Hospital Portland-Vancouver-Hillsboro, OR-WA

Hillsboro Medical Center

Listed in its price file as “Tuality Healthcare”.

Hillsboro Medical Center in Hillsboro, OR publishes cash prices for 427 common procedures listed here, from its own machine-readable price file updated Mar 23, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oregon median for 278 of 423 procedures and below it for 133. By typical cash price it ranks #36 of 49 Oregon hospitals and #12 of 16 hospitals in the Portland, OR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

335 SE 8TH AVE, HILLSBORO, OR 97123 Collected Sep 22, 2026 Source price file Check a bill from this hospital (503) 681-1111

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 380021 · CMS hospital register NPI 1275591984

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Hillsboro Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Oregon law (ORS 442.614) requires nonprofit hospitals to cut what patients owe for medically necessary care by 100% for household income up to 200% of the federal poverty level, and by at least 75%, 50% or 25% up to 400%. Ask the hospital for its financial assistance application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Abdominal CT scan without and with contrast CPT 74170 HB CT Abdomen Wwo Contrast	$2,334.15	$3,591.00	$152.07–$3,591.00	34% above	35%
Abdominal X-ray, 2 views CPT 74019 X-Ray Exam Abdomen 2 Views	$341.25	$525.00	$90.64–$525.00	16% above	35%
Ankle X-ray, complete, 3 or more views CPT 73610 HB Ankle 3+ Views	$299.00	$460.00	$75.45–$460.00	6% above	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT Upper Extremity WO Contr	$1,411.15	$2,171.00	$90.64–$2,171.00	26% above	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB Esophogram	$587.60	$904.00	$152.07–$904.00	5% above	35%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bne &/or Jnt Img Whl Bdy	$1,092.65	$1,681.00	$346.60–$1,681.00	23% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Unilateral Complete	$409.50	$630.00	$90.64–$630.00	14% above	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilateral Limited	$409.50	$630.00	$75.45–$630.00	35% above	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Unilateral, Limited	$520.65	$801.00	$75.45–$801.00	71% above	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CT Angio Abdomen & Pelvis W/Contrast	$3,302.65	$5,081.00	$302.47–$5,081.00	33% above	35%
CT angiography (CTA) of the head CPT 70496 HB CT Cta Head Wwo Contrast	$2,232.10	$3,434.00	$152.07–$3,434.00	15% above	35%
CT angiography (CTA) of the neck CPT 70498 HB CT Cta Neck Wwo Contrast	$2,049.45	$3,153.00	$152.07–$3,153.00	7% above	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT Cta Chest Wwo Contrast	$2,265.25	$3,485.00	$152.07–$3,485.00	23% above	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart W/Contrast, Arteries/Grafts	$879.45	$1,353.00	$246.11–$1,353.00	37% below	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT Abdomen & Pelvis W/O Contrast	$2,772.90	$4,266.00	$117.90–$4,266.00	32% above	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abdomen & Pelvis W/Contrast	$3,328.65	$5,121.00	$259.35–$5,121.00	31% above	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT Abdomen & Pelvis W & W/O Contrast	$3,724.50	$5,730.00	$292.45–$5,730.00	23% above	35%
CT scan of the abdomen with contrast CPT 74160 HB CT Abdomen W Contrast	$1,920.10	$2,954.00	$152.07–$2,954.00	30% above	35%
CT scan of the abdomen without contrast CPT 74150 HB CT Abdomen WO Contrast	$1,546.35	$2,379.00	$90.64–$2,379.00	37% above	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT Max'facial WO Contrast	$1,084.85	$1,669.00	$90.64–$1,669.00	at median	35%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head / Brain WO Contrast	$1,458.60	$2,244.00	$76.33–$2,244.00	44% above	35%
CT scan of the head with contrast CPT 70460 HB CT Head or Brain W Contrast	$1,616.55	$2,487.00	$110.54–$2,487.00	22% above	35%
CT scan of the head without and with contrast CPT 70470 HB CT Head/ Brain Wwo Contrast	$1,892.15	$2,911.00	$132.62–$2,911.00	20% above	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT Spine Lumbar WO Contrast	$1,732.25	$2,665.00	$90.64–$2,665.00	33% above	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT Spine Cervical WO Contra	$1,748.50	$2,690.00	$90.64–$2,690.00	43% above	35%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W Contrast	$1,795.30	$2,762.00	$152.07–$2,762.00	21% above	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HB Extracrani Art Duplex Comp	$877.50	$1,350.00	$206.87–$1,350.00	16% below	35%
Chest CT scan without and with contrast CPT 71270 CT Chest, Diagnostic, W/ or W/O Contrast	$2,158.00	$3,320.00	$152.07–$3,320.00	14% above	35%
Chest X-ray, 2 views CPT 71046 HB Chest 2 View	$332.80	$512.00	$75.45–$512.00	23% above	35%
Chest X-ray, single view CPT 71045 HB Chest 1 View	$285.35	$439.00	$65.00–$439.00	13% above	35%
Collarbone (clavicle) X-ray, complete CPT 73000 HB Clavicle Complete	$269.75	$415.00	$75.45–$415.00	25% above	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US Retroperitoneal Complete	$648.70	$998.00	$90.64–$998.00	15% above	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB Dexa Bone Density Axial	$474.50	$730.00	$90.64–$730.00	24% above	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US Preg Uterus Fetal Detail	$629.20	$968.00	$206.87–$968.00	at median	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest, Diagnostic, W/O Contrast	$1,535.30	$2,362.00	$90.64–$2,362.00	26% above	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest, Diagnostic, W/ Contrast	$1,887.60	$2,904.00	$130.04–$2,904.00	23% above	35%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diag Include Cad Bilat	$358.15	$551.00	$95.61–$551.00	—	35%
Diagnostic mammogram, one breast one side CPT 77065 Mammo Diag Include Cad Unilat	$298.35	$459.00	$74.58–$459.00	4% below	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB Low Ext Duplex Bilat Comp	$1,062.75	$1,635.00	$206.87–$1,635.00	—	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB Ext Vein Compre Dop Bil Com	$1,087.45	$1,673.00	$206.87–$1,673.00	at median	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB Transthor Echo W/Dpplr No Cntrst	$1,682.20	$2,588.00	$473.74–$2,588.00	1% below	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Transthor Echo W/Doppler W/Contrast	$1,747.85	$2,689.00	$473.74–$2,689.00	3% above	35%
Elbow X-ray, 2 views CPT 73070 Elbow 2 Views	$269.75	$415.00	$75.45–$415.00	11% above	35%
Elbow X-ray, complete, 3 or more views CPT 73080 HB Elbow 3+ Views	$297.70	$458.00	$75.45–$458.00	22% above	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT Iac, Orbits W/O Contrast	$1,105.00	$1,700.00	$90.64–$1,700.00	3% above	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones 3+ Views	$396.50	$610.00	$90.64–$610.00	14% above	35%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Forearm 2 Views	$271.70	$418.00	$75.45–$418.00	3% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB NM Hepbi /Galbl Without Pharm/Quant Measure	$1,324.05	$2,037.00	$346.60–$2,037.00	at median	35%
Hand X-ray, 2 views CPT 73120 Hand 2 Views	$328.25	$505.00	$87.50–$505.00	34% above	35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Calcaneus 2+ Views	$269.75	$415.00	$75.45–$415.00	31% above	35%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$482.30	$742.00	$187.20–$742.00	19% below	35%
Knee X-ray, 3 views CPT 73562 HB Knee 3 Views	$314.60	$484.00	$75.45–$484.00	11% above	35%
Knee X-ray, complete, 4 or more views CPT 73564 HB Knee 4+ Views	$354.25	$545.00	$90.64–$545.00	1% below	35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT Lower Extremity WO Contr	$1,441.05	$2,217.00	$90.64–$2,217.00	31% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US Abdomen Limited	$509.60	$784.00	$90.64–$784.00	4% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ED US Abdomen Limited	$743.60	$1,144.00	$90.64–$1,144.00	52% above	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Limited, Real-Time, Focal Eval, W/ Image Doc	$435.50	$670.00	$90.64–$670.00	44% above	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Chest Low Dose Lung Cancer Screening W/O Contrast	$1,043.90	$1,606.00	$90.64–$1,606.00	267% above	35%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Tibia & Fibula 2 Views	$274.30	$422.00	$75.45–$422.00	10% above	35%
