Medical City Decatur Behavioral Health
Medical City Decatur Behavioral Health in Decatur, TX publishes cash prices for 233 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 219 of 231 procedures and below it for 12. Click a procedure to compare it with other hospitals nearby.
2000 South Fm 51, BH #1, Decatur, TX, 76234 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 692 of the 692 prices listed here, the cash price in Medical City Decatur Behavioral Health's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $936.31 | $936.31 | $65.54–$795.86 | 188% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $936.31 | $936.31 | $65.54–$795.86 | 188% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $1,220.14 | $1,220.14 | $85.41–$1,037.12 | 101% 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 Age 21+ | $1,648.97 | $1,648.97 | $107.32 | 229% 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 Age Under 21 | $1,648.97 | $1,648.97 | $109.27 | 229% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $1,648.97 | $1,648.97 | $115.43–$1,401.62 | 229% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $1,648.97 | $1,648.97 | $341.20–$401.74 | 229% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $10,387.55 | $10,387.55 | $727.13–$8,829.42 | 499% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age Under 21 | $10,387.55 | $10,387.55 | $308.74 | 499% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body Age 21+ | $10,387.55 | $10,387.55 | $303.23 | 499% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $10,387.55 | $10,387.55 | $275.66–$1,212.51 | 499% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI RT W AX COMP | $781.87 | $781.87 | $54.73–$664.59 | 77% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BRST UNI LT W AX COMP | $781.87 | $781.87 | $54.73–$664.59 | 77% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI RT W AX LTD | $597.97 | $597.97 | $41.86–$508.27 | 73% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BRST UNI LT W AX LTD | $597.97 | $597.97 | $41.86–$508.27 | 73% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing Age Under 21 | $10,324.45 | $10,324.45 | $196.07 | 264% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $10,324.45 | $10,324.45 | $722.71–$8,775.78 | 264% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing Age 21+ | $10,324.45 | $10,324.45 | $192.57 | 264% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing | $10,324.45 | $10,324.45 | $175.06–$1,013.00 | 264% 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 Age Under 21 | $10,608.99 | $10,608.99 | $196.07 | 536% 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 Age 21+ | $10,608.99 | $10,608.99 | $192.57 | 536% 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 | $10,608.99 | $10,608.99 | $341.20–$401.74 | 536% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $10,608.99 | $10,608.99 | $742.63–$9,017.64 | 536% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $487.79 | $487.79 | $34.15–$414.62 | 157% 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 | $487.79 | $487.79 | $83.86–$182.03 | 157% 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 Age Under 21 | $487.79 | $487.79 | $96.97 | 157% 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 Age 21+ | $487.79 | $487.79 | $95.24 | 157% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $11,907.71 | $11,907.71 | $833.54–$10,121.55 | 255% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material Age 21+ | $11,907.71 | $11,907.71 | $206.92 | 255% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $11,907.71 | $11,907.71 | $313.62–$517.79 | 255% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material Age Under 21 | $11,907.71 | $11,907.71 | $210.68 | 255% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $13,470.93 | $13,470.93 | $942.97–$11,450.29 | 246% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) Age 21+ | $13,470.93 | $13,470.93 | $343.29 | 246% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) Age Under 21 | $13,470.93 | $13,470.93 | $349.53 | 246% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $13,470.93 | $13,470.93 | $341.20–$828.27 | 246% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $16,912.41 | $16,912.41 | $1,183.87–$14,375.55 | 305% 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 Age 21+ | $16,912.41 | $16,912.41 | $385.20 | 305% 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 Age Under 21 | $16,912.41 | $16,912.41 | $392.20 | 305% 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 | $16,912.41 | $16,912.41 | $350.18–$1,630.50 | 305% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $9,733.08 | $9,733.08 | $175.06–$1,013.00 | 273% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $9,733.08 | $9,733.08 | $681.32–$8,273.12 | 273% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) Age Under 21 | $9,733.08 | $9,733.08 | $196.07 | 273% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) Age 21+ | $9,733.08 | $9,733.08 | $192.57 | 273% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $8,670.47 | $8,670.47 | $606.93–$7,369.90 | 324% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $8,670.47 | $8,670.47 | $154.52–$245.18 | 324% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material Age Under 21 | $8,670.47 | $8,670.47 | $117.32 | 324% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material Age 21+ | $8,670.47 | $8,670.47 | $115.23 | 324% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $5,673.52 | $5,673.52 | $104.75–$1,013.00 | 240% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material Age Under 21 | $5,673.52 | $5,673.52 | $117.32 | 240% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $5,673.52 | $5,673.52 | $397.15–$4,822.49 | 240% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material Age 21+ | $5,673.52 | $5,673.52 | $115.23 | 240% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material Age Under 21 | $5,752.27 | $5,752.27 | $117.32 | 202% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $5,752.27 | $5,752.27 | $402.66–$4,889.43 | 202% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material Age 21+ | $5,752.27 | $5,752.27 | $115.23 | 202% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $5,752.27 | $5,752.27 | $154.52–$245.18 | 202% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $7,415.63 | $7,415.63 | $519.09–$6,303.29 | 321% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $7,415.63 | $7,415.63 | $152.36–$1,013.00 | 321% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) Age Under 21 | $7,415.63 | $7,415.63 | $170.64 | 321% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) Age 21+ | $7,415.63 | $7,415.63 | $167.60 | 321% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $9,568.89 | $9,568.89 | $669.82–$8,133.56 | 315% 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 Age 21+ | $9,568.89 | $9,568.89 | $192.57 | 315% 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 | $9,568.89 | $9,568.89 | $341.20–$401.74 | 315% 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 Age Under 21 | $9,568.89 | $9,568.89 | $196.07 | 315% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $7,917.56 | $7,917.56 | $554.23–$6,729.93 | 285% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material Age 21+ | $7,917.56 | $7,917.56 | $115.23 | 285% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $7,917.56 | $7,917.56 | $154.52–$245.18 | 285% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material Age Under 21 | $7,917.56 | $7,917.56 | $117.32 | 285% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $6,330.31 | $6,330.31 | $443.12–$5,380.76 | 200% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $6,330.31 | $6,330.31 | $154.52–$245.18 | 200% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material Age 21+ | $6,330.31 | $6,330.31 | $115.23 | 200% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material Age Under 21 | $6,330.31 | $6,330.31 | $117.32 | 200% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $7,485.04 | $7,485.04 | $523.95–$6,362.28 | 240% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) Age Under 21 | $7,485.04 | $7,485.04 | $196.07 | 240% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) Age 21+ | $7,485.04 | $7,485.04 | $192.57 | 240% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $7,485.04 | $7,485.04 | $341.20–$401.74 | 240% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $2,842.10 | $2,842.10 | $191.46–$929.