Mission Hospital McDowell
Mission Hospital McDowell in Marion, NC publishes cash prices for 204 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 194 of 202 procedures and below it for 8. By typical cash price it ranks #62 of 65 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
430 RANKIN DR, Marion, NC, 28752 Collected Sep 27, 2026 Source price file (828) 659-5000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 340087 · CMS hospital register NPI 1225513948
The price file shows no self-pay discount
For 271 of the 271 prices listed here, the cash price in Mission Hospital McDowell'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 4 actions for a hospital named Mission Hospital McDowell in Marion, NC:
- Jul 10, 2023 Warning notice
- Oct 25, 2023 Case closed
- Apr 25, 2025 Met requirements
- 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. 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 |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT | $5,578.46 | $5,578.46 | $743.05–$5,020.61 | 150% above | — |
| Abdominal X-ray, 2 views CPT 74019 ABD XR 2V | $401.63 | $401.63 | $53.50–$361.47 | 52% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $530.19 | $530.19 | $70.62–$477.17 | 93% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $530.19 | $530.19 | $70.62–$477.17 | 93% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT | $3,563.36 | $3,563.36 | $474.64–$3,207.02 | 149% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT | $3,563.36 | $3,563.36 | $474.64–$3,207.02 | 149% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $863.09 | $863.09 | $114.96–$776.78 | 103% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $3,232.22 | $3,232.22 | $430.53–$2,909.00 | 131% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD | $655.25 | $655.25 | $87.28–$589.73 | 89% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD | $655.25 | $655.25 | $87.28–$589.73 | 89% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT | $12,307.12 | $12,307.12 | $1,639.31–$11,076.41 | 333% above | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $6,203.76 | $6,203.76 | $826.34–$5,583.38 | 196% above | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $5,976.53 | $5,976.53 | $796.07–$5,378.88 | 157% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $6,203.76 | $6,203.76 | $826.34–$5,583.38 | 196% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $7,709.77 | $7,709.77 | $1,026.94–$6,938.79 | 168% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $9,585.71 | $9,585.71 | $1,276.82–$8,627.14 | 198% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $7,653.42 | $7,653.42 | $1,019.44–$6,888.08 | 101% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $4,570.92 | $4,570.92 | $608.85–$4,113.83 | 144% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $3,824.05 | $3,824.05 | $509.36–$3,441.64 | 175% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $3,959.69 | $3,959.69 | $527.43–$3,563.72 | 235% 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 | $527.43–$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 | $569.20–$3,845.92 | 175% 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 | $763.46–$5,158.53 | 195% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $3,824.05 | $3,824.05 | $509.36–$3,441.64 | 154% 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 | $568.49–$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 | $658.82–$4,451.49 | 204% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $1,966.57 | $1,966.57 | $261.95–$1,769.91 | 149% above | — |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT | $5,578.46 | $5,578.46 | $743.05–$5,020.61 | 165% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $655.25 | $655.25 | $87.28–$589.73 | 182% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $556.62 | $556.62 | $74.14–$500.96 | 198% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $435.07 | $435.07 | $57.95–$391.56 | 89% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $435.07 | $435.07 | $57.95–$391.56 | 89% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $1,382.72 | $1,382.72 | $184.18–$1,244.45 | 150% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $265.97 | $265.97 | $35.43–$239.37 | 36% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $3,824.05 | $3,824.05 | $509.36–$3,441.64 | 183% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $4,570.92 | $4,570.92 | $608.85–$4,113.83 | 184% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $484.38 | $484.38 | $102.95–$123.54 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $484.38 | $484.38 | $64.52–$435.94 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI RT | $405.13 | $405.13 | $53.96–$364.62 | 75% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI LT | $405.13 | $405.13 | $53.96–$364.62 | 75% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $1,236.73 | $1,236.73 | $164.73–$1,113.06 | 151% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $1,607.76 | $1,607.76 | $214.15–$1,446.98 | 118% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $2,058.88 | $2,058.88 | $274.24–$1,852.99 | 24% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $477.34 | $477.34 | $63.58–$429.61 | 134% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT | $477.34 | $477.34 | $63.58–$429.61 | 134% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT | $595.36 | $595.36 | $79.30–$535.82 | 125% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT | $595.36 | $595.36 | $79.30–$535.82 | 125% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO | $4,570.92 | $4,570.92 | $608.85–$4,113.83 | 224% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V | $951.18 | $951.18 | $126.70–$856.06 | 181% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT | $435.07 | $435.07 | $57.95–$391.56 | 81% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $435.07 | $435.07 | $57.95–$391.56 | 81% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $3,987.89 | $3,987.89 | $531.19–$3,589.10 | 177% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT | $435.07 | $435.07 | $57.95–$391.56 | 116% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT | $435.07 | $435.07 | $57.95–$391.56 | 116% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT | $435.07 | $435.07 | $57.95–$391.56 | 102% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT | $435.07 | $435.07 | $57.95–$391.56 | 102% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $773.28 | $773.28 | $103.00–$695.95 | 110% 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 | $662.65–$4,477.37 | 33% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $583.03 | $583.03 | $77.66–$524.73 | 117% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $583.03 | $583.03 | $77.66–$524.73 | 117% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT | $581.85 | $581.85 | $77.50–$523.66 | 74% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT | $628.40 | $628.40 | $83.70–$565.56 | 88% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT | $3,563.36 | $3,563.36 | $474.64–$3,207.02 | 184% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT | $3,563.36 | $3,563.36 | $474.64–$3,207.02 | 184% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,254.15 | $1,254.15 | $167.05–$1,128.74 | 149% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD | $285.36 | $285.36 | $38.01–$256.82 | 28% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $463.24 | $463.24 | $61.70–$416.92 | 19% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT | $374.50 | $374.50 | $49.88–$337.05 | 70% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT | $415.69 | $415.69 | $55.37–$374.12 | 89% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT | $5,432.25 | $5,432.25 | $723.58–$4,889.02 | 213% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $5,847.94 | $5,847.94 | $778.95–$5,263.15 | 204% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $5,847.94 | $5,847.94 | $778.95–$5,263.15 | 204% 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 | $8,146.61 | $8,146.61 | $1,085.13–$7,331.95 | 179% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT | $8,146.61 | $8,146.61 | $1,085.13–$7,331.95 | 179% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $6,221.37 | $6,221.37 | $828.69–$5,599.23 | 242% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $8,453.10 | $8,453.10 | $1,125.95–$7,607.79 | 226% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,781.01 | $5,781.01 | $770.03–$5,202.91 | 218% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $8,180.09 | $8,180.09 | $1,089.59–$7,362.08 | 208% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $5,913.12 | $5,913.12 | $787.63–$5,321.81 | 194% 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 | $1,116.80–$7,545.96 | 210% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $5,913.12 | $5,913.12 | $787.63–$5,321.81 | 194% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $7,105.61 | $7,105.61 | $946.47–$6,395.05 | 181% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $5,913.12 | $5,913.12 | $787.63–$5,321.81 | 204% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $8,366.79 | $8,366.79 | $1,114.46–$7,530.11 | 214% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $5,363.56 | $5,363.56 | $714.43–$4,827.20 | 216% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $5,497.42 | $5,497.42 | $732.26–$4,947.68 | 184% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $5,497.42 | $5,497.42 | $732.26–$4,947.68 | 184% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V | $1,150.23 | $1,150.23 | $153.21–$1,035.21 | 192% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST | $4,570.92 | $4,570.92 | $608.85–$4,113.83 | 174% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST | $3,824.05 | $3,824.05 | $509.36–$3,441.64 | 180% above | — |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $435.07 | $435.07 | $57.95–$391.56 | 83% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $8,583.45 | $8,583.45 | $1,143.32–$7,725.11 | 157% above | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $3,824.05 | $3,824.05 | $509.36–$3,441.64 | 175% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $741.56 | $741.56 | $98.78–$667.40 | 136% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,551.81 | $1,551.81 | $206.70–$1,396.63 | 141% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $1,335.17 | $1,335.17 | $177.84–$1,201.65 | 162% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $611.22 | $611.22 | $81.41–$550.10 | 51% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $658.78 | $658.78 | $87.75–$592.90 | 130% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT | $630.59 | $630.59 | $83.99–$567.53 | 167% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT | $630.59 | $630.59 | $83.99–$567.53 | 167% 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 | $755.36 | $755.36 | $100.61–$679.82 | 146% 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 | $838.45 | $838.45 | $111.68–$754.61 | 173% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $473.83 | $473.83 | $63.11–$426.45 