MR angiography (MRA) of the head without contrast CPT 70544 HB Mra Head W/O Cont	$1,832.35	$2,819.00	$185.41–$2,819.00	2% below	35%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast W/ - W/O Contrast W/ Cad, Bilateral	$3,823.95	$5,883.00	$279.58–$5,883.00	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MR Lower Extremi Jnt WO Con	$2,204.15	$3,391.00	$161.49–$3,391.00	24% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MR Lower Extre Jnt Wwo Cont	$3,718.65	$5,721.00	$302.47–$5,721.00	39% above	35%
MRI of the abdomen without contrast CPT 74181 HB MR Abdomen WO Contrast	$2,308.80	$3,552.00	$150.27–$3,552.00	26% above	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MR Abdomen Wwo Contrast	$3,529.50	$5,430.00	$279.58–$5,430.00	20% above	35%
MRI of the brain, no contrast dye CPT 70551 HB MR Brain WO Contrast	$2,332.20	$3,588.00	$148.25–$3,588.00	26% above	35%
MRI of the brain, with and without contrast dye CPT 70553 HB MR Brain Wwo Contrast	$3,456.05	$5,317.00	$249.05–$5,317.00	11% above	35%
MRI of the lower back, no contrast dye CPT 72148 HB MR Spine Lumbar WO Cont	$2,339.35	$3,599.00	$143.10–$3,599.00	25% above	35%
MRI of the lower back, without and then with contrast dye CPT 72158 HB MR Spine Lumbar Wwo Cont	$3,600.35	$5,539.00	$250.52–$5,539.00	18% above	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MR Spine Thracic WO Contras	$2,327.00	$3,580.00	$142.73–$3,580.00	25% above	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MR Spine Cervical Wwo Cont	$3,573.70	$5,498.00	$251.62–$5,498.00	25% above	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MR Spine Cervical WO Cont	$2,337.40	$3,596.00	$142.73–$3,596.00	30% above	35%
MRI of the pelvis without and with contrast CPT 72197 HB MR Pelvis Wwo Contrast	$3,933.80	$6,052.00	$278.48–$6,052.00	44% above	35%
MRI of the pelvis, no contrast dye CPT 72195 HB MR Pelvis WO Contrast	$2,261.35	$3,479.00	$190.56–$3,479.00	26% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MR Up Extremity Jnt WO Cont	$2,148.25	$3,305.00	$161.86–$3,305.00	21% above	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4+ Views	$493.35	$759.00	$90.64–$759.00	31% above	35%
Neck soft tissue CT scan with contrast CPT 70491 HB CT Nck Soft Tissue W Cont	$1,839.50	$2,830.00	$139.61–$2,830.00	25% above	35%
Neck soft tissue CT scan without contrast CPT 70490 HB CT Neck Soft Tissue WO Cont	$1,484.60	$2,284.00	$90.64–$2,284.00	34% above	35%
Neck soft tissue X-ray CPT 70360 HB Neck Soft Tissue	$272.35	$419.00	$75.45–$419.00	8% above	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB NM Myocard Perf Spect Mult Incl Wall/Eje	$3,780.40	$5,816.00	$1,122.45–$5,816.00	10% above	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB Pet Skul Base - Thigh Atten	$4,814.55	$7,407.00	$1,239.75–$7,407.00	3% above	35%
Pelvic CT scan without contrast CPT 72192 HB CT Pelvis WO Contrast	$1,538.55	$2,367.00	$90.64–$2,367.00	28% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US Pelvic Limited	$279.50	$430.00	$90.64–$430.00	16% below	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Non-Preg, Limited	$435.50	$670.00	$90.64–$670.00	32% above	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US Pelvic Complete	$279.50	$430.00	$90.64–$430.00	47% below	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US Preg Uterus 14+ Wks	$279.50	$430.00	$90.64–$430.00	46% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US Preg Uterus <14 Wks Comp	$473.85	$729.00	$90.64–$729.00	2% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US Preg Uter Fetal Limited	$397.15	$611.00	$90.64–$611.00	11% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Preg Uterus, Limited	$515.45	$793.00	$90.64–$793.00	44% above	35%
Rib X-ray, one side, 2 views one side CPT 71100 HB Ribs, Unilat, 2 Views	$284.70	$438.00	$75.45–$438.00	8% above	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Unilat 2vws W/Pa Chest	$339.30	$522.00	$90.64–$522.00	5% above	35%
Screening mammogram, both breasts both sides CPT 77067 Mammo Screen Include Cad Bilat	$347.75	$535.00	$78.92–$535.00	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB Shoulder 2+ Views	$372.45	$573.00	$75.45–$573.00	33% above	35%
Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses, Paranasal 3+ Views	$416.00	$640.00	$75.45–$640.00	44% above	35%
Skull X-ray, fewer than 4 views CPT 70250 Skull 1 to 3 Views	$341.25	$525.00	$90.64–$525.00	22% above	35%
Sleep study in a lab (polysomnography) CPT 95810 HB Extended Polysomnography, Attended, 6+Years	$824.20	$1,268.00	$744.52–$1,268.00	73% below	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$1,682.20	$2,588.00	$473.74–$2,588.00	6% below	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB Esophagus Swallowing	$681.85	$1,049.00	$152.07–$1,049.00	27% above	35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Femur 2+ Views	$305.50	$470.00	$75.45–$470.00	22% above	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT Spine Thoracic WO Contra	$1,669.85	$2,569.00	$90.64–$2,569.00	37% above	35%
Toe X-ray, 2 or more views CPT 73660 Toe(S) 2+ Views	$269.75	$415.00	$75.45–$415.00	34% above	35%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal	$406.90	$626.00	$90.64–$626.00	13% below	35%
Transvaginal ultrasound during pregnancy CPT 76817 HB US Preg Uter T-Vag Real Tme	$279.50	$430.00	$90.64–$430.00	26% below	35%
Transvaginal ultrasound during pregnancy CPT 76817 US Transvag, Preg, Limited	$335.40	$516.00	$90.64–$516.00	11% below	35%
Ultrasound of the abdomen, complete CPT 76700 HB US Abdomen Complete	$768.95	$1,183.00	$90.64–$1,183.00	28% above	35%
Ultrasound of the scrotum and testicles CPT 76870 HB US Scrotum & Contents	$590.85	$909.00	$90.64–$909.00	11% above	35%
Ultrasound of the scrotum and testicles CPT 76870 ED Ultrasound, Scrotum	$765.70	$1,178.00	$90.64–$1,178.00	44% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US Soft Tissue Head & Neck	$629.85	$969.00	$90.64–$969.00	29% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ED Ultrasound, Soft Tissues Head/Neck	$816.40	$1,256.00	$90.64–$1,256.00	67% above	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi, Single Contrast	$689.00	$1,060.00	$152.07–$1,060.00	20% above	35%
Upper arm X-ray (humerus), 2 views CPT 73060 HB Humerus 2+ Views	$269.75	$415.00	$75.45–$415.00	3% above	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB Ext Vein Compre Dop Uni Ltd	$787.15	$1,211.00	$90.64–$1,211.00	23% above	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Extremity Veins Duplx Scan, Unilateral/Limited Study	$944.45	$1,453.00	$90.64–$1,453.00	47% above	35%
Wrist X-ray, 2 views CPT 73100 Wrist 2 Views	$269.75	$415.00	$75.45–$415.00	20% above	35%
Wrist X-ray, complete, 3 or more views CPT 73110 HB Wrist 3+ Views	$284.70	$438.00	$75.45–$438.00	1% above	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip 2-3 Views, Unilateral, Includes Pelvis if Performed	$490.10	$754.00	$75.45–$754.00	80% above	35%
X-ray of the abdomen, 1 view CPT 74018 HB Abdomen 1 View	$269.75	$415.00	$75.45–$415.00	8% above	35%
X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views	$269.75	$415.00	$75.45–$415.00	7% above	35%
X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) 2+ Views	$239.20	$368.00	$75.45–$368.00	6% above	35%
X-ray of the foot, 2 views CPT 73620 Foot 2 Views	$269.75	$415.00	$75.45–$415.00	20% above	35%
X-ray of the foot, complete, 3 or more views CPT 73630 HB Foot 3+ Views	$284.70	$438.00	$75.45–$438.00	6% above	35%
X-ray of the hand, 3 or more views CPT 73130 HB Hand 3+ Views	$354.90	$546.00	$75.45–$546.00	14% above	35%
X-ray of the knee, 1 or 2 views CPT 73560 HB Knee 1 or 2 Views	$269.75	$415.00	$75.45–$415.00	10% above	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB Spine Lumbosacra 2 or 3 Vws	$347.10	$534.00	$90.64–$534.00	9% above	35%
