Stone Oak Rehab
Stone Oak Rehab in San Antonio, TX publishes cash prices for 224 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 214 of 222 procedures and below it for 8. By typical cash price it ranks #196 of 240 Texas hospitals and #6 of 15 hospitals in the San Antonio, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
19126 Stonehue, SAN ANTONIO, TX, 78258 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 375 of the 375 prices listed here, the cash price in Stone Oak Rehab'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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $973.94 | $973.94 | $48.70–$827.85 | 38% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $2,308.58 | $2,308.58 | $99.90–$401.74 | 360% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $2,308.58 | $2,308.58 | $115.43–$1,962.29 | 360% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $7,165.30 | $7,165.30 | $358.26–$6,090.51 | 293% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $1,298.82 | $1,298.82 | $64.94–$1,104.00 | 194% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $11,749.21 | $11,749.21 | $587.46–$9,986.83 | 260% 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 | $11,749.21 | $11,749.21 | $180.34 | 260% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $7,245.01 | $7,245.01 | $362.25–$6,158.26 | 334% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $767.43 | $767.43 | $38.37–$652.32 | 273% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $11,369.37 | $11,369.37 | $568.47–$9,663.96 | 239% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $11,369.37 | $11,369.37 | $189.79 | 239% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $14,859.10 | $14,859.10 | $742.96–$12,630.24 | 282% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $14,859.10 | $14,859.10 | $312.08 | 282% 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 | $16,804.68 | $16,804.68 | $356.19 | 303% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $16,804.68 | $16,804.68 | $840.23–$14,283.98 | 303% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $8,798.40 | $8,798.40 | $180.34 | 230% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $8,798.40 | $8,798.40 | $439.92–$7,478.64 | 230% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $6,547.08 | $6,547.08 | $327.35–$5,565.02 | 207% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $6,547.08 | $6,547.08 | $104.75 | 207% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $6,496.13 | $6,496.13 | $324.81–$5,521.71 | 282% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $6,391.11 | $6,391.11 | $319.56–$5,432.44 | 228% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $6,391.11 | $6,391.11 | $104.75 | 228% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $6,743.18 | $6,743.18 | $153.36 | 233% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $6,743.18 | $6,743.18 | $337.16–$5,731.70 | 233% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $8,863.26 | $8,863.26 | $443.16–$7,533.77 | 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 | $8,863.26 | $8,863.26 | $175.06 | 281% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $7,856.50 | $7,856.50 | $392.82–$6,678.02 | 249% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $7,856.50 | $7,856.50 | $106.88–$245.18 | 249% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $7,856.50 | $7,856.50 | $104.75 | 272% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $7,856.50 | $7,856.50 | $392.82–$6,678.02 | 272% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $6,060.67 | $6,060.67 | $303.03–$5,151.57 | 169% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $6,060.67 | $6,060.67 | $175.06 | 169% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $8,230.83 | $8,230.83 | $411.54–$6,996.21 | 469% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $1,254.67 | $1,254.67 | $62.73–$1,066.47 | 204% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $1,254.67 | $1,254.67 | $33.75 | 204% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $1,133.27 | $1,133.27 | $56.66–$963.28 | 225% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $3,135.85 | $3,135.85 | $156.79–$2,665.47 | 323% 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 | $3,135.85 | $3,135.85 | $106.88 | 323% 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) | $681.56 | $681.56 | $38.09 | 64% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $681.56 | $681.56 | $34.08–$579.33 | 64% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation | $3,820.72 | $3,820.72 | $177.76 | 349% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $3,820.72 | $3,820.72 | $191.04–$3,247.61 | 349% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $6,686.04 | $6,686.04 | $334.30–$5,683.13 | 241% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $6,686.04 | $6,686.04 | $106.88 | 241% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $8,690.33 | $8,690.33 | $434.52–$7,386.78 | 286% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $8,690.33 | $8,690.33 | $173.08 | 286% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $941.09 | $941.09 | $47.05–$799.93 | — | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI | $865.35 | $865.35 | $43.27–$735.55 | 218% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $3,753.81 | $3,753.81 | $187.69–$3,190.74 | 64% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $3,753.81 | $3,753.81 | $187.69–$3,190.74 | 81% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $9,605.36 | $9,605.36 | $480.27–$8,164.56 | 271% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $4,929.23 | $4,929.23 | $246.46–$4,189.85 | 194% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $4,929.23 | $4,929.23 | $303.06 | 194% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $2,994.03 | $2,994.03 | $149.70–$2,544.93 | 346% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $10,466.93 | $10,466.93 | $523.35–$8,896.89 | 359% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $10,466.93 | $10,466.93 | $201.81 | 359% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences | $13,856.12 | $13,856.12 | $354.51–$828.27 | 324% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $13,856.12 | $13,856.12 | $692.81–$11,777.70 | 324% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $9,342.89 | $9,342.89 | $467.14–$7,941.46 | 325% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $12,741.45 | $12,741.45 | $637.07–$10,830.23 | 322% 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 | $12,741.45 | $12,741.45 | $328.11 | 322% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $10,716.35 | $10,716.35 | $535.82–$9,108.90 | 368% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $7,350.54 | $7,350.54 | $367.53–$6,247.96 | 130% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $10,716.35 | $10,716.35 | $535.82–$9,108.90 | 399% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $11,893.37 | $11,893.37 | $594.67–$10,109.36 | 264% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $8,501.05 | $8,501.05 | $425.05–$7,225.89 | 255% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $7,267.92 | $7,267.92 | $363.40–$6,177.73 | 114% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences | $7,267.92 | $7,267.92 | $353.18 | 114% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $6,237.44 | $6,237.44 | $311.87–$5,301.82 | 151% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $6,237.44 | $6,237.44 | $233.52 | 151% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $13,200.59 | $13,200.59 | $660.03–$11,220.50 | 204% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $12,712.60 | $12,712.60 | $635.63–$10,805.71 | 180% 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 | $12,712.60 | $12,712.60 | $1,489.35 | 180% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) | $1,830.59 | $1,830.59 | $50.79 | 253% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $1,830.59 | $1,830.59 | $91.53–$1,556.00 | 253% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $3,060.11 | $3,060.11 | $96.28 | 255% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $3,060.11 | $3,060.11 | $153.01–$2,601.09 | 255% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation | $3,135.85 | $3,135.85 | $106.88 | 375% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $3,135.85 | $3,135.85 | $156.79–$2,665.47 | 375% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $3,060.11 | $3,060.11 | $153.01–$2,601.09 | 363% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | $3,060.11 | $3,060.11 | $106.88 | 363% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $1,940.17 | $1,940.17 | $97.01–$1,649.14 | 295% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | $1,940.17 | $1,940.17 | $81.20 | 295% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $991.05 | $991.05 | $49.55–$842.39 | — | — |
| 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 | $5,506.98 | $5,506.98 | $1,277.00–$2,672.00 | 18% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $5,506.98 | $5,506.98 | $275.35–$4,680.93 | 18% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $2,349.06 | $2,349.06 | $117.45–$1,996.70 | 291% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $2,349.06 | $2,349.06 | $127.64 | 291% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $2,784.56 | $2,784.56 | $104.75 | 321% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $2,784.56 | $2,784.56 | $139.23–$2,366.88 | 321% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $2,784.56 | $2,784.56 | $139.23–$2,366.88 | 372% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $2,784.56 | $2,784.56 | $92.89 | 372% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $3,451.71 | $3,451.71 | $172.59–$2,933.95 | 300% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $3,451.71 | $3,451.71 | $106.88 | 300% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $2,484.83 | $2,484.83 | $124.24–$2,112.11 | 233% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $2,484.83 | $2,484.83 | $101.58 | 233% 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 | $2,934.41 | $2,934.41 | $104.75 | 355% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $2,934.41 | $2,934.41 | $146.72–$2,494.25 | 355% 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 | $3,225.82 | $3,225.82 | $124.96 | 338% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $3,225.82 | $3,225.82 | $161.29–$2,741.95 | 338% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $2,539.97 | $2,539.97 | $127.00–$2,158.97 | 216% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $1,133.27 | $1,133.27 | $56.66–$963.28 | 234% above | — |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VIEWS | $647.57 | $647.57 | $32.38–$550.43 | 125% above | — |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VIEWS | $599.00 | $599.00 | $29.95–$509.15 | 80% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $1,821.30 | $1,821.30 | $91.06–$1,548.11 | 284% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $2,659.92 | $2,659.92 | $133.00–$2,260.93 | 308% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,635.12 | $1,635.12 | $81.76–$1,389.85 | 304% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $1,028.02 | $1,028.02 | $51.40–$873.82 | 253% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $1,332.40 | $1,332.40 | $66.62–$1,132.54 | 256% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $1,028.02 | $1,028.02 | $51.40–$873.82 | 176% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $1,309.73 | $1,309.73 | $65.49–$1,113.27 | 299% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $185.32 | $185.32 | $9.27–$157.52 | 215% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $185.32 | $185.32 | $4.45–$16.48 | 215% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $201.67 | $201.67 | $10.08–$171.42 | 243% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $201.67 | $201.67 | $4.35 | 243% 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 | $2,652.53 | $2,652.53 | $8.08–$47.63 | 584% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $2,652.53 | $2,652.53 | $132.63–$2,254.65 | 584% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $273.87 | $273.87 | $13.69–$232.79 | 969% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $537.76 | $537.76 | $10.88–$12.95 | 945% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $537.76 | $537.76 | $26.89–$457.10 | 945% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-3 FA | $279.77 | $279.77 | $13.99–$237.80 | 171% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-2 FA | $279.77 | $279.77 | $13.99–$237.80 | 171% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-1 FA | $279.77 | $279.77 | $13.99–$237.80 | 171% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $1,140.97 | $1,140.97 | $57.05–$969.82 | 1006% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $755.79 | $755.79 | $37.79–$642.42 | 285% 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 | $1,629.70 | $1,629.70 | $8.46–$9.74 | 539% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $1,629.70 | $1,629.70 | $81.48–$1,385.24 | 539% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $1,526.13 | $1,526.13 | $76.31–$1,297.21 | 395% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $970.17 | $970.17 | $48.51–$824.64 | 306% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $101.74 | $101.74 | $4.95–$24.84 | 396% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $101.74 | $101.74 | $5.09–$86.48 | 396% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $201.67 | $201.67 | $10.08–$171.42 | 310% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $572.28 | $572.28 | $28.61–$486.44 | 1023% above | — |
| Blood lead test CPT 83655 LEAD URINE | $572.28 | $572.28 | $28.61–$486.44 | 1023% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $772.15 | $772.15 | $6.32–$7.52 | 328% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $772.15 | $772.15 | $38.61–$656.33 | 328% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $319.76 | $319.76 | $15.99–$271.80 | 262% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $319.76 | $319.76 | $2.51–$2.99 | 262% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $401.53 | $401.53 | $20.08–$341.30 | 589% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $899.33 | $899.33 | $31.31 | 363% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $899.33 | $899.33 | $44.97–$764.43 | 363% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $779.41 | $779.41 | $38.97–$662.50 | 487% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 IA BODY FLUID QN | $844.82 | $844.82 | $42.24–$718.10 | 536% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $844.82 | $844.82 | $17.48–$64.72 | 426% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $844.82 | $844.82 | $42.24–$718.10 | 426% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $73.67 | $73.67 | $3.68–$62.62 | 11% 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 | $73.67 | $73.67 | $43.10–$159.57 | 11% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $664.95 | $664.95 | $33.25–$565.21 | 435% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $381.52 | $381.52 | $19.08–$324.29 | 57% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $408.79 | $408.79 | $20.44–$347.47 | 290% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $2,854.20 | $2,854.20 | $142.71–$2,426.07 | 688% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $1,304.47 | $1,304.47 | $8.55 | 611% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $1,304.47 | $1,304.47 | $65.22–$1,108.80 | 611% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $857.53 | $857.53 | $18.67–$22.23 | 444% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $857.53 | $857.53 | $42.88–$728.90 | 444% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $1,224.51 | $1,224.51 | $61.23–$1,040.83 | 708% above | — |