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $510.82 | $510.82 | $68.04–$459.74 | 83% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $510.82 | $510.82 | $68.04–$459.74 | 83% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V | $912.42 | $912.42 | $121.53–$821.18 | 181% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V | $457.97 | $457.97 | $61.00–$412.17 | 57% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $4,887.56 | $4,887.56 | $651.02–$4,398.80 | 54% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $2,474.09 | $2,474.09 | $329.55–$2,226.68 | 88% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $875.43 | $875.43 | $116.61–$787.89 | 141% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V RT | $477.34 | $477.34 | $63.58–$429.61 | 127% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 V LT | $477.34 | $477.34 | $63.58–$429.61 | 127% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $3,824.05 | $3,824.05 | $509.36–$3,441.64 | 168% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT | $435.07 | $435.07 | $57.95–$391.56 | 128% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT | $435.07 | $435.07 | $57.95–$391.56 | 128% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,210.12 | $1,210.12 | $161.19–$1,089.11 | 146% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $1,114.98 | $1,114.98 | $148.52–$1,003.48 | 172% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,946.38 | $1,946.38 | $259.26–$1,751.74 | 193% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $1,254.15 | $1,254.15 | $167.05–$1,128.74 | 143% 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 | $165.64–$1,119.20 | 128% 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 | $165.18–$1,116.05 | 149% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT | $415.69 | $415.69 | $55.37–$374.12 | 80% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT | $415.69 | $415.69 | $55.37–$374.12 | 80% 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 | $215.30–$1,454.75 | 189% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $955.69 | $955.69 | $127.30–$860.12 | 71% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $955.69 | $955.69 | $127.30–$860.12 | 71% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $435.07 | $435.07 | $57.95–$391.56 | 142% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT | $435.07 | $435.07 | $57.95–$391.56 | 142% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $634.12 | $634.12 | $84.46–$570.71 | 177% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $634.12 | $634.12 | $84.46–$570.71 | 177% 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 | $999.73 | $999.73 | $133.16–$899.76 | 332% 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 | $1,109.69 | $1,109.69 | $147.81–$998.72 | 379% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $430.05 | $430.05 | $57.28–$387.05 | 92% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $435.07 | $435.07 | $57.95–$391.56 | 87% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $435.07 | $435.07 | $57.95–$391.56 | 87% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $391.95 | $391.95 | $52.21–$352.75 | 109% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $435.07 | $435.07 | $57.95–$391.56 | 132% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $435.07 | $435.07 | $57.95–$391.56 | 113% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $435.07 | $435.07 | $57.95–$391.56 | 113% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $530.19 | $530.19 | $70.62–$477.17 | 97% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $530.19 | $530.19 | $70.62–$477.17 | 97% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $530.19 | $530.19 | $70.62–$477.17 | 99% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $530.19 | $530.19 | $70.62–$477.17 | 99% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $477.34 | $477.34 | $63.58–$429.61 | 113% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $477.34 | $477.34 | $63.58–$429.61 | 113% 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 | $63.82–$431.20 | 68% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $841.97 | $841.97 | $112.15–$757.77 | 85% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $479.11 | $479.11 | $63.82–$431.20 | 75% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $524.91 | $524.91 | $69.92–$472.42 | 56% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $885.47 | $885.47 | $117.94–$796.92 | 196% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $587.15 | $587.15 | $78.21–$528.43 | 156% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $374.50 | $374.50 | $49.88–$337.05 | 62% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, | $2,185.29 | $2,185.29 | $54.01 | 1122% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $2,185.29 | $2,185.29 | $291.08–$1,966.76 | 1122% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $65.37 | $65.37 | $8.71–$58.83 | 682% above | — |
| Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) | $71.09 | $71.09 | $2.37–$3.32 | 155% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $71.09 | $71.09 | $9.47–$63.98 | 155% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $87.45 | $87.45 | $11.65–$78.70 | at median | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate (lactic acid) | $87.45 | $87.45 | $11.57–$16.20 | at median | — |
| Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood | $107.07 | $107.07 | $4.76–$6.66 | 172% above | — |
