St Davids Rehab
St Davids Rehab in Austin, TX publishes cash prices for 256 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 239 of 254 procedures and below it for 14. By typical cash price it ranks #246 of 305 Texas hospitals and #28 of 31 hospitals in the Austin, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1005 East 32nd Street, Austin, TX, 78705 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 404 of the 404 prices listed here, the cash price in St Davids 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. Other US hospitals whose cash price is their full list price.
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 | $1,394.00 | $1,394.00 | $939.56 | 328% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $1,394.00 | $1,394.00 | $974.41 | 328% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $856.00 | $856.00 | $42.80–$770.40 | 41% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $1,795.00 | $1,795.00 | $1,254.71 | 258% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $4,656.00 | $4,656.00 | $3,254.54 | 168% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $4,656.00 | $4,656.00 | $299.92 | 168% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $448.00 | $448.00 | $22.40–$403.20 | 1% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI LT W AX COMP | $453.00 | $453.00 | $305.32 | 2% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI RT W AX COMP | $453.00 | $453.00 | $305.32 | 2% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD | $204.00 | $204.00 | $137.50 | 41% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD | $206.00 | $206.00 | $10.30–$185.40 | 40% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $4,759.00 | $4,759.00 | $237.95–$4,283.10 | 68% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $4,759.00 | $4,759.00 | $237.95–$4,283.10 | 185% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $1,008.00 | $1,008.00 | $50.40–$907.20 | 432% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $7,076.00 | $7,076.00 | $4,769.22 | 111% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $7,076.00 | $7,076.00 | $4,769.22 | 82% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $7,076.00 | $7,076.00 | $4,769.22 | 70% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $3,434.00 | $3,434.00 | $171.70–$3,090.60 | 31% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $2,844.00 | $2,844.00 | $142.20–$2,559.60 | 39% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $2,374.00 | $2,374.00 | $1,659.43 | 42% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $2,374.00 | $2,374.00 | $1,659.43 | 24% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $2,844.00 | $2,844.00 | $1,916.86 | 61% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $3,552.00 | $3,552.00 | $2,394.05 | 54% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $2,966.00 | $2,966.00 | $1,999.08 | 44% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $2,966.00 | $2,966.00 | $1,999.08 | 41% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $3,434.00 | $3,434.00 | $171.70–$3,090.60 | 56% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $1,144.00 | $1,144.00 | $771.06 | 15% below | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $1,105.00 | $1,105.00 | $772.39 | 181% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $881.00 | $881.00 | $593.79 | 172% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $1,688.00 | $1,688.00 | $1,137.71 | 129% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $808.00 | $808.00 | $544.59 | 94% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) | $955.00 | $955.00 | $32.04–$182.03 | 333% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHL | $955.00 | $955.00 | $643.67 | 333% 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 | $1,464.00 | $1,464.00 | $179.61 | 112% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $1,464.00 | $1,464.00 | $73.20–$1,317.60 | 112% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $4,045.00 | $4,045.00 | $2,827.45 | 141% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $3,552.00 | $3,552.00 | $177.60–$3,196.80 | 64% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $788.00 | $788.00 | $550.81 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI LT | $483.00 | $483.00 | $325.54 | 77% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI RT | $487.00 | $487.00 | $328.24 | 79% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $1,400.00 | $1,400.00 | $70.00–$1,260.00 | 23% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $1,996.00 | $1,996.00 | $99.80–$1,796.40 | at median | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $3,955.00 | $3,955.00 | $197.75–$3,559.50 | 69% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $773.00 | $773.00 | $328.20 | 52% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $773.00 | $773.00 | $521.00 | 52% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $2,377.00 | $2,377.00 | $118.85–$2,139.30 | 214% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) | $2,377.00 | $2,377.00 | $1,142.00–$2,571.00 | 214% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $8,005.00 | $8,005.00 | $5,395.37 | 82% 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 | $8,005.00 | $8,005.00 | $1,142.00–$2,571.00 | 82% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $1,227.00 | $1,227.00 | $61.35–$1,104.30 | 269% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $1,227.00 | $1,227.00 | $857.67 | 269% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,361.00 | $1,361.00 | $68.05–$1,224.90 | 116% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $217.00 | $217.00 | $146.26 | 10% below | — |
