Hospital Snyder, TX

Cogdell Memorial Hospital

Listed in its price file as “Cogdell Memorial Hospital dba Cogdell Memorial Hospital”.

Cogdell Memorial Hospital in Snyder, TX publishes cash prices for 310 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 227 of 306 procedures and above it for 78. By typical cash price it ranks #53 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1700 Cogdell Blvd, Snyder, TX 79549 Collected Sep 27, 2026 Source price file (325) 574-7437

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451384 · CMS hospital register

The price file shows no self-pay discount

For 837 of the 839 prices listed here, the cash price in Cogdell Memorial Hospital'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 both sides CPT 73610 Xr Ankle Complete Bilateral	$301.00	$301.00	$147.00–$271.00	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete Right	$151.00	$151.00	$74.00–$136.00	58% below	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete Left	$151.00	$151.00	$74.00–$136.00	58% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Ankle Brachial Index	$275.00	$275.00	$135.00–$248.00	58% below	—
Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body	$914.00	$914.00	$448.00–$823.00	50% below	—
Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Bilateral Complete	$468.00	$468.00	$229.00–$421.00	—	—
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Right Complete	$234.00	$234.00	$115.00–$211.00	47% below	—
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Left Complete	$234.00	$234.00	$115.00–$211.00	47% below	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Limited Special Bilat	$52.00	$52.00	$25.00–$47.00	—	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Bilateral Limited	$182.00	$182.00	$89.00–$164.00	—	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Bilateral Limited.	$364.00	$364.00	$178.00–$328.00	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Special Left	$52.00	$52.00	$25.00–$47.00	85% below	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Special Right	$52.00	$52.00	$25.00–$47.00	85% below	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Right Limited	$182.00	$182.00	$89.00–$164.00	47% below	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Left Limited	$182.00	$182.00	$89.00–$164.00	47% below	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest Pe	$597.00	$597.00	$293.00–$537.00	79% below	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest Aorta	$597.00	$597.00	$293.00–$537.00	79% below	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W/ Contrast	$1,820.00	$1,820.00	$892.00–$1,638.00	36% below	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Cardiac Calcium Score	$170.00	$170.00	$83.00–$153.00	11% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Cogd Ct Chest/abd/pel W/o Contrast	$2,067.00	$2,067.00	$1,013.00–$1,860.00	38% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis W/o Contrast	$2,150.00	$2,150.00	$1,054.00–$1,935.00	36% below	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Renal Stone	$2,150.00	$2,150.00	$1,054.00–$1,935.00	36% below	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$2,470.00	$2,470.00	$1,210.00–$2,223.00	37% below	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Cogd Ct Chest/abd/pelvis W + W/o Contrast	$2,614.00	$2,614.00	$1,281.00–$2,353.00	37% below	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/pelvis W + W/o Contrast	$2,719.00	$2,719.00	$1,332.00–$2,447.00	35% below	—
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast	$1,200.00	$1,200.00	$588.00–$1,080.00	54% below	—
CT scan of the abdomen with contrast CPT 74160 Ct Ivp/3 Phase W/ + W/o Contrast	$2,470.00	$2,470.00	$1,210.00–$2,223.00	5% below	—
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast	$1,035.00	$1,035.00	$507.00–$932.00	51% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast	$1,064.00	$1,064.00	$521.00–$958.00	36% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus W/o Contrast	$1,064.00	$1,064.00	$521.00–$958.00	36% below	—
CT scan of the head or brain, no contrast dye CPT 70450 CT scan	$947.00	$947.00	$464.00–$852.00	50% below	—
CT scan of the head with contrast CPT 70460 Ct Head Or Brain W/ Contrast	$1,082.00	$1,082.00	$530.00–$974.00	39% below	—
CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W/ + W/o Contrast	$1,285.00	$1,285.00	$630.00–$1,157.00	45% below	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast	$1,333.00	$1,333.00	$653.00–$1,200.00	35% below	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast	$1,333.00	$1,333.00	$653.00–$1,200.00	37% below	—
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$1,270.00	$1,270.00	$622.00–$1,143.00	42% below	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Doppler Bilateral	$620.00	$620.00	$304.00–$558.00	—	—
Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views	$132.00	$132.00	$65.00–$119.00	66% below	—
Chest X-ray, 2 views CPT 71046 Xr Chest Decubitus	$338.00	$338.00	$166.00–$304.00	14% below	—
Chest X-ray, single view CPT 71045 X-ray Exam Chest 1 View	$117.00	$117.00	$57.00–$105.00	64% below	—
Chest X-ray, single view CPT 71045 Xr Chest Special Views	$169.00	$169.00	$83.00–$152.00	48% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete	$488.00	$488.00	$239.00–$439.00	34% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Kidney/bladder Complete	$488.00	$488.00	$239.00–$439.00	34% below	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Dexa Axial W/ Vfa	$338.00	$338.00	$166.00–$304.00	19% below	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bd Dexa Appendicular	$338.00	$338.00	$166.00–$304.00	53% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Ob Complete	$468.00	$468.00	$229.00–$421.00	37% below	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest High Resolution W/o Contrast	$914.00	$914.00	$448.00–$823.00	50% below	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest/abd/pel W/o Contrast	$914.00	$914.00	$448.00–$823.00	50% below	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast	$914.00	$914.00	$448.00–$823.00	50% below	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest/abd/pel W/ Contrast	$1,063.00	$1,063.00	$521.00–$957.00	52% below	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Contrast	$1,063.00	$1,063.00	$521.00–$957.00	52% below	—
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts	$520.00	$520.00	$255.00–$468.00	42% above	—
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast	$416.00	$416.00	$204.00–$374.00	53% above	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Le Arterial Duplex Bilateral	$1,212.00	$1,212.00	$594.00–$1,091.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Le Venous Duplex Bilateral	$1,212.00	$1,212.00	$594.00–$1,091.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-scan Xtr Veins Complete Bilateral Study	$1,212.00	$1,212.00	$594.00–$1,091.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echocardiogram Complete	$1,976.00	$1,976.00	$968.00–$1,778.00	24% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Duct System Imaging	$1,025.00	$1,025.00	$502.00–$923.00	39% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Polysomnography W/ Cpap Charge	$1,875.00	$1,875.00	$919.00–$1,688.00	60% below	—
Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3 Views Bilateral	$338.00	$338.00	$166.00–$304.00	—	—
Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Right	$169.00	$169.00	$83.00–$152.00	49% below	—
Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left	$169.00	$169.00	$83.00–$152.00	49% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Limited Abdominal Ultrasound	$208.00	$208.00	$102.00–$187.00	67% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Spleen	$333.00	$333.00	$163.00–$300.00	47% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Liver	$333.00	$333.00	$163.00–$300.00	47% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Pancreas	$333.00	$333.00	$163.00–$300.00	47% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Soft Tissue Lower Back	$333.00	$333.00	$163.00–$300.00	47% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited	$349.00	$349.00	$171.00–$314.00	45% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder	$349.00	$349.00	$171.00–$314.00	45% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Us Ltd Abd Pro Ed Charge	$665.00	$665.00	$83.00–$599.00	6% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Screening	$578.00	$578.00	$283.00–$520.00	141% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint	$1,339.00	$1,339.00	$656.00–$1,205.00	34% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee W/ + W/o Contrast Left	$1,578.00	$1,578.00	$773.00–$1,420.00	43% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle W/ + W/o Contrast Left	$1,578.00	$1,578.00	$773.00–$1,420.00	43% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle W/ + W/o Contrast Right	$1,578.00	$1,578.00	$773.00–$1,420.00	43% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee W/ + W/o Contrast Right	$1,578.00	$1,578.00	$773.00–$1,420.00	43% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip W/ + W/o Contrast Left	$1,578.00	$1,578.00	$773.00–$1,420.00	43% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip W/ + W/o Contrast Right	$1,578.00	$1,578.00	$773.00–$1,420.00	43% below	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen Mrcp W/o Cont	$2,493.00	$2,493.00	$1,222.00–$2,244.00	12% above	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast	$2,493.00	$2,493.00	$1,222.00–$2,244.00	12% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast	$2,572.00	$2,572.00	$1,260.00–$2,315.00	21% below	—
MRI of the brain, no contrast dye CPT 70551 Mri Iac W/o Contrast	$670.00	$670.00	$328.00–$603.00	69% below	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast	$2,179.00	$2,179.00	$1,068.00–$1,961.00	at median	—
MRI of the brain, no contrast dye CPT 70551 Mri Pituitary Gland W/o Contrast	$2,179.00	$2,179.00	$1,068.00–$1,961.00	at median	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan	$3,009.00	$3,009.00	$1,474.00–$2,708.00	at median	—
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal	$2,283.00	$2,283.00	$1,119.00–$2,055.00	at median	—
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast	$3,100.00	$3,100.00	$1,519.00–$2,790.00	3% below	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast	$2,403.00	$2,403.00	$1,177.00–$2,163.00	12% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast	$3,177.00	$3,177.00	$1,557.00–$2,859.00	3% below	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast	$2,203.00	$2,203.00	$1,079.00–$1,983.00	5% below	—
