Hospital

Haxtun Hospital District

Haxtun Hospital District in Haxtun, CO publishes cash prices for 284 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 Colorado median for 241 of 283 procedures and above it for 33. By typical cash price it ranks #13 of 38 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

235 W Fletcher St, Haxtun, CO 80731 Collected Sep 27, 2026 Source price file (970) 774-6123

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 061304 · CMS hospital register

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 4 actions for a hospital named Haxtun Hospital District in Haxtun, CO:

  • Mar 3, 2023 Warning notice
  • Nov 8, 2023 Corrective action plan requested
  • Jul 9, 2024 Corrective action plan requested
  • Sep 24, 2024 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. 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

ProcedureCash price List priceInsurers payvs ColoradoOff list
Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle Complete $281.00 $374.00 $207.00–$363.00 7% below 25%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l Xtremity Art 2 Levels $290.00 $387.00 $214.00–$375.00 78% below 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest $2,894.00 $3,859.00 $2,133.00–$3,743.00 4% above 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis Wo $2,470.00 $3,293.00 $1,820.00–$3,194.00 7% below 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $2,840.00 $3,786.00 $2,093.00–$3,672.00 26% below 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Urogram $4,618.00 $6,157.00 $3,403.00–$5,972.00 at median 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/pelvis W/wo $4,618.00 $6,157.00 $3,403.00–$5,972.00 at median 25%
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ $2,120.00 $2,827.00 $1,563.00–$2,742.00 10% below 25%
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo $1,782.00 $2,376.00 $1,313.00–$2,305.00 10% below 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Wo $1,760.00 $2,346.00 $1,297.00–$2,276.00 12% above 25%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan $1,883.00 $2,510.00 $1,387.00–$2,435.00 10% below 25%
CT scan of the head with contrast CPT 70460 Ct Head W/ $2,301.00 $3,068.00 $1,696.00–$2,976.00 3% above 25%
CT scan of the head without and with contrast CPT 70470 Ct Head W/wo $1,838.00 $2,451.00 $1,355.00–$2,377.00 36% below 25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine Wo $2,163.00 $2,884.00 $1,594.00–$2,797.00 16% above 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine Wo $2,224.00 $2,965.00 $1,639.00–$2,876.00 11% above 25%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $2,119.00 $2,825.00 $1,562.00–$2,740.00 12% below 25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Duplex Complete $839.00 $1,119.00 $619.00–$1,085.00 82% below 25%
Chest X-ray, 2 views CPT 71046 Xr Chest 2 View $299.00 $398.00 $220.00–$386.00 4% below 25%
Chest X-ray, single view CPT 71045 Xr Chest 1 View $232.00 $309.00 $171.00–$300.00 16% below 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal / Retroperitoneal Complete $665.00 $886.00 $490.00–$859.00 15% below 25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa $470.00 $627.00 $347.00–$608.00 25% below 25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Scan (Appendicular) $213.00 $284.00 $157.00–$275.00 66% below 25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo $2,105.00 $2,806.00 $1,551.00–$2,722.00 7% above 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ $2,309.00 $3,078.00 $1,701.00–$2,986.00 2% below 25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Arterial Lower Ext Bilat $765.00 $1,020.00 $564.00–$989.00 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-scanxtr Veins Complete Bilateral Study $143.00 $191.00 $27.00–$185.00 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Duplex Upper Ext Bilat $1,082.00 $1,443.00 $798.00–$1,400.00 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Bilat Le Venous Insufficiency $1,082.00 $1,443.00 $798.00–$1,400.00 — 25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Duplex Lower Ext Bilat $1,082.00 $1,443.00 $798.00–$1,400.00 — 25%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity Study $544.00 $725.00 $401.00–$703.00 88% below 25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Complete Wo $1,939.00 $2,585.00 $1,429.00–$2,507.00 54% below 25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Titration Or Split Night $3,705.00 $4,940.00 $2,731.00–$4,792.00 46% below 25%
Knee X-ray, 3 views CPT 73562 Xr Knee 3 View $321.00 $428.00 $237.00–$415.00 7% above 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal Limited $611.00 $814.00 $450.00–$790.00 17% below 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Lung Cancer Screening $256.00 $341.00 $188.00–$331.00 10% below 25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint $2,589.00 $3,452.00 $1,908.00–$3,348.00 67% above 25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Lower Ext Joint W/wo $3,152.00 $4,203.00 $2,323.00–$4,077.00 61% above 25%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o $2,490.00 $3,320.00 $1,835.00–$3,220.00 14% below 25%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/wo $3,082.00 $4,109.00 $2,271.00–$3,986.00 12% below 25%
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o $2,600.00 $3,467.00 $1,916.00–$3,363.00 28% below 25%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan $3,031.00 $4,041.00 $2,234.00–$3,920.00 25% below 25%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal $2,578.00 $3,437.00 $1,900.00–$3,334.00 8% below 25%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/wo $3,425.00 $4,566.00 $2,524.00–$4,429.00 4% below 25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/o $2,720.00 $3,627.00 $2,005.00–$3,518.00 20% below 25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine W/wo $3,031.00 $4,041.00 $2,234.00–$3,920.00 8% below 25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/o $2,620.00 $3,493.00 $1,931.00–$3,388.00 23% below 25%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/wo $2,906.00 $3,875.00 $2,142.00–$3,759.00 35% below 25%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o $2,306.00 $3,075.00 $1,700.00–$2,983.00 36% below 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Upper Ext Joint W/o $2,589.00 $3,452.00 $1,908.00–$3,348.00 155% above 25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited $577.00 $769.00 $425.00–$746.00 8% below 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete No Ob $685.00 $913.00 $505.00–$886.00 16% below 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus $698.00 $931.00 $515.00–$903.00 20% below 25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob 1st Trimester $529.00 $705.00 $390.00–$684.00 20% below 25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited $506.00 $675.00 $373.00–$655.00 8% above 25%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder Complete $260.00 $347.00 $192.00–$337.00 14% below 25%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study $3,430.00 $4,573.00 $2,528.00–$4,436.00 at median 25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Rf Modified Barium Swallow $696.00 $928.00 $513.00–$900.00 2% above 25%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina $678.00 $904.00 $500.00–$877.00 5% below 25%
Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Tvu $599.00 $798.00 $441.00–$774.00 4% below 25%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen $675.00 $900.00 $497.00–$873.00 21% below 25%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum $668.00 $890.00 $492.00–$863.00 11% below 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Under Diagnostic Ultrasound Procedures Of The Head And Neck $116.00 $155.00 $86.00–$150.00 85% below 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid $634.00 $845.00 $467.00–$820.00 17% below 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/nech Soft Tissue $634.00 $845.00 $467.00–$820.00 17% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Extremity Veins Duplex Limited Unilateral (Sc) $269.00 $359.00 $198.00–$348.00 77% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Rt Le Venous Insufficiency $758.00 $1,011.00 $559.00–$981.00 35% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Upper Ext Rt $758.00 $1,011.00 $559.00–$981.00 35% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Lower Ext Rt $758.00 $1,011.00 $559.00–$981.00 35% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lt Le Venous Insuffiency $758.00 $1,011.00 $559.00–$981.00 35% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Lower Ext Lt $758.00 $1,011.00 $559.00–$981.00 35% below 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Upper Ext Lt $758.00 $1,011.00 $559.00–$981.00 35% below 25%
Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist Complete $256.00 $341.00 $188.00–$331.00 15% below 25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Comp W/pelvis $353.00 $471.00 $260.00–$457.00 23% below 25%
X-ray of the abdomen, 1 view CPT 74018 Xr Abd 1 View $236.00 $315.00 $174.00–$306.00 18% below 25%
X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 V $217.00 $289.00 $160.00–$280.00 28% below 25%
X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger $220.00 $293.00 $162.00–$284.00 20% below 25%
X-ray of the foot, 2 views CPT 73620 Xr Foot 2 View $207.00 $276.00 $153.00–$268.00 31% below 25%
X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3 View $276.00 $368.00 $203.00–$357.00 8% below 25%
X-ray of the hand, 3 or more views CPT 73130 Xr Hand Complete $260.00 $347.00 $192.00–$337.00 14% below 25%
X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee <2 View $282.00 $376.00 $208.00–$365.00 6% below 25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L-spine 2 View $384.00 $512.00 $283.00–$497.00 25% below 25%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back $553.00 $737.00 $407.00–$715.00 7% below 25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr T-spine 2 View $350.00 $467.00 $258.00–$453.00 at median 25%
X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones $237.00 $316.00 $175.00–$307.00 21% below 25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C-spine <3 Views $319.00 $425.00 $235.00–$412.00 29% below 25%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis $285.00 $380.00 $210.00–$369.00 16% below 25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx $340.00 $453.00 $250.00–$439.00 15% below 25%

Lab tests

ProcedureCash price List priceInsurers payvs ColoradoOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Serum (Backup) $56.00 $74.00 $41.00–$72.00 47% below 24%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Serum (In-house) $56.00 $74.00 $41.00–$72.00 47% below 24%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast Serum (In -House) $62.00 $83.00 $46.00–$81.00 70% below 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 (Sgot) Ast $62.00 $83.00 $46.00–$81.00 70% below 25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatits Panel $179.00 $238.00 $132.00–$231.00 77% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Panel Ii, I $12.00 $16.00 $9.00–$16.00 70% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond Allergy $12.00 $16.00 $9.00–$16.00 70% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander, Ige $14.00 $19.00 $11.00–$18.00 66% below 26%
Allergy blood test, specific IgE, per allergen CPT 86003 Adult Food Allergy Panel 1 $14.00 $19.00 $11.00–$18.00 66% below 26%
Allergy blood test, specific IgE, per allergen CPT 86003 Region Ii Respiratory Pa $14.00 $18.00 $10.00–$17.00 66% below 22%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Respiratory Panel Region 9 $14.00 $19.00 $11.00–$18.00 66% below 26%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige $17.00 $22.00 $12.00–$21.00 58% below 23%
Allergy blood test, specific IgE, per allergen CPT 86003 Cranberry, Ige $18.00 $24.00 $13.00–$23.00 56% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Orange, Ige $18.00 $24.00 $13.00–$23.00 56% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Lemon, Ige $18.00 $24.00 $13.00–$23.00 56% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Lime, Ige $18.00 $24.00 $13.00–$23.00 56% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Each Allergen Quantitative/semiquantitative $20.00 $27.00 $15.00–$26.00 51% below 26%
Allergy blood test, specific IgE, per allergen CPT 86003 Grapefruit Allergy $21.00 $28.00 $15.00–$27.00 48% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow Milk Allergy $21.00 $28.00 $15.00–$27.00 48% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige $25.00 $33.00 $18.00–$32.00 38% below 24%
