Nocona General Hospital
Nocona General Hospital in Nocona, TX publishes cash prices for 122 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 121 of 122 procedures and above it for 1. By typical cash price it ranks #1 of 240 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
100 Park Road Nocona Texas 76255 Collected Sep 27, 2026 Source price file (940) 825-3235
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 450641 · 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 6 actions for a hospital named Nocona General Hospital in Nocona, TX:
- Jul 27, 2022 Warning notice
- Nov 9, 2022 Corrective action plan requested
- Dec 13, 2022 Case closed
- Jan 23, 2026 Warning notice
- Apr 28, 2026 Corrective action plan requested
- Jun 15, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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.
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 both sides CPT 73610 ANKLE 3+ VIEWS BILATERAL | $27.85 | $363.00 | $27.85–$345.00 | — | 92% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3 VIEWS | $26.79 | $251.00 | $26.79–$325.00 | 92% below | 89% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3+ VIEWS BILATERAL | $27.85 | $363.00 | $27.85–$345.00 | — | 92% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT 3 VIEWS | $26.79 | $251.00 | $26.79–$325.00 | — | 89% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 93% below | 89% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL | $27.85 | $415.00 | $27.85–$395.00 | — | 93% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL | $27.85 | $468.00 | $27.85–$445.00 | — | 94% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 91% below | 89% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 3 VIEWS | $27.85 | $289.00 | $27.85–$325.00 | 91% below | 90% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL | $27.85 | $468.00 | $27.85–$445.00 | — | 94% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL | $27.85 | $415.00 | $27.85–$395.00 | — | 93% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT 3 VIEWS | $27.85 | $289.00 | $27.85–$325.00 | — | 90% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 3 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | 93% below | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | 93% below | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 3 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | 93% below | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | 93% below | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 3 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | — | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 2 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | — | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 3 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | — | 89% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 2 VIEWS | $26.40 | $251.00 | $26.40–$325.00 | — | 89% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $27.65 | $251.00 | $27.65–$325.00 | 92% below | 89% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $27.65 | $251.00 | $27.65–$325.00 | — | 89% |
| X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEWS BILATERAL | $27.85 | $290.00 | $27.85–$325.00 | — | 90% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS | $27.65 | $251.00 | $27.65–$325.00 | 90% below | 89% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEWS BILATERAL | $27.85 | $290.00 | $27.85–$325.00 | — | 90% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEWS | $27.65 | $251.00 | $27.65–$325.00 | — | 89% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEWS BILATERAL | $27.85 | $290.00 | $27.85–$325.00 | — | 90% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEWS BILATERAL | $27.85 | $290.00 | $27.85–$325.00 | — | 90% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3+ VIEWS BILATERAL | $27.85 | $363.00 | $27.85–$345.00 | — | 92% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 93% below | 89% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 93% below | 89% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT 3+ VIEWS BILATERAL | $27.85 | $363.00 | $27.85–$345.00 | — | 92% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 OR 2 VIEWS BILATERAL | $27.85 | $325.00 | $27.85–$325.00 | — | 91% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA RT | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA LT | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1 OR 2 VIEWS BILATERAL | $27.85 | $325.00 | $27.85–$325.00 | — | 91% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 PATELLA LT | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 PATELLA RT | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $27.85 | $353.00 | $27.85–$336.00 | 93% below | 92% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $27.85 | $353.00 | $27.85–$336.00 | — | 92% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NOSE 1 VIEW | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NOSE 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 