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast	$2,732.00	$2,732.00	$1,339.00–$2,459.00	19% below	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast	$2,254.00	$2,254.00	$1,104.00–$2,029.00	8% below	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Sacrum W/o Contrast	$2,254.00	$2,254.00	$1,104.00–$2,029.00	8% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Shoulder W/o Contrast Left	$2,302.00	$2,302.00	$1,128.00–$2,072.00	29% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Shoulder W/o Contrast Right	$2,302.00	$2,302.00	$1,128.00–$2,072.00	29% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Wrist W/o Contrast Left	$2,302.00	$2,302.00	$1,128.00–$2,072.00	29% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow W/o Contrast Left	$2,302.00	$2,302.00	$1,128.00–$2,072.00	29% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow W/o Contrast Right	$2,302.00	$2,302.00	$1,128.00–$2,072.00	29% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Wrist W/o Contrast Right	$2,302.00	$2,302.00	$1,128.00–$2,072.00	29% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Perf Multi Rest/stress	$2,824.00	$2,824.00	$1,384.00–$2,542.00	35% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder Only/ Post Void	$281.00	$281.00	$138.00–$253.00	43% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Soft Tissue Buttock	$281.00	$281.00	$138.00–$253.00	43% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis Non-ob Limited	$281.00	$281.00	$138.00–$253.00	43% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non-ob Complete	$384.00	$384.00	$188.00–$346.00	55% below	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus	$416.00	$416.00	$204.00–$374.00	36% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob < 14 Weeks Single	$304.00	$304.00	$149.00–$274.00	53% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnancy Limited	$208.00	$208.00	$102.00–$187.00	57% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited (Afi)	$208.00	$208.00	$102.00–$187.00	57% below	—
Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral	$468.00	$468.00	$229.00–$421.00	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2 Views Right	$175.00	$175.00	$86.00–$158.00	43% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2 Views Left	$175.00	$175.00	$86.00–$158.00	43% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 3 Views Right	$262.00	$262.00	$128.00–$236.00	15% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 3 Views Left	$262.00	$262.00	$128.00–$236.00	15% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete Right	$350.00	$350.00	$172.00–$315.00	14% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete Left	$350.00	$350.00	$172.00–$315.00	14% above	—
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$1,875.00	$1,875.00	$919.00–$1,688.00	57% below	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$439.00	$439.00	$215.00–$395.00	33% below	—
Transvaginal ultrasound during pregnancy CPT 76817 Us Pregnancy Transvaginal	$338.00	$338.00	$166.00–$304.00	40% below	—
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$445.00	$445.00	$218.00–$401.00	48% below	—
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents)	$328.00	$328.00	$161.00–$295.00	52% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/neck Soft Tissue	$463.00	$463.00	$227.00–$417.00	27% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid	$463.00	$463.00	$227.00–$417.00	27% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ue Venous Duplex Right Dup-scan Xtr Veins Unilateral/limited Study	$606.00	$606.00	$297.00–$545.00	25% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Left	$606.00	$606.00	$297.00–$545.00	25% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Right	$606.00	$606.00	$297.00–$545.00	25% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ue Venous Duplex Left Dup-scan Xtr Veins Unilateral/limited Study	$606.00	$606.00	$297.00–$545.00	25% below	—
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Xr Wrist Complete Bilateral	$235.00	$235.00	$115.00–$212.00	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete Right	$138.00	$138.00	$68.00–$124.00	56% below	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete Left	$138.00	$138.00	$68.00–$124.00	56% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip W/pelvis 2-3 Views Left	$160.00	$160.00	$78.00–$144.00	56% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip W/pelvis 2-3 Views Right	$160.00	$160.00	$78.00–$144.00	56% below	—
X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen Single View (Kub)	$118.00	$118.00	$58.00–$106.00	65% below	—
X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 1 View Left	$70.00	$70.00	$34.00–$63.00	75% below	—
X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 1 View Right	$70.00	$70.00	$34.00–$63.00	75% below	—
X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Right	$140.00	$140.00	$69.00–$126.00	50% below	—
X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left	$140.00	$140.00	$69.00–$126.00	50% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Thumb 2 Views Right	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit 2 Views Left	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit 2 Views Right	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 3rd Digit 2 Views Left	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 3rd Digit 2 Views Right	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 4th Digit 2 Views Left	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 4th Digit 2 Views Right	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 5th Digit 2 Views Left	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 5th Digit 2 Views Right	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Thumb 2 Views Left	$88.00	$88.00	$43.00–$79.00	63% below	—
X-ray of the foot, 2 views both sides CPT 73620 Xr Foot 2 Views Bilateral	$302.00	$302.00	$148.00–$272.00	—	—
X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Right	$147.00	$147.00	$72.00–$132.00	56% below	—
X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left	$147.00	$147.00	$72.00–$132.00	56% below	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Xr Foot Complete Bilateral	$315.00	$315.00	$154.00–$284.00	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete Right	$158.00	$158.00	$77.00–$142.00	57% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete Left	$158.00	$158.00	$77.00–$142.00	57% below	—
X-ray of the hand, 3 or more views both sides CPT 73130 Xr Hand Complete Bilateral	$281.00	$281.00	$138.00–$253.00	—	—
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3 Views Right	$140.00	$140.00	$69.00–$126.00	61% below	—
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3 Views Left	$140.00	$140.00	$69.00–$126.00	61% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 View Left	$77.00	$77.00	$38.00–$69.00	72% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 View Right	$77.00	$77.00	$38.00–$69.00	72% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 2 Views Left	$153.00	$153.00	$75.00–$138.00	45% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 2 Views Right	$153.00	$153.00	$75.00–$138.00	45% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Views	$156.00	$156.00	$76.00–$140.00	67% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral Bending Only 2-3 Views	$156.00	$156.00	$76.00–$140.00	67% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 3 Views	$215.00	$215.00	$105.00–$194.00	54% below	—
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back	$285.00	$285.00	$140.00–$257.00	56% below	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views	$164.00	$164.00	$80.00–$148.00	59% below	—
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones Minimum 3 Views	$123.00	$123.00	$60.00–$111.00	57% below	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine 1 View Cervical	$81.00	$81.00	$40.00–$73.00	78% below	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical Ap/lat 2-3 Views	$204.00	$204.00	$100.00–$184.00	45% below	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views	$229.00	$229.00	$112.00–$206.00	39% below	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 View	$170.00	$170.00	$83.00–$153.00	54% below	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views	$312.00	$312.00	$153.00–$281.00	16% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx Minimum 2 Views	$182.00	$182.00	$89.00–$164.00	44% below	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Nash Fibrosure Lc	$32.00	$32.00	$16.00–$38.00	46% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 Fshep 5	$32.00	$32.00	$16.00–$38.00	46% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 Fshepc 5	$32.00	$32.00	$16.00–$38.00	46% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 Fsnash 8	$32.00	$32.00	$16.00–$38.00	46% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt 1	$32.00	$32.00	$16.00–$38.00	46% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt (Alt)	$32.00	$32.00	$16.00–$38.00	46% below	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hcv Fibrosure Lc	$32.00	$32.00	$16.00–$38.00	46% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 Fsnash 7	$67.00	$67.00	$33.00–$80.00	14% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot (Ast)	$67.00	$67.00	$33.00–$80.00	14% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$67.00	$67.00	$33.00–$80.00	14% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 Aprixn	$67.00	$67.00	$33.00–$80.00	14% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast 1	$67.00	$67.00	$33.00–$80.00	14% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$196.00	$196.00	$96.00–$235.00	49% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Profile 1	$196.00	$196.00	$96.00–$235.00	49% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Acute Abc Panel	$457.00	$457.00	$224.00–$548.00	18% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander Allergy Test (Ref)	$15.00	$15.00	$7.00–$18.00	39% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Melon Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003alpha Gal Ige Panel (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Afood	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Aresp	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Berry Allergen Profile Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Fooda	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Latexp	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Peanut5	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Rastf	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Rastsw	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Alfalfa Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Basic Food (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Basic Food Lc	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Latex Plus (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Zone 7 (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Zone 7 Lc	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Berry Allergen Profile Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Black Mold Stachybotrys Allergy Serum Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Chestnut