Medical City Frisco
Medical City Frisco in Frisco, TX publishes cash prices for 233 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 227 of 233 procedures and below it for 6. By typical cash price it ranks #254 of 305 Texas hospitals and #68 of 82 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
5500 Frisco Square Blvd, Frisco, TX, 75034 Collected Sep 28, 2026 Source price file (972) 596-6800
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 450651 · CMS hospital register NPI 1699726406
The price file shows no self-pay discount
For 725 of the 725 prices listed here, the cash price in Medical City Frisco'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 2 actions for a hospital named Medical City Frisco in Frisco, TX:
- Oct 27, 2023 Met requirements
- Apr 28, 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 |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $1,247.13 | $1,247.13 | $168.36–$1,247.13 | 283% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $1,247.13 | $1,247.13 | $168.36–$1,247.13 | 283% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $1,862.11 | $1,862.11 | $251.38–$1,862.11 | 206% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $1,047.95 | $1,047.95 | $141.47–$1,047.95 | 109% 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+ | $1,047.95 | $1,047.95 | $107.32 | 109% 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 | $1,047.95 | $1,047.95 | $341.20–$401.74 | 109% 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 | $1,047.95 | $1,047.95 | $109.27 | 109% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age 21+ | $3,372.89 | $3,372.89 | $303.23 | 94% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $3,372.89 | $3,372.89 | $455.34–$3,372.89 | 94% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age Under 21 | $3,372.89 | $3,372.89 | $308.74 | 94% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $3,372.89 | $3,372.89 | $471.74–$848.52 | 94% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI RT W AX COMP | $2,034.01 | $2,034.01 | $274.59–$2,034.01 | 360% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI LT W AX COMP | $2,072.75 | $2,072.75 | $279.82–$2,072.75 | 369% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD | $781.83 | $781.83 | $105.55–$781.83 | 126% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD | $781.83 | $781.83 | $105.55–$781.83 | 126% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing | $9,544.16 | $9,544.16 | $189.06–$1,013.00 | 237% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $9,544.16 | $9,544.16 | $1,288.46–$9,544.16 | 237% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21 | $9,544.16 | $9,544.16 | $196.07 | 237% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+ | $9,544.16 | $9,544.16 | $192.57 | 237% 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 | $7,524.21 | $7,524.21 | $189.06–$1,013.00 | 351% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $7,524.21 | $7,524.21 | $1,015.77–$7,524.21 | 351% 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+ | $7,524.21 | $7,524.21 | $192.57 | 351% 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 | $7,524.21 | $7,524.21 | $196.07 | 351% 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 | $321.02 | $321.02 | $96.97 | 69% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $321.02 | $321.02 | $43.34–$321.02 | 69% 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+ | $321.02 | $321.02 | $95.24 | 69% 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 | $321.02 | $321.02 | $93.51–$1,013.00 | 69% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material Age Under 21 | $13,405.45 | $13,405.45 | $210.68 | 299% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $13,405.45 | $13,405.45 | $203.16–$1,013.00 | 299% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material Age 21+ | $13,405.45 | $13,405.45 | $206.92 | 299% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $13,405.45 | $13,405.45 | $1,809.74–$13,405.45 | 299% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $17,230.39 | $17,230.39 | $341.20–$828.27 | 343% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) Age Under 21 | $17,230.39 | $17,230.39 | $349.53 | 343% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) Age 21+ | $17,230.39 | $17,230.39 | $343.29 | 343% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $17,230.39 | $17,230.39 | $2,326.10–$17,230.39 | 343% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $19,734.92 | $19,734.92 | $2,664.21–$19,734.92 | 373% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions | $19,734.92 | $19,734.92 | $341.20–$828.27 | 373% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions Age 21+ | $19,734.92 | $19,734.92 | $385.20 | 373% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions Age Under 21 | $19,734.92 | $19,734.92 | $392.20 | 373% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $9,569.91 | $9,569.91 | $341.20–$401.74 | 266% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) Age 21+ | $9,569.91 | $9,569.91 | $192.57 | 266% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) Age Under 21 | $9,569.91 | $9,569.91 | $196.07 | 266% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $9,569.91 | $9,569.91 | $1,291.94–$9,569.91 | 266% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material Age 21+ | $6,346.13 | $6,346.13 | $115.23 | 210% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $6,346.13 | $6,346.13 | $856.73–$6,346.13 | 210% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $6,346.13 | $6,346.13 | $154.52–$245.18 | 210% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material Age Under 21 | $6,346.13 | $6,346.13 | $117.32 | 210% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material Age Under 21 | $5,707.12 | $5,707.12 | $117.32 | 242% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $5,707.12 | $5,707.12 | $154.52–$245.18 | 242% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material Age 21+ | $5,707.12 | $5,707.12 | $115.23 | 242% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $5,707.12 | $5,707.12 | $770.46–$5,707.12 | 242% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $5,478.47 | $5,478.47 | $154.52–$245.18 | 187% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material Age Under 21 | $5,478.47 | $5,478.47 | $117.32 | 187% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material Age 21+ | $5,478.47 | $5,478.47 | $115.23 | 187% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $5,478.47 | $5,478.47 | $739.59–$5,478.47 | 187% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) Age 21+ | $6,706.51 | $6,706.51 | $167.60 | 281% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $6,706.51 | $6,706.51 | $905.38–$6,706.51 | 281% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) Age Under 21 | $6,706.51 | $6,706.51 | $170.64 | 281% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $6,706.51 | $6,706.51 | $164.55–$1,013.00 | 281% above | — |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections | $8,201.07 | $8,201.07 | $341.20–$401.74 | 256% above | — |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Age 21+ | $8,201.07 | $8,201.07 | $192.57 | 256% above | — |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Age Under 21 | $8,201.07 | $8,201.07 | $196.07 | 256% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $8,201.07 | $8,201.07 | $1,107.14–$8,201.07 | 256% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $7,757.38 | $7,757.38 | $1,047.25–$7,757.38 | 278% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material Age Under 21 | $7,757.38 | $7,757.38 | $117.32 | 278% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material Age 21+ | $7,757.38 | $7,757.38 | $115.23 | 278% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $7,757.38 | $7,757.38 | $154.52–$245.18 | 278% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $8,058.72 | $8,058.72 | $1,087.93–$8,058.72 | 282% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material Age Under 21 | $8,058.72 | $8,058.72 | $117.32 | 282% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $8,058.72 | $8,058.72 | $113.13–$1,013.00 | 282% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material Age 21+ | $8,058.72 | $8,058.72 | $115.23 | 282% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $7,661.98 | $7,661.98 | $1,034.37–$7,661.98 | 248% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $7,661.98 | $7,661.98 | $341.20–$401.74 | 248% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) Age 21+ | $7,661.98 | $7,661.98 | $192.57 | 248% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) Age Under 21 | $7,661.98 | $7,661.98 | $196.07 | 248% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study Age 21+ | $4,554.70 | $4,554.70 | $210.61 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $4,554.70 | $4,554.70 | $206.78–$929.