Hospital Dallas-Fort Worth-Arlington, TX

Medical City Fort Worth

Medical City Fort Worth in Fort Worth, TX publishes cash prices for 296 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 282 of 296 procedures and below it for 14. By typical cash price it ranks #259 of 305 Texas hospitals and #72 of 82 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

9650 WHITE SETTLEMENT RD, FORT WORTH, TX, 76108 Collected Sep 28, 2026 Source price file (817) 336-2100

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 450672 · CMS hospital register NPI 1659323772

The price file shows no self-pay discount

For 728 of the 728 prices listed here, the cash price in Medical City Fort Worth'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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Medical City Fort Worth in Fort Worth, TX:

May 1, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT	$11,681.70	$11,681.70	$6,191.30	305% above	—
Abdominal X-ray, 2 views CPT 74019 ABD XR 2V	$1,186.74	$1,186.74	$628.97	198% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT	$760.23	$760.23	$372.51	101% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT	$760.23	$760.23	$53.22–$760.23	101% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL	$3,082.21	$3,082.21	$1,510.28	407% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT	$4,138.84	$4,138.84	$289.72–$4,138.84	124% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT	$4,138.84	$4,138.84	$289.72–$4,138.84	124% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21	$2,088.22	$2,088.22	$109.27	317% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study	$2,088.22	$2,088.22	$341.20–$401.74	317% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age 21+	$2,088.22	$2,088.22	$107.32	317% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$2,088.22	$2,088.22	$146.18–$2,088.22	317% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age Under 21	$5,309.55	$5,309.55	$308.74	206% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$5,309.55	$5,309.55	$2,814.06	206% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age 21+	$5,309.55	$5,309.55	$303.23	206% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body	$5,309.55	$5,309.55	$471.74–$848.52	206% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US BRST UNI W AX LTD	$1,607.67	$1,607.67	$852.07	332% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD	$1,607.67	$1,607.67	$787.76	332% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD	$1,607.67	$1,607.67	$787.76	332% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT	$12,787.33	$12,787.33	$895.11–$12,787.33	191% above	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$9,218.61	$9,218.61	$4,885.86	226% above	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD VIZ AI TECH	$9,218.61	$9,218.61	$4,885.86	226% above	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK VIZ AI TECH	$10,201.07	$10,201.07	$5,406.57	276% above	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$10,201.07	$10,201.07	$714.07–$10,201.07	276% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$10,201.07	$10,201.07	$5,406.57	260% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo Age 21+	$9,423.40	$9,423.40	$192.57	465% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS	$9,423.40	$9,423.40	$659.64–$9,423.40	465% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo Age Under 21	$9,423.40	$9,423.40	$196.07	465% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo	$9,423.40	$9,423.40	$341.20–$401.74	465% above	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium	$331.97	$331.97	$83.86–$182.03	75% above	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA	$331.97	$331.97	$175.94	75% above	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Age 21+	$331.97	$331.97	$95.24	75% above	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Age Under 21	$331.97	$331.97	$96.97	75% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT	$14,522.57	$14,522.57	$7,116.06	333% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT	$16,685.38	$16,685.38	$1,167.98–$16,685.38	329% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT	$20,465.81	$20,465.81	$10,846.88	391% above	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT	$10,758.75	$10,758.75	$5,271.79	312% above	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT	$9,582.54	$9,582.54	$670.78–$9,582.54	368% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT	$4,490.31	$4,490.31	$314.32–$4,490.31	169% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT	$5,551.64	$5,551.64	$2,942.37	191% above	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT	$6,379.13	$6,379.13	$446.54–$6,379.13	262% above	—
CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT	$8,557.16	$8,557.16	$4,535.29	271% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$8,829.78	$8,829.78	$4,679.78	330% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST	$9,237.98	$9,237.98	$646.66–$9,237.98	338% above	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$8,269.36	$8,269.36	$4,051.99	276% above	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL	$4,121.58	$4,121.58	$2,019.57	205% above	—
Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT	$9,264.28	$9,264.28	$4,539.50	239% above	—
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V	$1,178.45	$1,178.45	$624.58	199% above	—
Chest X-ray, single view CPT 71045 CHEST XRAY 1 V	$909.79	$909.79	$482.19	181% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT	$621.77	$621.77	$304.67	80% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT	$621.77	$621.77	$304.67	80% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM	$1,666.90	$1,666.90	$116.68–$1,666.90	126% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$8,002.29	$8,002.29	$4,241.21	376% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$9,246.28	$9,246.28	$647.24–$9,246.28	327% above	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL	$3,082.21	$3,082.21	$215.75–$3,082.21	70% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL	$4,836.89	$4,836.89	$338.58–$4,836.89	142% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP	$10,359.08	$10,359.08	$5,490.31	342% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc	$10,359.08	$10,359.08	$372.65–$1,668.00	342% above	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT	$648.07	$648.07	$317.55	100% above	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT	$648.07	$648.07	$343.48	100% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO	$5,013.36	$5,013.36	$350.94–$5,013.36	199% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V	$1,372.31	$1,372.31	$672.43	222% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT	$722.84	$722.84	$383.11	93% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT	$722.84	$722.84	$50.60–$722.84	93% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB	$2,404.08	$2,404.08	$168.29–$2,404.08	50% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age Under 21	$2,404.08	$2,404.08	$339.43	50% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age 21+	$2,404.08	$2,404.08	$333.37	50% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present;	$2,404.08	$2,404.08	$471.74–$848.52	50% above	—
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT	$648.07	$648.07	$317.55	97% above	—
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT	$648.07	$648.07	$317.55	97% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT	$576.06	$576.06	$40.32–$576.06	99% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT	$576.06	$576.06	$282.27	99% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT	$799.01	$799.01	$391.51	98% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT	$799.01	$799.01	$391.51	98% above	—
Knee X-ray, complete, 4 or more views CPT 73564 Radiologic examination, knee; complete, 4 or more views Age 21+	$956.88	$956.88	$52.20	125% above	—
Knee X-ray, complete, 4 or more views CPT 73564 Radiologic examination, knee; complete, 4 or more views	$956.88	$956.88	$154.52–$245.18	125% above	—
