Fisher County Hospital
Fisher County Hospital in Rotan, TX publishes cash prices for 251 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 217 of 249 procedures and above it for 31. By typical cash price it ranks #31 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
774 State Highway 70 N, Rotan, TX 79546 Collected Sep 27, 2026 Source price file (325) 735-2256
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451313 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3v Left Complete | $158.00 | $186.00 | $106.00–$186.00 | 56% below | 15% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3v Right Complete | $158.00 | $186.00 | $106.00–$186.00 | 56% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Physiologic Study 1 To 2 Levels | $496.00 | $584.00 | $333.00–$584.00 | 24% below | 15% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Phys Esophogram | $88.00 | $103.00 | $27.00–$103.00 | 82% below | 15% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophogram | $284.00 | $334.00 | $190.00–$334.00 | 43% below | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 Phys Us Breast Unilateral Complete | $107.00 | $126.00 | $33.00–$126.00 | 76% below | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Unilateral Complete | $314.00 | $369.00 | $210.00–$369.00 | 29% below | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Phys Us Breast Unilateral Limited | $100.00 | $118.00 | $31.00–$118.00 | 71% below | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Unilateral Limited | $157.00 | $185.00 | $105.00–$185.00 | 55% below | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Phys Cta Chest (Noncoronary) | $266.00 | $313.00 | $82.00–$313.00 | 91% below | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest (Noncoronary) | $1,618.00 | $1,904.00 | $1,085.00–$1,904.00 | 43% below | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Phys Ct Heart W/o Con W/cardiac Calcium | $93.00 | $109.00 | $26.00–$109.00 | 51% below | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart W/o Contrast W/calcium Score | $340.00 | $400.00 | $228.00–$400.00 | 79% above | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Phys Ct Abd & Pelvis W/o Contrast | $255.00 | $300.00 | $79.00–$300.00 | 92% below | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis W/o Contrast | $2,965.00 | $3,488.00 | $1,988.00–$3,488.00 | 12% below | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis Stone Protocol | $2,965.00 | $3,488.00 | $1,988.00–$3,488.00 | 12% below | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis With Oral Contrast | $2,965.00 | $3,488.00 | $1,988.00–$3,488.00 | 12% below | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,305.00 | $3,888.00 | $2,216.00–$3,888.00 | 15% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd & Pelvis Wo/w Contrast | $3,730.00 | $4,388.00 | $2,501.00–$4,388.00 | 11% below | 15% |
| CT scan of the abdomen with contrast CPT 74160 Phys Ct Abdomen W/contrast | $187.00 | $220.00 | $57.00–$220.00 | 93% below | 15% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/contrast | $2,004.00 | $2,358.00 | $1,344.00–$2,358.00 | 23% below | 15% |
| CT scan of the abdomen without contrast CPT 74150 Phys Ct Abdomen W/o Contrast | $174.00 | $205.00 | $54.00–$205.00 | 92% below | 15% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $1,742.00 | $2,049.00 | $1,168.00–$2,049.00 | 18% below | 15% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen With Oral Contrast | $1,742.00 | $2,049.00 | $1,168.00–$2,049.00 | 18% below | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Phys Ct Facial Bones W/o Contrast | $189.00 | $222.00 | $39.00–$222.00 | 89% below | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinuses W/o Contrast | $1,202.00 | $1,414.00 | $806.00–$1,414.00 | 28% below | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Facial Bones W/o Contrast | $1,235.00 | $1,453.00 | $828.00–$1,453.00 | 26% below | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,050.00 | $1,235.00 | $704.00–$1,235.00 | 45% below | 15% |
| CT scan of the head with contrast CPT 70460 Phys Ct Head Brain W/contrast | $166.00 | $195.00 | $51.00–$195.00 | 91% below | 15% |
| CT scan of the head with contrast CPT 70460 Ct Head Brain W/contrast | $1,208.00 | $1,421.00 | $810.00–$1,421.00 | 31% below | 15% |
| CT scan of the head without and with contrast CPT 70470 Phys Ct Head Brain W W/o Contrast | $187.00 | $220.00 | $57.00–$220.00 | 92% below | 15% |
| CT scan of the head without and with contrast CPT 70470 Ct Head Brain W W/o Contrast | $1,448.00 | $1,704.00 | $971.00–$1,704.00 | 38% below | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Phys Ct L-spine W/o Contrast | $146.00 | $172.00 | $46.00–$172.00 | 93% below | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-spine W/o Contrast | $1,351.00 | $1,589.00 | $906.00–$1,589.00 | 34% below | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Phys Ct C-spine W/o Contrast | $146.00 | $172.00 | $46.00–$172.00 | 93% below | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-spine W/o Contrast | $1,351.00 | $1,589.00 | $906.00–$1,589.00 | 36% below | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,301.00 | $1,530.00 | $872.00–$1,530.00 | 41% below | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Phys Us Carotids Complete | $117.00 | $138.00 | $37.00–$138.00 | 92% below | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotids Complete | $785.00 | $924.00 | $527.00–$924.00 | 44% below | 15% |
| Chest X-ray, 2 views CPT 71046 Phys Chest 2v | $32.00 | $38.00 | $10.00–$38.00 | 92% below | 16% |
| Chest X-ray, 2 views CPT 71046 Chest 2v | $187.00 | $220.00 | $125.00–$220.00 | 53% below | 15% |
| Chest X-ray, single view CPT 71045 Phys Chest 1v Phys | $26.00 | $31.00 | $8.00–$31.00 | 92% below | 16% |