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study Age Under 21 | $4,554.70 | $4,554.70 | $214.44 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $4,554.70 | $4,554.70 | $614.88–$4,554.70 | 237% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Age Under 21 | $908.22 | $908.22 | $37.80 | 131% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $908.22 | $908.22 | $83.86–$182.03 | 131% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $908.22 | $908.22 | $122.61–$908.22 | 131% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Age 21+ | $908.22 | $908.22 | $37.13 | 131% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $902.28 | $902.28 | $121.81–$902.28 | 179% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete Age Under 21 | $2,555.58 | $2,555.58 | $117.32 | 246% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $2,555.58 | $2,555.58 | $345.00–$2,555.58 | 246% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete | $2,555.58 | $2,555.58 | $113.13–$502.12 | 246% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete Age 21+ | $2,555.58 | $2,555.58 | $115.23 | 246% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age 21+ | $654.94 | $654.94 | $43.00 | 58% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Age Under 21 | $654.94 | $654.94 | $43.78 | 58% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) | $654.94 | $654.94 | $154.52–$245.18 | 58% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $654.94 | $654.94 | $88.42–$654.94 | 58% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $2,616.59 | $2,616.59 | $353.24–$2,616.59 | 279% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $2,536.92 | $2,536.92 | $154.52–$245.18 | 51% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material Age Under 21 | $2,536.92 | $2,536.92 | $117.32 | 51% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material Age 21+ | $2,536.92 | $2,536.92 | $115.23 | 51% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $2,536.92 | $2,536.92 | $342.48–$2,536.92 | 51% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $8,435.76 | $8,435.76 | $341.20–$401.74 | 289% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $8,435.76 | $8,435.76 | $1,138.83–$8,435.76 | 289% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) Age Under 21 | $8,435.76 | $8,435.76 | $192.35 | 289% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) Age 21+ | $8,435.76 | $8,435.76 | $188.91 | 289% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $4,766.48 | $4,766.48 | $643.47–$4,766.48 | 163% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $4,196.18 | $4,196.18 | $566.48–$4,196.18 | 110% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $9,030.01 | $9,030.01 | $1,219.05–$9,030.01 | 285% 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 | $9,030.01 | $9,030.01 | $372.65–$1,668.00 | 285% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age Under 21 | $5,385.93 | $5,385.93 | $339.43 | 236% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $5,385.93 | $5,385.93 | $471.74–$848.52 | 236% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age 21+ | $5,385.93 | $5,385.93 | $333.37 | 236% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $5,385.93 | $5,385.93 | $727.10–$5,385.93 | 236% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $14,627.66 | $14,627.66 | $1,974.73–$14,627.66 | 233% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a | $14,627.66 | $14,627.66 | $796.00–$2,816.94 | 233% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $985.50 | $985.50 | $133.04–$985.50 | 196% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $985.50 | $985.50 | $133.04–$985.50 | 196% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) Age Under 21 | $1,271.95 | $1,271.95 | $97.68 | 102% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) | $1,271.95 | $1,271.95 | $154.52–$245.18 | 102% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,271.95 | $1,271.95 | $171.71–$1,271.95 | 102% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) Age 21+ | $1,271.95 | $1,271.95 | $95.93 | 102% 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 | $1,917.02 | $1,917.02 | $117.32 | 698% 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) | $1,917.02 | $1,917.02 | $109.22–$182.03 | 698% 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+ | $1,917.02 | $1,917.02 | $115.23 | 698% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $1,917.02 | $1,917.02 | $258.80–$1,917.02 | 698% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $8,251.84 | $8,251.84 | $1,114.00–$8,251.84 | 304% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $8,251.84 | $8,251.84 | $1,114.00–$8,251.84 | 304% 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 | $10,213.95 | $10,213.95 | $1,378.88–$10,213.95 | 265% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT | $10,213.95 | $10,213.95 | $1,378.88–$10,213.95 | 265% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age Under 21 | $9,824.28 | $9,824.28 | $226.03 | 345% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $9,824.28 | $9,824.28 | $313.62–$517.79 | 345% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age 21+ | $9,824.28 | $9,824.28 | $221.99 | 345% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $9,824.28 | $9,824.28 | $1,326.28–$9,824.28 | 345% 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 | $10,892.43 | $10,892.43 | $616.10–$828.27 | 238% 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+ | $10,892.43 | $10,892.43 | $383.35 | 238% 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 | $10,892.43 | $10,892.43 | $390.32 | 238% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $10,892.43 | $10,892.43 | $1,470.48–$10,892.43 | 238% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age 21+ | $7,822.45 | $7,822.45 | $222.37 | 257% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $7,822.45 | $7,822.45 | $313.62–$517.79 | 257% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $7,822.45 | $7,822.45 | $1,056.03–$7,822.45 | 257% 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 | $7,822.45 | $7,822.45 | $226.41 | 257% 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+ | $10,571.53 | $10,571.53 | $360.92 | 250% 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 | $10,571.53 | $10,571.53 | $367.48 | 250% 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 | $10,571.53 | $10,571.53 | $354.36–$1,630.50 | 250% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $10,571.53 | $10,571.53 | $1,427.16–$10,571.53 | 250% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $9,624.08 | $9,624.08 | $313.62–$517.79 | 321% 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+ | $9,624.08 | $9,624.08 | $216.85 | 321% 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 | $9,624.08 | $9,624.08 | $220.80 | 321% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $9,624.08 | $9,624.08 | $1,299.25–$9,624.08 | 321% 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 | $11,532.72 | $11,532.72 | $355.46–$1,630.50 | 261% 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 | $11,532.72 | $11,532.72 | $368.63 | 261% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $11,532.72 | $11,532.72 | $1,556.92–$11,532.72 | 261% 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+ | $11,532.72 | $11,532.72 | $362.04 | 261% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $9,320.00 | $9,320.00 | $1,258.20–$9,320.00 | 335% 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+ | $9,320.00 | $9,320.00 | $215.75 | 335% 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 | $9,320.00 | $9,320.00 | $313.62–$517.79 | 335% 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 | $9,320.00 | $9,320.00 | $219.68 | 335% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $11,590.79 | $11,590.79 | $1,564.76–$11,590.79 | 255% 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+ | $11,590.79 | $11,590.79 | $362.77 | 255% 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 | $11,590.79 | $11,590.79 | $369.36 | 255% 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 | $11,590.79 | $11,590.79 | $616.10–$828.27 | 255% 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 | $9,333.75 | $9,333.75 | $212.20–$1,321.00 | 303% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $9,333.75 | $9,333.75 | $1,260.06–$9,333.75 | 303% 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 | $9,333.75 | $9,333.75 | $220.06 | 303% 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+ | $9,333.75 | $9,333.75 | $216.13 | 303% 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 | $8,870.73 | $8,870.73 | $388.82 | 162% 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+ | $8,870.73 | $8,870.73 | $381.88 | 162% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $8,870.73 | $8,870.73 | $1,197.55–$8,870.73 | 162% 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 | $8,870.73 | $8,870.73 | $616.10–$828.27 | 162% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $7,402.22 | $7,402.22 | $999.30–$7,402.22 | 201% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age 21+ | $7,402.22 | $7,402.22 | $256.82 | 201% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age Under 21 | $7,402.22 | $7,402.22 | $261.49 | 201% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $7,402.22 | $7,402.22 | $252.15–$1,321.00 | 201% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $6,933.08 | $6,933.08 | $935.97–$6,933.08 | 288% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $6,933.08 | $6,933.08 | $935.97–$6,933.08 | 288% 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+ | $6,394.74 | $6,394.74 | $481.86 | 47% 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 | $6,394.74 | $6,394.74 | $490.62 | 47% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $6,394.74 | $6,394.74 | $863.29–$6,394.74 | 47% 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 | $6,394.74 | $6,394.74 | $1,623.62–$2,938.37 | 47% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $22,517.33 | $22,517.33 | $3,039.84–$22,517.33 | 378% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age Under 21 | $22,517.33 | $22,517.33 | $1,668.07 | 378% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh | $22,517.33 | $22,517.33 | $1,859.25–$3,330.77 | 378% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh Age 21+ | $22,517.33 | $22,517.33 | $1,638.29 | 378% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $1,350.70 | $1,350.70 | $182.34–$1,350.70 | 179% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,836.46 | $1,836.46 | $247.92–$1,836.46 | 113% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $2,871.37 | $2,871.37 | $387.63–$2,871.37 | 340% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $1,578.82 | $1,578.82 | $213.14–$1,578.82 | 157% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $1,185.89 | $1,185.89 | $160.10–$1,185.89 | 158% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $1,036.04 | $1,036.04 | $139.87–$1,036.04 | 238% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $1,036.04 | $1,036.04 | $139.87–$1,036.04 | 238% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $13,015.13 | $13,015.13 | $1,927.00–$3,130.00 | 214% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $13,015.13 | $13,015.13 | $1,757.04–$13,015.13 | 214% 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 | $10,755.52 | $10,755.52 | $411.29–$1,668.00 | 295% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $10,755.52 | $10,755.52 | $1,452.00–$10,755.52 | 295% 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 | $1,495.37 | $1,495.37 | $139.96 | 149% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $1,495.37 | $1,495.37 | $201.87–$1,495.37 | 149% 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+ | $1,495.37 | $1,495.37 | $137.46 | 149% 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 | $1,495.37 | $1,495.37 | $134.96–$816.35 | 149% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,563.68 | $1,563.68 | $211.10–$1,563.68 | 143% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $1,563.68 | $1,563.68 | $211.10–$1,563.68 | 205% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $2,360.11 | $2,360.11 | $318.61–$2,360.11 | 174% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete Age 21+ | $2,360.11 | $2,360.11 | $115.23 | 174% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $2,360.11 | $2,360.11 | $113.13–$502.12 | 174% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete Age Under 21 | $2,360.11 | $2,360.11 | $117.32 | 174% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents Age 21+ | $1,533.04 | $1,533.04 | $110.26 | 150% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $1,533.04 | $1,533.04 | $206.96–$1,533.04 | 150% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $1,533.04 | $1,533.04 | $154.52–$245.18 | 150% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents Age Under 21 | $1,533.04 | $1,533.04 | $112.27 | 150% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $1,553.48 | $1,553.48 | $209.72–$1,553.48 | 146% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation Age 21+ | $1,553.48 | $1,553.48 | $115.23 | 146% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation | $1,553.48 | $1,553.48 | $154.52–$245.18 | 146% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation Age Under 21 | $1,553.48 | $1,553.48 | $117.32 | 146% 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+ | $1,811.98 | $1,811.98 | $135.26 | 146% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $1,811.98 | $1,811.98 | $244.62–$1,811.98 | 146% 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 | $1,811.98 | $1,811.98 | $137.72 | 146% 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 | $1,811.98 | $1,811.98 | $341.20–$401.74 | 146% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $2,967.89 | $2,967.89 | $400.67–$2,967.89 | 269% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $2,773.73 | $2,773.73 | $374.45–$2,773.73 | 245% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $2,773.73 | $2,773.73 | $374.45–$2,773.73 | 245% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $850.23 | $850.23 | $114.78–$850.23 | 173% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $850.23 | $850.23 | $114.78–$850.23 | 173% 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 | $888.89 | $888.89 | $120.00–$888.89 | 135% 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 | $888.89 | $888.89 | $120.00–$888.89 | 135% 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 | $888.89 | $888.89 | $120.00–$888.89 | 135% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $847.26 | $847.26 | $83.86–$182.03 | 150% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Age Under 21 | $847.26 | $847.26 | $34.05 | 150% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Age 21+ | $847.26 | $847.26 | $33.44 | 150% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $847.26 | $847.26 | $114.38–$847.26 | 150% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $1,036.04 | $1,036.04 | $139.87–$1,036.04 | 267% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $1,036.04 | $1,036.04 | $139.87–$1,036.04 | 267% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $731.33 | $731.33 | $98.73–$731.33 | 203% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $731.33 | $731.33 | $98.73–$731.33 | 203% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $683.77 | $683.77 | $92.31–$683.77 | 137% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $683.77 | $683.77 | $92.31–$683.77 | 137% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $813.08 | $813.08 | $109.77–$813.08 | 123% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $813.08 | $813.08 | $109.77–$813.08 | 123% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $966.19 | $966.19 | $130.44–$966.19 | 204% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $966.19 | $966.19 | $130.44–$966.19 | 204% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $793.76 | $793.76 | $107.16–$793.76 | 186% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $793.76 | $793.76 | $107.16–$793.76 | 186% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $832.42 | $832.42 | $112.38–$832.42 | 78% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 | $832.42 | $832.42 | $44.91 | 78% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views Age 21+ | $832.42 | $832.42 | $44.11 | 78% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $832.42 | $832.42 | $154.52–$245.18 | 78% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $1,811.98 | $1,811.98 | $244.62–$1,811.98 | 189% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views Age 21+ | $1,811.98 | $1,811.98 | $57.34 | 189% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views Age Under 21 | $1,811.98 | $1,811.98 | $58.39 | 189% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $1,811.98 | $1,811.98 | $154.52–$245.18 | 189% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,059.84 | $1,059.84 | $143.08–$1,059.84 | 163% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $1,059.84 | $1,059.84 | $154.52–$245.18 | 163% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Age 21+ | $1,059.84 | $1,059.84 | $36.39 | 163% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Age Under 21 | $1,059.84 | $1,059.84 | $37.05 | 163% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $804.17 | $804.17 | $83.86–$182.03 | 176% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 | $804.17 | $804.17 | $42.29 | 176% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views Age 21+ | $804.17 | $804.17 | $41.54 | 176% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $804.17 | $804.17 | $108.56–$804.17 | 176% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views Age 21+ | $1,132.67 | $1,132.67 | $43.74 | 204% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $1,132.67 | $1,132.67 | $83.86–$182.03 | 204% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views Age Under 21 | $1,132.67 | $1,132.67 | $44.53 | 204% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $1,132.67 | $1,132.67 | $152.91–$1,132.67 | 204% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $948.34 | $948.34 | $128.03–$948.34 | 155% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $948.34 | $948.34 | $154.52–$245.18 | 155% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Age Under 21 | $948.34 | $948.34 | $31.43 | 155% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Age 21+ | $948.34 | $948.34 | $30.87 | 155% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views Age Under 21 | $807.13 | $807.13 | $36.68 | 146% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $807.13 | $807.13 | $83.86–$182.03 | 146% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views Age 21+ | $807.13 | $807.13 | $36.03 | 146% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $807.13 | $807.13 | $108.96–$807.13 | 146% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Age Under 21 | $879.08 | $879.08 | $4.98 | 1395% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $879.08 | $879.08 | $118.68–$879.08 | 1395% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Age 21+ | $879.08 | $879.08 | $4.90 | 1395% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Other Outpatient | $879.08 | $879.08 | $5.57 | 1395% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $879.08 | $879.08 | $5.30 | 1395% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $879.08 | $879.08 | $4.70–$28.47 | 1417% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $879.08 | $879.08 | $118.68–$879.08 | 1417% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Age 21+ | $879.08 | $879.08 | $4.79 | 1417% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Age Under 21 | $879.08 | $879.08 | $4.87 | 1417% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Other Outpatient | $879.08 | $879.08 | $5.44 | 1417% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $2,352.14 | $2,352.14 | $317.54–$2,352.14 | 507% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Other Outpatient | $2,352.14 | $2,352.14 | $50.01 | 507% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $2,352.14 | $2,352.14 | $51.92 | 507% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Age 21+ | $2,352.14 | $2,352.14 | $8.89 | 507% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Age Under 21 | $2,352.14 | $2,352.14 | $9.05 | 507% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $562.30 | $562.30 | $5.22 | 1928% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age Under 21 | $562.30 | $562.30 | $4.91 | 1928% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient | $562.30 | $562.30 | $5.48 | 1928% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age 21+ | $562.30 | $562.30 | $4.82 | 1928% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $562.30 | $562.30 | $75.91–$562.30 | 1928% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age 21+ | $1,099.25 | $1,099.25 | $11.97 | 1687% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Other Outpatient | $1,099.25 | $1,099.25 | $13.60 | 1687% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $1,099.25 | $1,099.25 | $148.40–$1,099.25 | 1687% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age Under 21 | $1,099.25 | $1,099.25 | $12.19 | 1687% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $1,099.25 | $1,099.25 | $14.12 | 1687% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID QL | $861.66 | $861.66 | $116.32–$861.66 | 874% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $861.66 | $861.66 | $116.32–$861.66 | 874% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $1,745.50 | $1,745.50 | $235.64–$1,745.50 | 838% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Age Under 21 | $1,416.04 | $1,416.04 | $10.91 | 490% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Age 21+ | $1,416.04 | $1,416.04 | $10.71 | 490% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $1,416.04 | $1,416.04 | $191.17–$1,416.04 | 490% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Other Outpatient | $1,416.04 | $1,416.04 | $8.88 | 490% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium | $1,416.04 | $1,416.04 | $8.46 | 490% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HISTOLOGY CELL BLOCK | $22.17 | $22.17 | $2.99–$22.17 | 93% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $248.17 | $248.17 | $33.50–$248.17 | 16% below | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age 21+ | $1,065.98 | $1,065.98 | $9.54 | 349% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age Under 21 | $1,065.98 | $1,065.98 | $9.71 | 349% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient | $1,065.98 | $1,065.98 | $10.84 | 349% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $1,065.98 | $1,065.98 | $143.91–$1,065.98 | 349% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $1,065.98 | $1,065.98 | $10.32 | 349% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $126.72 | $126.72 | $17.11–$126.72 | 540% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $592.39 | $592.39 | $79.97–$592.39 | 1234% above | — |
| Blood lead test CPT 83655 LEAD URINE | $527.45 | $527.45 | $71.21–$527.45 | 895% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $1,007.38 | $1,007.38 | $136.00–$1,007.38 | 1800% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $793.55 | $793.55 | $7.52 | 478% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Other Outpatient | $793.55 | $793.55 | $7.90 | 478% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $793.55 | $793.55 | $107.13–$793.55 | 478% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Age Under 21 | $793.55 | $793.55 | $7.08 | 478% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Age 21+ | $793.55 | $793.55 | $6.95 | 478% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $354.79 | $354.79 | $47.90–$354.79 | 302% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD | $357.98 | $357.98 | $48.33–$357.98 | 305% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Other Outpatient | $625.64 | $625.64 | $5.44 | 974% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Age Under 21 | $625.64 | $625.64 | $4.87 | 974% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $625.64 | $625.64 | $84.46–$625.64 | 974% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Age 21+ | $625.64 | $625.64 | $4.79 | 974% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $625.64 | $625.64 | $5.65 | 974% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP | $161.01 | $161.01 | $21.74–$161.01 | 10% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $464.09 | $464.09 | $62.65–$464.09 | 161% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient | $1,564.93 | $1,564.93 | $21.85 | 1054% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $1,564.93 | $1,564.93 | $20.81 | 1054% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $1,564.93 | $1,564.93 | $211.27–$1,564.93 | 1054% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Age 21+ | $1,564.93 | $1,564.93 | $19.23 | 1054% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Age Under 21 | $1,564.93 | $1,564.93 | $19.58 | 1054% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Age Under 21 | $1,564.93 | $1,564.93 | $19.58 | 875% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Other Outpatient | $1,564.93 | $1,564.93 | $21.85 | 875% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $1,564.93 | $1,564.93 | $20.81 | 875% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $1,564.93 | $1,564.93 | $211.27–$1,564.93 | 875% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Age 21+ | $1,564.93 | $1,564.93 | $19.23 | 875% 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 Other Outpatient | $55.40 | $55.40 | $53.88 | 38% 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 | $55.40 | $55.40 | $48.27 | 38% 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 21+ | $55.40 | $55.40 | $47.41 | 38% 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 | $55.40 | $55.40 | $55.93 | 38% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $55.40 | $55.40 | $7.48–$55.40 | 38% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $574.95 | $574.95 | $35.09 | 356% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other Outpatient | $574.95 | $574.95 | $36.84 | 356% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $574.95 | $574.95 | $77.62–$574.95 | 356% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Age 21+ | $574.95 | $574.95 | $32.43 | 356% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Age Under 21 | $574.95 | $574.95 | $33.02 | 356% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $598.72 | $598.72 | $13.39 | 207% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Age 21+ | $598.72 | $598.72 | $8.43 | 207% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Age Under 21 | $598.72 | $598.72 | $8.58 | 207% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Other Outpatient | $598.72 | $598.72 | $14.06 | 207% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $598.72 | $598.72 | $80.83–$598.72 | 207% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $620.90 | $620.90 | $7.05 | 550% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Age Under 21 | $620.90 | $620.90 | $6.08 | 550% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $620.90 | $620.90 | $83.82–$620.90 | 550% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Age 21+ | $620.90 | $620.90 | $5.97 | 550% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Other Outpatient | $620.90 | $620.90 | $6.79 | 550% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Other Outpatient | $1,564.93 | $1,564.93 | $11.09 | 427% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $1,564.93 | $1,564.93 | $211.27–$1,564.93 | 427% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Age 21+ | $1,564.93 | $1,564.93 | $10.36 | 427% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Age Under 21 | $1,564.93 | $1,564.93 | $10.55 | 427% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | $1,564.93 | $1,564.93 | $10.56 | 427% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $920.27 | $920.27 | $124.24–$920.27 | 426% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $920.27 | $920.27 | $11.10 | 426% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Other Outpatient | $920.27 | $920.27 | $10.69 | 426% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Age 21+ | $920.27 | $920.27 | $9.41 | 426% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Age Under 21 | $920.27 | $920.27 | $9.58 | 426% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient | $1,460.38 | $1,460.38 | $23.34 | 850% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age 21+ | $1,460.38 | $1,460.38 | $20.54 | 850% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $1,460.38 | $1,460.38 | $197.15–$1,460.38 | 850% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age Under 21 | $1,460.38 | $1,460.38 | $20.91 | 850% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $1,460.38 | $1,460.38 | $24.23 | 850% above | — |