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study Age Under 21 | $2,842.10 | $2,842.10 | $214.44 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study Age 21+ | $2,842.10 | $2,842.10 | $210.61 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $2,842.10 | $2,842.10 | $198.95–$2,415.78 | 110% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $976.72 | $976.72 | $83.86–$182.03 | 148% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Age 21+ | $976.72 | $976.72 | $37.13 | 148% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $976.72 | $976.72 | $68.37–$830.21 | 148% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Age Under 21 | $976.72 | $976.72 | $37.80 | 148% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view Age Under 21 | $901.28 | $901.28 | $28.82 | 178% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view Age 21+ | $901.28 | $901.28 | $28.30 | 178% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $901.28 | $901.28 | $63.09–$766.09 | 178% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $901.28 | $901.28 | $83.86–$182.03 | 178% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $2,667.08 | $2,667.08 | $186.70–$2,267.02 | 261% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $1,413.21 | $1,413.21 | $98.92–$1,201.23 | 240% 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) Age Under 21 | $1,413.21 | $1,413.21 | $43.78 | 240% 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) | $1,413.21 | $1,413.21 | $154.52–$245.18 | 240% 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) Age 21+ | $1,413.21 | $1,413.21 | $43.00 | 240% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) | $839.67 | $839.67 | $83.86–$182.03 | 281% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) Age Under 21 | $839.67 | $839.67 | $35.55 | 281% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHL | $839.67 | $839.67 | $58.78–$713.72 | 281% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) Age 21+ | $839.67 | $839.67 | $34.91 | 281% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation Age 21+ | $1,741.30 | $1,741.30 | $195.54 | 152% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $1,741.30 | $1,741.30 | $121.89–$1,480.11 | 152% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation | $1,741.30 | $1,741.30 | $116.03–$471.29 | 152% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation Age Under 21 | $1,741.30 | $1,741.30 | $199.09 | 152% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $8,418.17 | $8,418.17 | $154.52–$245.18 | 401% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $8,418.17 | $8,418.17 | $589.27–$7,155.44 | 401% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material Age 21+ | $8,418.17 | $8,418.17 | $115.23 | 401% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material Age Under 21 | $8,418.17 | $8,418.17 | $117.32 | 401% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) Age Under 21 | $8,418.17 | $8,418.17 | $192.35 | 288% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $8,418.17 | $8,418.17 | $341.20–$401.74 | 288% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) Age 21+ | $8,418.17 | $8,418.17 | $188.91 | 288% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $8,418.17 | $8,418.17 | $589.27–$7,155.44 | 288% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $924.61 | $924.61 | $64.72–$785.92 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $924.61 | $924.61 | $114.33 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI RT | $1,231.95 | $1,231.95 | $86.24–$1,047.16 | 353% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI LT | $1,231.95 | $1,231.95 | $86.24–$1,047.16 | 353% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age 21+ | $2,436.27 | $2,436.27 | $256.87 | — | — |
| 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 Age Under 21 | $2,436.27 | $2,436.27 | $261.54 | — | — |
| 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 | $2,436.27 | $2,436.27 | $233.52–$1,181.92 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $2,436.27 | $2,436.27 | $170.54–$2,070.83 | 35% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study | $2,436.27 | $2,436.27 | $188.79–$929.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age Under 21 | $2,436.27 | $2,436.27 | $211.44 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age 21+ | $2,436.27 | $2,436.27 | $207.67 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $2,436.27 | $2,436.27 | $170.54–$2,070.83 | 22% 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 | $13,043.98 | $13,043.98 | $372.65–$1,514.00 | 456% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $13,043.98 | $13,043.98 | $913.08–$11,087.38 | 456% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age Under 21 | $5,769.74 | $5,769.74 | $339.43 | 260% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $5,769.74 | $5,769.74 | $403.88–$4,904.28 | 260% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $5,769.74 | $5,769.74 | $303.06–$1,369.13 | 260% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; Age 21+ | $5,769.74 | $5,769.74 | $333.37 | 260% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $867.06 | $867.06 | $60.69–$737.00 | 15% 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) | $867.06 | $867.06 | $1,927.00–$3,130.00 | 15% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a | $8,907.28 | $8,907.28 | $1,927.00–$3,130.00 | 103% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $8,907.28 | $8,907.28 | $623.51–$7,571.19 | 103% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $860.86 | $860.86 | $60.26–$731.73 | 159% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $860.86 | $860.86 | $60.26–$731.73 | 159% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) Age Under 21 | $2,449.76 | $2,449.76 | $97.68 | 289% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) Age 21+ | $2,449.76 | $2,449.76 | $95.93 | 289% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) | $2,449.76 | $2,449.76 | $87.21–$502.12 | 289% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $2,449.76 | $2,449.76 | $171.48–$2,082.30 | 289% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $1,907.06 | $1,907.06 | $133.49–$1,621.00 | 694% above | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI WO&W CON&CAD BRST BI | $1,446.71 | $1,446.71 | $101.27–$1,229.70 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf | $1,446.71 | $1,446.71 | $395.55–$635.92 | 7% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $10,799.32 | $10,799.32 | $755.95–$9,179.42 | 429% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $10,799.32 | $10,799.32 | $755.95–$9,179.42 | 429% 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 | $13,386.58 | $13,386.58 | $937.06–$11,378.59 | 378% 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 | $13,386.58 | $13,386.58 | $937.06–$11,378.59 | 378% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age 21+ | $11,807.65 | $11,807.65 | $221.99 | 435% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $11,807.65 | $11,807.65 | $313.62–$517.79 | 435% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $11,807.65 | $11,807.65 | $826.54–$10,036.50 | 435% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) Age Under 21 | $11,807.65 | $11,807.65 | $226.03 | 435% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $13,445.32 | $13,445.32 | $941.17–$11,428.52 | 318% 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 Age Under 21 | $13,445.32 | $13,445.32 | $390.32 | 318% 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 | $13,445.32 | $13,445.32 | $616.10–$828.27 | 318% 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 Age 21+ | $13,445.32 | $13,445.32 | $383.35 | 318% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $10,553.18 | $10,553.18 | $313.62–$517.79 | 382% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age Under 21 | $10,553.18 | $10,553.18 | $226.41 | 382% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material Age 21+ | $10,553.18 | $10,553.18 | $222.37 | 382% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $10,553.18 | $10,553.18 | $738.72–$8,970.20 | 382% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $14,755.72 | $14,755.72 | $1,032.90–$12,542.36 | 388% 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 Age 21+ | $14,755.72 | $14,755.72 | $360.92 | 388% 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 Age Under 21 | $14,755.72 | $14,755.72 | $367.48 | 388% 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 | $14,755.72 | $14,755.72 | $616.10–$828.27 | 388% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age Under 21 | $10,962.95 | $10,962.95 | $220.80 | 379% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $10,962.95 | $10,962.95 | $767.41–$9,318.51 | 379% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age 21+ | $10,962.95 | $10,962.95 | $216.85 | 379% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $10,962.95 | $10,962.95 | $197.14–$1,321.00 | 379% 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 | $14,722.15 | $14,722.15 | $616.10–$828.27 | 361% 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 Age Under 21 | $14,722.15 | $14,722.15 | $368.63 | 361% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $14,722.15 | $14,722.15 | $1,030.55–$12,513.83 | 361% 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 Age 21+ | $14,722.15 | $14,722.15 | $362.04 | 361% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $10,962.95 | $10,962.95 | $767.41–$9,318.51 | 412% 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 Age Under 21 | $10,962.95 | $10,962.95 | $219.68 | 412% 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 | $10,962.95 | $10,962.95 | $196.14–$1,321.00 | 412% 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 Age 21+ | $10,962.95 | $10,962.95 | $215.75 | 412% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $14,143.17 | $14,143.17 | $990.02–$12,021.69 | 333% 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 Age Under 21 | $14,143.17 | $14,143.17 | $369.36 | 333% 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 | $14,143.17 | $14,143.17 | $616.10–$828.27 | 333% 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 Age 21+ | $14,143.17 | $14,143.17 | $362.77 | 333% 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 | $10,509.84 | $10,509.84 | $313.62–$517.79 | 353% 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 Age Under 21 | $10,509.84 | $10,509.84 | $220.06 | 353% 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 Age 21+ | $10,509.84 | $10,509.84 | $216.13 | 353% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $10,509.84 | $10,509.84 | $735.69–$8,933.36 | 353% 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 | $14,491.40 | $14,491.40 | $616.10–$828.27 | 328% 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 Age 21+ | $14,491.40 | $14,491.40 | $381.88 | 328% 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 Age Under 21 | $14,491.40 | $14,491.40 | $388.82 | 328% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $14,491.40 | $14,491.40 | $1,014.40–$12,317.69 | 328% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $10,681.85 | $10,681.85 | $747.73–$9,079.57 | 335% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $10,681.85 | $10,681.85 | $313.62–$517.79 | 335% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age Under 21 | $10,681.85 | $10,681.85 | $261.49 | 335% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) Age 21+ | $10,681.85 | $10,681.85 | $256.82 | 335% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $9,820.36 | $9,820.36 | $687.43–$8,347.31 | 449% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $9,820.36 | $9,820.36 | $687.43–$8,347.31 | 449% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $14,017.45 | $14,017.45 | $981.22–$11,914.83 | 223% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat | $14,017.45 | $14,017.45 | $1,623.62–$2,938.37 | 223% 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 Age Under 21 | $14,017.45 | $14,017.45 | $490.62 | 223% 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 Age 21+ | $14,017.45 | $14,017.45 | $481.86 | 223% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $29,269.74 | $29,269.74 | $2,048.88–$24,879.28 | 522% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $1,368.27 | $1,368.27 | $95.78–$1,163.03 | 183% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) Age Under 21 | $1,368.27 | $1,368.27 | $56.88 | 183% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) Age 21+ | $1,368.27 | $1,368.27 | $55.87 | 183% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) | $1,368.27 | $1,368.27 | $50.79–$502.12 | 183% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age 21+ | $3,122.31 | $3,122.31 | $105.91 | 262% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $3,122.31 | $3,122.31 | $218.56–$2,653.96 | 262% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete Age Under 21 | $3,122.31 | $3,122.31 | $107.83 | 262% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $3,122.31 | $3,122.31 | $96.28–$502.12 | 262% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $3,145.47 | $3,145.47 | $220.18–$2,673.65 | 382% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation Age Under 21 | $3,145.47 | $3,145.47 | $117.32 | 382% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation | $3,145.47 | $3,145.47 | $154.52–$245.18 | 382% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation Age 21+ | $3,145.47 | $3,145.47 | $115.23 | 382% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | $3,189.18 | $3,189.18 | $100.72–$390.27 | 419% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation Age 21+ | $3,189.18 | $3,189.18 | $115.23 | 419% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation Age Under 21 | $3,189.18 | $3,189.18 | $117.32 | 419% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $3,189.18 | $3,189.18 | $223.24–$2,710.80 | 419% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $726.57 | $726.57 | $50.86–$617.58 | 58% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $1,121.35 | $1,121.35 | $94.31 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $1,121.35 | $1,121.35 | $78.49–$953.15 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $1,058.90 | $1,058.90 | $74.12–$900.07 | 245% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $1,058.90 | $1,058.90 | $74.12–$900.07 | 245% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $6,626.49 | $6,626.49 | $463.85–$5,632.52 | 60% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $6,626.49 | $6,626.49 | $1,927.00–$3,130.00 | 60% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $10,012.66 | $10,012.66 | $700.89–$8,510.76 | 268% 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 | $10,012.66 | $10,012.66 | $411.29–$1,514.00 | 268% 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 Age Under 21 | $1,795.81 | $1,795.81 | $139.96 | 199% 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 Age 21+ | $1,795.81 | $1,795.81 | $137.46 | 199% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $1,795.81 | $1,795.81 | $125.71–$1,526.44 | 199% 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 | $1,795.81 | $1,795.81 | $154.52–$401.74 | 199% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $1,939.23 | $1,939.23 | $104.75–$477.87 | 201% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,939.23 | $1,939.23 | $135.75–$1,648.35 | 201% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal Age 21+ | $1,939.23 | $1,939.23 | $115.23 | 201% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal Age Under 21 | $1,939.23 | $1,939.23 | $117.32 | 201% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal Age 21+ | $2,683.79 | $2,683.79 | $102.18 | 423% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal Age Under 21 | $2,683.79 | $2,683.79 | $104.04 | 423% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $2,683.79 | $2,683.79 | $154.52–$245.18 | 423% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $2,683.79 | $2,683.79 | $187.87–$2,281.22 | 423% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $3,250.91 | $3,250.91 | $227.56–$2,763.27 | 277% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete Age Under 21 | $3,250.91 | $3,250.91 | $117.32 | 277% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $3,250.91 | $3,250.91 | $154.52–$245.18 | 277% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete Age 21+ | $3,250.91 | $3,250.91 | $115.23 | 277% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $2,656.79 | $2,656.79 | $185.98–$2,258.27 | 334% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $2,656.79 | $2,656.79 | $154.52–$245.18 | 334% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents Age 21+ | $2,656.79 | $2,656.79 | $110.26 | 334% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents Age Under 21 | $2,656.79 | $2,656.79 | $112.27 | 334% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation | $2,304.44 | $2,304.44 | $154.52–$245.18 | 265% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation Age Under 21 | $2,304.44 | $2,304.44 | $117.32 | 265% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation Age 21+ | $2,304.44 | $2,304.44 | $115.23 | 265% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $2,304.44 | $2,304.44 | $161.31–$1,958.77 | 265% 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 | $2,154.17 | $2,154.17 | $341.20–$401.74 | 192% 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 Age 21+ | $2,154.17 | $2,154.17 | $135.26 | 192% 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 Age Under 21 | $2,154.17 | $2,154.17 | $137.72 | 192% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $2,154.17 | $2,154.17 | $150.79–$1,831.04 | 192% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $1,624.63 | $1,624.63 | $113.72–$1,380.94 | 102% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $1,652.66 | $1,652.66 | $115.69–$1,404.76 | 106% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $1,652.66 | $1,652.66 | $115.69–$1,404.76 | 106% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $821.78 | $821.78 | $57.52–$698.51 | 164% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $821.78 | $821.78 | $57.52–$698.51 | 164% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL UN 2-3 VIEW | $956.50 | $956.50 | $66.95–$813.02 | 153% 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 | $956.50 | $956.50 | $66.95–$813.02 | 153% 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 | $956.50 | $956.50 | $66.95–$813.02 | 153% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $939.00 | $939.00 | $65.73–$798.15 | 177% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Age Under 21 | $939.00 | $939.00 | $34.05 | 177% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Age 21+ | $939.00 | $939.00 | $33.44 | 177% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $939.00 | $939.00 | $30.40–$357.55 | 177% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $828.53 | $828.53 | $58.00–$704.25 | 193% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $828.53 | $828.53 | $58.00–$704.25 | 193% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $773.29 | $773.29 | $54.13–$657.30 | 221% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $773.29 | $773.29 | $54.13–$657.30 | 221% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $738.27 | $738.27 | $51.68–$627.53 | 156% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $738.27 | $738.27 | $51.68–$627.53 | 156% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $961.89 | $961.89 | $67.33–$817.61 | 163% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $961.89 | $961.89 | $67.33–$817.61 | 163% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $1,157.24 | $1,157.24 | $81.01–$983.65 | 264% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $1,157.24 | $1,157.24 | $81.01–$983.65 | 264% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $887.80 | $887.80 | $62.15–$754.63 | 220% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $887.80 | $887.80 | $62.15–$754.63 | 220% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views Age 21+ | $1,119.52 | $1,119.52 | $44.11 | 140% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $1,119.52 | $1,119.52 | $154.52–$245.18 | 140% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $1,119.52 | $1,119.52 | $78.37–$951.59 | 140% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views Age Under 21 | $1,119.52 | $1,119.52 | $44.91 | 140% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views Age Under 21 | $1,795.81 | $1,795.81 | $58.39 | 187% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views Age 21+ | $1,795.81 | $1,795.81 | $57.34 | 187% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $1,795.81 | $1,795.81 | $125.71–$1,526.44 | 187% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $1,795.81 | $1,795.81 | $154.52–$245.18 | 187% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,259.63 | $1,259.63 | $88.17–$1,070.69 | 212% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Age Under 21 | $1,259.63 | $1,259.63 | $37.05 | 212% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $1,259.63 | $1,259.63 | $154.52–$245.18 | 212% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Age 21+ | $1,259.63 | $1,259.63 | $36.39 | 212% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views Age Under 21 | $1,053.51 | $1,053.51 | $42.29 | 261% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views Age 21+ | $1,053.51 | $1,053.51 | $41.54 | 261% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $1,053.51 | $1,053.51 | $83.86–$182.03 | 261% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $1,053.51 | $1,053.51 | $73.75–$895.48 | 261% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views Age Under 21 | $1,079.10 | $1,079.10 | $44.53 | 189% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $1,079.10 | $1,079.10 | $75.54–$917.23 | 189% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $1,079.10 | $1,079.10 | $83.86–$182.03 | 189% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views Age 21+ | $1,079.10 | $1,079.10 | $43.74 | 189% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $990.19 | $990.19 | $69.31–$841.66 | 166% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Age 21+ | $990.19 | $990.19 | $30.87 | 166% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Age Under 21 | $990.19 | $990.19 | $31.43 | 166% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $990.19 | $990.19 | $28.06–$502.12 | 166% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $983.45 | $983.45 | $68.84–$835.93 | 200% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views Age 21+ | $983.45 | $983.45 | $36.03 | 200% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views Age Under 21 | $983.45 | $983.45 | $36.68 | 200% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $983.45 | $983.45 | $83.86–$182.03 | 200% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $515.56 | $515.56 | $36.09–$438.23 | 777% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Age Under 21 | $515.56 | $515.56 | $4.98 | 777% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Age 21+ | $515.56 | $515.56 | $4.90 | 777% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $515.56 | $515.56 | $5.30 | 777% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Age 21+ | $515.56 | $515.56 | $4.79 | 790% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $515.56 | $515.56 | $36.09–$438.23 | 790% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $515.56 | $515.56 | $5.18 | 790% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Age Under 21 | $515.56 | $515.56 | $4.87 | 790% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Age 21+ | $4,405.74 | $4,405.74 | $8.89 | 1036% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $4,405.74 | $4,405.74 | $308.40–$3,744.88 | 1036% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Age Under 21 | $4,405.74 | $4,405.74 | $9.05 | 1036% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $4,405.74 | $4,405.74 | $47.63 | 1036% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age 21+ | $181.80 | $181.80 | $4.82 | 556% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Age Under 21 | $181.80 | $181.80 | $4.91 | 556% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $181.80 | $181.80 | $12.73–$154.53 | 556% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $181.80 | $181.80 | $5.22 | 556% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age Under 21 | $1,636.18 | $1,636.18 | $12.19 | 2560% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Age 21+ | $1,636.18 | $1,636.18 | $11.97 | 2560% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $1,636.18 | $1,636.18 | $114.53–$1,390.75 | 2560% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $1,636.18 | $1,636.18 | $14.12 | 2560% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); Age Under 21 | $1,467.16 | $1,467.16 | $11.38 | 1558% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $1,467.16 | $1,467.16 | $102.70–$1,247.09 | 1558% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); Age 21+ | $1,467.16 | $1,467.16 | $11.18 | 1558% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); | $1,467.16 | $1,467.16 | $12.09 | 1558% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP QT | $121.50 | $121.50 | $8.51–$103.28 | 35% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $2,285.25 | $2,285.25 | $159.97–$1,942.46 | 1129% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Age 21+ | $1,765.42 | $1,765.42 | $10.71 | 635% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium | $1,765.42 | $1,765.42 | $8.46 | 635% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Age Under 21 | $1,765.42 | $1,765.42 | $10.91 | 635% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $1,765.42 | $1,765.42 | $123.58–$1,500.61 | 635% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTOLOGY CELL BLOCK | $2,352.00 | $2,352.00 | $164.64–$1,999.20 | 692% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $2,352.00 | $2,352.00 | $164.64–$1,999.20 | 692% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $1,116.35 | $1,116.35 | $78.14–$948.90 | 370% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age 21+ | $1,116.35 | $1,116.35 | $9.54 | 370% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $1,116.35 | $1,116.35 | $11.25 | 370% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Age Under 21 | $1,116.35 | $1,116.35 | $9.71 | 370% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $124.98 | $124.98 | $8.75–$106.23 | 531% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $646.23 | $646.23 | $4.28 | 1355% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $646.23 | $646.23 | $45.24–$549.30 | 1355% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) Age 21+ | $646.23 | $646.23 | $3.63 | 1355% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) Age Under 21 | $646.23 | $646.23 | $3.70 | 1355% above | — |