| 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) CAT Scan | $217.00 | $217.00 | $1,678.00–$2,739.00 | 10% below | — |
| 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) | $217.00 | $217.00 | $109.02–$182.03 | 10% below | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI WO&W CON&CAD BRST BI | $5,782.00 | $5,782.00 | $289.10–$5,203.80 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf MRI/MRA | $5,782.00 | $5,782.00 | $1,911.00–$3,118.00 | 326% above | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf | $5,782.00 | $5,782.00 | $432.42–$635.92 | 326% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $4,903.00 | $4,903.00 | $3,304.62 | 140% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $4,903.00 | $4,903.00 | $245.15–$4,412.70 | 140% 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 | $4,157.00 | $4,157.00 | $2,801.82 | 48% 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 | $8,128.00 | $8,128.00 | $5,478.27 | 190% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $4,903.00 | $4,903.00 | $3,304.62 | 122% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) MRI/MRA | $4,903.00 | $4,903.00 | $1,911.00–$3,118.00 | 122% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $4,903.00 | $4,903.00 | $208.93 | 122% 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 | $6,800.00 | $6,800.00 | $361.60 | 111% 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 MRI/MRA | $6,800.00 | $6,800.00 | $1,911.00–$3,118.00 | 111% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $6,800.00 | $6,800.00 | $340.00–$6,120.00 | 111% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $4,903.00 | $4,903.00 | $245.15–$4,412.70 | 124% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $4,903.00 | $4,903.00 | $208.23–$517.79 | 124% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material MRI/MRA | $4,903.00 | $4,903.00 | $1,911.00–$3,118.00 | 124% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $6,941.00 | $6,941.00 | $347.05–$6,246.90 | 130% 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 MRI/MRA | $6,941.00 | $6,941.00 | $1,911.00–$3,118.00 | 130% 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 | $6,941.00 | $6,941.00 | $339.46 | 130% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $5,439.00 | $5,439.00 | $203.12 | 138% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $5,439.00 | $5,439.00 | $3,665.89 | 138% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material MRI/MRA | $5,439.00 | $5,439.00 | $1,911.00–$3,118.00 | 138% 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 MRI/MRA | $6,941.00 | $6,941.00 | $1,911.00–$3,118.00 | 117% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $6,941.00 | $6,941.00 | $4,678.23 | 117% 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 | $6,941.00 | $6,941.00 | $340.48–$828.27 | 117% 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 MRI/MRA | $5,439.00 | $5,439.00 | $1,911.00–$3,118.00 | 154% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $5,439.00 | $5,439.00 | $3,665.89 | 154% 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 | $5,439.00 | $5,439.00 | $202.45–$517.79 | 154% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $6,941.00 | $6,941.00 | $347.05–$6,246.90 | 113% 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 | $6,941.00 | $6,941.00 | $341.15 | 113% 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 MRI/MRA | $6,941.00 | $6,941.00 | $1,911.00–$3,118.00 | 113% 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 MRI/MRA | $4,903.00 | $4,903.00 | $1,911.00–$3,118.00 | 111% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $4,903.00 | $4,903.00 | $3,304.62 | 111% 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 | $4,903.00 | $4,903.00 | $202.45 | 111% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $6,800.00 | $6,800.00 | $4,583.20 | 101% 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 | $6,800.00 | $6,800.00 | $360.24 | 101% 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 MRI/MRA | $6,800.00 | $6,800.00 | $1,911.00–$3,118.00 | 101% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) MRI/MRA | $5,246.00 | $5,246.00 | $1,911.00–$3,118.00 | 114% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $5,246.00 | $5,246.00 | $262.30–$4,721.40 | 114% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $5,246.00 | $5,246.00 | $238.19–$517.79 | 114% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $4,903.00 | $4,903.00 | $3,304.62 | 174% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $4,903.00 | $4,903.00 | $245.15–$4,412.70 | 174% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $3,084.00 | $3,084.00 | $154.20–$2,775.60 | 29% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $2,631.00 | $2,631.00 | $131.55–$2,367.90 | 44% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $1,066.00 | $1,066.00 | $718.48 | 121% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,410.00 | $1,410.00 | $950.34 | 64% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $1,359.00 | $1,359.00 | $67.95–$1,223.10 | 108% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $407.00 | $407.00 | $284.49 | 34% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $902.00 | $902.00 | $607.95 | 97% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $557.00 | $557.00 | $27.85–$501.30 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $1,243.00 | $1,243.00 | $837.78 | 305% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $1,243.00 | $1,243.00 | $868.86 | 305% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $7,667.00 | $7,667.00 | $5,167.56 | 85% 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 | $7,667.00 | $7,667.00 | $352.57–$2,880.41 | 85% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $3,618.00 | $3,618.00 | $2,528.98 | 33% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $2,114.00 | $2,114.00 | $1,424.84 | 252% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $957.00 | $957.00 | $645.02 | 49% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $410.00 | $410.00 | $20.50–$369.00 | 20% below | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,599.00 | $1,599.00 | $1,077.73 | 85% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $1,373.00 | $1,373.00 | $68.65–$1,235.70 | 124% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $957.00 | $957.00 | $47.85–$861.30 | 52% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $800.00 | $800.00 | $40.00–$720.00 | 9% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $779.00 | $779.00 | $525.05 | 3% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $779.00 | $779.00 | $525.05 | 3% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $779.00 | $779.00 | $525.05 | 3% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $1,019.00 | $1,019.00 | $50.95–$917.10 | 228% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $1,019.00 | $1,019.00 | $50.95–$917.10 | 228% 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 | $1,161.00 | $1,161.00 | $58.05–$1,044.90 | 207% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V RT | $1,161.00 | $1,161.00 | $58.05–$1,044.90 | 207% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V LT | $1,161.00 | $1,161.00 | $811.54 | 207% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $982.00 | $982.00 | $661.87 | 190% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $885.00 | $885.00 | $44.25–$796.50 | 213% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $885.00 | $885.00 | $44.25–$796.50 | 213% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $789.00 | $789.00 | $39.45–$710.10 | 227% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $789.00 | $789.00 | $39.45–$710.10 | 227% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $1,053.00 | $1,053.00 | $709.72 | 266% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $1,053.00 | $1,053.00 | $52.65–$947.70 | 266% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $1,060.00 | $1,060.00 | $714.44 | 190% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $1,060.00 | $1,060.00 | $53.00–$954.00 | 190% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $1,009.00 | $1,009.00 | $705.29 | 218% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $1,009.00 | $1,009.00 | $705.29 | 218% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $1,103.00 | $1,103.00 | $55.15–$992.70 | 298% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $1,103.00 | $1,103.00 | $55.15–$992.70 | 298% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $1,374.00 | $1,374.00 | $68.70–$1,236.60 | 194% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $1,677.00 | $1,677.00 | $1,172.22 | 168% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,454.00 | $1,454.00 | $72.70–$1,308.60 | 261% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $1,082.00 | $1,082.00 | $54.10–$973.80 | 271% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $1,271.00 | $1,271.00 | $856.65 | 241% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $876.00 | $876.00 | $43.80–$788.40 | 136% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $1,111.00 | $1,111.00 | $748.81 | 239% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $326.00 | $326.00 | $16.30–$293.40 | 454% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $407.00 | $407.00 | $20.35–$366.30 | 602% 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 | $1,214.00 | $1,214.00 | $8.24–$47.63 | 213% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $1,214.00 | $1,214.00 | $60.70–$1,092.60 | 213% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $150.00 | $150.00 | $7.50–$135.00 | 441% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $296.00 | $296.00 | $199.50 | 381% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $296.00 | $296.00 | $11.10–$12.95 | 381% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-3 FA | $454.00 | $454.00 | $317.35 | 413% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-2 FA | $454.00 | $454.00 | $22.70–$408.60 | 413% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-1 FA | $454.00 | $454.00 | $306.00 | 413% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $711.00 | $711.00 | $35.55–$639.90 | 704% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $930.00 | $930.00 | $650.07 | 400% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP QT | $1,458.00 | $1,458.00 | $72.90–$1,312.20 | 684% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $1,163.00 | $1,163.00 | $58.15–$1,046.70 | 384% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $2,494.00 | $2,494.00 | $1,680.96 | 739% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $319.00 | $319.00 | $15.95–$287.10 | 34% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $217.00 | $217.00 | $146.26 | 996% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $462.00 | $462.00 | $311.39 | 940% above | — |
| Blood lead test CPT 83655 LEAD URINE | $350.00 | $350.00 | $235.90 | 560% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $397.00 | $397.00 | $267.58 | 649% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $334.00 | $334.00 | $233.47 | 143% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $384.00 | $384.00 | $19.20–$345.60 | 335% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $515.00 | $515.00 | $347.11 | 784% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $629.00 | $629.00 | $423.95 | 253% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $163.00 | $163.00 | $109.86 | 20% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $903.00 | $903.00 | $608.62 | 463% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $903.00 | $903.00 | $17.83–$20.81 | 463% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $54.00 | $54.00 | $36.40 | 39% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $654.00 | $654.00 | $32.70–$588.60 | 419% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,106.00 | $1,106.00 | $55.30–$995.40 | 467% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $447.00 | $447.00 | $312.45 | 368% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $975.00 | $975.00 | $48.75–$877.50 | 228% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $711.00 | $711.00 | $35.55–$639.90 | 306% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $1,066.00 | $1,066.00 | $19.04 | 593% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $1,066.00 | $1,066.00 | $718.48 | 593% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $698.00 | $698.00 | $470.45 | 381% above | — |
| Estradiol blood test CPT 82670 Estradiol; total | $698.00 | $698.00 | $23.94–$27.94 | 381% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $1,082.00 | $1,082.00 | $15.92–$18.58 | 576% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $1,082.00 | $1,082.00 | $54.10–$973.80 | 576% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $1,470.00 | $1,470.00 | $73.50–$1,323.00 | 588% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $1,470.00 | $1,470.00 | $16.82 | 588% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $280.00 | $280.00 | $195.72 | 171% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $444.00 | $444.00 | $299.26 | 370% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $843.00 | $843.00 | $42.15–$758.70 | 498% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $843.00 | $843.00 | $14.51 | 498% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $240.00 | $240.00 | $161.76 | 172% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $1,720.00 | $1,720.00 | $21.82–$25.47 | 1456% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $1,720.00 | $1,720.00 | $1,159.28 | 1456% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL | $2,483.00 | $2,483.00 | $1,673.54 | 456% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) | $2,483.00 | $2,483.00 | $47.59–$174.13 | 456% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA | $440.00 | $440.00 | $296.56 | 378% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) | $440.00 | $440.00 | $4.07–$4.75 | 378% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $581.00 | $581.00 | $29.05–$522.90 | 282% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $654.00 | $654.00 | $440.80 | 362% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $366.00 | $366.00 | $246.68 | 180% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $366.00 | $366.00 | $18.30–$329.40 | 180% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $366.00 | $366.00 | $246.68 | 180% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $1,170.00 | $1,170.00 | $58.50–$1,053.00 | 795% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $804.00 | $804.00 | $541.90 | 709% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD | $2,682.00 | $2,682.00 | $134.10–$2,413.80 | 731% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $3,280.00 | $3,280.00 | $2,210.72 | 917% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $498.00 | $498.00 | $24.90–$448.20 | 377% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $126.00 | $126.00 | $6.30–$113.40 | 11% below | — |
