Mission Regional Medical Center
Mission Regional Medical Center in Mission, TX publishes cash prices for 283 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 below the Texas median for 258 of 280 procedures and above it for 13. By typical cash price it ranks #7 of 240 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
900 South Bryan Road Mission, TX 78572 Collected Sep 27, 2026 Source price file (956) 323-9000
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 450176 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Mission Regional Medical Center in Mission, TX:
- Feb 1, 2024 Corrective action plan requested
- Apr 1, 2024 Case closed
- Jul 21, 2025 Met requirements
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS COMPLETE | $86.00 | $781.25 | $36.75–$625.00 | 76% below | 89% |
| Ankle X-ray, complete, 3 or more views CPT 73610 OR ANKLE 2 OR 3 VIEWS | $86.00 | $548.99 | $36.75–$625.00 | 76% below | 84% |
| Ankle X-ray, complete, 3 or more views CPT 73610 C-ARM OR ANKLE 3 VIEW | $86.00 | $739.83 | $36.75–$625.00 | 76% below | 88% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 DOPP WAVE ANALYSIS/VEINS BILAT | $133.00 | $532.40 | $26.83–$734.54 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILAT ARTERIAL DOPPLER | $133.00 | $918.18 | $26.83–$734.54 | — | 86% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE-BRACHIAL INDEX | $133.00 | $718.07 | $26.83–$734.54 | 81% below | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER U/L EXT ART 2 LEVELS | $133.00 | $620.72 | $26.83–$734.54 | 81% below | 79% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $175.00 | $810.05 | $97.56–$737.99 | 65% below | 78% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY | $399.00 | $2,319.51 | $275.66–$1,855.61 | 78% below | 83% |
| Breast ultrasound, complete, one breast CPT 76641 BREAST COMPLETE | $104.00 | $2,041.69 | $102.91–$1,633.35 | 76% below | 95% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE RIGHT | $104.00 | $1,020.85 | $102.91–$1,633.35 | 76% below | 90% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LEFT | $104.00 | $1,020.85 | $102.91–$1,633.35 | 76% below | 90% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 BREAST LIMITED | $86.00 | $706.86 | $85.20–$565.49 | 75% below | 88% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY EMBOLISM | $175.00 | $3,100.18 | $175.06–$2,480.14 | 95% below | 94% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART WC BYPASS GRAFTS | $348.00 | $6,092.00 | $175.06–$4,873.60 | 79% below | 94% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART FUNCT ADD-ON | $86.00 | $454.69 | $86.58–$660.96 | 58% below | 81% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CTA HEART WO CON CALCIUM SORE | $86.00 | $660.96 | $86.58–$660.96 | 58% below | 87% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD AND PELVIS WITHOUT | $238.00 | $7,864.92 | $188.11–$6,291.94 | 93% below | 97% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD AND PELVIS WITH CONTRAST | $348.00 | $9,401.50 | $312.08–$7,521.20 | 91% below | 96% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABD AND PELVIS W/WO CONTRAST | $348.00 | $11,801.50 | $348.74–$9,441.20 | 92% below | 97% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W/C | $175.00 | $3,807.22 | $175.06–$3,045.78 | 93% below | 95% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/C | $175.00 | $1,983.91 | $152.36–$1,587.13 | 91% below | 91% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O | $175.00 | $4,786.21 | $175.06–$3,828.97 | 92% below | 96% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $175.00 | $3,807.22 | $175.06–$3,045.78 | 92% below | 95% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX SCAN CAROTID BILATERAL | $238.00 | $1,218.94 | $187.79–$1,458.60 | — | 80% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 BILATERAL COROTID DOPPLER | $238.00 | $1,823.25 | $187.79–$1,458.60 | — | 87% |
| Chest X-ray, 2 views CPT 71046 CHEST TWO VIEWS | $86.00 | $641.01 | $33.75–$512.81 | 79% below | 87% |
| Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS W/SPECIAL VIEW | $86.00 | $524.18 | $33.75–$512.81 | 79% below | 84% |
| Chest X-ray, single view CPT 71045 CHEST ONE VIEW | $86.00 | $544.20 | $25.73–$435.36 | 75% below | 84% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 U/S RETROPERITNL COM | $104.00 | $1,222.98 | $104.51–$978.38 | 86% below | 91% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HEALTHFAIR DEXA SCREENING | $104.00 | $562.55 | $29.40–$642.66 | 75% below | 82% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL | $104.00 | $803.32 | $29.40–$642.66 | 75% below | 87% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY PROMO | $104.00 | $98.00 | $29.40–$642.66 | 75% below | -6% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL | $86.00 | $353.39 | $31.74–$282.71 | 61% below | 76% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/C | $175.00 | $4,558.29 | $171.74–$3,646.63 | 92% below | 96% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMMOGRAM BILATERAL | $104.00 | $765.33 | $38.57–$612.26 | — | 86% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMMOGRAM UNILATERAL | $81.00 | $612.88 | $30.89–$490.30 | 70% below | 87% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 BILAT LOWER ARTERIAL DOPPLER | $238.00 | $1,689.63 | $236.56–$1,351.70 | — | 86% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 BIL UPPER OR LOWR VENOUS DOPPR | $238.00 | $1,954.32 | $184.78–$1,563.46 | 89% below | 88% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXTREMITY VEINS | $238.00 | $1,152.80 | $184.78–$1,563.46 | 89% below | 79% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO COMPLETE EXAM | $546.00 | $4,024.07 | $187.00–$3,219.26 | 79% below | 86% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUC CHOLANGIOGRAM W/O EF | $399.00 | $2,547.20 | $303.06–$2,037.76 | 76% below | 84% |
| Knee X-ray, 3 views one side CPT 73562 LEFT KNEE 3 VIEWS | $86.00 | $830.41 | $41.10–$664.33 | 75% below | 90% |
| Knee X-ray, 3 views one side CPT 73562 RIGHT KNEE 3 VIEWS | $86.00 | $830.41 | $41.10–$664.33 | 75% below | 90% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LOWER BACK SOFT TISSUE MASS | $104.00 | $1,127.63 | $87.21–$1,038.83 | 85% below | 91% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABD LIMITED | $104.00 | $1,298.54 | $87.21–$1,038.83 | 85% below | 92% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL WALL SOFT TISSUE | $104.00 | $1,127.63 | $87.21–$1,038.83 | 85% below | 91% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HIP WITHOUT CONTRAST | $238.00 | $4,192.91 | $208.84–$4,258.52 | 89% below | 94% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 KNEE WITHOUT CONTRAST | $238.00 | $4,810.83 | $208.84–$4,258.52 | 89% below | 95% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LOWER EXTREMITY W/O | $238.00 | $5,323.15 | $208.84–$4,258.52 | 89% below | 96% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANKLE W/WO | $348.00 | $7,248.76 | $348.74–$5,799.01 | 88% below | 95% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOIN W/WO | $348.00 | $6,848.07 | $348.74–$5,799.01 | 88% below | 95% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 KNEE WITH/WITHOUT CONTRAST | $348.00 | $3,791.34 | $348.74–$5,799.01 | 88% below | 91% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HIP WITH/WITHOUT CONTRAST | $348.00 | $3,791.34 | $348.74–$5,799.01 | 88% below | 91% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O | $238.00 | $4,054.50 | $201.81–$3,243.60 | 90% below | 94% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO | $348.00 | $7,946.90 | $348.50–$6,357.52 | 89% below | 96% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O | $238.00 | $5,405.53 | $202.15–$4,324.42 | 89% below | 96% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO | $348.00 | $7,681.64 | $328.11–$6,145.31 | 88% below | 95% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SACRAL SP W O | $238.00 | $5,909.12 | $197.14–$4,727.30 | 90% below | 96% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L/S W/WO | $348.00 | $6,956.82 | $329.13–$5,565.46 | 89% below | 95% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W O | $238.00 | $5,016.90 | $196.14–$4,013.52 | 89% below | 95% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W WO | $348.00 | $6,590.08 | $329.79–$5,272.06 | 89% below | 95% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W O | $238.00 | $6,381.67 | $196.48–$5,105.34 | 90% below | 96% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO | $348.00 | $6,515.48 | $347.16–$5,212.38 | 90% below | 95% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT | $238.00 | $4,314.32 | $233.47–$3,451.46 | 90% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 ELBOW WITHOUT CONTRAST | $238.00 | $5,025.34 | $209.16–$4,020.27 | 87% below | 95% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 WRIST WITHOUT CONTRAST | $238.00 | $4,134.60 | $209.16–$4,020.27 | 87% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 SHOULDER WITHOUT CONTRAST | $238.00 | $4,134.60 | $209.16–$4,020.27 | 87% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 UPPER EXTREMITY W/O - 73221 - 42700024 | $238.00 | $5,025.34 | $209.16–$4,020.27 | 87% below | 95% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYCARDIAL SPECT MULT STUDIES | $1,294.00 | $6,360.95 | $438.05–$7,022.22 | 70% below | 80% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC SPEC REST/STRESS | $1,294.00 | $8,777.77 | $438.05–$7,022.22 | 70% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 U/S PELVIS LIMITED | $104.00 | $1,096.83 | $50.79–$1,061.48 | 80% below | 91% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PERINEUM SOFT TISSUE MASS | $104.00 | $1,300.83 | $50.79–$1,061.48 | 80% below | 92% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BUTTOCKS SOFT TISSUE MASS | $104.00 | $1,326.85 | $50.79–$1,061.48 | 80% below | 92% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PENIS SOFT TISSUE MASS | $104.00 | $1,040.66 | $50.79–$1,061.48 | 80% below | 90% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U/S PELVIS COMPLETE | $104.00 | $1,379.18 | $96.28–$1,103.34 | 88% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 U/S PREGNANCY COMP;GREATR 14WK | $104.00 | $1,517.35 | $104.51–$1,213.88 | 84% below | 93% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB U/S TRANSABD FETAL/MATERNAL | $104.00 | $999.60 | $104.51–$799.68 | 84% below | 90% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S PREGNANCY LIMITD | $104.00 | $828.40 | $81.20–$662.72 | 79% below | 87% |
| Screening mammogram, both breasts CPT 77067 PROMO DIGITAL 2D MAMMOGRAM | $86.00 | $99.00 | $4.99–$443.95 | 72% below | 13% |
| Screening mammogram, both breasts CPT 77067 DIGITAL SCREENING MAMMOGRAM | $86.00 | $554.94 | $4.99–$443.95 | 72% below | 85% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 C-ARM OR SHOULDER 2 VIEWS | $86.00 | $855.93 | $35.09–$747.02 | 72% below | 90% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEW | $86.00 | $933.77 | $35.09–$747.02 | 72% below | 91% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 OR SHOULDER 2 VWS | $86.00 | $710.86 | $35.09–$747.02 | 72% below | 88% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHOCARDIOGRAPHY | $546.00 | $2,432.30 | $122.59–$1,945.84 | 80% below | 78% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW | $175.00 | $975.04 | $124.96–$780.03 | 71% below | 82% |
| Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAGINAL | $104.00 | $1,008.21 | $104.51–$962.91 | 84% below | 90% |
| Transvaginal pelvic ultrasound CPT 76830 LIMITED TRANSVAGINAL U/S | $104.00 | $1,203.64 | $104.51–$962.91 | 84% below | 91% |
| Transvaginal ultrasound during pregnancy CPT 76817 COMPLETE SONO | $104.00 | $573.80 | $92.89–$806.78 | 82% below | 82% |
| Transvaginal ultrasound during pregnancy CPT 76817 OBSTERICAL TRANSVAGINAL | $104.00 | $1,008.48 | $92.89–$806.78 | 82% below | 90% |
| Ultrasound of the abdomen, complete CPT 76700 U/S ABD COMPLETE | $104.00 | $1,626.73 | $104.51–$1,301.38 | 88% below | 94% |
| Ultrasound of the scrotum and testicles CPT 76870 U/S SCROTUM | $104.00 | $1,036.34 | $100.24–$829.07 | 86% below | 90% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U/S SOFT TISSE HEAD//NECK | $104.00 | $1,060.50 | $104.51–$848.40 | 84% below | 90% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY EXM UPPER GI TRC SNGL CNT - 74240 - 42400170 | $175.00 | $1,440.42 | $122.96–$1,152.34 | 76% below | 88% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XRAY EXM UPPER GI TRC SNGL CNT - 74240 - 42400171 | $175.00 | $1,440.42 | $122.96–$1,152.34 | 76% below | 88% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 UNI UPPER OR LOWR VENOUS DOPPR | $104.00 | $1,317.70 | $104.51–$1,054.16 | 87% below | 92% |
| Wrist X-ray, complete, 3 or more views CPT 73110 OR WRIST 2 OR 3 VIEWS | $86.00 | $596.54 | $41.44–$649.94 | 76% below | 86% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS | $86.00 | $812.43 | $41.44–$649.94 | 76% below | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 OR HIP 2 VIEWS | $86.00 | $997.58 | $47.78–$798.06 | 79% below | 91% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2 VIEWS | $86.00 | $997.58 | $47.78–$798.06 | 79% below | 91% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP CHILD 2 VIEW | $86.00 | $975.00 | $47.78–$798.06 | 79% below | 91% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $86.00 | $720.92 | $30.40–$576.74 | 75% below | 88% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEW LTD | $86.00 | $572.92 | $32.41–$458.34 | 70% below | 85% |
| X-ray of the ankle, 2 views CPT 73600 OR ANKLE 3 VIEWS | $86.00 | $456.92 | $32.41–$458.34 | 70% below | 81% |
| X-ray of the ankle, 2 views CPT 73600 C-ARM OR ANKLE 2 VIEW | $86.00 | $547.45 | $32.41–$458.34 | 70% below | 84% |
| X-ray of the finger(s), 2 or more views CPT 73140 C-ARM OR FINGER (S) 2 VIEW - 73140 - 42400270 | $86.00 | $405.55 | $38.43–$507.14 | 64% below | 79% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) 1V | $86.00 | $621.50 | $38.43–$507.14 | 64% below | 86% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER OR FINGERS | $86.00 | $633.93 | $38.43–$507.14 | 64% below | 86% |
| X-ray of the finger(s), 2 or more views CPT 73140 C-ARM OR FINGER (S) 2 VIEW - 73140 - 42400271 | $86.00 | $518.68 | $38.43–$507.14 | 64% below | 83% |
| X-ray of the finger(s), 2 or more views CPT 73140 OR FINGER/FINGERS 2 VIEWS | $86.00 | $461.44 | $38.43–$507.14 | 64% below | 81% |
| X-ray of the foot, 2 views CPT 73620 OR FOOT 2 VIEWS | $86.00 | $516.10 | $28.74–$549.72 | 74% below | 83% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $86.00 | $504.90 | $28.74–$549.72 | 74% below | 83% |
| X-ray of the foot, 2 views CPT 73620 C-ARM OR FOOT 2 VIEW | $86.00 | $687.15 | $28.74–$549.72 | 74% below | 87% |
| X-ray of the foot, 2 views CPT 73620 FOOT 1 VIEW | $86.00 | $645.13 | $28.74–$549.72 | 74% below | 87% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS | $86.00 | $764.98 | $34.41–$652.14 | 77% below | 89% |
| X-ray of the foot, complete, 3 or more views CPT 73630 C-ARM OR FOOT 3 VIEW | $86.00 | $815.17 | $34.41–$652.14 | 77% below | 89% |
| X-ray of the foot, complete, 3 or more views CPT 73630 OR FOOT 3 VIEW | $86.00 | $599.38 | $34.41–$652.14 | 77% below | 86% |
| X-ray of the hand, 3 or more views CPT 73130 C-ARM OR HAND 3 VIEW | $86.00 | $578.46 | $37.43–$612.81 | 78% below | 85% |
| X-ray of the hand, 3 or more views CPT 73130 OR HAND 3 VIEWS | $86.00 | $581.58 | $37.43–$612.81 | 78% below | 85% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS | $86.00 | $766.01 | $37.43–$612.81 | 78% below | 89% |