| Chest X-ray, single view CPT 71045 Chest 1v | $149.00 | $175.00 | $100.00–$175.00 | 54% below | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Phys Us Retroperitoneal (Renal) Complete | $109.00 | $128.00 | $34.00–$128.00 | 85% below | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal (Renal) Complete | $371.00 | $437.00 | $249.00–$437.00 | 50% below | 15% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density (Hips Spine) | $297.00 | $349.00 | $199.00–$349.00 | 29% below | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Phys Bone Density (Heel Forearm) | $29.00 | $34.00 | $9.00–$34.00 | 87% below | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density (Heel Forearm) | $297.00 | $349.00 | $199.00–$349.00 | 35% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Phys High Resolutionct Chest W/ocontrast | $171.00 | $201.00 | $49.00–$201.00 | 91% below | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $1,522.00 | $1,790.00 | $1,020.00–$1,790.00 | 17% below | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 High Resolution Ct Chest W/o Contrast | $1,522.00 | $1,790.00 | $1,020.00–$1,790.00 | 17% below | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Phys Ct Chest W/contrast | $171.00 | $201.00 | $53.00–$201.00 | 92% below | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/contrast | $1,614.00 | $1,899.00 | $1,082.00–$1,899.00 | 27% below | 15% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Phys Us Arterial Lower Ext Bilat | $116.00 | $136.00 | $36.00–$136.00 | — | 15% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Arterial Lower Ext Bilat | $740.00 | $871.00 | $496.00–$871.00 | — | 15% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Phys Us Venous Doppler Bilat | $101.00 | $119.00 | $32.00–$119.00 | — | 15% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Doppler Bilat | $712.00 | $838.00 | $478.00–$838.00 | — | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Phys Us Echocardiogram Complete Standard | $211.00 | $248.00 | $66.00–$248.00 | 92% below | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echocardiogram Complete (Standard) | $1,066.00 | $1,254.00 | $715.00–$1,254.00 | 59% below | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended | $298.00 | $350.00 | $199.00–$350.00 | 61% below | 15% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3v Right | $177.00 | $208.00 | $119.00–$208.00 | 47% below | 15% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3v Left | $177.00 | $208.00 | $119.00–$208.00 | 47% below | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Phys Us Abdomen Limited (Gall Bladder) | $86.00 | $101.00 | $27.00–$101.00 | 86% below | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited (Gall Bladder) | $316.00 | $372.00 | $212.00–$372.00 | 50% below | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Phys Ct Thorax Lung Cancer Scrn W/o Cont | $159.00 | $187.00 | $49.00–$187.00 | 34% below | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scrn W/o Contrast | $404.00 | $475.00 | $271.00–$475.00 | 68% above | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Phys Us Pelvic Limited Bladder | $72.00 | $85.00 | $23.00–$85.00 | 85% below | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited Bladder | $327.00 | $385.00 | $219.00–$385.00 | 33% below | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Phys Us Pelvic Complete | $100.00 | $118.00 | $32.00–$118.00 | 88% below | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $369.00 | $434.00 | $247.00–$434.00 | 57% below | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $345.00 | $406.00 | $231.00–$406.00 | 47% below | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Phys Us Ob Complete <14 Weeks | $145.00 | $171.00 | $46.00–$171.00 | 77% below | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob Complete <14 Weeks | $345.00 | $406.00 | $231.00–$406.00 | 46% below | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Phys Us Ob Limited | $95.00 | $112.00 | $30.00–$112.00 | 80% below | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $253.00 | $298.00 | $170.00–$298.00 | 47% below | 15% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Complete Minimun 2v Lt | $190.00 | $224.00 | $128.00–$224.00 | 38% below | 15% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Complete Minimun 2v Rt | $190.00 | $224.00 | $128.00–$224.00 | 38% below | 15% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $422.00 | $497.00 | $283.00–$497.00 | 35% below | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 Phys Us Ob Transvaginal | $111.00 | $130.00 | $35.00–$130.00 | 80% below | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $422.00 | $497.00 | $283.00–$497.00 | 25% below | 15% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $492.00 | $579.00 | $330.00–$579.00 | 43% below | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 Phys Us Scrotum And Contents | $93.00 | $109.00 | $29.00–$109.00 | 86% below | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents | $316.00 | $372.00 | $212.00–$372.00 | 54% below | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Phys Us Thyroid | $82.00 | $97.00 | $26.00–$97.00 | 87% below | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head And Neck | $335.00 | $394.00 | $225.00–$394.00 | 47% below | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid | $335.00 | $394.00 | $225.00–$394.00 | 47% below | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Phys Us Venous Doppler Unilat Rt | $65.00 | $76.00 | $20.00–$76.00 | 92% below | 14% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Doppler Unilat Lt | $443.00 | $521.00 | $297.00–$521.00 | 45% below | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Doppler Unilat Rt | $443.00 | $521.00 | $297.00–$521.00 | 45% below | 15% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3v Left Complete | $142.00 | $167.00 | $95.00–$167.00 | 54% below | 15% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3v Right Complete | $142.00 | $167.00 | $95.00–$167.00 | 54% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Phys Pelvis/hips Child Min 2 Views | $33.00 | $39.00 | $10.00–$39.00 | 91% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Pelvis/hips Child Min 2 Views | $184.00 | $217.00 | $124.00–$217.00 | 50% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat 2-3v Right | $168.00 | $198.00 | $113.00–$198.00 | 54% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat W/pelvis 2-3v Right | $168.00 | $198.00 | $113.00–$198.00 | 54% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat 2-3v Left | $168.00 | $198.00 | $113.00–$198.00 | 54% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unilat W/pelvis 2-3v Left | $168.00 | $198.00 | $113.00–$198.00 | 54% below | 15% |
| X-ray of the abdomen, 1 view CPT 74018 Phys Abdomen 1v Kub | $27.00 | $32.00 | $9.00–$32.00 | 92% below | 16% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1v Kub | $162.00 | $190.00 | $108.00–$190.00 | 52% below | 15% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2v Left | $147.00 | $173.00 | $99.00–$173.00 | 48% below | 15% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2v Right | $147.00 | $173.00 | $99.00–$173.00 | 48% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(thumb) 2v Right | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(s) 2v Right | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(s)2v Left | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(thumb) 2v Left | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(5th Digit) 2v Right | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(4th Digit) 2v Right | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(3rd Digit) 2v Right | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(2nd Digit) 2v Right | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(5th