| Potassium blood test CPT 84132 POTASSIUM BLD | $107.07 | $107.07 | $14.26–$96.36 | 172% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $44.43 | $44.43 | $5.92–$39.99 | 23% below | — |
| Sodium blood test CPT 84295 SODIUM BLD | $155.27 | $155.27 | $20.68–$139.74 | 266% above | — |
| Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood | $155.27 | $155.27 | $4.81–$6.73 | 266% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $223.93 | $223.93 | $29.83–$201.54 | 213% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $223.93 | $223.93 | $8.20–$12.05 | 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 | $2,476.89 | $2,476.89 | $329.92–$2,229.20 | 139% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static | $509.38 | $509.38 | $10,074.00 | 105% 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 | $1,042.45 | $1,042.45 | $138.85–$938.21 | 41% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $265.33 | $265.33 | $35.34–$238.80 | 196% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,100.90 | $1,100.90 | $146.64–$990.81 | 59% 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 | $6,088.51 | $6,088.51 | $3,650.00 | 157% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $6,088.51 | $6,088.51 | $810.99–$5,479.66 | 157% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $979.16 | $979.16 | $130.42–$881.24 | 18% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $213.18 | $213.18 | $28.40–$191.86 | 14% 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 | $38.83–$262.35 | 63% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $673.79 | $673.79 | $89.75–$606.41 | 97% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $1,499.43 | $1,499.43 | $199.72–$1,349.49 | 71% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $2,492.65 | $2,492.65 | $332.02–$2,243.39 | 102% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $4,065.42 | $4,065.42 | $541.51–$3,658.88 | 142% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $608.82 | $608.82 | $81.09–$547.94 | 41% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM W PT 50 MIN | $625.31 | $625.31 | $83.29–$562.78 | 393% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAM WO PT 50 MIN | $625.31 | $625.31 | $83.29–$562.78 | 2056% above | — |
| Group psychotherapy session CPT 90853 IOP PSY GRP (NOT FAMILY) | $302.71 | $302.71 | $40.32–$272.44 | 200% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $486.95 | $486.95 | $64.86–$438.25 | 66% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $486.95 | $486.95 | $64.86–$438.25 | 101% above | — |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG | $294.99 | $294.99 | $39.29–$265.49 | 50% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $438.13 | $438.13 | $58.36–$394.32 | 377% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX EVAL | $625.35 | $625.35 | $83.30–$562.82 | 340% 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 | $436.18 | $436.18 | — | 132% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $436.18 | $436.18 | $58.10–$392.56 | 132% 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 | $143.14 | $143.14 | — | 41% below | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $143.14 | $143.14 | $19.07–$128.83 | 41% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When | $348.94 | $348.94 | — | 142% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $348.94 | $348.94 | $46.48–$314.05 | 142% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $87.27 | $87.27 | $11.62–$78.54 | 97% 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 | $87.27 | $87.27 | $30.06–$36.07 | 97% above | — |
| Psychotherapy session, 30 minutes CPT 90832 INDIV SESSION 30MIN | $302.71 | $302.71 | $40.32–$272.44 | 260% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient | $302.71 | $302.71 | $330.00 | 260% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $423.76 | $423.76 | $56.44–$381.38 | 332% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes with patient | $423.76 | $423.76 | $330.00 | 332% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 minutes with patient | $625.31 | $625.31 | $330.00 | 365% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $625.31 | $625.31 | $83.29–$562.78 | 365% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $83.79 | $83.79 | $11.16–$75.41 | 281% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $436.18 | $436.18 | $58.10–$392.56 | 130% 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 | $436.18 | $436.18 | — | 130% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $348.94 | $348.94 | $46.48–$314.05 | 58% 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 | $348.94 | $348.94 | — | 58% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $218.89 | $218.89 | $29.16–$197.00 | 7% below | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $558.00 | $558.00 | $74.33–$502.20 | 7% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $309.36 | $309.36 | $41.21–$278.42 | 41% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) | $309.36 | $309.36 | $57.14 | 41% 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 | $149.35–$1,009.13 | 482% 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 | — | 482% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 30 MCG VAC IM | $1,128.08 | $1,128.08 | $150.26–$1,015.27 | 130% 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 | — | 130% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX LIVE VAC SQ | $1,362.66 | $1,362.66 | $181.51–$1,226.39 | 348% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL < 7 YRS VAC IM | $303.57 | $303.57 | $40.44–$273.21 | 425% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VAC