90% below | 89% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE 1 VIEW | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 93% below | 89% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 93% below | 89% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW | $27.85 | $353.00 | $27.85–$336.00 | 93% below | 92% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 2 VIEWS | $27.85 | $353.00 | $27.85–$336.00 | 93% below | 92% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 2 VIEWS | $27.85 | $353.00 | $27.85–$336.00 | — | 92% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 VIEW | $27.85 | $353.00 | $27.85–$336.00 | — | 92% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | 92% below | 89% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX 2 VIEWS | $27.85 | $251.00 | $27.85–$325.00 | — | 89% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALTV | $5.25 | $78.00 | $5.25–$325.00 | 91% below | 93% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALTV | $5.25 | $78.00 | $5.25–$325.00 | — | 93% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $5.13 | $78.00 | $5.13–$325.00 | 91% below | 93% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $5.13 | $78.00 | $5.13–$325.00 | — | 93% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS A/B/C ACUTE PANEL | $27.85 | $325.00 | $27.85–$325.00 | 93% below | 91% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS A/B/C ACUTE PANEL | $27.85 | $325.00 | $27.85–$325.00 | — | 91% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $8.82 | $23.00 | $8.82–$325.00 | 66% below | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS IGE | $9.24 | $24.00 | $9.24–$325.00 | 64% below | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED IGE | $9.24 | $24.00 | $9.24–$325.00 | 64% below | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE | $9.24 | $24.00 | $9.24–$325.00 | 64% below | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE IGE | $9.24 | $24.00 | $9.24–$325.00 | 64% below | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALE IGE | $9.24 | $24.00 | $9.24–$325.00 | 64% below | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL (FOOD AND ENVIROMENT) | $11.22 | $340.00 | $11.22–$325.00 | 56% below | 97% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $8.82 | $23.00 | $8.82–$325.00 | — | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE IGE | $9.24 | $24.00 | $9.24–$325.00 | — | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED IGE | $9.24 | $24.00 | $9.24–$325.00 | — | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE | $9.24 | $24.00 | $9.24–$325.00 | — | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALE IGE | $9.24 | $24.00 | $9.24–$325.00 | — | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTERS IGE | $9.24 | $24.00 | $9.24–$325.00 | — | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL (FOOD AND ENVIROMENT) | $11.22 | $340.00 | $11.22–$325.00 | — | 97% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP | $12.95 | $153.00 | $12.95–$325.00 | 75% below | 92% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP | $12.95 | $153.00 | $12.95–$325.00 | — | 92% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN WITH REFLEX CASCADE | $9.88 | $164.00 | $9.88–$325.00 | 90% below | 94% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI SSA-SSB ANTIBODIES | $9.88 | $153.00 | $9.88–$325.00 | 90% below | 94% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $9.88 | $128.00 | $9.88–$325.00 | 90% below | 92% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN WITH REFLEX CASCADE | $9.88 | $164.00 | $9.88–$325.00 | — | 94% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $9.88 | $128.00 | $9.88–$325.00 | — | 92% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI SSA-SSB ANTIBODIES | $9.88 | $153.00 | $9.88–$325.00 | — | 94% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 QUEST BRAIN NATRIURETIC PEPTIDE (BNP) | $22.67 | $312.00 | $22.67–$325.00 | 88% below | 93% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP IN HOUSE | $22.67 | $111.00 | $22.67–$325.00 | 88% below | 80% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO- BNP | $22.67 | $312.00 | $22.67–$325.00 | 88% below | 93% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO- BNP | $22.67 | $312.00 | $22.67–$325.00 | — | 93% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP IN HOUSE | $22.67 | $111.00 | $22.67–$325.00 | — | 80% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 QUEST BRAIN NATRIURETIC PEPTIDE (BNP) | $22.67 | $312.00 | $22.67–$325.00 | — | 93% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH,GROSS & MICRO EXAM (88305) | $27.85 | $156.00 | $27.85–$325.00 | 91% below | 82% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH,GROSS & MICRO EXAM (88305) | $27.85 | $156.00 | $27.85–$325.00 | — | 82% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $22.19 | $87.00 | $22.19–$325.00 | 91% below | 74% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $22.19 | $115.00 | $22.19–$325.00 | 91% below | 81% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $22.19 | $87.00 | $22.19–$325.00 | — | 74% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $22.19 | $115.00 | $22.19–$325.00 | — | 81% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW | $2.61 | $26.00 | $2.61–$325.00 | 87% below | 90% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE CHARGE | $2.61 | $28.00 | $2.61–$325.00 | 87% below | 91% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW | $2.61 | $26.00 | $2.61–$325.00 | — | 90% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE CHARGE | $2.61 | $28.00 | $2.61–$325.00 | — | 91% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $3.93 | $54.00 | $3.93–$325.00 | 92% below | 93% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $3.93 | $54.00 | $3.93–$325.00 | — | 93% |
| Blood lead test CPT 83655 LEAD CAPILLARY | $26.04 | $128.00 | $26.04–$325.00 | 49% below | 80% |
| Blood lead test CPT 83655 LEAD VENOUS | $26.04 | $128.00 | $26.04–$325.00 | 49% below | 80% |
| Blood lead test inpatient CPT 83655 LEAD VENOUS | $26.04 | $128.00 | $26.04–$325.00 | — | 80% |
| Blood lead test inpatient CPT 83655 LEAD CAPILLARY | $26.04 | $128.00 | $26.04–$325.00 | — | 80% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE PREGNANCY TEST | $16.17 | $78.00 | $16.17–$325.00 | 91% below | 79% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BHCG QUALITATIVE SERUM | $16.17 | $115.00 | $16.17–$325.00 | 91% below | 86% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BHCG QUALITATIVE SERUM | $16.17 | $115.00 | $16.17–$325.00 | — | 86% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE PREGNANCY TEST | $16.17 | $78.00 | $16.17–$325.00 | — | 79% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB OBI BLOOD TYPE | $27.85 | $158.00 | $27.85–$325.00 | 68% below | 82% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP FROM BLOOD PRODUCT UNIT | $27.85 | $344.00 | $27.85–$327.00 | 68% below | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPE | $27.85 | $344.00 | $27.85–$327.00 | 68% below | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP FROM BLOOD PRODUCT UNIT | $27.85 | $344.00 | $27.85–$327.00 | — | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPE | $27.85 | $344.00 | $27.85–$327.00 | — | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB OBI BLOOD TYPE | $27.85 | $158.00 | $27.85–$325.00 | — | 82% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICLE PCR | $27.85 | $153.00 | $27.85–$325.00 | 86% below | 82% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICLE PCR | $27.85 | $153.00 | $27.85–$325.00 | — | 82% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $27.85 | $177.00 | $27.85–$325.00 | 79% below | 84% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 PERITONEAL FLUID | $27.85 | $177.00 | $27.85–$325.00 | 79% below | 84% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 PERITONEAL FLUID | $27.85 | $177.00 | $27.85–$325.00 | — | 84% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $27.85 | $177.00 | $27.85–$325.00 | — | 84% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $27.85 | $177.00 | $27.85–$325.00 | 83% below | 84% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $27.85 | $177.00 | $27.85–$325.00 | — | 84% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NGH PCR | $27.85 | $210.00 | $27.85–$325.00 | 66% below | 87% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 QUEST | $27.85 | $210.00 | $27.85–$325.00 | 66% below | 87% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 QUEST | $27.85 | $210.00 | $27.85–$325.00 | — | 87% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NGH PCR | $27.85 | $210.00 | $27.85–$325.00 | — | 87% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 N G AND CHLAMYDIA RNA | $27.85 | $153.00 | $27.85–$325.00 | 78% below | 82% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 N G AND CHLAMYDIA RNA | $27.85 | $153.00 | $27.85–$325.00 | — | 82% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $13.29 | $140.00 | $13.29–$325.00 | 95% below | 91% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $13.29 | $140.00 | $13.29–$325.00 | — | 91% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF/PLATELET | $5.79 | $91.00 | $5.79–$325.00 | 94% below | 94% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF/PLATELET | $5.79 | $91.00 | $5.79–$325.00 | — | 94% |