Digit) 2v Left | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(4th Digit) 2v Left | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(3rd Digit) 2v Left | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(2nd Digit) 2v Left | $107.00 | $126.00 | $72.00–$126.00 | 56% below | 15% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2v Left | $153.00 | $180.00 | $103.00–$180.00 | 54% below | 15% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2v Right | $153.00 | $180.00 | $103.00–$180.00 | 54% below | 15% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3v Right Complete | $158.00 | $186.00 | $106.00–$186.00 | 57% below | 15% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3v Left Complete | $158.00 | $186.00 | $106.00–$186.00 | 57% below | 15% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand 3v Left Complete | $142.00 | $167.00 | $95.00–$167.00 | 60% below | 15% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand 3v Right Complete | $142.00 | $167.00 | $95.00–$167.00 | 60% below | 15% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1-2v Right Routine | $150.00 | $176.00 | $100.00–$176.00 | 46% below | 15% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1-2v Left Routine | $150.00 | $176.00 | $100.00–$176.00 | 46% below | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Phys L-spine 2-3v | $33.00 | $39.00 | $10.00–$39.00 | 93% below | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-spine 2-3v | $190.00 | $223.00 | $127.00–$223.00 | 59% below | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $276.00 | $325.00 | $185.00–$325.00 | 58% below | 15% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Phys T-spine 2v | $31.00 | $36.00 | $10.00–$36.00 | 92% below | 14% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-spine 2v | $201.00 | $237.00 | $135.00–$237.00 | 50% below | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complete Min 3v | $153.00 | $180.00 | $103.00–$180.00 | 46% below | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Phys C-spine 2-3v | $33.00 | $39.00 | $10.00–$39.00 | 91% below | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-spine 2-3v | $208.00 | $245.00 | $140.00–$245.00 | 44% below | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Phys Pelvis 1-2v (Standard) | $26.00 | $31.00 | $8.00–$31.00 | 93% below | 16% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2v (Standard) | $139.00 | $163.00 | $93.00–$163.00 | 63% below | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx Min 2v | $148.00 | $174.00 | $99.00–$174.00 | 55% below | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt Alt | $51.00 | $60.00 | $34.00–$60.00 | 13% below | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot Ast | $48.00 | $56.00 | $32.00–$56.00 | 18% below | 14% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis Panel (144000) | $140.00 | $165.00 | $94.00–$165.00 | 64% below | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K082-ige Latex (650390) | $31.00 | $37.00 | $21.00–$37.00 | 25% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Stachybotrys Atra Igg -Hrl/quest | $31.00 | $37.00 | $21.00–$37.00 | 25% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (602454) | $31.00 | $37.00 | $21.00–$37.00 | 25% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F083-ige Chicken (602500) | $33.00 | $39.00 | $22.00–$39.00 | 33% above | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile Nuts (671926) | $231.00 | $272.00 | $155.00–$272.00 | 832% above | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Reflex 607025 | $807.00 | $949.00 | $541.00–$949.00 | 3157% above | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti Ccp (164914) | $44.00 | $52.00 | $30.00–$52.00 | 17% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana With Reflex (164962) | $73.00 | $86.00 | $49.00–$86.00 | 20% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Qual. Multiplex Immunoassay (164855) | $77.00 | $90.00 | $51.00–$90.00 | 16% below | 14% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana (164947) | $82.00 | $97.00 | $55.00–$97.00 | 11% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana By Ifa Reflex To 11-biomark (382965) | $89.00 | $105.00 | $60.00–$105.00 | 3% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Reflex Ana(164962) | $527.00 | $620.00 | $353.00–$620.00 | 475% above | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (Natriuretic Peptide | $102.00 | $120.00 | $68.00–$120.00 | 47% below | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-probnp (143000) | $199.00 | $234.00 | $133.00–$234.00 | 4% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $102.00 | $120.00 | $68.00–$120.00 | 60% below | 15% |
| Blood culture for bacteria CPT 87040 Culture Blood Bacteria-in House | $66.00 | $78.00 | $44.00–$78.00 | 72% below | 15% |
| Blood culture for bacteria CPT 87040 Culture Blood Bacteria(008300) | $66.00 | $78.00 | $44.00–$78.00 | 72% below | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipunture | $5.00 | $6.00 | $3.00–$6.00 | 76% below | 17% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $10.00 | $12.00 | $7.00–$12.00 | 51% below | 17% |
| Blood glucose (sugar) test CPT 82947 Glucose Quant | $51.00 | $60.00 | $34.00–$60.00 | 4% above | 15% |
| Blood glucose (sugar) test CPT 82947 Lab Glucose | $51.00 | $60.00 | $34.00–$60.00 | 4% above | 15% |
| Blood glucose (sugar) test CPT 82947 Rhc Glucose Quant | $51.00 | $60.00 | $34.00–$60.00 | 4% above | 15% |
| Blood lead test CPT 83655 Lead Whole Blood Adult (007625) | $71.00 | $83.00 | $47.00–$83.00 | 35% above | 14% |
| Blood lead test CPT 83655 Lead Level Pediatric (717009) | $90.00 | $106.00 | $60.00–$106.00 | 71% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum | $47.00 | $55.00 | $31.00–$55.00 | 74% below | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo | $31.00 | $36.00 | $21.00–$36.00 | 66% below | 14% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein (006627) | $55.00 | $65.00 | $37.00–$65.00 | 6% below | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (In House) | $55.00 | $65.00 | $37.00–$65.00 | 6% below | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Defficile Toxin Gene(183988) | $128.00 | $150.00 | $85.00–$150.00 | 31% below | 15% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 (002261) | $77.00 | $91.00 | $52.00–$91.00 | 42% below | 15% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 (002303) | $162.00 | $191.00 | $109.00–$191.00 | 1% above | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Novel Coronavirus Pcr | $102.00 | $120.00 | $68.00–$120.00 | 15% above | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Rhc Chlamydia Dna Probe | $41.00 | $48.00 | $27.00–$48.00 | 67% below | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab Chlamydia Amplified Probe Technique | $41.00 | $48.00 | $27.00–$48.00 | 67% below | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna Probe | $73.00 | $86.00 | $49.00–$86.00 | 41% below | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis | $105.00 | $123.00 | $70.00–$123.00 | 15% below | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $91.00 | $107.00 | $61.00–$107.00 | 55% below | 15% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $48.00 | $56.00 | $32.00–$56.00 | 47% below | 14% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $157.00 | $185.00 | $105.00–$185.00 | 55% below | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 Adamts-13 (117913) | $85.00 | $100.00 | $57.00–$100.00 | 51% below | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s (004020) | $82.00 | $96.00 | $55.00–$96.00 | 47% below | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate Lc/ms (500161) | $113.00 | $133.00 | $76.00–$133.00 | 27% below | 15% |
