Hospital Dallas-Fort Worth-Arlington, TX

Medical City Weatherford

Medical City Weatherford in Weatherford, TX publishes cash prices for 305 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 299 of 303 procedures and below it for 4. By typical cash price it ranks #279 of 305 Texas hospitals and #78 of 82 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

713 East Anderson Street, Weatherford, TX, 76086 Collected Sep 28, 2026 Source price file (682) 582-1000

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 450203 · CMS hospital register NPI 1417471467

The price file shows no self-pay discount

For 717 of the 717 prices listed here, the cash price in Medical City Weatherford's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Medical City Weatherford in Weatherford, TX:

Feb 15, 2024 Met requirements
May 1, 2025 Met requirements

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections	$6,392.00	$6,392.00	$341.20–$401.74	122% above	—
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT	$6,392.00	$6,392.00	$447.44–$6,392.00	122% above	—
Abdominal X-ray, 2 views CPT 74019 ABD XR 2V	$976.92	$976.92	$68.38–$976.92	146% above	—
Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views	$976.92	$976.92	$154.52–$245.18	146% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT	$1,036.91	$1,036.91	$72.58–$1,036.91	175% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT	$1,036.91	$1,036.91	$72.58–$1,036.91	175% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL	$2,795.81	$2,795.81	$195.71–$2,795.81	360% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UP EXTREM W/O CONT	$5,095.48	$5,095.48	$356.68–$5,095.48	176% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT	$5,095.48	$5,095.48	$356.68–$5,095.48	176% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT	$5,095.48	$5,095.48	$356.68–$5,095.48	176% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study	$1,550.22	$1,550.22	$97.56–$816.35	209% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$1,550.22	$1,550.22	$108.52–$1,550.22	209% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$4,512.04	$4,512.04	$315.84–$4,512.04	160% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body	$4,512.04	$4,512.04	$471.74–$848.52	160% above	—
Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP	$1,261.97	$1,261.97	$88.34–$1,261.97	185% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI LT W AX COMP	$1,261.97	$1,261.97	$88.34–$1,261.97	185% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI RT W AX COMP	$1,261.97	$1,261.97	$88.34–$1,261.97	185% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US BRST UNI W AX LTD	$1,071.58	$1,071.58	$75.01–$1,071.58	188% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD	$1,071.58	$1,071.58	$75.01–$1,071.58	188% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD	$1,071.58	$1,071.58	$75.01–$1,071.58	188% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing	$16,023.88	$16,023.88	$366.00–$1,240.35	264% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT	$16,023.88	$16,023.88	$1,121.67–$16,023.88	264% above	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$8,653.83	$8,653.83	$605.77–$8,653.83	206% above	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD VIZ AI TECH	$8,653.83	$8,653.83	$605.77–$8,653.83	206% above	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK VIZ AI TECH	$8,653.83	$8,653.83	$605.77–$8,653.83	219% above	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$8,653.83	$8,653.83	$605.77–$8,653.83	219% 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	$5,006.32	$5,006.32	$341.20–$401.74	77% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$5,006.32	$5,006.32	$350.44–$5,006.32	77% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT	$10,026.77	$10,026.77	$701.87–$10,026.77	199% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT	$10,683.54	$10,683.54	$747.85–$10,683.54	175% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s)	$10,683.54	$10,683.54	$341.20–$828.27	175% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT	$11,999.86	$11,999.86	$839.99–$11,999.86	188% 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	$11,999.86	$11,999.86	$350.18–$1,630.50	188% above	—
CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s)	$5,439.43	$5,439.43	$175.06–$1,013.00	108% above	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT	$5,439.43	$5,439.43	$380.76–$5,439.43	108% above	—
CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material	$5,078.49	$5,078.49	$154.52–$245.18	148% above	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT	$5,078.49	$5,078.49	$355.49–$5,078.49	148% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material	$4,724.64	$4,724.64	$154.52–$245.18	183% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT	$4,724.64	$4,724.64	$330.72–$4,724.64	183% above	—
CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material	$5,078.49	$5,078.49	$154.52–$245.18	166% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT	$5,078.49	$5,078.49	$355.49–$5,078.49	166% above	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT	$5,481.89	$5,481.89	$383.73–$5,481.89	211% above	—
CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s)	$5,481.89	$5,481.89	$341.20–$401.74	211% 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	$5,367.25	$5,367.25	$175.06–$1,013.00	133% above	—
CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT	$5,367.25	$5,367.25	$375.71–$5,367.25	133% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$5,838.58	$5,838.58	$408.70–$5,838.58	184% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material	$5,838.58	$5,838.58	$154.52–$245.18	184% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material	$6,392.00	$6,392.00	$154.52–$245.18	203% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST	$6,392.00	$6,392.00	$447.44–$6,392.00	203% above	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$5,246.93	$5,246.93	$367.29–$5,246.93	139% above	—
CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s)	$5,246.93	$5,246.93	$341.20–$401.74	139% above	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study	$3,602.58	$3,602.58	$191.46–$929.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL	$3,602.58	$3,602.58	$252.18–$3,602.58	166% above	—
Chest CT scan without and with contrast CPT 71270 Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections	$6,392.00	$6,392.00	$341.20–$401.74	134% above	—
Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT	$6,392.00	$6,392.00	$447.44–$6,392.00	134% above	—
Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views	$976.92	$976.92	$83.86–$182.03	148% above	—
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V	$976.92	$976.92	$68.38–$976.92	148% above	—
Chest X-ray, single view CPT 71045 CHEST XRAY 1 V	$843.70	$843.70	$59.06–$843.70	160% above	—
Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view	$843.70	$843.70	$25.73–$357.55	160% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT	$1,214.80	$1,214.80	$85.04–$1,214.80	251% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT	$1,214.80	$1,214.80	$85.04–$1,214.80	251% 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	$3,603.34	$3,603.34	$154.52–$245.18	388% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM	$3,603.34	$3,603.34	$252.23–$3,603.34	388% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$802.25	$802.25	$56.16–$802.25	93% 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)	$802.25	$802.25	$154.52–$245.18	93% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material	$4,486.86	$4,486.86	$154.52–$245.18	167% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$4,486.86	$4,486.86	$314.08–$4,486.86	167% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s)	$5,006.32	$5,006.32	$341.20–$401.74	131% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$5,006.32	$5,006.32	$350.44–$5,006.32	131% above	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$1,059.43	$1,059.43	$165.73–$263.00	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI	$1,059.43	$1,059.43	$74.16–$1,059.43	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient	$1,059.43	$1,059.43	$110.13	—	—
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI	$842.27	$842.27	$58.96–$842.27	208% above	—
Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	$842.27	$842.27	$129.76–$205.70	208% above	—
Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Other Outpatient	$842.27	$842.27	$85.85	208% above	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	$3,424.36	$3,424.36	$233.52–$1,181.92	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL	$3,424.36	$3,424.36	$239.71–$3,424.36	89% above	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	$5,172.57	$5,172.57	$188.79–$929.00	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL	$5,172.57	$5,172.57	$362.08–$5,172.57	159% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP	$6,118.50	$6,118.50	$428.30–$6,118.50	161% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc	$6,118.50	$6,118.50	$372.65–$1,514.00	161% above	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT	$976.92	$976.92	$68.38–$976.92	202% above	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT	$976.92	$976.92	$68.38–$976.92	202% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT	$1,036.91	$1,036.91	$72.58–$1,036.91	171% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT	$1,036.91	$1,036.91	$72.58–$1,036.91	171% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO	$5,896.61	$5,896.61	$412.76–$5,896.61	251% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material	$5,896.61	$5,896.61	$154.52–$245.18	251% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V	$1,778.82	$1,778.82	$124.52–$1,778.82	318% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views	$1,778.82	$1,778.82	$154.52–$245.18	318% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT	$906.55	$906.55	$63.46–$906.55	141% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT	$906.55	$906.55	$63.46–$906.55	141% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB	$6,643.75	$6,643.75	$465.06–$6,643.75	315% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present;	$6,643.75	$6,643.75	$303.06–$1,369.13	315% above	—
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT	$1,046.22	$1,046.22	$73.24–$1,046.22	218% above	—
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT	$1,046.22	$1,046.22	$73.24–$1,046.22	218% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT	$906.55	$906.55	$63.46–$906.55	213% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT	$906.55	$906.55	$63.46–$906.55	213% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT	$1,683.09	$1,683.09	$117.82–$1,683.09	316% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT	$1,683.09	$1,683.09	$117.82–$1,683.09	316% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT	$1,680.24	$1,680.24	$117.62–$1,680.24	295% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT	$1,683.09	$1,683.09	$117.82–$1,683.09	296% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT	$5,095.48	$5,095.48	$356.68–$5,095.48	188% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT	$5,095.48	$5,095.48	$356.68–$5,095.48	188% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)	$3,603.34	$3,603.34	$154.52–$245.18	472% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$3,603.34	$3,603.34	$252.23–$3,603.34	472% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD	$1,016.92	$1,016.92	$71.18–$1,016.92	116% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT	$1,167.30	$1,167.30	$81.71–$1,167.30	238% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT	$1,167.30	$1,167.30	$81.71–$1,167.30	238% above	—
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s)	$7,338.14	$7,338.14	$313.62–$517.79	246% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT	$7,338.14	$7,338.14	$513.67–$7,338.14	246% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT	$9,537.01	$9,537.01	$667.59–$9,537.01	326% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT	$9,537.01	$9,537.01	$667.59–$9,537.01	326% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT	$10,548.57	$10,548.57	$738.40–$10,548.57	233% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT	$10,548.57	$10,548.57	$738.40–$10,548.57	233% above	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$8,554.03	$8,554.03	$598.78–$8,554.03	287% above	—
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)	$8,554.03	$8,554.03	$313.62–$517.79	287% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences	$8,712.62	$8,712.62	$616.10–$828.27	171% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT	$8,712.62	$8,712.62	$609.88–$8,712.62	171% above	—
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material	$9,537.01	$9,537.01	$313.62–$517.79	336% above	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$9,537.01	$9,537.01	$667.59–$9,537.01	336% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT	$9,817.05	$9,817.05	$687.19–$9,817.05	225% above	—
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences	$9,817.05	$9,817.05	$616.10–$828.27	225% above	—
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT	$9,537.01	$9,537.01	$667.59–$9,537.01	317% above	—
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	$9,537.01	$9,537.01	$313.62–$517.79	317% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar	$11,540.14	$11,540.14	$616.10–$828.27	261% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT	$11,540.14	$11,540.14	$807.81–$11,540.14	261% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT	$8,712.62	$8,712.62	$609.88–$8,712.62	307% 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	$8,712.62	$8,712.62	$313.62–$517.79	307% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical	$11,540.14	$11,540.14	$616.10–$828.27	253% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT	$11,540.14	$11,540.14	$807.81–$11,540.14	253% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT	$9,537.01	$9,537.01	$667.59–$9,537.01	311% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material	$9,537.01	$9,537.01	$313.62–$517.79	311% 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	$9,727.04	$9,727.04	$616.10–$828.27	188% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT	$9,727.04	$9,727.04	$680.89–$9,727.04	188% above	—
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)	$8,621.17	$8,621.17	$313.62–$517.79	251% above	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$8,621.17	$8,621.17	$603.48–$8,621.17	251% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT	$8,712.62	$8,712.62	$609.88–$8,712.62	288% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT	$8,712.62	$8,712.62	$609.88–$8,712.62	288% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views	$1,913.12	$1,913.12	$154.52–$245.18	251% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V	$1,913.12	$1,913.12	$133.92–$1,913.12	251% above	—
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$5,838.58	$5,838.58	$408.70–$5,838.58	185% above	—
Neck soft tissue CT scan with contrast CPT 70491 Computed tomography, soft tissue neck; with contrast material(s)	$5,838.58	$5,838.58	$341.20–$401.74	185% above	—
Neck soft tissue CT scan without contrast CPT 70490 Computed tomography, soft tissue neck; without contrast material	$5,307.80	$5,307.80	$154.52–$245.18	204% above	—
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$5,307.80	$5,307.80	$371.55–$5,307.80	204% above	—
Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue	$1,059.78	$1,059.78	$83.86–$182.03	341% above	—
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$1,059.78	$1,059.78	$74.18–$1,059.78	341% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT	$14,163.35	$14,163.35	$991.43–$14,163.35	227% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat	$14,163.35	$14,163.35	$1,623.62–$2,938.37	227% above	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$4,952.53	$4,952.53	$346.68–$4,952.53	199% above	—
Pelvic CT scan without contrast CPT 72192 Computed tomography, pelvis; without contrast material	$4,952.53	$4,952.53	$154.52–$245.18	199% 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)	$2,594.65	$2,594.65	$154.52–$245.18	437% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU	$2,594.65	$2,594.65	$181.63–$2,594.65	437% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$3,091.85	$3,091.85	$216.43–$3,091.85	259% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	$3,091.85	$3,091.85	$96.28–$502.12	259% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI	$4,296.30	$4,296.30	$300.74–$4,296.30	559% 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	$3,104.71	$3,104.71	$100.72–$390.27	405% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR	$3,104.71	$3,104.71	$217.33–$3,104.71	405% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$865.82	$865.82	$60.61–$865.82	89% above	—
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT	$1,513.05	$1,513.05	$105.91–$1,513.05	325% above	—
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT	$1,513.05	$1,513.05	$105.91–$1,513.05	325% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V RT	$2,131.72	$2,131.72	$149.22–$2,131.72	440% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V LT	$2,131.72	$2,131.72	$149.22–$2,131.72	440% above	—
Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Other Outpatient	$920.84	$920.84	$90.85	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI	$920.84	$920.84	$64.46–$920.84	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$920.84	$920.84	$84.79–$445.63	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT	$1,199.45	$1,199.45	$83.96–$1,199.45	248% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT	$1,199.45	$1,199.45	$83.96–$1,199.45	248% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V	$1,913.12	$1,913.12	$133.92–$1,913.12	354% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views	$1,913.12	$1,913.12	$83.86–$182.03	354% above	—
Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views	$1,450.19	$1,450.19	$154.52–$245.18	313% above	—
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V	$1,450.19	$1,450.19	$101.51–$1,450.19	313% above	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or	$4,289.25	$4,289.25	$411.29–$1,514.00	58% above	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG	$4,289.25	$4,289.25	$300.25–$4,289.25	58% 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	$2,086.00	$2,086.00	$154.52–$401.74	247% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V	$2,086.00	$2,086.00	$146.02–$2,086.00	247% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V RT	$1,167.30	$1,167.30	$81.71–$1,167.30	233% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V LT	$1,167.30	$1,167.30	$81.71–$1,167.30	233% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST	$6,392.00	$6,392.00	$447.44–$6,392.00	223% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Computed tomography, thoracic spine; without contrast material	$6,392.00	$6,392.00	$154.52–$245.18	223% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT	$1,052.29	$1,052.29	$73.66–$1,052.29	258% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT	$1,052.29	$1,052.29	$73.66–$1,052.29	258% above	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$3,434.74	$3,434.74	$240.43–$3,434.74	434% above	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal	$3,434.74	$3,434.74	$104.75–$477.87	434% above	—
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL	$3,434.74	$3,434.74	$240.43–$3,434.74	570% above	—
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal	$3,434.74	$3,434.74	$92.89–$502.12	570% above	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$3,603.34	$3,603.34	$252.23–$3,603.34	318% above	—
Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete	$3,603.34	$3,603.34	$154.52–$245.18	318% above	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS	$3,051.85	$3,051.85	$213.63–$3,051.85	398% above	—
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents	$3,051.85	$3,051.85	$154.52–$245.18	398% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$2,533.20	$2,533.20	$177.32–$2,533.20	302% 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	$2,533.20	$2,533.20	$104.75–$502.12	302% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study	$1,998.83	$1,998.83	$341.20–$401.74	171% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST	$1,998.83	$1,998.83	$139.92–$1,998.83	171% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT	$1,119.79	$1,119.79	$78.39–$1,119.79	219% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT	$1,119.79	$1,119.79	$78.39–$1,119.79	219% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD	$3,018.92	$3,018.92	$211.32–$3,018.92	276% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	$3,018.92	$3,018.92	$106.88–$929.00	276% above	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT	$1,095.15	$1,095.15	$76.66–$1,095.15	244% above	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT	$1,095.15	$1,095.15	$76.66–$1,095.15	244% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT	$906.55	$906.55	$63.46–$906.55	135% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT	$906.55	$906.55	$63.46–$906.55	135% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V RT	$1,147.31	$1,147.31	$80.31–$1,147.31	184% 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	$1,147.31	$1,147.31	$80.31–$1,147.31	184% above	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view	$895.83	$895.83	$83.86–$182.03	164% above	—
X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V	$895.83	$895.83	$62.71–$895.83	164% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$976.92	$976.92	$68.38–$976.92	225% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$976.92	$976.92	$68.38–$976.92	225% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT	$944.77	$944.77	$66.13–$944.77	258% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT	$944.77	$944.77	$66.13–$944.77	258% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$976.92	$976.92	$68.38–$976.92	193% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$976.92	$976.92	$68.38–$976.92	193% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT	$976.92	$976.92	$68.38–$976.92	163% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT	$976.92	$976.92	$68.38–$976.92	163% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT	$976.92	$976.92	$68.38–$976.92	150% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT	$976.92	$976.92	$68.38–$976.92	150% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT	$1,096.58	$1,096.58	$76.76–$1,096.58	272% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT	$1,096.58	$1,096.58	$76.76–$1,096.58	272% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views	$1,948.84	$1,948.84	$154.52–$245.18	317% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS	$1,948.84	$1,948.84	$136.42–$1,948.84	317% above	—
X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views	$2,114.57	$2,114.57	$52.13–$502.12	237% above	—
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS	$2,114.57	$2,114.57	$148.02–$2,114.57	237% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views	$1,280.89	$1,280.89	$154.52–$245.18	218% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS	$1,280.89	$1,280.89	$89.66–$1,280.89	218% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP	$1,443.05	$1,443.05	$101.01–$1,443.05	395% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views	$1,443.05	$1,443.05	$83.86–$182.03	395% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS	$1,513.05	$1,513.05	$105.91–$1,513.05	306% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views	$1,513.05	$1,513.05	$83.86–$182.03	306% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS	$974.07	$974.07	$68.18–$974.07	162% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V	$1,233.38	$1,233.38	$86.34–$1,233.38	276% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views	$1,233.38	$1,233.38	$83.86–$182.03	276% above	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTH QN	$1,417.60	$1,417.60	$99.23–$1,417.60	497% above	—
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Other Outpatient	$1,417.60	$1,417.60	$40.55	497% above	—
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH)	$1,417.60	$1,417.60	$38.62	497% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$613.65	$613.65	$42.96–$613.65	944% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Other Outpatient	$613.65	$613.65	$5.57	944% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT)	$613.65	$613.65	$5.30	944% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT)	$612.12	$612.12	$5.18	956% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$612.12	$612.12	$42.85–$612.12	956% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Other Outpatient	$612.12	$612.12	$5.44	956% 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	$2,324.70	$2,324.70	$47.63	500% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$2,324.70	$2,324.70	$162.73–$2,324.70	500% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Other Outpatient	$2,324.70	$2,324.70	$50.01	500% above	—
Albumin blood test CPT 82040 ALBUMIN SERUM QN	$433.30	$433.30	$30.33–$433.30	1065% above	—
Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood Other Outpatient	$433.30	$433.30	$5.20	1065% above	—
Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood	$433.30	$433.30	$4.95	1065% above	—
Aldosterone blood test CPT 82088 Aldosterone	$1,351.88	$1,351.88	$40.75	837% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE QN	$1,351.88	$1,351.88	$94.63–$1,351.88	837% above	—
Aldosterone blood test CPT 82088 Aldosterone Other Outpatient	$1,351.88	$1,351.88	$42.79	837% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline;	$556.34	$556.34	$5.18	851% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline; Other Outpatient	$556.34	$556.34	$5.44	851% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP)	$556.34	$556.34	$38.94–$556.34	851% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient	$190.29	$190.29	$5.48	586% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each	$190.29	$190.29	$5.22	586% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH	$190.29	$190.29	$13.32–$190.29	586% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM MAT	$769.55	$769.55	$53.87–$769.55	529% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM	$769.55	$769.55	$53.87–$769.55	529% above	—