Knee X-ray, complete, 4 or more views CPT 73564 Radiologic examination, knee; complete, 4 or more views Age Under 21	$956.88	$956.88	$53.14	125% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT	$4,898.51	$4,898.51	$2,400.27	177% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT	$4,898.51	$4,898.51	$2,400.27	177% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$1,376.40	$1,376.40	$674.44	119% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD	$891.27	$891.27	$472.37	89% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)	$883.74	$883.74	$104.75–$1,013.00	268% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON	$883.74	$883.74	$433.03	268% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) Age Under 21	$883.74	$883.74	$117.32	268% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) Age 21+	$883.74	$883.74	$115.23	268% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT	$786.56	$786.56	$416.88	127% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT	$786.56	$786.56	$55.06–$786.56	127% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT	$5,245.12	$5,245.12	$367.16–$5,245.12	147% above	—
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) Age Under 21	$5,245.12	$5,245.12	$248.86	147% above	—
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) Age 21+	$5,245.12	$5,245.12	$244.42	147% above	—
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s)	$5,245.12	$5,245.12	$313.62–$517.79	147% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT	$5,450.61	$5,450.61	$381.54–$5,450.61	144% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT	$5,450.61	$5,450.61	$2,888.82	144% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences	$10,136.52	$10,136.52	$616.10–$828.27	220% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences Age Under 21	$10,136.52	$10,136.52	$410.39	220% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences Age 21+	$10,136.52	$10,136.52	$403.06	220% 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	$10,136.52	$10,136.52	$709.56–$10,136.52	220% above	—
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)	$7,765.61	$7,765.61	$313.62–$517.79	252% above	—
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age Under 21	$7,765.61	$7,765.61	$226.03	252% above	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$7,765.61	$7,765.61	$4,115.77	252% above	—
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age 21+	$7,765.61	$7,765.61	$221.99	252% 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+	$13,565.69	$13,565.69	$383.35	321% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT	$13,565.69	$13,565.69	$949.60–$13,565.69	321% 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	$13,565.69	$13,565.69	$616.10–$828.27	321% 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	$13,565.69	$13,565.69	$390.32	321% above	—
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material	$7,277.73	$7,277.73	$313.62–$517.79	232% above	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$7,277.73	$7,277.73	$509.44–$7,277.73	232% above	—
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age 21+	$7,277.73	$7,277.73	$222.37	232% 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	$7,277.73	$7,277.73	$226.41	232% 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	$9,521.42	$9,521.42	$328.11–$1,630.50	215% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT	$9,521.42	$9,521.42	$5,046.35	215% 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+	$9,521.42	$9,521.42	$360.92	215% 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	$9,521.42	$9,521.42	$367.48	215% 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	$7,789.37	$7,789.37	$220.80	240% 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+	$7,789.37	$7,789.37	$216.85	240% above	—
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT	$7,789.37	$7,789.37	$3,816.79	240% above	—
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	$7,789.37	$7,789.37	$197.14–$1,321.00	240% 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	$9,820.61	$9,820.61	$616.10–$828.27	207% 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	$9,820.61	$9,820.61	$368.63	207% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT	$9,820.61	$9,820.61	$4,812.10	207% 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+	$9,820.61	$9,820.61	$362.04	207% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT	$7,497.19	$7,497.19	$524.80–$7,497.19	250% 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+	$7,497.19	$7,497.19	$215.75	250% 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	$7,497.19	$7,497.19	$219.68	250% 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	$7,497.19	$7,497.19	$196.14–$1,321.00	250% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT	$10,119.76	$10,119.76	$708.38–$10,119.76	210% 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	$10,119.76	$10,119.76	$616.10–$828.27	210% 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+	$10,119.76	$10,119.76	$362.77	210% 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	$10,119.76	$10,119.76	$369.36	210% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT	$7,604.84	$7,604.84	$3,726.37	228% 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	$7,604.84	$7,604.84	$313.62–$517.79	228% 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	$7,604.84	$7,604.84	$220.06	228% 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+	$7,604.84	$7,604.84	$216.13	228% 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	$8,927.30	$8,927.30	$616.10–$828.27	164% 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+	$8,927.30	$8,927.30	$381.88	164% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT	$8,927.30	$8,927.30	$4,731.47	164% 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	$8,927.30	$8,927.30	$388.82	164% above	—
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)	$6,624.89	$6,624.89	$313.62–$517.79	170% above	—
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age Under 21	$6,624.89	$6,624.89	$261.49	170% above	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$6,624.89	$6,624.89	$3,246.20	170% above	—
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age 21+	$6,624.89	$6,624.89	$256.82	170% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT	$5,802.88	$5,802.88	$3,075.53	159% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT	$5,802.88	$5,802.88	$2,843.41	159% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V	$1,970.52	$1,970.52	$137.94–$1,970.52	261% above	—
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$8,133.74	$8,133.74	$4,310.88	297% above	—
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$7,390.67	$7,390.67	$517.35–$7,390.67	324% above	—
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$797.62	$797.62	$390.83	232% 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	$8,653.96	$8,653.96	$490.62	100% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT	$8,653.96	$8,653.96	$4,586.60	100% 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	$8,653.96	$8,653.96	$1,623.62–$2,938.37	100% 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+	$8,653.96	$8,653.96	$481.86	100% above	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$7,158.21	$7,158.21	$3,507.52	332% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU	$858.84	$858.84	$455.19	78% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$1,764.21	$1,764.21	$864.46	105% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI	$2,161.91	$2,161.91	$151.33–$2,161.91	231% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation Age 21+	$2,248.56	$2,248.56	$115.23	266% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation Age Under 21	$2,248.56	$2,248.56	$117.32	266% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR	$2,248.56	$2,248.56	$1,101.79	266% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation	$2,248.56	$2,248.56	$100.72–$405.68	266% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$685.38	$685.38	$363.25	49% above	—
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT	$897.32	$897.32	$62.81–$897.32	152% above	—
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT	$897.32	$897.32	$439.69	152% above	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS UNI W/CXR 3 + V	$1,074.58	$1,074.58	$569.53	172% 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	$1,074.58	$1,074.58	$75.22–$1,074.58	172% 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	$1,074.58	$1,074.58	$75.22–$1,074.58	172% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT	$911.17	$911.17	$446.47	165% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT	$911.17	$911.17	$482.92	165% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V	$1,020.59	$1,020.59	$540.91	142% above	—