| Blood lead test CPT 83655 Lead Age Under 21 | $1,201.56 | $1,201.56 | $11.39 | 2166% above | — |
| Blood lead test CPT 83655 Lead Age 21+ | $1,201.56 | $1,201.56 | $11.19 | 2166% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $1,201.56 | $1,201.56 | $84.11–$1,021.33 | 2166% above | — |
| Blood lead test CPT 83655 Lead | $1,201.56 | $1,201.56 | $12.11 | 2166% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $894.78 | $894.78 | $8.20 | 551% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Age Under 21 | $894.78 | $894.78 | $7.08 | 551% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Age 21+ | $894.78 | $894.78 | $6.95 | 551% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL SERUM/URINE INSTR | $894.78 | $894.78 | $62.63–$760.56 | 551% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $548.24 | $548.24 | $2.99 | 521% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $548.24 | $548.24 | $38.38–$466.00 | 521% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO Age 21+ | $548.24 | $548.24 | $2.76 | 521% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO Age Under 21 | $548.24 | $548.24 | $2.81 | 521% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Age 21+ | $616.41 | $616.41 | $4.79 | 958% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $616.41 | $616.41 | $5.18 | 958% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $616.41 | $616.41 | $43.15–$523.95 | 958% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Age Under 21 | $616.41 | $616.41 | $4.87 | 958% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP | $173.20 | $173.20 | $12.12–$147.22 | 3% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $186.35 | $186.35 | $13.04–$158.40 | 5% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 IA BODY FLUID QN | $940.24 | $940.24 | $65.82–$799.20 | 593% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $940.24 | $940.24 | $65.82–$799.20 | 593% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 FLUID QN | $1,133.38 | $1,133.38 | $79.34–$963.37 | 606% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $1,133.38 | $1,133.38 | $79.34–$963.37 | 606% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $73.65 | $73.65 | $5.16–$62.60 | 17% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Age 21+ | $73.65 | $73.65 | $47.41 | 17% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Age Under 21 | $73.65 | $73.65 | $48.27 | 17% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique | $73.65 | $73.65 | $51.31 | 17% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Age Under 21 | $752.75 | $752.75 | $33.02 | 498% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Age 21+ | $752.75 | $752.75 | $32.43 | 498% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $752.75 | $752.75 | $35.09 | 498% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $752.75 | $752.75 | $52.69–$639.84 | 498% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Age 21+ | $926.04 | $926.04 | $8.43 | 375% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $926.04 | $926.04 | $64.82–$787.13 | 375% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $926.04 | $926.04 | $13.39 | 375% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Age Under 21 | $926.04 | $926.04 | $8.58 | 375% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Age Under 21 | $769.80 | $769.80 | $6.08 | 706% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $769.80 | $769.80 | $6.47 | 706% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Age 21+ | $769.80 | $769.80 | $5.97 | 706% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $769.80 | $769.80 | $53.89–$654.33 | 706% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Age 21+ | $1,764.00 | $1,764.00 | $10.36 | 494% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | $1,764.00 | $1,764.00 | $10.56 | 494% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $1,764.00 | $1,764.00 | $123.48–$1,499.40 | 494% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Age Under 21 | $1,764.00 | $1,764.00 | $10.55 | 494% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $1,136.24 | $1,136.24 | $10.18 | 549% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Age 21+ | $1,136.24 | $1,136.24 | $9.41 | 549% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Age Under 21 | $1,136.24 | $1,136.24 | $9.58 | 549% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $1,136.24 | $1,136.24 | $79.54–$965.80 | 549% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age 21+ | $1,840.69 | $1,840.69 | $20.54 | 1097% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $1,840.69 | $1,840.69 | $128.85–$1,564.59 | 1097% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $1,840.69 | $1,840.69 | $22.23 | 1097% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Age Under 21 | $1,840.69 | $1,840.69 | $20.91 | 1097% above | — |
| Estradiol blood test CPT 82670 Estradiol; total Age Under 21 | $1,032.56 | $1,032.56 | $26.29 | 611% above | — |
| Estradiol blood test CPT 82670 Estradiol; total Age 21+ | $1,032.56 | $1,032.56 | $25.82 | 611% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $1,032.56 | $1,032.56 | $72.28–$877.68 | 611% above | — |
| Estradiol blood test CPT 82670 Estradiol; total | $1,032.56 | $1,032.56 | $27.94 | 611% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age 21+ | $1,431.65 | $1,431.65 | $17.17 | 795% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $1,431.65 | $1,431.65 | $100.22–$1,216.90 | 795% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Age Under 21 | $1,431.65 | $1,431.65 | $17.48 | 795% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $1,431.65 | $1,431.65 | $20.25 | 795% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $1,431.65 | $1,431.65 | $100.22–$1,216.90 | 570% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age Under 21 | $1,431.65 | $1,431.65 | $18.47 | 570% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $1,431.65 | $1,431.65 | $16.49–$105.86 | 570% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Age 21+ | $1,431.65 | $1,431.65 | $18.14 | 570% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Age Under 21 | $656.18 | $656.18 | $12.82 | 534% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $656.18 | $656.18 | $13.63 | 534% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $656.18 | $656.18 | $45.93–$557.75 | 534% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Age 21+ | $656.18 | $656.18 | $12.60 | 534% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $366.43 | $366.43 | $16.02 | 288% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $366.43 | $366.43 | $25.65–$311.47 | 288% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum Age 21+ | $366.43 | $366.43 | $13.59 | 288% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum Age Under 21 | $366.43 | $366.43 | $13.83 | 288% above | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 EQ DIALYSIS | $867.80 | $867.80 | $60.75–$737.63 | 515% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $867.80 | $867.80 | $60.75–$737.63 | 515% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $1,035.40 | $1,035.40 | $72.48–$880.09 | 1072% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $1,035.40 | $1,035.40 | $9.02 | 1072% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age Under 21 | $1,035.40 | $1,035.40 | $8.49 | 1072% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Age 21+ | $1,035.40 | $1,035.40 | $8.34 | 1072% above | — |
| Free testosterone test CPT 84402 Testosterone; free Age 21+ | $268.43 | $268.43 | $23.53 | 143% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $268.43 | $268.43 | $18.79–$228.17 | 143% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $268.43 | $268.43 | $25.47 | 143% above | — |