Ammonia blood test CPT 82140 AMMONIA	$653.00	$653.00	$45.71–$653.00	347% above	—
Ammonia blood test CPT 82140 Ammonia	$653.00	$653.00	$14.57	347% above	—
Ammonia blood test CPT 82140 Ammonia Other Outpatient	$653.00	$653.00	$15.30	347% above	—
Amylase blood test CPT 82150 AMYLASE FL	$631.61	$631.61	$44.21–$631.61	544% above	—
Amylase blood test CPT 82150 AMYLASE	$631.61	$631.61	$44.21–$631.61	544% above	—
Amylase blood test CPT 82150 AMYLASE UR	$631.61	$631.61	$44.21–$631.61	544% above	—
Amylase blood test CPT 82150 AMYLASE ISOENZYME	$631.61	$631.61	$44.21–$631.61	544% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Other Outpatient	$670.98	$670.98	$13.60	991% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP	$670.98	$670.98	$46.97–$670.98	991% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody	$670.98	$670.98	$12.95	991% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); Other Outpatient	$707.28	$707.28	$12.69	699% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA);	$707.28	$707.28	$12.09	699% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN	$707.28	$707.28	$49.51–$707.28	699% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP QT	$76.42	$76.42	$5.35–$76.42	59% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$1,399.64	$1,399.64	$97.97–$1,399.64	652% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIRON EPIDEMI	$25.86	$25.86	$1.81–$25.86	63% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NOSE	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCHIAL	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT OTHER EXCP UR/BL/ST	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NASOPHARYNGEAL	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GASTRIC	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ABSCESS	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL SPEC	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$851.71	$851.71	$59.62–$851.71	1126% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY	$851.71	$851.71	$59.62–$851.71	1126% 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	$1,386.65	$1,386.65	$5.08–$45.64	477% above	—
Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM	$1,386.65	$1,386.65	$97.07–$1,386.65	477% above	—
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Other Outpatient	$1,386.65	$1,386.65	$8.88	477% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT FL	$518.51	$518.51	$36.30–$518.51	673% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT	$518.51	$518.51	$36.30–$518.51	673% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4	$1,792.83	$1,792.83	$125.50–$1,792.83	503% above	—
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient	$792.48	$792.48	$10.84	234% above	—
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)	$792.48	$792.48	$10.32	234% above	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$792.48	$792.48	$55.47–$792.48	234% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture Other Outpatient	$95.17	$95.17	$9.81	381% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture	$95.17	$95.17	$3.00	381% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$95.17	$95.17	$6.66–$95.17	381% above	—
Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip)	$431.39	$431.39	$3.93	871% above	—
Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) Other Outpatient	$431.39	$431.39	$4.13	871% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN	$431.39	$431.39	$30.20–$431.39	871% above	—
Blood lead test CPT 83655 LEAD URINE	$561.32	$561.32	$39.29–$561.32	958% above	—
Blood lead test CPT 83655 LEAD BLOOD	$561.32	$561.32	$39.29–$561.32	958% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Other Outpatient	$718.74	$718.74	$7.90	423% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative	$718.74	$718.74	$7.52	423% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM	$718.74	$718.74	$50.31–$718.74	423% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$367.59	$367.59	$25.73–$367.59	316% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD	$367.59	$367.59	$25.73–$367.59	316% above	—
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative	$341.22	$341.22	$3.95	480% above	—
Blood urea nitrogen (BUN) test CPT 84520 BUN	$341.22	$341.22	$23.89–$341.22	480% above	—
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative Other Outpatient	$341.22	$341.22	$4.15	480% above	—
C-peptide blood test CPT 84681 C-PEPTIDE	$398.52	$398.52	$27.90–$398.52	390% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Other Outpatient	$449.73	$449.73	$5.44	672% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$449.73	$449.73	$31.48–$449.73	672% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein;	$449.73	$449.73	$5.18	672% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP	$111.81	$111.81	$7.83–$111.81	37% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB	$667.92	$667.92	$46.75–$667.92	275% above	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN	$868.14	$868.14	$60.77–$868.14	540% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient	$868.14	$868.14	$21.85	540% above	—
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9	$868.14	$868.14	$20.81	540% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 FLUID QN	$1,076.38	$1,076.38	$75.35–$1,076.38	571% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN	$1,076.38	$1,076.38	$75.35–$1,076.38	571% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Other Outpatient	$57.61	$57.61	$53.88	35% 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	$57.61	$57.61	$51.31	35% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP	$57.61	$57.61	$4.03–$57.61	35% below	—
Calcium blood test, total CPT 82310 CALCIUM UR RANDOM QN	$166.47	$166.47	$11.65–$166.47	165% above	—
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$562.84	$562.84	$39.40–$562.84	795% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA)	$830.32	$830.32	$18.96	418% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Other Outpatient	$830.32	$830.32	$19.91	418% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$830.32	$830.32	$58.12–$830.32	418% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGG	$702.30	$702.30	$49.16–$702.30	1013% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGM	$702.30	$702.30	$49.16–$702.30	1013% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE	$559.40	$559.40	$39.16–$559.40	344% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique	$559.40	$559.40	$35.09	344% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other Outpatient	$559.40	$559.40	$36.84	344% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$836.80	$836.80	$58.58–$836.80	329% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Other Outpatient	$836.80	$836.80	$14.06	329% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)	$836.80	$836.80	$13.39	329% above	—
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	$659.51	$659.51	$6.47	591% above	—
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Other Outpatient	$659.51	$659.51	$6.79	591% above	—
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$659.51	$659.51	$46.17–$659.51	591% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Other Outpatient	$1,724.04	$1,724.04	$11.09	480% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$1,724.04	$1,724.04	$120.68–$1,724.04	480% above	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8	$1,724.04	$1,724.04	$10.56	480% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL PM	$981.24	$981.24	$68.69–$981.24	969% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL BASELINE	$981.24	$981.24	$68.69–$981.24	969% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$981.24	$981.24	$68.69–$981.24	969% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL AM	$981.24	$981.24	$68.69–$981.24	969% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL .5 HR	$1,280.71	$1,280.71	$89.65–$1,280.71	1295% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL 1 HR	$1,280.71	$1,280.71	$89.65–$1,280.71	1295% above	—
Creatine kinase (CK) blood test, total CPT 82550 CREAT KINASE (CK) TOTAL	$557.86	$557.86	$39.05–$557.86	683% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total	$557.86	$557.86	$6.51	683% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total Other Outpatient	$557.86	$557.86	$6.84	683% above	—