| D-dimer blood test (blood clot marker) CPT 85379 QUEST D-DIMER | $21.89 | $115.00 | $21.89–$325.00 | 88% below | 81% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 QUEST D-DIMER | $21.89 | $115.00 | $21.89–$325.00 | — | 81% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $27.85 | $140.00 | $27.85–$325.00 | 82% below | 80% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $27.85 | $140.00 | $27.85–$325.00 | — | 80% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $25.71 | $238.00 | $25.71–$325.00 | 83% below | 89% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM | $25.71 | $238.00 | $25.71–$325.00 | — | 89% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH AND LH PEDIATRIC | $17.70 | $49.00 | $17.70–$325.00 | 89% below | 64% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE (FSH) | $17.70 | $177.00 | $17.70–$325.00 | 89% below | 90% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH AND LH PEDIATRIC | $17.70 | $49.00 | $17.70–$325.00 | — | 64% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE (FSH) | $17.70 | $177.00 | $17.70–$325.00 | — | 90% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL | $27.85 | $153.00 | $27.85–$325.00 | 87% below | 82% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL | $27.85 | $153.00 | $27.85–$325.00 | — | 82% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $12.69 | $128.00 | $12.69–$325.00 | 88% below | 90% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $12.69 | $128.00 | $12.69–$325.00 | — | 90% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $14.58 | $140.00 | $14.58–$325.00 | 82% below | 90% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $14.58 | $140.00 | $14.58–$325.00 | — | 90% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE INHOUSE | $15.63 | $140.00 | $15.63–$325.00 | 90% below | 89% |
| Free T3 thyroid hormone test CPT 84481 XXXT3 FREE | $15.63 | $140.00 | $15.63–$325.00 | 90% below | 89% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE INHOUSE | $15.63 | $140.00 | $15.63–$325.00 | — | 89% |
| Free T3 thyroid hormone test inpatient CPT 84481 XXXT3 FREE | $15.63 | $140.00 | $15.63–$325.00 | — | 89% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 XXXT4 FREE | $8.16 | $115.00 | $8.16–$325.00 | 92% below | 93% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 QUEST | $8.16 | $91.00 | $8.16–$325.00 | 92% below | 91% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 QUEST | $8.16 | $91.00 | $8.16–$325.00 | — | 91% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 XXXT4 FREE | $8.16 | $115.00 | $8.16–$325.00 | — | 93% |
| Free testosterone test CPT 84402 TESTOSTERONE FEMALE TOTAL QUEST | $25.22 | $153.00 | $25.22–$325.00 | 77% below | 84% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE AND TOTAL | $25.22 | $153.00 | $25.22–$325.00 | 77% below | 84% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FEMALE TOTAL QUEST | $25.22 | $153.00 | $25.22–$325.00 | — | 84% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE AND TOTAL | $25.22 | $153.00 | $25.22–$325.00 | — | 84% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $27.85 | $276.00 | $27.85–$325.00 | 94% below | 90% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $27.85 | $276.00 | $27.85–$325.00 | — | 90% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR | $10.21 | $66.00 | $10.21–$325.00 | 91% below | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 2HR | $10.21 | $87.00 | $10.21–$325.00 | 91% below | 88% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE 2HR | $10.21 | $87.00 | $10.21–$325.00 | — | 88% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR | $10.21 | $66.00 | $10.21–$325.00 | — | 85% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE FIRST 3 SPEC | $27.67 | $153.00 | $27.67–$325.00 | 83% below | 82% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE FIRST 3 SPEC | $27.67 | $153.00 | $27.67–$325.00 | — | 82% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC URINE | $27.85 | $152.00 | $27.85–$325.00 | 80% below | 82% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC URINE | $27.85 | $152.00 | $27.85–$325.00 | — | 82% |
| H. pylori antibody blood test CPT 86677 H. PYLORI CLO TEST | $27.85 | $78.00 | $27.85–$325.00 | 79% below | 64% |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI CLO TEST | $27.85 | $78.00 | $27.85–$325.00 | — | 64% |
| H. pylori stool antigen test CPT 87338 HELICOBACTOR PYLORI AB | $27.85 | $238.00 | $27.85–$325.00 | 66% below | 88% |
| H. pylori stool antigen test CPT 87338 STOOL, H.PYLORI ANTIGEN EIA | $27.85 | $153.00 | $27.85–$325.00 | 66% below | 82% |
| H. pylori stool antigen test inpatient CPT 87338 STOOL, H.PYLORI ANTIGEN EIA | $27.85 | $153.00 | $27.85–$325.00 | — | 82% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTOR PYLORI AB | $27.85 | $238.00 | $27.85–$325.00 | — | 88% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 ANTIGEN & ANTIBODIES W REFLEX | $27.85 | $128.00 | $27.85–$325.00 | 81% below | 78% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 ANTIGEN & ANTIBODIES W REFLEX | $27.85 | $128.00 | $27.85–$325.00 | — | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN AIC | $9.01 | $97.00 | $9.01–$325.00 | 90% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN (A1C) | $9.01 | $115.00 | $9.01–$325.00 | 90% below | 92% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN (A1C) | $9.01 | $115.00 | $9.01–$325.00 | — | 92% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN AIC | $9.01 | $97.00 | $9.01–$325.00 | — | 91% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $22.21 | $87.00 | $22.21–$325.00 | 72% below | 74% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAG | $22.21 | $102.00 | $22.21–$325.00 | 72% below | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAG | $22.21 | $102.00 | $22.21–$325.00 | — | 78% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $22.21 | $87.00 | $22.21–$325.00 | — | 74% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $27.85 | $177.00 | $27.85–$325.00 | 68% below | 84% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $27.85 | $177.00 | $27.85–$325.00 | — | 84% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA QUANT PCR | $27.85 | $210.00 | $27.85–$325.00 | 91% below | 87% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA QUANT PCR | $27.85 | $210.00 | $27.85–$325.00 | — | 87% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IgM | $27.85 | $140.00 | $27.85–$325.00 | 67% below | 80% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG ANTIBODY | $27.85 | $140.00 | $27.85–$325.00 | 67% below | 80% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IgM | $27.85 | $140.00 | $27.85–$325.00 | — | 80% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG ANTIBODY | $27.85 | $140.00 | $27.85–$325.00 | — | 80% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG ANTIBODY | $27.85 | $140.00 | $27.85–$325.00 | 69% below | 80% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IgM | $27.85 | $140.00 | $27.85–$325.00 | 69% below | 80% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IgM | $27.85 | $140.00 | $27.85–$325.00 | — | 80% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGG ANTIBODY | $27.85 | $140.00 | $27.85–$325.00 | — | 80% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO HS CRP | $27.84 | $153.00 | $27.84–$325.00 | 65% below | 82% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO HS CRP | $27.84 | $153.00 | $27.84–$325.00 | — | 82% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $27.85 | $238.00 | $27.85–$325.00 | 81% below | 88% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $27.85 | $238.00 | $27.85–$325.00 | — | 88% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $24.57 | $115.00 | $24.57–$325.00 | 71% below | 79% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $24.57 | $115.00 | $24.57–$325.00 | — | 79% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $6.18 | $78.00 | $6.18–$325.00 | 93% below | 92% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $6.18 | $78.00 | $6.18–$325.00 | — | 92% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON WITH IRON BINDING CAPACITY | $8.43 | $115.00 | $8.43–$325.00 | 91% below | 93% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON WITH IRON BINDING CAPACITY | $8.43 | $115.00 | $8.43–$325.00 | — | 93% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) | $18.52 | $115.00 | $18.52–$325.00 | 88% below | 84% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) | $18.52 | $115.00 | $18.52–$325.00 | — | 84% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY IGG&IGM W REFLEX | $27.85 | $189.00 | $27.85–$325.00 | 66% below | 85% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY IGG&IGM W REFLEX | $27.85 | $189.00 | $27.85–$325.00 | — | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM | $5.45 | $115.00 | $5.45–$325.00 | 88% below | 95% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $5.45 | $115.00 | $5.45–$325.00 | — | 95% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IMMUNITY | $27.69 | $177.00 | $27.69–$325.00 | 5% above | 84% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IMMUNITY | $27.69 | $177.00 | $27.69–$325.00 | — | 84% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $11.14 | $91.00 | $11.14–$325.00 | 88% below | 88% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $11.14 | $91.00 | $11.14–$325.00 | — | 88% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE AND TOTAL | $18.39 | $177.00 | $18.39–$325.00 | 84% below | 90% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE AND TOTAL | $18.39 | $177.00 | $18.39–$325.00 | — | 90% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 XXXPSA TOTAL | $17.41 | $153.00 | $17.41–$325.00 | 79% below | 89% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL INHOUSE | $17.41 | $153.00 | $17.41–$325.00 | 79% below | 89% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $17.41 | $177.00 | $17.41–$325.00 | 79% below | 90% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 QUEST PSA | $17.41 | $153.00 | $17.41–$325.00 | 79% below | 89% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 QUEST PSA | $17.41 | $153.00 | $17.41–$325.00 | — | 89% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL INHOUSE | $17.41 | $153.00 | $17.41–$325.00 | — | 89% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $17.41 | $177.00 | $17.41–$325.00 | — | 90% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 XXXPSA TOTAL | $17.41 | $153.00 | $17.41–$325.00 | — | 89% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYSTOPATH/PAP/SCREEN/AUTO SYSTEM | $26.34 | $263.00 | $26.34–$325.00 | 64% below | 90% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYSTOPATH/PAP/SCREEN/AUTO SYSTEM | $26.34 | $263.00 | $26.34–$325.00 | — | 90% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE PTH,INTACT | $27.85 | $265.00 | $27.85–$325.00 | 87% below | 89% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT NO CALCIUM | $27.85 | $265.00 | $27.85–$325.00 | 87% below | 89% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT NO CALCIUM | $27.85 | $265.00 | $27.85–$325.00 | — | 89% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE PTH,INTACT | $27.85 | $265.00 | $27.85–$325.00 | — | 89% |