X-ray of the lower back, 4 or more views CPT 72110 HB Spine Lumbosacral 4+Views	$462.15	$711.00	$90.64–$711.00	15% above	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB Spine Thoracic 2 Views	$328.25	$505.00	$87.50–$505.00	9% above	35%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones 3+ Views	$269.75	$415.00	$75.45–$415.00	20% above	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB Spine Cervical 2 or 3 Views	$354.25	$545.00	$75.45–$545.00	37% above	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB Pelvis 1 or 2 Views	$341.25	$525.00	$73.75–$525.00	20% above	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB Sacrum & Coccyx 1 or 2 Vews	$281.45	$433.00	$75.45–$433.00	12% above	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
ACTH blood test CPT 82024 ACTH	$158.60	$244.00	$30.12–$244.00	24% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$18.20	$28.00	$4.13–$28.00	24% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino, Alt (Liver Fibrosis)	$43.55	$67.00	$4.13–$67.00	81% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$18.20	$28.00	$4.04–$28.00	36% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase, Ast (Liver Fibrosis)	$43.55	$67.00	$4.04–$67.00	53% above	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$287.95	$443.00	$37.15–$443.00	29% above	35%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$16.90	$26.00	$3.86–$26.00	34% below	35%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$117.00	$180.00	$31.79–$180.00	21% above	35%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos	$18.20	$28.00	$4.04–$28.00	28% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Misc Allergen Specific Ige	$12.35	$19.00	$4.07–$19.00	15% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Sp - Ige Panel	$18.85	$29.00	$4.07–$29.00	30% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige, Rast	$22.75	$35.00	$4.07–$35.00	56% above	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Feto Protein	$92.95	$143.00	$13.08–$143.00	28% above	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein (Afp), Serum	$94.25	$145.00	$13.08–$145.00	30% above	35%
Ammonia blood test CPT 82140 Ammonia	$60.45	$93.00	$11.36–$93.00	31% below	35%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$56.55	$87.00	$5.05–$87.00	17% above	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrul Pep Ab	$136.50	$210.00	$10.10–$210.00	130% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Ab Scrn on Hep	$83.85	$129.00	$9.43–$129.00	32% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide	$98.15	$151.00	$30.62–$151.00	40% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Pro Bnp - Natriuretic Peptide	$107.90	$166.00	$30.62–$166.00	34% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$65.00	$100.00	$6.72–$100.00	16% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Urogenital	$66.95	$103.00	$6.72–$103.00	20% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, CSF	$88.40	$136.00	$6.72–$136.00	58% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Sputum Cf	$325.00	$500.00	$6.72–$500.00	481% above	35%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Set	$44.20	$68.00	$6.60–$68.00	8% below	35%
Basic metabolic panel (blood test) CPT 80048 Basic Metab Panel	$59.15	$91.00	$6.60–$91.00	23% above	35%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$16.90	$26.00	$3.92–$26.00	34% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Prep Surg Spec, Level IV, Prostate Biopsy	$134.55	$207.00	$45.18–$207.00	32% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Derm Path Tissue Exam by Pathologist Lvl 4	$147.55	$227.00	$45.18–$227.00	25% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Prep Surg Spec,Level IV	$176.15	$271.00	$45.18–$271.00	11% below	35%
Blood culture for bacteria CPT 87040 Culture, Blood Screen	$172.90	$266.00	$8.05–$266.00	57% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$23.40	$36.00	$3.00–$36.00	16% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED Routine Venipuncture	$29.25	$45.00	$3.00–$45.00	45% above	35%
Blood glucose (sugar) test CPT 82947 Glucose, Plasma	$17.55	$27.00	$3.07–$27.00	27% below	35%
Blood glucose (sugar) test CPT 82947 Fasting Glucose	$26.00	$40.00	$3.07–$40.00	8% above	35%
Blood glucose (sugar) test CPT 82947 Wb Glucose	$36.40	$56.00	$3.07–$56.00	52% above	35%
Blood lead test CPT 83655 ASSAY OF LEAD	$40.30	$62.00	$9.45–$62.00	at median	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg, Qual	$26.00	$40.00	$5.87–$40.00	63% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord Blood Typing Group, Serologic, Abo	$125.45	$193.00	$4.63–$193.00	131% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$356.85	$549.00	$4.63–$549.00	557% above	35%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen,Plasma	$24.70	$38.00	$3.08–$38.00	3% below	35%
Blood urea nitrogen (BUN) test CPT 84520 Assay of Bun (Liver Fibrosis)	$43.55	$67.00	$3.08–$67.00	71% above	35%
C-peptide blood test CPT 84681 C-Peptide	$120.25	$185.00	$16.23–$185.00	34% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd C-Reactive Protein	$37.70	$58.00	$4.04–$58.00	1% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$78.00	$120.00	$4.04–$120.00	104% above	35%
C. difficile toxin gene test (stool PCR) CPT 87493 C.Difficile Toxin, Pcr	$105.30	$162.00	$29.07–$162.00	33% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen-GI(19-9)	$95.55	$147.00	$16.23–$147.00	1% above	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$100.10	$154.00	$16.23–$154.00	11% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Amplified Probe Technique	$125.45	$193.00	$40.02–$193.00	4% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Pcr High Throughput	$167.05	$257.00	$40.02–$257.00	39% above	35%
Calcium blood test, total CPT 82310 Calcium,Plasma	$16.90	$26.00	$4.02–$26.00	34% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$81.90	$126.00	$14.79–$126.00	at median	35%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igm	$74.10	$114.00	$10.05–$114.00	22% above	35%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster,Igg	$78.00	$120.00	$10.05–$120.00	28% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna Probe	$131.30	$202.00	$27.37–$202.00	32% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Nmr Lipoprofile Lipid Panel	$52.65	$81.00	$10.44–$81.00	9% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Set	$58.50	$90.00	$10.44–$90.00	1% above	35%
Complete blood count (CBC) with differential CPT 85025 Hbol Cbc W/Plt W/Auto Diff	$7.15	$11.00	$6.06–$11.00	83% below	35%
Complete blood count (CBC) with differential CPT 85025 Cbc W/Auto Differential	$76.05	$117.00	$6.06–$117.00	84% above	35%
Complete blood count (CBC), no differential CPT 85027 Hbol Cbc Only	$62.40	$96.00	$5.05–$96.00	102% above	35%
Complete blood count (CBC), no differential CPT 85027 Cbc Only	$63.70	$98.00	$5.05–$98.00	106% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 Comp Metabolic Set	$57.85	$89.00	$8.24–$89.00	5% above	35%
Cortisol blood test, total CPT 82533 Cortisol, Saliva	$72.15	$111.00	$12.71–$111.00	13% below	35%
Cortisol blood test, total CPT 82533 Cortisol(Acth Stm)0,30,60	$75.40	$116.00	$12.71–$116.00	9% below	35%
Cortisol blood test, total CPT 82533 Cortisol,Total Serum	$115.05	$177.00	$12.71–$177.00	39% above	35%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (CK)(Cpk)	$22.75	$35.00	$5.08–$35.00	47% below	35%
Creatinine blood test CPT 82565 Creatinine Blood	$24.70	$38.00	$3.99–$38.00	at median	35%
Creatinine blood test CPT 82565 Creatinine,Plasma	$24.70	$38.00	$3.99–$38.00	at median	35%
Creatinine blood test CPT 82565 Creatinine With Egfr	$42.25	$65.00	$3.99–$65.00	71% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Ab, Igg	$43.55	$67.00	$11.22–$67.00	30% below	35%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer (Pe or Dic)	$110.50	$170.00	$7.94–$170.00	17% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate	$125.45	$193.00	$17.34–$193.00	47% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$63.05	$97.00	$48.47–$97.00	9% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Qual	$105.95	$163.00	$48.47–$163.00	83% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Qualitative, Multiple Drug Classes	$143.65	$221.00	$48.47–$221.00	149% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen, Qual, Single Class, Each, Meconium	$416.00	$640.00	$48.47–$640.00	620% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Set	$26.65	$41.00	$5.47–$41.00	26% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$76.05	$117.00	$14.15–$117.00	1% above	35%