Allergy Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Meat Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cucumber Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F002-ige Milk (Cow) (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F013-ige Peanut (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F014-ige Soybean (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F033-ige Orange (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F044-ige Strawberry (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F084-ige Kiwi Fruit (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F092-ige Banana (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F201-ige Pecan Nut (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F209-ige Grapefruit (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F245-ige Egg, Whole (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F265-ige Cumin (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F279-ige Chili Pepper (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F309-ige Chick Pea (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F342-ige Olive, Black (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Fig Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen Profile Fish (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Ige Profile, 12 Foods (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 I001-ige Honeybee (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 I070-ige Fire Ant (Invicta) (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Food Prof W/component Rflx Lc	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peanut Component Profile (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 K082-ige Latex Lc	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Lemon Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mango Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mint Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Peach Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple Allergy Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio Nut Allergy Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Potato White Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Wasp Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Watermelon Ige Allergen Test (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Faced Hornet Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket Ige (Ref)	$25.00	$25.00	$12.00–$30.00	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Latex Plus Lc	$300.00	$300.00	$147.00–$360.00	1111% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen Profile Ii Lc	$1,201.00	$1,201.00	$588.00–$1,441.00	4747% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodies Igg/iga Lc	$95.00	$95.00	$47.00–$114.00	79% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodies Igg/iga (Ref)	$95.00	$95.00	$47.00–$114.00	79% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Ab Reflex Cascade (Ref)	$77.00	$77.00	$38.00–$92.00	16% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Systemic Lupus Profile B (Ref)	$77.00	$77.00	$38.00–$92.00	16% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, Ifa Lc	$77.00	$77.00	$38.00–$92.00	16% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, Ifa (Ref)	$77.00	$77.00	$38.00–$92.00	16% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide (Bnp)	$189.00	$189.00	$93.00–$227.00	1% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain-natriuretic Peptide	$189.00	$189.00	$93.00–$227.00	1% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt Pro-bnp	$189.00	$189.00	$93.00–$227.00	1% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro-bnp Natriuretic Peptide	$189.00	$189.00	$93.00–$227.00	1% below	—
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel	$70.00	$70.00	$34.00–$84.00	73% below	—
Blood culture for bacteria CPT 87040 Culture, Blood	$139.00	$139.00	$68.00–$167.00	42% below	—
Blood culture for bacteria CPT 87040 Blood Culture	$139.00	$139.00	$68.00–$167.00	42% below	—
Blood culture for bacteria CPT 87040 Culture, Blood #2	$139.00	$139.00	$68.00–$167.00	42% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Venipuncture	$11.00	$11.00	$5.00–$13.00	46% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipuncture	$11.00	$11.00	$5.00–$13.00	46% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Progenity Collection Fee	$20.00	$20.00	$10.00–$24.00	2% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Progenity Venipuncture Fee	$20.00	$20.00	$10.00–$24.00	2% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Venipuncture Progenity [I]	$25.00	$25.00	$12.00–$30.00	22% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Invitae Venipuncture Fee	$30.00	$30.00	$15.00–$36.00	46% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Fee Police Draw	$35.00	$35.00	$17.00–$42.00	71% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Drawing Fee Etoh Police	$35.00	$35.00	$17.00–$42.00	71% above	—
Blood glucose (sugar) test CPT 82947 Glucose Lvl, Csf	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose, Body Fluid	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose, 1 Hour Pp	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 82947 Fsnash 3	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose, Fasting Blood	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose Level	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose Lvl	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 82947-gtt 2 Hour (100gm)	$56.00	$56.00	$27.00–$67.00	14% above	—
Blood glucose (sugar) test CPT 82947 Glucose 1 Hour Pp	$105.00	$105.00	$51.00–$126.00	114% above	—
Blood lead test CPT 83655 Lead, Blood (Pediatric) (Ref)	$42.00	$42.00	$21.00–$50.00	20% below	—
Blood lead test CPT 83655 Lead, Blood (Adult) (Ref)	$57.00	$57.00	$28.00–$68.00	8% above	—
Blood lead test CPT 83655 Lead, Pediatric Venous (Ref)	$57.00	$57.00	$28.00–$68.00	8% above	—
Blood lead test CPT 83655 83655 Heav 2	$57.00	$57.00	$28.00–$68.00	8% above	—
Blood lead test CPT 83655 Lead, Blood (Pediatric) Lc	$57.00	$57.00	$28.00–$68.00	8% above	—
Blood lead test CPT 83655 Lead, Blood (Adult) Lc	$57.00	$57.00	$28.00–$68.00	8% above	—
Blood lead test CPT 83655 83655 Hmsb 1	$57.00	$57.00	$28.00–$68.00	8% above	—
Blood lead test CPT 83655 Heavy Metals Profile 1, Blood Lc	$60.00	$60.00	$29.00–$72.00	14% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum 1	$71.00	$71.00	$35.00–$85.00	61% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qualitative	$71.00	$71.00	$35.00–$85.00	61% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo/rh.blood Typing Serologic Abo	$47.00	$47.00	$23.00–$56.00	48% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Only Bbref Abo/rh Grouping	$47.00	$47.00	$23.00–$56.00	48% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo -Â Blood Bank	$47.00	$47.00	$23.00–$56.00	48% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Only Bbref Abo Discrepancy (Includes A2 Cells And Anti-a,b)	$47.00	$47.00	$23.00–$56.00	48% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Only Bbref Abo Grouping	$47.00	$47.00	$23.00–$56.00	48% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein Lvl	$50.00	$50.00	$25.00–$60.00	14% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein	$51.00	$51.00	$25.00–$61.00	12% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile Toxin Gene Naa (Ref)	$313.00	$313.00	$153.00–$376.00	68% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile Toxin Gene Naa Lc	$313.00	$313.00	$153.00–$376.00	68% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 (Ref)	$97.00	$97.00	$48.00–$116.00	27% below	—
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$97.00	$97.00	$48.00–$116.00	27% below	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125	$99.00	$99.00	$49.00–$119.00	38% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus Cov-2 Naa.	$128.00	$128.00	$63.00–$154.00	45% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Bill Only Coronavirus Cov-2 Billable	$128.00	$128.00	$63.00–$154.00	45% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus Cov-2 (Mgdx)(ref)	$250.00	$250.00	$123.00–$300.00	182% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gc Rectal Swab Naa (Ref)	$97.00	$97.00	$48.00–$116.00	22% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap Ig, Ct-ng Tv Rfx Hpv All Lc	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap 199360 Iglb Ct/gc/tv Rfx Hpv When Ascu, Asch,lsil,hsil,agus (Ref)	$163.00	$163.00	$80.00–$147.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Pap19640 2	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gc Amplification Lc	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Pap19402 1	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap Lb, Hpv-hr Lc	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap Ig, Ct-ng, Hpv-hr Lc	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap 199330 Iglb And Hpv (Ref)	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap 199325 Iglb Ct/gc/tv Rfx Hpv When Ascu (Ref)	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Pap19656 2	$163.00	$163.00	$80.00–$196.00	31% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pap 193157 Iglb Ct/gc & Hpv (Ref)	$163.00	$163.00	$80.00–$196.00	31% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids	$85.00	$85.00	$42.00–$102.00	58% below	—
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated	$71.00	$71.00	$35.00–$85.00	22% below	—
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated	$43.00	$43.00	$21.00–$52.00	59% below	—
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$145.00	$145.00	$71.00–$174.00	58% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dheas	$153.00	$153.00	$75.00–$184.00	1% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s	$153.00	$153.00	$75.00–$184.00	1% below	—
Estradiol blood test CPT 82670 Estrogens Fractionated, S Lc	$130.00	$130.00	$64.00–$156.00	11% below	—
Estradiol blood test CPT 82670 Estrogens Fractionated, S (Ref)	$130.00	$130.00	$64.00–$156.00	11% below	—
Estradiol blood test CPT 82670 Estradiol (E2)	$130.00	$130.00	$64.00–$156.00	11% below	—
Estradiol blood test CPT 82670 Estradiol Lvl	$130.00	$130.00	$64.00–$156.00	11% below	—
Estradiol blood test CPT 82670 Estradiol, (Ref)ms, Endo Sci (Ref)	$130.00	$130.00	$64.00–$156.00	11% below	—
FSH (follicle-stimulating hormone) test CPT 83001 Fsh, Pediatric (Endocrine Sciences) (Ref)	$45.00	$45.00	$22.00–$54.00	72% below	—
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$69.00	$69.00	$34.00–$83.00	57% below	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal Lc	$500.00	$500.00	$245.00–$600.00	134% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal (Ref)	$500.00	$500.00	$245.00–$600.00	134% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Lvl	$109.00	$109.00	$53.00–$131.00	5% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$109.00	$109.00	$53.00–$131.00	5% above	—
Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) Lvl	$70.00	$70.00	$34.00–$84.00	19% below	—