| Estradiol blood test CPT 82670 Estradiol (004515) | $103.00 | $121.00 | $69.00–$121.00 | 30% below | 15% |
| Estradiol blood test CPT 82670 Estradiol Sensitive (140244) | $186.00 | $219.00 | $125.00–$219.00 | 27% above | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh (004309) | $69.00 | $81.00 | $46.00–$81.00 | 57% below | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follice Stimulat Hormone Pedi (502280) | $94.00 | $111.00 | $63.00–$111.00 | 41% below | 15% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin (123255) | $204.00 | $240.00 | $137.00–$240.00 | 5% below | 15% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (004598) | $144.00 | $169.00 | $96.00–$169.00 | 39% above | 15% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (In House) | $144.00 | $169.00 | $96.00–$169.00 | 39% above | 15% |
| Folate (folic acid) blood test CPT 82746 Folate (In House) | $81.00 | $95.00 | $54.00–$95.00 | 7% below | 15% |
| Folate (folic acid) blood test CPT 82746 Folate (002014) | $81.00 | $95.00 | $54.00–$95.00 | 7% below | 15% |
| Free T3 thyroid hormone test CPT 84481 T3 Free (010389) | $52.00 | $61.00 | $35.00–$61.00 | 63% below | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $36.00 | $42.00 | $24.00–$42.00 | 59% below | 14% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 (Inhouse) | $36.00 | $42.00 | $24.00–$42.00 | 59% below | 14% |
| Free testosterone test CPT 84402 Testosterone Free (144980) | $178.00 | $209.00 | $119.00–$209.00 | 61% above | 15% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $285.00 | $335.00 | $191.00–$335.00 | 36% below | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1hr | $102.00 | $120.00 | $68.00–$120.00 | 5% above | 15% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Specimens | $144.00 | $169.00 | $96.00–$169.00 | 11% below | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Rhc Gc Dna Probe | $41.00 | $48.00 | $27.00–$48.00 | 71% below | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Dna Probe | $73.00 | $86.00 | $49.00–$86.00 | 48% below | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae(188086) | $105.00 | $123.00 | $70.00–$123.00 | 25% below | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hepatitis C Quantitative | $394.00 | $464.00 | $264.00–$464.00 | 182% above | 15% |
| H. pylori antibody blood test CPT 86677 H Pylori Igg, Abs(162289) | $99.00 | $117.00 | $67.00–$117.00 | 24% below | 15% |
| H. pylori antibody blood test CPT 86677 H Pylori Igm, Ab (163204) | $99.00 | $117.00 | $67.00–$117.00 | 24% below | 15% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori (Whole Blood) | $105.00 | $124.00 | $71.00–$124.00 | 20% below | 15% |
| H. pylori antibody blood test CPT 86677 H Pylori Iga, Igg,igm(163683) | $298.00 | $351.00 | $200.00–$351.00 | 128% above | 15% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Stool Ag (180764) | $188.00 | $221.00 | $126.00–$221.00 | 81% above | 15% |
| H. pylori stool antigen test CPT 87338 H Pylori Stool Ag (180764) | $188.00 | $221.00 | $126.00–$221.00 | 81% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1real Time Pcr Quantitative(550630) | $417.00 | $491.00 | $280.00–$491.00 | 27% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 Rna Real Time Pcr (550420) | $417.00 | $491.00 | $280.00–$491.00 | 27% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Reflex Hiv-1(550630) | $679.00 | $799.00 | $455.00–$799.00 | 107% above | 15% |
| HIV-1 and HIV-2 antibody test CPT 86703 Rhc Hiv 1 Hiv 2 | $96.00 | $113.00 | $64.00–$113.00 | 5% above | 15% |
| HIV-1 and HIV-2 antibody test CPT 86703 Lab Hiv | $96.00 | $113.00 | $64.00–$113.00 | 5% above | 15% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1/2 (In-house) | $96.00 | $113.00 | $64.00–$113.00 | 5% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1/0/2 4th (083935) | $143.00 | $168.00 | $96.00–$168.00 | at median | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Rhc Hgb A1c | $51.00 | $60.00 | $34.00–$60.00 | 45% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Lab Hgb A1c | $51.00 | $60.00 | $34.00–$60.00 | 45% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $51.00 | $60.00 | $34.00–$60.00 | 45% below | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 .Hep B Surface Antibody | $34.00 | $40.00 | $23.00–$40.00 | 47% below | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab Titer (006395) | $80.00 | $94.00 | $54.00–$94.00 | 25% above | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen (006510) | $38.00 | $45.00 | $26.00–$45.00 | 48% below | 16% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 .Hep B Surface Antigen | $38.00 | $45.00 | $26.00–$45.00 | 48% below | 16% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody (140659) | $122.00 | $144.00 | $82.00–$144.00 | 40% above | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Ab W/reflx (144050) | $394.00 | $464.00 | $264.00–$464.00 | 353% above | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Quantitative Rna W/genotyping(550090 | $394.00 | $464.00 | $264.00–$464.00 | 34% above | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Pcr (Graph) W/reflex (550100) | $417.00 | $491.00 | $280.00–$491.00 | 42% above | 15% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-pcr Quant (550080) | $394.00 | $464.00 | $264.00–$464.00 | 34% above | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 Igg (164897) | $76.00 | $89.00 | $51.00–$89.00 | 6% below | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Igg (164098) | $110.00 | $129.00 | $74.00–$129.00 | 22% above | 15% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Hi Sensitivity(120766 | $60.00 | $71.00 | $40.00–$71.00 | 25% below | 15% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine (706994) | $52.00 | $61.00 | $35.00–$61.00 | 65% below | 15% |
| Insulin blood test CPT 83525 Insulin (004333) | $64.00 | $75.00 | $43.00–$75.00 | 23% below | 15% |
