Carepartners Rehabilitation Hospital
Carepartners Rehabilitation Hospital in Asheville, NC publishes cash prices for 184 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Carolina median for 5 of 6 procedures and above it for 1. Select a procedure to compare it with other hospitals nearby.
68 SWEETEN CREEK RD, Asheville, NC, 28803 Collected Oct 23, 2026 Source price file Check a bill from this hospital
Some prices here are not compared
Carepartners Rehabilitation Hospital is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.
The price file shows no self-pay discount
For 327 of the 327 prices listed here, the cash price in Carepartners Rehabilitation 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. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Carepartners Rehabilitation Hospital in Asheville, NC:
- Apr 29, 2025 Warning notice
- Jun 5, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 ABD XR 2V | $401.63 | $401.63 | $287.17 | — | — |
| Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views | $401.63 | $401.63 | $42.67 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $208.65 | $208.65 | $41.73–$171.09 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $530.19 | $530.19 | $106.04–$434.76 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $257.14 | $257.14 | $183.86 | — | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $176.32 | $176.32 | $126.07 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $168.98 | $168.98 | $120.82 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $435.07 | $435.07 | $87.01–$356.76 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $158.68 | $158.68 | $31.74–$130.12 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete | $158.68 | $158.68 | $121.59 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $2,482.21 | $2,482.21 | $496.44–$2,035.41 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $186.60 | $186.60 | $133.42 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT | $477.34 | $477.34 | $95.47–$391.42 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT | $595.36 | $595.36 | $119.07–$488.20 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT | $595.36 | $595.36 | $119.07–$488.20 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views | $376.15 | $376.15 | $57.89 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V | $376.15 | $376.15 | $268.95 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $171.91 | $171.91 | $34.38–$140.97 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT | $435.07 | $435.07 | $87.01–$356.76 | — | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT | $186.60 | $186.60 | $37.32–$153.01 | — | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT | $435.07 | $435.07 | $311.08 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT | $435.07 | $435.07 | $311.08 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT | $435.07 | $435.07 | $311.08 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $583.03 | $583.03 | $116.61–$478.08 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $583.03 | $583.03 | $116.61–$478.08 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT | $697.53 | $697.53 | $139.51–$571.97 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT | $697.53 | $697.53 | $139.51–$571.97 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) | $129.30 | $129.30 | $99.04 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $129.30 | $129.30 | $92.45 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT | $286.52 | $286.52 | $57.30–$234.95 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT | $415.69 | $415.69 | $83.14–$340.87 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views | $1,150.23 | $1,150.23 | $70.85 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V | $1,150.23 | $1,150.23 | $822.41 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT | $295.35 | $295.35 | $59.07–$242.19 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT | $630.59 | $630.59 | $450.87 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V RT | $838.45 | $838.45 | $167.69–$687.53 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V LT | $838.45 | $838.45 | $167.69–$687.53 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $245.38 | $245.38 | $175.45 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $510.82 | $510.82 | $365.24 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views | $912.42 | $912.42 | $46.05 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V | $912.42 | $912.42 | $652.38 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V | $457.97 | $457.97 | $327.45 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views | $457.97 | $457.97 | $45.48 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $875.43 | $875.43 | $625.93 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $875.43 | $875.43 | $161.05 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR MIN 2 VIEWS | $286.52 | $286.52 | $57.30–$234.95 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V LT | $477.34 | $477.34 | $95.47–$391.42 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V RT | $477.34 | $477.34 | $341.30 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT | $435.07 | $435.07 | $87.01–$356.76 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT | $435.07 | $435.07 | $87.01–$356.76 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $170.43 | $170.43 | $34.09–$139.75 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $170.43 | $170.43 | $129.30 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT | $210.11 | $210.11 | $42.02–$172.29 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT | $415.69 | $415.69 | $83.14–$340.87 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $1,616.39 | $1,616.39 | $323.28–$1,325.44 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $1,616.39 | $1,616.39 | $1,155.72 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $196.88 | $196.88 | $140.77 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT | $435.07 | $435.07 | $87.01–$356.76 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $191.01 | $191.01 | $136.57 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $634.12 | $634.12 | $126.82–$519.98 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL UN 2-3 VIEW | $317.38 | $317.38 | $226.93 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V RT | $1,109.69 | $1,109.69 | $221.94–$909.95 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V LT | $1,109.69 | $1,109.69 | $221.94–$909.95 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $221.88 | $221.88 | $158.64 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $221.88 | $221.88 | $35.34 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $186.60 | $186.60 | $133.42 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $435.07 | $435.07 | $87.01–$356.76 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $168.98 | $168.98 | $33.80–$138.56 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $435.07 | $435.07 | $311.08 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $196.88 | $196.88 | $140.77 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $435.07 | $435.07 | $311.08 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $214.51 | $214.51 | $153.37 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $530.19 | $530.19 | $379.09 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $214.51 | $214.51 | $42.90–$175.90 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $530.19 | $530.19 | $106.04–$434.76 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $196.88 | $196.88 | $140.77 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $477.34 | $477.34 | $95.47–$391.42 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $307.09 | $307.09 | $219.57 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $307.09 | $307.09 | $49.99 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $841.97 | $841.97 | $168.39–$690.42 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $841.97 | $841.97 | $68.60 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $274.77 | $274.77 | $39.28 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $274.77 | $274.77 | $54.95–$225.31 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $524.91 | $524.91 | $48.87 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $524.91 | $524.91 | $104.98–$430.43 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $257.14 | $257.14 | $51.43–$210.85 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $257.14 | $257.14 | $49.43 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $210.11 | $210.11 | $33.08 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $210.11 | $210.11 | $150.23 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $415.69 | $415.69 | $39.85 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $415.69 | $415.69 | $297.22 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $117.54 | $117.54 | $9.54 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $117.54 | $117.54 | $23.51–$96.38 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $96.97 | $96.97 | $69.33 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $96.97 | $96.97 | $9.32 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $442.27 | $442.27 | $85.73 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $442.27 | $442.27 | $88.45–$362.66 | — | — |
| Albumin blood test CPT 82040 ALBUMIN SERUM QN | $95.52 | $95.52 | $68.30 | — | — |
| Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood | $95.52 | $95.52 | $8.91 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP) | $86.70 | $86.70 | $61.99 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline; | $86.70 | $86.70 | $5.18–$6.71 | — | — |
| Ammonia blood test CPT 82140 Ammonia | $124.89 | $124.89 | $14.57–$18.89 | — | — |
| Ammonia blood test CPT 82140 AMMONIA | $124.89 | $124.89 | $89.30 | — | — |
| Amylase blood test CPT 82150 Amylase | $94.04 | $94.04 | $11.66 | — | — |
| Amylase blood test CPT 82150 AMYLASE | $94.04 | $94.04 | $67.24 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $94.04 | $94.04 | $67.24 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); | $94.04 | $94.04 | $21.76 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $324.71 | $324.71 | $70.67 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $324.71 | $324.71 | $64.94–$266.26 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $315.78 | $315.78 | $63.16–$258.94 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $315.78 | $315.78 | $63.16–$258.94 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $307.09 | $307.09 | $61.42–$251.81 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium | $307.09 | $307.09 | $15.23 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT BLD | $124.89 | $124.89 | $24.98–$102.41 | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin; total | $124.89 | $124.89 | $9.04 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $107.27 | $107.27 | $21.45–$87.96 | — | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $107.27 | $107.27 | $10.32–$13.37 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $65.37 | $65.37 | $16.81 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $65.37 | $65.37 | $46.74 | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $88.16 | $88.16 | $7.07 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $88.16 | $88.16 | $63.03 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $67.59 | $67.59 | $48.33 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $67.59 | $67.59 | $13.54 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $95.21 | $95.21 | $5.38 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $95.21 | $95.21 | $19.04–$78.07 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $107.27 | $107.27 | $21.45–$87.96 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative | $107.27 | $107.27 | $7.11 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $71.99 | $71.99 | $51.47 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $71.99 | $71.99 | $9.32 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $196.88 | $196.88 | $39.38–$161.44 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $196.88 | $196.88 | $67.09 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $180.21 | $180.21 | $36.04–$147.77 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $86.70 | $86.70 | $17.34–$71.09 | — | — |
