Mission Hospital
Mission Hospital in Asheville, NC publishes cash prices for 161 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 North Carolina median for 147 of 159 procedures and below it for 11. By typical cash price it ranks #59 of 59 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
509 BILTMORE AVE, Asheville, NC, 28801 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 207 of the 207 prices listed here, the cash price in Mission Hospital'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.
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 6 actions for a hospital named Mission Hospital in Asheville, NC:
- Jul 20, 2021 Warning notice
- Jan 12, 2022 Corrective action plan requested
- Apr 11, 2022 Case closed
- Feb 14, 2024 Warning notice
- May 20, 2024 Case closed
- May 6, 2025 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. 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 North Carolina | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $1,152.07 | $1,152.07 | $211.64–$1,036.86 | 223% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $863.09 | $863.09 | $158.55–$776.78 | 103% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $3,232.22 | $3,232.22 | $593.76–$2,909.00 | 131% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $3,232.22 | $3,232.22 | $848.52 | 131% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $6,700.05 | $6,700.05 | $1,230.80–$6,030.05 | 220% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo | $5,004.21 | $5,004.21 | $401.74 | 183% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $5,004.21 | $5,004.21 | $919.27–$4,503.79 | 183% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $369.90 | $369.90 | $67.95–$332.91 | 55% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $8,326.55 | $8,326.55 | $1,529.59–$7,493.89 | 190% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $9,585.71 | $9,585.71 | $1,760.89–$8,627.14 | 166% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $8,265.69 | $8,265.69 | $1,518.41–$7,439.12 | 114% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $4,570.92 | $4,570.92 | $839.68–$4,113.83 | 112% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $3,824.05 | $3,824.05 | $702.48–$3,441.64 | 114% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $3,959.69 | $3,959.69 | $727.40–$3,563.72 | 200% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $3,959.69 | $3,959.69 | $727.40–$3,563.72 | 212% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $4,273.24 | $4,273.24 | $784.99–$3,845.92 | 166% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $5,731.70 | $5,731.70 | $1,052.91–$5,158.53 | 195% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $4,129.97 | $4,129.97 | $758.68–$3,716.97 | 165% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $4,267.95 | $4,267.95 | $784.02–$3,841.16 | 182% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $4,946.10 | $4,946.10 | $908.60–$4,451.49 | 182% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $2,775.03 | $2,775.03 | $811.97 | 252% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $655.25 | $655.25 | $120.37–$589.73 | 182% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $556.62 | $556.62 | $102.25–$500.96 | 198% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $1,382.72 | $1,382.72 | $254.01–$1,244.45 | 150% 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) | $283.60 | $283.60 | $245.18 | 31% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $283.60 | $283.60 | $52.10–$255.24 | 31% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation | $1,430.28 | $1,430.28 | $517.79 | 159% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $1,430.28 | $1,430.28 | $262.74–$1,287.25 | 159% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $3,824.05 | $3,824.05 | $702.48–$3,441.64 | 183% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $4,936.58 | $4,936.58 | $906.85–$4,442.92 | 189% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $484.38 | $484.38 | $88.98–$435.94 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $1,911.39 | $1,911.39 | $351.12–$1,720.25 | 288% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $2,482.21 | $2,482.21 | $735.23 | 237% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $4,264.40 | $4,264.40 | $783.37–$3,837.96 | 154% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $3,987.89 | $3,987.89 | $732.58–$3,589.10 | 177% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $3,987.89 | $3,987.89 | $848.52 | 177% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $773.28 | $773.28 | $229.05 | 92% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) | $773.28 | $773.28 | $1,190.00 | 92% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a | $4,974.85 | $4,974.85 | $1,190.00 | 33% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $4,974.85 | $4,974.85 | $913.88–$4,477.37 | 33% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,254.15 | $1,254.15 | $230.39–$1,128.74 | 121% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $463.24 | $463.24 | $85.10–$416.92 | 37% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $6,221.37 | $6,221.37 | $1,142.87–$5,599.23 | 174% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $8,453.10 | $8,453.10 | $1,552.83–$7,607.79 | 172% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,781.01 | $5,781.01 | $1,061.97–$5,202.91 | 155% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $8,180.09 | $8,180.09 | $1,502.68–$7,362.08 | 179% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $5,913.12 | $5,913.12 | $1,086.24–$5,321.81 | 162% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $8,384.40 | $8,384.40 | $1,540.21–$7,545.96 | 186% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $5,327.13 | $5,327.13 | $978.59–$4,794.42 | 152% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $6,401.45 | $6,401.45 | $1,175.95–$5,761.31 | 116% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $5,913.12 | $5,913.12 | $1,086.24–$5,321.81 | 160% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $8,366.79 | $8,366.79 | $1,536.98–$7,530.11 | 140% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $5,363.56 | $5,363.56 | $985.29–$4,827.20 | 207% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $8,583.45 | $8,583.45 | $1,576.78–$7,725.11 | 133% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $158.52 | $158.52 | $29.12–$142.67 | 55% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,551.81 | $1,551.81 | $285.07–$1,396.63 | 141% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $1,441.98 | $1,441.98 | $264.89–$1,297.78 | 160% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $660.11 | $660.11 | $121.26–$594.10 | 41% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $658.78 | $658.78 | $121.02–$592.90 | 107% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $473.83 | $473.83 | $87.04–$426.45 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $4,936.44 | $4,936.44 | $1,190.00 | 55% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $4,936.44 | $4,936.44 | $906.82–$4,442.80 | 55% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $4,707.78 | $4,707.78 | $864.82–$4,237.00 | 265% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $875.43 | $875.43 | $160.82–$787.89 | 130% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,210.12 | $1,210.12 | $222.30–$1,089.11 | 122% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $1,114.98 | $1,114.98 | $204.82–$1,003.48 | 146% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $1,114.98 | $1,114.98 | $245.18 | 146% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,946.38 | $1,946.38 | $357.55–$1,751.74 | 181% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $1,254.15 | $1,254.15 | $230.39–$1,128.74 | 131% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $1,243.56 | $1,243.56 | $228.44–$1,119.20 | 113% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $1,240.06 | $1,240.06 | $227.80–$1,116.05 | 139% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $1,616.39 | $1,616.39 | $478.77 | 189% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $477.34 | $477.34 | $87.69–$429.61 | 112% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $479.11 | $479.11 | $88.01–$431.20 | 54% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $841.97 | $841.97 | $154.67–$757.77 | 83% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $479.11 | $479.11 | $88.01–$431.20 | 61% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $524.91 | $524.91 | $96.43–$472.42 | 47% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $982.88 | $982.88 | $180.56–$884.59 | 215% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $651.73 | $651.73 | $119.72–$586.56 | 144% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $415.69 | $415.69 | $76.36–$374.12 | 52% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $409.41 | $409.41 | $75.21–$368.47 | 237% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $409.41 | $409.41 | $39.26 | 237% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $65.37 | $65.37 | $12.01–$58.83 | 598% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $84.89 | $84.89 | $15.59–$76.40 | 121% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $84.89 | $84.89 | $3.93 | 121% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $31.06 | $31.06 | $5.71–$27.95 | 52% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $387.98 | $387.98 | $71.27–$349.18 | 139% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $303.09 | $303.09 | $55.68–$272.78 | 110% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $303.09 | $303.09 | $10.18 | 110% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $58.85 | $58.85 | $14.70 | 37% below | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $58.85 | $58.85 | $10.81–$52.97 | 37% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $44.78 | $44.78 | $8.23–$40.30 | 49% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $57.19 | $57.19 | $10.51–$51.47 | 55% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM OTHER | $26.15 | $26.15 | $4.80–$23.54 | 40% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $183.29 | $183.29 | $33.67–$164.96 | 318% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $170.59 | $170.59 | $31.34–$153.53 | 212% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $170.59 | $170.59 | $6.01 | 212% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $138.92 | $138.92 | $25.52–$125.03 | 211% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $174.10 | $174.10 | $31.98–$156.69 | 200% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $112.78 | $112.78 | $20.72–$101.50 | 582% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $149.56 | $149.56 | $27.47–$134.60 | 203% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UA