| Estradiol blood test CPT 82670 Estradiol; total | $1,224.51 | $1,224.51 | $23.47 | 708% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $1,200.93 | $1,200.93 | $60.05–$1,020.79 | 650% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $1,200.93 | $1,200.93 | $15.61–$18.58 | 650% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $772.15 | $772.15 | $16.49–$19.63 | 261% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $772.15 | $772.15 | $38.61–$656.33 | 261% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $755.79 | $755.79 | $37.79–$642.42 | 638% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $755.79 | $755.79 | $11.45–$13.63 | 638% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $672.22 | $672.22 | $12.35–$14.70 | 712% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $672.22 | $672.22 | $33.61–$571.39 | 712% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $984.71 | $984.71 | $49.24–$837.00 | 548% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $984.71 | $984.71 | $14.23 | 548% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $710.37 | $710.37 | $35.52–$603.81 | 590% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $710.37 | $710.37 | $7.58–$9.02 | 590% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $1,030.13 | $1,030.13 | $21.39–$25.47 | 832% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $1,030.13 | $1,030.13 | $51.51–$875.61 | 832% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL | $4,227.71 | $4,227.71 | $211.39–$3,593.55 | 802% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) | $4,227.71 | $4,227.71 | $45.36 | 802% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA | $227.09 | $227.09 | $11.35–$193.03 | 100% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $227.09 | $227.09 | $11.35–$193.03 | 100% above | — |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TT 1ST 3 SPEC | $1,160.96 | $1,160.96 | $58.05–$986.82 | 618% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $1,160.96 | $1,160.96 | $58.05–$986.82 | 618% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $664.95 | $664.95 | $33.25–$565.21 | 370% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $744.90 | $744.90 | $37.24–$633.16 | 470% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $1,050.12 | $1,050.12 | $52.51–$892.60 | 704% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $1,050.12 | $1,050.12 | $52.51–$892.60 | 704% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $1,050.12 | $1,050.12 | $52.51–$892.60 | 704% 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 | $710.37 | $710.37 | $12.08–$14.38 | 772% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $710.37 | $710.37 | $35.52–$603.81 | 772% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $2,231.05 | $2,231.05 | $111.55–$1,896.39 | 584% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD | $2,547.16 | $2,547.16 | $127.36–$2,165.09 | 680% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $421.51 | $421.51 | $21.08–$358.28 | 344% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $421.51 | $421.51 | $11.52–$13.71 | 344% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $1,122.36 | $1,122.36 | $20.23–$24.08 | 674% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $1,122.36 | $1,122.36 | $56.12–$954.01 | 674% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $481.45 | $481.45 | $24.07–$409.23 | 423% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $506.90 | $506.90 | $25.34–$430.87 | 450% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $572.28 | $572.28 | $9.02 | 796% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $572.28 | $572.28 | $28.61–$486.44 | 796% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $639.50 | $639.50 | $31.98–$543.58 | 710% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $853.90 | $853.90 | $42.70–$725.82 | 881% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $2,559.89 | $2,559.89 | $127.99–$2,175.91 | 704% 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 | $2,559.89 | $2,559.89 | $35.99–$42.84 | 704% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB QL | $283.42 | $283.42 | $14.17–$240.91 | 231% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $283.42 | $283.42 | $14.17–$240.91 | 214% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM | $826.65 | $826.65 | $41.33–$702.65 | 817% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) | $501.43 | $501.43 | $10.88–$12.95 | 529% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $501.43 | $501.43 | $25.07–$426.22 | 529% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $815.73 | $815.73 | $40.79–$693.37 | 444% above | — |
| Homocysteine blood test CPT 83090 Homocysteine | $815.73 | $815.73 | $15.05–$17.92 | 444% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $710.37 | $710.37 | $35.52–$603.81 | 734% above | — |
| Insulin blood test CPT 83525 Insulin; total | $710.37 | $710.37 | $9.60–$11.43 | 734% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $308.85 | $308.85 | $15.44–$262.52 | 247% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $837.54 | $837.54 | $41.88–$711.91 | 841% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC) | $597.73 | $597.73 | $29.89–$508.07 | 510% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $597.73 | $597.73 | $7.34 | 510% 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 | $2,033.01 | $2,033.01 | $6.01–$8.68 | 518% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $2,033.01 | $2,033.01 | $101.65–$1,728.06 | 518% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $810.31 | $810.31 | $40.52–$688.76 | 436% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $810.31 | $810.31 | $15.56–$18.52 | 436% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $98.11 | $98.11 | $4.91–$83.39 | at median | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,438.91 | $1,438.91 | $71.95–$1,223.07 | 400% 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 | $1,438.91 | $1,438.91 | $6.01–$8.17 | 400% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $1,086.46 | $1,086.46 | $54.32–$923.49 | 1214% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $1,086.46 | $1,086.46 | $54.32–$923.49 | 1214% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $239.82 | $239.82 | $11.99–$203.85 | 421% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $501.43 | $501.43 | $25.07–$426.22 | 990% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM OTHER | $501.43 | $501.43 | $25.07–$426.22 | 990% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $308.85 | $308.85 | $15.44–$262.52 | 1077% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $308.85 | $308.85 | $15.44–$262.52 | 1077% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $481.45 | $481.45 | $24.07–$409.23 | 401% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $481.45 | $481.45 | $4.35–$5.18 | 401% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $970.17 | $970.17 | $48.51–$824.64 | 757% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $970.17 | $970.17 | $15.45–$18.39 | 757% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $710.37 | $710.37 | $15.45–$18.39 | 757% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $710.37 | $710.37 | $35.52–$603.81 | 757% 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 | $183.48 | $183.48 | $17.02 | 101% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $183.48 | $183.48 | $9.17–$155.96 | 101% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $1,338.56 | $1,338.56 | $66.93–$1,137.78 | 502% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $1,958.54 | $1,958.54 | $97.93–$1,664.76 | 782% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL | $1,958.54 | $1,958.54 | $97.93–$1,664.76 | 782% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH BIOINTACT | $1,958.54 | $1,958.54 | $97.93–$1,664.76 | 782% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C TERMINAL | $1,958.54 | $1,958.54 | $97.93–$1,664.76 | 782% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $327.03 | $327.03 | $16.35–$277.98 | 513% above | — |
| Progesterone blood test CPT 84144 Progesterone | $890.24 | $890.24 | $17.52 | 635% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $890.24 | $890.24 | $44.51–$756.70 | 635% above | — |
| Prolactin blood test CPT 84146 Prolactin | $815.73 | $815.73 | $16.28 | 576% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $815.73 | $815.73 | $40.79–$693.37 | 576% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $305.22 | $305.22 | $15.26–$259.44 | 546% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS AG OIA | $350.65 | $350.65 | $17.53–$298.05 | 208% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $710.37 | $710.37 | $35.52–$603.81 | 561% 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 | $710.37 | $710.37 | $13.89–$16.53 | 561% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN FL | $327.03 | $327.03 | $16.35–$277.98 | 489% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $597.73 | $597.73 | $29.89–$508.07 | 977% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $7.28 | $7.28 | $0.36–$6.19 | 81% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $314.31 | $314.31 | $15.72–$267.16 | 701% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $314.31 | $314.31 | $15.72–$267.16 | 701% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $401.53 | $401.53 | $2.27–$2.70 | 499% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $401.53 | $401.53 | $20.08–$341.30 | 499% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $701.29 | $701.29 | $35.06–$596.10 | 583% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $701.29 | $701.29 | $7.48–$52.07 | 583% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o | $261.61 | $261.61 | $3.68–$4.38 | 484% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $261.61 | $261.61 | $13.08–$222.37 | 484% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $317.95 | $317.95 | $15.90–$270.26 | 312% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $483.27 | $483.27 | $24.16–$410.78 | 759% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $483.27 | $483.27 | $24.16–$410.78 | 759% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $1,580.61 | $1,580.61 | $79.03–$1,343.52 | 617% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $1,580.61 | $1,580.61 | $52.06–$61.98 | 617% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $1,408.03 | $1,408.03 | $21.68–$25.81 | 1027% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $1,408.03 | $1,408.03 | $70.40–$1,196.83 | 1027% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB | $810.31 | $810.31 | $40.52–$688.76 | 730% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $810.31 | $810.31 | $40.52–$688.76 | 730% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AB | $848.45 | $848.45 | $42.42–$721.18 | 769% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $710.37 | $710.37 | $35.52–$603.81 | 445% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $710.37 | $710.37 | $14.11–$52.25 | 445% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $227.09 | $227.09 | $3.80–$4.52 | 105% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $227.09 | $227.09 | $11.35–$193.03 | 105% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $466.92 | $466.92 | $23.35–$396.88 | 299% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate | $466.92 | $466.92 | $3.38–$4.02 | 1087% above | — |