IM | $799.26 | $799.26 | $106.46–$719.33 | 462% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL VAC IM | $980.40 | $980.40 | $130.59–$882.36 | 467% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS VAC IM | $1,161.67 | $1,161.67 | $154.73–$1,045.50 | 633% 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 | — | 1475% 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 | $96.60–$652.67 | 1475% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 2-3 DOSE IM | $977.51 | $977.51 | $130.20–$879.76 | 156% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX ADULT VAC IM | $736.92 | $736.92 | $98.16–$663.23 | 281% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 VAQTA ADULT 1 ML VAC IM | $729.59 | $729.59 | $97.18–$656.63 | 463% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 VAQTA PED 2 DOSE VAC IM | $319.44 | $319.44 | $42.55–$287.50 | 398% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT 20MCG IM | $571.24 | $571.24 | $76.09–$514.12 | 398% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $604.03 | $604.03 | $80.46–$543.63 | 427% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use | $1,182.73 | $1,182.73 | — | 450% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPLISAV-B ADULT IM | $1,182.73 | $1,182.73 | $157.54–$1,064.46 | 450% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B PED 10MCG IM | $176.44 | $176.44 | $23.50–$158.80 | 103% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX PED 5MCG IM | $246.16 | $246.16 | $32.79–$221.54 | 183% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAXHIB 3 DOSE VAC IM | $250.13 | $250.13 | $33.32–$225.12 | 379% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB 4 DOSE VAC IM | $168.12 | $168.12 | $22.39–$151.31 | 284% 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 | — | 100% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $175.60 | $175.60 | $23.39–$158.04 | 100% above | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 IXIARO VAC IM | $2,500.50 | $2,500.50 | $333.07–$2,250.45 | 593% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $771.58 | $771.58 | $102.77–$694.42 | 342% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX LIVE VAC SQ | $771.77 | $771.77 | $102.80–$694.59 | 342% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PROQUAD LIVE VAC SQ | $2,178.34 | $2,178.34 | $290.15–$1,960.51 | 480% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $491.93 | $491.93 | $65.53–$442.74 | 131% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VAC IM | $1,314.25 | $1,314.25 | $175.06–$1,182.83 | 517% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI VAC IM | $1,491.40 | $1,491.40 | $198.65–$1,342.26 | 605% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO VAC IM | $1,802.07 | $1,802.07 | $240.04–$1,621.86 | 517% above | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 TRUMENBA VAC IM | $1,478.91 | $1,478.91 | $196.99–$1,331.02 | 340% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 VAC IM | $2,058.26 | $2,058.26 | $274.16–$1,852.43 | 418% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | $2,058.26 | $2,058.26 | — | 418% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 VAXNEUVANCE VAC IM | $1,956.99 | $1,956.99 | $260.67–$1,761.29 | 644% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use | $1,956.99 | $1,956.99 | — | 644% 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 | — | 215% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VAC IM | $2,110.48 | $2,110.48 | $281.12–$1,899.43 | 215% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $150.75 | $150.75 | $20.08–$135.68 | 36% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 IPOL VAC IMSQ | $347.98 | $347.98 | $46.35–$313.18 | 432% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 1 ML IM | $4,237.88 | $4,237.88 | $564.49–$3,814.09 | 260% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use | $4,237.88 | $4,237.88 | $1,319.13 | 260% 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 | 305% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM | $4,237.88 | $4,237.88 | $564.49–$3,814.09 | 305% above | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 AREXVY VAC IM | $2,602.64 | $2,602.64 | $346.67–$2,342.38 | 471% above | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT 1 ML VAC IM | $3,572.29 | $3,572.29 | $475.83–$3,215.06 | 392% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $3,782.73 | $3,782.73 | $503.86–$3,404.46 | 421% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX 2 DOSE VAC PO | $847.72 | $847.72 | $112.92–$762.95 | 319% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTATEQ 3 DOSE VAC PO | $619.53 | $619.53 | $82.52–$557.58 | 242% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VAC IM | $1,605.00 | $1,605.00 | $213.79–$1,444.50 | 475% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $343.25 | $343.25 | $45.72–$308.93 | 296% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $459.54 | $459.54 | $61.21–$413.59 | 420% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI VAC IM | $1,038.94 | $1,038.94 | $138.39–$935.05 | 333% above | — |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 VIVOTIF LIVE VAC PO | $147.20 | $147.20 | $19.61–$132.48 | 32% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $159.71 | $159.71 | $21.27–$143.74 | 128% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $97.75 | $97.75 | $13.02–$87.97 | 68% above | — |
| Yellow fever vaccine, live CPT 90717 YF VAX LIVE VAC SQ | $1,725.02 | $1,725.02 | $229.77–$1,552.52 | 304% above | — |