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V	$895.94	$895.94	$439.01	155% above	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG	$9,020.33	$9,020.33	$4,419.96	231% 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	$9,020.33	$9,020.33	$411.29–$1,668.00	231% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Age Under 21	$2,088.22	$2,088.22	$139.96	247% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V	$2,088.22	$2,088.22	$146.18–$2,088.22	247% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Age 21+	$2,088.22	$2,088.22	$137.46	247% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study	$2,088.22	$2,088.22	$154.52–$401.74	247% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR MIN 2 VIEWS	$758.85	$758.85	$371.84	116% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V RT	$758.85	$758.85	$371.84	116% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V LT	$758.85	$758.85	$402.19	116% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST	$8,604.21	$8,604.21	$4,560.23	334% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT	$596.83	$596.83	$292.45	103% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT	$596.83	$596.83	$292.45	103% above	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$1,535.76	$1,535.76	$813.95	139% above	—
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL	$2,249.33	$2,249.33	$1,102.17	339% above	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$1,720.48	$1,720.48	$911.85	99% above	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS	$1,594.98	$1,594.98	$781.54	160% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$1,369.34	$1,369.34	$95.85–$1,369.34	117% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST	$2,307.01	$2,307.01	$1,222.72	213% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study	$2,307.01	$2,307.01	$341.20–$401.74	213% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age 21+	$2,307.01	$2,307.01	$135.26	213% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Age Under 21	$2,307.01	$2,307.01	$137.72	213% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT	$729.78	$729.78	$357.59	108% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT	$729.78	$729.78	$386.78	108% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD	$1,624.74	$1,624.74	$796.12	102% above	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT	$648.07	$648.07	$317.55	104% above	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT	$648.07	$648.07	$343.48	104% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT	$745.00	$745.00	$365.05	93% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT	$745.00	$745.00	$52.15–$745.00	93% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL UN 2-3 VIEW	$740.85	$740.85	$51.86–$740.85	83% 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	$740.85	$740.85	$51.86–$740.85	83% 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	$740.85	$740.85	$363.02	83% above	—
X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V	$740.85	$740.85	$392.65	118% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$677.16	$677.16	$331.81	125% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$677.16	$677.16	$358.89	125% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT	$580.21	$580.21	$284.30	120% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT	$580.21	$580.21	$284.30	120% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$649.46	$649.46	$45.46–$649.46	95% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$649.46	$649.46	$344.21	95% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT	$706.23	$706.23	$49.44–$706.23	90% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT	$706.23	$706.23	$346.05	90% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT	$745.00	$745.00	$52.15–$745.00	91% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT	$745.00	$745.00	$394.85	91% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT	$702.08	$702.08	$344.02	138% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT	$702.08	$702.08	$344.02	138% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS	$868.25	$868.25	$425.44	86% above	—
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS	$1,913.74	$1,913.74	$937.73	205% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP	$835.01	$835.01	$409.15	186% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS	$815.63	$815.63	$57.09–$815.63	119% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS	$750.55	$750.55	$397.79	102% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V	$976.26	$976.26	$68.34–$976.26	198% above	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH)	$1,560.26	$1,560.26	$38.62	557% above	—
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Other Outpatient	$1,560.26	$1,560.26	$40.55	557% above	—
ACTH blood test CPT 82024 ACTH QN	$1,560.26	$1,560.26	$109.22–$1,560.26	557% above	—
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Age 21+	$1,560.26	$1,560.26	$35.68	557% above	—
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Age Under 21	$1,560.26	$1,560.26	$36.33	557% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$744.06	$744.06	$364.59	1165% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$82.57	$82.57	$43.76	42% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$3,034.57	$3,034.57	$1,608.32	683% above	—
Albumin blood test CPT 82040 ALBUMIN SERUM QN	$446.45	$446.45	$236.62	1100% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE QN	$1,007.96	$1,007.96	$493.90	599% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE UR QN	$1,532.63	$1,532.63	$812.29	963% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP)	$82.57	$82.57	$40.46	41% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each	$302.23	$302.23	$5.22	990% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH	$302.23	$302.23	$148.09	990% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient	$302.23	$302.23	$5.48	990% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age Under 21	$302.23	$302.23	$4.91	990% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age 21+	$302.23	$302.23	$4.82	990% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM	$708.78	$708.78	$49.61–$708.78	479% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP); serum Other Outpatient	$708.78	$708.78	$17.61	479% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP); serum Age 21+	$708.78	$708.78	$15.50	479% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP); serum	$708.78	$708.78	$16.77	479% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP); serum Age Under 21	$708.78	$708.78	$15.78	479% above	—
Ammonia blood test CPT 82140 AMMONIA	$803.90	$803.90	$393.91	451% above	—
Amylase blood test CPT 82150 AMYLASE UR	$587.59	$587.59	$287.92	499% above	—
Amylase blood test CPT 82150 AMYLASE BLD	$612.15	$612.15	$42.85–$612.15	524% above	—
Amylase blood test CPT 82150 AMYLASE FL	$661.23	$661.23	$46.29–$661.23	574% above	—
Amylase blood test CPT 82150 AMYLASE	$823.74	$823.74	$57.66–$823.74	740% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody	$458.74	$458.74	$14.12	646% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age 21+	$458.74	$458.74	$11.97	646% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP	$458.74	$458.74	$243.13	646% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age Under 21	$458.74	$458.74	$12.19	646% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Other Outpatient	$458.74	$458.74	$13.60	646% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN	$629.00	$629.00	$333.37	611% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP QT	$405.74	$405.74	$28.40–$405.74	118% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$1,526.48	$1,526.48	$106.85–$1,526.48	721% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIRON EPIDEMI	$382.01	$382.01	$26.74–$382.01	450% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SKIN	$440.32	$440.32	$30.82–$440.32	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GASTRIC	$440.32	$440.32	$233.37	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$440.32	$440.32	$233.37	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NOSE	$440.32	$440.32	$233.37	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NASOPHARYNGEAL	$440.32	$440.32	$30.82–$440.32	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DRAIN	$440.32	$440.32	$215.76	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$440.32	$440.32	$233.37	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PLACENTA	$440.32	$440.32	$215.76	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY	$440.32	$440.32	$233.37	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE UROGENITAL	$440.32	$440.32	$30.82–$440.32	534% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL SPEC	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CERVICAL	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TRACHEA	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SYNOVIAL FLUID	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SINUS	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCHIAL	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCH WASH	$495.56	$495.56	$262.65	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$495.56	$495.56	$242.82	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ABSCESS	$495.56	$495.56	$34.69–$495.56	613% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT	$495.56	$495.56	$242.82	613% above	—
Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM	$1,466.65	$1,466.65	$102.67–$1,466.65	511% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT	$82.57	$82.57	$5.78–$82.57	23% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT FL	$523.15	$523.15	$36.62–$523.15	680% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT BLD	$523.15	$523.15	$277.27	680% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast,	$1,156.76	$1,156.76	$49.76	289% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4	$1,156.76	$1,156.76	$566.81	289% above	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$641.28	$641.28	$44.89–$641.28	170% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$59.84	$59.84	$29.32	202% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN	$420.35	$420.35	$222.79	846% above	—
Blood lead test CPT 83655 LEAD URINE	$391.23	$391.23	$191.70	638% above	—
Blood lead test CPT 83655 LEAD BLOOD	$564.57	$564.57	$299.22	965% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM	$725.67	$725.67	$50.80–$725.67	428% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL SERUM/URINE INSTR	$1,101.43	$1,101.43	$583.76	702% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD	$325.24	$325.24	$159.37	268% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$365.14	$365.14	$178.92	313% above	—
Blood urea nitrogen (BUN) test CPT 84520 BUN	$395.82	$395.82	$209.78	573% above	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN OTHER	$406.56	$406.56	$215.48	591% above	—
C-peptide blood test CPT 84681 C-peptide	$685.78	$685.78	$12.49–$115.76	744% above	—
C-peptide blood test CPT 84681 C-peptide Other Outpatient	$685.78	$685.78	$21.85	744% above	—
C-peptide blood test CPT 84681 C-peptide Age Under 21	$685.78	$685.78	$19.58	744% above	—
C-peptide blood test CPT 84681 C-peptide Age 21+	$685.78	$685.78	$19.23	744% above	—
C-peptide blood test CPT 84681 C-PEPTIDE	$685.78	$685.78	$336.03	744% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$685.78	$685.78	$363.46	1078% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP	$79.63	$79.63	$39.02	55% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB	$1,299.44	$1,299.44	$90.96–$1,299.44	630% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9	$1,233.47	$1,233.47	$20.81	809% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Age 21+	$1,233.47	$1,233.47	$19.23	809% above	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN	$1,233.47	$1,233.47	$604.40	809% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient	$1,233.47	$1,233.47	$21.85	809% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Age Under 21	$1,233.47	$1,233.47	$19.58	809% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Age Under 21	$1,233.47	$1,233.47	$19.58	669% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN	$1,233.47	$1,233.47	$86.34–$1,233.47	669% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Other Outpatient	$1,233.47	$1,233.47	$21.85	669% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Age 21+	$1,233.47	$1,233.47	$19.23	669% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125	$1,233.47	$1,233.47	$22.68	669% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Age 21+	$53.83	$53.83	$47.41	40% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Other Outpatient	$53.83	$53.83	$53.88	40% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique	$53.83	$53.83	$51.31	40% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Age Under 21	$53.83	$53.83	$48.27	40% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP	$53.83	$53.83	$26.38	40% below	—
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$515.48	$515.48	$252.59	719% above	—
Calcium blood test, total CPT 82310 CALCIUM UR RANDOM QN	$555.36	$555.36	$272.13	783% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Age 21+	$1,049.36	$1,049.36	$17.52	554% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Age Under 21	$1,049.36	$1,049.36	$17.84	554% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Other Outpatient	$1,049.36	$1,049.36	$19.91	554% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$1,049.36	$1,049.36	$73.46–$1,049.36	554% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA)	$1,049.36	$1,049.36	$18.96	554% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGG	$665.83	$665.83	$352.89	955% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER AB QUAL	$1,024.82	$1,024.82	$502.16	1524% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGM	$1,149.11	$1,149.11	$609.03	1721% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE	$408.09	$408.09	$199.96	224% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$139.60	$139.60	$9.77–$139.60	28% below	—
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$564.57	$564.57	$39.52–$564.57	491% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$1,975.99	$1,975.99	$138.32–$1,975.99	565% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$694.99	$694.99	$48.65–$694.99	657% above	—
Creatine kinase (CK) blood test, total CPT 82550 CREAT KINASE (CK) TOTAL	$822.32	$822.32	$435.83	1054% above	—
Creatinine blood test CPT 82565 CREATININE BLD	$495.56	$495.56	$242.82	720% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Age 21+	$734.87	$734.87	$13.30	854% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Age Under 21	$734.87	$734.87	$13.54	854% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG QUAL	$734.87	$734.87	$51.44–$734.87	854% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Other Outpatient	$734.87	$734.87	$15.11	854% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV)	$734.87	$734.87	$14.39	854% above	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$1,661.50	$1,661.50	$116.31–$1,661.50	849% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$1,149.11	$1,149.11	$563.06	647% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age 21+	$1,149.11	$1,149.11	$20.54	647% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age Under 21	$1,149.11	$1,149.11	$20.91	647% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient	$1,149.11	$1,149.11	$23.34	647% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S)	$1,149.11	$1,149.11	$24.23	647% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR ANY NBR PER DOS	$1,911.57	$1,911.57	$133.81–$1,911.57	2555% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$793.16	$793.16	$388.65	310% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AB QUAL	$696.51	$696.51	$48.76–$696.51	625% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGM QUAL	$828.45	$828.45	$405.94	762% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGG QUAL	$1,118.42	$1,118.42	$78.29–$1,118.42	1064% above	—
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$989.53	$989.53	$69.27–$989.53	582% above	—
Estradiol blood test CPT 82670 Estradiol; total Other Outpatient	$989.53	$989.53	$29.34	582% above	—
Estradiol blood test CPT 82670 Estradiol; total Age Under 21	$989.53	$989.53	$26.29	582% above	—
Estradiol blood test CPT 82670 Estradiol; total Age 21+	$989.53	$989.53	$25.82	582% above	—