Folate (folic acid) blood test CPT 82746 82746 Vb12f	$70.00	$70.00	$34.00–$84.00	19% below	—
Folate (folic acid) blood test CPT 82746 Folate Level	$70.00	$70.00	$34.00–$84.00	19% below	—
Free T3 thyroid hormone test CPT 84481 Free T3	$79.00	$79.00	$39.00–$95.00	43% below	—
Free T3 thyroid hormone test CPT 84481 T3, Free	$79.00	$79.00	$39.00–$95.00	43% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4,free	$43.00	$43.00	$21.00–$52.00	51% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Thyroxine; Free	$43.00	$43.00	$21.00–$52.00	51% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$43.00	$43.00	$21.00–$52.00	51% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine, Total (T4)	$43.00	$43.00	$21.00–$52.00	51% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$43.00	$43.00	$21.00–$52.00	51% below	—
Free testosterone test CPT 84402 Testosterone High Sens Lc/ms Total,free,direct (Ref)	$90.00	$90.00	$44.00–$108.00	19% below	—
Free testosterone test CPT 84402 Testosterone, Free, Direct Lc	$210.00	$210.00	$103.00–$252.00	90% above	—
Free testosterone test CPT 84402 Testosterone, Free, Direct (Ref)	$210.00	$210.00	$103.00–$252.00	90% above	—
Free testosterone test CPT 84402 Testosterone, Free+total Lc/ms Lc	$210.00	$210.00	$103.00–$252.00	90% above	—
Free testosterone test CPT 84402 84402 Testfrt	$210.00	$210.00	$103.00–$252.00	90% above	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel Test	$275.00	$275.00	$135.00–$330.00	38% below	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel 11	$295.00	$295.00	$145.00–$354.00	34% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 2 Hour Pp 100gm	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 2 Hour Pp After Meal	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 O-sullivan (100 G2hr	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt 1 Hour (75gm)	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 O-sullivan (50 G1hr	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 2 Hour Pp 50gm O'sullivan	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt 1 Hour (100gm)	$60.00	$60.00	$29.00–$72.00	38% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt 1 Hour (50gm)	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 Gtt1 75	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt: 2hr 75gm Non Iup (2h After)	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Post Prandial	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 Gtt1 50	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 Gtt1 100	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Post Prandial 100 Gms	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt 2 Hour (100gm)	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .Gtt 2 Hour (75gm)	$67.00	$67.00	$33.00–$80.00	31% below	—
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test (Ref)	$20.00	$20.00	$10.00–$24.00	88% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt, 3 Hour 100 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 .Gtt 3 Hour (100gm)	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 .Gtt 3 Hour (75gm)	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 2 Hr 100 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 2 Hr 75 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 3 Hr 100 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 3 Hr 75 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 4 Hr	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 5 Hr	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt: 6 Hr	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Glucose 4 Hour	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Glucose 5 Hour	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Glucose 6 Hour	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt, 2 Hour 75 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Gtt, 3 Hour 75 Gms	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test, 4 Hour	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test, 5 Hour	$96.00	$96.00	$47.00–$115.00	41% below	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test, 6 Hour	$96.00	$96.00	$47.00–$115.00	41% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Chlamydia/gc Rectal Swab Naa (Ref)	$97.00	$97.00	$48.00–$116.00	30% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pap19659 1	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Pap Ig, Ct-ng, Rfx Hpv All Lc	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pap19640 1	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pap19402 2	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pap19215 1	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pa198335 2	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Neisseria Amp Probe	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Clampur	$163.00	$163.00	$80.00–$196.00	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pap19656 1	$163.00	$163.00	$80.00–$196.00	17% above	—
H. pylori antibody blood test CPT 86677 86677igm	$68.00	$68.00	$33.00–$82.00	48% below	—
H. pylori antibody blood test CPT 86677 H. Pylori Iga, Igg, Igm Ab (Ref)	$68.00	$68.00	$33.00–$82.00	48% below	—
H. pylori antibody blood test CPT 86677 H Pylori Igg 2	$68.00	$68.00	$33.00–$82.00	48% below	—
H. pylori antibody blood test CPT 86677 86677iga	$68.00	$68.00	$33.00–$82.00	48% below	—
H. pylori stool antigen test CPT 87338 H. Pylori Stool Ag, Eia (Ref)	$219.00	$219.00	$107.00–$263.00	111% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Rna Real Time Pcr (Non-graph) (Ref)	$396.00	$396.00	$194.00–$475.00	21% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1rna Real Time Pcr (Non-graph) Lc	$396.00	$396.00	$194.00–$475.00	21% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Quant, (Ref)	$396.00	$396.00	$194.00–$475.00	21% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv P24 Ag/ab Reflex To Confirmation (Ref)	$255.00	$255.00	$125.00–$306.00	78% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Pa197146	$163.00	$163.00	$80.00–$196.00	130% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Pap19819	$163.00	$163.00	$80.00–$196.00	130% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Pap19215 2	$163.00	$163.00	$80.00–$196.00	130% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c Lvl	$49.00	$49.00	$24.00–$59.00	47% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin (Hgb A1c)	$49.00	$49.00	$24.00–$59.00	47% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c 1	$49.00	$49.00	$24.00–$59.00	47% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis Bs Antibody	$28.00	$28.00	$14.00–$34.00	56% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep Bs Ab (Hbs2/hbsab)	$103.00	$103.00	$50.00–$124.00	61% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag	$48.00	$48.00	$24.00–$58.00	35% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep Bs Ag (Hbsii/hbsag)	$48.00	$48.00	$24.00–$58.00	35% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis Bs Antigen Confirmation	$48.00	$48.00	$24.00–$58.00	35% below	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Igg	$67.00	$67.00	$33.00–$80.00	23% below	—
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus Ab	$67.00	$67.00	$33.00–$80.00	23% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus Viral Load Quant (Ref)	$227.00	$227.00	$111.00–$272.00	23% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Genotyping Non Reflex (Ref)	$227.00	$227.00	$111.00–$272.00	23% below	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-pcr, Quant (Graph) Lc	$227.00	$227.00	$111.00–$272.00	23% below	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-pcr, Quant (Non-graph) Lc	$227.00	$227.00	$111.00–$272.00	23% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 And 2-specific Ab, Igg (Ref)	$62.00	$62.00	$30.00–$74.00	23% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1-specific Ab, Igg (Ref)	$62.00	$62.00	$30.00–$74.00	23% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1-specific Ab, Igg Lc	$62.00	$62.00	$30.00–$74.00	23% below	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv, Igm I/ii Combination Lc	$62.00	$62.00	$30.00–$74.00	23% below	—
Herpes blood test, HSV-2 antibody CPT 86696 86696 Hst12ig	$90.00	$90.00	$44.00–$108.00	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 86696 Herpes Simplex T2 Igm	$90.00	$90.00	$44.00–$108.00	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2-specific Ab, Igg (Ref)	$90.00	$90.00	$44.00–$108.00	at median	—
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2-specific Ab, Igg Lc	$90.00	$90.00	$44.00–$108.00	at median	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein, Hs Cardiac	$84.00	$84.00	$41.00–$101.00	5% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein Cardio	$84.00	$84.00	$41.00–$101.00	5% above	—
Insulin blood test CPT 83525 Insulin Two Specimens (Ref)	$48.00	$48.00	$24.00–$58.00	43% below	—
Insulin blood test CPT 83525 83525	$48.00	$48.00	$24.00–$58.00	43% below	—
Insulin blood test CPT 83525 Insulin Lvl	$48.00	$48.00	$24.00–$58.00	43% below	—
Insulin blood test CPT 83525 Insulin (Ref)	$48.00	$48.00	$24.00–$58.00	43% below	—
Insulin blood test CPT 83525 Insulin Free And Total (Ref)	$135.00	$135.00	$66.00–$162.00	62% above	—
Iron blood test (serum iron) CPT 83540 Iron, Serum Lc	$10.00	$10.00	$5.00–$12.00	89% below	—
Iron blood test (serum iron) CPT 83540 Iron, Serum (Ref)	$29.00	$29.00	$14.00–$35.00	67% below	—
Iron blood test (serum iron) CPT 83540 Tibc And Iron	$29.00	$29.00	$14.00–$35.00	67% below	—
Iron blood test (serum iron) CPT 83540 Iron Lvl.	$29.00	$29.00	$14.00–$35.00	67% below	—
Iron blood test (serum iron) CPT 83540 Iron Level	$29.00	$29.00	$14.00–$35.00	67% below	—
Iron blood test (serum iron) CPT 83540 Iron & Tibc Total Iron Binding Capacity	$29.00	$29.00	$14.00–$35.00	67% below	—
Iron-binding capacity (TIBC) test CPT 83550 83550 Irt	$62.00	$62.00	$30.00–$74.00	37% below	—
Iron-binding capacity (TIBC) test CPT 83550 83550 Tibci	$62.00	$62.00	$30.00–$74.00	37% below	—
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding	$62.00	$62.00	$30.00–$74.00	37% below	—
Kidney function blood test panel CPT 80069 Kidney function panel test	$118.00	$118.00	$58.00–$142.00	59% below	—
LH (luteinizing hormone) test CPT 83002 Lh, Pediatric (Endocrine Sciences) (Ref)	$45.00	$45.00	$22.00–$54.00	70% below	—
LH (luteinizing hormone) test CPT 83002 Lh Leutinizing Hormone	$91.00	$91.00	$45.00–$109.00	40% below	—
LH (luteinizing hormone) test CPT 83002 Lh	$91.00	$91.00	$45.00–$109.00	40% below	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Lvl	$34.00	$34.00	$17.00–$41.00	65% below	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$34.00	$34.00	$17.00–$41.00	65% below	—
Liver function blood test panel CPT 80076 Liver function blood test	$151.00	$151.00	$74.00–$181.00	48% below	—
Lyme disease antibody test CPT 86618 Lyme Ab Total W Reflex Lc	$91.00	$91.00	$45.00–$109.00	10% above	—
Lyme disease antibody test CPT 86618 Lyme Ab Total W Reflex (Ref)	$91.00	$91.00	$45.00–$109.00	10% above	—