Allergy blood test, specific IgE, per allergen CPT 86003 Milk Ige (Rps Only) $32.00 $42.00 $23.00–$41.00 21% below 24%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tune Ige (Arup Via Rps) $37.00 $49.00 $27.00–$48.00 9% below 24%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Nuts $38.00 $50.00 $28.00–$49.00 6% below 24%
Allergy blood test, specific IgE, per allergen CPT 86003 Rice Ige $39.00 $52.00 $29.00–$50.00 4% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Vegetable Profile, Ige $39.00 $52.00 $29.00–$50.00 4% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut, Ige $39.00 $52.00 $29.00–$50.00 4% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Allergy $46.00 $61.00 $34.00–$59.00 13% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow Casein $48.00 $64.00 $35.00–$62.00 18% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce Ige $48.00 $64.00 $35.00–$62.00 18% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Allergy $51.00 $68.00 $38.00–$66.00 25% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio Ige $53.00 $71.00 $39.00–$69.00 30% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Ige $53.00 $71.00 $39.00–$69.00 30% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Candida Ige $56.00 $74.00 $41.00–$72.00 38% above 24%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Food Ige $56.00 $75.00 $41.00–$73.00 38% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Ige $57.00 $76.00 $42.00–$74.00 40% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food Clam (Rps Only) $57.00 $76.00 $42.00–$74.00 40% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish Ige $57.00 $76.00 $42.00–$74.00 40% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop, Ige (Rps Only) $57.00 $76.00 $42.00–$74.00 40% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Interp, Immuncap Score $58.00 $77.00 $43.00–$75.00 43% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Broccoli Ige $61.00 $81.00 $45.00–$79.00 50% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Schistosoma Ab Ige $71.00 $94.00 $52.00–$91.00 75% above 24%
Allergy blood test, specific IgE, per allergen CPT 86003 Lae- Latex Allergy Specific Ige $83.00 $111.00 $61.00–$108.00 104% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Ginger Ige $95.00 $127.00 $70.00–$123.00 134% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Shell, Fish Profile $122.00 $163.00 $90.00–$158.00 200% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Profile 19 $176.00 $234.00 $129.00–$227.00 333% above 25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Connective Tissue Diseases Profile (Rps) $31.00 $41.00 $23.00–$40.00 86% below 24%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody, Igg $145.00 $193.00 $107.00–$187.00 34% below 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Connective Tissue Diseases Profile (Rps) $29.00 $39.00 $22.00–$38.00 73% below 26%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen (Reflex) $101.00 $135.00 $75.00–$131.00 4% below 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Rna Polymerase $153.00 $204.00 $113.00–$198.00 45% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-pro Bnp (In-house) $264.00 $352.00 $195.00–$341.00 55% below 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-natriuretic Peptide (Bnp) (Backup) $264.00 $352.00 $195.00–$341.00 55% below 25%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel $134.00 $179.00 $99.00–$174.00 53% below 25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Biopsy 4 $150.00 $200.00 $111.00–$194.00 75% below 25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologist $150.00 $200.00 $111.00–$194.00 75% below 25%
Blood culture for bacteria both sides CPT 87040 Blood Culture, Bi (Rps) $60.00 $80.00 $44.00–$78.00 — 25%
Blood culture for bacteria CPT 87040 Acid Fast Bacteria Cult $147.00 $196.00 $108.00–$190.00 56% below 25%
Blood culture for bacteria CPT 87040 Culture, Blood $200.00 $267.00 $148.00–$259.00 40% below 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture $35.00 $46.00 $25.00–$45.00 41% below 24%
Blood glucose (sugar) test CPT 82947 Glucose Serum (Backup) $56.00 $74.00 $41.00–$72.00 68% below 24%
Blood glucose (sugar) test CPT 82947 Glucose Serum (In-house) $56.00 $74.00 $41.00–$72.00 68% below 24%
Blood lead test CPT 83655 Lead Child Serum $37.00 $49.00 $27.00–$48.00 86% below 24%
Blood lead test CPT 83655 Lead Adult Serum $78.00 $104.00 $57.00–$101.00 70% below 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Qualitative $124.00 $165.00 $91.00–$160.00 35% below 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo $62.00 $82.00 $45.00–$80.00 55% below 24%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein (Backup) $98.00 $130.00 $72.00–$126.00 64% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp (In-house) $98.00 $130.00 $72.00–$126.00 64% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp (Backup) $98.00 $130.00 $72.00–$126.00 64% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (Quant) Ref $98.00 $130.00 $72.00–$126.00 64% below 25%
C. difficile toxin gene test (stool PCR) CPT 87493 C-diff Toxin Dna Confirmation $143.00 $190.00 $105.00–$184.00 74% below 25%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 $143.00 $190.00 $105.00–$184.00 57% below 25%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 $162.00 $216.00 $119.00–$210.00 51% below 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 (In-house) $129.00 $172.00 $95.00–$167.00 at median 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Cdphe $129.00 $172.00 $95.00–$167.00 at median 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids $115.00 $153.00 $85.00–$148.00 38% below 25%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated $97.00 $129.00 $71.00–$125.00 at median 25%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated $88.00 $117.00 $65.00–$113.00 55% below 25%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $165.00 $220.00 $122.00–$213.00 47% below 25%
D-dimer blood test (blood clot marker) CPT 85379 Ddmr In-house $68.00 $91.00 $50.00–$88.00 84% below 25%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer (In-house) $68.00 $91.00 $50.00–$88.00 84% below 25%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea, Sulfate $170.00 $226.00 $125.00–$219.00 73% below 25%
Estradiol blood test CPT 82670 Estradiol Serum $150.00 $200.00 $111.00–$194.00 66% below 25%