| Urinalysis with microscope exam, manual CPT 81000 UA W MICRO MANUAL | $466.92 | $466.92 | $23.35–$396.88 | 1087% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $227.09 | $227.09 | $11.35–$193.03 | 321% above | — |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN UR AUTO | $227.09 | $227.09 | $11.35–$193.03 | 321% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN UR QUAL AUTO | $227.09 | $227.09 | $11.35–$193.03 | 321% above | — |
| Urinalysis without microscope exam, automated CPT 81003 BLOOD URINE AUTO | $227.09 | $227.09 | $11.35–$193.03 | 321% above | — |
| Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR AUTO | $227.09 | $227.09 | $11.35–$193.03 | 321% above | — |
| Urinalysis without microscope exam, automated CPT 81003 GLUC UR QUAL AUTO | $227.09 | $227.09 | $11.35–$193.03 | 321% above | — |
| Urinalysis without microscope exam, manual CPT 81002 PROTEIN UR QUAL MAN | $227.09 | $227.09 | $11.35–$193.03 | 534% above | — |
| Urinalysis without microscope exam, manual CPT 81002 PH UR MANUAL | $227.09 | $227.09 | $11.35–$193.03 | 534% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UA W O MICRO MANUAL | $227.09 | $227.09 | $11.35–$193.03 | 534% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $772.15 | $772.15 | $38.61–$656.33 | 443% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $772.15 | $772.15 | $7.23 | 757% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $772.15 | $772.15 | $38.61–$656.33 | 757% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $815.73 | $815.73 | $40.79–$693.37 | 799% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $815.73 | $815.73 | $12.67 | 799% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $1,880.40 | $1,880.40 | $24.86 | 1495% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $1,880.40 | $1,880.40 | $94.02–$1,598.34 | 1495% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $588.64 | $588.64 | $29.43–$500.34 | 753% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $588.64 | $588.64 | $29.43–$500.34 | 753% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT CSF | $635.88 | $635.88 | $31.79–$540.50 | 466% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $1,224.51 | $1,224.51 | $61.23–$1,040.83 | 990% 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 | $45,738.11 | $45,738.11 | $5,488.57–$38,877.39 | 286% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $2,235.11 | $2,235.11 | $111.76–$1,899.84 | 32% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $111,280.52 | $111,280.52 | $15,579.27–$94,588.44 | 205% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i | $4,029.97 | $4,029.97 | $1,037.58–$2,296.00 | 158% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI C/T W IMAGING | $4,029.97 | $4,029.97 | $564.20–$3,425.47 | 158% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT | $39,455.15 | $39,455.15 | $4,734.62–$33,536.88 | 301% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI L/S W IMAGING | $4,029.97 | $4,029.97 | $564.20–$3,425.47 | 139% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i | $4,029.97 | $4,029.97 | $365.00 | 139% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | $15,826.28 | $15,826.28 | $6,450.90 | 17% below | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT | $15,826.28 | $15,826.28 | $791.31–$13,452.34 | 17% below | — |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGE | $2,756.80 | $2,756.80 | $385.95–$2,343.28 | 69% above | — |
| Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance | $2,756.80 | $2,756.80 | $334.95 | 69% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal puncture, lumbar, diagnostic; | $3,263.15 | $3,263.15 | $262.86 | 212% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE LUMBAR DX | $3,263.15 | $3,263.15 | $456.84–$2,773.68 | 212% above | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance | $4,117.50 | $4,117.50 | $1,609.00–$2,296.00 | 189% above | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG | $4,117.50 | $4,117.50 | $576.45–$3,499.88 | 189% 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 | $4,771.92 | $4,771.92 | $238.60–$4,056.13 | 407% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $445.31 | $445.31 | $22.27–$378.51 | 119% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SM VOL NEB | $1,073.98 | $1,073.98 | $53.70–$912.88 | 428% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB | $1,073.98 | $1,073.98 | $53.70–$912.88 | 428% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $1,295.63 | $1,295.63 | $64.78–$1,101.29 | 537% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,839.62 | $1,839.62 | $91.98–$1,563.68 | 201% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $5,526.91 | $5,526.91 | $663.23–$4,697.87 | 113% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $2,985.78 | $2,985.78 | $149.29–$2,537.91 | 205% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $945.08 | $945.08 | $47.25–$803.32 | 219% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $650.73 | $650.73 | $91.10–$553.12 | 127% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,156.29 | $1,156.29 | $161.88–$982.85 | 140% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $2,623.53 | $2,623.53 | $367.29–$2,230.00 | 219% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $3,727.92 | $3,727.92 | $521.91–$3,168.73 | 174% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $4,511.04 | $4,511.04 | $631.55–$3,834.38 | 94% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $4,227.85 | $4,227.85 | $211.39–$3,593.67 | 194% above | — |