Magnesium blood test CPT 83735 Rbc Magnesium (Ref)	$19.00	$19.00	$9.00–$23.00	57% below	—
Magnesium blood test CPT 83735 Magnesium, 24 Hour Urine	$40.00	$40.00	$20.00–$48.00	9% below	—
Magnesium blood test CPT 83735 Magnesium Lvl, Urine	$40.00	$40.00	$20.00–$48.00	9% below	—
Magnesium blood test CPT 83735 Magnesium Level	$40.00	$40.00	$20.00–$48.00	9% below	—
Magnesium blood test CPT 83735 Magnesium Lvl	$40.00	$40.00	$20.00–$48.00	9% below	—
Magnesium blood test CPT 83735 83735 Srp 7	$49.00	$49.00	$24.00–$59.00	11% above	—
Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine	$49.00	$49.00	$24.00–$59.00	11% above	—
Magnesium blood test CPT 83735 Magnesium Level Urine	$49.00	$49.00	$24.00–$59.00	11% above	—
Magnesium blood test CPT 83735 83735	$270.00	$270.00	$132.00–$324.00	514% above	—
Measles (rubeola) antibody test CPT 86765 Rubeola Igm (Ref)	$70.00	$70.00	$34.00–$84.00	143% above	—
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, Igg (Ref)	$70.00	$70.00	$34.00–$84.00	143% above	—
Measles (rubeola) antibody test CPT 86765 86765 Mmr 2	$92.00	$92.00	$45.00–$110.00	219% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Spot Test	$48.00	$48.00	$24.00–$58.00	48% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Spot	$48.00	$48.00	$24.00–$58.00	48% below	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test	$126.00	$126.00	$62.00–$151.00	12% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test	$126.00	$126.00	$62.00–$151.00	42% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Lb, Rfx Hpv Ascu Lc	$109.00	$109.00	$53.00–$98.00	48% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Pap19659 3	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Auto Screen Review	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Pa198335 4	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Pap19215 3	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap 199300 Iglb Rfx Hpv When Ascu (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap 199305 Iglb And Hpv Rfx Hpv 16/18,45 (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap 199320 Iglb Ct/gc Rfx Hpv When Ascu (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap 199355 Iglb Ct/gc Rfx Hpv When Ascu, Asch,lsil,hsil,agus (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Ig (Image Guided) (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Ig, Ct-ng (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Ig, Hpv-h+lr (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Ig, Rfx Hpv All Pth Lc	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Ig, Rfx Hpv If Ascu Asch Lsil Hsil Agus (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Ig, W Mat Indx (Ref)	$200.00	$200.00	$98.00–$180.00	172% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Lb, Rfx Hpv All Pth (Ref)	$70.00	$70.00	$34.00–$63.00	23% below	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Lb (Liquid-based) (Ref)	$70.00	$70.00	$34.00–$63.00	23% below	—
Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact (Parathyroid Hormone)	$171.00	$171.00	$84.00–$205.00	21% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test	$63.00	$63.00	$31.00–$76.00	18% above	—
Progesterone blood test CPT 84144 Progesterone, Free And Total (Ref)	$58.00	$58.00	$28.00–$70.00	50% below	—
Progesterone blood test CPT 84144 Progesterone	$97.00	$97.00	$48.00–$116.00	16% below	—
Progesterone blood test CPT 84144 Progesterone Lvl	$199.00	$199.00	$98.00–$239.00	73% above	—
Prolactin blood test CPT 84146 Prolactin Lvl Test	$66.00	$66.00	$32.00–$79.00	43% below	—
Prolactin blood test CPT 84146 Prolactin Lvl	$90.00	$90.00	$44.00–$108.00	22% below	—
Prolactin blood test CPT 84146 Macroprolactin (Ref)	$178.00	$178.00	$87.00–$214.00	54% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$43.00	$43.00	$21.00–$52.00	9% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Medical Urine	$40.00	$40.00	$20.00–$48.00	66% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Medical Urine Reflex Confirm	$40.00	$40.00	$20.00–$48.00	66% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Business Urine Reflex Confirm	$40.00	$40.00	$20.00–$48.00	66% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Business Urine	$40.00	$40.00	$20.00–$48.00	66% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 80305 Drugprof	$68.00	$68.00	$33.00–$82.00	43% below	—
Rapid flu test (influenza antigen) CPT 87804 87804 Influenza A/b	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influenza B	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influenza A&b 3	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influenza A	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influ B Ag	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Influ A Ag	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 Flu A And B Ag Screen	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid flu test (influenza antigen) CPT 87804 87804 Flu	$56.00	$56.00	$27.00–$67.00	41% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen, Gp A Beta	$53.00	$53.00	$26.00–$64.00	48% below	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factors	$54.00	$54.00	$26.00–$65.00	1% below	—
Rheumatoid factor (RF) test CPT 86431 86431 Lupa 2	$107.00	$107.00	$52.00–$128.00	95% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor 2	$107.00	$107.00	$52.00–$128.00	95% above	—
Rubella antibody test (immunity check) CPT 86762 86762 Mmr 1	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Rubeola Ab, Igg, Eia Lc	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Screen (Ger. Measles)	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, Igm (Ref)	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Mumps Abs, Igg Lc	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, Igm Lc	$70.00	$70.00	$34.00–$84.00	77% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, Igg Lc	$70.00	$70.00	$34.00–$84.00	77% above	—
Stool ova and parasites exam CPT 87177 Ova & Parasites	$58.00	$58.00	$28.00–$70.00	38% below	—
Stool ova and parasites exam CPT 87177 Ova & Parasite Panel 1	$63.00	$63.00	$31.00–$76.00	33% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool For Occult Blood Poc	$12.00	$12.00	$6.00–$14.00	69% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 .Occult Blood 1st	$16.00	$16.00	$8.00–$19.00	58% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood, Stool #2	$16.00	$16.00	$8.00–$19.00	58% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood, Stool #3	$16.00	$16.00	$8.00–$19.00	58% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood,stool	$16.00	$16.00	$8.00–$19.00	58% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Ll	$34.00	$34.00	$17.00–$41.00	12% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 .Occult Blood 3.	$34.00	$34.00	$17.00–$41.00	12% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool	$34.00	$34.00	$17.00–$41.00	12% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl, Csf (Ref)	$15.00	$15.00	$7.00–$18.00	72% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Antibody	$43.00	$43.00	$21.00–$52.00	19% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr, Rfx Qn Rpr/confirm Tp Lc	$43.00	$43.00	$21.00–$52.00	19% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Test Read	$20.00	$20.00	$10.00–$18.00	91% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold (In Tube) (Ref)	$155.00	$155.00	$76.00–$186.00	30% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon In Tube (Ref)	$288.00	$288.00	$141.00–$346.00	31% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold (In Tube) Lc	$288.00	$288.00	$141.00–$346.00	31% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone Lvl	$89.00	$89.00	$44.00–$107.00	26% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 84403-testosterone, Free+total Lc/ms	$90.00	$90.00	$44.00–$108.00	25% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total & Free	$120.00	$120.00	$59.00–$144.00	at median	—
Testosterone blood test, total (not free testosterone) CPT 84403 84403 Testosterone Total	$120.00	$120.00	$59.00–$144.00	at median	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$120.00	$120.00	$59.00–$144.00	at median	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies (Ref)	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Tpo Thyroid Peroxidase Ab	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-kidney Microsomal Ab (Ref)	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Thyroid Peroxide Abmicrosomal Ab Ea.	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (Tpo) Ab (Ref)	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (Tpo) Ab Lc	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies Lc	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody	$68.00	$68.00	$33.00–$82.00	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-liver/kidney Ab (Ref)	$70.00	$70.00	$34.00–$84.00	22% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$79.00	$79.00	$39.00–$95.00	36% below	—
Trichomonas test (NAAT) CPT 87661 87661 Pa198335 3	$35.00	$35.00	$17.00–$42.00	60% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Naa (Ref)	$150.00	$150.00	$74.00–$180.00	72% above	—
Trichomonas test (NAAT) CPT 87661 87661 Pap19659 2	$163.00	$163.00	$80.00–$196.00	86% above	—
Uric acid blood test CPT 84550 Uric Acid	$56.00	$56.00	$27.00–$67.00	48% below	—
Uric acid blood test CPT 84550 84550 Feua	$56.00	$56.00	$27.00–$67.00	48% below	—
Uric acid blood test CPT 84550 .Uric Acid Add On	$56.00	$56.00	$27.00–$67.00	48% below	—
Uric acid blood test CPT 84550 Uric A+esr-wes+ana+ra Qn+cr... (Ref)	$56.00	$56.00	$27.00–$67.00	48% below	—
Uric acid blood test CPT 84550 Uric Acid Lvl	$56.00	$56.00	$27.00–$67.00	48% below	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope	$44.00	$44.00	$22.00–$53.00	62% below	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test	$28.00	$28.00	$14.00–$34.00	44% below	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis test	$33.00	$33.00	$16.00–$40.00	8% below	—
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine	$124.00	$124.00	$61.00–$149.00	13% below	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$124.00	$124.00	$61.00–$149.00	13% below	—
Urine pregnancy test, read by color change CPT 81025 Urine Hcg Qualitative	$30.00	$30.00	$15.00–$36.00	67% below	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Poc	$30.00	$30.00	$17.00–$27.00	67% below	—
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine 1	$75.00	$75.00	$37.00–$90.00	17% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$70.00	$70.00	$34.00–$84.00	23% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12	$70.00	$70.00	$34.00–$84.00	23% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 & Folate	$70.00	$70.00	$34.00–$84.00	23% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level	$138.00	$138.00	$68.00–$166.00	23% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin D (Ref)ms D2+d3 (Ref)	$183.00	$183.00	$90.00–$220.00	64% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-oh Screen	$183.00	$183.00	$90.00–$220.00	64% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin D Lcms D2+d3 Lc	$231.00	$231.00	$113.00–$277.00	107% above	—
