SelfPayRates
Hospital Dallas-Fort Worth-Arlington, TX

Medical City Dallas

Medical City Dallas in Dallas, TX publishes cash prices for 324 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 317 of 322 procedures and below it for 4. By typical cash price it ranks #249 of 305 Texas hospitals and #65 of 82 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

7777 Forest Lane, Dallas, TX, 75230 Collected Sep 28, 2026 Source price file (972) 566-6222

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 450647 · CMS hospital register NPI 1689628984

The price file shows no self-pay discount

For 767 of the 767 prices listed here, the cash price in Medical City Dallas's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

ProcedureCash price List priceInsurers payvs TexasOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT $6,421.22 $6,421.22 $449.49–$6,421.22 123% above —
Abdominal X-ray, 2 views CPT 74019 ABD XR 2V $1,275.38 $1,275.38 $854.50 221% above —
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT $964.13 $964.13 $67.49–$964.13 155% above —
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT $964.13 $964.13 $674.89 155% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL $679.50 $679.50 $455.26 12% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT $3,616.76 $3,616.76 $253.17–$3,616.76 96% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT $3,616.76 $3,616.76 $2,531.73 96% above —
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS $1,573.89 $1,573.89 $1,101.72 214% above —
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age 21+ $4,841.67 $4,841.67 $303.23 179% above —
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY $4,841.67 $4,841.67 $3,389.17 179% above —
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body $4,841.67 $4,841.67 $471.74–$848.52 179% above —
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age Under 21 $4,841.67 $4,841.67 $308.74 179% above —
Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP $1,267.27 $1,267.27 $88.71–$1,267.27 187% above —
Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI LT W AX COMP $1,267.27 $1,267.27 $88.71–$1,267.27 187% above —
Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI RT W AX COMP $1,267.27 $1,267.27 $88.71–$1,267.27 187% above —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD $549.32 $549.32 $368.04 48% above —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD $549.32 $549.32 $384.52 48% above —
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT $3,656.46 $3,656.46 $2,449.83 17% below —
CT angiography (CTA) of the head CPT 70496 CTA HEAD $6,557.02 $6,557.02 $458.99–$6,557.02 132% above —
CT angiography (CTA) of the head CPT 70496 CTA HEAD VIZ AI TECH $12,305.63 $12,305.63 $8,613.94 336% above —
CT angiography (CTA) of the neck CPT 70498 CTA NECK $6,285.44 $6,285.44 $439.98–$6,285.44 132% above —
CT angiography (CTA) of the neck CPT 70498 CTA NECK VIZ AI TECH $12,034.17 $12,034.17 $842.39–$12,034.17 344% above —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST $6,259.81 $6,259.81 $438.19–$6,259.81 121% above —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS $1,314.48 $1,314.48 $920.14 21% below —
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA $285.71 $285.71 $200.00 51% above —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT $9,136.03 $9,136.03 $639.52–$9,136.03 172% above —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT $10,324.95 $10,324.95 $6,917.72 165% above —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT $12,691.28 $12,691.28 $8,503.16 204% above —
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT $5,356.56 $5,356.56 $3,749.59 105% above —
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT $4,888.94 $4,888.94 $342.23–$4,888.94 139% above —
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT $3,999.82 $3,999.82 $2,679.88 140% above —
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT $3,789.70 $3,789.70 $2,539.10 99% above —
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT $4,595.57 $4,595.57 $321.69–$4,595.57 161% above —
CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT $5,888.27 $5,888.27 $4,121.79 156% above —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST $5,123.40 $5,123.40 $3,586.38 149% above —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST $4,883.82 $4,883.82 $341.87–$4,883.82 132% above —
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST $4,969.67 $4,969.67 $3,329.68 126% above —
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL $4,134.13 $4,134.13 $2,769.87 206% above —
Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT $6,927.29 $6,927.29 $4,641.28 154% above —
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V $967.31 $967.31 $67.71–$967.31 146% above —
Chest X-ray, single view CPT 71045 CHEST XRAY 1 V $753.42 $753.42 $52.74–$753.42 133% above —
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT $922.64 $922.64 $64.58–$922.64 167% above —
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT $922.64 $922.64 $64.58–$922.64 167% above —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM $1,918.77 $1,918.77 $1,343.14 160% above —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age 21+ $1,160.47 $1,160.47 $43.00 179% above —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL $1,160.47 $1,160.47 $812.33 179% above —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age Under 21 $1,160.47 $1,160.47 $43.78 179% above —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) $1,160.47 $1,160.47 $38.50–$156.61 179% above —
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL $3,247.38 $3,247.38 $227.32–$3,247.38 370% above —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST $4,259.90 $4,259.90 $2,981.93 154% above —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST $5,209.24 $5,209.24 $3,646.47 140% above —
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient $1,019.43 $1,019.43 $115.52 — —
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $1,019.43 $1,019.43 $119.92 — —
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI $1,019.43 $1,019.43 $683.02 — —
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI $702.63 $702.63 $470.76 157% above —
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL $3,698.50 $3,698.50 $2,588.95 104% above —
Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL $3,290.81 $3,290.81 $2,303.57 65% above —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP $7,097.19 $7,097.19 $4,968.03 203% above —
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT $905.07 $905.07 $633.55 179% above —
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT $905.07 $905.07 $606.40 179% above —
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT $1,021.59 $1,021.59 $71.51–$1,021.59 167% above —
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT $1,021.59 $1,021.59 $71.51–$1,021.59 167% above —
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO $4,147.15 $4,147.15 $2,778.59 147% above —
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V $1,075.86 $1,075.86 $720.83 153% above —
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT $935.40 $935.40 $654.78 149% above —
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT $935.40 $935.40 $654.78 149% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age 21+ $3,347.01 $3,347.01 $333.37 109% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age Under 21 $3,347.01 $3,347.01 $339.43 109% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; $3,347.01 $3,347.01 $298.51–$1,369.13 109% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB $3,347.01 $3,347.01 $234.29–$3,347.01 109% above —
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT $897.09 $897.09 $627.96 173% above —
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT $897.09 $897.09 $627.96 173% above —
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT $785.33 $785.33 $54.97–$785.33 171% above —
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT $785.33 $785.33 $549.73 171% above —
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT $980.08 $980.08 $68.61–$980.08 142% above —
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT $980.08 $980.08 $68.61–$980.08 142% above —
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE 4 + V $1,958.58 $1,958.58 $1,371.01 360% above —
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT $1,213.13 $1,213.13 $84.92–$1,213.13 185% above —
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT $1,213.13 $1,213.13 $812.80 185% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT $3,596.24 $3,596.24 $2,409.48 103% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT $3,596.24 $3,596.24 $251.74–$3,596.24 103% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD $1,849.81 $1,849.81 $1,294.87 194% above —
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD $471.39 $471.39 $329.97 at median —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON $581.64 $581.64 $407.15 142% above —
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT $964.13 $964.13 $645.97 179% above —
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT $964.13 $964.13 $674.89 179% above —
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) $4,084.13 $4,084.13 $313.62–$517.79 92% above —
MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT $4,084.13 $4,084.13 $2,858.89 92% above —
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) Age Under 21 $4,084.13 $4,084.13 $248.86 92% above —