W O MICRO MANUAL | $137.30 | $137.30 | $25.22–$123.57 | 400% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $223.93 | $223.93 | $41.14–$201.54 | 213% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $6,762.14 | $6,762.14 | $1,242.21–$6,085.93 | 551% 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 | $86,089.92 | $86,089.92 | $17,284.00–$87,116.00 | 42% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $86,089.92 | $86,089.92 | $15,814.72–$77,480.93 | 42% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single | $819.80 | $819.80 | $2,074.00–$10,074.00 | 106% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMP OR SGL | $819.80 | $819.80 | $150.60–$737.82 | 106% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $1,035.19 | $1,035.19 | $2,133.00–$10,074.00 | 147% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH JNTBRS MJR WO US | $1,035.19 | $1,035.19 | $190.16–$931.67 | 147% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SGL | $435.96 | $435.96 | $80.09–$392.36 | 114% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCS/REM FB SUBQ SIMPLE | $1,429.44 | $1,429.44 | $262.59–$1,286.50 | 233% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and removal of foreign body, subcutaneous tissues; simple | $1,429.44 | $1,429.44 | $2,074.00–$10,074.00 | 233% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $788.53 | $788.53 | $10,074.00 | 182% above | — |
| Skin biopsy, punch, one lesion CPT 11104 BX SKIN SGL LSN PUNCH | $788.53 | $788.53 | $144.85–$709.68 | 182% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN SGL LSN TANGNTL | $788.53 | $788.53 | $144.85–$709.68 | 266% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion | $788.53 | $788.53 | $2,074.00–$10,074.00 | 266% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRD SQ TISS INI 20SQCM | $1,254.01 | $1,254.01 | $230.36–$1,128.61 | 201% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less | $1,254.01 | $1,254.01 | $2,074.00–$2,894.00 | 201% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,636.72 | $1,636.72 | $300.67–$1,473.05 | 122% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $66.32 | $66.32 | $19.41 | 33% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,100.90 | $1,100.90 | $202.24–$990.81 | 55% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMP AUD THR EVAL/SP REC | $743.61 | $743.61 | $217.58 | 238% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $6,088.51 | $6,088.51 | $1,118.46–$5,479.66 | 157% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $1,459.29 | $1,459.29 | $432.24 | 78% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $408.47 | $408.47 | $119.52 | 115% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ECT WITH MONITORING | $2,511.85 | $2,511.85 | $461.43–$2,260.66 | 45% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $291.50 | $291.50 | $53.55–$262.35 | 63% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $673.79 | $673.79 | $123.78–$606.41 | 90% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $1,679.23 | $1,679.23 | $308.47–$1,511.31 | 87% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SANE FACILITY FEE | $553.35 | $553.35 | $101.65–$498.01 | 55% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $2,492.65 | $2,492.65 | $457.90–$2,243.39 | 102% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $4,552.42 | $4,552.42 | $836.28–$4,097.18 | 171% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $2,218.62 | $2,218.62 | $657.16 | 109% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM W PT 50 MIN | $97.75 | $97.75 | $28.95 | 31% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAM WO PT 50 MIN | $83.79 | $83.79 | $24.52 | at median | — |
| Group psychotherapy session CPT 90853 IOP PSY GRP (NOT FAMILY) | $518.44 | $518.44 | $95.24–$466.60 | 414% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $1,146.84 | $1,146.84 | $335.57 | 266% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,146.84 | $1,146.84 | $210.67–$1,032.16 | 234% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $266.55 | $266.55 | $78.95 | 159% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX EVAL | $625.35 | $625.35 | $185.23 | 324% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND 7-8 STDS | $1,885.19 | $1,885.19 | $346.31–$1,696.67 | 134% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $436.18 | $436.18 | $129.20 | 48% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $523.41 | $523.41 | $153.15 | 115% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $610.64 | $610.64 | $178.67 | 82% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $261.71 | $261.71 | $48.08–$235.54 | 40% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $348.94 | $348.94 | $103.36 | 87% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SANE NURSE EXAM | $775.03 | $775.03 | $142.37–$697.53 | 316% 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 | $209.47 | $209.47 | $30.06–$36.07 | 336% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $209.47 | $209.47 | $62.05 | 336% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSTST EVL PHYQHP 1STHR | $214.68 | $214.68 | $62.82 | 25% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS FIRST 60MIN | $425.09 | $425.09 | $124.38 | 288% above | — |