Estradiol blood test CPT 82670 Estradiol; total	$989.53	$989.53	$30.45	582% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$1,268.76	$1,268.76	$621.69	693% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH)	$1,268.76	$1,268.76	$11.15–$104.38	693% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient	$1,268.76	$1,268.76	$19.51	693% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age Under 21	$1,268.76	$1,268.76	$17.48	693% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age 21+	$1,268.76	$1,268.76	$17.17	693% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal	$254.68	$254.68	$21.40	19% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age 21+	$254.68	$254.68	$18.14	19% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient	$254.68	$254.68	$20.61	19% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age Under 21	$254.68	$254.68	$18.47	19% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$254.68	$254.68	$124.79	19% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Other Outpatient	$650.46	$650.46	$14.31	529% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$650.46	$650.46	$45.53–$650.46	529% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Age Under 21	$650.46	$650.46	$12.82	529% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$650.46	$650.46	$14.86	529% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Age 21+	$650.46	$650.46	$12.60	529% above	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$596.79	$596.79	$292.43	551% above	—
Fibrinogen blood test CPT 85384 Fibrinogen; activity Age Under 21	$596.79	$596.79	$9.14	551% above	—
Fibrinogen blood test CPT 85384 Fibrinogen; activity Other Outpatient	$596.79	$596.79	$10.21	551% above	—
Fibrinogen blood test CPT 85384 Fibrinogen; activity Age 21+	$596.79	$596.79	$8.98	551% above	—
Fibrinogen blood test CPT 85384 Fibrinogen; activity	$596.79	$596.79	$10.59	551% above	—
Folate (folic acid) blood test CPT 82746 Folic acid; serum	$710.33	$710.33	$16.02	652% above	—
Folate (folic acid) blood test CPT 82746 Folic acid; serum Other Outpatient	$710.33	$710.33	$15.44	652% above	—
Folate (folic acid) blood test CPT 82746 Folic acid; serum Age 21+	$710.33	$710.33	$13.59	652% above	—
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER	$710.33	$710.33	$49.72–$710.33	652% above	—
Folate (folic acid) blood test CPT 82746 Folic acid; serum Age Under 21	$710.33	$710.33	$13.83	652% above	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Age Under 21	$717.98	$717.98	$15.94	409% above	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free	$717.98	$717.98	$16.94	409% above	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Age 21+	$717.98	$717.98	$15.65	409% above	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Other Outpatient	$717.98	$717.98	$17.79	409% above	—
Free T3 thyroid hormone test CPT 84481 T3 FREE	$717.98	$717.98	$380.53	409% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free	$644.34	$644.34	$9.83	630% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age Under 21	$644.34	$644.34	$8.49	630% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age 21+	$644.34	$644.34	$8.34	630% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$644.34	$644.34	$315.73	630% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Other Outpatient	$644.34	$644.34	$9.47	630% above	—
Free testosterone test CPT 84402 Testosterone; free Other Outpatient	$1,331.65	$1,331.65	$26.74	1105% above	—
Free testosterone test CPT 84402 Testosterone; free Age 21+	$1,331.65	$1,331.65	$23.53	1105% above	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$1,331.65	$1,331.65	$705.77	1105% above	—
Free testosterone test CPT 84402 Testosterone; free Age Under 21	$1,331.65	$1,331.65	$23.96	1105% above	—
Free testosterone test CPT 84402 Testosterone; free	$1,331.65	$1,331.65	$25.47	1105% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$82.57	$82.57	$43.76	29% above	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL	$2,244.48	$2,244.48	$157.11–$2,244.48	403% above	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)	$2,244.48	$2,244.48	$47.66–$227.69	403% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA	$530.82	$530.82	$37.16–$530.82	477% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA	$570.71	$570.71	$39.95–$570.71	520% above	—
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS	$782.42	$782.42	$54.77–$782.42	415% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient	$782.42	$782.42	$13.51	415% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose)	$782.42	$782.42	$12.87	415% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age 21+	$782.42	$782.42	$11.89	415% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Age Under 21	$782.42	$782.42	$12.11	415% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE	$408.09	$408.09	$28.57–$408.09	189% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA	$394.28	$394.28	$27.60–$394.28	202% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM	$394.28	$394.28	$193.20	202% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG	$895.96	$895.96	$62.72–$895.96	586% 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	$497.06	$497.06	$15.10	400% 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	$497.06	$497.06	$13.53	400% 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	$497.06	$497.06	$15.67	400% above	—
H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL	$497.06	$497.06	$243.56	400% 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+	$497.06	$497.06	$13.29	400% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN	$399.29	$399.29	$195.65	24% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD	$2,850.47	$2,850.47	$1,510.75	784% above	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL	$1,420.63	$1,420.63	$99.44–$1,420.63	1259% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Age 21+	$1,420.63	$1,420.63	$12.67	1259% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Age Under 21	$1,420.63	$1,420.63	$12.90	1259% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Other Outpatient	$1,420.63	$1,420.63	$14.40	1259% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result	$1,420.63	$1,420.63	$14.94	1259% 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	$1,420.63	$1,420.63	$24.08	909% 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+	$1,420.63	$1,420.63	$22.25	909% 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	$1,420.63	$1,420.63	$25.28	909% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE	$1,420.63	$1,420.63	$696.11	909% 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	$1,420.63	$1,420.63	$22.66	909% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Age 21+	$602.93	$602.93	$8.98	555% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Age Under 21	$602.93	$602.93	$9.14	555% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C)	$602.93	$602.93	$10.58	555% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$602.93	$602.93	$295.44	555% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Other Outpatient	$602.93	$602.93	$10.20	555% above	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$194.84	$194.84	$13.64–$194.84	315% above	—
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL	$582.98	$582.98	$285.66	552% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total	$582.98	$582.98	$13.13	552% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Other Outpatient	$582.98	$582.98	$12.65	552% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Age 21+	$582.98	$582.98	$11.13	552% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Age Under 21	$582.98	$582.98	$11.33	552% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL	$547.70	$547.70	$38.34–$547.70	732% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL	$547.70	$547.70	$290.28	603% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL	$1,149.11	$1,149.11	$609.03	1221% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN	$1,403.76	$1,403.76	$687.84	377% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed	$1,403.76	$1,403.76	$42.84	377% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Other Outpatient	$1,403.76	$1,403.76	$44.98	377% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Age 21+	$1,403.76	$1,403.76	$39.59	377% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Age Under 21	$1,403.76	$1,403.76	$40.31	377% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG	$428.04	$428.04	$209.74	443% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB QL	$461.79	$461.79	$244.75	486% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM	$572.25	$572.25	$280.40	626% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG	$382.01	$382.01	$26.74–$382.01	324% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB QL	$461.79	$461.79	$244.75	412% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM	$510.88	$510.88	$35.76–$510.88	467% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age Under 21	$903.62	$903.62	$12.19	1033% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age 21+	$903.62	$903.62	$11.97	1033% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$903.62	$903.62	$478.92	1033% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP)	$903.62	$903.62	$12.95	1033% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Other Outpatient	$903.62	$903.62	$13.60	1033% above	—