| Free testosterone test CPT 84402 Testosterone; free Age Under 21 | $268.43 | $268.43 | $23.96 | 143% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL | $3,704.12 | $3,704.12 | $2,778.09 | 729% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) | $3,704.12 | $3,704.12 | $45.36 | 729% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $752.75 | $752.75 | $52.69–$639.84 | 432% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Age Under 21 | $752.75 | $752.75 | $33.02 | 432% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Age 21+ | $752.75 | $752.75 | $32.43 | 432% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $752.75 | $752.75 | $38.25 | 432% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $590.84 | $590.84 | $41.36–$502.21 | 352% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $590.84 | $590.84 | $41.36–$502.21 | 352% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $590.84 | $590.84 | $41.36–$502.21 | 352% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $2,181.57 | $2,181.57 | $152.71–$1,854.33 | 2094% above | — |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ | $2,181.57 | $2,181.57 | $13.29 | 2094% above | — |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $2,181.57 | $2,181.57 | $14.38 | 2094% above | — |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 | $2,181.57 | $2,181.57 | $13.53 | 2094% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $2,376.35 | $2,376.35 | $166.34–$2,019.90 | 637% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 DNA QN | $2,566.46 | $2,566.46 | $179.65–$2,181.49 | 696% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Age 21+ | $1,259.80 | $1,259.80 | $12.67 | 1106% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result Age Under 21 | $1,259.80 | $1,259.80 | $12.90 | 1106% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $1,259.80 | $1,259.80 | $88.19–$1,070.83 | 1106% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $1,259.80 | $1,259.80 | $13.71 | 1106% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $194.03 | $194.03 | $13.58–$164.93 | 38% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 | $194.03 | $194.03 | $22.66 | 38% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ | $194.03 | $194.03 | $22.25 | 38% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $194.03 | $194.03 | $24.08 | 38% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $1,012.66 | $1,012.66 | $70.89–$860.76 | 1000% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $1,012.66 | $1,012.66 | $70.89–$860.76 | 1000% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Age Under 21 | $995.62 | $995.62 | $10.10 | 1413% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Age 21+ | $995.62 | $995.62 | $9.92 | 1413% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $995.62 | $995.62 | $69.69–$846.28 | 1413% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $995.62 | $995.62 | $11.71 | 1413% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age 21+ | $995.62 | $995.62 | $9.55 | 1177% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Age Under 21 | $995.62 | $995.62 | $9.72 | 1177% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $995.62 | $995.62 | $10.33 | 1177% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $995.62 | $995.62 | $69.69–$846.28 | 1177% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $1,062.37 | $1,062.37 | $15.55 | 1121% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $1,062.37 | $1,062.37 | $74.37–$903.01 | 1121% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Age 21+ | $1,062.37 | $1,062.37 | $13.19 | 1121% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Age Under 21 | $1,062.37 | $1,062.37 | $13.43 | 1121% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $4,688.38 | $4,688.38 | $328.19–$3,985.12 | 1493% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed | $4,688.38 | $4,688.38 | $42.84 | 1493% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Age 21+ | $4,688.38 | $4,688.38 | $39.59 | 1493% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Age Under 21 | $4,688.38 | $4,688.38 | $40.31 | 1493% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 Age 21+ | $629.19 | $629.19 | $12.19 | 698% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 | $629.19 | $629.19 | $14.38 | 698% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 Age Under 21 | $629.19 | $629.19 | $12.41 | 698% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $629.19 | $629.19 | $44.04–$534.81 | 698% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 Age Under 21 | $629.19 | $629.19 | $18.20 | 598% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $629.19 | $629.19 | $44.04–$534.81 | 598% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 Age 21+ | $629.19 | $629.19 | $17.88 | 598% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 | $629.19 | $629.19 | $21.09 | 598% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $616.41 | $616.41 | $43.15–$523.95 | 673% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) | $616.41 | $616.41 | $12.95 | 673% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age Under 21 | $616.41 | $616.41 | $12.19 | 673% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Age 21+ | $616.41 | $616.41 | $11.97 | 673% above | — |
| Homocysteine blood test CPT 83090 Homocysteine | $921.77 | $921.77 | $17.92 | 515% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $921.77 | $921.77 | $64.52–$783.50 | 515% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Age 21+ | $921.77 | $921.77 | $16.56 | 515% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Age Under 21 | $921.77 | $921.77 | $16.86 | 515% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $610.72 | $610.72 | $42.75–$519.11 | 627% above | — |
| Insulin blood test CPT 83525 Insulin; total | $610.72 | $610.72 | $11.43 | 627% above | — |
| Insulin blood test CPT 83525 Insulin; total Age 21+ | $610.72 | $610.72 | $10.56 | 627% above | — |
| Insulin blood test CPT 83525 Insulin; total Age Under 21 | $610.72 | $610.72 | $10.75 | 627% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $629.19 | $629.19 | $44.04–$534.81 | 623% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $308.20 | $308.20 | $8.74 | 214% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC) | $308.20 | $308.20 | $21.57–$261.97 | 214% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age Under 21 | $308.20 | $308.20 | $8.22 | 214% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Age 21+ | $308.20 | $308.20 | $8.07 | 214% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Age 21+ | $1,815.13 | $1,815.13 | $6.61 | 923% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $1,815.13 | $1,815.13 | $127.06–$1,542.86 | 923% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Age Under 21 | $1,815.13 | $1,815.13 | $6.73 | 923% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i | $1,815.13 | $1,815.13 | $8.68 | 923% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Age 21+ | $656.18 | $656.18 | $17.12 | 334% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Age Under 21 | $656.18 | $656.18 | $17.43 | 334% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $656.18 | $656.18 | $20.19 | 334% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $656.18 | $656.18 | $45.93–$557.75 | 334% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Age Under 21 | $684.58 | $684.58 | $6.48 | 621% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $684.58 | $684.58 | $6.89 | 621% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Age 21+ | $684.58 | $684.58 | $6.37 | 621% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $684.58 | $684.58 | $47.92–$581.89 | 621% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani | $947.33 | $947.33 | $8.17 | 339% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Age 21+ | $947.33 | $947.33 | $6.61 | 339% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Age Under 21 | $947.33 | $947.33 | $6.73 | 339% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $947.33 | $947.33 | $66.31–$805.23 | 339% above | — |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) | $345.14 | $345.14 | $18.56 | 317% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $345.14 | $345.14 | $24.16–$293.37 | 317% above | — |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) Age Under 21 | $345.14 | $345.14 | $16.03 | 317% above | — |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) Age 21+ | $345.14 | $345.14 | $15.74 | 317% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $711.57 | $711.57 | $49.81–$604.83 | 1335% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $859.27 | $859.27 | $60.15–$730.38 | 1632% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $795.37 | $795.37 | $55.68–$676.06 | 2064% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $866.38 | $866.38 | $60.65–$736.42 | 2257% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $711.57 | $711.57 | $5.65 | 737% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Age 21+ | $711.57 | $711.57 | $4.79 | 737% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $711.57 | $711.57 | $49.81–$604.83 | 737% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Age Under 21 | $711.57 | $711.57 | $4.87 | 737% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age 21+ | $1,478.52 | $1,478.52 | $17.00 | 