intrsp; Lumbar | $63,630.00 | $63,630.00 | $4,467.00–$60,449.00 | 499% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial | $11,159.00 | $11,159.00 | $4,467.00–$10,601.00 | 159% above | — |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complet | $19,556.00 | $19,556.00 | $4,467.00–$18,578.00 | 223% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Treatment Of Misc 1st Trim | $10,307.00 | $10,307.00 | $4,467.00–$9,792.00 | 183% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Les T/a/l 0.5cm/< | $2,199.00 | $2,199.00 | $1,012.00–$4,467.00 | 173% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Les F/e/e/n/l/m 0.5cm/< | $2,199.00 | $2,199.00 | $1,012.00–$4,467.00 | 141% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nl Plt Prtl/comp Sgl | $635.00 | $635.00 | $292.00–$4,467.00 | 95% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Single | $635.00 | $635.00 | $292.00–$4,467.00 | 95% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block | $923.00 | $923.00 | $425.00–$4,467.00 | 116% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Anesth Agent Grtr Occ Nrv | $925.00 | $925.00 | $426.00–$4,467.00 | 117% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Dual Chamber Pacemaker Insert | $36,743.00 | $36,743.00 | $4,467.00–$34,906.00 | 94% above | — |
| Paracentesis with imaging guidance CPT 49083 Paracentesis Abd W/guidance | $1,437.00 | $1,437.00 | $661.00–$4,467.00 | 12% below | — |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/imaging | $2,859.00 | $2,859.00 | $1,315.00–$4,467.00 | 76% above | — |
| Paracentesis with imaging guidance CPT 49083 Paracentesis W Imaging | $2,988.00 | $2,988.00 | $1,374.00–$4,467.00 | 84% above | — |
| Partial knee replacement (one compartment) one side CPT 27446 Artho Knee Cond&plat Md/lt Com | $43,573.00 | $43,573.00 | $4,467.00–$41,394.00 | 239% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Nailbed | $1,461.00 | $1,461.00 | $672.00–$4,467.00 | 109% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail/bed | $1,461.00 | $1,461.00 | $672.00–$4,467.00 | 109% above | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $6,632.00 | $6,632.00 | $3,051.00–$6,300.00 | 152% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope | $31,474.00 | $31,474.00 | $4,467.00–$29,900.00 | 196% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neuro Ag Par Jt Lum/sac 1 | $6,205.00 | $6,205.00 | $2,854.00–$5,895.00 | 121% above | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $11,159.00 | $11,159.00 | $4,467.00–$10,601.00 | 127% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Rem Fb Sq Simple | $1,222.00 | $1,222.00 | $562.00–$4,467.00 | 126% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Tot Thyroid Lobectomy Uni | $17,880.00 | $17,880.00 | $4,467.00–$16,986.00 | 130% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn | $2,804.00 | $2,804.00 | $1,122.00–$2,664.00 | 259% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectl Scrn Hi Risk Indiv | $2,804.00 | $2,804.00 | $1,122.00–$2,664.00 | 108% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/submucous Res | $9,667.00 | $9,667.00 | $4,447.00–$9,184.00 | 165% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragment Kidney Stone | $10,865.00 | $10,865.00 | $4,467.00–$10,322.00 | 92% above | — |
| Short arm cast (elbow to hand) CPT 29075 Application Shrt Arm Cast | $862.00 | $862.00 | $397.00–$4,467.00 | 181% above | — |
| Short arm splint (forearm and hand) CPT 29125 Appli Shrt Arm Splnt Stat | $398.00 | $398.00 | $183.00–$4,467.00 | 38% above | — |
| Short arm splint (forearm and hand) CPT 29125 Applicat Shor Arm Slpint | $403.00 | $403.00 | $185.00–$4,467.00 | 40% above | — |
| Short leg cast (below the knee) CPT 29405 Application Shrt Leg Cast | $862.00 | $862.00 | $397.00–$4,467.00 | 154% above | — |
| Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint | $499.00 | $499.00 | $230.00–$4,467.00 | 78% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Arthroscopy Shoulder | $11,226.00 | $11,226.00 | $4,467.00–$10,665.00 | 165% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $2,694.00 | $2,694.00 | $1,239.00–$4,467.00 | 49% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Smp Rpr S/n/ax/gen/trnk2.5cm/< | $635.00 | $635.00 | $292.00–$4,467.00 | 58% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Intl Tx 1st Deg Burn Loc | $635.00 | $635.00 | $292.00–$4,467.00 | 48% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Les T/a/l 0.5cm/< | $2,199.00 | $2,199.00 | $1,012.00–$4,467.00 | 80% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tag Mult Fib Up To 15 | $635.00 | $635.00 | $292.00–$4,467.00 | 99% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Diagnostic | $2,244.00 | $2,244.00 | $1,032.00–$4,467.00 | 115% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx Lumbar Puncture | $3,736.00 | $3,736.00 | $1,719.00–$4,467.00 | 257% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smp Rpr S/n/ax/gen/tk2.6-7.5cm | $635.00 | $635.00 | $292.00–$4,467.00 | 38% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Rpr S/n/a/g/t 2.6-7.5cm | $635.00 | $635.00 | $292.00–$4,467.00 | 38% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Smpl Rpr Face Ent 2.5cm/< | $635.00 | $635.00 | $292.00–$4,467.00 | 50% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Smpl Rpr F/e/e/n/l/m 2.5cm/< | $635.00 | $635.00 | $292.00–$4,467.00 | 50% above | — |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (Turp) | $15,590.00 | $15,590.00 | $4,467.00–$14,811.00 | 123% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Image Guid | $1,539.00 | $1,539.00 | $708.00–$4,467.00 | 8% above | — |
| Thoracentesis with imaging guidance CPT 32555 Us Thoracentesis With Imaging | $1,539.00 | $1,539.00 | $708.00–$4,467.00 | 8% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracen Ndl/cath Pleura W/img | $1,539.00 | $1,539.00 | $708.00–$4,467.00 | 8% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W Imag | $2,071.00 | $2,071.00 | $953.00–$4,467.00 | 45% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Rem T&a Prim Age 12yr> | $9,667.00 | $9,667.00 | $4,447.00–$9,184.00 | 156% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $17,972.00 | $17,972.00 | $4,467.00–$17,073.00 | 276% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsilectmy Prim/sec 12+ Yrs | $9,667.00 | $9,667.00 | $4,447.00–$9,184.00 | 119% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsilectmy;prim/sec<12yr | $17,972.00 | $17,972.00 | $4,467.00–$17,073.00 | 294% above | — |
| Total hip replacement CPT 27130 Total Hip Replacement | $43,573.00 | $43,573.00 | $4,467.00–$41,394.00 | 240% above | — |
| Total knee replacement CPT 27447 Total Knee Replacmnt | $43,573.00 | $43,573.00 | $4,467.00–$41,394.00 | 240% above | — |
| Total shoulder replacement CPT 23472 Reconstruct Shldr Tot Ip Only | $43,573.00 | $43,573.00 | $4,467.00–$41,394.00 | 149% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/complete | $17,880.00 | $17,880.00 | $4,467.00–$16,986.00 | 88% above | — |
| Trigger finger release surgery CPT 26055 Tendon Sheath Incision | $4,922.00 | $4,922.00 | $2,264.00–$4,676.00 | 46% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Sngl/mult Trig Pt 1/2 Musc | $925.00 | $925.00 | $426.00–$4,467.00 | 60% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Sngl/mult Trig Pt 1/2 | $1,688.00 | $1,688.00 | $776.00–$4,467.00 | 192% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Ball Dil Esoph <30mm Diam | $5,739.00 | $5,739.00 | $2,640.00–$5,452.00 | 291% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $2,878.00 | $2,878.00 | $1,324.00–$4,467.00 | 179% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Remv Les Snare Technique | $5,739.00 | $5,739.00 | $2,640.00–$5,452.00 | 404% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd With Snare Polypectomy | $5,741.00 | $5,741.00 | $2,641.00–$5,454.00 | 404% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd W/guide Wire W/dilator | $2,878.00 | $2,878.00 | $1,324.00–$4,467.00 | 293% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $2,859.00 | $2,859.00 | $1,315.00–$4,467.00 | 169% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/lithotripsy | $15,590.00 | $15,590.00 | $4,467.00–$14,811.00 | 110% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto W/ur W/lit Ins Ndw Stent | $15,590.00 | $15,590.00 | $4,467.00–$14,811.00 | 194% above | — |