Estradiol blood test CPT 82670 Estradiol Special Send-Out	$106.60	$164.00	$21.79–$164.00	6% below	35%
Estradiol blood test CPT 82670 Estradiol, Total	$115.05	$177.00	$21.79–$177.00	2% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh, Serum	$117.65	$181.00	$14.49–$181.00	45% above	35%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$336.05	$517.00	$15.31–$517.00	185% above	35%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$83.85	$129.00	$10.63–$129.00	50% above	35%
Fibrinogen blood test CPT 85384 Fibrinogen Level Quantitati	$86.45	$133.00	$7.58–$133.00	34% above	35%
Folate (folic acid) blood test CPT 82746 Folate, Serum	$53.30	$82.00	$11.47–$82.00	39% below	35%
Free T3 thyroid hormone test CPT 84481 T3, Free	$90.35	$139.00	$13.21–$139.00	25% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine	$50.70	$78.00	$7.04–$78.00	11% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4, Serum	$68.90	$106.00	$7.04–$106.00	51% above	35%
Free testosterone test CPT 84402 Testosterone, Free	$22.75	$35.00	$19.87–$35.00	65% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$21.45	$33.00	$5.62–$33.00	28% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of Ggt (Liver Fibrosis)	$43.55	$67.00	$5.62–$67.00	45% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 Hour Glucose	$17.55	$27.00	$3.71–$27.00	49% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glu Tol Screen, 1 Hr	$26.00	$40.00	$3.71–$40.00	25% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gluc Tol 2 Hr (0,1,2 )	$93.60	$144.00	$10.04–$144.00	19% above	35%
Glucose tolerance test, 3 samples CPT 82951 Fasting Glucose - Ltt	$94.25	$145.00	$10.04–$145.00	20% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus Dna Probe	$131.30	$202.00	$27.37–$202.00	40% above	35%
H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen, Fecal Eia	$104.00	$160.00	$11.22–$160.00	45% above	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$261.95	$403.00	$66.38–$403.00	3% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Rapid Test	$57.85	$89.00	$10.69–$89.00	12% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv1/Hiv2 Ab P24 Ag Screen	$81.90	$126.00	$18.78–$126.00	2% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin (A1c)	$9.10	$14.00	$7.57–$14.00	81% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$71.50	$110.00	$7.57–$110.00	49% above	35%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.70	$38.00	$1.85–$38.00	41% above	35%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody	$75.40	$116.00	$9.40–$116.00	13% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab	$76.05	$117.00	$8.38–$117.00	21% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$68.25	$105.00	$8.06–$105.00	24% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab, W/Pcr Reflex	$76.05	$117.00	$11.13–$117.00	at median	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus(Hcv) by Quantitative Naat	$196.30	$302.00	$33.42–$302.00	at median	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C, Quant	$200.20	$308.00	$33.42–$308.00	2% above	35%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1-Igg	$59.80	$92.00	$10.29–$92.00	at median	35%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2-Igg	$59.80	$92.00	$15.09–$92.00	18% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, High Sens	$68.90	$106.00	$10.10–$106.00	13% above	35%
Homocysteine blood test CPT 83090 Homocysteine, Plasma Total	$72.15	$111.00	$13.98–$111.00	15% below	35%
Insulin blood test CPT 83525 Insulin, Serum	$74.10	$114.00	$8.92–$114.00	35% above	35%
Iron blood test (serum iron) CPT 83540 Iron, Serum	$41.60	$64.00	$5.05–$64.00	3% above	35%
Kidney function blood test panel CPT 80069 Renal Set	$44.20	$68.00	$6.77–$68.00	8% below	35%
LH (luteinizing hormone) test CPT 83002 Lh to Endo Sci	$79.30	$122.00	$14.45–$122.00	2% below	35%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$89.05	$137.00	$14.45–$137.00	10% above	35%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$105.30	$162.00	$9.02–$162.00	42% above	35%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid, Plasma	$117.65	$181.00	$9.02–$181.00	59% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ld Total,Plasma	$24.70	$38.00	$4.71–$38.00	21% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Enzyme Lev Body Fluids	$57.85	$89.00	$4.71–$89.00	85% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$57.85	$89.00	$5.37–$89.00	9% below	35%
Liver function blood test panel CPT 80076 Liver Set	$33.80	$52.00	$6.37–$52.00	19% below	35%
Lyme disease antibody test CPT 86618 Lyme Abs, Total, Elisa	$71.50	$110.00	$13.28–$110.00	9% above	35%
Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Abs CSF, Total by Elisa	$87.75	$135.00	$13.28–$135.00	34% above	35%
Magnesium blood test CPT 83735 Magnesium,Plasma	$31.85	$49.00	$5.23–$49.00	8% below	35%
Magnesium blood test CPT 83735 Magnesium, Urine	$54.60	$84.00	$5.23–$84.00	58% above	35%
Magnesium blood test CPT 83735 Magnesium	$61.10	$94.00	$5.23–$94.00	77% above	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$51.35	$79.00	$10.05–$79.00	13% below	35%
Mono test (heterophile antibody, Monospot) CPT 86308 Monospot	$32.50	$50.00	$4.04–$50.00	34% below	35%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$40.30	$62.00	$10.18–$62.00	22% below	35%
Obstetric blood test panel CPT 80055 Obstetric Panel	$536.90	$826.00	$37.29–$826.00	211% above	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa, Free	$76.05	$117.00	$14.34–$117.00	2% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Total	$70.20	$108.00	$14.34–$108.00	7% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$76.05	$117.00	$14.34–$117.00	1% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$91.00	$140.00	$20.76–$140.00	at median	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gyn Monolayer Screen Pap	$87.75	$135.00	$15.80–$135.00	10% above	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gyn Monolayer Diagnosti Pap	$104.65	$161.00	$15.80–$161.00	31% above	35%
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Serum	$136.50	$210.00	$32.20–$210.00	18% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Operative	$248.95	$383.00	$32.20–$383.00	50% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt, Plasma,60 Min	$23.40	$36.00	$4.69–$36.00	57% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$50.05	$77.00	$4.69–$77.00	8% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Act.Part Thromboplastin Tim	$57.85	$89.00	$4.69–$89.00	6% above	35%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus	$20.80	$32.00	$3.70–$32.00	31% below	35%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus,Plasma	$21.45	$33.00	$3.70–$33.00	28% below	35%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$16.90	$26.00	$3.71–$26.00	22% below	35%
Potassium blood test CPT 84132 Potassium (K), Whole Blood	$36.40	$56.00	$3.71–$56.00	67% above	35%
Progesterone blood test CPT 84144 Progesterone, Serum	$109.85	$169.00	$16.27–$169.00	4% above	35%
Prolactin blood test CPT 84146 Prolactin	$91.00	$140.00	$15.12–$140.00	2% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt, Plasma, 60 Min	$20.80	$32.00	$3.35–$32.00	26% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$55.90	$86.00	$3.35–$86.00	99% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 Inr (Prothrombin Time)	$59.15	$91.00	$3.35–$91.00	110% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen, Qual, Mult Drug Classes	$11.05	$17.00	$9.83–$17.00	84% below	35%
Rapid flu test (influenza antigen) CPT 87804 Rapid Flu Test	$15.60	$24.00	$12.91–$24.00	81% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hbol Rapid Strep	$15.60	$24.00	$12.89–$24.00	72% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep, Group a Throat	$40.30	$62.00	$12.89–$62.00	27% below	35%