| 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 | $126.00 | $126.00 | $20.63–$24.08 | 11% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $440.00 | $440.00 | $8.32 | 378% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $440.00 | $440.00 | $296.56 | 378% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $1,528.00 | $1,528.00 | $76.40–$1,375.20 | 2222% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $555.00 | $555.00 | $387.94 | 612% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $1,123.00 | $1,123.00 | $756.90 | 1191% 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 | $3,259.00 | $3,259.00 | $36.71 | 1007% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $3,259.00 | $3,259.00 | $162.95–$2,933.10 | 1007% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $171.00 | $171.00 | $8.55–$153.90 | 117% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 | $171.00 | $171.00 | $11.30 | 117% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $253.00 | $253.00 | $170.52 | 181% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 | $253.00 | $253.00 | $16.57–$19.35 | 181% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $662.00 | $662.00 | $33.10–$595.80 | 730% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $1,565.00 | $1,565.00 | $1,054.81 | 943% above | — |
| Insulin blood test CPT 83525 Insulin; total | $548.00 | $548.00 | $9.79–$11.43 | 552% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $548.00 | $548.00 | $27.40–$493.20 | 552% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $274.00 | $274.00 | $191.53 | 215% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $731.00 | $731.00 | $510.97 | 740% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $274.00 | $274.00 | $184.68 | 179% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $274.00 | $274.00 | $7.49 | 179% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $861.00 | $861.00 | $43.05–$774.90 | 385% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $1,123.00 | $1,123.00 | $15.87–$18.52 | 643% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $1,123.00 | $1,123.00 | $56.15–$1,010.70 | 643% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $706.00 | $706.00 | $35.30–$635.40 | 644% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,447.00 | $1,447.00 | $975.28 | 570% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $259.00 | $259.00 | $174.57 | 213% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $772.00 | $772.00 | $520.33 | 833% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $834.00 | $834.00 | $562.12 | 908% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $168.00 | $168.00 | $8.40–$151.20 | 239% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $300.00 | $300.00 | $15.00–$270.00 | 505% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $384.00 | $384.00 | $19.20–$345.60 | 674% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM OTHER | $513.00 | $513.00 | $345.76 | 934% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $470.00 | $470.00 | $316.78 | 1179% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $916.00 | $916.00 | $640.28 | 2392% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $539.00 | $539.00 | $376.76 | 534% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $1,137.00 | $1,137.00 | $15.76–$18.39 | 908% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $1,137.00 | $1,137.00 | $56.85–$1,023.30 | 908% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $428.00 | $428.00 | $288.47 | 379% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under | $436.00 | $436.00 | $22.80 | 493% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP AUTO W MAN RESCN TLP | $436.00 | $436.00 | $21.80–$392.40 | 493% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $351.00 | $351.00 | $236.57 | 286% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL | $237.00 | $237.00 | $159.74 | 9% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH BIOINTACT | $404.00 | $404.00 | $272.30 | 86% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $698.00 | $698.00 | $470.45 | 222% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C TERMINAL | $711.00 | $711.00 | $35.55–$639.90 | 228% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $1,918.00 | $1,918.00 | $1,340.68 | 785% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $582.00 | $582.00 | $392.27 | 976% above | — |