Creatinine blood test CPT 82565 CREATININE BLD	$503.61	$503.61	$35.25–$503.61	733% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB QL SQN	$774.52	$774.52	$54.22–$774.52	906% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG QUAL	$774.52	$774.52	$54.22–$774.52	906% above	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative	$1,127.20	$1,127.20	$10.18	544% above	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$1,127.20	$1,127.20	$78.90–$1,127.20	544% above	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Other Outpatient	$1,127.20	$1,127.20	$10.69	544% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient	$1,104.27	$1,104.27	$23.34	618% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S)	$1,104.27	$1,104.27	$13.34–$120.49	618% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$1,104.27	$1,104.27	$77.30–$1,104.27	618% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c	$1,298.01	$1,298.01	$62.14	1703% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c Other Outpatient	$1,298.01	$1,298.01	$65.25	1703% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR ANY NBR PER DOS	$1,298.01	$1,298.01	$90.86–$1,298.01	1703% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)	$923.93	$923.93	$7.01	378% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$923.93	$923.93	$64.68–$923.93	378% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Other Outpatient	$923.93	$923.93	$7.36	378% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGG QUAL	$613.65	$613.65	$42.96–$613.65	539% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGM QUAL	$613.65	$613.65	$42.96–$613.65	539% above	—
Estradiol blood test CPT 82670 Estradiol; total	$1,353.79	$1,353.79	$27.94	833% above	—
Estradiol blood test CPT 82670 Estradiol; total Other Outpatient	$1,353.79	$1,353.79	$29.34	833% above	—
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$1,353.79	$1,353.79	$94.77–$1,353.79	833% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH)	$1,182.99	$1,182.99	$18.58	639% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$1,182.99	$1,182.99	$82.81–$1,182.99	639% above	—
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient	$1,182.99	$1,182.99	$19.51	639% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient	$966.35	$966.35	$20.61	352% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$966.35	$966.35	$67.64–$966.35	352% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal	$966.35	$966.35	$19.63	352% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$751.61	$751.61	$52.61–$751.61	627% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$751.61	$751.61	$13.63	627% above	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Other Outpatient	$751.61	$751.61	$14.31	627% above	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$587.29	$587.29	$41.11–$587.29	541% above	—
Fibrinogen blood test CPT 85384 Fibrinogen; activity Other Outpatient	$587.29	$587.29	$10.21	541% above	—
Fibrinogen blood test CPT 85384 Fibrinogen; activity	$587.29	$587.29	$9.72	541% above	—
Folate (folic acid) blood test CPT 82746 Folic acid; serum	$725.23	$725.23	$8.82–$78.47	667% above	—
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER	$725.23	$725.23	$50.77–$725.23	667% above	—
Folate (folic acid) blood test CPT 82746 Folic acid; serum Other Outpatient	$725.23	$725.23	$15.44	667% above	—
Free T3 thyroid hormone test CPT 84481 T3 FREE	$899.08	$899.08	$62.94–$899.08	538% above	—
Free T3 thyroid hormone test CPT 84481 FREE T3 EQ DIALYSIS	$899.08	$899.08	$62.94–$899.08	538% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free	$618.62	$618.62	$9.02	600% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$618.62	$618.62	$43.30–$618.62	600% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Other Outpatient	$618.62	$618.62	$9.47	600% above	—
Free testosterone test CPT 84402 Testosterone; free	$1,135.60	$1,135.60	$25.47	927% above	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$1,135.60	$1,135.60	$79.49–$1,135.60	927% above	—
Free testosterone test CPT 84402 Testosterone; free Other Outpatient	$1,135.60	$1,135.60	$26.74	927% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT)	$657.98	$657.98	$4.32–$38.33	927% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$657.98	$657.98	$46.06–$657.98	927% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT) Other Outpatient	$657.98	$657.98	$7.56	927% 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)	$2,517.29	$2,517.29	$45.36	464% above	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL	$2,517.29	$2,517.29	$176.21–$2,517.29	464% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient	$1,038.56	$1,038.56	$13.51	584% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose)	$1,038.56	$1,038.56	$12.87	584% above	—
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS	$1,038.56	$1,038.56	$72.70–$1,038.56	584% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Other Outpatient	$554.42	$554.42	$36.84	292% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique	$554.42	$554.42	$35.09	292% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE	$554.42	$554.42	$38.81–$554.42	292% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM	$587.29	$587.29	$41.11–$587.29	349% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL	$587.29	$587.29	$41.11–$587.29	349% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA	$587.29	$587.29	$41.11–$587.29	349% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG	$587.29	$587.29	$41.11–$587.29	349% above	—
H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL	$896.02	$896.02	$62.72–$896.02	801% above	—
H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient	$896.02	$896.02	$15.10	801% 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	$896.02	$896.02	$14.38	801% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Other Outpatient	$2,187.15	$2,187.15	$89.36	578% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed	$2,187.15	$2,187.15	$85.10	578% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN	$2,187.15	$2,187.15	$153.10–$2,187.15	578% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Other Outpatient	$659.51	$659.51	$14.40	531% above	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL	$659.51	$659.51	$46.17–$659.51	531% above	—
HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result	$659.51	$659.51	$13.71	531% 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	$662.95	$662.95	$24.08	371% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient	$662.95	$662.95	$25.28	371% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE	$662.95	$662.95	$46.41–$662.95	371% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Other Outpatient	$1,161.59	$1,161.59	$36.84	1537% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES POOL	$1,161.59	$1,161.59	$81.31–$1,161.59	1537% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result	$1,161.59	$1,161.59	$35.09	1537% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C)	$401.98	$401.98	$9.71	337% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$401.98	$401.98	$28.14–$401.98	337% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Other Outpatient	$401.98	$401.98	$10.20	337% above	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$278.94	$278.94	$19.53–$278.94	493% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total	$725.23	$725.23	$12.05	711% above	—
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL	$725.23	$725.23	$50.77–$725.23	711% above	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Other Outpatient	$725.23	$725.23	$12.65	711% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Other Outpatient	$595.69	$595.69	$11.28	805% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb)	$595.69	$595.69	$10.74	805% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL	$595.69	$595.69	$41.70–$595.69	805% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC	$556.34	$556.34	$10.33	614% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient	$556.34	$556.34	$10.85	614% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL	$556.34	$556.34	$38.94–$556.34	614% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Other Outpatient	$961.37	$961.37	$14.98	1005% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody;	$961.37	$961.37	$14.27	1005% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL	$961.37	$961.37	$67.30–$961.37	1005% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Other Outpatient	$1,924.27	$1,924.27	$44.98	554% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN	$1,924.27	$1,924.27	$134.70–$1,924.27	554% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed	$1,924.27	$1,924.27	$42.84	554% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB QL	$520.04	$520.04	$36.40–$520.04	560% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG	$520.04	$520.04	$36.40–$520.04	560% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM	$561.32	$561.32	$39.29–$561.32	523% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG	$561.32	$561.32	$39.29–$561.32	523% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP)	$544.87	$544.87	$12.95	583% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$544.87	$544.87	$38.14–$544.87	583% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Other Outpatient	$544.87	$544.87	$13.60	583% above	—