| X-ray of the knee, 1 or 2 views CPT 73560 C-ARM OR KNEE 2 VIEW | $86.00 | $776.82 | $34.41–$621.46 | 69% below | 89% |
| X-ray of the knee, 1 or 2 views CPT 73560 OR KNEE 2 VIEW | $86.00 | $728.37 | $34.41–$621.46 | 69% below | 88% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 LEFT KNEE 1 OR 2 VIEWS | $86.00 | $728.37 | $34.41–$621.46 | 69% below | 88% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 RIGHT KNEE 1 OR 2 VIEWS | $86.00 | $728.37 | $34.41–$621.46 | 69% below | 88% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SACRAL SPINE 2-3 V | $104.00 | $803.32 | $40.10–$642.66 | 78% below | 87% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 OR LUMBAR SPINE 2 VIEW | $104.00 | $583.76 | $40.10–$642.66 | 78% below | 82% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 C-ARM OR LUMBAR SPINE 2 VIEW | $104.00 | $803.32 | $40.10–$642.66 | 78% below | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 O.R. LUMBAR SPINE 4 VIEWS | $104.00 | $562.55 | $52.13–$797.23 | 84% below | 82% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SAC SP W OBLIQUES | $104.00 | $996.54 | $52.13–$797.23 | 84% below | 90% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 V | $104.00 | $803.32 | $33.08–$685.32 | 74% below | 87% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 C-ARM OR THORACIC SPINE 2VIEW | $104.00 | $856.65 | $33.08–$685.32 | 74% below | 88% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE 3 VWS | $86.00 | $715.29 | $37.76–$572.23 | 71% below | 88% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 OR CERVICAL 2 VIEW | $86.00 | $635.20 | $39.76–$686.87 | 77% below | 86% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-ARM OR CERVICAL 2 VIEW | $86.00 | $858.59 | $39.76–$686.87 | 77% below | 90% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3 VIEWS | $86.00 | $851.08 | $39.76–$686.87 | 77% below | 90% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS | $104.00 | $803.32 | $28.06–$642.66 | 72% below | 87% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 C-ARM OR PELVIS 1 OR 2 VIEW | $104.00 | $573.80 | $28.06–$642.66 | 72% below | 82% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 OR PELVIS 1 VIEW | $104.00 | $689.00 | $28.06–$642.66 | 72% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX | $86.00 | $749.36 | $32.75–$599.49 | 74% below | 89% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT SGPT LC | $5.00 | $127.50 | $4.44–$137.90 | 91% below | 96% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $5.00 | $172.38 | $4.44–$137.90 | 91% below | 97% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST SGOT LC - 84450 - 40301027 | $5.00 | $127.50 | $4.33–$332.32 | 91% below | 96% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT | $5.00 | $172.38 | $4.33–$332.32 | 91% below | 97% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST SGOT LC - 84450 - 40301111 | $5.00 | $415.40 | $4.33–$332.32 | 91% below | 99% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL - 80074 - 40200305 | $47.00 | $541.92 | $39.92–$515.16 | 88% below | 91% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL - 80074 - 40200368 | $47.00 | $643.95 | $39.92–$515.16 | 88% below | 93% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOR AREA E | $5.00 | $24.49 | $4.38–$26.60 | 80% below | 80% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $5.00 | $33.25 | $4.38–$26.60 | 80% below | 85% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY LC | $12.00 | $349.40 | $10.85–$279.52 | 77% below | 97% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE LC | $12.00 | $60.45 | $3.66–$48.96 | 88% below | 80% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB LC | $12.00 | $54.95 | $3.66–$48.96 | 88% below | 78% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA REFLX-TITER&PATTERN | $12.00 | $14.10 | $3.66–$48.96 | 88% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct | $12.00 | $12.20 | $3.66–$48.96 | 88% below | 2% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP LC | $39.00 | $229.50 | $28.46–$334.56 | 80% below | 83% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $39.00 | $196.30 | $28.46–$334.56 | 80% below | 80% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-B-NATRIURETIC PEPTIDE | $39.00 | $418.20 | $28.46–$334.56 | 80% below | 91% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURG PATH G&M EX | $52.00 | $697.68 | $14.80–$558.14 | 83% below | 93% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $9.00 | $18.35 | $1.80–$18,240.00 | 56% below | 51% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE FEE | $9.00 | $44.15 | $1.80–$18,240.00 | 56% below | 80% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Coll venous bld venipuncture | $9.00 | $22,800.00 | $1.80–$18,240.00 | 56% below | 100% |
| Blood lead test CPT 83655 LEAD LEVEL BLOOD | $12.00 | $60.55 | $10.15–$49.05 | 76% below | 80% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLD WORKUP | $133.00 | $563.20 | $2.50–$450.56 | 51% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH GROUPING | $133.00 | $32.50 | $2.50–$450.56 | 51% above | -309% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING | $133.00 | $563.20 | $2.50–$450.56 | 51% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO DISCREP A2 CELL/ANTI-A,B | $133.00 | $57.50 | $2.50–$450.56 | 51% above | -131% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE;ABO | $133.00 | $563.20 | $2.50–$450.56 | 51% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HF/CRP INDIVIDUAL | $5.00 | $6.05 | $1.82–$100.37 | 91% below | 17% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP C-REACTIVE PRO | $5.00 | $125.46 | $1.82–$100.37 | 91% below | 96% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $37.00 | $186.35 | $30.16–$150.94 | 81% below | 80% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 IA QUANT | $20.00 | $243.78 | $17.44–$195.02 | 85% below | 92% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 | $20.00 | $160.37 | $17.44–$195.02 | 85% below | 88% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 COM - CA 125 | $20.00 | $33.51 | $10.05–$84.28 | 88% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $20.00 | $104.05 | $10.05–$84.28 | 88% below | 81% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC | $51.00 | $70.00 | $15.39–$70.00 | 38% below | 27% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL | $51.00 | $51.31 | $15.39–$70.00 | 38% below | 1% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRCH AMP | $35.00 | $175.45 | $25.50–$186.05 | 72% below | 80% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM AMP DNA PROBE | $35.00 | $232.56 | $25.50–$186.05 | 72% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR | $35.00 | $222.78 | $25.50–$186.05 | 72% below | 84% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMDIA TRAC AMP PRO LC180021 | $35.00 | $150.00 | $25.50–$186.05 | 72% below | 77% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 M. GENITALIUM AMP PROBE | $35.00 | $85.00 | $25.50–$186.05 | 72% below | 59% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - 80061 - 40200258 | $13.00 | $314.16 | $11.23–$251.33 | 95% below | 96% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL LC123638 | $13.00 | $83.16 | $11.23–$251.33 | 95% below | 84% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - 80061 - 40200366 | $13.00 | $312.32 | $11.23–$251.33 | 95% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $7.00 | $210.00 | $3.63–$199.35 | 93% below | 97% |
| Complete blood count (CBC) with differential CPT 85025 HF/AP CBC, COMPLETE DIFF | $7.00 | $157.08 | $3.63–$199.35 | 93% below | 96% |
| Complete blood count (CBC) with differential CPT 85025 CBC, COMPLETE DIFF | $7.00 | $249.19 | $3.63–$199.35 | 93% below | 97% |