1211% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $1,478.52 | $1,478.52 | $18.39 | 1211% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $1,478.52 | $1,478.52 | $103.50–$1,256.74 | 1211% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free Age Under 21 | $1,478.52 | $1,478.52 | $17.30 | 1211% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Age Under 21 | $1,296.72 | $1,296.72 | $17.30 | 1351% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total Age 21+ | $1,296.72 | $1,296.72 | $17.00 | 1351% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $1,296.72 | $1,296.72 | $90.77–$1,102.21 | 1351% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $1,296.72 | $1,296.72 | $18.39 | 1351% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under Age 21+ | $191.74 | $191.74 | $24.59 | 161% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under | $191.74 | $191.74 | $26.61 | 161% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under Age Under 21 | $191.74 | $191.74 | $25.03 | 161% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP AUTO W MAN RESCN TLP | $191.74 | $191.74 | $13.42–$162.98 | 161% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $1,495.57 | $1,495.57 | $104.69–$1,271.23 | 590% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $1,495.57 | $1,495.57 | $104.69–$1,271.23 | 590% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood Age Under 21 | $646.23 | $646.23 | $5.66 | 1095% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $646.23 | $646.23 | $45.24–$549.30 | 1095% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $646.23 | $646.23 | $6.01 | 1095% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood Age 21+ | $646.23 | $646.23 | $5.56 | 1095% above | — |
| Progesterone blood test CPT 84144 Progesterone | $1,549.54 | $1,549.54 | $20.86 | 1247% above | — |
| Progesterone blood test CPT 84144 Progesterone Age Under 21 | $1,549.54 | $1,549.54 | $19.62 | 1247% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $1,549.54 | $1,549.54 | $108.47–$1,317.11 | 1247% above | — |
| Progesterone blood test CPT 84144 Progesterone Age 21+ | $1,549.54 | $1,549.54 | $19.27 | 1247% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $2,181.57 | $2,181.57 | $152.71–$1,854.33 | 1781% above | — |
| Prolactin blood test CPT 84146 Prolactin | $2,181.57 | $2,181.57 | $19.38 | 1781% above | — |
| Prolactin blood test CPT 84146 Prolactin Age Under 21 | $2,181.57 | $2,181.57 | $18.23 | 1781% above | — |
| Prolactin blood test CPT 84146 Prolactin Age 21+ | $2,181.57 | $2,181.57 | $17.91 | 1781% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; | $683.15 | $683.15 | $4.68 | 1346% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; Age Under 21 | $683.15 | $683.15 | $4.03 | 1346% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; Age 21+ | $683.15 | $683.15 | $3.96 | 1346% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $683.15 | $683.15 | $47.82–$580.68 | 1346% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR DOO MANUAL READ | $2,205.72 | $2,205.72 | $154.40–$1,874.86 | 1708% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $855.01 | $855.01 | $59.85–$726.76 | 1451% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $855.01 | $855.01 | $5.67 | 1451% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age Under 21 | $855.01 | $855.01 | $5.33 | 1451% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Age 21+ | $855.01 | $855.01 | $5.24 | 1451% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $423.24 | $423.24 | $29.63–$359.75 | 770% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $561.02 | $561.02 | $39.27–$476.87 | 1053% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated Age Under 21 | $502.78 | $502.78 | $2.54 | 797% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $502.78 | $502.78 | $2.94 | 797% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated Age 21+ | $502.78 | $502.78 | $2.50 | 797% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $502.78 | $502.78 | $35.19–$427.36 | 797% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Age 21+ | $784.00 | $784.00 | $8.23 | 781% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $784.00 | $784.00 | $54.88–$666.40 | 781% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $784.00 | $784.00 | $9.70 | 781% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification Age Under 21 | $784.00 | $784.00 | $8.38 | 781% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $84.21 | $84.21 | $17.35 | 22% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Age Under 21 | $84.21 | $84.21 | $14.97 | 22% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Age 21+ | $84.21 | $84.21 | $14.71 | 22% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $84.21 | $84.21 | $5.89–$71.58 | 22% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $515.56 | $515.56 | $36.09–$438.23 | 882% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $521.25 | $521.25 | $36.49–$443.06 | 893% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age 21+ | $593.69 | $593.69 | $57.27 | 190% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $593.69 | $593.69 | $61.98 | 190% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Age Under 21 | $593.69 | $593.69 | $58.31 | 190% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $593.69 | $593.69 | $41.56–$504.64 | 190% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $1,383.36 | $1,383.36 | $96.84–$1,175.86 | 1266% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Age Under 21 | $1,383.36 | $1,383.36 | $24.28 | 1266% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $1,383.36 | $1,383.36 | $25.81 | 1266% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Age 21+ | $1,383.36 | $1,383.36 | $23.85 | 1266% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $1,207.25 | $1,207.25 | $84.51–$1,026.16 | 1250% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $1,512.60 | $1,512.60 | $105.88–$1,285.71 | 1591% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Age Under 21 | $1,201.56 | $1,201.56 | $15.80 | 876% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Age 21+ | $1,201.56 | $1,201.56 | $15.52 | 876% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $1,201.56 | $1,201.56 | $18.31 | 876% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,201.56 | $1,201.56 | $84.11–$1,021.33 | 876% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age 21+ | $175.45 | $175.45 | $32.43 | 101% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Age Under 21 | $175.45 | $175.45 | $33.02 | 101% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique | $175.45 | $175.45 | $35.09 | 101% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $175.45 | $175.45 | $12.28–$149.13 | 101% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $515.56 | $515.56 | $4.52 | 467% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $515.56 | $515.56 | $36.09–$438.23 | 467% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Age 21+ | $515.56 | $515.56 | $4.18 | 467% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Age Under 21 | $515.56 | $515.56 | $4.26 | 467% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $626.35 | $626.35 | $43.84–$532.40 | 481% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Age Under 21 | $626.35 | $626.35 | $2.98 | 481% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w | $626.35 | $626.35 | $3.46 | 481% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Age 21+ | $626.35 | $626.35 | $2.93 | 481% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $299.69 | $299.69 | $20.98–$254.74 | 498% above | — |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN UR AUTO | $329.51 | $329.51 | $23.07–$280.08 | 557% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Age 21+ | $1,116.35 | $1,116.35 | $7.46 | 704% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Age Under 21 | $1,116.35 | $1,116.35 | $7.59 | 704% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $1,116.35 | $1,116.35 | $78.14–$948.90 | 704% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $1,116.35 | $1,116.35 | $8.07 | 704% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods Age 21+ | $894.78 | $894.78 | $7.95 | 952% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $894.78 | $894.78 | $62.63–$760.56 | 952% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $894.78 | $894.78 | $8.61 | 952% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods Age Under 21 | $894.78 | $894.78 | $8.10 | 952% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $873.47 | $873.47 | $61.14–$742.45 | 863% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $873.47 | $873.47 | $15.08 | 863% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age Under 21 | $873.47 | $873.47 | $14.19 | 863% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Age 21+ | $873.47 | $873.47 | $13.94 | 863% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Age Under 21 | $1,306.67 | $1,306.67 | $27.84 | 961% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $1,306.67 | $1,306.67 | $29.60 | 961% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $1,306.67 | $1,306.67 | $91.47–$1,110.67 | 961% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Age 21+ | $1,306.67 | $1,306.67 | $27.35 | 961% above | — |