Homocysteine blood test CPT 83090 Homocysteine Age Under 21	$1,320.93	$1,320.93	$16.86	781% above	—
Homocysteine blood test CPT 83090 Homocysteine Other Outpatient	$1,320.93	$1,320.93	$18.82	781% above	—
Homocysteine blood test CPT 83090 Homocysteine Age 21+	$1,320.93	$1,320.93	$16.56	781% above	—
Homocysteine blood test CPT 83090 Homocysteine	$1,320.93	$1,320.93	$19.53	781% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE QN	$1,320.93	$1,320.93	$92.47–$1,320.93	781% above	—
Insulin blood test CPT 83525 Insulin; total Other Outpatient	$635.14	$635.14	$12.00	656% above	—
Insulin blood test CPT 83525 Insulin; total	$635.14	$635.14	$12.46	656% above	—
Insulin blood test CPT 83525 Insulin; total Age Under 21	$635.14	$635.14	$10.75	656% above	—
Insulin blood test CPT 83525 Insulin; total Age 21+	$635.14	$635.14	$10.56	656% above	—
Insulin blood test CPT 83525 INSULIN TOTAL	$635.14	$635.14	$336.62	656% above	—
Iron blood test (serum iron) CPT 83540 IRON	$616.73	$616.73	$302.20	609% above	—
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Other Outpatient	$698.05	$698.05	$9.18	612% above	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC)	$698.05	$698.05	$342.04	612% above	—
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age 21+	$698.05	$698.05	$8.07	612% above	—
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity	$698.05	$698.05	$9.53	612% above	—
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age Under 21	$698.05	$698.05	$8.22	612% above	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$1,365.39	$1,365.39	$95.58–$1,365.39	670% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Other Outpatient	$705.70	$705.70	$19.45	367% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH)	$705.70	$705.70	$20.19	367% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Age Under 21	$705.70	$705.70	$17.43	367% above	—
LH (luteinizing hormone) test CPT 83002 LH	$705.70	$705.70	$374.02	367% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Age 21+	$705.70	$705.70	$17.12	367% above	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FL	$779.35	$779.35	$381.88	696% above	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$779.35	$779.35	$54.55–$779.35	696% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD)	$556.91	$556.91	$272.89	1085% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) BODY FLUID	$716.46	$716.46	$351.07	1424% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$765.56	$765.56	$53.59–$765.56	707% above	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$1,587.86	$1,587.86	$841.57	635% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB QL	$472.52	$472.52	$231.53	471% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL	$570.71	$570.71	$39.95–$570.71	590% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL	$661.23	$661.23	$350.45	700% above	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$455.64	$455.64	$223.26	819% above	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$504.74	$504.74	$247.32	918% above	—
Magnesium blood test CPT 83735 MAGNESIUM BLD	$691.12	$691.12	$48.38–$691.12	1293% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$679.64	$679.64	$47.57–$679.64	1749% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL	$912.83	$912.83	$63.90–$912.83	2383% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$912.83	$912.83	$63.90–$912.83	2383% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Age 21+	$428.04	$428.04	$4.79	403% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening	$428.04	$428.04	$5.65	403% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE)	$428.04	$428.04	$209.74	403% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Age Under 21	$428.04	$428.04	$4.87	403% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Other Outpatient	$428.04	$428.04	$5.44	403% above	—
Mumps immunity blood test CPT 86735 MUMPS AB QUAL	$679.64	$679.64	$333.02	1003% above	—
Mumps immunity blood test CPT 86735 MUMPS IGM QUAL	$747.14	$747.14	$366.10	1113% above	—
Obstetric blood test panel CPT 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated Other Outpatient	$1,538.77	$1,538.77	$50.20	506% above	—
Obstetric blood test panel CPT 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated	$1,538.77	$1,538.77	$47.81	506% above	—
Obstetric blood test panel CPT 80055 OB PANEL	$1,538.77	$1,538.77	$815.55	506% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Other Outpatient	$803.90	$803.90	$19.31	613% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age 21+	$803.90	$803.90	$17.00	613% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free	$803.90	$803.90	$20.05	613% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age Under 21	$803.90	$803.90	$17.30	613% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE	$803.90	$803.90	$393.91	613% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL	$803.90	$803.90	$426.07	800% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$1,376.14	$1,376.14	$96.33–$1,376.14	535% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH MID MOLECULE	$1,403.76	$1,403.76	$98.26–$1,403.76	548% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH)	$1,531.10	$1,531.10	$107.18–$1,531.10	606% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$510.88	$510.88	$250.33	844% above	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD	$484.79	$484.79	$256.94	671% above	—
Potassium blood test CPT 84132 POTASSIUM BLD	$490.93	$490.93	$34.37–$490.93	653% above	—
Progesterone blood test CPT 84144 Progesterone Age 21+	$688.86	$688.86	$19.27	499% above	—
Progesterone blood test CPT 84144 PROGESTERONE	$688.86	$688.86	$337.54	499% above	—
Progesterone blood test CPT 84144 Progesterone Age Under 21	$688.86	$688.86	$19.62	499% above	—
Progesterone blood test CPT 84144 Progesterone Other Outpatient	$688.86	$688.86	$21.90	499% above	—
Progesterone blood test CPT 84144 Progesterone	$688.86	$688.86	$22.74	499% above	—
Prolactin blood test CPT 84146 Prolactin Age Under 21	$837.65	$837.65	$18.23	622% above	—
Prolactin blood test CPT 84146 Prolactin Other Outpatient	$837.65	$837.65	$20.35	622% above	—
Prolactin blood test CPT 84146 Prolactin	$837.65	$837.65	$19.38	622% above	—
Prolactin blood test CPT 84146 Prolactin Age 21+	$837.65	$837.65	$17.91	622% above	—
Prolactin blood test CPT 84146 PROLACTIN	$837.65	$837.65	$443.95	622% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$417.28	$417.28	$221.16	783% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS B AG OIA	$368.20	$368.20	$180.42	286% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A AG OIA	$368.20	$368.20	$25.77–$368.20	286% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA	$360.54	$360.54	$25.24–$360.54	262% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A	$360.54	$360.54	$16.53	262% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Age 21+	$360.54	$360.54	$15.28	262% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Other Outpatient	$360.54	$360.54	$17.36	262% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Age Under 21	$360.54	$360.54	$15.56	262% above	—
Renin blood test CPT 84244 RENIN	$1,107.66	$1,107.66	$542.75	980% above	—
Renin blood test CPT 84244 Renin Age 21+	$1,107.66	$1,107.66	$20.32	980% above	—
Renin blood test CPT 84244 Renin Age Under 21	$1,107.66	$1,107.66	$20.69	980% above	—
Renin blood test CPT 84244 Renin	$1,107.66	$1,107.66	$21.99	980% above	—
Renin blood test CPT 84244 Renin Other Outpatient	$1,107.66	$1,107.66	$23.09	980% above	—
Rh blood typing CPT 86901 RH TYPE	$365.14	$365.14	$193.52	467% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative	$455.64	$455.64	$5.67	726% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Other Outpatient	$455.64	$455.64	$5.95	726% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age Under 21	$455.64	$455.64	$5.33	726% above	—
Rheumatoid factor (RF) test CPT 86431 RA QN	$455.64	$455.64	$31.89–$455.64	726% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age 21+	$455.64	$455.64	$5.24	726% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL	$572.25	$572.25	$280.40	1076% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$671.97	$671.97	$329.27	1281% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$1,073.91	$1,073.91	$526.22	2107% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO	$464.87	$464.87	$246.38	729% above	—