Estradiol blood test CPT 82670 Access Estradiol $150.00 $200.00 $111.00–$194.00 66% below 25%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim. Hormone $121.00 $161.00 $89.00–$156.00 59% below 25%
FSH (follicle-stimulating hormone) test CPT 83001 Access Fsh $121.00 $161.00 $89.00–$156.00 59% below 25%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal $461.00 $614.00 $339.00–$596.00 35% above 25%
Ferritin blood test (iron stores) CPT 82728 Ferritin (Backup) $123.00 $164.00 $91.00–$159.00 43% below 25%
Ferritin blood test (iron stores) CPT 82728 Ferritin (In-house) $123.00 $164.00 $91.00–$159.00 43% below 25%
Ferritin blood test (iron stores) CPT 82728 Hrt Ferritin $123.00 $164.00 $91.00–$159.00 43% below 25%
Folate (folic acid) blood test CPT 82746 Folate Serum (In-house) $136.00 $181.00 $100.00–$176.00 42% below 25%
Free T3 thyroid hormone test CPT 84481 Hrt T3 Free $205.00 $273.00 $151.00–$265.00 45% below 25%
Free T3 thyroid hormone test CPT 84481 Ft3 (Free Triiodothyronine In-house) $205.00 $273.00 $151.00–$265.00 45% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Ft4 (Free Thyroxine In-house) $103.00 $137.00 $76.00–$133.00 35% below 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hrt T4 Free $103.00 $137.00 $76.00–$133.00 35% below 25%
Free testosterone test CPT 84402 Access Testosterone Free (Male) $170.00 $227.00 $125.00–$220.00 72% below 25%
Free testosterone test CPT 84402 Testosterone Level Free $170.00 $227.00 $125.00–$220.00 72% below 25%
Free testosterone test CPT 84402 Access Testosterone Free (Female) $170.00 $227.00 $125.00–$220.00 72% below 25%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Test Hour (In-house) $56.00 $74.00 $41.00–$72.00 59% below 24%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 1 Hour (Backup) $80.00 $107.00 $59.00–$104.00 42% below 25%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 2 Hour (Backup) $83.00 $110.00 $61.00–$107.00 40% below 25%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 2 Hour (In-house) $83.00 $110.00 $61.00–$107.00 40% below 25%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 1 Hour (In-house) $83.00 $110.00 $61.00–$107.00 40% below 25%
H. pylori stool antigen test CPT 87338 H. Pylori Stool Antigen $168.00 $224.00 $124.00–$217.00 50% below 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Antigen/antibody $89.00 $118.00 $65.00–$114.00 51% below 25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papilloma Virus, High Risk $109.00 $145.00 $80.00–$141.00 19% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (In-house) $91.00 $121.00 $67.00–$117.00 41% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Backup) $91.00 $121.00 $67.00–$117.00 41% below 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody $114.00 $152.00 $84.00–$147.00 34% below 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B S-antigen $113.00 $151.00 $83.00–$146.00 29% below 25%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody $123.00 $164.00 $91.00–$159.00 40% below 25%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C (Riba) $290.00 $386.00 $213.00–$374.00 41% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Viral Load Pcr $104.00 $138.00 $76.00–$134.00 61% below 25%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex I Igg/igm $220.00 $293.00 $162.00–$284.00 104% above 25%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Ii Igg/igm $91.00 $121.00 $67.00–$117.00 31% below 25%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein (Card) $82.00 $109.00 $60.00–$106.00 60% below 25%
Homocysteine blood test CPT 83090 Homocysteine Level $233.00 $310.00 $171.00–$301.00 13% below 25%
Insulin blood test CPT 83525 Insulin Serum (Total) $122.00 $162.00 $90.00–$157.00 33% below 25%
Iron blood test (serum iron) CPT 83540 Iron Serum (In-house) $62.00 $82.00 $45.00–$80.00 71% below 24%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity (In-house) $80.00 $107.00 $59.00–$104.00 58% below 25%
Kidney function blood test panel CPT 80069 Kidney function panel test $233.00 $311.00 $172.00–$302.00 38% below 25%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (Lh) $121.00 $161.00 $89.00–$156.00 59% below 25%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (In-house) $104.00 $139.00 $77.00–$135.00 52% below 25%
Liver function blood test panel CPT 80076 Liver function blood test $131.00 $174.00 $96.00–$169.00 53% below 25%
Lyme disease antibody test CPT 86618 Lyme Disease W/ref To W Blot $147.00 $196.00 $108.00–$190.00 34% below 25%
Magnesium blood test CPT 83735 Magnesium, Rbc $17.00 $23.00 $13.00–$22.00 84% below 26%
Magnesium blood test CPT 83735 Magnesium $23.00 $30.00 $17.00–$29.00 79% below 23%
Magnesium blood test CPT 83735 Magnesium, Urine, Random (Rps) $35.00 $46.00 $25.00–$45.00 67% below 24%
Magnesium blood test CPT 83735 Magnesium Serum (In-house) $88.00 $117.00 $65.00–$113.00 18% below 25%
Magnesium blood test CPT 83735 Magnesium Serum (Backup) $88.00 $117.00 $65.00–$113.00 18% below 25%
Magnesium blood test CPT 83735 Magnesium Urine 24 Hr (In-house) $88.00 $117.00 $65.00–$113.00 18% below 25%
Magnesium blood test CPT 83735 Magnesium Urine Random (In-house) $88.00 $117.00 $65.00–$113.00 18% below 25%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibod. Igg $111.00 $148.00 $82.00–$144.00 18% below 25%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test $83.00 $110.00 $61.00–$107.00 77% below 25%
Obstetric blood test panel CPT 80055 Obstetric blood test panel $331.00 $441.00 $244.00–$428.00 46% below 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test $229.00 $305.00 $169.00–$296.00 23% below 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test $121.00 $161.00 $89.00–$156.00 57% below 25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Liquid Pap $62.00 $83.00 $46.00–$81.00 68% below 25%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Level $262.00 $349.00 $193.00–$339.00 54% below 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test $101.00 $135.00 $75.00–$131.00 60% below 25%
Progesterone blood test CPT 84144 Progesterone Level $121.00 $161.00 $89.00–$156.00 51% below 25%