| Complete blood count (CBC) with differential CPT 85025 HF/COM HEALTH SCREEN CBC | $7.00 | $12.10 | $3.63–$199.35 | 93% below | 42% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $22.00 | $111.15 | $18.64–$90.03 | 86% below | 80% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $27.00 | $139.70 | $23.42–$113.16 | 82% below | 81% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH BLOOD 3RD GENERATION | $18.00 | $92.90 | $15.58–$75.25 | 89% below | 81% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL LC - 83993 - 40301041 | $19.00 | $500.00 | $16.45–$408.00 | 91% below | 96% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL LC - 83993 - 40301020 | $19.00 | $510.00 | $16.45–$408.00 | 91% below | 96% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL | $13.00 | $154.99 | $11.42–$123.99 | 87% below | 92% |
| Folate (folic acid) blood test CPT 82746 FOLATE / FOLIC ACID | $14.00 | $199.92 | $12.32–$159.94 | 83% below | 93% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID/FOLATE | $14.00 | $131.23 | $12.32–$159.94 | 83% below | 89% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $16.00 | $84.70 | $14.20–$68.61 | 89% below | 81% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $9.00 | $219.30 | $7.56–$175.44 | 91% below | 96% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASAY OF FREE THYROXNE LC009993 | $9.00 | $72.00 | $7.56–$175.44 | 91% below | 88% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THTROXIN FREE D DIALYSIS | $9.00 | $130.30 | $7.56–$175.44 | 91% below | 93% |
| Free testosterone test CPT 84402 TESTOSTERONE-FREE | $25.00 | $127.35 | $21.34–$103.15 | 77% below | 80% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $25.00 | $79.95 | $21.34–$103.15 | 77% below | 69% |
| Glucose tolerance test, 3 samples CPT 82951 GTT, 3 SPECIMENS - 82951 - 40200178 | $12.00 | $236.64 | $10.79–$189.31 | 93% below | 95% |
| Glucose tolerance test, 3 samples CPT 82951 GTT, 3 SPECIMENS - 82951 - 40200089 | $12.00 | $236.64 | $10.79–$189.31 | 93% below | 95% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMP PROBE LC180021 | $35.00 | $150.00 | $29.42–$178.22 | 75% below | 77% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONO AMP | $35.00 | $175.45 | $29.42–$178.22 | 75% below | 80% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CT/NG | $35.00 | $222.78 | $29.42–$178.22 | 75% below | 84% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NGONO AMP DNA PROBE | $35.00 | $204.00 | $29.42–$178.22 | 75% below | 83% |
| H. pylori antibody blood test CPT 86677 H. PYLORI IGA | $16.00 | $58.05 | $8.55–$205.60 | 88% below | 72% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG | $16.00 | $257.00 | $8.55–$205.60 | 88% below | 94% |
| H. pylori antibody blood test CPT 86677 H PYLORIC IGM | $16.00 | $57.00 | $8.55–$205.60 | 88% below | 72% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori Antibodies | $16.00 | $28.50 | $8.55–$205.60 | 88% below | 44% |
| H. pylori stool antigen test CPT 87338 H PYLORI EIA | $14.00 | $153.00 | $12.06–$122.40 | 83% below | 91% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV BY PCR | $85.00 | $425.50 | $71.33–$344.66 | 74% below | 80% |
| HIV-1 and HIV-2 antibody test CPT 86703 AB HIV1&2 SGL ASSAY | $13.00 | $165.09 | $11.50–$132.07 | 86% below | 92% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG W HIV2 AB | $24.00 | $204.04 | $20.23–$163.23 | 83% below | 88% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $35.00 | $146.63 | $28.66–$142.11 | 51% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 COM - HGB A1C | $9.00 | $10.04 | $3.01–$164.83 | 90% below | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $9.00 | $206.04 | $3.01–$164.83 | 90% below | 96% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HF/HEMOGLOBIN A1C INDIVIDUAL | $9.00 | $206.04 | $3.01–$164.83 | 90% below | 96% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB LC | $10.00 | $21.75 | $6.53–$97.74 | 84% below | 54% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SUR ANTIBODY | $10.00 | $122.18 | $6.53–$97.74 | 84% below | 92% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG SCREEN QUALITATIVE | $10.00 | $11.75 | $3.53–$94.00 | 87% below | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $10.00 | $117.50 | $3.53–$94.00 | 87% below | 91% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIGEN | $10.00 | $92.16 | $3.53–$94.00 | 87% below | 89% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C | $14.00 | $162.41 | $11.96–$129.93 | 84% below | 91% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $14.00 | $127.38 | $11.96–$129.93 | 84% below | 89% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUNT RNA PCR RFLX GENOTYPE | $42.00 | $275.00 | $35.91–$220.00 | 87% below | 85% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV-RNA PCR | $42.00 | $214.20 | $35.91–$220.00 | 87% below | 80% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I | $13.00 | $120.01 | $11.06–$96.01 | 85% below | 89% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY HSV TYPE 2 | $19.00 | $96.75 | $16.23–$78.37 | 79% below | 80% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $12.00 | $179.83 | $10.85–$143.86 | 85% below | 93% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 COM - HS -CRP | $12.00 | $136.71 | $10.85–$143.86 | 85% below | 91% |
| Homocysteine blood test CPT 83090 COM - H9OMOCYSTEINE | $17.00 | $25.14 | $7.54–$72.58 | 89% below | 32% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $17.00 | $89.60 | $7.54–$72.58 | 89% below | 81% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL | $11.00 | $362.50 | $9.59–$290.00 | 87% below | 97% |
| Insulin blood test CPT 83525 INSULIN | $11.00 | $102.03 | $9.59–$290.00 | 87% below | 89% |
| Insulin blood test CPT 83525 INSULIN 2HR POSTPRANDIAL | $11.00 | $102.03 | $9.59–$290.00 | 87% below | 89% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $11.00 | $221.34 | $9.59–$290.00 | 87% below | 95% |
| Iron blood test (serum iron) CPT 83540 IRON | $6.00 | $161.16 | $5.43–$128.93 | 93% below | 96% |
| Iron blood test (serum iron) CPT 83540 COM - ANEMIA PANEL | $6.00 | $33.51 | $5.43–$128.93 | 93% below | 82% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP | $8.00 | $168.30 | $7.33–$134.64 | 92% below | 95% |
| LH (luteinizing hormone) test CPT 83002 LH HORMONE SERUM | $18.00 | $92.60 | $15.53–$75.01 | 88% below | 81% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM | $6.00 | $296.11 | $5.77–$236.89 | 94% below | 98% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $17.00 | $257.04 | $14.28–$205.63 | 79% below | 93% |
| Magnesium blood test CPT 83735 MAGNESIUM 24-HR. UR | $6.00 | $59.77 | $5.62–$134.88 | 87% below | 90% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $6.00 | $168.60 | $5.62–$134.88 | 87% below | 96% |