Sodium blood test CPT 84295 SODIUM BLD	$490.93	$490.93	$260.19	690% above	—
Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID	$575.31	$575.31	$281.90	546% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC	$273.09	$273.09	$133.81	611% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CONFIRM	$748.68	$748.68	$366.85	1516% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TP PA CONFIRMATION	$748.68	$748.68	$366.85	1516% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLD QUAL	$420.35	$420.35	$29.42–$420.35	701% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$452.59	$452.59	$239.87	762% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL	$469.45	$469.45	$32.86–$469.45	794% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP	$882.16	$882.16	$61.75–$882.16	331% 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	$882.16	$882.16	$58.31	331% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient	$882.16	$882.16	$65.08	331% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon	$882.16	$882.16	$61.98	331% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age 21+	$882.16	$882.16	$57.27	331% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$1,331.65	$1,331.65	$705.77	1215% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Age 21+	$1,331.65	$1,331.65	$23.85	1215% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Age Under 21	$1,331.65	$1,331.65	$24.28	1215% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Other Outpatient	$1,331.65	$1,331.65	$27.10	1215% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total	$1,331.65	$1,331.65	$25.81	1215% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB	$530.82	$530.82	$260.10	494% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB	$650.46	$650.46	$45.53–$650.46	627% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB	$696.51	$696.51	$48.76–$696.51	679% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$895.96	$895.96	$62.72–$895.96	628% above	—
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Age Under 21	$694.99	$694.99	$15.49	683% above	—
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE	$694.99	$694.99	$17.94	683% above	—
Total IgE blood test CPT 82785 IGE	$694.99	$694.99	$48.65–$694.99	683% above	—
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Other Outpatient	$694.99	$694.99	$17.28	683% above	—
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Age 21+	$694.99	$694.99	$15.21	683% above	—
Total cholesterol blood test CPT 82465 CHOLESTEROL BLD	$484.79	$484.79	$33.94–$484.79	620% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Other Outpatient	$731.79	$731.79	$7.21	806% above	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTAL	$731.79	$731.79	$51.23–$731.79	806% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Age 21+	$731.79	$731.79	$6.35	806% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total	$731.79	$731.79	$6.87	806% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Age Under 21	$731.79	$731.79	$6.46	806% above	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Age 21+	$779.35	$779.35	$13.10	519% above	—
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$779.35	$779.35	$381.88	519% above	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Other Outpatient	$779.35	$779.35	$14.89	519% above	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3)	$779.35	$779.35	$14.18	519% above	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Age Under 21	$779.35	$779.35	$13.34	519% above	—
Transferrin blood test CPT 84466 Transferrin Age Under 21	$530.82	$530.82	$12.01	346% above	—
Transferrin blood test CPT 84466 Transferrin Age 21+	$530.82	$530.82	$11.79	346% above	—
Transferrin blood test CPT 84466 TRANSFERRIN	$530.82	$530.82	$37.16–$530.82	346% above	—
Transferrin blood test CPT 84466 Transferrin	$530.82	$530.82	$12.76	346% above	—
Transferrin blood test CPT 84466 Transferrin Other Outpatient	$530.82	$530.82	$13.40	346% above	—
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE	$1,156.76	$1,156.76	$80.97–$1,156.76	1223% above	—
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Other Outpatient	$1,156.76	$1,156.76	$36.84	1223% above	—
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique	$1,156.76	$1,156.76	$38.25	1223% above	—
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age 21+	$1,156.76	$1,156.76	$32.43	1223% above	—
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age Under 21	$1,156.76	$1,156.76	$33.02	1223% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES OTHER	$661.23	$661.23	$324.00	653% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$883.69	$883.69	$468.36	907% above	—
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$1,205.95	$1,205.95	$639.15	790% above	—
Uric acid blood test CPT 84550 URIC ACID BLD	$452.59	$452.59	$31.68–$452.59	398% above	—
Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO	$389.68	$389.68	$27.28–$389.68	261% above	—
Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate Other Outpatient	$362.06	$362.06	$4.22	821% above	—
Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate Age Under 21	$362.06	$362.06	$3.79	821% above	—
Urinalysis with microscope exam, manual CPT 81000 UA W MICRO MANUAL	$362.06	$362.06	$25.34–$362.06	821% above	—
Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate Age 21+	$362.06	$362.06	$3.72	821% above	—
Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate	$362.06	$362.06	$4.02	821% above	—
Urinalysis without microscope exam, automated CPT 81003 PROTEIN UR QUAL AUTO	$211.72	$211.72	$103.74	322% above	—
Urinalysis without microscope exam, automated CPT 81003 NITRITES UR AUTO	$211.72	$211.72	$112.21	322% above	—
Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN UR AUTO	$211.72	$211.72	$112.21	322% above	—
Urinalysis without microscope exam, automated CPT 81003 LEUK EST UR AUTO	$211.72	$211.72	$14.82–$211.72	322% above	—
Urinalysis without microscope exam, automated CPT 81003 BLOOD URINE AUTO	$211.72	$211.72	$112.21	322% above	—
Urinalysis without microscope exam, automated CPT 81003 GLUC UR QUAL AUTO	$211.72	$211.72	$14.82–$211.72	322% above	—
Urinalysis without microscope exam, automated CPT 81003 KETONES UR AUTO	$234.74	$234.74	$124.41	368% above	—
Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR AUTO	$234.74	$234.74	$115.02	368% above	—
Urinalysis without microscope exam, automated CPT 81003 PH UR AUTO	$234.74	$234.74	$16.43–$234.74	368% above	—
Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO	$289.97	$289.97	$142.09	478% above	—
Urinalysis without microscope exam, manual CPT 81002 BILIRUBIN UR MANUAL	$211.72	$211.72	$14.82–$211.72	491% above	—
Urinalysis without microscope exam, manual CPT 81002 GLUC UR QUAL MANUAL	$211.72	$211.72	$103.74	491% above	—
Urinalysis without microscope exam, manual CPT 81002 UROBILINOGEN UR MANUAL	$211.72	$211.72	$103.74	491% above	—
Urinalysis without microscope exam, manual CPT 81002 SPEC GRAV UR MANUAL	$234.74	$234.74	$16.43–$234.74	556% above	—
Urinalysis without microscope exam, manual CPT 81002 UA W O MICRO MANUAL	$262.34	$262.34	$139.04	633% above	—
Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR	$455.64	$455.64	$223.26	228% above	—
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative	$538.52	$538.52	$5.78	956% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QN	$538.52	$538.52	$285.42	956% above	—
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Age 21+	$538.52	$538.52	$5.35	956% above	—
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Age Under 21	$538.52	$538.52	$5.44	956% above	—
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Other Outpatient	$538.52	$538.52	$6.07	956% above	—
Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO	$582.98	$582.98	$308.98	585% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age Under 21	$650.46	$650.46	$14.19	617% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Other Outpatient	$650.46	$650.46	$15.83	617% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$650.46	$650.46	$344.74	617% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12);	$650.46	$650.46	$15.08	617% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age 21+	$650.46	$650.46	$13.94	617% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed	$1,776.56	$1,776.56	$32.26	1343% 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	$1,776.56	$1,776.56	$31.08	1343% 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	$1,776.56	$1,776.56	$27.84	1343% 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+	$1,776.56	$1,776.56	$27.35	1343% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH	$1,776.56	$1,776.56	$124.36–$1,776.56	1343% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age 21+	$2,226.08	$2,226.08	$35.57	1239% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed	$2,226.08	$2,226.08	$41.97	1239% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Age Under 21	$2,226.08	$2,226.08	$36.22	1239% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1-25 W/WO FRAC	$2,226.08	$2,226.08	$1,090.78	1239% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient	$2,226.08	$2,226.08	$40.43	1239% above	—