Prolactin blood test CPT 84146 Prolactin Level $149.00 $199.00 $110.00–$193.00 52% below 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $159.00 $212.00 $117.00–$206.00 33% above 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen, Automated $35.00 $47.00 $26.00–$46.00 84% below 26%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen (In-house) $66.00 $88.00 $49.00–$85.00 70% below 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Any Number Of Drug Classes, Presumptive Single Or Multiple Drug Class Method $190.00 $253.00 $140.00–$245.00 13% below 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine-sendout $201.00 $268.00 $148.00–$260.00 8% below 25%
Rapid flu test (influenza antigen) CPT 87804 Flu Test A&b $101.00 $135.00 $75.00–$131.00 at median 25%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor $83.00 $110.00 $61.00–$107.00 1% above 25%
Rubella antibody test (immunity check) CPT 86762 Rubella Screen $109.00 $145.00 $80.00–$141.00 53% below 25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr $8.00 $11.00 $6.00–$11.00 90% below 27%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood Neoplasm Screening $19.00 $25.00 $14.00–$24.00 67% below 24%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood $51.00 $68.00 $38.00–$66.00 11% below 25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test For Blood, Fecal $19.00 $25.00 $14.00–$24.00 77% below 24%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, Occult, By Fecal Hemoglobin Determination B $59.00 $79.00 $44.00–$77.00 28% below 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr-syphilis Serology $54.00 $72.00 $40.00–$70.00 57% below 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Gold Tb $290.00 $386.00 $213.00–$374.00 32% below 25%
Testosterone blood test, total (not free testosterone) CPT 84403 Access Testosterone Total (Male) $134.00 $179.00 $99.00–$174.00 67% below 25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total $134.00 $179.00 $99.00–$174.00 67% below 25%
Testosterone blood test, total (not free testosterone) CPT 84403 Access Testosterone Total (Female) $134.00 $179.00 $99.00–$174.00 67% below 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Anti $114.00 $152.00 $84.00–$147.00 36% below 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo Antibody (Mab) $114.00 $152.00 $84.00–$147.00 36% below 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $118.00 $157.00 $87.00–$152.00 56% below 25%
Uric acid blood test CPT 84550 Uric Acid Serum (In-house) $56.00 $75.00 $41.00–$73.00 47% below 25%
Uric acid blood test CPT 84550 Uric Acid Serum (Backup) $56.00 $75.00 $41.00–$73.00 47% below 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope $62.00 $83.00 $46.00–$81.00 72% below 25%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope $17.00 $22.00 $12.00–$21.00 87% below 23%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test $43.00 $57.00 $32.00–$55.00 55% below 25%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis test $19.00 $25.00 $14.00–$24.00 79% below 24%
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine (Micro) $88.00 $117.00 $65.00–$113.00 52% below 25%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test $27.00 $36.00 $20.00–$35.00 73% below 25%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Qualitative $102.00 $136.00 $75.00–$132.00 1% above 25%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (In-house) $143.00 $191.00 $106.00–$185.00 41% below 25%
Vitamin B12 (cobalamin) blood test CPT 82607 Hrt Vitamin B12 $143.00 $191.00 $106.00–$185.00 41% below 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hrt Vitamin D 25-hydroxy $180.00 $240.00 $133.00–$233.00 9% below 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Total (In-house) $180.00 $240.00 $133.00–$233.00 9% below 25%
Zinc blood test CPT 84630 Zink, Serum Or Plasma (Rps) $58.00 $77.00 $43.00–$75.00 59% below 25%
Zinc blood test CPT 84630 Zinc (Serum) $68.00 $90.00 $50.00–$87.00 52% below 24%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant (In-house) $56.00 $74.00 $41.00–$72.00 84% below 24%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hcg (Send Out) $56.00 $74.00 $41.00–$72.00 84% below 24%

Surgery and procedures

ProcedureCash price List priceInsurers payvs ColoradoOff list
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine $689.00 $918.00 $507.00–$890.00 27% below 25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture $145.00 $193.00 $107.00–$187.00 74% below 25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture, Without Manip $482.00 $643.00 $355.00–$624.00 13% below 25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fx Metatarsal, Without Manip, Each $461.00 $615.00 $340.00–$597.00 13% below 25%
Cervical biopsy CPT 57500 Cautery Of Cervix, Cryocautery, Inital Or Repeat $324.00 $432.00 $239.00–$419.00 60% below 25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/regionl Block $616.00 $821.00 $454.00–$796.00 52% above 25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision, Infant $2,054.00 $2,738.00 $1,513.00–$2,656.00 406% above 25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Tx Of Distal Radial Fracture $583.00 $777.00 $429.00–$754.00 22% below 25%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope $2,693.00 $3,591.00 $1,985.00–$3,483.00 12% above 25%
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope $2,693.00 $3,591.00 $1,985.00–$3,483.00 8% above 25%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope $2,317.00 $3,089.00 $1,707.00–$2,996.00 16% above 25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Cryosurgery/skin First Pre-malig Lesion $39.00 $52.00 $29.00–$50.00 83% below 25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Pre-malig First Lesion $134.00 $178.00 $98.00–$173.00 41% below 25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Of Cerumen With Lavage $44.00 $59.00 $33.00–$57.00 64% below 25%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumental, Unilateral $29.00 $39.00 $22.00–$38.00 81% below 26%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral $98.00 $131.00 $72.00–$127.00 36% below 25%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrium $174.00 $232.00 $128.00–$225.00 45% below 25%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection, Of Diag Or Theraputic, Substances With Imaging (Fl) $1,674.00 $2,232.00 $1,234.00–$2,165.00 10% below 25%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Paravertevral Facet Joint With Imaging Guidance Lumbar Or Sacral Single Level (F) $651.00 $868.00 $480.00–$842.00 79% below 25%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Of Hemorrhoid(s) $628.00 $837.00 $463.00–$812.00 72% below 25%