| Insulin blood test CPT 83525 Insulin Ria Total | $81.00 | $95.00 | $54.00–$95.00 | 3% below | 15% |
| Iron blood test (serum iron) CPT 83540 Iron Serum (001339) | $51.00 | $60.00 | $34.00–$60.00 | 43% below | 15% |
| Iron blood test (serum iron) CPT 83540 Iron Serum (In House) | $51.00 | $60.00 | $34.00–$60.00 | 43% below | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron And Tibc (Inhouse) | $68.00 | $80.00 | $46.00–$80.00 | 31% below | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $68.00 | $80.00 | $46.00–$80.00 | 31% below | 15% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $116.00 | $136.00 | $78.00–$136.00 | 60% below | 15% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Pediatric(502286) | $41.00 | $48.00 | $27.00–$48.00 | 73% below | 15% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (004283) | $68.00 | $80.00 | $46.00–$80.00 | 55% below | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $90.00 | $106.00 | $60.00–$106.00 | 8% below | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase(ih) | $90.00 | $106.00 | $60.00–$106.00 | 8% below | 15% |
| Liver function blood test panel CPT 80076 Liver function blood test | $109.00 | $128.00 | $73.00–$128.00 | 62% below | 15% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody W/reflex (164226) | $116.00 | $136.00 | $78.00–$136.00 | 40% above | 15% |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab, Quant, Igm (161992) | $116.00 | $136.00 | $78.00–$136.00 | 40% above | 15% |
| Lyme disease antibody test CPT 86618 Lyme Disease Igm W/reflex (160333) | $116.00 | $136.00 | $78.00–$136.00 | 40% above | 15% |
| Lyme disease antibody test CPT 86618 Lyme Disease Igg&igm | $230.00 | $271.00 | $154.00–$271.00 | 178% above | 15% |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab Total & Igm (258004) | $231.00 | $272.00 | $155.00–$272.00 | 179% above | 15% |
| Lyme disease antibody test CPT 86618 Reflex Lyme Disease (160333) | $326.00 | $384.00 | $219.00–$384.00 | 294% above | 15% |
| Magnesium blood test CPT 83735 Magnesium Urine (013730) | $38.00 | $45.00 | $26.00–$45.00 | 14% below | 16% |
| Magnesium blood test CPT 83735 Magnesium | $50.00 | $59.00 | $34.00–$59.00 | 14% above | 15% |
| Magnesium blood test CPT 83735 Magnesium, Rbc (080283) | $100.00 | $118.00 | $67.00–$118.00 | 127% above | 15% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab Igg (096560) | $71.00 | $84.00 | $48.00–$84.00 | 147% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test | $32.00 | $38.00 | $22.00–$38.00 | 65% below | 16% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Qualitative (006536) | $54.00 | $64.00 | $36.00–$64.00 | 42% below | 16% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $342.00 | $402.00 | $229.00–$402.00 | 35% above | 15% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $86.00 | $101.00 | $58.00–$101.00 | 24% below | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $88.00 | $104.00 | $59.00–$104.00 | 1% below | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Level (015610) | $128.00 | $151.00 | $86.00–$151.00 | 41% below | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $61.00 | $72.00 | $41.00–$72.00 | 14% above | 15% |
| Progesterone blood test CPT 84144 Progesterone (004317) | $113.00 | $133.00 | $76.00–$133.00 | 2% below | 15% |
| Prolactin blood test CPT 84146 Prolactin (004465) | $71.00 | $84.00 | $48.00–$84.00 | 38% below | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $43.00 | $50.00 | $28.00–$50.00 | 9% below | 14% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Quick Screen 11 Uds- In House | $174.00 | $205.00 | $117.00–$205.00 | 46% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Employee Drug Screen | $174.00 | $205.00 | $117.00–$205.00 | 46% above | 15% |
| Rapid flu test (influenza antigen) CPT 87804 Rhc Influenza A | $21.00 | $25.00 | $14.00–$25.00 | 78% below | 16% |
| Rapid flu test (influenza antigen) CPT 87804 Rhc Influenza B | $21.00 | $25.00 | $14.00–$25.00 | 78% below | 16% |
| Rapid flu test (influenza antigen) CPT 87804 Lab Influenza A | $21.00 | $25.00 | $14.00–$25.00 | 78% below | 16% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rhc Strep Screen | $43.00 | $50.00 | $28.00–$50.00 | 58% below | 14% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Lab Rapid Strep | $43.00 | $50.00 | $28.00–$50.00 | 58% below | 14% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen | $43.00 | $50.00 | $28.00–$50.00 | 58% below | 14% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (006502) | $39.00 | $46.00 | $26.00–$46.00 | 29% below | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative(006502) | $103.00 | $121.00 | $69.00–$121.00 | 88% above | 15% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Titer (006197) | $73.00 | $86.00 | $49.00–$86.00 | 85% above | 15% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate | $37.00 | $44.00 | $25.00–$44.00 | 44% below | 16% |
| Stool ova and parasites exam CPT 87177 Smear Ova & Parasites | $40.00 | $47.00 | $27.00–$47.00 | 57% below | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Lab Occult Blood | $5.00 | $6.00 | $3.00–$6.00 | 87% below | 17% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Stool X2 | $38.00 | $45.00 | $26.00–$45.00 | 48% below | 16% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Rfx Qn (012005) | $100.00 | $118.00 | $67.00–$118.00 | 88% above | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (006072) | $170.00 | $200.00 | $114.00–$200.00 | 220% above | 15% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold (182879) | $193.00 | $227.00 | $129.00–$227.00 | 12% below | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total (004226) | $139.00 | $163.00 | $93.00–$163.00 | 15% above | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (006676) | $66.00 | $78.00 | $44.00–$78.00 | 27% below | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo Ab (520018) | $71.00 | $83.00 | $47.00–$83.00 | 21% below | 14% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies (163980) | $80.00 | $94.00 | $54.00–$94.00 | 11% below | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $80.00 | $94.00 | $54.00–$94.00 | 35% below | 15% |
| Trichomonas test (NAAT) CPT 87661 Trich Vag By Naa | $133.00 | $157.00 | $89.00–$157.00 | 52% above | 15% |
| Uric acid blood test CPT 84550 Uric Acid Blood | $43.00 | $50.00 | $28.00–$50.00 | 60% below | 14% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $39.00 | $46.00 | $26.00–$46.00 | 67% below | 15% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $6.00 | $7.00 | $4.00–$7.00 | 85% below | 14% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $26.00 | $31.00 | $18.00–$31.00 | 48% below | 16% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $6.00 | $7.00 | $4.00–$7.00 | 83% below | 14% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine Quant Clny Cnt -In House | $51.00 | $60.00 | $34.00–$60.00 | 64% below | 15% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine Quant Clny Cnt (008847) | $51.00 | $60.00 | $34.00–$60.00 | 64% below | 15% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Color | $39.00 | $46.00 | $26.00–$46.00 | 57% below | 15% |
