Hospital

Sampson Regional Medical Center

Sampson Regional Medical Center in Clinton, NC publishes cash prices for 227 common procedures listed here, from its own machine-readable price file updated May 7, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 128 of 227 procedures and below it for 94. By typical cash price it ranks #37 of 59 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

607 Beaman St Clinton NC 28328 Collected Sep 27, 2026 Source price file (910) 592-8511

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 340024 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Sampson Regional Medical Center in Clinton, NC:

  • Feb 6, 2023 Met requirements
  • Aug 20, 2024 Warning notice
  • Nov 20, 2024 Case closed

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs North CarolinaOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views $339.50 $485.00 $83.18–$485.00 24% above 30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries $486.50 $695.00 $127.17–$695.00 36% above 30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus $366.10 $523.00 $103.97–$523.00 14% below 30%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body $1,559.60 $2,228.00 $382.11–$2,228.00 12% above 30%
Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast $241.50 $345.00 $68.59–$345.00 54% below 30%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast $168.00 $240.00 $47.71–$240.00 52% below 30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast $2,643.20 $3,776.00 $167.65–$3,776.00 26% above 30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast $4,195.80 $5,994.00 $228.06–$5,994.00 46% above 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $4,239.90 $6,057.00 $333.46–$6,057.00 17% above 30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast $5,294.80 $7,564.00 $333.46–$7,564.00 37% above 30%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast $2,121.70 $3,031.00 $167.65–$3,031.00 2% below 30%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast $1,908.90 $2,727.00 $99.93–$2,727.00 7% above 30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast $2,121.70 $3,031.00 $99.93–$3,031.00 61% above 30%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast $1,729.00 $2,470.00 $99.93–$2,470.00 36% above 30%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast $1,555.40 $2,222.00 $167.65–$2,222.00 3% below 30%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast $2,593.50 $3,705.00 $167.65–$3,705.00 34% above 30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast $2,762.20 $3,946.00 $99.93–$3,946.00 77% above 30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast $3,180.10 $4,543.00 $99.93–$4,543.00 110% above 30%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $2,121.70 $3,031.00 $167.65–$3,031.00 21% above 30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow $374.50 $535.00 $106.36–$535.00 53% below 30%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views $244.30 $349.00 $69.38–$349.00 5% above 30%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view $212.80 $304.00 $60.44–$304.00 14% above 30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity $475.30 $679.00 $99.93–$679.00 14% below 30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine $213.50 $305.00 $60.63–$305.00 48% below 30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot $105.70 $151.00 $30.02–$151.00 51% below 30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast $1,499.40 $2,142.00 $99.93–$2,142.00 11% above 30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast $1,499.40 $2,142.00 $167.65–$2,142.00 12% below 30%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts $296.10 $423.00 $84.09–$423.00 54% below 30%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast $212.80 $304.00 $60.44–$304.00 12% below 30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts $359.10 $513.00 $101.98–$513.00 27% below 30%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers $425.60 $608.00 $120.87–$608.00 42% below 30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function $753.20 $1,076.00 $213.91–$1,076.00 55% below 30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system $1,611.40 $2,302.00 $382.11–$2,302.00 12% above 30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) $2,167.20 $3,096.00 $615.48–$3,096.00 42% below 30%
Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views $294.00 $420.00 $83.18–$420.00 6% above 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen $688.10 $983.00 $99.93–$983.00 21% above 30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening $180.60 $258.00 $51.29–$1,418.00 47% below 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast $2,606.10 $3,723.00 $228.06–$3,723.00 36% above 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast $3,028.20 $4,326.00 $333.46–$4,326.00 4% above 30%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast $2,482.90 $3,547.00 $228.06–$3,547.00 9% above 30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast $3,143.00 $4,490.00 $333.46–$4,490.00 1% above 30%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast $2,614.50 $3,735.00 $228.06–$3,735.00 15% above 30%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast $3,682.00 $5,260.00 $333.46–$5,260.00 25% above 30%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast $2,662.80 $3,804.00 $228.06–$3,804.00 18% above 30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast $3,493.00 $4,990.00 $333.46–$4,990.00 19% above 30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast $2,662.80 $3,804.00 $228.06–$3,804.00 26% above 30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast $3,493.00 $4,990.00 $333.46–$4,990.00 18% above 30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast $2,636.20 $3,766.00 $228.06–$3,766.00 16% above 30%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast $2,552.90 $3,647.00 $333.46–$3,647.00 27% below 30%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast $2,400.30 $3,429.00 $228.06–$3,429.00 37% above 30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast $2,645.30 $3,779.00 $228.06–$3,779.00 36% above 30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT $5,637.10 $8,053.00 $1,237.46–$8,053.00 53% above 30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis $165.90 $237.00 $47.12–$237.00 53% below 30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis $668.50 $955.00 $99.93–$955.00 4% above 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $672.00 $960.00 $99.93–$960.00 21% above 30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus $451.50 $645.00 $99.93–$645.00 3% below 30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus $191.80 $274.00 $29.69–$252.08 40% below 30%
Screening mammogram, both breasts CPT 77067 Screening mammography $237.30 $339.00 $67.39–$339.00 4% above 30%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views $320.60 $458.00 $83.18–$458.00 15% above 30%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) $2,167.20 $3,096.00 $615.48–$3,096.00 32% below 30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function $228.20 $326.00 $64.81–$326.00 40% below 30%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $609.00 $870.00 $99.93–$870.00 12% above 30%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus $431.90 $617.00 $99.93–$617.00 5% below 30%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen $716.10 $1,023.00 $99.93–$1,023.00 3% above 30%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum $515.20 $736.00 $99.93–$736.00 5% below 30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue $555.80 $794.00 $99.93–$794.00 5% below 30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract $497.70 $711.00 $141.35–$711.00 4% below 30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers $425.60 $608.00 $99.93–$608.00 24% below 30%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views $341.60 $488.00 $83.18–$488.00 45% above 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views $111.30 $159.00 $31.61–$159.00 52% below 30%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view $214.90 $307.00 $61.03–$307.00 4% below 30%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views $203.00 $290.00 $57.65–$290.00 12% below 30%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views $166.60 $238.00 $47.31–$238.00 11% below 30%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views $241.50 $345.00 $68.59–$345.00 19% above 30%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views $339.50 $485.00 $83.18–$485.00 25% above 30%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views $343.70 $491.00 $83.18–$491.00 29% above 30%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views $236.60 $338.00 $67.19–$338.00 5% above 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views $282.80 $404.00 $80.32–$404.00 9% below 30%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views $540.40 $772.00 $99.93–$772.00 18% above 30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views $282.10 $403.00 $80.12–$403.00 5% below 30%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views $247.80 $354.00 $70.38–$354.00 31% below 30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views $301.70 $431.00 $83.18–$431.00 3% below 30%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views $266.70 $381.00 $75.74–$381.00 at median 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views $228.20 $326.00 $64.81–$326.00 17% below 30%