Renin blood test CPT 84244 Renin, Plasma	$79.30	$122.00	$17.15–$122.00	15% above	35%
Rh blood typing CPT 86901 Rh (D) Type, Serologic	$82.55	$127.00	$4.63–$127.00	97% above	35%
Rh blood typing CPT 86901 Rh Type, Serologic Irlref	$105.95	$163.00	$4.63–$163.00	153% above	35%
Rheumatoid factor (RF) test CPT 86431 Ra Factor-Body Fluid	$62.40	$96.00	$4.42–$96.00	49% above	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant	$83.85	$129.00	$4.42–$129.00	100% above	35%
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Ab	$45.50	$70.00	$11.22–$70.00	at median	35%
Rubella antibody test (immunity check) CPT 86762 Rubella Igm Ab	$50.05	$77.00	$11.22–$77.00	10% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sed, Automated	$29.25	$45.00	$2.11–$45.00	4% above	35%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$16.90	$26.00	$3.75–$26.00	35% below	35%
Sodium blood test CPT 84295 Sodium (Na), Whole Blood	$36.40	$56.00	$3.75–$56.00	40% above	35%
Stool ova and parasites exam CPT 87177 Ova and Parasite Examinatio	$84.50	$130.00	$6.94–$130.00	57% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Bld Feces, Screen	$36.40	$56.00	$3.42–$56.00	6% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood	$36.40	$56.00	$3.42–$56.00	6% above	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test for Blood Fecal (Fit), Qual 1-3	$52.65	$81.00	$12.42–$81.00	6% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 Antibody, Treponema Pallidum	$38.35	$59.00	$10.33–$59.00	11% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$48.75	$75.00	$10.33–$75.00	41% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl, CSF	$35.75	$55.00	$3.33–$55.00	11% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Qual Non-Trep	$37.70	$58.00	$3.33–$58.00	17% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold	$202.15	$311.00	$48.34–$311.00	15% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$105.95	$163.00	$20.13–$163.00	31% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidn Microso-1 Ab,Igg	$43.55	$67.00	$11.35–$67.00	36% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab	$69.55	$107.00	$11.35–$107.00	2% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh-Thyroid Stim Hormone	$86.45	$133.00	$13.10–$133.00	19% above	35%
Total IgE blood test CPT 82785 Ige Total, Serum	$54.60	$84.00	$12.84–$84.00	1% below	35%
Total cholesterol blood test CPT 82465 Cholesterol, Total	$16.90	$26.00	$3.39–$26.00	30% below	35%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) Total	$50.05	$77.00	$5.36–$77.00	72% above	35%
Total triiodothyronine (T3) blood test CPT 84480 T3, Total	$72.80	$112.00	$11.06–$112.00	3% below	35%
Transferrin blood test CPT 84466 Transferrin	$63.05	$97.00	$9.95–$97.00	20% above	35%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis by Dna Probe, Amplified	$87.10	$134.00	$27.37–$134.00	71% above	35%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis by Tma	$117.00	$180.00	$27.37–$180.00	130% above	35%
Triglycerides blood test CPT 84478 Triglycerides	$18.20	$28.00	$4.48–$28.00	29% below	35%
Troponin test, quantitative CPT 84484 Troponin I	$129.35	$199.00	$9.73–$199.00	23% above	35%
Uric acid blood test CPT 84550 Uric Acid,Plasma	$18.85	$29.00	$3.53–$29.00	35% below	35%
Urinalysis with microscope exam, automated CPT 81001 Hbol Ua Dip W/Micro	$40.95	$63.00	$2.47–$63.00	25% above	35%
Urinalysis with microscope exam, automated CPT 81001 Ua-2 Test Rollup	$59.80	$92.00	$2.47–$92.00	83% above	35%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dip W/Micro	$3.25	$5.00	$3.14–$5.00	89% below	35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$23.40	$36.00	$1.76–$36.00	20% above	35%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dip WO Micro	$26.00	$40.00	$2.71–$40.00	8% above	35%
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine, Routine	$59.15	$91.00	$6.29–$91.00	12% above	35%
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Quantitative	$59.80	$92.00	$4.51–$92.00	26% above	35%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$60.45	$93.00	$4.51–$93.00	27% above	35%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$7.80	$12.00	$6.72–$12.00	86% below	35%
Urine pregnancy test, read by color change CPT 81025 Hcg,Qual Urine	$34.45	$53.00	$6.72–$53.00	37% below	35%
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B-12, Serum	$113.75	$175.00	$11.76–$175.00	47% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy	$139.75	$215.00	$23.09–$215.00	35% above	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1, 25 Dihydroxy	$178.75	$275.00	$30.03–$275.00	73% above	35%
Zinc blood test CPT 84630 Zinc, Serum	$50.05	$77.00	$8.88–$77.00	44% above	35%
Zinc blood test CPT 84630 Lab Zinc, RBC	$89.70	$138.00	$8.88–$138.00	158% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG	$91.00	$140.00	$11.74–$140.00	27% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta,Plasma	$92.95	$143.00	$11.74–$143.00	30% above	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB Bx Breast W/Dev Plcmnt 1st Lesion,Stereotactic Guidance	$4,709.90	$7,246.00	$1,431.92–$7,246.00	18% above	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB Dist Fib Fx W/O Man Clsd	$194.35	$299.00	$191.36–$323.53	66% below	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB Metatarsal Fx W/O Man Clsd	$194.35	$299.00	$191.36–$323.53	57% below	35%
Cardiac catheterization with coronary angiogram CPT 93458 HB Coronary Angio W/ L Heart Carth W/ L Ventriculogram	$10,916.75	$16,795.00	$2,810.72–$16,795.00	12% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective	$2,196.35	$3,379.00	$573.03–$3,379.00	50% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion, Elective	$2,635.75	$4,055.00	$573.03–$4,055.00	80% above	35%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty/Transposition, Median Nerve at Carpal Tunnel	$4,899.05	$7,537.00	$1,692.99–$7,537.00	3% above	35%
Cervical biopsy CPT 57500 HB Biopsy of Cervix	$705.25	$1,085.00	$694.40–$1,208.05	29% below	35%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB Circumcision, >28 Days, Other Than Clamp/Dorsal Slit	$4,533.10	$6,974.00	$1,812.34–$6,974.00	433% above	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB Circumcision, New Born	$487.50	$750.00	$480.00–$2,741.74	1% above	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Colles Fx W/O Man Clsd	$194.35	$299.00	$191.36–$323.53	63% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Colles Fx W/O Man Clsd	$735.15	$1,131.00	$213.86–$1,131.00	39% above	35%
Colonoscopy with polyp removal CPT 45385 Colonoscopy,Flex,W/Abl Lesion by Snare	$3,476.85	$5,349.00	$1,037.48–$5,349.00	48% above	35%
Colonoscopy with tissue sample CPT 45380 Colonoscopy, Flex W/Bx	$3,476.85	$5,349.00	$1,037.48–$5,349.00	79% above	35%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,684.50	$4,130.00	$806.26–$4,130.00	28% above	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB Colposcopy W/Loop	$7,798.70	$11,998.00	$2,806.55–$11,998.00	351% above	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB Colposcopy W Bx/Eec	$246.35	$379.00	$242.56–$399.68	41% below	35%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$21,136.05	$32,517.00	$9,003.85–$32,517.00	16% above	35%
Cystoscopy with ureteral stent placement CPT 52332 HB Cystoscopy, Insert Ureteral Stent	$7,836.40	$12,056.00	$3,056.12–$12,056.00	46% above	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$540.80	$832.00	$532.48–$914.57	20% below	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ED Cystourethroscopy	$1,768.00	$2,720.00	$604.55–$2,720.00	161% above	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C, Diagnostic/Therapeutic, Non OB	$9,165.00	$14,100.00	$2,806.55–$14,100.00	114% above	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion, First	$161.20	$248.00	$158.72–$263.15	2% below	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impacted Cerumen Using Irrigation/Lavage, Unilat	$193.05	$297.00	$51.15–$297.00	148% above	35%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen, Req. Instrument, Unilateral	$48.10	$74.00	$47.36–$77.37	57% below	35%