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) Age 21+ $4,084.13 $4,084.13 $244.42 92% above —
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI WO&W CON&CAD BRST BI $11,763.10 $11,763.10 $823.42–$11,763.10 — —
MRI of both breasts, without and then with contrast dye CPT 77049 Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf $11,763.10 $11,763.10 $395.55–$635.92 767% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT $5,433.14 $5,433.14 $3,803.20 143% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT $5,433.14 $5,433.14 $3,640.20 143% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT $7,473.29 $7,473.29 $523.13–$7,473.29 136% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT $7,473.29 $7,473.29 $523.13–$7,473.29 136% above —
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT $6,541.99 $6,541.99 $457.94–$6,541.99 196% above —
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) $6,541.99 $6,541.99 $313.62–$517.79 196% above —
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age Under 21 $6,541.99 $6,541.99 $226.03 196% above —
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age 21+ $6,541.99 $6,541.99 $221.99 196% above —
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences Age 21+ $8,373.93 $8,373.93 $383.35 160% above —
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences Age Under 21 $8,373.93 $8,373.93 $390.32 160% above —
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT $8,373.93 $8,373.93 $586.18–$8,373.93 160% above —
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences $8,373.93 $8,373.93 $616.10–$828.27 160% above —
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material $6,582.88 $6,582.88 $313.62–$517.79 201% above —
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age Under 21 $6,582.88 $6,582.88 $226.41 201% above —
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age 21+ $6,582.88 $6,582.88 $222.37 201% above —
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST $6,582.88 $6,582.88 $460.80–$6,582.88 201% above —
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences Age 21+ $8,746.95 $8,746.95 $360.92 190% above —
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences $8,746.95 $8,746.95 $616.10–$828.27 190% above —
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT $8,746.95 $8,746.95 $5,860.46 190% above —
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences Age Under 21 $8,746.95 $8,746.95 $367.48 190% above —
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age Under 21 $6,871.61 $6,871.61 $220.80 200% above —
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $6,871.61 $6,871.61 $313.62–$517.79 200% above —
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age 21+ $6,871.61 $6,871.61 $216.85 200% above —
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT $6,871.61 $6,871.61 $4,810.13 200% above —
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar Age 21+ $8,740.56 $8,740.56 $362.04 173% above —
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT $8,740.56 $8,740.56 $5,856.18 173% above —
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar Age Under 21 $8,740.56 $8,740.56 $368.63 173% above —
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar $8,740.56 $8,740.56 $616.10–$828.27 173% above —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material $7,070.90 $7,070.90 $313.62–$517.79 230% above —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material Age Under 21 $7,070.90 $7,070.90 $219.68 230% above —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT $7,070.90 $7,070.90 $4,949.63 230% above —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material Age 21+ $7,070.90 $7,070.90 $215.75 230% above —
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical Age 21+ $8,587.26 $8,587.26 $362.77 163% above —
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical Age Under 21 $8,587.26 $8,587.26 $369.36 163% above —
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical $8,587.26 $8,587.26 $616.10–$828.27 163% above —
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT $8,587.26 $8,587.26 $601.11–$8,587.26 163% above —
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material Age 21+ $6,305.67 $6,305.67 $216.13 172% above —
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT $6,305.67 $6,305.67 $4,413.97 172% above —
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material Age Under 21 $6,305.67 $6,305.67 $220.06 172% above —
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material $6,305.67 $6,305.67 $313.62–$517.79 172% above —
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences Age 21+ $7,224.18 $7,224.18 $381.88 114% above —
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21 $7,224.18 $7,224.18 $388.82 114% above —
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences $7,224.18 $7,224.18 $616.10–$828.27 114% above —
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT $7,224.18 $7,224.18 $5,056.93 114% above —
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age Under 21 $5,233.86 $5,233.86 $261.49 113% above —
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age 21+ $5,233.86 $5,233.86 $256.82 113% above —
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT $5,233.86 $5,233.86 $366.37–$5,233.86 113% above —
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) $5,233.86 $5,233.86 $313.62–$517.79 113% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT $5,835.56 $5,835.56 $408.49–$5,835.56 160% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT $5,835.56 $5,835.56 $4,084.89 160% above —
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V $1,629.76 $1,629.76 $1,091.94 199% above —
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST $5,096.48 $5,096.48 $3,567.54 149% above —
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST $4,671.15 $4,671.15 $3,269.80 168% above —
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE $775.76 $775.76 $54.30–$775.76 223% above —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT $8,197.63 $8,197.63 $5,738.34 89% above —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat Age 21+ $8,197.63 $8,197.63 $481.86 89% above —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat Age Under 21 $8,197.63 $8,197.63 $490.62 89% above —
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $8,197.63 $8,197.63 $1,623.62–$2,938.37 89% above —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age 21+ $28,057.42 $28,057.42 $1,638.29 496% above —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh $28,057.42 $28,057.42 $1,859.25–$3,330.77 496% above —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH $28,057.42 $28,057.42 $19,640.19 496% above —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age Under 21 $28,057.42 $28,057.42 $1,668.07 496% above —
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST $4,248.36 $4,248.36 $2,973.85 156% above —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU $1,849.81 $1,849.81 $1,294.87 283% above —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE $2,005.65 $2,005.65 $140.40–$2,005.65 133% above —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI $2,204.94 $2,204.94 $154.35–$2,204.94 238% above —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR $1,753.99 $1,753.99 $1,227.79 186% above —
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD $1,089.69 $1,089.69 $730.09 137% above —
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT $826.84 $826.84 $57.88–$826.84 132% above —
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT $826.84 $826.84 $57.88–$826.84 132% above —
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V LT $1,045.55 $1,045.55 $700.52 165% above —
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V RT $1,045.55 $1,045.55 $73.19–$1,045.55 165% above —
Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $992.61 $992.61 $98.94 — —
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI $992.61 $992.61 $69.48–$992.61 — —
Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Other Outpatient $992.61 $992.61 $95.31 — —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT $1,115.75 $1,115.75 $781.02 224% above —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT $1,115.75 $1,115.75 $78.10–$1,115.75 224% above —
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V $1,556.33 $1,556.33 $108.94–$1,556.33 269% above —
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V $973.71 $973.71 $652.39 177% above —
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist $10,842.74 $10,842.74 $796.00–$2,680.03 162% above —
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR $10,842.74 $10,842.74 $7,264.64 162% above —
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or $8,896.09 $8,896.09 $411.29–$1,668.00 227% above —
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG $8,896.09 $8,896.09 $622.73–$8,896.09 227% above —
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V $2,261.87 $2,261.87 $158.33–$2,261.87 276% above —
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V LT $1,018.40 $1,018.40 $682.33 190% above —
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V RT $1,018.40 $1,018.40 $712.88 190% above —
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST $5,888.27 $5,888.27 $412.18–$5,888.27 197% above —
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT $756.62 $756.62 $52.96–$756.62 157% above —