Homocysteine blood test CPT 83090 Homocysteine	$896.02	$896.02	$17.92	497% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE QN	$896.02	$896.02	$62.72–$896.02	497% above	—
Homocysteine blood test CPT 83090 Homocysteine Other Outpatient	$896.02	$896.02	$18.82	497% above	—
Insulin blood test CPT 83525 INSULIN TOTAL	$661.42	$661.42	$46.30–$661.42	687% above	—
Insulin blood test CPT 83525 Insulin; total Other Outpatient	$661.42	$661.42	$12.00	687% above	—
Insulin blood test CPT 83525 Insulin; total	$661.42	$661.42	$11.43	687% above	—
Iron blood test (serum iron) CPT 83540 Iron	$707.28	$707.28	$6.47	713% above	—
Iron blood test (serum iron) CPT 83540 IRON	$707.28	$707.28	$49.51–$707.28	713% above	—
Iron blood test (serum iron) CPT 83540 Iron Other Outpatient	$707.28	$707.28	$6.79	713% above	—
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity	$533.41	$533.41	$8.74	444% above	—
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Other Outpatient	$533.41	$533.41	$9.18	444% above	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC)	$533.41	$533.41	$37.34–$533.41	444% above	—
Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Other Outpatient	$1,473.39	$1,473.39	$9.11	731% above	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$1,473.39	$1,473.39	$103.14–$1,473.39	731% above	—
Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i	$1,473.39	$1,473.39	$8.68	731% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Other Outpatient	$1,028.62	$1,028.62	$19.45	580% above	—
LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH)	$1,028.62	$1,028.62	$18.52	580% above	—
LH (luteinizing hormone) test CPT 83002 LH	$1,028.62	$1,028.62	$72.00–$1,028.62	580% above	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$848.27	$848.27	$59.38–$848.27	766% above	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FL	$848.27	$848.27	$59.38–$848.27	766% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) BODY FLUID	$515.08	$515.08	$36.06–$515.08	996% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD)	$516.98	$516.98	$36.19–$516.98	1000% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$661.42	$661.42	$46.30–$661.42	597% above	—
Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Other Outpatient	$1,604.83	$1,604.83	$8.58	643% 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	$1,604.83	$1,604.83	$8.17	643% above	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$1,604.83	$1,604.83	$112.34–$1,604.83	643% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL	$892.59	$892.59	$62.48–$892.59	979% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB QL	$892.59	$892.59	$62.48–$892.59	979% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL	$892.59	$892.59	$62.48–$892.59	979% above	—
Magnesium blood test CPT 83735 MAGNESIUM BLD	$523.48	$523.48	$36.64–$523.48	955% above	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$523.48	$523.48	$36.64–$523.48	955% above	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$523.48	$523.48	$36.64–$523.48	955% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$838.34	$838.34	$58.68–$838.34	2181% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$838.34	$838.34	$58.68–$838.34	2181% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE)	$625.13	$625.13	$43.76–$625.13	635% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Other Outpatient	$625.13	$625.13	$5.44	635% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening	$625.13	$625.13	$5.18	635% above	—
Mumps immunity blood test CPT 86735 MUMPS IGM QUAL	$564.36	$564.36	$39.51–$564.36	816% above	—
Mumps immunity blood test CPT 86735 MUMPS AB QUAL	$564.36	$564.36	$39.51–$564.36	816% above	—
Mumps immunity blood test CPT 86735 MUMPS IGG QUAL	$564.36	$564.36	$39.51–$564.36	816% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE	$845.21	$845.21	$59.16–$845.21	649% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free	$845.21	$845.21	$18.39	649% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Other Outpatient	$845.21	$845.21	$19.31	649% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL	$836.80	$836.80	$58.58–$836.80	836% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$2,011.39	$2,011.39	$140.80–$2,011.39	828% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH)	$2,011.39	$2,011.39	$140.80–$2,011.39	828% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$580.78	$580.78	$40.65–$580.78	974% above	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS OTHER	$439.80	$439.80	$30.79–$439.80	600% above	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD	$439.80	$439.80	$30.79–$439.80	600% above	—
Potassium blood test CPT 84132 POTASSIUM BLD	$408.46	$408.46	$28.59–$408.46	526% above	—
Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood	$408.46	$408.46	$4.76	526% above	—
Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood Other Outpatient	$408.46	$408.46	$5.00	526% above	—
Progesterone blood test CPT 84144 PROGESTERONE	$904.05	$904.05	$63.28–$904.05	686% above	—
Progesterone blood test CPT 84144 Progesterone Other Outpatient	$904.05	$904.05	$21.90	686% above	—
Progesterone blood test CPT 84144 Progesterone	$904.05	$904.05	$20.86	686% above	—
Prolactin blood test CPT 84146 PROLACTIN	$1,171.54	$1,171.54	$82.01–$1,171.54	910% above	—
Prolactin blood test CPT 84146 Prolactin	$1,171.54	$1,171.54	$19.38	910% above	—
Prolactin blood test CPT 84146 Prolactin Other Outpatient	$1,171.54	$1,171.54	$20.35	910% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$438.28	$438.28	$30.68–$438.28	828% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A AG OIA	$436.36	$436.36	$30.55–$436.36	358% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS B AG OIA	$436.36	$436.36	$30.55–$436.36	358% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A	$236.00	$236.00	$16.53	137% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Other Outpatient	$236.00	$236.00	$17.36	137% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA	$236.00	$236.00	$16.52–$236.00	137% above	—
Renin blood test CPT 84244 RENIN	$1,041.99	$1,041.99	$72.94–$1,041.99	916% above	—
Renin blood test CPT 84244 Renin	$1,041.99	$1,041.99	$21.99	916% above	—
Renin blood test CPT 84244 Renin Other Outpatient	$1,041.99	$1,041.99	$23.09	916% above	—
Rh blood typing CPT 86901 RH TYPE	$305.30	$305.30	$21.37–$305.30	374% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative	$585.76	$585.76	$5.67	963% above	—
Rheumatoid factor (RF) test CPT 86431 RA QN	$585.76	$585.76	$41.00–$585.76	963% above	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Other Outpatient	$585.76	$585.76	$5.95	963% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$648.05	$648.05	$45.36–$648.05	1232% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL	$648.05	$648.05	$45.36–$648.05	1232% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated Other Outpatient	$520.04	$520.04	$2.84	827% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO	$520.04	$520.04	$36.40–$520.04	827% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated	$520.04	$520.04	$2.70	827% above	—
Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood	$354.58	$354.58	$4.81	471% above	—
Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood Other Outpatient	$354.58	$354.58	$5.05	471% above	—
Sodium blood test CPT 84295 SODIUM BLD	$354.58	$354.58	$24.82–$354.58	471% above	—
Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID	$630.10	$630.10	$44.11–$630.10	608% above	—
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Other Outpatient	$630.10	$630.10	$9.35	608% above	—
Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification	$630.10	$630.10	$8.90	608% 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	$260.98	$260.98	$4.38	579% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC	$260.98	$260.98	$18.27–$260.98	579% 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 Other Outpatient	$260.98	$260.98	$4.60	579% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CSF	$85.17	$85.17	$5.96–$85.17	84% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$466.17	$466.17	$32.63–$466.17	906% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CONFIRM	$559.40	$559.40	$39.16–$559.40	1107% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 MHA TP CONFIRM	$559.40	$559.40	$39.16–$559.40	1107% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 TREP PALLIDUM IGM IA SQ	$702.30	$702.30	$49.16–$702.30	1416% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$466.17	$466.17	$32.63–$466.17	788% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL	$466.17	$466.17	$32.63–$466.17	788% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon	$670.98	$670.98	$61.98	228% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient	$670.98	$670.98	$65.08	228% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP	$670.98	$670.98	$46.97–$670.98	228% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Other Outpatient	$1,322.45	$1,322.45	$27.10	1205% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$1,322.45	$1,322.45	$92.57–$1,322.45	1205% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total	$1,322.45	$1,322.45	$25.81	1205% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB	$723.70	$723.70	$50.66–$723.70	709% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$723.70	$723.70	$50.66–$723.70	709% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB	$723.70	$723.70	$50.66–$723.70	709% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$1,004.16	$1,004.16	$70.29–$1,004.16	716% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Other Outpatient	$1,004.16	$1,004.16	$17.64	716% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH)	$1,004.16	$1,004.16	$16.80	716% above	—
Total IgE blood test CPT 82785 IGE	$662.95	$662.95	$46.41–$662.95	647% above	—
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE	$662.95	$662.95	$16.46	647% above	—
Total IgE blood test CPT 82785 Gammaglobulin (immunoglobulin); IgE Other Outpatient	$662.95	$662.95	$17.28	647% above	—
Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total Other Outpatient	$489.10	$489.10	$4.57	627% above	—
Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total	$489.10	$489.10	$4.35	627% above	—
Total cholesterol blood test CPT 82465 CHOLESTEROL BLD	$489.10	$489.10	$34.24–$489.10	627% above	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTAL	$613.65	$613.65	$42.96–$613.65	660% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total	$613.65	$613.65	$6.87	660% above	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Other Outpatient	$613.65	$613.65	$7.21	660% above	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3)	$963.27	$963.27	$14.18	665% above	—
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$963.27	$963.27	$67.43–$963.27	665% above	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Other Outpatient	$963.27	$963.27	$14.89	665% above	—
Transferrin blood test CPT 84466 Transferrin Other Outpatient	$603.72	$603.72	$13.40	407% above	—
Transferrin blood test CPT 84466 TRANSFERRIN	$603.72	$603.72	$42.26–$603.72	407% above	—
Transferrin blood test CPT 84466 Transferrin	$603.72	$603.72	$12.76	407% above	—
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Other Outpatient	$490.61	$490.61	$36.84	461% above	—
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE	$490.61	$490.61	$34.34–$490.61	461% above	—
Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique	$490.61	$490.61	$35.09	461% above	—
Triglycerides blood test CPT 84478 Triglycerides Other Outpatient	$779.49	$779.49	$6.03	788% above	—
Triglycerides blood test CPT 84478 Triglycerides	$779.49	$779.49	$5.74	788% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$779.49	$779.49	$54.56–$779.49	788% above	—
Troponin test, quantitative CPT 84484 Troponin, quantitative	$1,132.16	$1,132.16	$12.47	736% above	—
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$1,132.16	$1,132.16	$79.25–$1,132.16	736% above	—
Troponin test, quantitative CPT 84484 Troponin, quantitative Other Outpatient	$1,132.16	$1,132.16	$13.09	736% above	—
Uric acid blood test CPT 84550 Uric acid; blood Other Outpatient	$551.38	$551.38	$4.75	507% above	—
Uric acid blood test CPT 84550 Uric acid; blood	$551.38	$551.38	$2.71–$23.76	507% above	—
Uric acid blood test CPT 84550 URIC ACID BLD	$551.38	$551.38	$38.60–$551.38	507% above	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w	$485.64	$485.64	$3.17	350% above	—
Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO	$485.64	$485.64	$33.99–$485.64	350% above	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Other Outpatient	$485.64	$485.64	$3.33	350% above	—
Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO	$224.68	$224.68	$15.73–$224.68	348% above	—
Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR AUTO	$224.68	$224.68	$15.73–$224.68	348% above	—
Urinalysis without microscope exam, automated CPT 81003 KETONES UR AUTO	$224.68	$224.68	$15.73–$224.68	348% above	—
Urinalysis without microscope exam, manual CPT 81002 ACETONE UA MANUAL	$246.08	$246.08	$17.23–$246.08	587% above	—
Urinalysis without microscope exam, manual CPT 81002 GLUC UR QUAL MANUAL	$246.08	$246.08	$17.23–$246.08	587% above	—
Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR	$889.15	$889.15	$62.24–$889.15	540% above	—
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine	$889.15	$889.15	$8.07	540% above	—
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Other Outpatient	$889.15	$889.15	$8.47	540% above	—
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative	$564.36	$564.36	$5.78	1007% above	—
Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Other Outpatient	$564.36	$564.36	$6.07	1007% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QN	$564.36	$564.36	$39.51–$564.36	1007% above	—
Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO	$631.61	$631.61	$44.21–$631.61	643% above	—
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods	$631.61	$631.61	$8.61	643% above	—
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods Other Outpatient	$631.61	$631.61	$9.04	643% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Other Outpatient	$697.34	$697.34	$15.83	668% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12);	$697.34	$697.34	$15.08	668% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$697.34	$697.34	$48.81–$697.34	668% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH	$1,450.46	$1,450.46	$101.53–$1,450.46	1078% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1-25 W/WO FRAC	$1,371.73	$1,371.73	$96.02–$1,371.73	725% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient	$1,371.73	$1,371.73	$40.43	725% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed	$1,371.73	$1,371.73	$38.50	725% above	—
Zinc blood test CPT 84630 ZINC URINE	$626.64	$626.64	$43.86–$626.64	808% above	—
Zinc blood test CPT 84630 ZINC BLOOD	$626.64	$626.64	$43.86–$626.64	808% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT CSF	$864.70	$864.70	$60.53–$864.70	671% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR	$864.70	$864.70	$60.53–$864.70	671% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE	$1,445.48	$1,445.48	$101.18–$1,445.48	1189% 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	$18,617.01	$18,617.01	$2,513.30–$18,617.01	57% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$2,809.62	$2,809.62	$196.67–$2,809.62	96% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia; external	$2,809.62	$2,809.62	$1,089.01–$3,293.00	96% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including without Cardiac Cath	$80,095.45	$80,095.45	$5,591.00	122% above	—
Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB	$80,095.45	$80,095.45	$10,812.89–$80,095.45	122% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including with Cardiac Cath	$80,095.45	$80,095.45	$7,818.00	122% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including	$80,095.45	$80,095.45	$7,668.00–$53,131.70	122% above	—
Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT	$18,617.01	$18,617.01	$2,513.30–$18,617.01	94% above	—
Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT	$36,213.64	$36,213.64	$4,888.84–$36,213.64	91% above	—
Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular	$36,213.64	$36,213.64	$6,773.44	91% above	—
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance	$3,159.28	$3,159.28	$1,346.00–$5,773.00	94% above	—