Earwax removal with instruments, one ear one side CPT 69210 ED Removal Impacted Cerumen, Req. Instrument, Unilateral	$193.05	$297.00	$51.15–$297.00	72% above	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB Endometrial Biopsy	$163.15	$251.00	$160.64–$265.17	61% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ED Endometrial Biopsy	$392.60	$604.00	$175.28–$604.00	5% below	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Dx/Tx Cerv/Thor Epidural, W/Imaging	$1,400.75	$2,155.00	$611.99–$2,155.00	27% below	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB Inj,Paravertebral Lumb/Sacr 1 Level	$2,546.70	$3,918.00	$766.83–$3,918.00	32% above	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB Flex Sigmoidoscopy Diag	$2,284.10	$3,514.00	$806.26–$3,514.00	114% above	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 HB Hemorrhoidecto, Rubber Band	$738.40	$1,136.00	$727.04–$1,219.73	at median	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB Hysterosonography Inj	$238.55	$367.00	$234.88–$367.00	15% below	35%
IUD insertion (the device itself billed separately) CPT 58300 HB Insertion of Iud	$204.10	$314.00	$157.00–$314.00	53% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abs/Cyst Smpl/One	$161.20	$248.00	$158.72–$263.15	54% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 ED I&D Abs/Cyst Smpl/One	$599.95	$923.00	$173.95–$923.00	71% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Ligamen/Tend Sheath Inj Sgl	$239.20	$368.00	$235.52–$402.60	at median	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, Aspir/Inj Major Joint/Bursa W/O US	$510.90	$786.00	$266.12–$786.00	64% above	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Non Biodegradable Drug Implant	$104.65	$161.00	$103.04–$174.51	59% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, Aspir/Inj Intmed Joint/Bursa W/O US	$319.15	$491.00	$266.12–$491.00	7% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, Aspir/Inj Small Joint/Bursa W/O US	$319.15	$491.00	$266.12–$491.00	2% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB Scp/Trnk Inter to 2.5cm	$1,045.20	$1,608.00	$352.44–$1,608.00	74% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED Scp/Trnk Inter to 2.5cm	$1,279.85	$1,969.00	$352.44–$1,969.00	113% above	35%
Left heart catheterization, diagnostic CPT 93452 HB L Heart Cath Ww/O L Vgram	$8,823.75	$13,575.00	$2,810.72–$13,575.00	8% above	35%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Dx/Tx Lumbr/Scral Epidural, W/ Imaging	$1,541.15	$2,371.00	$611.99–$2,371.00	2% below	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB Transf Esi Lumbar/Sacra Sgl W/Img Guidance	$2,546.70	$3,918.00	$766.83–$3,918.00	54% above	35%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion, Surgical, 1st Trimester	$9,358.70	$14,398.00	$2,806.55–$14,398.00	107% above	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB Ex Bng Lsn Trnk/Ext <0.5cm	$877.00	$877.00	$561.28–$928.79	41% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB Ex Bng Lsn Face <0.5cm	$1,654.90	$2,546.00	$613.94–$2,546.00	142% above	35%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate	$161.20	$248.00	$158.72–$263.15	20% below	35%
Nail removal (partial or complete), one nail CPT 11730 ED Avulsion of Nail Plate	$599.95	$923.00	$173.95–$923.00	196% above	35%
Occipital nerve block (injection for headaches) CPT 64405 HB Snr Block-G Occipital Nerve	$239.20	$368.00	$235.52–$402.60	39% below	35%
Occipital nerve block (injection for headaches) CPT 64405 ED Snr Blk-G Occipital Nerv	$984.75	$1,515.00	$266.12–$1,515.00	151% above	35%
Pacemaker implant (dual chamber) CPT 33208 Ppm Insert New/Replacement Atrial & Ventricular	$13,723.45	$21,113.00	$9,061.77–$21,113.00	14% below	35%
Paracentesis with imaging guidance CPT 49083 Paracentesis W/Guidance	$2,794.35	$4,299.00	$786.35–$4,299.00	110% above	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excise Nail & Nail Matrix	$1,045.20	$1,608.00	$352.44–$1,608.00	74% above	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED Excise Nail & Nail Matix	$1,279.85	$1,969.00	$352.44–$1,969.00	113% above	35%
Prostate biopsy CPT 55700 HB Bx Prostate Needle/Punch	$4,533.10	$6,974.00	$4,428.49–$6,974.00	85% above	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB Neuroly Blk Lumb Sgl Joint W/Guidance	$5,757.70	$8,858.00	$1,692.99–$8,858.00	102% above	35%
Removal of a breast lump, open surgery CPT 19120 HB Exc Cyst/Fibroadenoma/Other Ben/Mal Tumor Breast	$9,352.20	$14,388.00	$3,394.64–$14,388.00	483% above	35%
Removal of a foreign object under the skin, simple CPT 10120 HB I&R FB Subq Simple	$323.70	$498.00	$318.72–$533.18	21% below	35%
Removal of a foreign object under the skin, simple CPT 10120 ED I&R FB Subq Simple	$1,279.85	$1,969.00	$352.44–$1,969.00	212% above	35%
Short arm cast (elbow to hand) CPT 29075 Apply Cast,Short Arm	$215.15	$331.00	$211.84–$366.84	18% below	35%
Short arm splint (forearm and hand) CPT 29125 HB Apply Short Arm Splint	$104.65	$161.00	$103.04–$174.51	42% below	35%
Short arm splint (forearm and hand) CPT 29125 ED Apply Short Arm Splint	$356.85	$549.00	$115.35–$549.00	98% above	35%
Short leg cast (below the knee) CPT 29405 Apply Cast, Short Leg	$215.15	$331.00	$211.84–$366.84	26% below	35%
Short leg splint (calf to foot) CPT 29515 HB Apply Short Leg Splint	$128.05	$197.00	$126.08–$213.14	46% below	35%
Short leg splint (calf to foot) CPT 29515 ED Apply Short Leg Splint	$501.15	$771.00	$140.89–$771.00	112% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB Sclp/Trnk Smpl-2.5cm	$500.50	$770.00	$173.95–$770.00	47% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED Sclp/Trnk Smpl -2.5cm	$600.60	$924.00	$173.95–$924.00	76% above	35%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy of Skin, Single Lesion	$323.70	$498.00	$318.72–$533.18	16% above	35%
Skin tag removal, up to 15 tags CPT 11200 HB Remove Skin Tags 1-15	$161.20	$248.00	$158.72–$263.15	36% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture, Lumbar, Diag	$1,579.50	$2,430.00	$611.99–$2,430.00	59% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED Spinal Puncture, Lumbar	$1,895.40	$2,916.00	$611.99–$2,916.00	90% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED Scp/Trnk Smpl 2.6-7.5cm	$599.95	$923.00	$173.95–$923.00	53% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED Face/Ear/Eye Smpl - 2.5cm	$599.95	$923.00	$173.95–$923.00	76% above	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of Skin (Shave), Single Lesion	$161.20	$248.00	$158.72–$533.18	26% below	35%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis, Asp Pleural Space, W/Img Guidance	$1,534.65	$2,361.00	$543.86–$2,361.00	at median	35%
Thoracentesis with imaging guidance CPT 32555 ED Thoracentesis, Asp Pleural Space, W/Image Guide	$2,266.55	$3,487.00	$543.86–$3,487.00	48% above	35%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$4,034.55	$6,207.00	$1,394.11–$6,207.00	187% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HB Inj Trigger Pts, 1 - 2 Musc	$239.20	$368.00	$235.52–$402.60	at median	35%
Trigger point injections, 1 or 2 muscles CPT 20552 ED Inj Trigge Pts, 1 or 2 Musc	$525.20	$808.00	$266.12–$808.00	120% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB Bx Breast W/Device Plcmnt 1st Lesion, US Guidance	$4,709.90	$7,246.00	$1,431.92–$7,246.00	61% above	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HB Egd/ Balloon Dilation (<30mm) Flexible,Transoral	$5,005.00	$7,700.00	$1,663.67–$7,700.00	82% above	35%
Upper endoscopy (EGD) with biopsy CPT 43239 HB Egd W/Biopsies(S), Flexible,Transoral	$2,180.10	$3,354.00	$786.35–$3,354.00	43% above	35%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HB Egd W/Dir Submuc Injection, Flexible,Transoral	$2,561.65	$3,941.00	$786.35–$3,941.00	44% above	35%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HB Egd W/Remvl Tumor/Polyp, via Snare, Flexible,Transoral	$5,005.00	$7,700.00	$1,663.67–$7,700.00	209% above	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB Egd/Insert Guidewird & Dilator, Flexible,Transoral	$2,561.65	$3,941.00	$786.35–$3,941.00	71% above	35%