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT $756.62 $756.62 $529.63 157% above —
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $1,601.96 $1,601.96 $112.14–$1,601.96 149% above —
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL $530.15 $530.15 $371.11 3% above —
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $2,144.91 $2,144.91 $150.14–$2,144.91 149% above —
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS $1,810.21 $1,810.21 $126.71–$1,810.21 196% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK $1,539.37 $1,539.37 $1,077.56 144% above —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST $2,121.39 $2,121.39 $148.50–$2,121.39 188% above —
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT $973.71 $973.71 $68.16–$973.71 177% above —
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT $973.71 $973.71 $68.16–$973.71 177% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD $1,902.60 $1,902.60 $1,331.82 137% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT $1,902.60 $1,902.60 $133.18–$1,902.60 137% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT $1,902.60 $1,902.60 $1,274.74 137% above —
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT $715.12 $715.12 $500.58 125% above —
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT $715.12 $715.12 $50.06–$715.12 125% above —
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT $980.08 $980.08 $68.61–$980.08 155% above —
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT $980.08 $980.08 $68.61–$980.08 155% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V LT $1,053.51 $1,053.51 $737.46 161% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V RT $1,053.51 $1,053.51 $737.46 161% above —
X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V $772.58 $772.58 $54.08–$772.58 128% above —
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT $836.42 $836.42 $58.55–$836.42 178% above —
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT $836.42 $836.42 $58.55–$836.42 178% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT $672.02 $672.02 $47.04–$672.02 154% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT $672.02 $672.02 $47.04–$672.02 154% above —
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT $951.34 $951.34 $665.94 186% above —
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT $951.34 $951.34 $66.59–$951.34 186% above —
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT $964.13 $964.13 $67.49–$964.13 159% above —
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT $964.13 $964.13 $674.89 159% above —
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT $999.23 $999.23 $669.48 156% above —
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT $999.23 $999.23 $699.46 156% above —
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT $836.42 $836.42 $560.40 184% above —
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT $836.42 $836.42 $58.55–$836.42 184% above —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS $1,383.94 $1,383.94 $927.24 196% above —
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS $1,623.36 $1,623.36 $1,136.35 159% above —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS $1,248.25 $1,248.25 $836.33 210% above —
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP $871.54 $871.54 $61.01–$871.54 199% above —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS $983.29 $983.29 $658.80 164% above —
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS $747.04 $747.04 $522.93 101% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V $877.92 $877.92 $614.54 168% above —

Lab tests

ProcedureCash price List priceInsurers payvs TexasOff list
ACTH blood test CPT 82024 ACTH QN $2,633.24 $2,633.24 $1,764.27 1008% above —
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Age Under 21 $2,633.24 $2,633.24 $36.33 1008% above —
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Age 21+ $2,633.24 $2,633.24 $35.68 1008% above —
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Other Outpatient $2,633.24 $2,633.24 $40.55 1008% above —
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) $2,633.24 $2,633.24 $42.10 1008% above —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) $1,035.88 $1,035.88 $725.12 1662% above —
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) $1,035.88 $1,035.88 $72.51–$1,035.88 1688% above —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $2,671.98 $2,671.98 $187.04–$2,671.98 589% above —
Albumin blood test CPT 82040 ALBUMIN SERUM QN $797.07 $797.07 $557.95 2043% above —
Aldosterone blood test CPT 82088 Aldosterone Age Under 21 $1,799.07 $1,799.07 $38.34 1147% above —
Aldosterone blood test CPT 82088 Aldosterone $1,799.07 $1,799.07 $44.42 1147% above —
Aldosterone blood test CPT 82088 Aldosterone Age 21+ $1,799.07 $1,799.07 $37.65 1147% above —
Aldosterone blood test CPT 82088 Aldosterone Other Outpatient $1,799.07 $1,799.07 $42.79 1147% above —
Aldosterone blood test CPT 82088 ALDOSTERONE QN $1,799.07 $1,799.07 $1,205.38 1147% above —
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP) $977.80 $977.80 $684.46 1572% above —
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH $161.35 $161.35 $112.94 482% above —
Allergy blood test, specific IgE, per allergen CPT 86003 AMMONIATED LATEX EXT IGE $250.09 $250.09 $175.06 802% above —
Allergy blood test, specific IgE, per allergen CPT 86003 NONAMMONIATED LTX IGE $250.09 $250.09 $175.06 802% above —
Allergy blood test, specific IgE, per allergen CPT 86003 GLOVE LATEX EXT IGE $250.09 $250.09 $17.51–$250.09 802% above —
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM MAT $387.26 $387.26 $27.11–$387.26 216% above —
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM $387.26 $387.26 $271.08 216% above —
Ammonia blood test CPT 82140 AMMONIA $663.16 $663.16 $46.42–$663.16 354% above —
Amylase blood test CPT 82150 AMYLASE PANCREATIC $490.52 $490.52 $343.36 400% above —
Amylase blood test CPT 82150 AMYLASE FL $964.88 $964.88 $67.54–$964.88 883% above —
Amylase blood test CPT 82150 AMYLASE BLD $1,214.97 $1,214.97 $850.48 1138% above —
Amylase blood test CPT 82150 AMYLASE UR $1,214.97 $1,214.97 $85.05–$1,214.97 1138% above —
Amylase blood test CPT 82150 AMYLASE ISOENZYME $1,703.87 $1,703.87 $1,141.59 1637% above —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP $432.43 $432.43 $302.70 603% above —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody $432.43 $432.43 $14.12 603% above —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age 21+ $432.43 $432.43 $11.97 603% above —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Other Outpatient $432.43 $432.43 $13.60 603% above —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age Under 21 $432.43 $432.43 $12.19 603% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); Other Outpatient $772.88 $772.88 $12.69 774% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN $772.88 $772.88 $541.02 774% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); Age 21+ $772.88 $772.88 $11.18 774% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); $772.88 $772.88 $13.18 774% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); Age Under 21 $772.88 $772.88 $11.38 774% above —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE $772.88 $772.88 $54.10–$772.88 316% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIRON EPIDEMI $311.41 $311.41 $21.80–$311.41 348% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT $1,143.99 $1,143.99 $80.08–$1,143.99 1547% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PLACENTA $1,356.97 $1,356.97 $909.17 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL $1,356.97 $1,356.97 $909.17 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL SPEC $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TRACHEA $1,356.97 $1,356.97 $949.88 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NOSE $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCH WASH $1,356.97 $1,356.97 $909.17 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY $1,356.97 $1,356.97 $909.17 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCHIAL $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ABSCESS $1,356.97 $1,356.97 $909.17 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM $1,356.97 $1,356.97 $949.88 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW $1,356.97 $1,356.97 $949.88 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GASTRIC $1,356.97 $1,356.97 $949.88 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SINUS $1,356.97 $1,356.97 $949.88 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NASOPHARYNGEAL $1,356.97 $1,356.97 $909.17 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CERVICAL $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DRAIN $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE $1,356.97 $1,356.97 $94.99–$1,356.97 1853% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF $1,402.15 $1,402.15 $98.15–$1,402.15 1918% above —
Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM $1,066.53 $1,066.53 $746.57 344% above —
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT $940.68 $940.68 $65.85–$940.68 1302% above —
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT BLD $940.68 $940.68 $65.85–$940.68 1302% above —
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT FL $940.68 $940.68 $65.85–$940.68 1302% above —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 $1,958.81 $1,958.81 $137.12–$1,958.81 559% above —