Zinc blood test CPT 84630 ZINC BLOOD	$561.50	$561.50	$39.30–$561.50	713% above	—
Zinc blood test CPT 84630 ZINC URINE	$619.79	$619.79	$43.39–$619.79	798% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT CSF	$820.78	$820.78	$435.01	632% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE	$991.07	$991.07	$485.62	783% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR	$1,032.49	$1,032.49	$72.27–$1,032.49	820% above	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Cardiac catheterization with coronary angiogram CPT 93458 CTH PLC/INJ LHC & L VENT	$46,639.60	$46,639.60	$22,853.40	294% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$6,050.44	$6,050.44	$3,206.73	323% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia; external	$6,050.44	$6,050.44	$1,207.00–$3,293.00	323% above	—
Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB	$85,542.56	$85,542.56	$11,548.25–$85,542.56	137% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including	$85,542.56	$85,542.56	$7,668.00–$69,479.92	137% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including without Cardiac Cath	$85,542.56	$85,542.56	$5,591.00	137% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including with Cardiac Cath	$85,542.56	$85,542.56	$7,818.00	137% above	—
Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT	$30,718.46	$30,718.46	$16,280.78	221% 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	$28,835.25	$28,835.25	$7,225.01	52% above	—
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular	$28,835.25	$28,835.25	$6,773.44–$85,680.00	52% above	—
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age 21+	$28,835.25	$28,835.25	$7,095.99	52% above	—
Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT	$28,835.25	$28,835.25	$14,129.27	52% above	—
Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static	$206.44	$206.44	$319.46–$2,636.00	13% below	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,311.54	$1,311.54	$695.12	49% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HYP SPUTUM	$756.79	$756.79	$52.98–$756.79	272% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST	$756.79	$756.79	$370.83	272% above	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR	$1,200.19	$1,200.19	$636.10	122% above	—
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS	$17,448.44	$17,448.44	$8,549.74	573% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$442.90	$442.90	$217.02	56% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT	$848.55	$848.55	$114.55–$848.55	224% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT	$1,437.79	$1,437.79	$194.10–$1,437.79	206% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT	$3,303.01	$3,303.01	$1,618.47	301% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT	$5,278.22	$5,278.22	$2,797.46	303% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT	$7,677.68	$7,677.68	$3,762.06	283% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$4,699.04	$4,699.04	$328.93–$4,699.04	267% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR	$684.47	$684.47	$362.77	52% above	—
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR	$684.47	$684.47	$335.39	46% above	—
IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG	$684.47	$684.47	$335.39	196% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ	$225.31	$225.31	$15.77–$225.31	48% above	—
New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP	$166.46	$166.46	$11.65–$166.46	21% below	—
New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP	$183.85	$183.85	$137.89	43% below	—
New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP	$219.88	$219.88	$116.54	35% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP	$126.71	$126.71	$62.09	26% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP	$126.71	$126.71	$8.87–$126.71	26% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Other Outpatient	$60.88	$60.88	$32.67	5% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN	$60.88	$60.88	$4.26–$60.88	5% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes	$60.88	$60.88	$33.91	5% 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	$1,038.88	$1,038.88	$102.52	240% 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	$1,038.88	$1,038.88	$94.70–$462.72	240% 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	$618.69	$618.69	$106.43	209% 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	$618.69	$618.69	$102.52	209% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST	$219.88	$219.88	$164.91	29% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST	$126.71	$126.71	$67.16	38% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST	$183.85	$183.85	$12.87–$183.85	14% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST	$126.71	$126.71	$95.03	23% below	—
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	$802.71	$802.71	$380.46–$740.17	125% above	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$802.71	$802.71	$56.19–$802.71	125% above	—
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration	$1,224.33	$1,224.33	$129.83–$252.57	106% above	—
Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST	$1,224.33	$1,224.33	$648.89	106% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB	$494.40	$494.40	$34.61–$494.40	108% above	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
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	$54.90	$54.90	—	15% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM	$54.90	$54.90	$29.10	15% 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	$54.90	$54.90	$38.31	15% 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	$427.33	$427.33	$14.11–$126.14	809% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VAC PRP-T 4 DOSE IM	$427.33	$427.33	$320.50	809% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use	$236.25	$236.25	$161.96	58% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM	$236.25	$236.25	$125.21	58% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Other Outpatient	$236.25	$236.25	—	58% above	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use	$533.79	$533.79	$350.43	25% below	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VAC IM	$533.79	$533.79	$400.34	25% below	—
Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP 2 OR 3 DOSE IM	$846.01	$846.01	$414.54	9% above	—
Meningococcal B vaccine (Trumenba) CPT 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use	$846.01	$846.01	$447.05	9% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use	$1,095.33	$1,095.33	$444.36	2% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient	$1,095.33	$1,095.33	—	2% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VAC IM	$1,095.33	$1,095.33	$76.67–$1,095.33	2% 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	$941.22	$941.22	$220.23	272% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ	$941.22	$941.22	$461.20	272% 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	$941.22	$941.22	—	272% above	—
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$2,339.45	$2,339.45	$163.76–$2,339.45	128% above	—
Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use	$2,339.45	$2,339.45	$520.11	128% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM	$348.05	$348.05	$261.04	181% 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	$348.05	$348.05	$63.94	181% 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	$825.18	$825.18	$65.14	442% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM	$825.18	$825.18	$618.88	442% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL	$265.95	$265.95	$130.32	256% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL	$36.73	$36.73	$18.00	31% below	—

Source file: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1682202_MEDICAL-CITY-FORT-WORTH_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2F9NpMuCoRStjTb2bhIy9Y6LM%3D