Zinc blood test CPT 84630 Zinc Plasma (Ref)	$40.00	$40.00	$20.00–$48.00	42% below	—
Zinc blood test CPT 84630 Zonisamide(zonegran), Serum (Ref)	$53.00	$53.00	$26.00–$64.00	23% below	—
Zinc blood test CPT 84630 Zinc, Whole Blood (Ref)	$53.00	$53.00	$26.00–$64.00	23% below	—
Zinc blood test CPT 84630 Zinc, Plasma Or Serum Lc	$53.00	$53.00	$26.00–$64.00	23% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hcg Quant	$109.00	$109.00	$53.00–$131.00	at median	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative	$109.00	$109.00	$53.00–$131.00	at median	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy	$5,278.00	$5,278.00	$2,586.00–$4,750.00	41% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture W/o Manipulation	$779.00	$779.00	$382.00–$701.00	67% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Hosp Tech Fee Cardioversion	$1,022.00	$1,022.00	$501.00–$920.00	33% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion Ext Elect Ed Charge	$1,022.00	$1,022.00	$501.00–$920.00	33% below	—
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens	$8,437.00	$8,437.00	$4,134.00–$7,593.00	102% above	—
Cervical biopsy CPT 57500 57500 Biopsy Of Cervix.	$177.00	$177.00	$87.00–$159.00	85% below	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery	$18,033.00	$18,033.00	$8,836.00–$16,230.00	334% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Circumcision, Using Clamp Or Other Device	$272.00	$272.00	$83.00–$245.00	78% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Newborn Circumsion	$683.00	$683.00	$335.00–$615.00	44% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Fracture Distal Radius Clinic Charge	$433.00	$433.00	$212.00–$390.00	16% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed Treatment Of Distal Radial Fracture (Eg, Colles Or Smith Type) W/o Manipualtion Charge	$841.00	$841.00	$328.00–$757.00	64% above	—
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope	$4,301.00	$4,301.00	$2,107.00–$3,871.00	256% above	—
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope	$4,148.00	$4,148.00	$2,033.00–$3,733.00	247% above	—
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope	$3,833.00	$3,833.00	$1,878.00–$3,450.00	149% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Endoscopy W/ Biopsy Of Cervix/endocervical Curettage	$405.00	$405.00	$198.00–$365.00	64% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction Benign/premalig Lesion Charge	$132.00	$132.00	$65.00–$119.00	35% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Ear Irrigation Poc	$30.00	$30.00	$15.00–$27.00	76% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Removal Impact Cerum	$45.00	$45.00	$22.00–$41.00	64% below	—
Earwax removal with instruments, one ear CPT 69210 69210 Removal Impacted Cerumen Ed Charge	$91.00	$91.00	$27.00–$82.00	42% below	—
Earwax removal with instruments, one ear CPT 69210 69210 Ear Lavage Tech Chg	$91.00	$91.00	$45.00–$82.00	42% below	—
Earwax removal with instruments, one ear CPT 69210 69210 Remv Impctd Cerumen/ Ed Charge	$122.00	$122.00	$60.00–$110.00	22% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 Injection(s), Of Diagnostic Or Therapeutic Substance	$254.00	$254.00	$94.00–$229.00	82% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection Therapeutic Agent Cervical Spine	$1,304.00	$1,304.00	$639.00–$1,174.00	9% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection Therapeutic Agent Thoracic Spine	$1,304.00	$1,304.00	$639.00–$1,174.00	9% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$863.00	$863.00	$423.00–$777.00	86% below	—
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$13,186.00	$13,186.00	$6,461.00–$11,867.00	85% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparoscopy Surgical Cholecystectomy With Cholangiography	$2,120.00	$2,120.00	$1,039.00–$1,908.00	74% below	—
Gallbladder removal, open surgery through a larger incision CPT 47600 47600 Cholecystectomy	$2,564.00	$2,564.00	$1,256.00–$2,308.00	20% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drain Skin Abcess	$240.00	$240.00	$118.00–$216.00	49% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I&d Abss Simp/single Ed Charge	$285.00	$285.00	$140.00–$257.00	39% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drain Skin Abscess, Simple/single Charge	$302.00	$302.00	$148.00–$272.00	35% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Of Abscess (Carbuncle, Suppurative Hidradenitis, Cyst, Cutaneous Or Subcut	$530.00	$530.00	$260.00–$477.00	13% above	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older	$10,402.00	$10,402.00	$5,097.00–$9,362.00	67% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(s); Single Tendon Sheath, Or Ligament, Aponeurosis (Eg, Planterar Fascia) Charge	$116.00	$116.00	$57.00–$104.00	74% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, Aspiration And Or Injection; Major Joint Or Bursa Technical Charge	$128.00	$128.00	$63.00–$115.00	78% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arth/asp Inj Lg Jnt W/o Guidance Ed Charge	$524.00	$524.00	$257.00–$472.00	12% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, Aspiration And Or Injection; Intermediate Joint Or Bursa Technical Charge	$103.00	$103.00	$31.00–$93.00	83% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arth/asp Inj Med Jnt W/o Guidance Ed Charge	$524.00	$524.00	$257.00–$472.00	12% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, Aspirtn And/or Inj; Small Joint Or Bursa (Eg, Fingers, Toes) Charge	$99.00	$99.00	$31.00–$89.00	77% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arth/asp Inj Sm Jnt W/o Guidance Ed Charge	$524.00	$524.00	$257.00–$472.00	20% above	—
Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope	$9,747.00	$9,747.00	$4,776.00–$8,772.00	65% above	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Edg Flexible, Transoral; With Removal Of Tumor, Polyp Or Other Lesion By Snare Techniques	$1,782.00	$1,782.00	$873.00–$1,604.00	75% below	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser	$1,190.00	$1,190.00	$583.00–$1,071.00	12% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Layer Closure Of Wounds Of Scalp, Axillae, Trunk, Extr(excl Hands And Feet) 2.5 Cm Or Less	$452.00	$452.00	$129.00–$407.00	15% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Lay Clo Sclp/ax/trnk Ed Charge	$494.00	$494.00	$242.00–$445.00	7% below	—
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance	$3,212.00	$3,212.00	$1,574.00–$2,891.00	92% above	—
Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance	$3,212.00	$3,212.00	$1,574.00–$2,891.00	153% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance	$2,926.00	$2,926.00	$1,434.00–$2,633.00	101% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Remove Lesion, Trunk/arm/leg <.5 Cm Charge	$236.00	$236.00	$116.00–$212.00	71% below	—
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Of Nail Plate, Partial Or Complete, Simple; Single Charge	$323.00	$323.00	$158.00–$291.00	1% below	—
Nail removal (partial or complete), one nail CPT 11730 11730 Avls Nail Plt Sngl Ed Charge	$323.00	$323.00	$158.00–$291.00	1% below	—
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Of Nail Plate, Partial Or Complete, Simple: 1 Nail Plate	$530.00	$530.00	$260.00–$477.00	63% above	—
Occipital nerve block (injection for headaches) both sides CPT 64405 64405 Nerv Block Inj Occipital Bilat	$120.00	$120.00	$59.00–$108.00	—	—
Occipital nerve block (injection for headaches) CPT 64405 64405 Inject Anesthesia Greater Occipital Ed Charge	$182.00	$182.00	$89.00–$164.00	57% below	—
Paracentesis with imaging guidance CPT 49083 49083- Abd Paracentesis W/ Imaging -Tech	$694.00	$694.00	$340.00–$625.00	57% below	—
Paracentesis with imaging guidance CPT 49083 49083 Paracentesis, Abd, W/image Guid Pro Ed Charge	$814.00	$814.00	$91.00–$733.00	50% below	—
Paracentesis with imaging guidance CPT 49083 Paracentesis, Abd, With Image Guidance	$2,788.00	$2,788.00	$1,366.00–$2,509.00	71% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excise Of Nail & Matrix, Part. Or Complete, For Permanent Removal Charge	$249.00	$249.00	$122.00–$224.00	64% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail/matrix Part Ed Charge	$516.00	$516.00	$253.00–$464.00	26% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal	$1,056.00	$1,056.00	$517.00–$950.00	51% above	—
Prostate biopsy CPT 55700 Biopsy of prostate gland	$10,962.00	$10,962.00	$5,371.00–$9,866.00	317% above	—
Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure	$1,020.00	$1,020.00	$500.00–$918.00	79% below	—
Removal of a foreign object under the skin, simple CPT 10120 10120 Inc & Removal Fb Subcu Ed Charge	$254.00	$254.00	$124.00–$229.00	53% below	—
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & Removal Of Foreign Body, Subcutaneous Tissues; Simple Charge	$494.00	$494.00	$99.00–$445.00	9% below	—
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision And Removal Or Foreign Body, Subcutaneous Tissues; Simple	$1,056.00	$1,056.00	$517.00–$950.00	95% above	—
Short arm cast (elbow to hand) CPT 29075 29075 Applic, Cast; Elbow To Finger (Short Arm) Charge	$210.00	$210.00	$57.00–$189.00	32% below	—
Short arm cast (elbow to hand) CPT 29075 29075 App Short Arm Cast Ed Charge	$487.00	$487.00	$239.00–$438.00	59% above	—
Short arm splint (forearm and hand) CPT 29125 Applic Of Short Arm Splint (Forearm To Hand); Static Charge	$157.00	$157.00	$77.00–$141.00	46% below	—
Short arm splint (forearm and hand) CPT 29125 Ot Short Arm Splint Units	$214.00	$214.00	$105.00–$193.00	26% below	—
Short arm splint (forearm and hand) CPT 29125 29125 App Short Arm Splint Ed Charge	$214.00	$214.00	$105.00–$193.00	26% below	—
Short arm splint (forearm and hand) CPT 29125 29125 Pf Splint Application Pro Ed Charge	$314.00	$314.00	$40.00–$283.00	9% above	—
Short leg cast (below the knee) CPT 29405 29405 Application Short Leg Cast Below Knee-toe Techfee	$233.00	$233.00	$114.00–$210.00	31% below	—
Short leg cast (below the knee) CPT 29405 29405 Applic Of Short Leg Cast (Below Knee To Toes); Charge	$437.00	$437.00	$214.00–$393.00	29% above	—
Short leg splint (calf to foot) CPT 29515 29515 Applic Of Short Leg Splint (Calf To Foot) Charge	$261.00	$261.00	$128.00–$235.00	7% below	—
Short leg splint (calf to foot) CPT 29515 29515 Appl Short Leg Splin Ed Charge	$261.00	$261.00	$128.00–$235.00	7% below	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope	$24,320.00	$24,320.00	$11,917.00–$21,888.00	364% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Rpr Sfcl Wnd Snaete Smpl 2.5cm Or Less Ed Charge	$190.00	$190.00	$93.00–$171.00	53% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk And/or Extrem; 2.5 Cm > Charge	$190.00	$190.00	$93.00–$171.00	53% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Lac Repair 2.5 Cm Or Less	$349.00	$349.00	$43.00–$314.00	13% below	—