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) $1,440.87 $1,440.87 $10.32 507% above —
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age Under 21 $1,440.87 $1,440.87 $9.71 507% above —
Blood culture for bacteria CPT 87040 CULTURE BLOOD $1,440.87 $1,440.87 $965.38 507% above —
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient $1,440.87 $1,440.87 $10.84 507% above —
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age 21+ $1,440.87 $1,440.87 $9.54 507% above —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture $85.52 $85.52 $10.18–$1,995.00 332% above —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture Other Outpatient $85.52 $85.52 $9.81 332% above —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $85.52 $85.52 $59.86 332% above —
Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN $597.01 $597.01 $400.00 1244% above —
Blood lead test CPT 83655 LEAD URINE $977.80 $977.80 $68.45–$977.80 1744% above —
Blood lead test CPT 83655 LEAD BLOOD $1,066.53 $1,066.53 $74.66–$1,066.53 1911% above —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM $1,085.90 $1,085.90 $76.01–$1,085.90 690% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE $540.52 $540.52 $378.36 512% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD $714.79 $714.79 $50.04–$714.79 709% above —
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN OTHER $579.25 $579.25 $40.55–$579.25 885% above —
Blood urea nitrogen (BUN) test CPT 84520 BUN $740.60 $740.60 $496.20 1160% above —
C-peptide blood test CPT 84681 C-PEPTIDE $1,413.44 $1,413.44 $98.94–$1,413.44 1639% above —
C-peptide blood test CPT 84681 C-peptide $1,413.44 $1,413.44 $22.68 1639% above —
C-peptide blood test CPT 84681 C-peptide Age Under 21 $1,413.44 $1,413.44 $19.58 1639% above —
C-peptide blood test CPT 84681 C-peptide Other Outpatient $1,413.44 $1,413.44 $21.85 1639% above —
C-peptide blood test CPT 84681 C-peptide Age 21+ $1,413.44 $1,413.44 $19.23 1639% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $887.44 $887.44 $621.21 1424% above —
C. difficile toxin gene test (stool PCR) CPT 87493 CLOST DIFF TOX A/B AMP P $490.52 $490.52 $343.36 176% above —
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB $918.07 $918.07 $615.11 416% above —
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Age Under 21 $2,626.80 $2,626.80 $19.58 1837% above —
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN $2,626.80 $2,626.80 $183.88–$2,626.80 1837% above —
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 $2,626.80 $2,626.80 $20.81 1837% above —
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient $2,626.80 $2,626.80 $21.85 1837% above —
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Age 21+ $2,626.80 $2,626.80 $19.23 1837% above —
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 FLUID QN $868.07 $868.07 $60.76–$868.07 441% above —
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN $1,158.51 $1,158.51 $81.10–$1,158.51 622% above —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP $56.89 $56.89 $3.98–$56.89 36% below —
Calcium blood test, total CPT 82310 CALCIUM TOTAL $861.61 $861.61 $603.13 1269% above —
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Age 21+ $822.90 $822.90 $17.52 413% above —
Carcinoembryonic antigen (CEA) test CPT 82378 CEA $822.90 $822.90 $57.60–$822.90 413% above —
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Other Outpatient $822.90 $822.90 $19.91 413% above —
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) $822.90 $822.90 $20.67 413% above —
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Age Under 21 $822.90 $822.90 $17.84 413% above —
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGG $250.09 $250.09 $167.56 296% above —
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGM $250.09 $250.09 $17.51–$250.09 296% above —
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER AB QUAL $1,368.27 $1,368.27 $95.78–$1,368.27 2069% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE $984.23 $984.23 $659.43 681% above —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $1,734.53 $1,734.53 $121.42–$1,734.53 790% above —
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED $1,234.34 $1,234.34 $86.40–$1,234.34 1193% above —
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $1,978.18 $1,978.18 $1,325.38 566% above —
Cortisol blood test, total CPT 82533 Cortisol; total Other Outpatient $1,516.70 $1,516.70 $17.12 1552% above —
Cortisol blood test, total CPT 82533 Cortisol; total $1,516.70 $1,516.70 $17.77 1552% above —
Cortisol blood test, total CPT 82533 CORTISOL TOTAL $1,516.70 $1,516.70 $1,016.19 1552% above —
Cortisol blood test, total CPT 82533 Cortisol; total Age Under 21 $1,516.70 $1,516.70 $15.33 1552% above —
Cortisol blood test, total CPT 82533 Cortisol; total Age 21+ $1,516.70 $1,516.70 $15.06 1552% above —
Creatine kinase (CK) blood test, total CPT 82550 CREAT KINASE (CK) TOTAL $958.43 $958.43 $67.09–$958.43 1245% above —
Creatinine blood test CPT 82565 CREATININE BLD $784.17 $784.17 $54.89–$784.17 1197% above —
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Age Under 21 $1,223.04 $1,223.04 $13.54 1488% above —
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) $1,223.04 $1,223.04 $15.69 1488% above —
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG QUAL $1,223.04 $1,223.04 $856.13 1488% above —
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Age 21+ $1,223.04 $1,223.04 $13.30 1488% above —
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Other Outpatient $1,223.04 $1,223.04 $15.11 1488% above —
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Other Outpatient $658.31 $658.31 $10.69 276% above —
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $658.31 $658.31 $460.82 276% above —
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Age Under 21 $658.31 $658.31 $9.58 276% above —
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Age 21+ $658.31 $658.31 $9.41 276% above —
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative $658.31 $658.31 $11.10 276% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) $951.97 $951.97 $24.23 519% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient $951.97 $951.97 $23.34 519% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S $951.97 $951.97 $637.82 519% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age 21+ $951.97 $951.97 $20.54 519% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age Under 21 $951.97 $951.97 $20.91 519% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR ANY NBR PER DOS $1,400.54 $1,400.54 $98.04–$1,400.54 1845% above —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL $1,208.52 $1,208.52 $84.60–$1,208.52 525% above —
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGG QUAL $1,139.15 $1,139.15 $79.74–$1,139.15 1085% above —
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AB QUAL $1,139.15 $1,139.15 $763.23 1085% above —
Estradiol blood test CPT 82670 Estradiol; total Age Under 21 $2,062.06 $2,062.06 $26.29 1321% above —
Estradiol blood test CPT 82670 Estradiol; total Age 21+ $2,062.06 $2,062.06 $25.82 1321% above —
Estradiol blood test CPT 82670 ESTRADIOL TOTAL $2,062.06 $2,062.06 $1,381.58 1321% above —
Estradiol blood test CPT 82670 Estradiol; total Other Outpatient $2,062.06 $2,062.06 $29.34 1321% above —
Estradiol blood test CPT 82670 Estradiol; total $2,062.06 $2,062.06 $30.45 1321% above —
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age 21+ $2,131.44 $2,131.44 $17.17 1232% above —
FSH (follicle-stimulating hormone) test CPT 83001 FSH $2,131.44 $2,131.44 $1,428.06 1232% above —
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient $2,131.44 $2,131.44 $19.51 1232% above —
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) $2,131.44 $2,131.44 $20.25 1232% above —
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age Under 21 $2,131.44 $2,131.44 $17.48 1232% above —
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient $1,137.51 $1,137.51 $20.61 432% above —
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL $1,137.51 $1,137.51 $762.13 432% above —
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age 21+ $1,137.51 $1,137.51 $18.14 432% above —
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age Under 21 $1,137.51 $1,137.51 $18.47 432% above —
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal $1,137.51 $1,137.51 $21.40 432% above —
Ferritin blood test (iron stores) CPT 82728 FERRITIN $1,356.97 $1,356.97 $909.17 1212% above —
Ferritin blood test (iron stores) CPT 82728 Ferritin Other Outpatient $1,356.97 $1,356.97 $14.31 1212% above —
Ferritin blood test (iron stores) CPT 82728 Ferritin Age Under 21 $1,356.97 $1,356.97 $12.82 1212% above —
Ferritin blood test (iron stores) CPT 82728 Ferritin Age 21+ $1,356.97 $1,356.97 $12.60 1212% above —
Ferritin blood test (iron stores) CPT 82728 Ferritin $1,356.97 $1,356.97 $14.86 1212% above —
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY $271.07 $271.07 $181.62 196% above —
Folate (folic acid) blood test CPT 82746 Folic acid; serum Other Outpatient $1,266.60 $1,266.60 $15.44 1240% above —
Folate (folic acid) blood test CPT 82746 Folic acid; serum $1,266.60 $1,266.60 $14.70 1240% above —
Folate (folic acid) blood test CPT 82746 Folic acid; serum Age Under 21 $1,266.60 $1,266.60 $13.83 1240% above —
Folate (folic acid) blood test CPT 82746 Folic acid; serum Age 21+ $1,266.60 $1,266.60 $13.59 1240% above —