Lab tests

ProcedureCash price List priceInsurers payvs North CarolinaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $76.30 $109.00 $5.30–$109.00 71% above 30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $80.50 $115.00 $5.18–$115.00 85% above 30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel $267.40 $382.00 $47.63–$382.00 21% below 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each $16.80 $24.00 $4.77–$24.00 12% below 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $63.70 $91.00 $12.95–$91.00 17% below 30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder $130.90 $187.00 $12.09–$187.00 159% above 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $137.90 $197.00 $39.16–$197.00 14% above 30%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $77.00 $110.00 $8.46–$110.00 50% below 30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity $123.20 $176.00 $34.99–$176.00 31% below 30%
Blood culture for bacteria CPT 87040 Bacterial blood culture $136.50 $195.00 $10.32–$195.00 9% below 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $17.50 $25.00 $4.97–$25.00 87% above 30%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $55.30 $79.00 $3.93–$79.00 44% above 30%
Blood lead test CPT 83655 Lead level $102.20 $146.00 $12.11–$146.00 180% above 30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $135.80 $194.00 $7.52–$194.00 2% above 30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $134.40 $192.00 $2.99–$192.00 144% above 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $60.20 $86.00 $5.18–$86.00 at median 30%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $66.50 $95.00 $18.89–$95.00 50% below 30%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 $98.00 $140.00 $20.81–$140.00 14% above 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 $144.20 $206.00 $20.81–$206.00 72% above 30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen $88.20 $126.00 $25.05–$126.00 4% above 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $67.90 $97.00 $19.28–$97.00 43% below 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $177.80 $254.00 $13.39–$254.00 96% above 30%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $95.90 $137.00 $7.77–$137.00 7% below 30%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $86.10 $123.00 $6.47–$123.00 33% above 30%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $152.60 $218.00 $10.56–$218.00 6% below 30%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $166.60 $238.00 $10.18–$238.00 15% above 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level $277.20 $396.00 $22.23–$396.00 167% above 30%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) $292.60 $418.00 $27.94–$418.00 118% above 30%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level $221.20 $316.00 $18.58–$316.00 138% above 30%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $91.00 $130.00 $13.63–$130.00 at median 30%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $57.40 $82.00 $14.70–$82.00 39% below 30%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free $177.10 $253.00 $16.94–$253.00 109% above 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $162.40 $232.00 $9.02–$232.00 126% above 30%
Free testosterone test CPT 84402 Testosterone (hormone) level, free $73.50 $105.00 $20.87–$105.00 1% above 30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $99.40 $142.00 $4.75–$142.00 168% above 30%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $175.00 $250.00 $12.87–$250.00 62% above 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $67.90 $97.00 $19.28–$97.00 40% below 30%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) $173.60 $248.00 $16.85–$248.00 34% above 30%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $39.20 $56.00 $11.13–$56.00 65% below 30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification $252.70 $361.00 $71.77–$361.00 9% above 30%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus $39.90 $57.00 $11.33–$57.00 42% below 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies $65.80 $94.00 $18.69–$94.00 12% below 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $39.90 $57.00 $9.71–$57.00 55% below 30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement $109.20 $156.00 $10.74–$156.00 44% above 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen $119.70 $171.00 $10.33–$171.00 37% above 30%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $129.50 $185.00 $14.27–$185.00 2% above 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification $91.00 $130.00 $25.84–$130.00 45% below 30%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $87.50 $125.00 $13.19–$125.00 93% above 30%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $88.20 $126.00 $19.35–$126.00 27% above 30%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity $63.70 $91.00 $12.95–$91.00 15% below 30%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level $68.60 $98.00 $17.92–$98.00 7% below 30%
Insulin blood test CPT 83525 Insulin measurement, total $76.30 $109.00 $11.43–$109.00 37% above 30%
Iron blood test (serum iron) CPT 83540 Iron level $64.40 $92.00 $6.47–$92.00 at median 30%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $84.70 $121.00 $8.74–$121.00 35% above 30%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $161.70 $231.00 $8.68–$231.00 43% above 30%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level $245.00 $350.00 $18.52–$350.00 151% above 30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $93.80 $134.00 $6.89–$134.00 17% below 30%
Liver function blood test panel CPT 80076 Liver function blood test panel $161.70 $231.00 $8.17–$231.00 at median 30%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $140.00 $200.00 $17.03–$200.00 74% above 30%
Magnesium blood test CPT 83735 Magnesium level $70.70 $101.00 $6.70–$101.00 61% above 30%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $49.70 $71.00 $12.88–$71.00 5% above 30%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $79.80 $114.00 $5.18–$114.00 22% below 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free $76.30 $109.00 $18.39–$109.00 19% above 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $140.70 $201.00 $18.39–$201.00 35% above 30%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening $45.50 $65.00 $12.92–$65.00 55% below 30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap test, manual screening $56.00 $80.00 $15.90–$80.00 7% below 30%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level $191.80 $274.00 $41.28–$274.00 46% above 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $46.90 $67.00 $6.01–$67.00 14% below 30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel $1,310.40 $1,872.00 $372.15–$1,872.00 54% above 30%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level $201.60 $288.00 $20.86–$288.00 133% above 30%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level $252.00 $360.00 $19.38–$360.00 80% above 30%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $51.10 $73.00 $4.29–$73.00 14% above 30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation $62.30 $89.00 $12.60–$89.00 35% below 30%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus $49.70 $71.00 $14.11–$71.00 at median 30%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $87.50 $125.00 $5.67–$125.00 100% above 30%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) $101.50 $145.00 $14.39–$145.00 124% above 30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis $247.80 $354.00 $12.31–$354.00 85% above 30%
Stool ova and parasites exam CPT 87177 Smear for parasites $76.30 $109.00 $8.90–$109.00 96% above 30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $7.00 $10.00 $1.99–$10.00 58% below 30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $47.60 $68.00 $4.27–$68.00 19% below 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon $209.30 $299.00 $59.44–$299.00 78% above 30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total $294.70 $421.00 $25.81–$421.00 229% above 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $73.50 $105.00 $14.55–$105.00 59% above 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $170.80 $244.00 $16.80–$244.00 122% above 30%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique $67.90 $97.00 $19.28–$97.00 13% above 30%
Uric acid blood test CPT 84550 Uric acid level, blood $47.60 $68.00 $4.52–$68.00 20% below 30%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated $70.70 $101.00 $3.17–$101.00 45% above 30%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test $29.40 $42.00 $2.25–$42.00 40% below 30%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test $23.10 $33.00 $3.48–$33.00 16% below 30%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $115.50 $165.00 $8.61–$165.00 61% above 30%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $46.90 $67.00 $13.32–$67.00 36% below 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $140.00 $200.00 $29.60–$200.00 1% above 30%
Zinc blood test CPT 84630 Zinc level $55.30 $79.00 $11.39–$79.00 51% above 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $182.70 $261.00 $15.05–$261.00 20% above 30%