| Calcium blood test, total CPT 82310 Calcium; total | $86.70 | $86.70 | $9.29 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER AB QUAL | $183.66 | $183.66 | $36.73–$150.60 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Antibody; varicella-zoster | $183.66 | $183.66 | $23.18 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $95.52 | $95.52 | $24.10 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $95.52 | $95.52 | $19.10–$78.33 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $69.07 | $69.07 | $13.81–$56.64 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $138.11 | $138.11 | $27.62–$113.25 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | $138.11 | $138.11 | $10.56–$12.67 | — | — |
| Cortisol blood test, total CPT 82533 Cortisol; total | $170.43 | $170.43 | $29.34 | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $170.43 | $170.43 | $34.09–$139.75 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREAT KINASE (CK) TOTAL | $96.97 | $96.97 | $19.39–$79.52 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total | $96.97 | $96.97 | $11.72 | — | — |
| Creatinine blood test CPT 82565 CREATININE BLD | $107.27 | $107.27 | $76.70 | — | — |
| Creatinine blood test CPT 82565 Creatinine; blood | $107.27 | $107.27 | $9.22 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $108.72 | $108.72 | $21.74–$89.15 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $108.72 | $108.72 | $18.32 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c | $461.00 | $461.00 | $111.85 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR ANY NBR PER DOS | $461.00 | $461.00 | $329.62 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) | $232.15 | $232.15 | $12.62 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $232.15 | $232.15 | $46.43–$190.36 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $52.90 | $52.90 | $10.58–$43.38 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $52.90 | $52.90 | $33.44 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $116.08 | $116.08 | $83.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $116.08 | $116.08 | $24.53 | — | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $89.63 | $89.63 | $26.46 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $89.63 | $89.63 | $17.93–$73.50 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $96.97 | $96.97 | $16.24 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $96.97 | $96.97 | $19.39–$79.52 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT) | $44.07 | $44.07 | $12.96 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT | $44.07 | $44.07 | $31.51 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $351.50 | $351.50 | $251.32 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $351.50 | $351.50 | $43.34 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $132.25 | $132.25 | $17.48 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $132.25 | $132.25 | $26.45–$108.44 | — | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $54.37 | $54.37 | $10.87–$44.58 | — | — |
| Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) | $54.37 | $54.37 | $4.27 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total | $257.08 | $257.08 | $21.69 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL | $257.08 | $257.08 | $183.81 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $138.11 | $138.11 | $19.33 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $138.11 | $138.11 | $27.62–$113.25 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $255.47 | $255.47 | $51.09–$209.49 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $255.47 | $255.47 | $18.59 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $73.47 | $73.47 | $14.69–$60.25 | — | — |
| Homocysteine blood test CPT 83090 Homocysteine | $73.47 | $73.47 | $32.26 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON | $67.59 | $67.59 | $13.52–$55.42 | — | — |
| Iron blood test (serum iron) CPT 83540 Iron | $67.59 | $67.59 | $11.65 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $67.59 | $67.59 | $15.73 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $67.59 | $67.59 | $48.33 | — | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i | $95.52 | $95.52 | $15.62 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $95.52 | $95.52 | $19.10–$78.33 | — | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $52.90 | $52.90 | $33.34 | — | — |
| LH (luteinizing hormone) test CPT 83002 LH | $52.90 | $52.90 | $10.58–$43.38 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (LD), (LDH); | $127.84 | $127.84 | $10.87 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) | $127.84 | $127.84 | $25.57–$104.83 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $113.13 | $113.13 | $6.89–$8.92 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $113.13 | $113.13 | $80.89 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $124.89 | $124.89 | $89.30 | — | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani | $124.89 | $124.89 | $14.71 | — | — |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) | $185.14 | $185.14 | $30.65 | — | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $185.14 | $185.14 | $132.38 | — | — |