Upper endoscopy (EGD), diagnostic CPT 43235 HB E.G.D., Flexible,Transoral (Incl Specimen Collect)	$2,561.65	$3,941.00	$786.35–$3,941.00	47% above	35%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HB Vasectomy	$1,658.80	$2,552.00	$1,633.28–$2,741.74	27% above	35%
Vein ablation, radiofrequency, first vein CPT 36475 HB Endovenous Ablati Rf 1st Ve	$3,409.43	$9,985.00	$2,737.50–$9,985.00	28% below	66%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions 1-14	$161.20	$248.00	$158.72–$263.15	30% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid Skin & Sub Tissue, First 20 Sq Cm or <	$1,045.20	$1,608.00	$352.44–$1,608.00	72% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED Debrid Skin and Subcu Tissue 1st 20sq Cm or Less	$1,279.85	$1,969.00	$352.44–$1,969.00	110% above	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB Transfusion Blood/Component Admin per Day	$1,138.80	$1,752.00	$382.49–$1,752.00	36% above	35%
Blood transfusion (giving blood or blood components) CPT 36430 ED Transfusion Blood/Component	$1,513.20	$2,328.00	$382.49–$2,328.00	80% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$91.65	$141.00	$90.24–$287.21	40% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$165.10	$254.00	$162.56–$287.21	7% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED Pres/Nonpres Inhal Trmt	$508.95	$783.00	$189.85–$783.00	231% above	35%
Chemotherapy IV infusion, first hour CPT 96413 HB Chemo IV Up to 1hr	$846.30	$1,302.00	$286.37–$1,302.00	10% above	35%
Critical care, first 30 to 74 minutes CPT 99291 ED Crit Care 1st 30-74min	$2,750.15	$4,231.00	$716.16–$4,231.00	3% above	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB Eeg Awake/Drowsy	$948.35	$1,459.00	$187.20–$1,459.00	6% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB Ekg Tracing Only	$369.85	$569.00	$51.15–$569.00	51% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1	$253.50	$390.00	$73.11–$390.00	2% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Level 2	$469.95	$723.00	$133.12–$723.00	at median	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Level 3	$833.95	$1,283.00	$236.67–$1,283.00	2% below	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Level 4	$1,290.25	$1,985.00	$361.76–$1,985.00	6% below	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Level 5	$1,871.35	$2,879.00	$516.32–$2,879.00	13% below	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB Cardio Stress Tracing Only	$948.35	$1,459.00	$187.20–$1,459.00	41% above	35%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Pt 50 Mins	$198.90	$306.00	$153.89–$306.00	26% above	35%
Family therapy without the patient, 50 minutes CPT 90846 Fac Fam Psychotherapy W/O Pt 50 Mins	$191.10	$294.00	$153.89–$294.00	24% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV Hydration 1st Hr	$423.80	$652.00	$184.41–$652.00	7% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED IV Hydration 1st Hr	$508.30	$782.00	$184.41–$782.00	28% above	35%
IV infusion of a medicine, first hour CPT 96365 Infusion Initial Hr	$482.95	$743.00	$184.41–$743.00	10% above	35%
IV infusion of a medicine, first hour CPT 96365 ED Infusion Initial Hr	$579.80	$892.00	$184.41–$892.00	32% above	35%
IV push of a medicine, first drug CPT 96374 HB Therapeutic/Proph/Diag Inj IV Push Sngl/Initial	$247.00	$380.00	$184.41–$380.00	1% below	35%
IV push of a medicine, first drug CPT 96374 ED Therapeutic Inj IV Push	$296.40	$456.00	$184.41–$456.00	19% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Inj Sq/Im	$136.50	$210.00	$62.42–$210.00	27% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED Therapeutic Inj Sq/Im	$161.85	$249.00	$62.42–$249.00	50% above	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psychiatric Diagnostic Evaluation	$130.65	$201.00	$128.64–$232.80	57% below	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB Nerve Conduction Studies, 7-8 Studies	$252.20	$388.00	$248.32–$489.43	20% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HB Neuromuscular Re-ED Movement	$121.55	$187.00	$27.03–$187.00	19% above	35%
New patient office visit, about 30 minutes CPT 99203 HB Fac Visit New Pt Lv 3	$94.25	$145.00	$69.60–$145.00	53% below	35%
New patient office visit, about 30 minutes CPT 99203 New Pt Fac Lv 3 Resident/Fellow	$262.60	$404.00	$193.92–$404.00	30% above	35%
New patient office visit, about 45 minutes CPT 99204 HB Fac Visit New Pt Lv 4	$94.25	$145.00	$69.60–$145.00	67% below	35%
New patient office visit, about 45 minutes CPT 99204 New Pt Fac Lv 4 Resident/Fellow	$365.95	$563.00	$270.24–$563.00	29% above	35%
New patient office visit, about 60 minutes CPT 99205 HB Fac Visit New Pt Lv 5	$94.25	$145.00	$69.60–$145.00	73% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB Fac Visit New Pt Lv 2	$94.25	$145.00	$69.60–$145.00	24% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Fac Lv 2 Resident/Fellow	$187.85	$289.00	$138.72–$289.00	52% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB Med Nutr Ther Init Ea 15 Min	$97.50	$150.00	$30.43–$150.00	32% above	35%
Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation, Low Complexity	$363.35	$559.00	$83.22–$559.00	44% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation: High Complexity	$400.40	$616.00	$80.90–$616.00	33% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation: Low Complexity	$376.35	$579.00	$80.90–$579.00	53% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation: Moderate Complexity	$388.05	$597.00	$80.90–$597.00	23% above	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB Manual Therapy Ea 15 Min	$118.30	$182.00	$22.86–$182.00	23% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Ex Ea 15 Min	$125.45	$193.00	$23.97–$193.00	29% above	35%
Preventive checkup, new patient aged 18–39 CPT 99385 HB Init Comp Prev Med 18-39yrs	$122.20	$188.00	$94.00–$188.00	26% below	35%
Preventive checkup, new patient aged 40–64 CPT 99386 HB Init Comp Prev Med 40-64yrs	$142.35	$219.00	$109.50–$219.00	31% below	35%
Preventive checkup, new patient aged 65 or older CPT 99387 HB Init Comp Prev Med 65+	$156.00	$240.00	$120.00–$240.00	31% below	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 HB Peri Comp Prev Med 18-39yrs	$106.60	$164.00	$82.00–$164.00	28% below	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 HB Peri Prev Med 18-39yrs W/Sep Pap/Breast/Pelvic	$285.35	$439.00	$219.50–$439.00	93% above	35%
Preventive checkup, returning patient aged 40–64 CPT 99396 HB Peri Prev Med 40-64yrs W/Sep Breast/Pelvic	$105.95	$163.00	$81.50–$163.00	39% below	35%
Preventive checkup, returning patient aged 40–64 CPT 99396 HB Peri Comp Prev Med 40-64yrs	$117.00	$180.00	$90.00–$180.00	32% below	35%
Preventive checkup, returning patient aged 65 or older CPT 99397 HB Comp Prev Med 65+	$130.65	$201.00	$100.50–$201.00	30% below	35%
Psychiatric evaluation with medical services CPT 90792 HB Psychiatric Diagnostic Evaluation W/Medical Services	$130.65	$201.00	$128.64–$232.80	47% below	35%
Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy, Pt&/Family 30 Min	$191.10	$294.00	$153.89–$294.00	46% above	35%
Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy, Pt&/Family 45min	$252.85	$389.00	$153.89–$389.00	29% above	35%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, Pt&/Family 60 Min	$370.50	$570.00	$153.89–$570.00	55% above	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB Smoke&Tobacco Cess 3-10mi	$24.70	$38.00	$24.32–$49.14	27% below	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/Tobacco Cess 3-10 Min	$102.05	$157.00	$32.48–$157.00	202% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Fac Visit Lev 5	$94.25	$145.00	$69.60–$145.00	67% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Fac Level 5 Resident/Fellow	$387.40	$596.00	$286.08–$596.00	35% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB L&D OP Visit Level 5	$819.00	$1,260.00	$604.80–$1,260.00	186% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Fac Visit Lev 3	$94.25	$145.00	$69.60–$145.00	50% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Fac Level 3 Resident/Fellow	$229.45	$353.00	$169.44–$353.00	21% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB L&D OP Visit Level 3	$500.50	$770.00	$369.60–$770.00	165% above	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Fac Visit Lev 4	$94.25	$145.00	$69.60–$145.00	60% below	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Fac Level 4 Resident/Fellow	$293.80	$452.00	$216.96–$452.00	26% above	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB L&D OP Visit Level 4	$755.30	$1,162.00	$557.76–$1,162.00	223% above	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Fac Visit Lev 2	$94.25	$145.00	$69.60–$145.00	6% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Fac Level 2 Resident/Fellow	$163.80	$252.00	$120.96–$252.00	63% above	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB L&D OP Visit Level 2	$336.70	$518.00	$248.64–$518.00	235% above	35%