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER $1,266.60 $1,266.60 $886.62 1240% above —
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free $2,115.31 $2,115.31 $16.94 1400% above —
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Age 21+ $2,115.31 $2,115.31 $15.65 1400% above —
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Age Under 21 $2,115.31 $2,115.31 $15.94 1400% above —
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Other Outpatient $2,115.31 $2,115.31 $17.79 1400% above —
Free T3 thyroid hormone test CPT 84481 T3 FREE $2,115.31 $2,115.31 $1,480.72 1400% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free $1,266.60 $1,266.60 $9.83 1334% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age Under 21 $1,266.60 $1,266.60 $8.49 1334% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Other Outpatient $1,266.60 $1,266.60 $9.47 1334% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age 21+ $1,266.60 $1,266.60 $8.34 1334% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $1,266.60 $1,266.60 $886.62 1334% above —
Free testosterone test CPT 84402 TESTOSTERONE FREE $3,114.07 $3,114.07 $217.98–$3,114.07 2717% above —
Free testosterone test CPT 84402 Testosterone; free Other Outpatient $3,114.07 $3,114.07 $26.74 2717% above —
Free testosterone test CPT 84402 Testosterone; free Age 21+ $3,114.07 $3,114.07 $23.53 2717% above —
Free testosterone test CPT 84402 Testosterone; free Age Under 21 $3,114.07 $3,114.07 $23.96 2717% above —
Free testosterone test CPT 84402 Testosterone; free $3,114.07 $3,114.07 $25.47 2717% above —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT $1,001.99 $1,001.99 $671.33 1465% above —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA $1,363.42 $1,363.42 $954.39 1382% above —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Age Under 21 $1,363.42 $1,363.42 $4.47 1382% above —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Age 21+ $1,363.42 $1,363.42 $4.39 1382% above —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) $1,363.42 $1,363.42 $5.18 1382% above —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Other Outpatient $1,363.42 $1,363.42 $4.99 1382% above —
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS $1,523.16 $1,523.16 $1,066.21 903% above —
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) $1,523.16 $1,523.16 $12.87 903% above —
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age 21+ $1,523.16 $1,523.16 $11.89 903% above —
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age Under 21 $1,523.16 $1,523.16 $12.11 903% above —
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient $1,523.16 $1,523.16 $13.51 903% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE $984.23 $984.23 $68.90–$984.23 596% above —
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA $876.15 $876.15 $613.30 571% above —
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG $1,100.41 $1,100.41 $77.03–$1,100.41 742% above —
H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL $1,184.32 $1,184.32 $829.02 806% above —
H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ $692.19 $692.19 $13.29 596% above —
H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL $692.19 $692.19 $48.45–$692.19 596% above —
H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC $692.19 $692.19 $14.38 596% above —
H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 $692.19 $692.19 $13.53 596% above —
H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient $692.19 $692.19 $15.10 596% above —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Other Outpatient $1,818.42 $1,818.42 $89.36 464% above —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Age Under 21 $1,818.42 $1,818.42 $80.06 464% above —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Age 21+ $1,818.42 $1,818.42 $78.63 464% above —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN $1,818.42 $1,818.42 $127.29–$1,818.42 464% above —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed $1,818.42 $1,818.42 $92.76 464% above —
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL $359.81 $359.81 $25.19–$359.81 244% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE $463.08 $463.08 $310.26 229% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC $463.08 $463.08 $24.08 229% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ $463.08 $463.08 $22.25 229% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient $463.08 $463.08 $25.28 229% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 $463.08 $463.08 $22.66 229% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN $124.23 $124.23 $8.70–$124.23 35% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $759.96 $759.96 $509.17 725% above —
Hemoglobin blood test CPT 85018 HEMOGLOBIN $348.52 $348.52 $243.96 642% above —
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Other Outpatient $721.23 $721.23 $12.65 706% above —
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total $721.23 $721.23 $12.05 706% above —
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Age 21+ $721.23 $721.23 $11.13 706% above —
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Age Under 21 $721.23 $721.23 $11.33 706% above —
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL $721.23 $721.23 $504.86 706% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL $1,124.62 $1,124.62 $787.23 1609% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) $1,124.62 $1,124.62 $10.74 1609% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Age 21+ $1,124.62 $1,124.62 $9.92 1609% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Age Under 21 $1,124.62 $1,124.62 $10.10 1609% above —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Other Outpatient $1,124.62 $1,124.62 $11.28 1609% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ $316.24 $316.24 $9.55 306% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL $316.24 $316.24 $22.14–$316.24 306% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient $316.24 $316.24 $10.85 306% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC $316.24 $316.24 $11.26 306% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 $316.24 $316.24 $9.72 306% above —
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Other Outpatient $1,928.16 $1,928.16 $14.98 2116% above —
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Age Under 21 $1,928.16 $1,928.16 $13.43 2116% above —
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL $1,928.16 $1,928.16 $1,291.87 2116% above —
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Age 21+ $1,928.16 $1,928.16 $13.19 2116% above —
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; $1,928.16 $1,928.16 $14.27 2116% above —
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG $372.73 $372.73 $26.09–$372.73 373% above —
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM $1,587.71 $1,587.71 $111.14–$1,587.71 1915% above —
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB QL $432.43 $432.43 $302.70 380% above —
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG $542.14 $542.14 $379.50 501% above —
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM $1,505.41 $1,505.41 $1,008.62 1570% above —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) $579.25 $579.25 $14.12 627% above —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age Under 21 $579.25 $579.25 $12.19 627% above —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age 21+ $579.25 $579.25 $11.97 627% above —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Other Outpatient $579.25 $579.25 $13.60 627% above —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS $579.25 $579.25 $388.10 627% above —
Homocysteine blood test CPT 83090 Homocysteine Age 21+ $2,305.71 $2,305.71 $16.56 1437% above —
Homocysteine blood test CPT 83090 HOMOCYSTEINE QN $2,305.71 $2,305.71 $161.40–$2,305.71 1437% above —
Homocysteine blood test CPT 83090 Homocysteine $2,305.71 $2,305.71 $19.53 1437% above —
Homocysteine blood test CPT 83090 Homocysteine Other Outpatient $2,305.71 $2,305.71 $18.82 1437% above —
Homocysteine blood test CPT 83090 Homocysteine Age Under 21 $2,305.71 $2,305.71 $16.86 1437% above —
Insulin blood test CPT 83525 Insulin; total $1,368.27 $1,368.27 $11.43 1529% above —
Insulin blood test CPT 83525 Insulin; total Other Outpatient $1,368.27 $1,368.27 $12.00 1529% above —
Insulin blood test CPT 83525 Insulin; total Age 21+ $1,368.27 $1,368.27 $10.56 1529% above —
Insulin blood test CPT 83525 Insulin; total Age Under 21 $1,368.27 $1,368.27 $10.75 1529% above —
Insulin blood test CPT 83525 INSULIN TOTAL $1,368.27 $1,368.27 $95.78–$1,368.27 1529% above —
Iron blood test (serum iron) CPT 83540 IRON $868.07 $868.07 $60.76–$868.07 898% above —
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN $2,210.52 $2,210.52 $1,547.36 2441% above —
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Other Outpatient $964.88 $964.88 $9.18 884% above —
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age Under 21 $964.88 $964.88 $8.22 884% above —
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $964.88 $964.88 $8.74 884% above —
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age 21+ $964.88 $964.88 $8.07 884% above —
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC) $964.88 $964.88 $675.42 884% above —
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $1,426.35 $1,426.35 $99.84–$1,426.35 704% above —
LH (luteinizing hormone) test CPT 83002 LH $1,715.16 $1,715.16 $1,149.16 1034% above —