| Magnesium blood test CPT 83735 Magnesium | $89.63 | $89.63 | $12.06 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $89.63 | $89.63 | $64.09 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $102.85 | $102.85 | $9.32 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $102.85 | $102.85 | $73.54 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $173.38 | $173.38 | $33.10 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $173.38 | $173.38 | $34.68–$142.17 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) | $123.43 | $123.43 | $74.30 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $123.43 | $123.43 | $88.25 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $77.88 | $77.88 | $55.68 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $77.88 | $77.88 | $10.82 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD | $89.63 | $89.63 | $17.93–$73.50 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate); | $89.63 | $89.63 | $8.53 | — | — |
| Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood | $74.94 | $74.94 | $8.57 | — | — |
| Potassium blood test CPT 84132 POTASSIUM BLD | $74.94 | $74.94 | $14.99–$61.45 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; | $71.99 | $71.99 | $7.72 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $71.99 | $71.99 | $14.40–$59.03 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $52.90 | $52.90 | $37.82 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $52.90 | $52.90 | $29.75 | — | — |
| Rh blood typing CPT 86901 RH TYPE | $92.03 | $92.03 | $65.80 | — | — |
| Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) | $92.03 | $92.03 | $5.38 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $73.47 | $73.47 | $4.86 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $73.47 | $73.47 | $52.53 | — | — |
| Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood | $74.94 | $74.94 | $8.66 | — | — |
| Sodium blood test CPT 84295 SODIUM BLD | $74.94 | $74.94 | $14.99–$61.45 | — | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $116.08 | $116.08 | $16.02 | — | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $116.08 | $116.08 | $83.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o | $52.90 | $52.90 | $7.88 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $52.90 | $52.90 | $37.82 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $139.64 | $139.64 | $27.93–$114.50 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $139.64 | $139.64 | $28.66 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $57.30 | $57.30 | $7.69 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLD QUAL | $57.30 | $57.30 | $11.46–$46.99 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $51.43 | $51.43 | $10.29–$42.17 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $51.43 | $51.43 | $46.46 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $127.84 | $127.84 | $16.80–$21.12 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $127.84 | $127.84 | $25.57–$104.83 | — | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BLD | $124.89 | $124.89 | $89.30 | — | — |
| Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total | $124.89 | $124.89 | $7.83 | — | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine; total | $77.88 | $77.88 | $12.37 | — | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTAL | $77.88 | $77.88 | $15.58–$63.86 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $168.98 | $168.98 | $120.82 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) | $168.98 | $168.98 | $25.52 | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $164.57 | $164.57 | $117.67 | — | — |
| Transferrin blood test CPT 84466 Transferrin | $164.57 | $164.57 | $22.97 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $35.26 | $35.26 | $7.05–$28.91 | — | — |
| Triglycerides blood test CPT 84478 Triglycerides | $35.26 | $35.26 | $10.33 | — | — |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $79.35 | $79.35 | $15.87–$65.07 | — | — |
| Troponin test, quantitative CPT 84484 Troponin, quantitative | $79.35 | $79.35 | $22.45 | — | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $89.63 | $89.63 | $17.93–$73.50 | — | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $89.63 | $89.63 | $8.14 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $95.52 | $95.52 | $19.10–$78.33 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w | $95.52 | $95.52 | $5.71 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w | $45.54 | $45.54 | $2.25–$2.91 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $45.54 | $45.54 | $9.11–$37.34 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate | $33.80 | $33.80 | $6.26 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 SPEC GRAV UR MANUAL | $33.80 | $33.80 | $24.17 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $132.25 | $132.25 | $26.45–$108.44 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $132.25 | $132.25 | $14.53 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $132.25 | $132.25 | $27.14 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $132.25 | $132.25 | $26.45–$108.44 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $393.79 | $393.79 | $53.28 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $393.79 | $393.79 | $78.76–$322.91 | — | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $132.25 | $132.25 | $26.45–$108.44 | — | — |
| Zinc blood test CPT 84630 Zinc | $132.25 | $132.25 | $20.50 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $281.67 | $281.67 | $56.33–$230.97 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (hCG); quantitative | $281.67 | $281.67 | $27.09 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Short leg cast (below the knee) CPT 29405 Application of short leg cast (below knee to toes); | $857.25 | $857.25 | $2,550.00–$2,800.