| Progesterone blood test CPT 84144 Progesterone | $1,070.00 | $1,070.00 | $17.87–$20.86 | 830% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $1,070.00 | $1,070.00 | $721.18 | 830% above | — |
| Prolactin blood test CPT 84146 Prolactin | $878.00 | $878.00 | $16.61–$19.38 | 657% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $878.00 | $878.00 | $43.90–$790.20 | 657% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $507.00 | $507.00 | $25.35–$456.30 | 973% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR DOO MANUAL READ | $991.00 | $991.00 | $692.71 | 712% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A AG OIA | $224.00 | $224.00 | $150.98 | 135% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS B AG OIA | $224.00 | $224.00 | $156.58 | 135% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS AG OIA | $224.00 | $224.00 | $150.98 | 135% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $171.00 | $171.00 | $8.55–$153.90 | 210% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $193.00 | $193.00 | $9.65–$173.70 | 297% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $793.00 | $793.00 | $39.65–$713.70 | 1530% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $797.00 | $797.00 | $39.85–$717.30 | 1538% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $428.00 | $428.00 | $21.40–$385.20 | 663% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $652.00 | $652.00 | $32.60–$586.80 | 633% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $253.00 | $253.00 | $12.65–$227.70 | 559% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $184.00 | $184.00 | $124.02 | 168% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $184.00 | $184.00 | $13.64–$15.92 | 168% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $513.00 | $513.00 | $25.65–$461.70 | 877% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLD QUAL | $556.00 | $556.00 | $27.80–$500.40 | 959% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $566.00 | $566.00 | $28.30–$509.40 | 978% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $1,270.00 | $1,270.00 | $855.98 | 521% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $1,315.00 | $1,315.00 | $65.75–$1,183.50 | 1198% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $471.00 | $471.00 | $23.55–$423.90 | 427% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $797.00 | $797.00 | $39.85–$717.30 | 791% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB | $902.00 | $902.00 | $607.95 | 909% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,061.00 | $1,061.00 | $741.64 | 762% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $515.00 | $515.00 | $359.99 | 467% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $421.00 | $421.00 | $294.28 | 290% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PH UR AUTO | $253.00 | $253.00 | $170.52 | 404% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $421.00 | $421.00 | $283.75 | 739% above | — |
| Urinalysis without microscope exam, manual CPT 81002 SPEC GRAV UR MANUAL | $107.00 | $107.00 | $72.12 | 199% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UA W O MICRO MANUAL | $217.00 | $217.00 | $10.85–$195.30 | 506% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $654.00 | $654.00 | $32.70–$588.60 | 371% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $334.00 | $334.00 | $16.70–$300.60 | 293% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $234.00 | $234.00 | $11.70–$210.60 | 158% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $836.00 | $836.00 | $25.36–$29.60 | 579% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $836.00 | $836.00 | $41.80–$752.40 | 579% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $515.00 | $515.00 | $347.11 | 646% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $565.00 | $565.00 | $28.25–$508.50 | 718% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $990.00 | $990.00 | $667.26 | 783% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG INTACT QN | $1,009.00 | $1,009.00 | $705.29 | 799% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $1,406.00 | $1,406.00 | $947.64 | 1153% 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 | $47,097.00 | $47,097.00 | $31,743.38 | 298% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $5,860.00 | $5,860.00 | $4,096.14 | 310% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $97,685.00 | $97,685.00 | $65,839.69 | 171% 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 | $7,128.00 | $7,128.00 | $282.06–$14,612.00 | 395% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI C/T W IMAGING | $7,128.00 | $7,128.00 | $4,982.47 | 395% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ FCT L/S SGL FL/CT LT | $2,996.00 | $2,996.00 | $2,019.30 | 77% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ FCT L/S SGL FL/CT RT | $2,996.00 | $2,996.00 | $419.44–$2,696.40 | 77% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SGL | $981.00 | $981.00 | $166.77–$882.90 | 110% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US RT | $1,365.00 | $1,365.00 | $232.05–$1,228.50 | 130% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US LT | $1,365.00 | $1,365.00 | $232.05–$1,228.50 | 130% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTH JNTBRS INT WO US LT | $1,106.00 | $1,106.00 | $188.02–$995.40 | 88% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTH JNTBRS INT WO US RT | $1,106.00 | $1,106.00 | $188.02–$995.40 | 88% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ARTH JNT BRS SM WO US LT | $1,020.00 | $1,020.00 | $173.40–$918.00 | 185% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ARTH JNT BRS SM WO US RT | $1,020.00 | $1,020.00 | $687.48 | 185% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less | $1,885.00 | $1,885.00 | $153.53–$17,365.00 | 255% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WOUND CLOSURE-INTERM REP | $1,885.00 | $1,885.00 | $1,270.49 | 255% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT | $37,000.00 | $37,000.00 | $25,863.00 | 286% 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 | $7,128.00 | $7,128.00 | $282.06–$14,612.00 | 325% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI L/S W IMAGING | $7,128.00 | $7,128.00 | $997.92–$6,415.20 | 325% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 BLOCK L-SPINE SGL RT | $3,530.00 | $3,530.00 | $2,379.22 | 148% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 BLOCK L-SPINE SGL LT | $3,530.00 | $3,530.00 | $600.10–$3,177.00 | 148% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT | $77,302.00 | $77,302.00 | $52,101.55 | 307% above | — |
| Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance | $2,338.00 | $2,338.00 | $359.42–$5,947.00 | 44% above | — |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGE | $2,338.00 | $2,338.00 | $327.32–$2,104.20 | 44% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCS/REM FB SUBQ SIMPLE | $719.00 | $719.00 | $502.58 | 35% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE LUMBAR DX | $3,487.00 | $3,487.00 | $2,350.24 | 233% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal puncture, lumbar, diagnostic; | $3,487.00 | $3,487.00 | $282.06–$4,496.00 | 233% above | — |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG | $2,775.00 | $2,775.00 | $1,939.73 | 95% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) | $996.00 | $996.00 | $23.26–$5,722.00 | 73% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ S/M TRG PT 1OR2 MUS | $996.00 | $996.00 | $696.20 | 73% 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 | $2,869.00 | $2,869.00 | $1,933.71 | 226% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components | $2,869.00 | $2,869.00 | $32.98–$17,365.00 | 226% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $433.00 | $433.00 | $291.84 | 113% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $501.00 | $501.00 | $337.67 | 146% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SM VOL NEB | $581.00 | $581.00 | $391.59 | 186% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB | $702.00 | $702.00 | $490.70 | 245% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $10,758.00 | $10,758.00 | $7,250.89 | 315% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy | $3,392.00 | $3,392.00 | $57.20–$1,786.30 | 247% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $3,392.00 | $3,392.00 | $2,286.21 | 247% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $1,181.00 | $1,181.00 | $795.99 | 316% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $732.00 | $732.00 | $124.44–$658.80 | 179% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,211.00 | $1,211.00 | $205.87–$1,089.90 | 158% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $2,253.00 | $2,253.00 | $1,518.52 | 174% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $4,868.00 | $4,868.00 | $827.56–$4,381.20 | 272% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $6,970.00 | $6,970.00 | $1,184.90–$6,273.00 | 247% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $3,379.00 | $3,379.00 | $168.95–$3,041.10 | 164% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM W PT 50 MIN | $480.00 | $480.00 | $323.52 | 70% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAM WO PT 50 MIN | $480.00 | $480.00 | $335.52 | 86% above | — |
| Group psychotherapy session CPT 90853 Group psychotherapy (other than of a multiple-family group) | $764.00 | $764.00 | $19.25 | 298% above | — |