Skin biopsy, punch, one lesion CPT 11104 11104 Punch Bx Of Skin; Single Lesion-clinic	$240.00	$240.00	$37.00–$216.00	48% below	—
Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed) Single Lesion	$1,056.00	$1,056.00	$517.00–$950.00	130% above	—
Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags, Mult Fibrocutaneous Tags, Any Area; Up To & W/15 Lesions Charge	$276.00	$276.00	$135.00–$248.00	13% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Charge	$219.00	$219.00	$107.00–$197.00	79% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Puncture, Lumbar, Diagnostic	$341.00	$341.00	$57.00–$307.00	67% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal Punct Lumb Dx Ed Charge	$1,281.00	$1,281.00	$628.00–$1,153.00	23% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Rpr Sfcl Wnd Snaete Smpl 2.6-7.5cm Ed Charge	$258.00	$258.00	$126.00–$232.00	44% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk And/or Extrem; 2.6 Cm To 7.5 Cm Charge	$258.00	$258.00	$126.00–$232.00	44% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Lac Repair 2.6 To 7.5 Cm	$459.00	$459.00	$56.00–$413.00	at median	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Rpr Sfcl Wnd Feenlm Smpl 2.5cm Or Less Ed Charge	$130.00	$130.00	$64.00–$117.00	69% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Repair Simple Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes; 2.5 Cm > Charge	$153.00	$153.00	$75.00–$138.00	64% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Sim Sprfl F,e,e,n,l	$265.00	$265.00	$130.00–$239.00	38% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential Bx Of Skin (Eg, Shave, Scoop, Saucerize, Curette)-clinic Pro	$192.00	$192.00	$30.00–$173.00	47% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential Biopsy Of Skin (E.g., Shave, Scoop, Saucerize, Curette) Single Lesion	$530.00	$530.00	$260.00–$477.00	47% above	—
Thoracentesis with imaging guidance CPT 32555 32555-aspirate Pleura W/imaginged Tech	$282.00	$282.00	$138.00–$254.00	80% below	—
Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis, Needle Or Catheter, Apsiration Of The Pleural Space, With Imaging	$316.00	$316.00	$93.00–$284.00	78% below	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy	$5,631.00	$5,631.00	$2,759.00–$5,068.00	27% above	—
Total hip replacement CPT 27130 27130 Total Hip Arthroplasty	$3,368.00	$3,368.00	$1,129.00–$3,031.00	74% below	—
Total hip replacement CPT 27130 Arthroplasty Total Hip	$14,494.00	$14,494.00	$7,102.00–$13,045.00	13% above	—
Total knee replacement CPT 27447 27447 Total Knee Arthroplasty	$3,366.00	$3,366.00	$1,127.00–$3,029.00	74% below	—
Total knee replacement CPT 27447 Arthroplasty Knee Total	$28,489.00	$28,489.00	$13,960.00–$25,640.00	122% above	—
Total shoulder replacement CPT 23472 23472 Arthroplasty Glenohum Jt	$3,595.00	$3,595.00	$1,264.00–$3,236.00	79% below	—
Total shoulder replacement CPT 23472 Arthroscopy Shoulder	$6,317.00	$6,317.00	$3,095.00–$5,685.00	64% below	—
Total shoulder replacement CPT 23472 Arthroplasty Shoulder Total Reverse	$18,553.00	$18,553.00	$9,091.00–$16,698.00	6% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(s); Single Or Mult Trigger Point(s), One Or Two Muscle(s) Tech Chg	$105.00	$105.00	$51.00–$95.00	82% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Injection Surg	$105.00	$105.00	$51.00–$95.00	82% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Trig Pt Inj 1-2 Musc Ed Charge	$490.00	$490.00	$240.00–$441.00	15% below	—
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope	$2,102.00	$2,102.00	$1,030.00–$1,892.00	104% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$3,465.00	$3,465.00	$1,698.00–$3,119.00	226% above	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Obstetric care, planned vaginal delivery (post delivery by cesarean section)	$13,598.00	$13,598.00	$6,663.00–$12,238.00	71% above	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery	$13,598.00	$13,598.00	$6,663.00–$12,238.00	407% above	—
Wart removal, up to 14 warts CPT 17110 17110 Destruct B9 Les Other Than Skin Tags Or Cut Vascular Prolif Lesions; Up To 14 Lesions Techni	$168.00	$168.00	$82.00–$151.00	20% below	—
Wart removal, up to 14 warts CPT 17110 Destruct Benign Lesions Other Than Skin Tags Or Cut Vascular Prolif Lesions;>15 Lesions Technical Ch	$168.00	$168.00	$82.00–$151.00	20% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin/soft Tissue Charge	$183.00	$183.00	$54.00–$165.00	82% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement: Sub Q First 20 Sq Cm Or Less	$1,056.00	$1,056.00	$517.00–$950.00	3% 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 Bill Blood Administration	$764.00	$764.00	$374.00–$688.00	19% below	—
Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Admin Up To 4h Charge	$764.00	$764.00	$374.00–$688.00	19% below	—
Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Administration 1 Unit	$764.00	$764.00	$374.00–$688.00	19% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Nebulizer Charge.	$45.00	$45.00	$8.00–$41.00	78% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment	$327.00	$327.00	$160.00–$294.00	61% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Aerosol/vapor Inhal Trmt Charge	$327.00	$327.00	$160.00–$294.00	61% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (Mdi) Initial	$327.00	$327.00	$160.00–$294.00	61% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (Mdi) Subsequent	$327.00	$327.00	$160.00–$294.00	61% above	—
Critical care, first 30 to 74 minutes CPT 99291 99291- Ed Critical Care-1st Hour	$3,414.00	$3,414.00	$1,673.00–$3,073.00	32% above	—
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care,1st Hr- Prof	$3,414.00	$3,414.00	$1,673.00–$3,073.00	32% above	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report	$152.00	$152.00	$74.00–$137.00	7% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Electrocardiogram, Routine Ecg,12 Leads; Tracing Only, W/o Interpretation And Report	$131.00	$131.00	$64.00–$118.00	56% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg 12-lead Acquisition	$131.00	$131.00	$64.00–$118.00	56% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ekg Charge	$131.00	$131.00	$64.00–$118.00	56% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Emergency Rm- Level I Ed Charge- Technical Fee Bce	$352.00	$352.00	$172.00–$317.00	34% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281- Ed Visit Level 1 Ed Facility Charge Ticket	$352.00	$352.00	$172.00–$317.00	34% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282- Ed Visit Level 2	$608.00	$608.00	$298.00–$547.00	30% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 Emergency Rm- Level 2 Ed Charge- Technical Fee Bce	$608.00	$608.00	$298.00–$547.00	30% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283- Ed Visit Level 3 Intermediate	$1,042.00	$1,042.00	$511.00–$938.00	27% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 Emergency Rm- Level 3 Ed Charge- Technical Fee Bce	$1,042.00	$1,042.00	$511.00–$938.00	27% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Emergency Rm- Level 4 Ed Charge- Technical Fee Bce	$1,658.00	$1,658.00	$812.00–$1,492.00	22% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284- Ed Visit Level 4 Moderate	$1,658.00	$1,658.00	$812.00–$1,492.00	22% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285- Ed Visit Level 5 High Decision Making	$2,398.00	$2,398.00	$1,175.00–$2,158.00	6% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Emergency Rm- Level 5 Ed Charge- Technical Fee Bce	$2,398.00	$2,398.00	$1,175.00–$2,158.00	6% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Cardiovascular Stress Test- Tracing Only	$482.00	$482.00	$236.00–$434.00	67% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Card Rehab Stress Test Treadmil	$482.00	$482.00	$236.00–$434.00	67% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$482.00	$482.00	$236.00–$434.00	67% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$482.00	$482.00	$236.00–$434.00	67% below	—
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min	$300.00	$300.00	$147.00–$270.00	6% above	—
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min	$294.00	$294.00	$144.00–$265.00	14% above	—
Group psychotherapy session CPT 90853 Group psychotherapy	$80.00	$80.00	$39.00–$72.00	65% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration Iv First Hour Clinic Charge	$79.00	$79.00	$39.00–$71.00	82% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360hydration, First Hour- Hosp	$185.00	$185.00	$91.00–$167.00	59% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Infus Hydr Int1hr Ed Charge	$185.00	$185.00	$91.00–$167.00	59% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Hydration, 1st Hour Charge	$202.00	$202.00	$99.00–$182.00	55% below	—
IV infusion of a medicine, first hour CPT 96365 96365 Iv Infusion Therapy, Prophylaxis /Dx 1st To 1 Hr	$325.00	$325.00	$159.00–$293.00	32% below	—
IV infusion of a medicine, first hour CPT 96365 96365 Ivpb 1st Dose Ed Charge	$325.00	$325.00	$159.00–$293.00	32% below	—
IV infusion of a medicine, first hour CPT 96365 96365 Iv Infusion Therapy, 1st Hour Charge	$397.00	$397.00	$195.00–$357.00	17% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ppd Administration Poc	$40.00	$40.00	$20.00–$36.00	76% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, Prophylactic, Or Diagnostic Injection; Subcutaneous Or Intramuscular	$40.00	$40.00	$20.00–$36.00	76% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic; Prophylactic, Or Diagnostic Injection, Subcutaneous Or Intramuscular	$40.00	$40.00	$15.00–$36.00	76% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection Admin, Sq Or Im- Hosp	$85.00	$85.00	$42.00–$77.00	49% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection Fee Im,sq Ed Charge	$85.00	$85.00	$42.00–$77.00	49% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection, Subq/im Charge	$93.00	$93.00	$46.00–$84.00	44% below	—
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Units	$77.00	$77.00	$38.00–$69.00	32% below	—
Neuromuscular re-education, 15 minutes CPT 97112 97112 Ot Neuromuscular Reeducation (Timed Per 15 Minutes)	$77.00	$77.00	$38.00–$69.00	32% below	—
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Reeducation Units	$85.00	$85.00	$42.00–$77.00	25% below	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges	$85.00	$85.00	$42.00–$77.00	25% below	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation (97112)	$85.00	$85.00	$42.00–$77.00	25% below	—
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min	$362.00	$362.00	$177.00–$326.00	60% above	—
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min	$479.00	$479.00	$235.00–$431.00	49% above	—