| Zinc blood test CPT 84630 Zinc Age 21+ | $806.73 | $806.73 | $10.53 | 1069% above | — |
| Zinc blood test CPT 84630 Zinc | $806.73 | $806.73 | $12.42 | 1069% above | — |
| Zinc blood test CPT 84630 Zinc Age Under 21 | $806.73 | $806.73 | $10.72 | 1069% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $806.73 | $806.73 | $56.47–$685.72 | 1069% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $832.29 | $832.29 | $58.26–$707.45 | 642% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $1,349.28 | $1,349.28 | $94.45–$1,146.89 | 1103% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 CTH PLC/INJ LHC & L VENT | $44,878.34 | $44,878.34 | $6,058.58–$38,146.59 | 279% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $8,180.88 | $8,180.88 | $572.66–$6,953.75 | 472% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including without Cardiac Cath | $77,092.53 | $77,092.53 | $5,591.00 | 114% 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 | $77,092.53 | $77,092.53 | $7,668.00–$67,845.10 | 114% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including with Cardiac Cath | $77,092.53 | $77,092.53 | $7,818.00 | 114% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $77,092.53 | $77,092.53 | $10,407.49–$65,528.65 | 114% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT | $31,807.50 | $31,807.50 | $4,294.01–$27,036.38 | 232% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | $26,536.15 | $26,536.15 | $11,388.00–$85,680.00 | 40% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT | $26,536.15 | $26,536.15 | $3,582.38–$22,555.73 | 40% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age Under 21 | $26,536.15 | $26,536.15 | $7,225.01 | 40% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Age 21+ | $26,536.15 | $26,536.15 | $7,095.99 | 40% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static | $735.88 | $735.88 | $261.67–$2,636.00 | 194% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $2,384.23 | $2,384.23 | $166.90–$2,026.60 | 171% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HYP SPUTUM | $684.38 | $684.38 | $47.91–$581.72 | 237% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB | $854.03 | $854.03 | $59.78–$725.93 | 320% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $854.03 | $854.03 | $59.78–$725.93 | 320% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $854.03 | $854.03 | $59.78–$725.93 | 320% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $661.35 | $661.35 | $46.29–$562.15 | 22% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $8,947.13 | $8,947.13 | $1,207.86–$7,605.06 | 245% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $3,959.45 | $3,959.45 | $277.16–$3,365.53 | 305% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy | $3,959.45 | $3,959.45 | $854.32–$1,662.03 | 305% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $695.50 | $695.50 | $48.69–$591.17 | 145% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $926.62 | $926.62 | $125.09–$787.63 | 254% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,699.21 | $1,699.21 | $229.39–$1,444.33 | 262% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $2,811.64 | $2,811.64 | $379.57–$2,389.89 | 241% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $4,179.57 | $4,179.57 | $564.24–$3,552.63 | 219% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $6,761.38 | $6,761.38 | $912.79–$5,747.17 | 237% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $6,480.36 | $6,480.36 | $453.63–$5,508.31 | 406% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM W PT 50 MIN | $866.78 | $866.78 | $60.67–$736.76 | 207% above | — |
| Group psychotherapy session CPT 90853 IOP PSY GRP (NOT FAMILY) | $575.33 | $575.33 | $40.27–$489.03 | 200% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $1,489.74 | $1,489.74 | $104.28–$1,266.28 | 231% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,489.74 | $1,489.74 | $104.28–$1,266.28 | 218% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $252.63 | $252.63 | $17.68–$214.74 | 66% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $178.46 | $178.46 | $133.84 | 16% below | — |
| 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 | $178.46 | $178.46 | $213.07–$414.52 | 16% below | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $207.62 | $207.62 | $14.53–$176.48 | 35% below | — |
| 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 | $207.62 | $207.62 | $360.75–$701.81 | 35% below | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $269.44 | $269.44 | $18.86–$229.02 | 20% below | — |
| 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 | $269.44 | $269.44 | $470.77–$915.87 | 20% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $146.97 | $146.97 | $10.29–$124.92 | 14% 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 | $146.97 | $146.97 | $141.73–$275.74 | 14% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $163.46 | $163.46 | $11.44–$138.94 | 183% 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 | $163.46 | $163.46 | $33.13 | 183% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $580.39 | $580.39 | $106.84 | 139% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | $1,336.98 | $1,336.98 | $104.07 | 338% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st | $419.56 | $419.56 | $104.07 | 109% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | $794.35 | $794.35 | $104.07 | 215% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $725.41 | $725.41 | $50.78–$616.60 | 164% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $607.75 | $607.75 | $42.54–$516.59 | 121% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $90.40 | $90.40 | $6.33–$76.84 | 105% 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 | $90.40 | $90.40 | $34.68–$67.46 | 105% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $239.11 | $239.11 | $16.74–$203.24 | 23% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $162.13 | $162.13 | $121.60 | 21% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $193.62 | $193.62 | $145.22 | 10% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $123.64 | $123.64 | $8.65–$105.09 | 25% below | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,567.74 | $1,567.74 | $241.36 | 270% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $1,735.81 | $1,735.81 | $121.51–$1,475.44 | 386% 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 | $1,735.81 | $1,735.81 | $380.46–$740.17 | 386% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $4,030.46 | $4,030.46 | $282.13–$3,425.89 | 578% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $4,030.46 | $4,030.46 | $129.83–$252.57 | 578% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $989.42 | $989.42 | $69.26–$841.01 | 316% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $102.53 | $102.53 | $7.18–$87.15 | 115% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3 PF 0.5 ML IM | $121.82 | $121.82 | $8.53–$103.55 | 156% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $317.27 | $317.27 | $124.00 | 76% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $317.27 | $317.27 | $22.21–$269.68 | 76% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC HIGH-DOSE PF IM | $102.09 | $102.09 | $7.15–$86.78 | 32% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $401.78 | $401.78 | $28.12–$341.51 | 169% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $835.78 | $835.78 | $193.28 | 238% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $835.78 | $835.78 | $626.84 | 238% 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 | $1,073.21 | $1,073.21 | $220.23 | 324% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $1,073.21 | $1,073.21 | $75.12–$912.23 | 324% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $3,805.63 | $3,805.63 | $266.39–$3,234.79 | 271% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $3,805.63 | $3,805.63 | $520.11 | 271% 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 | $422.69 | $422.69 | $63.94 | 241% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $422.69 | $422.69 | $29.59–$359.29 | 241% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $193.57 | $193.57 | $13.55–$164.53 | 159% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $193.57 | $193.57 | $145.18 | 262% above | — |