LH (luteinizing hormone) test CPT 83002 LH URINE $2,165.33 $2,165.33 $151.57–$2,165.33 1332% above —
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $1,160.12 $1,160.12 $81.21–$1,160.12 1085% above —
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FL $1,184.32 $1,184.32 $793.49 1109% above —
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) BODY FLUID $803.53 $803.53 $538.37 1610% above —
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) $803.53 $803.53 $56.25–$803.53 1610% above —
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $1,061.70 $1,061.70 $743.19 1019% above —
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $1,779.71 $1,779.71 $1,245.80 724% above —
Lyme disease antibody test CPT 86618 LYME DISEASE AB QL $516.33 $516.33 $361.43 524% above —
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL $1,413.44 $1,413.44 $947.00 1609% above —
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL $1,413.44 $1,413.44 $989.41 1609% above —
Magnesium blood test CPT 83735 MAGNESIUM URINE $951.97 $951.97 $637.82 1819% above —
Magnesium blood test CPT 83735 MAGNESIUM BLD $951.97 $951.97 $66.64–$951.97 1819% above —
Magnesium blood test CPT 83735 MAGNESIUM OTHER $1,440.87 $1,440.87 $1,008.61 2805% above —
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM $390.47 $390.47 $261.61 962% above —
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG $390.47 $390.47 $273.33 962% above —
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL $1,093.97 $1,093.97 $732.96 2876% above —
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) $861.61 $861.61 $577.28 913% above —
Mumps immunity blood test CPT 86735 MUMPS IGG QUAL $396.91 $396.91 $27.78–$396.91 544% above —
Mumps immunity blood test CPT 86735 MUMPS IGM QUAL $396.91 $396.91 $27.78–$396.91 544% above —
Mumps immunity blood test CPT 86735 MUMPS AB QUAL $579.25 $579.25 $40.55–$579.25 840% above —
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free $556.67 $556.67 $20.05 394% above —
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Other Outpatient $556.67 $556.67 $19.31 394% above —
PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE $556.67 $556.67 $38.97–$556.67 394% above —
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age Under 21 $556.67 $556.67 $17.30 394% above —
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age 21+ $556.67 $556.67 $17.00 394% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Age 21+ $556.67 $556.67 $17.00 523% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL $556.67 $556.67 $389.67 523% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Other Outpatient $556.67 $556.67 $19.31 523% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Age Under 21 $556.67 $556.67 $17.30 523% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total $556.67 $556.67 $18.39 523% above —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision $424.35 $424.35 $22.08 367% above —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age 21+ $424.35 $424.35 $18.72 367% above —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age Under 21 $424.35 $424.35 $19.06 367% above —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Other Outpatient $424.35 $424.35 $21.27 367% above —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH $424.35 $424.35 $297.05 367% above —
Parathyroid hormone (PTH) blood test CPT 83970 PTH C TERMINAL $2,115.31 $2,115.31 $1,480.72 876% above —
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT $2,550.97 $2,550.97 $1,785.68 1077% above —
Parathyroid hormone (PTH) blood test CPT 83970 PTH MID MOLECULE $2,626.80 $2,626.80 $1,838.76 1112% above —
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) $2,851.08 $2,851.08 $199.58–$2,851.08 1216% above —
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $882.59 $882.59 $617.81 1532% above —
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS OTHER $135.54 $135.54 $9.49–$135.54 116% above —
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD $559.89 $559.89 $39.19–$559.89 791% above —
Potassium blood test CPT 84132 POTASSIUM BLD $705.11 $705.11 $493.58 981% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 $4,066.05 $4,066.05 $759.05 367% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Other Outpatient $4,066.05 $4,066.05 $797.00 367% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Age 21+ $4,066.05 $4,066.05 $701.36 367% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL ANEPLOIDY 131821 $4,066.05 $4,066.05 $2,846.24 367% above —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Age Under 21 $4,066.05 $4,066.05 $714.11 367% above —
Progesterone blood test CPT 84144 Progesterone Age Under 21 $887.44 $887.44 $19.62 671% above —
Progesterone blood test CPT 84144 Progesterone $887.44 $887.44 $22.74 671% above —
Progesterone blood test CPT 84144 Progesterone Other Outpatient $887.44 $887.44 $21.90 671% above —
Progesterone blood test CPT 84144 PROGESTERONE $887.44 $887.44 $62.12–$887.44 671% above —
Progesterone blood test CPT 84144 Progesterone Age 21+ $887.44 $887.44 $19.27 671% above —
Prolactin blood test CPT 84146 Prolactin $1,947.51 $1,947.51 $21.12 1579% above —
Prolactin blood test CPT 84146 Prolactin Other Outpatient $1,947.51 $1,947.51 $20.35 1579% above —
Prolactin blood test CPT 84146 PROLACTIN $1,947.51 $1,947.51 $1,304.83 1579% above —
Prolactin blood test CPT 84146 Prolactin Age Under 21 $1,947.51 $1,947.51 $18.23 1579% above —
Prolactin blood test CPT 84146 Prolactin Age 21+ $1,947.51 $1,947.51 $17.91 1579% above —
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $753.52 $753.52 $52.75–$753.52 1495% above —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR DOO MANUAL READ $1,156.88 $1,156.88 $80.98–$1,156.88 848% above —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA $1,273.06 $1,273.06 $891.14 1177% above —
Renin blood test CPT 84244 Renin Age Under 21 $1,973.33 $1,973.33 $20.69 1823% above —
Renin blood test CPT 84244 Renin $1,973.33 $1,973.33 $23.97 1823% above —
Renin blood test CPT 84244 Renin Age 21+ $1,973.33 $1,973.33 $20.32 1823% above —
Renin blood test CPT 84244 Renin Other Outpatient $1,973.33 $1,973.33 $23.09 1823% above —
Renin blood test CPT 84244 RENIN $1,973.33 $1,973.33 $138.13–$1,973.33 1823% above —
Rh blood typing CPT 86901 RH TYPE CORD BLOOD $540.52 $540.52 $378.36 739% above —
Rh blood typing CPT 86901 RH TYPE $540.52 $540.52 $37.84–$540.52 739% above —
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age Under 21 $772.88 $772.88 $5.33 1302% above —
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative $772.88 $772.88 $6.18 1302% above —
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age 21+ $772.88 $772.88 $5.24 1302% above —
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Other Outpatient $772.88 $772.88 $5.95 1302% above —
Rheumatoid factor (RF) test CPT 86431 RA QN $772.88 $772.88 $517.83 1302% above —
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG $332.38 $332.38 $23.27–$332.38 583% above —
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM $332.38 $332.38 $222.69 583% above —
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL $1,143.99 $1,143.99 $800.79 2251% above —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO $630.87 $630.87 $441.61 1025% above —
Sodium blood test CPT 84295 SODIUM BLD $374.33 $374.33 $26.20–$374.33 503% above —
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Age Under 21 $206.52 $206.52 $8.38 132% above —
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Age 21+ $206.52 $206.52 $8.23 132% above —
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Other Outpatient $206.52 $206.52 $9.35 132% above —
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification $206.52 $206.52 $8.90 132% above —
Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID $206.52 $206.52 $144.56 132% above —
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC $354.98 $354.98 $237.84 824% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 MHA TP CONFIRM $338.85 $338.85 $227.03 631% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 TP PA CONFIRMATION $430.80 $430.80 $30.16–$430.80 830% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB IGM $456.62 $456.62 $305.94 886% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB IGG $456.62 $456.62 $31.96–$456.62 886% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CONFIRM $936.98 $936.98 $65.59–$936.98 1922% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLD QUAL $329.17 $329.17 $23.04–$329.17 527% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL $669.61 $669.61 $468.73 1175% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL $792.24 $792.24 $554.57 1409% above —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon $1,871.67 $1,871.67 $61.98 815% above —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age Under 21 $1,871.67 $1,871.67 $58.31 815% above —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP $1,871.67 $1,871.67 $1,254.02 815% above —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient $1,871.67 $1,871.67 $65.08 815% above —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age 21+ $1,871.67 $1,871.67 $57.27 815% above —
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL UR $1,566.72 $1,566.72 $109.67–$1,566.72 1447% above —