| Estradiol blood test CPT 82670 Estradiol; total Other Outpatient | $2,095.56 | $2,095.56 | $29.34 | 1344% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $2,095.56 | $2,095.56 | $282.90–$2,095.56 | 1344% above | — |
| Estradiol blood test CPT 82670 Estradiol; total | $2,095.56 | $2,095.56 | $27.94 | 1344% above | — |
| Estradiol blood test CPT 82670 Estradiol; total Age Under 21 | $2,095.56 | $2,095.56 | $26.29 | 1344% above | — |
| Estradiol blood test CPT 82670 Estradiol; total Age 21+ | $2,095.56 | $2,095.56 | $25.82 | 1344% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $1,449.30 | $1,449.30 | $20.25 | 806% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age 21+ | $1,449.30 | $1,449.30 | $17.17 | 806% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age Under 21 | $1,449.30 | $1,449.30 | $17.48 | 806% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient | $1,449.30 | $1,449.30 | $19.51 | 806% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $1,449.30 | $1,449.30 | $195.66–$1,449.30 | 806% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $749.19 | $749.19 | $21.40 | 250% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient | $749.19 | $749.19 | $20.61 | 250% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age Under 21 | $749.19 | $749.19 | $18.47 | 250% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age 21+ | $749.19 | $749.19 | $18.14 | 250% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $749.19 | $749.19 | $101.14–$749.19 | 250% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Age 21+ | $654.17 | $654.17 | $12.60 | 532% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Other Outpatient | $654.17 | $654.17 | $14.31 | 532% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Age Under 21 | $654.17 | $654.17 | $12.82 | 532% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $654.17 | $654.17 | $88.31–$654.17 | 532% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $654.17 | $654.17 | $14.86 | 532% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $1,564.93 | $1,564.93 | $211.27–$1,564.93 | 1556% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum Age 21+ | $1,564.93 | $1,564.93 | $13.59 | 1556% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum Other Outpatient | $1,564.93 | $1,564.93 | $15.44 | 1556% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum Age Under 21 | $1,564.93 | $1,564.93 | $13.83 | 1556% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $1,564.93 | $1,564.93 | $16.02 | 1556% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $945.62 | $945.62 | $16.94 | 571% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Age Under 21 | $945.62 | $945.62 | $15.94 | 571% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Other Outpatient | $945.62 | $945.62 | $17.79 | 571% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Age 21+ | $945.62 | $945.62 | $15.65 | 571% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $945.62 | $945.62 | $127.66–$945.62 | 571% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $440.34 | $440.34 | $9.83 | 399% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Other Outpatient | $440.34 | $440.34 | $9.47 | 399% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age 21+ | $440.34 | $440.34 | $8.34 | 399% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $440.34 | $440.34 | $59.45–$440.34 | 399% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age Under 21 | $440.34 | $440.34 | $8.49 | 399% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $1,895.97 | $1,895.97 | $25.47 | 1615% above | — |
| Free testosterone test CPT 84402 Testosterone; free Other Outpatient | $1,895.97 | $1,895.97 | $26.74 | 1615% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $1,895.97 | $1,895.97 | $255.96–$1,895.97 | 1615% above | — |
| Free testosterone test CPT 84402 Testosterone; free Age Under 21 | $1,895.97 | $1,895.97 | $23.96 | 1615% above | — |
| Free testosterone test CPT 84402 Testosterone; free Age 21+ | $1,895.97 | $1,895.97 | $23.53 | 1615% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) | $969.36 | $969.36 | $4.75 | 954% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $969.36 | $969.36 | $130.86–$969.36 | 954% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Age 21+ | $969.36 | $969.36 | $4.39 | 954% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Age Under 21 | $969.36 | $969.36 | $4.47 | 954% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Other Outpatient | $969.36 | $969.36 | $4.99 | 954% above | — |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TT 1ST 3 SPEC | $1,360.61 | $1,360.61 | $183.68–$1,360.61 | 796% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $1,455.65 | $1,455.65 | $196.51–$1,455.65 | 858% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Age Under 21 | $574.95 | $574.95 | $33.02 | 307% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Other Outpatient | $574.95 | $574.95 | $36.84 | 307% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $574.95 | $574.95 | $35.09 | 307% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $574.95 | $574.95 | $77.62–$574.95 | 307% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Age 21+ | $574.95 | $574.95 | $32.43 | 307% above | — |
| H. pylori antibody blood test CPT 86677 Antibody; Helicobacter pylori | $633.58 | $633.58 | $18.37 | 385% above | — |
| H. pylori antibody blood test CPT 86677 Antibody; Helicobacter pylori Age Under 21 | $633.58 | $633.58 | $15.85 | 385% above | — |
| H. pylori antibody blood test CPT 86677 Antibody; Helicobacter pylori Other Outpatient | $633.58 | $633.58 | $17.69 | 385% above | — |
| H. pylori antibody blood test CPT 86677 Antibody; Helicobacter pylori Age 21+ | $633.58 | $633.58 | $15.57 | 385% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $633.58 | $633.58 | $85.53–$633.58 | 385% 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+ | $633.58 | $633.58 | $13.29 | 537% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $633.58 | $633.58 | $85.53–$633.58 | 537% 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 | $633.58 | $633.58 | $13.53 | 537% 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 | $633.58 | $633.58 | $15.10 | 537% 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 | $633.58 | $633.58 | $14.38 | 537% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD | $758.70 | $758.70 | $102.42–$758.70 | 135% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $2,672.09 | $2,672.09 | $360.73–$2,672.09 | 728% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $734.95 | $734.95 | $99.22–$734.95 | 603% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $734.95 | $734.95 | $14.94 | 603% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Age Under 21 | $734.95 | $734.95 | $12.90 | 603% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Age 21+ | $734.95 | $734.95 | $12.67 | 603% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Other Outpatient | $734.95 | $734.95 | $14.40 | 603% 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 | $734.95 | $734.95 | $26.25 | 422% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1P24AG HIV-1/2AB SGL | $734.95 | $734.95 | $99.22–$734.95 | 422% 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 | $734.95 | $734.95 | $22.66 | 422% 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 | $734.95 | $734.95 | $25.28 | 422% 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+ | $734.95 | $734.95 | $22.25 | 422% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Other Outpatient | $828.40 | $828.40 | $10.20 | 800% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Age 21+ | $828.40 | $828.40 | $8.98 | 800% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $828.40 | $828.40 | $10.58 | 800% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $828.40 | $828.40 | $111.83–$828.40 | 800% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Age Under 21 | $828.40 | $828.40 | $9.14 | 800% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Age Under 21 | $429.25 | $429.25 | $10.10 | 552% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $429.25 | $429.25 | $57.95–$429.25 | 552% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Other Outpatient | $429.25 | $429.25 | $11.28 | 552% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Age 21+ | $429.25 | $429.25 | $9.92 | 552% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $429.25 | $429.25 | $11.71 | 552% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $828.40 | $828.40 | $11.26 | 963% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ | $828.40 | $828.40 | $9.55 | 963% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 | $828.40 | $828.40 | $9.72 | 963% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $828.40 | $828.40 | $111.83–$828.40 | 963% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient | $828.40 | $828.40 | $10.85 | 963% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Other Outpatient | $982.04 | $982.04 | $14.98 | 1029% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Age 21+ | $982.04 | $982.04 | $13.19 | 1029% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $982.04 | $982.04 | $15.55 | 1029% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Age Under 21 | $982.04 | $982.04 | $13.43 | 1029% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $982.04 | $982.04 | $132.58–$982.04 | 1029% 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 | $186.78 | $186.78 | $42.84 | 37% below | — |
| 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 | $186.78 | $186.78 | $44.98 | 37% below | — |
| 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+ | $186.78 | $186.78 | $39.59 | 37% below | — |
| 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 | $186.78 | $186.78 | $40.31 | 37% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $186.78 | $186.78 | $25.22–$186.78 | 37% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $389.64 | $389.64 | $52.60–$389.64 | 394% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM | $475.18 | $475.18 | $64.15–$475.18 | 503% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB QL | $689.02 | $689.02 | $93.02–$689.02 | 774% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $389.64 | $389.64 | $52.60–$389.64 | 332% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM | $419.74 | $419.74 | $56.66–$419.74 | 366% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB QL | $738.10 | $738.10 | $99.64–$738.10 | 719% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age Under 21 | $606.66 | $606.66 | $12.19 | 661% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age 21+ | $606.66 | $606.66 | $11.97 | 661% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $606.66 | $606.66 | $81.90–$606.66 | 661% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) | $606.66 | $606.66 | $12.95 | 661% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Other Outpatient | $606.66 | $606.66 | $13.60 | 661% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Age Under 21 | $533.78 | $533.78 | $16.86 | 256% above | — |
| Homocysteine blood test CPT 83090 Homocysteine | $533.78 | $533.78 | $17.92 | 256% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Age 21+ | $533.78 | $533.78 | $16.56 | 256% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Other Outpatient | $533.78 | $533.78 | $18.82 | 256% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $533.78 | $533.78 | $72.06–$533.78 | 256% above | — |
| Insulin blood test CPT 83525 Insulin; total Age 21+ | $885.43 | $885.43 | $10.56 | 954% above | — |
| Insulin blood test CPT 83525 Insulin; total | $885.43 | $885.43 | $11.43 | 954% above | — |
| Insulin blood test CPT 83525 Insulin; total Other Outpatient | $885.43 | $885.43 | $12.00 | 954% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $885.43 | $885.43 | $119.53–$885.43 | 954% above | — |
| Insulin blood test CPT 83525 Insulin; total Age Under 21 | $885.43 | $885.43 | $10.75 | 954% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $510.03 | $510.03 | $68.85–$510.03 | 486% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $608.23 | $608.23 | $82.11–$608.23 | 599% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $1,024.80 | $1,024.80 | $8.74 | 945% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age 21+ | $1,024.80 | $1,024.80 | $8.07 | 945% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Other Outpatient | $1,024.80 | $1,024.80 | $9.18 | 945% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age Under 21 | $1,024.80 | $1,024.80 | $8.22 | 945% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC) | $1,024.80 | $1,024.80 | $138.35–$1,024.80 | 945% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i | $1,525.33 | $1,525.33 | $9.46 | 760% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Other Outpatient | $1,525.33 | $1,525.33 | $9.11 | 760% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $1,525.33 | $1,525.33 | $205.92–$1,525.33 | 760% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Age 21+ | $1,525.33 | $1,525.33 | $6.61 | 760% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Age Under 21 | $1,525.33 | $1,525.33 | $6.73 | 760% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Age Under 21 | $1,496.83 | $1,496.83 | $17.43 | 890% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Other Outpatient | $1,496.83 | $1,496.83 | $19.45 | 890% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $1,496.83 | $1,496.83 | $202.07–$1,496.83 | 890% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $1,496.83 | $1,496.83 | $20.19 | 890% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Age 21+ | $1,496.83 | $1,496.83 | $17.12 | 890% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Age Under 21 | $758.70 | $758.70 | $6.48 | 699% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $758.70 | $758.70 | $6.89 | 699% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Other Outpatient | $758.70 | $758.70 | $7.23 | 699% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $758.70 | $758.70 | $102.42–$758.70 | 699% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Age 21+ | $758.70 | $758.70 | $6.37 | 699% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,935.55 | $1,935.55 | $261.30–$1,935.55 | 796% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Other Outpatient | $1,935.55 | $1,935.55 | $8.58 | 796% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Age Under 21 | $1,935.55 | $1,935.55 | $6.73 | 796% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani | $1,935.55 | $1,935.55 | $8.91 | 796% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Age 21+ | $1,935.55 | $1,935.55 | $6.61 | 796% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $945.62 | $945.62 | $127.66–$945.62 | 1043% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $945.62 | $945.62 | $127.66–$945.62 | 1043% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $647.83 | $647.83 | $87.46–$647.83 | 1206% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $709.61 | $709.61 | $95.80–$709.61 | 1331% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $733.35 | $733.35 | $99.00–$733.35 | 1379% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $1,365.36 | $1,365.36 | $184.32–$1,365.36 | 3614% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $1,564.93 | $1,564.93 | $211.27–$1,564.93 | 4157% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $419.74 | $419.74 | $5.18 | 394% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Age Under 21 | $419.74 | $419.74 | $4.87 | 394% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Other Outpatient | $419.74 | $419.74 | $5.44 | 394% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Age 21+ | $419.74 | $419.74 | $4.79 | 394% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $419.74 | $419.74 | $56.66–$419.74 | 394% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Other Outpatient | $1,170.53 | $1,170.53 | $19.31 | 938% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age Under 21 | $1,170.53 | $1,170.53 | $17.30 | 938% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $1,170.53 | $1,170.53 | $158.02–$1,170.53 | 938% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age 21+ | $1,170.53 | $1,170.53 | $17.00 | 938% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $1,170.53 | $1,170.53 | $18.39 | 938% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $514.78 | $514.78 | $69.50–$514.78 | 476% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Age Under 21 | $514.78 | $514.78 | $17.30 | 476% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Other Outpatient | $514.78 | $514.78 | $19.31 | 476% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Age 21+ | $514.78 | $514.78 | $17.00 | 476% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $514.78 | $514.78 | $20.05 | 476% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $658.92 | $658.92 | $88.95–$658.92 | 625% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $658.92 | $658.92 | $20.26 | 625% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age 21+ | $658.92 | $658.92 | $18.72 | 625% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Age Under 21 | $658.92 | $658.92 | $19.06 | 625% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Other Outpatient | $658.92 | $658.92 | $21.27 | 625% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $1,004.22 | $1,004.22 | $135.57–$1,004.22 | 363% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $2,017.92 | $2,017.92 | $272.42–$2,017.92 | 831% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood Age Under 21 | $733.35 | $733.35 | $5.66 | 1256% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood Other Outpatient | $733.35 | $733.35 | $6.31 | 1256% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $733.35 | $733.35 | $6.01 | 1256% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $733.35 | $733.35 | $99.00–$733.35 | 1256% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood Age 21+ | $733.35 | $733.35 | $5.56 | 1256% above | — |