| Progesterone blood test CPT 84144 PROGESTERONE | $20.86 | $177.00 | $20.86–$325.00 | 83% below | 88% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $20.86 | $177.00 | $20.86–$325.00 | — | 88% |
| Prolactin blood test CPT 84146 PROLACTIN | $27.85 | $177.00 | $27.85–$325.00 | 77% below | 84% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $27.85 | $177.00 | $27.85–$325.00 | — | 84% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $3.57 | $78.00 | $3.57–$325.00 | 92% below | 95% |
| Prothrombin time (PT/INR) clotting test CPT 85610 QUEST PT INR | $3.83 | $78.00 | $3.83–$325.00 | 92% below | 95% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $3.57 | $78.00 | $3.57–$325.00 | — | 95% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 QUEST PT INR | $3.83 | $78.00 | $3.83–$325.00 | — | 95% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN EMP/SCHOOL | $6.65 | $78.00 | $6.65–$325.00 | 96% below | 91% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN ROUTINE | $6.65 | $128.00 | $6.65–$325.00 | 96% below | 95% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOXI LAB | $6.65 | $451.00 | $6.65–$429.00 | 96% below | 99% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TOXI LAB | $6.65 | $451.00 | $6.65–$429.00 | — | 99% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN ROUTINE | $6.65 | $128.00 | $6.65–$325.00 | — | 95% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN EMP/SCHOOL | $6.65 | $78.00 | $6.65–$325.00 | — | 91% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $9.64 | $65.00 | $9.64–$325.00 | 92% below | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $11.57 | $65.00 | $11.57–$325.00 | 90% below | 82% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $9.64 | $65.00 | $9.64–$325.00 | — | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $11.57 | $65.00 | $11.57–$325.00 | — | 82% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $8.27 | $115.00 | $8.27–$325.00 | 92% below | 93% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN | $8.27 | $115.00 | $8.27–$325.00 | — | 93% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $27.85 | $102.00 | $27.85–$325.00 | 29% below | 73% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN | $27.85 | $102.00 | $27.85–$325.00 | — | 73% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES CONCENTRATE STOOL | $8.81 | $97.00 | $8.81–$325.00 | 91% below | 91% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $8.81 | $115.00 | $8.81–$325.00 | 91% below | 92% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES CONCENTRATE STOOL | $8.81 | $97.00 | $8.81–$325.00 | — | 91% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $8.81 | $115.00 | $8.81–$325.00 | — | 92% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $4.25 | $65.00 | $4.25–$325.00 | 92% below | 93% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SYHPLLIS TEST NON-TREP QUAL | $4.25 | $91.00 | $4.25–$325.00 | 92% below | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SYHPLLIS TEST NON-TREP QUAL | $4.25 | $91.00 | $4.25–$325.00 | — | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $4.25 | $65.00 | $4.25–$325.00 | — | 93% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON R PL 1T | $27.85 | $268.00 | $27.85–$325.00 | 87% below | 90% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON R PL 1T | $27.85 | $268.00 | $27.85–$325.00 | — | 90% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE MALE QUEST TOTAL LINKED FRE | $24.13 | $164.00 | $24.13–$325.00 | 81% below | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL INHOUSE | $24.13 | $164.00 | $24.13–$325.00 | 81% below | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE MALE QUEST TOTAL LINKED FRE | $24.13 | $164.00 | $24.13–$325.00 | — | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL INHOUSE | $24.13 | $164.00 | $24.13–$325.00 | — | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY | $13.32 | $111.00 | $13.32–$325.00 | 86% below | 88% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES | $13.32 | $153.00 | $13.32–$325.00 | 86% below | 91% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY | $13.32 | $111.00 | $13.32–$325.00 | — | 88% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES | $13.32 | $153.00 | $13.32–$325.00 | — | 91% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH RIA | $15.68 | $76.00 | $15.68–$325.00 | 88% below | 79% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 QUEST TSH | $15.68 | $140.00 | $15.68–$325.00 | 88% below | 89% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $15.68 | $140.00 | $15.68–$325.00 | 88% below | 89% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH RIA | $15.68 | $76.00 | $15.68–$325.00 | — | 79% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 QUEST TSH | $15.68 | $140.00 | $15.68–$325.00 | — | 89% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $15.68 | $140.00 | $15.68–$325.00 | — | 89% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA | $27.85 | $152.00 | $27.85–$325.00 | 68% below | 82% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS RNA | $27.85 | $152.00 | $27.85–$325.00 | — | 82% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $7.20 | $53.00 | $7.20–$325.00 | 95% below | 86% |