| Magnesium blood test CPT 83735 MAGNESIUM RANDOM-URINE | $6.00 | $59.77 | $5.62–$134.88 | 87% below | 90% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES | $12.00 | $444.76 | $10.80–$355.81 | 54% below | 97% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE LC | $18.00 | $91.95 | $15.42–$77.85 | 84% below | 80% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $18.00 | $97.31 | $15.42–$77.85 | 84% below | 82% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $18.00 | $325.38 | $15.42–$260.30 | 78% below | 94% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HF/PSA INDIVIDUAL | $18.00 | $325.38 | $15.42–$260.30 | 78% below | 94% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HF/MEN'S HC PSA | $18.00 | $325.38 | $15.42–$260.30 | 78% below | 94% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL +% FREE LC | $18.00 | $91.95 | $15.42–$260.30 | 78% below | 80% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTO PATH C/V FLUID | $26.00 | $214.72 | $22.21–$171.78 | 65% below | 88% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP CERV/VAG ATL MANUAL | $20.00 | $122.40 | $16.99–$106.46 | 78% below | 84% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CP CERV/VAG | $20.00 | $133.07 | $16.99–$106.46 | 78% below | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID PTH | $41.00 | $48.00 | $9.38–$254.51 | 82% below | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $41.00 | $264.05 | $9.38–$254.51 | 82% below | 84% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C - TERMINAL | $41.00 | $318.14 | $9.38–$254.51 | 82% below | 87% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY PARATHORMONE LC | $41.00 | $31.25 | $9.38–$254.51 | 82% below | -31% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 MIXING STUDIES LUP PRO | $6.00 | $54.62 | $5.03–$88.13 | 89% below | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $6.00 | $110.16 | $5.03–$88.13 | 89% below | 95% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core | $759.00 | $3,795.25 | $481.40–$3,074.15 | 13% below | 80% |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $20.00 | $104.30 | $17.49–$84.48 | 83% below | 81% |
| Prolactin blood test CPT 84146 PROLACTIN | $19.00 | $96.90 | $16.25–$78.49 | 84% below | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HF/PT INDIVIDUAL | $4.00 | $90.78 | $2.51–$72.62 | 92% below | 96% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $4.00 | $90.78 | $2.51–$72.62 | 92% below | 96% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT LC | $4.00 | $30.90 | $2.51–$72.62 | 92% below | 87% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME LUPUS PROFILE | $4.00 | $35.77 | $2.51–$72.62 | 92% below | 89% |
| Prothrombin time (PT/INR) clotting test CPT 85610 COM - PROTIME | $4.00 | $8.37 | $2.51–$72.62 | 92% below | 52% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 BETA STREP A SCREEN | $16.00 | $133.86 | $10.06–$107.09 | 85% below | 88% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT LC | $5.00 | $356.34 | $4.76–$285.07 | 91% below | 99% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QNT LC | $5.00 | $54.95 | $4.76–$285.07 | 91% below | 91% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR: QUANT | $5.00 | $55.80 | $4.76–$285.07 | 91% below | 91% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA/MEASLES ANTIBODY | $14.00 | $280.06 | $3.66–$224.05 | 64% below | 95% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG | $14.00 | $184.42 | $3.66–$224.05 | 64% below | 92% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG | $14.00 | $12.20 | $3.66–$224.05 | 64% below | -15% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $14.00 | $71.95 | $3.66–$224.05 | 64% below | 81% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $8.00 | $21.85 | $6.56–$21.85 | 92% below | 63% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OB-GUIAC TEST | $4.00 | $56.10 | $2.72–$44.88 | 91% below | 93% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood,Fecal Immunoassay | $15.00 | $150.00 | $13.33–$122.40 | 81% below | 90% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $15.00 | $153.00 | $13.33–$122.40 | 81% below | 90% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $4.00 | $33.25 | $3.58–$121.00 | 93% below | 88% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREPO QUAL | $4.00 | $38.09 | $3.58–$121.00 | 93% below | 89% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TEST | $4.00 | $151.25 | $3.58–$121.00 | 93% below | 97% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMM GOLD | $61.00 | $309.90 | $51.95–$251.02 | 72% below | 80% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS | $61.00 | $200.00 | $51.95–$251.02 | 72% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL - 84403 - 40200409 | $25.00 | $255.47 | $21.65–$235.03 | 80% below | 90% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL - 84403 - 40300357 | $25.00 | $293.79 | $21.65–$235.03 | 80% below | 91% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EA LC | $14.00 | $54.95 | $12.20–$58.93 | 86% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES | $14.00 | $72.75 | $12.20–$58.93 | 86% below | 81% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSMAL ANTIBODY | $14.00 | $72.75 | $12.20–$58.93 | 86% below | 81% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE LC 009993 | $16.00 | $72.00 | $1.82–$296.21 | 88% below | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-ULTA SENSATIVE | $16.00 | $370.26 | $1.82–$296.21 | 88% below | 96% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HF/TP TSH | $16.00 | $370.26 | $1.82–$296.21 | 88% below | 96% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HF/WOMAN'S HC TSH | $16.00 | $6.05 | $1.82–$296.21 | 88% below | -164% |
| Trichomonas test (NAAT) CPT 87661 NUCl ACID TRICMON AMP LC180021 | $35.00 | $150.00 | $28.72–$142.11 | 60% below | 77% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG PCR | $35.00 | $175.45 | $28.72–$142.11 | 60% below | 80% |
| Urinalysis with microscope exam, manual CPT 81000 EOSINOPHIL URINE | $4.00 | $69.75 | $2.66–$55.80 | 90% below | 94% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE PREG TEST;COLOR COMP | $8.00 | $72.00 | $5.30–$57.60 | 91% below | 89% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $15.00 | $148.13 | $12.64–$118.50 | 83% below | 90% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $29.00 | $209.40 | $24.82–$239.09 | 75% below | 86% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXI | $29.00 | $298.86 | $24.82–$239.09 | 75% below | 90% |
| Zinc blood test CPT 84630 ZINC PLASMA | $11.00 | $56.95 | $9.55–$46.13 | 84% below | 81% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHRONIC GONADOTROPIN LC 017500 | $15.00 | $25.00 | $7.50–$366.95 | 87% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-QUANTITATIVE-SERUM | $15.00 | $458.69 | $7.50–$366.95 | 87% below | 97% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT LC | $15.00 | $38.05 | $7.50–$366.95 | 87% below | 61% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888 | $7,253.00 | $25,650.00 | $1,292.76–$20,520.00 | at median | 72% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $7,253.00 | $11,114.59 | $560.18–$11,114.59 | 49% above | 35% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX; WO MANIP | $246.00 | $1,125.45 | $56.72–$900.36 | 12% below | 78% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH W VGRAM/COROS | $3,240.00 | $20,645.70 | $1,040.54–$16,516.56 | 73% below | 84% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIO VERSION | $660.00 | $2,869.45 | $144.62–$2,295.56 | 61% below | 77% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $660.00 | $2,632.45 | $144.62–$2,295.56 | 61% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE | $660.00 | $2,869.45 | $144.62–$2,295.56 | 61% below | 77% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $1,952.00 | $11,052.60 | $557.05–$8,842.08 | 50% below | 82% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $920.00 | $16,205.50 | $121.72–$12,964.40 | 19% below | 94% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $2,089.00 | $18,248.70 | $919.73–$14,598.96 | 11% below | 89% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION - 54150 - 35500009 | $2,089.00 | $8,698.75 | $357.46–$6,959.00 | 70% above | 76% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION - 54150 - 35006508 | $2,089.00 | $7,092.53 | $357.46–$6,959.00 | 70% above | 71% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA - 25600 - 38500215 | $246.00 | $1,575.63 | $79.41–$1,260.50 | 57% below | 84% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $1,196.00 | $9,930.84 | $500.51–$7,944.67 | at median | 88% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,196.00 | $8,164.91 | $411.51–$6,531.93 | at median | 85% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $929.00 | $8,302.33 | $418.44–$6,641.86 | 37% below | 89% |