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $2,204.05 $2,204.05 $1,542.84 2076% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $1,113.33 $1,113.33 $77.93–$1,113.33 1145% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB $1,298.88 $1,298.88 $909.22 1352% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB $1,363.42 $1,363.42 $95.44–$1,363.42 1425% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB $1,542.53 $1,542.53 $1,033.50 1625% above —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $1,850.69 $1,850.69 $129.55–$1,850.69 1404% above —
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE $498.57 $498.57 $17.94 462% above —
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Other Outpatient $498.57 $498.57 $17.28 462% above —
Total IgE blood test CPT 82785 IGE $498.57 $498.57 $349.00 462% above —
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Age 21+ $498.57 $498.57 $15.21 462% above —
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Age Under 21 $498.57 $498.57 $15.49 462% above —
Total cholesterol blood test CPT 82465 CHOLESTEROL BLD $856.79 $856.79 $59.98–$856.79 1173% above —
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTAL $1,131.08 $1,131.08 $791.76 1301% above —
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Age 21+ $1,131.08 $1,131.08 $6.35 1301% above —
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Other Outpatient $1,131.08 $1,131.08 $7.21 1301% above —
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Age Under 21 $1,131.08 $1,131.08 $6.46 1301% above —
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total $1,131.08 $1,131.08 $6.87 1301% above —
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Other Outpatient $1,292.42 $1,292.42 $14.89 927% above —
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) $1,292.42 $1,292.42 $14.18 927% above —
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Age Under 21 $1,292.42 $1,292.42 $13.34 927% above —
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Age 21+ $1,292.42 $1,292.42 $13.10 927% above —
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $1,292.42 $1,292.42 $865.92 927% above —
Transferrin blood test CPT 84466 Transferrin $861.61 $861.61 $12.76 624% above —
Transferrin blood test CPT 84466 Transferrin Age 21+ $861.61 $861.61 $11.79 624% above —
Transferrin blood test CPT 84466 Transferrin Age Under 21 $861.61 $861.61 $12.01 624% above —
Transferrin blood test CPT 84466 Transferrin Other Outpatient $861.61 $861.61 $13.40 624% above —
Transferrin blood test CPT 84466 TRANSFERRIN $861.61 $861.61 $60.31–$861.61 624% above —
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age Under 21 $984.23 $984.23 $33.02 1025% above —
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Other Outpatient $984.23 $984.23 $36.84 1025% above —
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique $984.23 $984.23 $38.25 1025% above —
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age 21+ $984.23 $984.23 $32.43 1025% above —
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE $984.23 $984.23 $688.96 1025% above —
Triglycerides blood test CPT 84478 TRIGLYCERIDES $945.52 $945.52 $661.86 977% above —
Triglycerides blood test CPT 84478 TRIGLYCERIDES OTHER $945.52 $945.52 $661.86 977% above —
Troponin test, quantitative CPT 84484 TROPONIN QUANT $1,445.70 $1,445.70 $968.62 967% above —
Uric acid blood test CPT 84550 URIC ACID BLD $811.61 $811.61 $568.13 793% above —
Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO $701.88 $701.88 $49.13–$701.88 551% above —
Urinalysis without microscope exam, automated CPT 81003 PH UR AUTO $258.16 $258.16 $18.07–$258.16 415% above —
Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR AUTO $258.16 $258.16 $180.71 415% above —
Urinalysis without microscope exam, automated CPT 81003 PROTEIN UR QUAL AUTO $258.16 $258.16 $180.71 415% above —
Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO $395.32 $395.32 $264.86 688% above —
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine $1,195.60 $1,195.60 $8.07 761% above —
Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR $1,195.60 $1,195.60 $83.69–$1,195.60 761% above —
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Age Under 21 $1,195.60 $1,195.60 $7.59 761% above —
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Age 21+ $1,195.60 $1,195.60 $7.46 761% above —
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Other Outpatient $1,195.60 $1,195.60 $8.47 761% above —
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Age 21+ $400.15 $400.15 $5.35 685% above —
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative $400.15 $400.15 $5.78 685% above —
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Age Under 21 $400.15 $400.15 $5.44 685% above —
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QN $400.15 $400.15 $28.01–$400.15 685% above —
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Other Outpatient $400.15 $400.15 $6.07 685% above —
Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO $503.41 $503.41 $337.28 492% above —
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $1,184.32 $1,184.32 $829.02 1205% above —
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age Under 21 $1,184.32 $1,184.32 $14.19 1205% above —
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Other Outpatient $1,184.32 $1,184.32 $15.83 1205% above —
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age 21+ $1,184.32 $1,184.32 $13.94 1205% above —
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); $1,184.32 $1,184.32 $16.44 1205% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed $711.56 $711.56 $29.60 478% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Age Under 21 $711.56 $711.56 $27.84 478% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Other Outpatient $711.56 $711.56 $31.08 478% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Age 21+ $711.56 $711.56 $27.35 478% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH $711.56 $711.56 $49.81–$711.56 478% above —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1-25 W/WO FRAC $1,006.83 $1,006.83 $70.48–$1,006.83 506% above —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age Under 21 $1,006.83 $1,006.83 $36.22 506% above —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age 21+ $1,006.83 $1,006.83 $35.57 506% above —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient $1,006.83 $1,006.83 $40.43 506% above —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed $1,006.83 $1,006.83 $41.97 506% above —
Zinc blood test CPT 84630 ZINC BLOOD $1,184.32 $1,184.32 $82.90–$1,184.32 1616% above —
Zinc blood test CPT 84630 ZINC URINE $1,331.14 $1,331.14 $93.18–$1,331.14 1828% above —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE $1,042.33 $1,042.33 $698.36 829% above —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT CSF $2,031.42 $2,031.42 $142.20–$2,031.42 1711% above —

Surgery and procedures

ProcedureCash price List priceInsurers payvs TexasOff list
Cardiac catheterization with coronary angiogram CPT 93458 CTH PLC/INJ LHC & L VENT $50,367.80 $50,367.80 $33,746.43 326% above —
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL $5,181.70 $5,181.70 $362.72–$5,181.70 262% above —
Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB $100,444.87 $100,444.87 $67,298.06 178% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US RT $2,550.32 $2,550.32 $280.54–$2,550.32 288% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US LT $2,550.32 $2,550.32 $280.54–$2,550.32 288% above —
Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT $41,126.47 $41,126.47 $28,788.53 329% above —
Occipital nerve block (injection for headaches) CPT 64405 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve $1,328.35 $1,328.35 $31.69–$5,932.00 211% above —
Occipital nerve block (injection for headaches) CPT 64405 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Age Under 21 $1,328.35 $1,328.35 $33.80 211% above —
Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPTL NRV $1,328.35 $1,328.35 $889.99 211% above —
Occipital nerve block (injection for headaches) CPT 64405 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Age 21+ $1,328.35 $1,328.35 $33.20 211% above —
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age 21+ $22,512.98 $22,512.98 $7,095.99 19% above —
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular $22,512.98 $22,512.98 $11,388.00 19% above —
Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT $22,512.98 $22,512.98 $15,083.70 19% above —
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age Under 21 $22,512.98 $22,512.98 $7,225.01 19% above —
Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static $541.52 $541.52 $237.69–$2,636.00 129% above —
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG $5,208.01 $5,208.01 $3,645.61 266% above —
Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Age 21+ $5,208.01 $5,208.01 $246.13 266% above —
Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Age Under 21 $5,208.01 $5,208.01 $250.60 266% above —
Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance $5,208.01 $5,208.01 $234.94–$5,932.00 266% above —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs TexasOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION $3,820.58 $3,820.58 $267.44–$3,820.58 334% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST $1,557.03 $1,557.03 $1,089.92 666% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT POSITIVE EXP PRESS $1,557.03 $1,557.03 $108.99–$1,557.03 666% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ANTIBIOTIC ADMIN $1,645.10 $1,645.10 $115.16–$1,645.10 709% above —