| Urine pregnancy test, read by color change CPT 81025 Lab Pregnancy Test Color Compar | $39.00 | $46.00 | $26.00–$46.00 | 57% below | 15% |
| Urine pregnancy test, read by color change CPT 81025 Rhc Pregnancy Test Urine Color | $39.00 | $46.00 | $26.00–$46.00 | 57% below | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (In House) | $155.00 | $182.00 | $104.00–$182.00 | 71% above | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (001503) | $155.00 | $182.00 | $104.00–$182.00 | 71% above | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Hydroxy Vitamin D (081950) | $74.00 | $87.00 | $50.00–$87.00 | 34% below | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hydroxy 25 Vitamin D (In House) | $74.00 | $87.00 | $50.00–$87.00 | 34% below | 15% |
| Zinc blood test CPT 84630 Zinc (001800) | $77.00 | $91.00 | $52.00–$91.00 | 12% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative (004416) | $48.00 | $57.00 | $32.00–$57.00 | 56% below | 16% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext | $428.00 | $504.00 | $287.00–$504.00 | 72% below | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Trt Distal Radial Fx | $268.00 | $315.00 | $180.00–$315.00 | 48% below | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Trt Dist Rad Clsd Fx W | $439.00 | $516.00 | $328.00–$525.00 | 15% below | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Pneumococcal 20valent(prevnar-20)im 0.5m | $337.00 | $396.00 | $226.00–$396.00 | 70% below | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Benign Lesion | $77.00 | $91.00 | $52.00–$91.00 | 62% below | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Benign Lesio | $84.00 | $99.00 | $46.00–$99.00 | 59% below | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rmve Impacted Ear Wax By Irrigation | $72.00 | $85.00 | $48.00–$85.00 | 42% below | 15% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Ear Wash Unilateral | $19.00 | $22.00 | $16.00–$26.00 | 85% below | 14% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax Uni | $44.00 | $52.00 | $27.00–$52.00 | 72% below | 15% |
| Earwax removal with instruments, one ear CPT 69210 Ear Wash One Or Both E | $48.00 | $57.00 | $32.00–$57.00 | 69% below | 16% |
| Earwax removal with instruments, one ear CPT 69210 Rmve Impacted Ear Wax | $72.00 | $85.00 | $48.00–$85.00 | 54% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple Sin | $170.00 | $200.00 | $97.00–$200.00 | 64% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple Single | $234.00 | $275.00 | $157.00–$275.00 | 50% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Ligament Aponeurosis | $68.00 | $80.00 | $46.00–$80.00 | 85% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Ligament G Cys | $340.00 | $400.00 | $228.00–$400.00 | 23% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Acentesis Major Joint* | $47.00 | $55.00 | $39.00–$62.00 | 92% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major Joint | $340.00 | $400.00 | $228.00–$400.00 | 43% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration/inj Of Joint Should Hip Knee | $340.00 | $400.00 | $228.00–$400.00 | 43% below | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Inplant | $314.00 | $369.00 | $210.00–$369.00 | 31% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Acentesis Int Joint* | $71.00 | $83.00 | $47.00–$83.00 | 88% below | 14% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration/inj Of Small Joint* | $69.00 | $81.00 | $46.00–$81.00 | 84% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Int Sclp Trnk Ext 2.5 Or <Cm | $173.00 | $203.00 | $116.00–$203.00 | 67% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Int Sclp Trnk Ext* 2.5 Or < Cm | $363.00 | $427.00 | $129.00–$427.00 | 32% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Int Sclp Trnk Ext 2.5 Or Less | $450.00 | $529.00 | $302.00–$529.00 | 15% below | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Ex Ben Les Trnk Arm L 0.5cm Or < | $114.00 | $134.00 | $76.00–$134.00 | 86% below | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Ex Ben Les Trnk Arm Le | $809.00 | $952.00 | $543.00–$952.00 | at median | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Ex Ben Les Fce Ear El 0.5cm Or < | $144.00 | $169.00 | $96.00–$169.00 | 84% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate 1 | $100.00 | $118.00 | $67.00–$118.00 | 69% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate | $234.00 | $275.00 | $157.00–$275.00 | 28% below | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Anes Agent Greater Occipital Nerve | $340.00 | $400.00 | $228.00–$400.00 | 20% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $220.00 | $259.00 | $92.00–$259.00 | 69% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Ex Nail/nail Matrix Pe | $297.00 | $349.00 | $199.00–$349.00 | 58% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Ex Nail/nail Matrix | $450.00 | $529.00 | $302.00–$529.00 | 36% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 I&rmve Fb Subq Smple* | $206.00 | $242.00 | $99.00–$242.00 | 62% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body | $450.00 | $529.00 | $302.00–$529.00 | 17% below | 15% |
| Short arm cast (elbow to hand) CPT 29075 Apply Forearm Cast | $105.00 | $124.00 | $57.00–$124.00 | 66% below | 15% |
| Short arm cast (elbow to hand) CPT 29075 Cast Arm Short Apply | $143.00 | $168.00 | $96.00–$168.00 | 53% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 Application Splint Arm Shrt Static | $56.00 | $66.00 | $38.00–$66.00 | 81% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Shrt Static | $80.00 | $94.00 | $40.00–$94.00 | 72% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Short Static | $146.00 | $172.00 | $98.00–$172.00 | 49% below | 15% |
| Short leg cast (below the knee) CPT 29405 Cast Leg Short Apply | $133.00 | $157.00 | $89.00–$157.00 | 61% below | 15% |
| Short leg cast (below the knee) CPT 29405 Cast Short Leg Apply | $314.00 | $369.00 | $210.00–$369.00 | 7% below | 15% |
| Short leg splint (calf to foot) CPT 29515 Splint Leg Shrt Apply | $87.00 | $102.00 | $48.00–$102.00 | 69% below | 15% |
| Short leg splint (calf to foot) CPT 29515 Splint Leg Short Apply | $184.00 | $216.00 | $123.00–$216.00 | 34% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smple Sclp Nck Trn 2.5 Or < Cm | $128.00 | $150.00 | $43.00–$150.00 | 68% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smple Sclp Nck Trn 2.5 Or Less | $234.00 | $275.00 | $157.00–$275.00 | 42% below | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $149.00 | $175.00 | $100.00–$175.00 | 67% below | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Ex Malig Les Trnk Arm 0.5cm Or < | $183.00 | $215.00 | $123.00–$215.00 | 85% below | 15% |