| Group psychotherapy session CPT 90853 IOP CD GRP (NOT FAMILY) | $764.00 | $764.00 | $514.94 | 298% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $814.00 | $814.00 | $548.64 | 81% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $814.00 | $814.00 | $548.64 | 74% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $316.00 | $316.00 | $15.80–$284.40 | 108% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX EVAL | $850.00 | $850.00 | $572.90 | 121% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $4,087.00 | $4,087.00 | $2,754.64 | 1831% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $5,733.00 | $5,733.00 | $974.61–$5,159.70 | 1686% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $6,258.00 | $6,258.00 | $4,217.89 | 1762% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $87.00 | $87.00 | $58.64 | 49% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $1,788.00 | $1,788.00 | $1,205.11 | 949% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $411.00 | $411.00 | $287.29 | 50% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $764.00 | $764.00 | $514.94 | 178% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $106.00 | $106.00 | $71.44 | 66% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $1,932.00 | $1,932.00 | $328.44–$1,738.80 | 845% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $2,382.00 | $2,382.00 | $404.94–$2,143.80 | 1010% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $1,679.00 | $1,679.00 | $1,131.65 | 924% above | — |
| Speech therapy session, individual CPT 92507 TX SPEECH INDIVIDUAL | $395.00 | $395.00 | $19.75–$355.50 | 82% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $900.00 | $900.00 | $629.10 | 152% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration Cardiac Catheterization | $2,141.00 | $2,141.00 | $8,328.00 | 260% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $2,141.00 | $2,141.00 | $1,496.56 | 260% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $2,141.00 | $2,141.00 | $46.51–$271.46 | 260% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $381.00 | $381.00 | $19.05–$342.90 | 60% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $2,085.00 | $2,085.00 | $281.08–$380.14 | 321% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ | $2,085.00 | $2,085.00 | $1,405.29 | 321% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $107.00 | $107.00 | $5.35–$96.30 | 125% 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 | $107.00 | $107.00 | $12.63–$44.23 | 125% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 2-3 DOSE IM | $1,020.00 | $1,020.00 | $687.48 | 47% 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 | $1,020.00 | $1,020.00 | $481.61–$651.35 | 47% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $2,092.00 | $2,092.00 | $206.94–$279.87 | 227% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX ADULT VAC IM | $2,092.00 | $2,092.00 | $104.60–$1,882.80 | 227% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $1,486.00 | $1,486.00 | $1,038.71 | 560% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $1,486.00 | $1,486.00 | $89.95–$121.65 | 560% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $340.00 | $340.00 | $237.66 | 89% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT 20MCG IM | $511.00 | $511.00 | $344.41 | 184% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $438.00 | $438.00 | $119.76–$161.96 | 194% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $438.00 | $438.00 | $306.16 | 194% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $1,233.00 | $1,233.00 | $61.65–$1,109.70 | 399% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $1,233.00 | $1,233.00 | $142.91–$193.28 | 399% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $1,258.00 | $1,258.00 | $847.89 | 255% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C 2 DOSE IM | $1,195.00 | $1,195.00 | $59.75–$1,075.50 | 97% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO VAC IM | $1,195.00 | $1,195.00 | $59.75–$1,075.50 | 97% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $853.00 | $853.00 | $574.92 | 237% 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 | $853.00 | $853.00 | $162.83–$220.23 | 237% 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 | $1,445.00 | $1,445.00 | $871.17–$1,178.22 | 46% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MAB SEASONAL 0.5MLIM | $1,445.00 | $1,445.00 | $72.25–$1,300.50 | 46% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO VAC IM | $1,020.00 | $1,020.00 | $51.00–$918.00 | 60% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $1,020.00 | $1,020.00 | $467.11–$631.75 | 60% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $2,739.00 | $2,739.00 | $1,914.56 | 167% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $3,948.00 | $3,948.00 | $2,660.95 | 284% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $367.00 | $367.00 | $247.36 | 196% 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 | $367.00 | $367.00 | $15.22–$48.20 | 196% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $721.00 | $721.00 | $485.95 | 373% 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 | $721.00 | $721.00 | $48.17–$65.14 | 373% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI VAC IM | $1,227.00 | $1,227.00 | $857.67 | 146% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use | $1,227.00 | $1,227.00 | $203.00–$274.54 | 146% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $113.00 | $113.00 | $76.16 | 51% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $113.00 | $113.00 | $76.16 | 112% above | — |