| Psychotherapy session, 30 minutes CPT 90832 INDIV SESSION 30MIN | $254.87 | $254.87 | $75.49 | 200% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $567.31 | $567.31 | $104.21–$510.58 | 407% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $246.12 | $246.12 | $72.01 | 77% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $129.17 | $129.17 | $23.73–$116.25 | 483% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $610.64 | $610.64 | $178.67 | 70% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $436.18 | $436.18 | $127.63 | 44% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $523.41 | $523.41 | $96.15–$471.07 | 49% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $348.94 | $348.94 | $64.10–$314.05 | 38% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $310.71 | $310.71 | $92.03 | 32% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $282.46 | $282.46 | $82.65 | 46% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $500.99 | $500.99 | $146.59 | 123% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX COVID 50MCG IM | $1,121.26 | $1,121.26 | $205.98–$1,009.13 | 338% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use | $1,121.26 | $1,121.26 | $614.27 | 338% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use | $1,128.08 | $1,128.08 | $639.81 | 39% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 30 MCG VAC IM | $1,128.08 | $1,128.08 | $207.23–$1,015.27 | 39% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX LIVE VAC SQ | $1,362.66 | $1,362.66 | $250.32–$1,226.39 | 322% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $1,362.66 | $1,362.66 | $875.48 | 322% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $725.19 | $725.19 | $88.24 | 1040% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $725.19 | $725.19 | $133.22–$652.67 | 1040% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | $2,408.21 | $2,408.21 | $1,500.09 | 480% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 2-3 DOSE IM | $2,408.21 | $2,408.21 | $442.39–$2,167.39 | 480% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX ADULT VAC IM | $736.92 | $736.92 | $135.37–$663.23 | 281% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use | $736.92 | $736.92 | $644.56 | 281% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 VAQTA ADULT 1 ML VAC IM | $729.59 | $729.59 | $134.03–$656.63 | 460% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $729.59 | $729.59 | $280.17 | 460% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT 20MCG IM | $571.24 | $571.24 | $104.94–$514.12 | 295% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $604.03 | $604.03 | $110.96–$543.63 | 317% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $175.60 | $175.60 | $32.26–$158.04 | 70% 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 | $175.60 | $175.60 | $373.01 | 70% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $771.58 | $771.58 | $141.74–$694.42 | 252% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX LIVE VAC SQ | $771.77 | $771.77 | $141.77–$694.59 | 252% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VAC IM | $1,348.65 | $1,348.65 | $247.75–$1,213.79 | 499% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use | $1,802.07 | $1,802.07 | $1,145.40 | 496% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO VAC IM | $1,802.07 | $1,802.07 | $331.04–$1,621.86 | 496% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VAC IM | $2,110.48 | $2,110.48 | $387.70–$1,899.43 | 175% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $2,110.48 | $2,110.48 | $1,189.02 | 175% 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 | $1,062.00 | $1,062.00 | $507.19 | 311% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $1,062.00 | $1,062.00 | $195.09–$955.80 | 311% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM | $4,237.88 | $4,237.88 | $778.50–$3,814.09 | 268% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $4,237.88 | $4,237.88 | $1,319.13 | 268% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $2,893.78 | $2,893.78 | $1,454.94 | 209% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO VAC IM | $2,893.78 | $2,893.78 | $531.59–$2,604.40 | 209% above | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 AREXVY VAC IM | $2,602.64 | $2,602.64 | $478.10–$2,342.38 | 219% above | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use | $2,602.64 | $2,602.64 | $1,463.99 | 219% above | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT 1 ML VAC IM | $3,572.29 | $3,572.29 | $656.23–$3,215.06 | 152% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $3,782.73 | $3,782.73 | $694.89–$3,404.46 | 167% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VAC IM | $1,605.00 | $1,605.00 | $294.84–$1,444.50 | 457% 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 | $343.25 | $343.25 | $147.25 | 214% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $343.25 | $343.25 | $63.06–$308.93 | 214% 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 | $459.54 | $459.54 | $150.02 | 223% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $459.54 | $459.54 | $84.42–$413.59 | 223% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI VAC IM | $1,038.94 | $1,038.94 | $190.85–$935.05 | 333% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use | $1,038.94 | $1,038.94 | $632.28 | 333% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $159.71 | $159.71 | $29.34–$143.74 | 122% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $159.71 | $159.71 | $29.34–$143.74 | 166% above | — |