Surgery and procedures

ProcedureCash price List priceInsurers payvs North CarolinaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of breast and placement of locating device using X-ray with needle, first growth $1,986.60 $2,838.00 $564.19–$2,838.00 35% below 30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $777.00 $1,110.00 $220.67–$1,110.00 25% below 30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days) $1,829.10 $2,613.00 $519.46–$2,613.00 37% below 30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device $2,012.50 $2,875.00 $571.55–$2,875.00 421% above 30%
Circumcision, surgical, older than a newborn CPT 54160 Removal of foreskin (28 days or younger) $2,012.50 $2,875.00 $571.55–$2,875.00 85% above 30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes $451.50 $645.00 $49.16–$645.00 104% above 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $1,251.60 $1,788.00 $293.39–$1,788.00 199% above 30%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $929.60 $1,328.00 $264.01–$1,328.00 28% below 30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $625.80 $894.00 $177.73–$894.00 26% below 30%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $1,493.10 $2,133.00 $424.04–$2,133.00 13% above 30%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs North CarolinaOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $313.60 $448.00 $89.06–$448.00 217% above 30%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $1,170.40 $1,672.00 $332.39–$1,672.00 51% below 30%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $1,170.40 $1,672.00 $332.39–$1,672.00 51% below 30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes $1,170.40 $1,672.00 $332.39–$1,672.00 — 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $151.90 $217.00 $43.14–$217.00 20% below 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $147.00 $210.00 $41.75–$210.00 18% below 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional $147.00 $210.00 $41.75–$210.00 — 30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $236.60 $338.00 $67.19–$338.00 33% below 30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $236.60 $338.00 $67.19–$338.00 — 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $371.70 $531.00 $105.56–$531.00 59% below 30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $371.70 $531.00 $105.56–$531.00 — 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $590.80 $844.00 $167.79–$844.00 52% below 30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $590.80 $844.00 $167.79–$844.00 — 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $803.60 $1,148.00 $228.22–$1,148.00 52% below 30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $803.60 $1,148.00 $228.22–$1,148.00 — 30%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) $779.10 $1,113.00 $206.39–$1,113.00 27% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $279.30 $399.00 $79.32–$399.00 11% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $287.70 $411.00 $81.71–$411.00 8% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes $287.70 $411.00 $81.71–$411.00 — 30%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $305.20 $436.00 $86.68–$436.00 11% below 30%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $305.20 $436.00 $86.68–$436.00 11% below 30%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $305.20 $436.00 $86.68–$436.00 — 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $95.90 $137.00 $27.24–$137.00 7% below 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $430.50 $615.00 $68.82–$615.00 318% above 30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $430.50 $615.00 $68.82–$615.00 — 30%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes $122.50 $175.00 $31.56–$175.00 24% above 30%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $303.80 $434.00 $68.70–$434.00 3% above 30%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $389.90 $557.00 $110.73–$557.00 60% above 30%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $476.70 $681.00 $135.38–$681.00 42% above 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $239.40 $342.00 $39.72–$342.00 28% above 30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes $47.60 $68.00 $13.52–$68.00 1% below 30%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes $237.30 $339.00 $67.39–$339.00 32% above 30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes $284.20 $406.00 $80.71–$406.00 6% below 30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes $172.20 $246.00 $48.90–$246.00 15% below 30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes $228.90 $327.00 $65.01–$327.00 10% below 30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes $129.50 $185.00 $26.73–$185.00 6% above 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $147.70 $211.00 $28.02–$211.00 57% above 30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $431.90 $617.00 $121.38–$617.00 21% above 30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $303.80 $434.00 $55.63–$434.00 at median 30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $341.60 $488.00 $81.76–$488.00 3% below 30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $259.00 $370.00 $29.96–$370.00 3% above 30%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression $454.30 $649.00 $129.02–$649.00 28% above 30%
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder $151.90 $217.00 $43.14–$217.00 14% below 30%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume $278.60 $398.00 $79.12–$398.00 18% above 30%
Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration $406.70 $581.00 $115.50–$581.00 22% below 30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities $147.70 $211.00 $33.61–$211.00 46% above 30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem $196.00 $280.00 $55.66–$280.00 13% below 30%

Vaccines

ProcedureCash price List priceInsurers payvs North CarolinaOff list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent $409.78 $585.40 $116.38–$585.40 59% above 30%
Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle $1,579.06 $2,255.80 $315.22–$2,255.80 11% above 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) $162.47 $232.09 $46.14–$232.09 14% above 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $207.20 $296.00 $58.84–$296.00 188% above 30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $200.90 $287.00 $15.20–$287.00 235% above 30%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSRMCCLINTONNC&type=CDMWithoutLabel&fileType=CSV