| Progesterone blood test CPT 84144 Progesterone Age Under 21 | $871.16 | $871.16 | $19.62 | 657% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $871.16 | $871.16 | $117.61–$871.16 | 657% above | — |
| Progesterone blood test CPT 84144 Progesterone Other Outpatient | $871.16 | $871.16 | $21.90 | 657% above | — |
| Progesterone blood test CPT 84144 Progesterone Age 21+ | $871.16 | $871.16 | $19.27 | 657% above | — |
| Progesterone blood test CPT 84144 Progesterone | $871.16 | $871.16 | $20.86 | 657% above | — |
| Prolactin blood test CPT 84146 Prolactin Age Under 21 | $1,544.34 | $1,544.34 | $18.23 | 1232% above | — |
| Prolactin blood test CPT 84146 Prolactin | $1,544.34 | $1,544.34 | $21.12 | 1232% above | — |
| Prolactin blood test CPT 84146 Prolactin Age 21+ | $1,544.34 | $1,544.34 | $17.91 | 1232% above | — |
| Prolactin blood test CPT 84146 Prolactin Other Outpatient | $1,544.34 | $1,544.34 | $20.35 | 1232% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $1,544.34 | $1,544.34 | $208.49–$1,544.34 | 1232% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $400.74 | $400.74 | $54.10–$400.74 | 748% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS B AG OIA | $171.06 | $171.06 | $23.09–$171.06 | 79% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A AG OIA | $171.06 | $171.06 | $23.09–$171.06 | 79% 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 | $236.00 | $236.00 | $17.36 | 137% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $236.00 | $236.00 | $31.86–$236.00 | 137% 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 | $236.00 | $236.00 | $18.02 | 137% 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 | $236.00 | $236.00 | $15.56 | 137% 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+ | $236.00 | $236.00 | $15.28 | 137% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age 21+ | $658.92 | $658.92 | $5.24 | 1095% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $658.92 | $658.92 | $5.67 | 1095% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age Under 21 | $658.92 | $658.92 | $5.33 | 1095% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $658.92 | $658.92 | $88.95–$658.92 | 1095% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Other Outpatient | $658.92 | $658.92 | $5.95 | 1095% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $541.71 | $541.71 | $73.13–$541.71 | 1013% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $541.71 | $541.71 | $73.13–$541.71 | 1013% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis; volume, count, motility, and differential Other Outpatient | $1,191.12 | $1,191.12 | $12.93 | 823% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $1,191.12 | $1,191.12 | $160.80–$1,191.12 | 823% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis; volume, count, motility, and differential | $1,191.12 | $1,191.12 | $13.42 | 823% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Other Outpatient | $681.08 | $681.08 | $9.35 | 665% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Age 21+ | $681.08 | $681.08 | $8.23 | 665% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $681.08 | $681.08 | $9.70 | 665% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Age Under 21 | $681.08 | $681.08 | $8.38 | 665% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $681.08 | $681.08 | $91.95–$681.08 | 665% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $190.07 | $190.07 | $25.66–$190.07 | 395% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLD QUAL | $418.17 | $418.17 | $56.45–$418.17 | 697% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $555.96 | $555.96 | $75.05–$555.96 | 959% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $555.96 | $555.96 | $75.05–$555.96 | 959% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $592.39 | $592.39 | $79.97–$592.39 | 190% 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 | $592.39 | $592.39 | $58.31 | 190% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age 21+ | $592.39 | $592.39 | $57.27 | 190% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient | $592.39 | $592.39 | $65.08 | 190% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $592.39 | $592.39 | $61.98 | 190% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL UR | $1,360.61 | $1,360.61 | $183.68–$1,360.61 | 1243% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $2,401.24 | $2,401.24 | $324.17–$2,401.24 | 2270% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB | $353.22 | $353.22 | $47.68–$353.22 | 295% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB | $587.63 | $587.63 | $79.33–$587.63 | 557% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $744.45 | $744.45 | $100.50–$744.45 | 732% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $1,252.90 | $1,252.90 | $169.14–$1,252.90 | 1301% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Other Outpatient | $861.66 | $861.66 | $17.64 | 600% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $861.66 | $861.66 | $16.80 | 600% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Age Under 21 | $861.66 | $861.66 | $15.80 | 600% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Age 21+ | $861.66 | $861.66 | $15.52 | 600% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $861.66 | $861.66 | $116.32–$861.66 | 600% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age 21+ | $151.59 | $151.59 | $32.43 | 73% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique | $151.59 | $151.59 | $35.09 | 73% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Other Outpatient | $151.59 | $151.59 | $36.84 | 73% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age Under 21 | $151.59 | $151.59 | $33.02 | 73% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $151.59 | $151.59 | $20.46–$151.59 | 73% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $568.63 | $568.63 | $76.77–$568.63 | 526% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Age Under 21 | $568.63 | $568.63 | $4.26 | 526% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Other Outpatient | $568.63 | $568.63 | $4.75 | 526% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Age 21+ | $568.63 | $568.63 | $4.18 | 526% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $568.63 | $568.63 | $4.93 | 526% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Age Under 21 | $612.98 | $612.98 | $2.98 | 468% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $612.98 | $612.98 | $82.75–$612.98 | 468% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Other Outpatient | $612.98 | $612.98 | $3.33 | 468% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Age 21+ | $612.98 | $612.98 | $2.93 | 468% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w | $612.98 | $612.98 | $2.87–$17.09 | 468% above | — |
| Urinalysis with microscope exam, manual CPT 81000 UA W MICRO MANUAL | $119.90 | $119.90 | $16.19–$119.90 | 205% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN UR QUAL AUTO | $83.95 | $83.95 | $11.33–$83.95 | 67% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PH UR AUTO | $104.53 | $104.53 | $14.11–$104.53 | 108% above | — |
| Urinalysis without microscope exam, automated CPT 81003 KETONES UR AUTO | $171.06 | $171.06 | $23.09–$171.06 | 241% above | — |
| Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR AUTO | $524.28 | $524.28 | $70.78–$524.28 | 945% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $555.96 | $555.96 | $75.05–$555.96 | 1009% above | — |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE UA MANUAL | $104.53 | $104.53 | $14.11–$104.53 | 192% above | — |
| Urinalysis without microscope exam, manual CPT 81002 GLUC UR QUAL MANUAL | $194.82 | $194.82 | $26.30–$194.82 | 444% above | — |