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR $1,676.48 $1,676.48 $117.35–$1,676.48 210% above —
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS $5,705.61 $5,705.61 $627.62–$5,705.61 120% above —
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy $2,609.79 $2,609.79 $854.32–$1,662.03 167% above —
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY $2,609.79 $2,609.79 $182.69–$2,609.79 167% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY $908.39 $908.39 $635.87 220% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT $745.74 $745.74 $499.65 185% above —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT $1,243.98 $1,243.98 $833.47 165% above —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT $2,137.61 $2,137.61 $235.14–$2,137.61 160% above —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT $3,227.29 $3,227.29 $355.00–$3,227.29 146% above —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT $4,667.37 $4,667.37 $3,267.16 133% above —
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST $4,975.75 $4,975.75 $348.30–$4,975.75 288% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR $1,073.95 $1,073.95 $719.55 139% above —
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR $1,073.95 $1,073.95 $719.55 129% above —
IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG $529.23 $529.23 $354.58 129% above —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ $259.85 $259.85 $181.90 71% above —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND 7-8 STDS $1,235.80 $1,235.80 $865.06 63% above —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies $1,235.80 $1,235.80 $241.83–$470.48 63% above —
New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP $860.50 $860.50 $60.23–$860.50 307% above —
New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP $1,814.81 $1,814.81 $199.63–$1,814.81 465% above —
New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP $1,230.16 $1,230.16 $824.21 266% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 FOLLOW UP VISIT ONLY NP $594.13 $594.13 $41.59–$594.13 248% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP $727.33 $727.33 $545.50 327% above —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP $1,201.90 $1,201.90 $841.33 605% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN $117.00 $117.00 $78.39 102% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination Other Outpatient $1,079.49 $1,079.49 $103.00 254% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination $1,079.49 $1,079.49 $106.93 254% above —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st $501.32 $501.32 $106.93 150% above —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st Other Outpatient $501.32 $501.32 $103.00 150% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o $737.79 $737.79 $106.93 192% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o Other Outpatient $737.79 $737.79 $103.00 192% above —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST $1,099.95 $1,099.95 $77.00–$1,099.95 255% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST $767.74 $767.74 $53.74–$767.74 275% above —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST $1,098.47 $1,098.47 $76.89–$1,098.47 412% above —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST $727.33 $727.33 $545.50 343% above —
Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation $554.35 $554.35 $380.46–$740.17 55% above —
Spirometry (breathing test) CPT 94010 SPIROMETRY $554.35 $554.35 $388.05 55% above —
Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST $2,572.59 $2,572.59 $180.08–$2,572.59 333% above —
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration $2,572.59 $2,572.59 $129.83–$252.57 333% above —
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT DIR 15 MIN NTHP $137.41 $137.41 $96.19 23% above —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB $355.08 $355.08 $237.90 49% above —

Vaccines

ProcedureCash price List priceInsurers payvs TexasOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use $988.75 $988.75 $380.14 99% above —
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ $988.75 $988.75 $69.21–$988.75 99% above —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use $177.78 $177.78 $61.12 97% above —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VAC <7YRS IM $177.78 $177.78 $12.44–$177.78 97% above —
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use $671.47 $671.47 $233.10 140% above —
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VAC IM $671.47 $671.47 $503.60 140% above —
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK TRI PF IM $388.04 $388.04 $259.99 41% above —
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use $388.04 $388.04 $95.22–$702.63 41% above —
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Other Outpatient $388.04 $388.04 — 41% above —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM $93.96 $93.96 $65.77 97% above —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Other Outpatient $93.96 $93.96 — 97% above —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use $93.96 $93.96 $38.31 97% above —
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use $511.84 $511.84 $121.65 127% above —
Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM $511.84 $511.84 $35.83–$511.84 127% above —
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use $168.53 $168.53 $32.20–$267.34 77% above —
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX PED 5MCG IM $168.53 $168.53 $11.80–$168.53 77% above —
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Other Outpatient $168.53 $168.53 — 77% above —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use $120.97 $120.97 $26.93 157% above —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VAC PRP-T 4 DOSE IM $120.97 $120.97 $90.73 157% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC IIV INC ANT 0.7IM $273.49 $273.49 $19.14–$273.49 83% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM $388.04 $388.04 $271.63 160% above —
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ $575.51 $575.51 $385.59 133% above —
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use $575.51 $575.51 $193.28 133% above —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use $953.96 $953.96 $349.64 169% above —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VAC IM $953.96 $953.96 $715.47 169% above —
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use $1,012.41 $1,012.41 $350.43 42% above —
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI VAC IM $1,012.41 $1,012.41 $70.87–$1,012.41 42% above —
Meningococcal B vaccine (Trumenba) CPT 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use $1,154.93 $1,154.93 $447.05 48% above —
Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP 2 OR 3 DOSE IM $1,154.93 $1,154.93 $80.85–$1,154.93 48% above —
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VAC IM $1,347.98 $1,347.98 $94.36–$1,347.98 26% above —
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient $1,347.98 $1,347.98 — 26% above —
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use $1,347.98 $1,347.98 $261.23–$2,195.30 26% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $1,571.10 $1,571.10 $303.51–$2,630.17 179% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VAC IM $1,571.10 $1,571.10 $1,099.77 179% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Other Outpatient $1,571.10 $1,571.10 — 179% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ $710.35 $710.35 $475.93 181% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Other Outpatient $710.35 $710.35 — 181% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use $710.35 $710.35 $129.47–$1,121.42 181% above —
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use $260.59 $260.59 $94.41 22% below —
Polio vaccine, inactivated (IPV) CPT 90713 IPV VAC IMSQ $260.59 $260.59 $182.41 22% below —
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 1 ML IM $2,975.05 $2,975.05 $208.25–$2,975.05 204% above —
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $2,975.05 $2,975.05 $1,178.22 204% above —
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use $2,975.05 $2,975.05 $611.85–$5,326.78 200% above —
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM $2,975.05 $2,975.05 $2,231.29 200% above —
Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use $2,507.45 $2,507.45 $520.11 144% above —
Rabies vaccine, one dose CPT 90675 RABIES VAC IM $2,507.45 $2,507.45 $175.52–$2,507.45 144% above —
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VAC 3DOSE LIVE PO $598.51 $598.51 $448.88 482% above —
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use $598.51 $598.51 $203.18 482% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use $253.93 $253.93 $63.94 105% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM $253.93 $253.93 $190.45 105% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use $319.12 $319.12 $65.14 110% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM $319.12 $319.12 $213.81 110% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL $313.06 $313.06 $21.91–$313.06 319% above —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL $313.06 $313.06 $234.79 486% above —

Source file: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1682198_MEDICAL-CITY-DALLAS_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2F9NpMuCoRStjTb2bhIy9Y6LM%3D