IUD insertion (the device itself billed separately) CPT 58300 Iud Placement $78.00 $104.00 $57.00–$101.00 95% below 25%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Of Intrauterine Device (Iud) $260.00 $346.00 $191.00–$336.00 84% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple $229.00 $305.00 $169.00–$296.00 20% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abcess-simple $236.00 $314.00 $86.00–$305.00 17% below 25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament Aponeurosis $69.00 $92.00 $51.00–$89.00 93% below 25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament Aponeurosisinjection 1 Tendon Sheath/ligament Aponeurosis $232.00 $309.00 $171.00–$300.00 75% below 25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament (Sc) $238.00 $317.00 $28.00–$307.00 74% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj Joint/bursa W/o Us (F) $206.00 $275.00 $152.00–$267.00 69% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa $430.00 $573.00 $33.00–$556.00 35% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/injection Major Jt/bursa $430.00 $573.00 $317.00–$556.00 35% below 25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Non-biodegradable Drug Delivery Implant $299.00 $398.00 $220.00–$386.00 12% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj Joint/bursa W/o Us (F) $206.00 $275.00 $152.00–$267.00 69% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/injection Interm Jt/burs $255.00 $340.00 $188.00–$330.00 62% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspirat/inj Intermediate Joint (Sc) $689.00 $918.00 $27.00–$890.00 4% above 25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj Joint/bursa W/o Us (F) $206.00 $275.00 $152.00–$267.00 60% below 25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/injection Small Jt/bursa $254.00 $339.00 $187.00–$329.00 50% below 25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspirat/inj Small Joint $262.00 $349.00 $26.00–$339.00 49% below 25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lac Interm <2.5 Cm, Scalp, Ext $407.00 $543.00 $300.00–$527.00 14% below 25%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance $503.00 $670.00 $370.00–$650.00 68% below 25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance $2,063.00 $2,751.00 $1,521.00–$2,668.00 29% below 25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Lesion 0-.5cm Trk Arm Leg, Benign $271.00 $361.00 $200.00–$350.00 48% below 25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Lesion 0-.5 Face Ear, Benign $292.00 $389.00 $215.00–$377.00 68% below 25%
Nail removal (partial or complete), one nail CPT 11730 Avulation Of Nail Plate, Partial Or Complete Simple Singl $49.00 $65.00 $36.00–$63.00 81% below 25%
Nail removal (partial or complete), one nail CPT 11730 Avulation Of Nail Plate, Partial Or Complete Simple Single $161.00 $214.00 $118.00–$208.00 37% below 25%
Occipital nerve block (injection for headaches) both sides CPT 64405 Inj Greater Occipital Nerve Bilateral (Sc) $534.00 $712.00 $38.00–$691.00 — 25%
Occipital nerve block (injection for headaches) CPT 64405 Inj Greater Occipital Nerve $125.00 $166.00 $92.00–$161.00 88% below 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed $299.00 $399.00 $221.00–$387.00 43% below 25%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple $287.00 $382.00 $211.00–$371.00 7% below 25%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body (Sc) $935.00 $1,246.00 $689.00–$1,209.00 204% above 25%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy $2,317.00 $3,089.00 $1,707.00–$2,996.00 16% above 25%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Screening Colonoscopy $2,317.00 $3,089.00 $1,707.00–$2,996.00 16% above 25%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Cancer Screening; Colonoscopy $2,317.00 $3,089.00 $1,707.00–$2,996.00 16% above 25%
Short arm cast (elbow to hand) CPT 29075 Cast Short Arm $293.00 $390.00 $216.00–$378.00 24% below 25%
Short arm splint (forearm and hand) CPT 29125 Splint Short Arm $149.00 $198.00 $109.00–$192.00 65% below 25%
Short arm splint (forearm and hand) CPT 29125 Splint-apply Short Arm $153.00 $204.00 $35.00–$198.00 64% below 25%
Short leg cast (below the knee) CPT 29405 Cast Short Leg $314.00 $418.00 $231.00–$405.00 21% below 25%
Short leg splint (calf to foot) CPT 29515 Splint Short Leg $118.00 $157.00 $87.00–$152.00 48% below 25%
Short leg splint (calf to foot) CPT 29515 Splint-apply Short Leg $128.00 $171.00 $42.00–$166.00 44% below 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Lac Simple <2.5 Cm Scalp, Ext $332.00 $443.00 $245.00–$430.00 13% below 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Of Superficial Wounds-2.5 Cm Or Less $343.00 $457.00 $36.00–$443.00 10% below 25%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion $194.00 $258.00 $223.00–$250.00 56% below 25%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion $935.00 $1,246.00 $689.00–$1,209.00 114% above 25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Lesion 0-.5cm Trk Arm Leg, Malignant $737.00 $982.00 $543.00–$953.00 40% below 25%
Skin tag removal, up to 15 tags CPT 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Up To And Including 15 $464.00 $618.00 $342.00–$599.00 62% above 25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Lac Simple 2.6-7.5cm Scalp, Ext $398.00 $531.00 $294.00–$515.00 at median 25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair-superficial Wounds 2.6cm-7.5cm $412.00 $549.00 $47.00–$533.00 4% above 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Of Superficial Wound Face, Ears, Eyelids, Nose-2.5cm Or Less $128.00 $170.00 $45.00–$165.00 60% below 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac Simple <2.5 Cm Face $332.00 $443.00 $245.00–$430.00 5% above 25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion $501.00 $668.00 $369.00–$648.00 12% above 25%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision $1,516.00 $2,021.00 $1,117.00–$1,960.00 64% below 25%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 Muscles (Sc) $96.00 $128.00 $71.00–$124.00 80% below 25%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 Muscles (F) $178.00 $237.00 $131.00–$230.00 63% below 25%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 Muscles $308.00 $410.00 $227.00–$398.00 36% below 25%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 $317.00 $422.00 $233.00–$409.00 34% below 25%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph Egd Dilation<30 Mm $4,445.00 $5,927.00 $3,276.00–$5,749.00 56% above 25%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope $1,380.00 $1,840.00 $1,017.00–$1,785.00 29% below 25%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope $1,058.00 $1,410.00 $779.00–$1,368.00 45% below 25%
