Hospital

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

ProcedureCash price List priceInsurers payvs TexasOff 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

ProcedureCash price List priceInsurers payvs TexasOff 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

ProcedureCash price List priceInsurers payvs TexasOff 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

ProcedureCash price List priceInsurers payvs TexasOff 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

ProcedureCash price List priceInsurers payvs TexasOff 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%

Source file: https://secure.claraprice.net/price-transparency/WAD5510496738/machine-readable/751433495_fisher-county-hospital_standardcharges.json