| Coronary stent placement, one artery CPT 92928 STENT 1ST NON DES | $11,539.00 | $29,007.10 | $1,461.96–$23,205.68 | 1% below | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT - 52332 - | $3,523.00 | $8,663.68 | $436.65–$7,047.38 | 19% below | 59% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy - 52000 - OR36052000 | $697.00 | $12,825.00 | $646.38–$10,260.00 | 37% below | 95% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE DX&/THER | $3,235.00 | $13,784.00 | $589.32–$11,027.20 | 22% below | 77% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage | $3,235.00 | $11,692.90 | $589.32–$11,027.20 | 22% below | 72% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $58.00 | $285.09 | $14.37–$285.09 | 53% below | 80% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN (EAR | $58.00 | $391.30 | $19.72–$313.04 | 66% below | 85% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev | $884.00 | $6,533.33 | $329.28–$5,226.66 | 48% below | 86% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $6,471.00 | $22,402.90 | $1,129.11–$17,922.32 | at median | 71% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc | $6,471.00 | $103,404.00 | $1,922.00–$82,723.20 | 17% below | 94% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $3,579.00 | $12,033.30 | $606.48–$9,626.64 | 41% below | 70% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $929.00 | $10,379.00 | $180.35–$8,303.20 | 18% above | 91% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $6,043.00 | $19,156.10 | $965.47–$15,324.88 | at median | 68% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph | $6,043.00 | $18,867.60 | $950.93–$15,094.08 | 27% below | 68% |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $3,270.00 | $11,400.00 | $574.56–$9,120.00 | 6% below | 71% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Remove intext hem 1 group | $2,774.00 | $11,514.00 | $580.31–$9,211.20 | 24% below | 76% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation | $5,000.00 | $13,126.00 | $661.55–$10,500.80 | at median | 62% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy | $3,235.00 | $12,596.70 | $634.87–$10,077.36 | 32% below | 74% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single | $200.00 | $13,712.20 | $44.47–$10,969.76 | 57% below | 99% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE | $200.00 | $882.25 | $44.47–$10,969.76 | 57% below | 77% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS-SINGLE | $200.00 | $882.65 | $44.47–$10,969.76 | 57% below | 77% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INC ST ABSC; SUPERF | $200.00 | $1,259.85 | $44.47–$10,969.76 | 57% below | 84% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABCESS SIM | $200.00 | $1,259.85 | $44.47–$10,969.76 | 57% below | 84% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION SFT TISSUE ABSCESS | $200.00 | $882.25 | $44.47–$10,969.76 | 57% below | 77% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $3,579.00 | $17,385.00 | $876.20–$13,908.00 | 42% below | 79% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDON SHTH OR LIGAMEN | $306.00 | $1,237.40 | $32.22–$1,237.40 | 31% below | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JNT/BURSA | $306.00 | $1,305.85 | $38.49–$5,069.47 | 57% below | 77% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $306.00 | $6,336.84 | $38.49–$5,069.47 | 57% below | 95% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURSA | $306.00 | $1,237.40 | $32.22–$1,237.40 | 52% below | 75% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery - 29882 - OR36029882 | $3,270.00 | $25,650.00 | $1,292.76–$20,520.00 | 43% below | 87% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 | $3,270.00 | $14,741.70 | $742.98–$11,793.36 | 45% below | 78% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880 | $3,270.00 | $17,319.20 | $872.89–$13,855.36 | 43% below | 81% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery - 29877 - OR36029877 | $3,270.00 | $15,200.00 | $766.08–$12,160.00 | 27% below | 78% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $6,043.00 | $12,970.40 | $653.71–$12,086.62 | 15% below | 53% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less | $10,625.00 | $33,300.00 | $1,678.32–$26,640.00 | 30% above | 68% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less | $10,625.00 | $37,200.00 | $1,874.88–$29,760.00 | 1% below | 71% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $6,043.00 | $27,906.10 | $1,406.47–$22,324.88 | 51% below | 78% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $6,043.00 | $38,780.00 | $1,954.51–$31,024.00 | 26% below | 84% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa | $6,043.00 | $23,494.80 | $1,184.14–$18,795.84 | 30% below | 74% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT REP S/A/T/EX; 2.5CM/< | $406.00 | $2,198.56 | $105.00–$1,758.85 | 25% below | 82% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $705.00 | $8,960.00 | $451.58–$7,168.00 | 58% below | 92% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1 | $884.00 | $7,381.82 | $372.04–$5,905.46 | 38% below | 88% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery | $7,253.00 | $64,900.00 | $3,270.96–$51,920.00 | 17% below | 89% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar | $7,253.00 | $22,036.50 | $1,110.64–$17,629.20 | 18% below | 67% |
| Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy | $3,914.00 | $14,570.10 | $734.33–$11,656.08 | 9% below | 73% |
| Mastectomy (total removal of the breast) CPT 19303 Mast simple complete | $6,637.00 | $8,690.34 | $437.99–$8,690.34 | 10% above | 24% |
| Miscarriage treatment with D&C, first trimester CPT 59820 SURG TX ABORT MISSED 1ST TRI | $3,235.00 | $13,116.00 | $661.05–$11,081.60 | 11% below | 75% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage | $3,235.00 | $13,852.00 | $661.05–$11,081.60 | 11% below | 77% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE 1 | $200.00 | $882.25 | $63.50–$6,720.00 | 44% below | 77% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $200.00 | $8,400.00 | $63.50–$6,720.00 | 44% below | 98% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION/EXCISION | $200.00 | $882.25 | $63.50–$6,720.00 | 44% below | 77% |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL | $200.00 | $1,259.85 | $63.50–$6,720.00 | 44% below | 84% |
| Pacemaker implant (dual chamber) CPT 33208 PERM PACEMAKER A/V | $10,448.00 | $47,079.90 | $2,372.83–$37,663.92 | 45% below | 78% |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging | $906.00 | $10,440.20 | $191.91–$8,352.16 | 44% below | 91% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS - 49083 - 38500463 | $906.00 | $5,437.47 | $191.91–$8,352.16 | 44% below | 83% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS - 49083 - 42607142 | $906.00 | $5,437.47 | $191.91–$8,352.16 | 44% below | 83% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS - 49083 - 42901360 | $906.00 | $3,807.75 | $191.91–$8,352.16 | 44% below | 76% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL & MATRIX, | $406.00 | $2,198.56 | $110.81–$1,758.85 | 49% below | 82% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL PARTIAL OR COMPLET | $406.00 | $1,570.40 | $110.81–$1,758.85 | 49% below | 74% |