| Skin tag removal, up to 15 tags CPT 11200 Rmve Skin Tags Up To 1 | $91.00 | $107.00 | $61.00–$107.00 | 71% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smple Sclp Nck Trn 2.6-7.5cm | $154.00 | $181.00 | $56.00–$181.00 | 67% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smple Sclp Nck Trn 2.6 To 7.5 | $234.00 | $275.00 | $157.00–$275.00 | 49% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smple Fce Ear Elid 2.5 Or < Cm | $153.00 | $180.00 | $53.00–$180.00 | 64% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smple Fce Ear Elid 2.5 Or Less | $234.00 | $275.00 | $157.00–$275.00 | 45% below | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Les | $92.00 | $108.00 | $62.00–$108.00 | 74% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Points 1-2 | $66.00 | $78.00 | $35.00–$78.00 | 89% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Points 1/2 Muscle | $72.00 | $85.00 | $48.00–$85.00 | 88% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Points 1-2 Muscles | $340.00 | $400.00 | $228.00–$400.00 | 41% below | 15% |
| Wart removal, up to 14 warts CPT 17110 Destruct Benign Lesions <14 | $136.00 | $160.00 | $91.00–$160.00 | 36% below | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin &Sbct | $272.00 | $320.00 | $182.00–$320.00 | 73% below | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood | $516.00 | $607.00 | $346.00–$607.00 | 45% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment | $31.00 | $36.00 | $21.00–$36.00 | 85% below | 14% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Respiratory Treatment | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi 4th Med | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi 3rd Med | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Treatment 4th Med | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Treatment 3rd Med | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Treatment 2nd Med | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi 2nd Med | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Treatment | $68.00 | $80.00 | $46.00–$80.00 | 67% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inh For Acute Obstruction | $74.00 | $87.00 | $50.00–$87.00 | 64% below | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care First 30-74 Min | $297.00 | $349.00 | $196.00–$349.00 | 89% below | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care 1st 30-74 Min | $1,024.00 | $1,205.00 | $687.00–$1,205.00 | 60% below | 15% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $133.00 | $156.00 | $89.00–$156.00 | 7% below | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing Only 12 L | $39.00 | $46.00 | $26.00–$46.00 | 87% below | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Rhc Ekg/ecg 12 Lead Tracing Clinic | $112.00 | $132.00 | $75.00–$132.00 | 62% below | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg/ecg 12 Lead Tracing | $162.00 | $190.00 | $108.00–$190.00 | 45% below | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er No Physician | $57.00 | $67.00 | $11.00–$67.00 | 78% below | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room L-1 | $99.00 | $117.00 | $67.00–$117.00 | 62% below | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Critical Care Room W/monitor | $249.00 | $293.00 | $167.00–$293.00 | 5% below | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Straightforward | $88.00 | $104.00 | $40.00–$104.00 | 81% below | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room L-2 | $177.00 | $208.00 | $119.00–$208.00 | 62% below | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Low Level | $124.00 | $146.00 | $68.00–$146.00 | 85% below | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room L-3 | $275.00 | $323.00 | $184.00–$323.00 | 67% below | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Moderate Level | $173.00 | $203.00 | $116.00–$203.00 | 87% below | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room L-4 | $439.00 | $517.00 | $295.00–$517.00 | 68% below | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er High Level | $236.00 | $278.00 | $169.00–$278.00 | 90% below | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room L-5 | $660.00 | $776.00 | $442.00–$776.00 | 71% below | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test | $618.00 | $727.00 | $414.00–$727.00 | 57% below | 15% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Monitor Recording Up To 48hrs Cmp | $1,080.00 | $1,271.00 | $724.00–$1,271.00 | 42% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion/hyration 1st Hour | $105.00 | $123.00 | $70.00–$123.00 | 77% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion/hydration | $113.00 | $133.00 | $76.00–$133.00 | 75% below | 15% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion/drug 1st H | $113.00 | $133.00 | $76.00–$133.00 | 76% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Adm Diagnostic Injection | $21.00 | $25.00 | $14.00–$25.00 | 87% below | 16% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/subq Injection | $65.00 | $77.00 | $44.00–$77.00 | 61% below | 16% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reed Ech 15 Min | $65.00 | $77.00 | $44.00–$77.00 | 43% below | 16% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation | $65.00 | $77.00 | $44.00–$77.00 | 43% below | 16% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $143.00 | $168.00 | $96.00–$168.00 | 37% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $220.00 | $259.00 | $148.00–$259.00 | 31% below | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $293.00 | $345.00 | $197.00–$345.00 | 13% below | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Ov Np L-2 | $97.00 | $114.00 | $65.00–$114.00 | 50% below | 15% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutritional Assessment Each 15 Min | $51.00 | $60.00 | $34.00–$60.00 | 13% below | 15% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Low Complexity | $168.00 | $198.00 | $113.00–$198.00 | 37% below | 15% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min | $168.00 | $198.00 | $113.00–$198.00 | 45% below | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Initial W/pt | $106.00 | $125.00 | $71.00–$125.00 | 55% below | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Eval Low Complex 20 Min | $168.00 | $198.00 | $113.00–$198.00 | 29% below | 15% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Eval Mod Complex 30 Min | $168.00 | $198.00 | $113.00–$198.00 | 41% below | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy | $53.00 | $62.00 | $35.00–$62.00 | 53% below | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Each 15 Minutes | $53.00 | $62.00 | $35.00–$62.00 | 53% below | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $57.00 | $67.00 | $38.00–$67.00 | 54% below | 15% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $139.00 | $163.00 | $93.00–$163.00 | at median | 15% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $164.00 | $193.00 | $110.00–$193.00 | 13% above | 15% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Np 65+ Yrs | $181.00 | $213.00 | $121.00–$213.00 | 8% above | 15% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Ep 18-39 Yr | $124.00 | $146.00 | $83.00–$146.00 | 7% above | 15% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Ep 40-64 Yr | $127.00 | $149.00 | $85.00–$149.00 | 26% below | 15% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Ep 65+ Yrs | $127.00 | $149.00 | $85.00–$149.00 | 28% below | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco-use Counsel 3-10 Min | $26.00 | $30.00 | $17.00–$30.00 | 46% below | 13% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Ov Est Pt L-5 Hi 40-54 Min 99215 | $239.00 | $281.00 | $160.00–$281.00 | 23% below | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Treatment Room Est Pt L-3 20+min | $66.00 | $78.00 | $44.00–$78.00 | 68% below | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ov Est Pt L-3 Low 20-29 Min 99213 | $118.00 | $139.00 | $79.00–$139.00 | 42% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Treatment Room Est Pt L-4 30+min | $113.00 | $133.00 | $76.00–$133.00 | 49% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Ov Est Pt L-4 Mod 30-39 Min 99214 | $168.00 | $198.00 | $113.00–$198.00 | 25% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Obs Daily Care L-2 10+min | $39.00 | $46.00 | $31.00–$49.00 | 76% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Treatment Room Est Pt L-2 10+min | $51.00 | $60.00 | $34.00–$60.00 | 69% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Ov Est Pt L-2 S F 10-19 Min 99212 | $73.00 | $86.00 | $49.00–$86.00 | 55% below | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $166.00 | $195.00 | $111.00–$195.00 | 86% above | 15% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Screen | $134.00 | $158.00 | $90.00–$158.00 | 64% below | 15% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Com | $190.00 | $223.00 | $127.00–$223.00 | 70% below | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities 15 Minutes (Rt) | $47.00 | $55.00 | $31.00–$55.00 | 60% below | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity | $73.00 | $86.00 | $49.00–$86.00 | 38% below | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity | $73.00 | $86.00 | $49.00–$86.00 | 38% below | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $50.00 | $59.00 | $34.00–$59.00 | 80% below | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $89.00 | $105.00 | $60.00–$105.00 | 64% below | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vac(fluad 65+) 0.5ml Srn Im Termed | $51.00 | $60.00 | $34.00–$60.00 | 37% below | 15% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid 19 Vacc Spikevax Inj | $217.00 | $255.00 | $145.00–$255.00 | 77% above | 15% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Chicken Pox Vac | $116.00 | $137.00 | $78.00–$137.00 | 77% below | 15% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Chicken Pox(varicella) Vaccine | $157.00 | $185.00 | $105.00–$185.00 | 68% below | 15% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vac(fluzone Iiv3 Pfs):0.5ml Srnterme | $26.00 | $31.00 | $18.00–$31.00 | 46% below | 16% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vac(afluria Tiv Pfs):0.5ml Srn Im | $34.00 | $40.00 | $23.00–$40.00 | 29% below | 15% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (Gardisil 9) Vac: 0.5 Ml | $388.00 | $456.00 | $260.00–$456.00 | 60% below | 15% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Adult | $51.00 | $60.00 | $34.00–$60.00 | 77% below | 15% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vac 20mcg/ml Im Inj | $80.00 | $94.00 | $54.00–$94.00 | 56% below | 15% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B 20 Yrs + Vaccin | $93.00 | $109.00 | $62.00–$109.00 | 48% below | 15% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Special Pt Vacc | $93.00 | $109.00 | $62.00–$109.00 | 48% below | 15% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vac(fluzone High-dose)0.5ml Srn Im | $121.00 | $142.00 | $81.00–$142.00 | 19% below | 15% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/mumps/rubella (Mmrii) Im:0.5ml | $91.00 | $107.00 | $61.00–$107.00 | 63% below | 15% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conjugate (Menveo)im:0.5ml | $217.00 | $255.00 | $145.00–$255.00 | 39% below | 15% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20valent(prevnar-20)im:05ml | $400.00 | $470.00 | $268.00–$470.00 | 29% below | 15% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumonia Vaccine | $38.00 | $45.00 | $26.00–$45.00 | 85% below | 16% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumonia Vaccine 23 Valent (Adult) | $179.00 | $211.00 | $120.00–$211.00 | 32% below | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus & Diphtheria (Adult) | $68.00 | $80.00 | $46.00–$80.00 | 48% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap | $63.00 | $74.00 | $42.00–$74.00 | 62% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine | $68.00 | $80.00 | $46.00–$80.00 | 59% below | 15% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine | $43.00 | $50.00 | $28.00–$50.00 | 91% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Administration | $10.00 | $12.00 | $7.00–$12.00 | 87% below | 17% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Ths Adm Immunization/vaccine | $12.00 | $14.00 | $8.00–$14.00 | 85% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Sv-adm Immunization/vaccine Free | $12.00 | $14.00 | $8.00–$14.00 | 85% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Immunization/vacci | $30.00 | $35.00 | $20.00–$35.00 | 61% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Vaccine/immunization Initial | $65.00 | $77.00 | $44.00–$77.00 | 16% below | 16% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration | $65.00 | $77.00 | $44.00–$77.00 | 16% below | 16% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Ths Each Additional Vaccine | $12.00 | $14.00 | $8.00–$14.00 | 78% below | 14% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional Vaccine | $21.00 | $25.00 | $14.00–$25.00 | 61% below | 16% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm Each Add Vac | $32.00 | $38.00 | $22.00–$38.00 | 40% below | 16% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Adm Vaccine/immunization Ea + | $65.00 | $77.00 | $44.00–$77.00 | 22% above | 16% |