Angel Medical Center
Angel Medical Center in Franklin, NC publishes cash prices for 126 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 119 of 124 procedures and below it for 5. By typical cash price it ranks #57 of 59 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
124 Center Court Po Box 1209, Franklin, NC 28734 Collected Sep 27, 2026 Source price file (828) 524-8411
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 341326 · CMS hospital register
The price file shows no self-pay discount
For 217 of the 217 prices listed here, the cash price in Angel Medical Center'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 4 actions for a hospital named Angel Medical Center in Franklin, NC:
- Jun 8, 2023 Warning notice
- Sep 22, 2023 Case closed
- Apr 28, 2025 Met requirements
- May 2, 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 |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a | $823.91 | $823.91 | $55.84 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $823.91 | $823.91 | $140.06–$741.52 | 131% 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 | $863.09 | $863.09 | $61.27 | 103% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $863.09 | $863.09 | $146.73–$776.78 | 103% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $3,232.22 | $3,232.22 | $183.59 | 131% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $3,232.22 | $3,232.22 | $549.48–$2,909.00 | 131% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $6,203.76 | $6,203.76 | $1,054.64–$5,583.38 | 196% 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 | $308.91 | 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 | $850.72–$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 | $62.88–$332.91 | 55% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium | $369.90 | $369.90 | $57.35 | 55% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $7,709.77 | $7,709.77 | $1,310.66–$6,938.79 | 168% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $7,709.77 | $7,709.77 | $183.93–$275.00 | 168% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $9,585.71 | $9,585.71 | $289.24–$300.00 | 166% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $9,585.71 | $9,585.71 | $1,629.57–$8,627.14 | 166% 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 | $7,653.42 | $7,653.42 | $350.00–$366.13 | 98% 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 | $1,301.08–$6,888.08 | 98% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $4,570.92 | $4,570.92 | $289.27–$300.00 | 112% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $4,570.92 | $4,570.92 | $777.06–$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 | $650.09–$3,441.64 | 114% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $3,824.05 | $3,824.05 | $245.56–$275.00 | 114% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $3,959.69 | $3,959.69 | $211.41–$275.00 | 200% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $3,959.69 | $3,959.69 | $673.15–$3,563.72 | 200% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $3,959.69 | $3,959.69 | $198.27–$275.00 | 212% 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 | $673.15–$3,563.72 | 212% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $4,273.24 | $4,273.24 | $243.06–$300.00 | 166% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $4,273.24 | $4,273.24 | $726.45–$3,845.92 | 166% 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 | $5,731.70 | $5,731.70 | $296.93–$350.00 | 195% 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 | $974.39–$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 | $650.09–$3,441.64 | 145% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $3,824.05 | $3,824.05 | $252.93–$275.00 | 145% 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 | $725.55–$3,841.16 | 182% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $4,267.95 | $4,267.95 | $252.93–$275.00 | 182% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $4,946.10 | $4,946.10 | $840.84–$4,451.49 | 182% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $4,946.10 | $4,946.10 | $284.55–$300.00 | 182% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $2,091.18 | $2,091.18 | $160.44 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $2,091.18 | $2,091.18 | $355.50–$1,882.06 | 165% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $655.25 | $655.25 | $26.19 | 182% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $655.25 | $655.25 | $111.39–$589.73 | 182% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $556.62 | $556.62 | $17.07 | 198% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $556.62 | $556.62 | $94.63–$500.96 | 198% 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 | $1,382.72 | $1,382.72 | $100.31 | 150% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $1,382.72 | $1,382.72 | $235.06–$1,244.45 | 150% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $283.60 | $283.60 | $48.21–$255.24 | 31% below | — |
| 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 | $96.81 | 31% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $3,824.05 | $3,824.05 | $650.09–$3,441.64 | 183% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $3,824.05 | $3,824.05 | $252.93 | 183% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $4,570.92 | $4,570.92 | $777.06–$4,113.83 | 168% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $4,570.92 | $4,570.92 | $295.67 | 168% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $484.38 | $484.38 | $99.17–$147.27 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $484.38 | $484.38 | $82.34–$435.94 | — | — |
| 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 | $1,492.45 | $1,492.45 | $160.45 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $1,492.45 | $1,492.45 | $253.72–$1,343.20 | 203% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $1,789.21 | $1,789.21 | $304.17–$1,610.29 | 143% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $2,565.98 | $2,565.98 | $436.22–$2,309.38 | 53% 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 | $2,565.98 | $2,565.98 | $227.48 | 53% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $3,987.89 | $3,987.89 | $677.94–$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 | $281.79 | 177% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $773.28 | $773.28 | $131.46–$695.95 | 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 | $93.61 | 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 | $365.33 | 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 | $845.72–$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 | $213.21–$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 | $78.75–$416.92 | 37% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) | $463.24 | $463.24 | $119.81 | 37% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $6,221.37 | $6,221.37 | $400.00–$452.22 | 174% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $6,221.37 | $6,221.37 | $1,057.63–$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 | $1,437.03–$7,607.79 | 172% 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 | $8,453.10 | $8,453.10 | $500.00–$1,042.97 | 172% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,781.01 | $5,781.01 | $982.77–$5,202.91 | 155% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $5,781.01 | $5,781.01 | $400.00–$447.20 | 155% 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 | $8,180.09 | $8,180.09 | $500.00–$951.71 | 179% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $8,180.09 | $8,180.09 | $1,390.62–$7,362.08 | 179% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $5,913.12 | $5,913.12 | $400.00–$489.04 | 162% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $5,913.12 | $5,913.12 | $1,005.23–$5,321.81 | 162% 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 | $8,384.40 | $8,384.40 | $500.00–$951.71 | 186% 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 | $1,425.35–$7,545.96 | 186% 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 | $1,005.23–$5,321.81 | 180% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material | $5,913.12 | $5,913.12 | $400.00–$494.07 | 180% 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 | $1,207.95–$6,395.05 | 139% 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 | $7,105.61 | $7,105.61 | $500.00–$960.79 | 139% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $5,913.12 | $5,913.12 | $1,005.23–$5,321.81 | 160% 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 | $5,913.12 | $5,913.12 | $400.00–$452.22 | 160% 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 | $8,366.79 | $8,366.79 | $500.00–$1,042.97 | 140% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $8,366.79 | $8,366.79 | $1,422.35–$7,530.11 | 140% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $5,363.56 | $5,363.56 | $400.00–$487.31 | 207% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $5,363.56 | $5,363.56 | $911.81–$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 | $1,459.19–$7,725.11 | 133% 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 | $8,583.45 | $8,583.45 | $255.89 | 133% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $741.56 | $741.56 | $126.07–$667.40 | 111% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,551.81 | $1,551.81 | $263.81–$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 | $226.98–$1,201.65 | 141% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $611.22 | $611.22 | $103.91–$550.10 | 31% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $658.78 | $658.78 | $111.99–$592.90 | 107% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $473.83 | $473.83 | $80.55–$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 | $531.20 | 55% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $4,936.44 | $4,936.44 | $839.19–$4,442.80 | 55% 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 | $3,213.58 | $3,213.58 | $235.69 | 149% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $3,213.58 | $3,213.58 | $546.31–$2,892.22 | 149% 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 | $875.43 | $875.43 | $68.24 | 130% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $875.43 | $875.43 | $148.82–$787.89 | 130% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,210.12 | $1,210.12 | $205.72–$1,089.11 | 122% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $1,114.98 | $1,114.98 | $189.55–$1,003.48 | 146% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $1,946.38 | $1,946.38 | $103.14 | 181% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,946.38 | $1,946.38 | $330.88–$1,751.74 | 181% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $1,254.15 | $1,254.15 | $213.21–$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 | $211.41–$1,119.20 | 113% 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 | $1,240.06 | $1,240.06 | $80.86 | 139% 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 | $210.81–$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 | $274.79–$1,454.75 | 189% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $477.34 | $477.34 | $81.15–$429.61 | 112% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $477.34 | $477.34 | $23.46 | 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 | $81.45–$431.20 | 54% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $479.11 | $479.11 | $32.72 | 54% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $841.97 | $841.97 | $143.13–$757.77 | 83% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $841.97 | $841.97 | $45.08 | 83% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $479.11 | $479.11 | $81.45–$431.20 | 61% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $479.11 | $479.11 | $32.07 | 61% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $524.91 | $524.91 | $89.23–$472.42 | 47% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $982.88 | $982.88 | $30.47 | 215% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $982.88 | $982.88 | $167.09–$884.59 | 215% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $651.73 | $651.73 | $25.41 | 144% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $651.73 | $651.73 | $110.79–$586.56 | 144% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $415.69 | $415.69 | $27.31 | 52% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $415.69 | $415.69 | $70.67–$374.12 | 52% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $59.67 | $59.67 | $10.14–$53.70 | 538% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $31.06 | $31.06 | $5.28–$27.95 | 52% below | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $31.06 | $31.06 | $2.91–$8.39 | 52% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $57.19 | $57.19 | $6.42–$18.50 | 55% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $57.19 | $57.19 | $9.72–$51.47 | 55% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $88.27 | $88.27 | $15.01–$79.44 | 98% 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 | $5,129.28 | $5,129.28 | $871.98–$4,616.35 | 393% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static | $509.38 | $509.38 | $64.71–$2,800.00 | 100% 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 | $1,488.95 | $1,488.95 | $253.12–$1,340.06 | 102% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $265.33 | $265.33 | $45.11–$238.80 | 168% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,100.90 | $1,100.90 | $187.15–$990.81 | 55% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug | $1,100.90 | $1,100.90 | $151.08 | 55% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $6,088.51 | $6,088.51 | $1,035.05–$5,479.66 | 157% 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 | $165.11 | 157% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $408.47 | $408.47 | $69.44–$367.62 | 115% 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 | $408.47 | $408.47 | $15.65 | 115% 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 | $291.50 | $291.50 | $50.00 | 63% 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 | $49.55–$262.35 | 63% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | $673.79 | $673.79 | $50.00 | 90% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $673.79 | $673.79 | $114.54–$606.41 | 90% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $1,499.43 | $1,499.43 | $254.90–$1,349.49 | 67% 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 | $1,499.43 | $1,499.43 | — | 67% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $2,492.65 | $2,492.65 | — | 102% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $2,492.65 | $2,492.65 | $423.75–$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 | $691.12–$3,658.88 | 142% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | $4,065.42 | $4,065.42 | — | 142% 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 | $1,090.97 | $1,090.97 | $57.78 | 3% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,090.97 | $1,090.97 | $185.46–$981.87 | 3% 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 | $194.96–$1,032.16 | 266% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $548.10 | $548.10 | $93.18–$493.29 | 59% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $89.04 | $89.04 | $15.14–$80.14 | 13% below | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $436.18 | $436.18 | $74.15–$392.56 | 48% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $523.41 | $523.41 | $88.98–$471.07 | 115% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $610.64 | $610.64 | $103.81–$549.58 | 82% 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 | $610.64 | $610.64 | $138.49 | 82% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $261.71 | $261.71 | $44.49–$235.54 | 40% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $348.94 | $348.94 | $59.32–$314.05 | 87% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $87.27 | $87.27 | $14.84–$78.54 | 82% 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 | $14.89–$36.07 | 82% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $83.79 | $83.79 | $14.24–$75.41 | 278% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | $83.79 | $83.79 | $10.62 | 278% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $610.64 | $610.64 | $103.81–$549.58 | 70% 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 | $610.64 | $610.64 | $94.39 | 70% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $436.18 | $436.18 | $74.15–$392.56 | 44% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $523.41 | $523.41 | $88.98–$471.07 | 49% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $348.94 | $348.94 | $59.32–$314.05 | 38% 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 | $237.41 | $237.41 | $25.73 | 1% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $237.41 | $237.41 | $40.36–$213.67 | 1% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $467.81 | $467.81 | $79.53–$421.03 | 11% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $467.81 | $467.81 | $49.56 | 11% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $589.99 | $589.99 | $100.30–$530.99 | 162% 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 | $190.61–$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 | — | 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 | — | 39% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY 30 MCG VAC IM | $1,128.08 | $1,128.08 | $191.77–$1,015.27 | 39% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX LIVE VAC SQ | $1,362.66 | $1,362.66 | $231.65–$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 | $142.47 | 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 | — | 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 | $123.28–$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 | $239.29 | 480% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 2-3 DOSE IM | $2,408.21 | $2,408.21 | $409.40–$2,167.39 | 480% 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 | $112.35 | 281% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX ADULT VAC IM | $736.92 | $736.92 | $125.28–$663.23 | 281% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 VAQTA ADULT 1 ML VAC IM | $729.59 | $729.59 | $124.03–$656.63 | 460% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $729.59 | $729.59 | $58.76 | 460% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT 20MCG IM | $571.24 | $571.24 | $97.11–$514.12 | 295% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $604.03 | $604.03 | $102.69–$543.63 | 317% 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 | $60.98 | 70% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $175.60 | $175.60 | $29.85–$158.04 | 70% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $771.58 | $771.58 | $131.17–$694.42 | 252% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX LIVE VAC SQ | $771.77 | $771.77 | $131.20–$694.59 | 252% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VAC IM | $1,348.65 | $1,348.65 | $229.27–$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 | $191.75 | 496% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO VAC IM | $1,802.07 | $1,802.07 | $306.35–$1,621.86 | 496% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VAC IM | $2,110.48 | $2,110.48 | $358.78–$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 | — | 175% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $1,062.00 | $1,062.00 | $180.54–$955.80 | 311% 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 | $125.92 | 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 | $720.44–$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 with adjuvant (Arexvy), one dose for older adults CPT 90679 AREXVY VAC IM | $2,602.64 | $2,602.64 | $442.45–$2,342.38 | 219% above | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT 1 ML VAC IM | $3,572.29 | $3,572.29 | $607.29–$3,215.06 | 152% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $3,782.73 | $3,782.73 | $643.06–$3,404.46 | 167% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use | $1,605.00 | $1,605.00 | $162.01 | 457% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VAC IM | $1,605.00 | $1,605.00 | $272.85–$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 | $25.10 | 214% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $343.25 | $343.25 | $58.35–$308.93 | 214% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $459.54 | $459.54 | $78.12–$413.59 | 223% 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 | $33.22 | 223% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI VAC IM | $1,038.94 | $1,038.94 | $176.62–$935.05 | 333% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $97.75 | $97.75 | $16.62–$87.97 | 36% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $97.75 | $97.75 | $16.62–$87.97 | 63% above | — |