| Prostate biopsy CPT 55700 Biopsy of prostate | $2,004.00 | $21,252.90 | $1,071.15–$17,002.32 | 24% below | 91% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $10,625.00 | $34,046.00 | $1,715.92–$27,236.80 | 1% above | 69% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt | $1,952.00 | $12,040.00 | $606.82–$9,632.00 | 31% below | 84% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $3,914.00 | $13,005.00 | $655.45–$10,404.00 | 20% below | 70% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB, SQ; SMPL | $406.00 | $2,242.53 | $105.00–$1,794.02 | 36% below | 82% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY-SIMPLE | $406.00 | $1,570.40 | $105.00–$1,794.02 | 36% below | 74% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid - 60220 - OR36060220 | $6,043.00 | $21,266.70 | $1,071.84–$17,013.36 | 22% below | 72% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $3,523.00 | $13,254.10 | $668.01–$10,603.28 | 36% below | 73% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT; STATIC | $133.00 | $760.27 | $38.32–$608.22 | 54% below | 83% |
| Short leg cast (below the knee) CPT 29405 UNDER LOWER EXTREMITY CAST APP | $279.00 | $1,177.90 | $59.97–$942.32 | 18% below | 76% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $162.00 | $961.19 | $48.44–$768.95 | 48% below | 83% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $3,270.00 | $9,264.75 | $466.94–$7,411.80 | 23% below | 65% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< | $200.00 | $1,259.85 | $63.50–$1,007.88 | 53% below | 84% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY | $406.00 | $1,758.00 | $109.48–$1,758.00 | 11% below | 77% |
| Skin tag removal, up to 15 tags CPT 11200 RMV SKIN TAG UP TO & INC 15LES | $200.00 | $1,235.15 | $62.25–$988.12 | 37% below | 84% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR DIAGNO | $705.00 | $4,275.50 | $215.49–$3,420.40 | 33% below | 84% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - 62270 - 31000006 | $705.00 | $2,994.05 | $215.49–$3,420.40 | 33% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - 62270 - 38703874 | $705.00 | $2,994.05 | $215.49–$3,420.40 | 33% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - 62270 - 35500047 | $705.00 | $3,048.95 | $215.49–$3,420.40 | 33% below | 77% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM | $200.00 | $1,259.85 | $63.50–$1,007.88 | 58% below | 84% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $200.00 | $1,259.85 | $63.50–$1,007.88 | 53% below | 84% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) | $5,359.00 | $21,800.00 | $1,098.72–$17,440.00 | 23% below | 75% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN - ONE LESION | $406.00 | $1,235.15 | $93.98–$1,235.15 | 13% above | 67% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W INS TUBE W/WO | $627.00 | $3,100.05 | $156.24–$3,692.02 | 56% below | 80% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $627.00 | $4,615.02 | $156.24–$3,692.02 | 56% below | 86% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $12,833.00 | $39,875.00 | $1,922.00–$31,900.00 | at median | 68% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $12,833.00 | $44,604.80 | $1,922.00–$35,683.84 | at median | 71% |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint | $17,527.00 | $81,200.00 | $1,873.79–$64,960.00 | at median | 78% |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid - 60240 - OR36060240 | $6,043.00 | $69,600.00 | $1,922.00–$55,680.00 | 36% below | 91% |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $1,607.00 | $9,022.22 | $454.72–$7,217.78 | 52% below | 82% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TPI(S) - 1/2 MUSCLE(S) | $306.00 | $1,767.01 | $37.60–$1,413.61 | 47% below | 83% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery | $6,043.00 | $24,958.80 | $1,257.92–$19,967.04 | 22% above | 76% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag | $1,650.00 | $9,628.50 | $485.28–$7,702.80 | 40% below | 83% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $1,918.00 | $5,675.00 | $286.02–$4,540.00 | 31% above | 66% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $906.00 | $8,408.81 | $423.80–$6,727.05 | 5% below | 89% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $1,918.00 | $8,400.00 | $423.36–$6,720.00 | 69% above | 77% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $906.00 | $6,390.78 | $322.10–$5,112.62 | 14% below | 86% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy | $5,359.00 | $17,389.50 | $876.43–$13,911.60 | 1% above | 69% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $2,089.00 | $14,000.00 | $705.60–$11,200.00 | 54% below | 85% |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 | $200.00 | $25,200.00 | $105.00–$20,160.00 | 5% below | 99% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE; SKIN TO SQ TISSUE | $406.00 | $2,198.56 | $110.81–$1,794.02 | 60% below | 82% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EXCL DEBR-SUBQ 20 SQCM OR LESS | $406.00 | $2,242.53 | $110.81–$1,794.02 | 60% below | 82% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep | $7,253.00 | $24,225.00 | $1,220.94–$19,380.00 | 9% below | 70% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/COMPONENT - 36430 - 41000110 | $441.00 | $1,952.48 | $43.41–$2,315.72 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-PER DAY | $441.00 | $1,914.20 | $43.41–$2,315.72 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - PER DAY - 36430 - 44203939 | $441.00 | $1,914.20 | $43.41–$2,315.72 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion bld/bld compnt | $441.00 | $2,894.65 | $43.41–$2,315.72 | 53% below | 85% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $441.00 | $1,940.20 | $43.41–$2,315.72 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION - PER DAY - 36430 - 35500006 | $441.00 | $1,914.50 | $43.41–$2,315.72 | 53% below | 77% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/COMPONENT - 36430 - 41000021 | $441.00 | $1,952.48 | $43.41–$2,315.72 | 53% below | 77% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT | $218.00 | $1,368.02 | $67.60–$1,094.42 | 7% above | 84% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL TREATMENT | $218.00 | $1,341.20 | $67.60–$1,094.42 | 7% above | 84% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL | $218.00 | $1,368.02 | $67.60–$1,094.42 | 7% above | 84% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT | $218.00 | $1,368.02 | $67.60–$1,094.42 | 7% above | 84% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL TREATMENT | $218.00 | $1,341.20 | $67.60–$1,094.42 | 7% above | 84% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF 1-2 HR | $330.00 | $1,441.90 | $72.67–$1,153.52 | 46% below | 77% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $825.00 | $5,283.74 | $733.33–$4,226.99 | 68% below | 84% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD | $58.00 | $482.41 | $19.96–$385.93 | 80% below | 88% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - LAB | $58.00 | $395.99 | $19.96–$385.93 | 80% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM-LEVEL 1 | $84.00 | $497.87 | $51.36–$497.87 | 71% below | 83% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM-LEVEL 2 | $153.00 | $913.63 | $51.36–$730.90 | 68% below | 83% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SEXUAL ASSAULT EXAM | $272.00 | $1,500.00 | $51.36–$1,523.00 | 67% below | 82% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM-LEVEL 3 - 99283 - 38500009 | $272.00 | $1,592.15 | $51.36–$1,523.00 | 67% below | 83% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM-LEVEL 4 | $417.00 | $2,573.04 | $129.68–$2,573.04 | 69% below | 84% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM LEVEL-5 - 99285 - 38500011 | $595.00 | $4,092.65 | $206.27–$3,274.12 | 74% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST WITH CARDIOLITE | $215.00 | $1,801.49 | $63.58–$1,441.19 | 85% below | 88% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $215.00 | $1,322.25 | $63.58–$1,441.19 | 85% below | 84% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TST REG/ADEO/ W/CARDIOL | $215.00 | $1,261.55 | $63.58–$1,441.19 | 85% below | 83% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF FIRST HOUR | $212.00 | $1,336.47 | $53.21–$1,069.18 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDRA,TX/DX,FIRST HR - 96360 - 38500060 | $212.00 | $1,310.26 | $53.21–$1,069.18 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION FIRST HOUR | $212.00 | $935.90 | $53.21–$1,069.18 | 57% below | 77% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDRA,TX/DX,FIRST HR - 96360 - 38500041 | $212.00 | $1,336.47 | $53.21–$1,069.18 | 57% below | 84% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDRA,TX/DX,FIRST HR - 96360 - 44203926 | $212.00 | $935.90 | $53.21–$1,069.18 | 57% below | 77% |