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGE	$3,159.28	$3,159.28	$221.15–$3,159.28	94% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance	$3,159.28	$3,159.28	$3,293.00–$4,850.00	122% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG	$3,159.28	$3,159.28	$221.15–$3,159.28	122% above	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,386.00	$1,386.00	$97.02–$1,386.00	58% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components	$1,386.00	$1,386.00	$32.27–$4,850.00	58% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT POSITIVE EXP PRESS	$770.64	$770.64	$53.94–$770.64	279% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ANTIBIOTIC ADMIN	$770.64	$770.64	$53.94–$770.64	279% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST	$770.64	$770.64	$53.94–$770.64	279% above	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR	$1,424.31	$1,424.31	$99.70–$1,424.31	163% above	—
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS	$10,708.57	$10,708.57	$1,445.66–$10,708.57	313% above	—
Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes	$10,708.57	$10,708.57	$2,433.00–$6,861.00	313% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY	$1,099.95	$1,099.95	$77.00–$1,099.95	12% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy	$1,099.95	$1,099.95	$854.32–$1,662.03	12% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	$803.37	$803.37	$151.28–$1,514.00	183% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$803.37	$803.37	$56.24–$803.37	183% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT	$1,119.13	$1,119.13	$151.08–$1,119.13	327% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional	$1,119.13	$1,119.13	$51.36–$473.00	327% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ER	$1,119.13	$1,119.13	$110.12	327% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT	$1,677.68	$1,677.68	$226.49–$1,677.68	257% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT	$2,235.82	$2,235.82	$301.84–$2,235.82	171% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ER	$2,235.82	$2,235.82	$356.49	171% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making	$2,235.82	$2,235.82	$350.00–$2,931.00	171% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT	$3,350.48	$3,350.48	$452.31–$3,350.48	156% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT	$4,445.68	$4,445.68	$600.17–$4,445.68	122% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an	$3,624.95	$3,624.95	$696.02–$1,514.00	183% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$3,624.95	$3,624.95	$253.75–$3,624.95	183% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR	$760.85	$760.85	$53.26–$760.85	69% above	—
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR	$791.46	$791.46	$55.40–$791.46	69% above	—
IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG	$583.65	$583.65	$40.86–$583.65	152% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ	$281.28	$281.28	$19.69–$281.28	85% above	—
New patient office visit, about 30 minutes CPT 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us	$1,121.58	$1,121.58	$213.07–$414.52	430% above	—
New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP	$1,121.58	$1,121.58	$841.18	430% above	—
New patient office visit, about 45 minutes CPT 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh	$1,424.94	$1,424.94	$360.75–$701.81	344% above	—
New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP	$1,424.94	$1,424.94	$1,068.70	344% above	—
New patient office visit, about 60 minutes CPT 99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u	$2,103.85	$2,103.85	$470.77–$915.87	526% above	—
New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP	$2,103.85	$2,103.85	$147.27–$2,103.85	526% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP	$876.72	$876.72	$61.37–$876.72	414% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Other Outpatient	$128.70	$128.70	$31.91	123% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes	$128.70	$128.70	$29.78–$185.11	123% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN	$128.70	$128.70	$9.01–$128.70	123% above	—
Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or Other Outpatient	$466.87	$466.87	$102.92	92% above	—
Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or	$466.87	$466.87	$96.06–$497.44	92% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination Other Outpatient	$1,190.89	$1,190.89	$100.25	290% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination	$1,190.89	$1,190.89	$93.57–$462.72	290% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st	$1,190.89	$1,190.89	$93.57–$462.72	494% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st Other Outpatient	$1,190.89	$1,190.89	$100.25	494% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o	$1,190.89	$1,190.89	$93.57–$462.72	372% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o Other Outpatient	$1,190.89	$1,190.89	$100.25	372% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN	$197.61	$197.61	$13.83–$197.61	347% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin	$2,103.85	$2,103.85	$310.20–$603.48	580% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST	$2,103.85	$2,103.85	$1,577.89	580% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making	$1,121.58	$1,121.58	$142.72–$277.66	448% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST	$1,121.58	$1,121.58	$78.51–$1,121.58	448% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m	$1,424.94	$1,424.94	$220.03–$428.05	564% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST	$1,424.94	$1,424.94	$1,068.70	564% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST	$876.72	$876.72	$61.37–$876.72	435% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak	$876.72	$876.72	$71.36–$138.83	435% above	—
Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)	$455.87	$455.87	$217.00–$1,068.18	8% above	—
Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Other Outpatient	$455.87	$455.87	$232.50	8% 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	$780.58	$780.58	$380.46–$740.17	119% above	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$780.58	$780.58	$54.64–$780.58	119% above	—
Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST	$1,210.72	$1,210.72	$84.75–$1,210.72	104% above	—
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration	$1,210.72	$1,210.72	$129.83–$252.57	104% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB	$359.16	$359.16	$25.14–$359.16	51% 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	$2,895.59	$2,895.59	$380.14	484% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ	$2,895.59	$2,895.59	$2,171.69	484% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use	$117.63	$117.63	$61.12	30% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VAC <7YRS IM	$117.63	$117.63	$8.23–$117.63	30% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM	$54.90	$54.90	$3.84–$54.90	15% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX PED 5MCG IM	$109.66	$109.66	$7.68–$109.66	15% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B PED 10MCG IM	$137.64	$137.64	$9.63–$137.64	45% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Other Outpatient	$236.25	$236.25	—	58% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM	$236.25	$236.25	$16.54–$236.25	58% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use	$236.25	$236.25	$98.16–$702.63	58% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ	$1,276.73	$1,276.73	$89.37–$1,276.73	416% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use	$1,276.73	$1,276.73	$193.28	416% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient	$1,279.26	$1,279.26	—	19% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VAC IM	$1,279.26	$1,279.26	$89.55–$1,279.26	19% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use	$1,279.26	$1,279.26	$444.36	19% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ	$1,011.03	$1,011.03	$70.77–$1,011.03	300% 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	$1,011.03	$1,011.03	$133.47–$1,121.42	300% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Other Outpatient	$1,011.03	$1,011.03	—	300% above	—
Rabies vaccine, one dose CPT 90675 RABAVERT 1 ML VAC IM	$1,934.28	$1,934.28	$135.40–$1,934.28	88% above	—
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$4,662.67	$4,662.67	$326.39–$4,662.67	354% 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	$361.42	$361.42	$63.94	192% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM	$361.42	$361.42	$25.30–$361.42	192% 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	$986.04	$986.04	$65.14	547% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM	$986.04	$986.04	$739.53	547% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL	$321.44	$321.44	$22.50–$321.44	330% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL	$211.32	$211.32	$14.79–$211.32	296% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition	$211.32	$211.32	$35.67–$69.39	296% above	—

Source file: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/82-2073410_MEDICAL-CITY-WEATHERFORD_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2F9NpMuCoRStjTb2bhIy9Y6LM%3D