| Vasectomy, one or both sides, including follow-up semen testing one side CPT 55250 Vasectomy Unilateral Or Bil | $6,327.00 | $6,327.00 | $2,910.00–$6,011.00 | 38% above | — |
| Wart removal, up to 14 warts CPT 17110 Destr Bengn Lesn Up To 14 | $635.00 | $635.00 | $292.00–$4,467.00 | 201% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq 1st 20 Sq Cm | $1,221.00 | $1,221.00 | $562.00–$4,467.00 | 19% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tissue 20 Sq Cm/< | $1,221.00 | $1,221.00 | $562.00–$4,467.00 | 19% above | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Opn Repair Radius/ulna | $23,585.00 | $23,585.00 | $4,467.00–$22,406.00 | 197% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Per Enc | $1,430.00 | $1,430.00 | $658.00–$4,467.00 | 52% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment | $650.00 | $650.00 | $140.00–$618.00 | 219% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critcl Care 1st 30-74min | $2,771.00 | $2,771.00 | $1,275.00–$3,520.00 | 7% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12lead Tracing Only | $202.00 | $202.00 | $81.00–$192.00 | 32% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Without Interp | $220.00 | $220.00 | $88.00–$209.00 | 26% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Level-1 | $256.00 | $256.00 | $118.00–$428.00 | 2% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Level-2 | $421.00 | $421.00 | $194.00–$700.00 | 10% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Level-3 | $818.00 | $818.00 | $376.00–$1,200.00 | 1% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Level-4 | $1,245.00 | $1,245.00 | $573.00–$2,000.00 | 9% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Level-5 | $2,307.00 | $2,307.00 | $1,061.00–$3,200.00 | 2% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test | $943.00 | $943.00 | $377.00–$896.00 | 34% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration Initial 31m-1hr | $707.00 | $707.00 | $283.00–$672.00 | 57% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydr 31mn-1h | $725.00 | $725.00 | $290.00–$689.00 | 61% above | — |
| IV infusion of a medicine, first hour CPT 96365 Iv Infus Therap Up To 1hr | $725.00 | $725.00 | $290.00–$689.00 | 52% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag Inj Sc/im | $219.00 | $219.00 | $88.00–$208.00 | 33% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Theraputic Subq/im | $219.00 | $219.00 | $88.00–$208.00 | 33% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscul Re-ed Ea 15min | $121.00 | $121.00 | $56.00–$140.00 | 6% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity | $353.00 | $353.00 | $140.00–$335.00 | 16% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity | $353.00 | $353.00 | $140.00–$335.00 | 49% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Moderate Complexity | $353.00 | $353.00 | $140.00–$335.00 | 24% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Ea 15min | $95.00 | $95.00 | $44.00–$140.00 | 15% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $104.00 | $104.00 | $48.00–$140.00 | 16% below | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cess Counsel 3-10 Min | $97.00 | $97.00 | $39.00–$92.00 | 102% above | — |
| Speech and language evaluation CPT 92523 St Speech Eval Snd Prod W/comp | $800.00 | $800.00 | $140.00–$760.00 | 89% above | — |
| Speech therapy session, individual CPT 92507 St Tx Of Speech | $270.00 | $270.00 | $124.00–$257.00 | 18% above | — |
| Spirometry (breathing test) CPT 94010 Basic Spirometry | $489.00 | $489.00 | $196.00–$465.00 | 31% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilator Spirometry | $894.00 | $894.00 | $358.00–$849.00 | 42% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pta Theraput Activity Ea 15min | $131.00 | $131.00 | $60.00–$140.00 | 12% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Bb Therapeutic Phlebotomy | $647.00 | $647.00 | $259.00–$615.00 | 159% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Admin Tdap 7 Years + Im | $93.00 | $93.00 | $37.00–$88.00 | 44% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin 1st | $214.00 | $214.00 | $86.00–$203.00 | 176% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Ea Addl | $78.00 | $78.00 | $31.00–$74.00 | 46% above | — |