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein $7,681.00 $10,241.00 $5,661.00–$9,934.00 64% below 25%
Wart removal, up to 14 warts CPT 17110 Destruction Of Benign Lesion (Wart) Up To 14 $202.00 $269.00 $149.00–$261.00 26% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcutaneous Tissue (Includes Epidermis And Dermis, If Performed); First 20 Sq Cm Or Less $145.00 $193.00 $107.00–$187.00 69% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcutaneous Tissue (Includes Epidermis And Dermis, If Performed) First 20 Sq Cm Or Less) $145.00 $193.00 $107.00–$187.00 69% below 25%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs ColoradoOff list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration $776.00 $1,034.00 $572.00–$1,003.00 54% below 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment $32.00 $42.00 $23.00–$41.00 94% below 24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment (Op Nursing) $34.00 $45.00 $25.00–$44.00 93% below 24%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment (Er) $34.00 $45.00 $25.00–$44.00 93% below 24%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report $173.00 $231.00 $128.00–$224.00 332% above 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing Only $234.00 $312.00 $172.00–$303.00 59% below 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg-hospital $234.00 $312.00 $172.00–$303.00 59% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 $169.00 $225.00 $9.00–$218.00 57% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er-level I $203.00 $271.00 $150.00–$263.00 48% below 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii $227.00 $302.00 $33.00–$293.00 88% below 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er-level Ii $347.00 $462.00 $255.00–$448.00 81% below 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii $339.00 $452.00 $57.00–$438.00 89% below 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er-level Iii $585.00 $780.00 $431.00–$757.00 81% below 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Trauma Team Activation $947.00 $1,262.00 $698.00–$1,224.00 70% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv $505.00 $673.00 $97.00–$653.00 94% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er-level Iv $924.00 $1,232.00 $681.00–$1,195.00 88% below 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V $750.00 $1,000.00 $141.00–$970.00 95% below 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er-level V $1,974.00 $2,632.00 $1,455.00–$2,553.00 86% below 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Admin 1st Hr Hydration (Op Nursing) $320.00 $426.00 $235.00–$413.00 66% below 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Admin 1st Hr Hydration (Er) $320.00 $426.00 $235.00–$413.00 66% below 25%
IV infusion of a medicine, first hour CPT 96365 Iv Admin 1st Hr Infusion (Op Nursing Services) $324.00 $432.00 $239.00–$419.00 50% below 25%
IV infusion of a medicine, first hour CPT 96365 Iv Admin 1st Hr Infusion (Er) $324.00 $432.00 $239.00–$419.00 50% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im $128.00 $171.00 $95.00–$166.00 37% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im (Op) $132.00 $176.00 $97.00–$171.00 35% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im (Ps) $132.00 $176.00 $13.00–$171.00 35% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im (Er) $132.00 $176.00 $97.00–$171.00 35% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation $308.00 $410.00 $227.00–$398.00 60% below 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation $344.00 $458.00 $253.00–$444.00 56% below 25%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-education Each 15 Min $85.00 $113.00 $62.00–$110.00 32% below 25%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ed $87.00 $116.00 $64.00–$113.00 30% below 25%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min $236.00 $315.00 $174.00–$306.00 4% below 25%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min $279.00 $372.00 $206.00–$361.00 24% below 25%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min $359.00 $479.00 $265.00–$465.00 30% below 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New Ii $202.00 $269.00 $149.00–$261.00 35% below 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Ep, Ep, Sf-lc-new (Sc) $207.00 $276.00 $34.00–$268.00 34% below 25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initl Assmnt Intervention 15 Min $86.00 $114.00 $63.00–$111.00 2% above 25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initl Indiv Assmnt Intervention 15 Min $88.00 $117.00 $65.00–$113.00 5% above 25%
Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy Eval Low Complexity $251.00 $334.00 $185.00–$324.00 61% below 25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Eval High Complexity (Cp) $176.00 $235.00 $130.00–$228.00 73% below 25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Eval High Complexity $200.00 $267.00 $148.00–$259.00 69% below 25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Eval Low Complexity (Cp) $111.00 $148.00 $82.00–$144.00 77% below 25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Eval Low Complexity $134.00 $178.00 $98.00–$173.00 72% below 25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Eval Moderate Complexity (Cp) $149.00 $199.00 $110.00–$193.00 74% below 25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Eval Moderate Complexity $166.00 $221.00 $122.00–$214.00 71% below 25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 15min (Cp) $46.00 $61.00 $34.00–$59.00 62% below 25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techniques Each 15 Min $68.00 $91.00 $50.00–$88.00 43% below 25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 15min $98.00 $131.00 $72.00–$127.00 18% below 25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise $96.00 $128.00 $71.00–$124.00 24% below 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) $286.00 $381.00 $211.00–$370.00 45% above 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) $312.00 $416.00 $230.00–$404.00 36% above 25%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial Preventive Medicine New Patient 65yrs&> $352.00 $469.00 $259.00–$455.00 25% above 25%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs $72.00 $96.00 $53.00–$93.00 9% below 25%