| Group psychotherapy session CPT 90853 IOP PSY GRP (NOT FAMILY) | $324.56 | $324.56 | $16.23–$275.88 | 42% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $1,902.05 | $1,902.05 | $95.10–$1,616.74 | 289% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,902.05 | $1,902.05 | $95.10–$1,616.74 | 275% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $404.00 | $404.00 | $20.20–$343.40 | 140% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies | $1,393.46 | $1,393.46 | $228.64–$439.70 | 35% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND 7-8 STDS | $1,393.46 | $1,393.46 | $69.67–$1,184.44 | 35% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $107.59 | $107.59 | $5.38–$91.45 | 58% below | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $1,101.19 | $1,101.19 | $55.06–$936.01 | 243% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $1,346.74 | $1,346.74 | $67.34–$1,144.73 | 301% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $611.34 | $611.34 | $30.57–$519.64 | 214% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $48.31 | $48.31 | $2.42–$41.06 | 17% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | $48.31 | $48.31 | $28.72–$173.00 | 17% below | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS FIRST 60MIN | $794.67 | $794.67 | $39.73–$675.47 | 144% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $125.30 | $125.30 | $6.26–$106.50 | 60% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $611.34 | $611.34 | $30.57–$519.64 | 190% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $855.64 | $855.64 | $42.78–$727.29 | 211% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $99.99 | $99.99 | $5.00–$84.99 | 39% below | — |
| Speech and language evaluation CPT 92523 SP/EVAL W/ LANG NONTHP | $966.58 | $966.58 | $48.33–$821.59 | 128% above | — |
| Speech therapy session, individual CPT 92507 TX SPEECH INDIVIDUAL | $1,524.31 | $1,524.31 | $76.22–$1,295.66 | 566% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $1,080.91 | $1,080.91 | $54.05–$918.77 | 176% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation | $1,080.91 | $1,080.91 | $359.71–$691.75 | 176% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $2,356.67 | $2,356.67 | $117.83–$2,003.17 | 275% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $2,356.67 | $2,356.67 | $122.75–$236.05 | 275% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $534.15 | $534.15 | $26.71–$454.03 | 114% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ | $1,235.41 | $1,235.41 | $61.77–$1,050.10 | 149% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $1,235.41 | $1,235.41 | $203.24–$620.91 | 149% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $112.95 | $112.95 | $5.65–$96.01 | 137% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3 PF 0.5 ML IM | $120.83 | $120.83 | $6.04–$102.71 | 154% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | $3,176.30 | $3,176.30 | $651.35 | 211% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VAC 2 OR 3 DOSE IM | $3,176.30 | $3,176.30 | $158.81–$2,699.86 | 211% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $698.61 | $698.61 | $121.65 | 210% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $698.61 | $698.61 | $34.93–$593.82 | 210% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT 20MCG IM | $392.12 | $392.12 | $19.61–$333.30 | 118% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $392.12 | $392.12 | $19.61–$333.30 | 118% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC IIV INC ANT 0.7IM | $384.78 | $384.78 | $19.24–$327.06 | 158% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC HIGH-DOSE PF IM | $430.54 | $430.54 | $21.53–$365.96 | 189% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $468.71 | $468.71 | $23.44–$398.40 | 214% 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 | $1,821.05 | $1,821.05 | $349.64 | 414% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $1,821.05 | $1,821.05 | $91.05–$1,547.89 | 414% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C 2 DOSE IM | $1,535.45 | $1,535.45 | $76.77–$1,305.13 | 154% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $721.73 | $721.73 | $36.09–$613.47 | 173% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MAB SEASONAL 0.5MLIM | $3,171.83 | $3,171.83 | $158.59–$2,696.06 | 216% 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 | $3,171.83 | $3,171.83 | $1,178.22 | 216% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $2,812.48 | $2,812.48 | $140.62–$2,390.61 | 174% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $254.29 | $254.29 | $12.71–$216.15 | 93% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $278.96 | $278.96 | $13.95–$237.12 | 68% 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 | $278.96 | $278.96 | $65.14 | 68% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $324.39 | $324.39 | $16.22–$275.73 | 319% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $324.39 | $324.39 | $16.22–$275.73 | 507% above | — |