Speech and language evaluation CPT 92523 HB Eval of Speech Sound Production W/Eval Comprehend/Express	$562.25	$865.00	$186.65–$865.00	60% above	35%
Speech therapy session, individual CPT 92507 HB Speech/Language Trtmt	$287.95	$443.00	$62.68–$443.00	at median	35%
Spirometry (breathing test) CPT 94010 HB Spirometry	$488.15	$751.00	$187.20–$751.00	94% above	35%
Spirometry before and after a bronchodilator CPT 94060 HB Bronchodilation/Spirometry	$948.35	$1,459.00	$323.52–$1,459.00	66% above	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Therapeutic Activi Ea 15min	$133.90	$206.00	$29.21–$206.00	46% above	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Phlebotomy, Therapeutic	$384.15	$591.00	$115.35–$591.00	92% above	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Fluad Vaccine Inactivated, Adjuvant, Im	$227.19	$349.52	$46.35–$349.52	at median	35%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml, Im	$398.16	$612.56	$81.23–$612.56	82% above	35%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE	$402.77	$619.65	$82.17–$619.65	84% above	35%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vaccine 30 Mcg/0.3 Ml, Im	$384.38	$591.35	$78.41–$591.35	95% above	35%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HB Varicella Virus Vaccine	$508.60	$782.46	$373.06–$782.46	93% above	35%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$539.70	$830.30	$373.06–$830.30	105% above	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv and Polio Vaccine 4-6yrs	$174.36	$268.25	$129.40–$268.25	137% above	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$176.31	$271.24	$129.40–$271.24	140% above	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$86.58	$133.20	$60.70–$133.20	53% above	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Vaccine < 7 Yrs	$87.87	$135.19	$60.70–$135.19	55% above	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HB Dtap-Hepb-Ipv Vaccine	$283.70	$436.46	$207.92–$436.46	175% above	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$286.94	$441.45	$207.92–$441.45	178% above	35%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HB Dtap/Hib/Ipv (Pentacel)	$290.67	$447.19	$243.30–$447.19	119% above	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$65.58	$100.89	$13.38–$100.89	86% above	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Trivalent(Iiv3) Pf 0.50 Ml	$66.99	$103.06	$13.67–$103.06	90% above	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv Virus Vaccine Nonvalent (9v-Hpv) Im 3 Dose	$850.83	$1,308.97	$627.26–$1,308.97	162% above	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$918.09	$1,412.45	$627.26–$1,412.45	183% above	35%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HB Hep a / Hep B Adult	$368.50	$566.92	$256.94–$566.92	142% above	35%
Hepatitis A vaccine, adult dose CPT 90632 HB Hepatitis a Adult	$238.63	$367.12	$143.22–$367.12	131% above	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HB Hepatitis a 1 Peds (2 Dose)	$115.44	$177.60	$79.10–$177.60	106% above	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB Hep B Vaccine,Adult, 3 Dose Schedule	$206.22	$317.26	$42.07–$317.26	96% above	35%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb Vacc 2/4 Dose Adult Im (Heplisav-B)	$414.08	$637.05	$84.47–$637.05	139% above	35%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE	$441.31	$678.94	$90.03–$678.94	155% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB Hep B Peds/Adolescent	$88.86	$136.71	$18.13–$136.71	31% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$89.78	$138.13	$18.32–$138.13	32% above	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HB Hib Prp-Omp 3 Dose	$92.48	$142.28	$62.84–$142.28	132% above	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$46.01	$70.79	$26.08–$70.79	10% above	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T 4 Dose	$47.65	$73.31	$26.08–$73.31	13% above	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB Flu Vacc Prsv Free High Dose	$227.19	$349.53	$46.35–$349.53	217% above	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$247.19	$380.29	$50.43–$380.29	245% above	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB Mmr Vaccine	$264.81	$407.40	$194.56–$407.40	71% above	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$275.54	$423.90	$194.56–$423.90	78% above	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HB Proquad	$762.25	$1,172.69	$518.08–$1,172.69	126% above	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB Meningococcal Conj Vaccine	$415.09	$638.60	$306.53–$638.60	130% above	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$469.62	$722.49	$320.74–$722.49	161% above	35%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal, Serogroups a, C, W, Y, Im (Menquadfi)	$480.53	$739.28	$340.40–$739.28	127% above	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal B, Omv (Bexsero) Menb-4c	$498.36	$766.70	$368.02–$766.70	84% above	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$664.04	$1,021.60	$456.20–$1,021.60	145% above	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HB Pneumococcal Vacc,13 Val Im	$629.21	$968.02	$128.36–$968.02	86% above	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal Conjugate Vaccine, 20 Valent (Pcv20)	$723.07	$1,112.41	$147.51–$1,112.41	116% above	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$791.35	$1,217.46	$161.44–$1,217.46	137% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 23 Valent(Ppsv23)	$330.69	$508.75	$67.46–$508.75	84% above	35%
Polio vaccine, inactivated (IPV) CPT 90713 HB Poliovirus Vaccine Inactiva	$131.12	$201.73	$90.82–$201.73	25% above	35%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$132.55	$203.92	$90.82–$203.92	26% above	35%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoclonal Antibody (Beyfortus) Seas Dose 1ml Im	$1,429.97	$2,199.95	$1,055.98–$2,199.95	126% above	35%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$1,547.36	$2,380.56	$1,060.30–$2,380.56	145% above	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoclonal Antibody (Beyfortus) Seas Dose .5ml Im	$1,429.97	$2,199.95	$1,055.98–$2,199.95	17% above	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,547.36	$2,380.55	$1,060.30–$2,380.55	26% above	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine (Abrysvo) Pref Subunit Bivalent Im	$848.61	$1,305.56	$601.80–$1,305.56	81% above	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HB Rotavirus Oral	$258.11	$397.09	$201.34–$397.09	96% above	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$606.40	$932.92	$403.70–$932.92	193% above	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$107.19	$164.90	$66.96–$164.90	161% above	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB Td 7+Yrs	$117.01	$180.01	$66.96–$180.01	185% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB Tdap 7+Yrs	$138.61	$213.24	$77.26–$213.24	93% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$139.50	$214.61	$77.26–$214.61	94% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$57.85	$89.00	$56.96–$94.44	at median	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED Immunization Admin Ea Add'l	$55.90	$86.00	$55.04–$86.00	46% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB Immunization Admin Ea Add'l	$57.85	$89.00	$56.96–$89.00	51% above	35%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://tuality.org/wp-content/uploads/930430029_tuality-healthcare_standardcharges.csv