| Urinalysis without microscope exam, manual CPT 81002 KETONES UR MANUAL | $422.92 | $422.92 | $57.09–$422.92 | 1081% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UA W O MICRO MANUAL | $555.96 | $555.96 | $75.05–$555.96 | 1453% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Other Outpatient | $799.88 | $799.88 | $8.47 | 476% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $799.88 | $799.88 | $8.80 | 476% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Age Under 21 | $799.88 | $799.88 | $7.59 | 476% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Age 21+ | $799.88 | $799.88 | $7.46 | 476% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $799.88 | $799.88 | $107.98–$799.88 | 476% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $793.55 | $793.55 | $107.13–$793.55 | 833% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Other Outpatient | $1,154.69 | $1,154.69 | $15.83 | 1172% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $1,154.69 | $1,154.69 | $15.08 | 1172% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $1,154.69 | $1,154.69 | $155.88–$1,154.69 | 1172% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age 21+ | $1,154.69 | $1,154.69 | $13.94 | 1172% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age Under 21 | $1,154.69 | $1,154.69 | $14.19 | 1172% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $1,365.36 | $1,365.36 | $184.32–$1,365.36 | 1009% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $2,374.33 | $2,374.33 | $320.53–$2,374.33 | 1828% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $674.76 | $674.76 | $91.09–$674.76 | 877% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $834.73 | $834.73 | $112.69–$834.73 | 1109% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $898.11 | $898.11 | $121.24–$898.11 | 701% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $1,449.30 | $1,449.30 | $195.66–$1,449.30 | 1192% 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 | $35,415.35 | $35,415.35 | $4,781.07–$35,415.35 | 199% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $4,752.22 | $4,752.22 | $641.55–$4,752.22 | 232% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $78,127.52 | $78,127.52 | $10,547.22–$78,127.52 | 117% 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 | $78,127.52 | $78,127.52 | $7,668.00–$57,218.76 | 117% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT | $20,135.35 | $20,135.35 | $2,718.27–$20,135.35 | 110% 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 | $35,075.03 | $35,075.03 | $7,225.01 | 85% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | $35,075.03 | $35,075.03 | $11,388.00–$85,680.00 | 85% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age 21+ | $35,075.03 | $35,075.03 | $7,095.99 | 85% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT | $35,075.03 | $35,075.03 | $4,735.13–$35,075.03 | 85% above | — |
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 | $1,234.90 | $1,234.90 | $166.71–$1,234.90 | 40% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HYP SPUTUM | $451.87 | $451.87 | $61.00–$451.87 | 122% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $594.75 | $594.75 | $80.29–$594.75 | 192% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug | $4,167.60 | $4,167.60 | $393.47–$765.48 | 671% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $4,167.60 | $4,167.60 | $562.63–$4,167.60 | 671% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $9,113.90 | $9,113.90 | $1,230.38–$9,113.90 | 252% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $5,418.65 | $5,418.65 | $731.52–$5,418.65 | 454% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $460.65 | $460.65 | $62.19–$460.65 | 62% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $904.82 | $904.82 | $122.15–$904.82 | 245% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,745.13 | $1,745.13 | $235.59–$1,745.13 | 272% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $2,819.46 | $2,819.46 | $380.63–$2,819.46 | 242% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $4,451.42 | $4,451.42 | $600.94–$4,451.42 | 240% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $8,209.23 | $8,209.23 | $1,108.25–$8,209.23 | 309% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $2,573.62 | $2,573.62 | $347.44–$2,573.62 | 101% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an | $2,573.62 | $2,573.62 | $696.02–$1,668.00 | 101% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $981.63 | $981.63 | $132.52–$981.63 | 118% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $981.63 | $981.63 | $132.52–$981.63 | 110% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $139.38 | $139.38 | $18.82–$139.38 | 8% below | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX EVAL | $497.31 | $497.31 | $67.14–$497.31 | 29% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies | $1,738.35 | $1,738.35 | $241.83–$470.48 | 130% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND 7-8 STDS | $1,738.35 | $1,738.35 | $234.68–$1,738.35 | 130% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $305.62 | $305.62 | $229.22 | 44% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $494.81 | $494.81 | $371.11 | 54% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $574.20 | $574.20 | $77.52–$574.20 | 71% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $236.82 | $236.82 | $31.97–$236.82 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $166.71 | $166.71 | $22.51–$166.71 | 188% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or Other Outpatient | $583.75 | $583.75 | $102.92 | 140% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $583.75 | $583.75 | $106.84 | 140% 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 | $858.80 | $858.80 | $100.25 | 181% 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 | $858.80 | $858.80 | $104.07 | 181% 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 | $290.34 | $290.34 | $104.07 | 45% 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 | $290.34 | $290.34 | $100.25 | 45% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | $574.57 | $574.57 | $92.62–$462.72 | 128% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o Other Outpatient | $574.57 | $574.57 | $100.25 | 128% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data | $604.37 | $604.37 | $380.46–$740.17 | 97% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSTST EVL PHYQHP 1STHR | $604.37 | $604.37 | $81.59–$604.37 | 97% above | — |
| Psychotherapy session, 30 minutes CPT 90832 INDIV SESSION 30MIN | $273.31 | $273.31 | $36.90–$273.31 | 45% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $409.97 | $409.97 | $55.35–$409.97 | 49% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $545.20 | $545.20 | $73.60–$545.20 | 98% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | $79.43 | $79.43 | $34.68–$67.46 | 80% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $79.43 | $79.43 | $10.72–$79.43 | 80% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $366.14 | $366.14 | $274.61 | 18% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $226.24 | $226.24 | $169.68 | 11% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $390.29 | $390.29 | $52.69–$390.29 | 82% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $192.38 | $192.38 | $144.28 | 17% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $251.86 | $251.86 | $34.00–$251.86 | 29% 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 | $251.86 | $251.86 | $380.46–$740.17 | 29% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $2,201.64 | $2,201.64 | $129.83–$252.57 | 270% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $2,201.64 | $2,201.64 | $297.22–$2,201.64 | 270% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $679.09 | $679.09 | $91.68–$679.09 | 185% 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 | $61.00 | $61.00 | — | 28% 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 | $61.00 | $61.00 | $22.52–$189.00 | 28% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $61.00 | $61.00 | $8.23–$61.00 | 28% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $247.00 | $247.00 | $33.34–$247.00 | 66% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC HIGH-DOSE PF IM | $271.64 | $271.64 | $36.67–$271.64 | 82% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC IIV INC ANT 0.7IM | $336.24 | $336.24 | $45.39–$336.24 | 125% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $453.93 | $453.93 | $193.28 | 84% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $453.93 | $453.93 | $340.45 | 84% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $734.23 | $734.23 | $550.67 | 107% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use | $734.23 | $734.23 | $349.64 | 107% 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 | $589.89 | $589.89 | $220.23 | 133% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $589.89 | $589.89 | $79.64–$589.89 | 133% 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 | $589.89 | $589.89 | — | 133% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MAB SEASONAL 0.5MLIM | $2,077.74 | $2,077.74 | $1,558.30 | 109% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $2,077.74 | $2,077.74 | $1,178.22 | 109% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $1,666.32 | $1,666.32 | $520.11 | 62% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $1,666.32 | $1,666.32 | $224.95–$1,666.32 | 62% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $670.42 | $670.42 | $90.51–$670.42 | 441% 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 | $670.42 | $670.42 | $63.94 | 441% 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 | $179.42 | $179.42 | $65.14 | 18% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $179.42 | $179.42 | $134.56 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $105.35 | $105.35 | $14.22–$105.35 | 41% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $105.35 | $105.35 | $79.01 | 97% above | — |