| IV infusion of a medicine, first hour CPT 96365 IV INF,TH/PR/DI, FIRST HR - 96365 - 38500055 | $212.00 | $1,310.26 | $100.46–$1,069.18 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 IV INF,TH/PR/DI, FIRST HR - 96365 - 38500065 | $212.00 | $1,310.26 | $100.46–$1,069.18 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INI HR | $212.00 | $1,336.47 | $100.46–$1,069.18 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 IV INF,TH/PR/DI, FIRST HR - 96365 - 38500043 | $212.00 | $1,336.47 | $100.46–$1,069.18 | 58% below | 84% |
| IV infusion of a medicine, first hour CPT 96365 IV INF,TH/PR/DI, FIRST HR - 96365 - 44203928 | $212.00 | $1,336.47 | $100.46–$1,069.18 | 58% below | 84% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ,SC/IM - 96372 - 44203924 | $71.00 | $426.62 | $71.97–$341.30 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ,SC/IM - 96372 - 44203945 | $71.00 | $418.25 | $71.97–$341.30 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM - 96372 - 35006513 | $71.00 | $298.75 | $71.97–$341.30 | 58% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM - 96372 - 38500015 | $71.00 | $418.25 | $71.97–$341.30 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM - 96372 - 38500014 | $71.00 | $426.62 | $71.97–$341.30 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $71.00 | $426.62 | $71.97–$341.30 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ, SC/IM - 96372 - 38500062 | $71.00 | $418.25 | $71.97–$341.30 | 58% below | 83% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THE/PROPH/DIAG INJ, SC/IM | $71.00 | $298.75 | $71.97–$341.30 | 58% below | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO REEDU | $31.00 | $188.70 | $8.51–$202.45 | 73% below | 84% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCLE RE-ED OTA 15MIN | $31.00 | $168.81 | $8.51–$202.45 | 73% below | 82% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO-MUSCULAR REED | $31.00 | $253.06 | $8.51–$202.45 | 73% below | 88% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSCLE RE-ED PTA EA15M | $31.00 | $253.06 | $8.51–$202.45 | 73% below | 88% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASS IND EACH 15 MIN - 97802 - 46100034 | $25.00 | $178.50 | $1.47–$301.55 | 57% below | 86% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 FOLLOW-UP OP ASSES | $25.00 | $75.39 | $1.47–$301.55 | 57% below | 67% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 POST BARIATRIC PROC NUTRI F/U | $25.00 | $58.44 | $1.47–$301.55 | 57% below | 57% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 GENERAL NUTRITION EDUCATION CL | $25.00 | $29.23 | $1.47–$301.55 | 57% below | 14% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIABETES EDUCATION | $25.00 | $30.25 | $1.47–$301.55 | 57% below | 17% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PDSMT INITIAL VISIT GRP | $25.00 | $60.50 | $1.47–$301.55 | 57% below | 59% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL OP ASSES | $25.00 | $376.94 | $1.47–$301.55 | 57% below | 93% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASS IND EACH 15 MIN - 97802 - 46500005 | $25.00 | $86.05 | $1.47–$301.55 | 57% below | 71% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL OP TEACHING | $25.00 | $125.66 | $1.47–$301.55 | 57% below | 80% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 SUPERVISED WT LOSS INITIAL VIS | $25.00 | $102.28 | $1.47–$301.55 | 57% below | 76% |
| Occupational therapy evaluation, low complexity CPT 97165 OT LOW COMPLEXITY EVALUATION | $98.00 | $629.21 | $31.71–$503.37 | 63% below | 84% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT HIGH COMPLEXITY EVALUATION | $95.00 | $1,244.88 | $62.74–$995.90 | 69% below | 92% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LOW COMPLEXITY EVALUATION | $95.00 | $670.32 | $33.78–$536.26 | 60% below | 86% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT MOD COMPLEXITY EVALUATION | $95.00 | $957.61 | $48.26–$766.09 | 67% below | 90% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SOFT TISSUE MOBILIZATION | $27.00 | $223.85 | $11.28–$229.05 | 76% below | 88% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUA TX TECHNIQUES | $27.00 | $286.29 | $11.28–$229.05 | 76% below | 91% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUA TX TECHNIQUES PTA EA 15M | $27.00 | $286.31 | $11.28–$229.05 | 76% below | 91% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXCERCISE EA 15 MIN PTA | $28.00 | $236.23 | $11.91–$228.56 | 77% below | 88% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXCER EA 15 MIN | $28.00 | $285.70 | $11.91–$228.56 | 77% below | 90% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXCERCISE EA 15 MIN | $28.00 | $236.24 | $11.91–$228.56 | 77% below | 88% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXCERCISE OTA EA 15MIN | $28.00 | $285.70 | $11.91–$228.56 | 77% below | 90% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSELING 3-10 | $37.00 | $166.90 | $5.05–$133.52 | 21% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10 MIN | $37.00 | $100.14 | $5.05–$133.52 | 21% below | 63% |
| Speech and language evaluation CPT 92523 EVALUATION OF SPEECH & LANGUAG | $221.00 | $1,110.80 | $55.98–$888.64 | 48% below | 80% |
| Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH THERP | $74.00 | $372.00 | $18.75–$325.50 | 68% below | 80% |
| Spirometry (breathing test) CPT 94010 PFT SPIROMETRY BASIC | $215.00 | $951.65 | $47.96–$761.32 | 45% below | 77% |
| Spirometry before and after a bronchodilator CPT 94060 PFT SPIROMETRY PRE & POST | $373.00 | $857.65 | $43.23–$746.02 | 41% below | 57% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY ACTIVITY PTA EA 15MIN | $34.00 | $269.54 | $12.66–$215.63 | 71% below | 87% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES | $34.00 | $251.12 | $12.66–$215.63 | 71% below | 86% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPY ACTIVTY OTA EA 15M | $34.00 | $251.12 | $12.66–$215.63 | 71% below | 86% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $34.00 | $269.54 | $12.66–$215.63 | 71% below | 87% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY | $133.00 | $319.44 | $16.10–$266.00 | 47% below | 58% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION - 90471 - 35506510 | $71.00 | $310.55 | $15.06–$341.30 | 8% below | 77% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION - 90471 - 35006510 | $71.00 | $310.55 | $15.06–$341.30 | 8% below | 77% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM; 1 VACCINE - 90471 - 44203931 | $71.00 | $298.75 | $15.06–$341.30 | 8% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MMUNIZATION ADMIN 1 VACCINE | $71.00 | $426.62 | $15.06–$341.30 | 8% below | 83% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM; 1 VACCINE - 90471 - 38500473 | $71.00 | $418.25 | $15.06–$341.30 | 8% below | 83% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM; 1 VACCINE - 90471 - 38500348 | $71.00 | $426.62 | $15.06–$341.30 | 8% below | 83% |
Source file: https://missionrmc.org/wp-content/uploads/2026/09/000370_MissionRegionalMedicalCenter_standardcharges.json