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $70.53 | $70.53 | $14.11–$57.83 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $240.97 | $240.97 | $48.19–$197.60 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $107.27 | $107.27 | $174.90 | 43% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | $135.17 | $135.17 | $170.39 | 55% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st | $107.27 | $107.27 | $170.39 | 49% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | $117.54 | $117.54 | $170.39 | 53% below | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $129.17 | $129.17 | $25.83–$105.92 | — | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $440.79 | $440.79 | $395.49 | 39% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual | $164.57 | $164.57 | $132.91 | 7% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX COVID 50MCG IM | $1,121.26 | $1,121.26 | $456.13–$919.43 | — | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use | $1,121.26 | $1,121.26 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 30 MCG VAC IM | $1,128.08 | $1,128.08 | $806.58 | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use | $1,128.08 | $1,128.08 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX LIVE VAC SQ | $1,362.66 | $1,362.66 | $340.67–$1,117.38 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL < 7 YRS VAC IM | $303.57 | $303.57 | $217.05 | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VAC IM | $799.26 | $799.26 | $571.47 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL VAC IM | $980.40 | $980.40 | $245.10–$803.93 | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS VAC IM | $1,161.67 | $1,161.67 | $830.59 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $725.19 | $725.19 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $725.19 | $725.19 | $295.01–$594.66 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 2-3 DOSE IM | $2,408.21 | $2,408.21 | $602.05–$1,974.73 | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX ADULT VAC IM | $736.92 | $736.92 | $184.23–$604.27 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 VAQTA ADULT 1 ML VAC IM | $729.59 | $729.59 | $182.40–$598.26 | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 VAQTA PED 2 DOSE VAC IM | $319.44 | $319.44 | $228.40 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT 20MCG IM | $571.24 | $571.24 | $408.44 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $604.03 | $604.03 | $245.72–$495.30 | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use | $1,182.73 | $1,182.73 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPLISAV-B ADULT IM | $1,182.73 | $1,182.73 | $845.65 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B PED 10MCG IM | $176.44 | $176.44 | $126.15 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX PED 5MCG IM | $246.16 | $246.16 | $100.14–$201.85 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAXHIB 3 DOSE VAC IM | $250.13 | $250.13 | $178.84 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB 4 DOSE VAC IM | $168.12 | $168.12 | $120.21 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $175.60 | $175.60 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $175.60 | $175.60 | $125.55 | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 IXIARO VAC IM | $2,500.50 | $2,500.50 | $625.13–$2,050.41 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $771.58 | $771.58 | $192.90–$632.70 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX LIVE VAC SQ | $771.77 | $771.77 | $192.94–$632.85 | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PROQUAD LIVE VAC SQ | $2,178.34 | $2,178.34 | $544.59–$1,786.24 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VAC IM | $1,348.65 | $1,348.65 | $964.28 | — | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI VAC IM | $1,491.40 | $1,491.40 | $1,066.35 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO VAC IM | $1,802.07 | $1,802.07 | $450.52–$1,477.70 | — | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 TRUMENBA VAC IM | $481.71 | $481.71 | $344.42 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 VAC IM | $2,058.26 | $2,058.26 | $1,471.66 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | $2,058.26 | $2,058.26 | — | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use | $1,956.99 | $1,956.99 | — | — | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VAC IM | $1,956.99 | $1,956.99 | $796.10–$1,604.73 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VAC IM | $2,110.48 | $2,110.48 | $1,508.99 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $2,110.48 | $2,110.48 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use | $1,062.00 | $1,062.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $1,062.00 | $1,062.00 | $432.02–$870.84 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 IPOL VAC IMSQ | $347.98 | $347.98 | $248.81 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 1 ML IM | $4,237.88 | $4,237.88 | $1,059.47–$3,475.06 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use | $4,237.88 | $4,237.88 | $1,319.13 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $4,237.88 | $4,237.88 | $1,319.13 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM | $4,237.88 | $4,237.88 | $1,059.47–$3,475.06 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO VAC IM | $2,893.78 | $2,893.78 | $2,069.05 | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 AREXVY VAC IM | $2,602.64 | $2,602.64 | $650.66–$2,134.16 | — | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT 1 ML VAC IM | $3,572.29 | $3,572.29 | $2,554.19 | — | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $3,782.73 | $3,782.73 | $2,704.65 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX 2 DOSE VAC PO | $847.72 | $847.72 | $606.12 | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTATEQ 3 DOSE VAC PO | $619.53 | $619.53 | $154.88–$508.01 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VAC IM | $1,605.00 | $1,605.00 | $401.25–$1,316.10 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $343.25 | $343.25 | $85.81–$281.46 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $459.54 | $459.54 | $114.89–$376.82 | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI VAC IM | $1,038.94 | $1,038.94 | $742.84 | — | — |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 VIVOTIF LIVE VAC PO | $147.20 | $147.20 | $105.25 | — | — |
| Yellow fever vaccine, live CPT 90717 YF VAX LIVE VAC SQ | $1,725.02 | $1,725.02 | $431.25–$1,414.52 | — | — |