Preventive checkup, returning patient aged 18–39 CPT 99395 Age 18-39 Estab $238.00 $317.00 $175.00–$307.00 200% above 25%
Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Med Est Patient 40-64yrs $78.00 $104.00 $57.00–$101.00 13% below 25%
Preventive checkup, returning patient aged 40–64 CPT 99396 Age 40-64 Estab $260.00 $346.00 $191.00–$336.00 191% above 25%
Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Preventive Med Est Patient 65yrs& Older $294.00 $392.00 $217.00–$380.00 61% above 25%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Evaluation With Medical Services $393.00 $524.00 $290.00–$508.00 49% below 25%
Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/med Srvcs $393.00 $524.00 $290.00–$508.00 49% below 25%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx W Pt W E/m 60 Min $246.00 $328.00 $181.00–$318.00 57% below 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min $156.00 $208.00 $115.00–$202.00 26% below 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min $206.00 $275.00 $152.00–$267.00 26% below 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min $303.00 $404.00 $223.00–$392.00 at median 25%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking And Tobacco Use Cessation Counseling $56.00 $74.00 $41.00–$72.00 13% below 24%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Outpatient Visit V $292.00 $389.00 $215.00–$377.00 24% below 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 C, C, Mc-hc-estab (Sc) $302.00 $402.00 $105.00–$390.00 22% below 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Outpatient Visit Iii $143.00 $190.00 $105.00–$184.00 45% below 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ep, Ep, Sf-lc-estab (Sc) $147.00 $196.00 $48.00–$190.00 43% below 25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Outpatient Visit Iv $188.00 $251.00 $139.00–$243.00 38% below 25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 D,d,lc-mc-estab (Sc) $196.00 $261.00 $70.00–$253.00 35% below 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit Ii (Sc) $84.00 $112.00 $62.00–$109.00 61% below 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit Ii $117.00 $156.00 $86.00–$151.00 46% below 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pf, Pf, Sf-estab (Sc) $121.00 $161.00 $26.00–$156.00 44% below 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min $272.00 $363.00 $201.00–$352.00 22% above 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min $353.00 $471.00 $260.00–$457.00 17% above 25%
Speech therapy session, individual CPT 92507 Treatment Of Speech, Language Voice, Communication And/or Auditory Processing $190.00 $253.00 $140.00–$245.00 45% below 25%
Spirometry (breathing test) CPT 94010 Spirometry $332.00 $443.00 $245.00–$430.00 52% below 25%
Spirometry before and after a bronchodilator CPT 94060 Evaluation Of Wheezing $534.00 $712.00 $394.00–$691.00 at median 25%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity 15 M (Cp) $80.00 $107.00 $59.00–$104.00 24% below 25%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Each 15 Min $96.00 $128.00 $71.00–$124.00 9% below 25%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity 15 M $96.00 $128.00 $71.00–$124.00 9% below 25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy $170.00 $226.00 $125.00–$219.00 81% below 25%

Vaccines

ProcedureCash price List priceInsurers payvs ColoradoOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov Vac $129.00 $172.00 $95.00–$167.00 6% below 25%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscv2 Vac 30mcg Trs-suc Im $329.00 $438.00 $242.00–$425.00 27% below 25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine, Sc $206.00 $275.00 $152.00–$267.00 73% below 25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vacc Split Prsrv Free 3 Yrs/> Im $26.00 $35.00 $19.00–$34.00 67% below 26%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (Human Papillomavirus) Gardasil-9 Vaccine $355.00 $473.00 $261.00–$459.00 58% below 25%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine, Adult, Im $125.00 $166.00 $92.00–$161.00 86% below 25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B-20 Yrs & Over $123.00 $164.00 $91.00–$159.00 77% below 25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc Prsv Free Inc Antig $130.00 $173.00 $96.00–$168.00 39% below 25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr $125.00 $166.00 $92.00–$161.00 82% below 25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conj Vaccine Quadravalent Im $241.00 $321.00 $177.00–$311.00 67% below 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 (Pcv20) $463.00 $617.00 $341.00–$598.00 51% below 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23 $148.00 $197.00 $109.00–$191.00 69% below 25%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vacc Pref Bivalent Im $507.00 $676.00 $374.00–$656.00 47% below 25%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine $507.00 $676.00 $374.00–$656.00 47% below 25%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, For Intramuscular Use $839.00 $1,119.00 $619.00–$1,085.00 60% below 25%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix $332.00 $443.00 $245.00–$430.00 5% below 25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td > 7 Years Older $35.00 $46.00 $25.00–$45.00 89% below 24%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine > 7 Im $63.00 $84.00 $46.00–$81.00 79% below 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization First Inj $45.00 $60.00 $33.00–$58.00 59% below 25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization 2 Or More $30.00 $40.00 $22.00–$39.00 64% below 25%

Source file: https://secure.claraprice.net/price-transparency/PJGJ-1779130304140/machine-readable/840574271_haxtun-hospital_standardcharges.json