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min	$656.00	$656.00	$321.00–$590.00	95% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/op New Visit Level 2 99202	$149.00	$149.00	$73.00–$134.00	24% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office / Outpatient Visitnew Patientlevel 2	$275.00	$275.00	$135.00–$248.00	41% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Medical Nutrition Therapy,initial, Face-to-face, Each 15 Minutes	$109.00	$109.00	$26.00–$98.00	86% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Mnt Indiv Initial Assessment And Intervention (Ea 15 Min) Charge	$119.00	$119.00	$58.00–$107.00	103% above	—
Occupational therapy evaluation, low complexity CPT 97165 97165 Occupational Therapy Evaluation, Low Complexity, Requiring These Components: An Occupational P	$236.00	$236.00	$116.00–$212.00	12% below	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Low Complexity Units	$236.00	$236.00	$116.00–$212.00	12% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation High Complexity Units	$236.00	$236.00	$116.00–$212.00	23% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low Complexity Units	$236.00	$236.00	$116.00–$212.00	1% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161 Pt Eval, Low Complexity 20 Min.	$236.00	$236.00	$116.00–$212.00	1% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate Complexity Units	$236.00	$236.00	$116.00–$212.00	17% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Units	$76.00	$76.00	$37.00–$68.00	32% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Mobilizationmanual Therapy Charge Units	$76.00	$76.00	$37.00–$68.00	32% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 Manual Therapy Charge	$76.00	$76.00	$37.00–$68.00	32% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units	$76.00	$76.00	$37.00–$68.00	32% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 Manual Therapy Charge Units	$76.00	$76.00	$37.00–$68.00	32% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Units	$76.00	$76.00	$37.00–$68.00	32% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise	$79.00	$79.00	$39.00–$71.00	36% below	—
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years)	$270.00	$270.00	$132.00–$243.00	94% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years)	$327.00	$327.00	$160.00–$294.00	126% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 99387 Preventive Medicine 65+ Years New	$314.00	$314.00	$154.00–$283.00	87% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Medicine 18-39 Years Established	$202.00	$202.00	$99.00–$182.00	74% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Medicine 40-64 Years Established	$267.00	$267.00	$131.00–$240.00	56% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Medicine 65+ Years Established	$245.00	$245.00	$120.00–$221.00	39% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Medicine Established Patient65 And Over	$245.00	$245.00	$120.00–$221.00	39% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psychotherapy For Crisis; First 60 Minutes	$423.00	$423.00	$207.00–$381.00	30% above	—
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min	$228.00	$228.00	$112.00–$205.00	19% above	—
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min	$301.00	$301.00	$147.00–$271.00	10% above	—
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min	$444.00	$444.00	$218.00–$400.00	61% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Cessation	$55.00	$55.00	$27.00–$50.00	14% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking Cessation 3-10 Mins Charge	$62.00	$62.00	$30.00–$56.00	29% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/op Established Visit Level 5 99215	$281.00	$281.00	$138.00–$253.00	9% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Level E5-wound Clinic Charge	$479.00	$479.00	$235.00–$431.00	55% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient Visit Level 3 Established99213	$175.00	$175.00	$86.00–$158.00	14% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office/op Established Visit Level 3 99213	$175.00	$175.00	$86.00–$158.00	14% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient Visit Level 3 Established992131	$206.00	$206.00	$57.00–$185.00	1% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Level E3-wound Clinic Charge	$275.00	$275.00	$135.00–$248.00	34% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/op Established Visit Level 4	$201.00	$201.00	$98.00–$181.00	10% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient Visit Level 4 Established99214	$304.00	$304.00	$176.00–$274.00	37% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Level E4-wound Clinic Charge	$362.00	$362.00	$177.00–$326.00	63% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office/op Established Visit Level 2	$110.00	$110.00	$54.00–$99.00	33% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office Visit Established Pt. Level 2	$133.00	$133.00	$31.00–$120.00	19% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Level E2-wound Clinic Charge	$275.00	$275.00	$135.00–$248.00	68% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient Visit Level 2 Established99212	$304.00	$304.00	$176.00–$274.00	85% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min	$283.00	$283.00	$139.00–$255.00	217% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min	$455.00	$455.00	$223.00–$410.00	180% above	—
Speech and language evaluation CPT 92523 Slp Sound Prod W/ Lang Comp Eval Units	$232.00	$232.00	$114.00–$209.00	45% below	—
Speech and language evaluation CPT 92523 Speech Sound Prod W/ Languarge Chargespeech Sound Prod W/ Language Charge	$463.00	$463.00	$227.00–$417.00	9% above	—
Speech and language evaluation CPT 92523 92523 Eval Speech Sound W/ C & E	$463.00	$463.00	$227.00–$417.00	9% above	—
Speech therapy session, individual CPT 92507 Slp Auditory Processing Tx Units	$264.00	$264.00	$129.00–$238.00	15% above	—
Speech therapy session, individual CPT 92507 92507 Speech Therapy/individual Charge	$264.00	$264.00	$129.00–$238.00	15% above	—
Speech therapy session, individual CPT 92507 Tx Of Speech/lang/voice/comm/auditorytx Of Speech/lang/voice/comm/auditory Chg	$264.00	$264.00	$129.00–$238.00	15% above	—
Spirometry (breathing test) CPT 94010 94010 Spirometry Charge	$98.00	$284.00	$139.00–$256.00	74% below	65%
Spirometry (breathing test) CPT 94010 Rt Spirometry With Graphic Record Charge	$98.00	$284.00	$139.00–$256.00	74% below	65%
Spirometry (breathing test) CPT 94010 Respiratory Care	$284.00	$284.00	$139.00–$256.00	24% below	—
Spirometry before and after a bronchodilator CPT 94060 94060 Pft Pre And Post Bronchodilator Charge	$276.00	$276.00	$135.00–$248.00	56% below	—
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Testing Pre And Post	$276.00	$276.00	$135.00–$248.00	56% below	—
Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre/post Bd	$503.00	$503.00	$246.00–$453.00	20% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity Units	$45.00	$45.00	$22.00–$41.00	62% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 97530 Kinetic Act. 15 Min. Charge	$45.00	$45.00	$22.00–$41.00	62% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge	$45.00	$45.00	$22.00–$41.00	62% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 97530 Ot Therapeutic Activity Charge	$91.00	$91.00	$45.00–$82.00	23% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Units	$91.00	$91.00	$45.00–$82.00	23% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charges	$91.00	$91.00	$45.00–$82.00	23% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy 9	$123.00	$123.00	$60.00–$111.00	51% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy 1 Unit	$240.00	$240.00	$118.00–$216.00	4% below	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 91320 Comirnaty Medication Charge	$328.00	$328.00	$161.00–$295.00	198% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 Varicellavarivax	$145.00	$145.00	$71.00–$131.00	71% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine, Trivalent (Iiv3), Split Virus, Pres	$65.00	$65.00	$32.00–$59.00	36% above	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90649 Hpv-9	$215.00	$215.00	$105.00–$194.00	78% below	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 (Hpv 9) Human Papilloma Vaccine	$270.00	$270.00	$132.00–$243.00	72% below	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A-hepatitis B Adult Vaccine Charge	$112.00	$112.00	$55.00–$101.00	50% below	—
Hepatitis A vaccine, adult dose CPT 90632 90632 Hepatitis A Vaccine, Adult Dosage, For Intramuscular Use	$112.00	$112.00	$55.00–$101.00	50% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine, Adult Dosage (3 Dose Schedule), For Intramuscular Use	$109.00	$109.00	$53.00–$98.00	39% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone Pfs Tiv Influenza Vaccine	$237.00	$237.00	$116.00–$213.00	59% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 Measles, Mumps And Rubella Virus Vaccine (Mmr), Live, For Subcutaneous Use.	$120.00	$120.00	$59.00–$108.00	51% below	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 Meningococcal Menveo	$211.00	$211.00	$103.00–$190.00	40% below	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conjugate Vaccine, Serogroups A, C, Y And W-135 (Tetravalent), For Im Use Poc	$211.00	$211.00	$103.00–$190.00	40% below	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexseromeningococcal Group B Vaccine 0.5 Mg	$278.00	$278.00	$136.00–$250.00	54% below	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 Pneumococcal 20-valent Conjugate Vaccine	$285.00	$285.00	$140.00–$257.00	49% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 Pneumococcal 23 Vaccine	$170.00	$170.00	$83.00–$153.00	35% below	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 90380 Beyfortus 50 Mg/0.5 Ml Syringe	$791.00	$791.00	$388.00–$712.00	21% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus And Diphtheria Toxoids (Td) Adsorbed, Preservative Free, For Use In Individuals 7 Yrs Poc	$67.00	$67.00	$33.00–$60.00	49% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Adacel	$52.00	$52.00	$25.00–$47.00	69% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, Diphtheria Toxoids & Acellular Pertussis Vaccine (Tdap), 7 Years Or Older, Im Use Poc	$97.00	$97.00	$48.00–$87.00	42% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Administration; 1 Vaccine	$40.00	$40.00	$21.00–$36.00	48% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin 1st Charge	$93.00	$93.00	$46.00–$84.00	20% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immun Admin 1st	$93.00	$93.00	$46.00–$84.00	20% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Im Adm Prq Id Subq/im Njxs 1 Vaccine Charge	$93.00	$93.00	$46.00–$84.00	20% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional Vaccine	$30.00	$30.00	$15.00–$27.00	44% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin 2 Charge	$55.00	$55.00	$27.00–$50.00	3% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Im Adm Prq Id Subq/im Njxs Ea Vaccine Charge	$60.00	$60.00	$29.00–$54.00	12% above	—

Source file: https://secure.claraprice.net/price-transparency/ODBG-1762447756988/machine-readable/752403687_cogdell-memorial-hospital_standardcharges.json