| Urine culture for bacteria, with colony count CPT 87086 URINE SPECIAL CULTURE | $7.20 | $53.00 | $7.20–$325.00 | 95% below | 86% |
| Urine culture for bacteria, with colony count CPT 87086 URINE QUANTITATIVE COLONY COUNT | $17.35 | $53.00 | $17.35–$325.00 | 88% below | 67% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $7.20 | $53.00 | $7.20–$325.00 | — | 86% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE SPECIAL CULTURE | $7.20 | $53.00 | $7.20–$325.00 | — | 86% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE QUANTITATIVE COLONY COUNT | $17.35 | $53.00 | $17.35–$325.00 | — | 67% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $14.07 | $202.00 | $14.07–$325.00 | 84% below | 93% |
| Vitamin B12 (cobalamin) blood test CPT 82607 ..TEST TSH | $14.07 | $202.00 | $14.07–$325.00 | 84% below | 93% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 ..TEST TSH | $14.07 | $202.00 | $14.07–$325.00 | — | 93% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $14.07 | $202.00 | $14.07–$325.00 | — | 93% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 XXXVITAMIN D, 25-HYDROXY,INCL. FRACTIONS | $27.51 | $312.00 | $27.51–$325.00 | 77% below | 91% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY TOTAL IMMUNO ASSAY | $27.51 | $312.00 | $27.51–$325.00 | 77% below | 91% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY TOTAL IMMUNO ASSAY | $27.51 | $312.00 | $27.51–$325.00 | — | 91% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 XXXVITAMIN D, 25-HYDROXY,INCL. FRACTIONS | $27.51 | $312.00 | $27.51–$325.00 | — | 91% |
| Zinc blood test CPT 84630 ZINC | $27.85 | $91.00 | $27.85–$325.00 | 60% below | 69% |
| Zinc blood test inpatient CPT 84630 ZINC | $27.85 | $91.00 | $27.85–$325.00 | — | 69% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QUANT | $27.85 | $115.00 | $27.85–$325.00 | 75% below | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QUANT | $27.85 | $115.00 | $27.85–$325.00 | — | 76% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION/DESTRUCTION/1ST LESION | $27.85 | $551.00 | $27.85–$524.00 | 86% below | 95% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 LESION/DESTRUCTION/1ST LESION | $27.85 | $551.00 | $27.85–$524.00 | — | 95% |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN DISIMPACT W/INSTRUMENTATION 1 EA | $27.85 | $128.00 | $27.85–$325.00 | 84% below | 78% |
| Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN DISIMPACT W/INSTRUMENTATION 1 EA | $27.85 | $128.00 | $27.85–$325.00 | — | 78% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL, SIMPLE, SINGLE | $27.85 | $551.00 | $27.85–$524.00 | 92% below | 95% |
| Nail removal (partial or complete), one nail CPT 11730 REM INGR /AVULSE NAIL | $27.85 | $178.00 | $27.85–$368.68 | 92% below | 84% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL, SIMPLE, SINGLE | $27.85 | $551.00 | $27.85–$524.00 | — | 95% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REM INGR /AVULSE NAIL | $27.85 | $178.00 | $27.85–$368.68 | — | 84% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM APPLICATION OF | $27.85 | $344.00 | $27.85–$327.00 | 90% below | 92% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM | $27.85 | $129.00 | $27.85–$325.00 | 90% below | 78% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM APPLICATION OF | $27.85 | $344.00 | $27.85–$327.00 | — | 92% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM | $27.85 | $129.00 | $27.85–$325.00 | — | 78% |
| Short leg splint (calf to foot) CPT 29515 SPLINT LEG SHORT APPLY | $27.85 | $177.00 | $27.85–$325.00 | 91% below | 84% |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT LEG SHORT APPLY | $27.85 | $177.00 | $27.85–$325.00 | — | 84% |
| Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL/ANY AREA UP TO 15 | $27.85 | $551.00 | $27.85–$524.00 | 91% below | 95% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAG REMOVAL/ANY AREA UP TO 15 | $27.85 | $551.00 | $27.85–$524.00 | — | 95% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION BENIGN UP TO 14 | $27.85 | $551.00 | $27.85–$524.00 | 87% below | 95% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT LESION BENIGN UP TO 14 | $27.85 | $551.00 | $27.85–$524.00 | — | 95% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT TREATMENT | $27.85 | $579.00 | $27.85–$551.00 | 86% below | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM COLLECTION, INITIAL | $27.85 | $579.00 | $27.85–$551.00 | 86% below | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEBULIZER TX +OXYGEN | $27.85 | $579.00 | $27.85–$551.00 | 86% below | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL OR VAPOR INHAL,INITIAL | $27.85 | $579.00 | $27.85–$551.00 | 86% below | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PEP OR INSPIRATORY MUSCLE TRAINING | $27.85 | $579.00 | $27.85–$551.00 | 86% below | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PEP OR INSPIRATORY MUSCLE TRAINING | $27.85 | $579.00 | $27.85–$551.00 | — | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQUENT TREATMENT | $27.85 | $579.00 | $27.85–$551.00 | — | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEBULIZER TX +OXYGEN | $27.85 | $579.00 | $27.85–$551.00 | — | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL OR VAPOR INHAL,INITIAL | $27.85 | $579.00 | $27.85–$551.00 | — | 95% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM COLLECTION, INITIAL | $27.85 | $579.00 | $27.85–$551.00 | — | 95% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER PHYSICIAN L-1 | $21.84 | $145.00 | $21.84–$130.50 | 92% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER PHYSICIAN L-1 | $27.85 | $153.00 | $27.85–$325.00 | 90% below | 82% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FACILITY L-1 | $27.85 | $219.00 | $27.85–$325.00 | 90% below | 87% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER PHYSICIAN L-1 | $21.84 | $145.00 | $21.84–$130.50 | — | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FACILITY L-1 | $27.85 | $219.00 | $27.85–$325.00 | — | 87% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER PHYSICIAN L-1 | $27.85 | $153.00 | $27.85–$325.00 | — | 82% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER PHYSICIAN L-4 | $101.28 | $387.00 | $101.28–$348.30 | 93% below | 74% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER PHYSICIAN L-4 | $101.28 | $387.00 | $101.28–$348.30 | — | 74% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER PHYSICIAN L-5 | $175.86 | $572.00 | $175.86–$514.80 | 92% below | 69% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER PHYSICIAN L-5 | $175.86 | $572.00 | $175.86–$514.80 | — | 69% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN OF DIAGNOSTIC DRUG/RADIOLOGY | $24.19 | $191.00 | $24.19–$325.00 | 86% below | 87% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SUBQ INJECTION | $24.19 | $191.00 | $24.19–$325.00 | 86% below | 87% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN OF DIAGNOSTIC DRUG/RADIOLOGY | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SUBQ INJECTION | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR 15 MIN | $14.27 | $111.00 | $14.27–$325.00 | 87% below | 87% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR 15 MIN | $14.27 | $111.00 | $14.27–$325.00 | — | 87% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY CONSULTATION | $13.84 | $109.00 | $13.84–$325.00 | 76% below | 87% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIETARY CONSULTATION | $13.84 | $109.00 | $13.84–$325.00 | — | 87% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $27.85 | $369.00 | $27.85–$351.00 | 91% below | 92% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY | $27.85 | $369.00 | $27.85–$351.00 | — | 92% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $27.85 | $237.00 | $27.85–$325.00 | 88% below | 88% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY | $27.85 | $237.00 | $27.85–$325.00 | — | 88% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY | $27.85 | $296.00 | $27.85–$325.00 | 90% below | 91% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY | $27.85 | $296.00 | $27.85–$325.00 | — | 91% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN | $11.39 | $111.00 | $11.39–$325.00 | 90% below | 90% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN | $11.39 | $111.00 | $11.39–$325.00 | — | 90% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15 MIN | $12.54 | $111.00 | $12.54–$325.00 | 90% below | 89% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 15 MIN | $12.54 | $111.00 | $12.54–$325.00 | — | 89% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION INTERM | $27.85 | $314.00 | $27.85–$325.00 | 69% below | 91% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION INTERM | $27.85 | $314.00 | $27.85–$325.00 | — | 91% |
| Spirometry (breathing test) CPT 94010 PFT | $27.85 | $115.00 | $27.85–$325.00 | 93% below | 76% |
| Spirometry (breathing test) CPT 94010 PFT W/O BRONCHODILATOR | $27.85 | $436.00 | $27.85–$415.00 | 93% below | 94% |
| Spirometry (breathing test) inpatient CPT 94010 PFT | $27.85 | $115.00 | $27.85–$325.00 | — | 76% |
| Spirometry (breathing test) inpatient CPT 94010 PFT W/O BRONCHODILATOR | $27.85 | $436.00 | $27.85–$415.00 | — | 94% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN | $16.29 | $111.00 | $16.29–$325.00 | 86% below | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN | $16.29 | $111.00 | $16.29–$325.00 | — | 85% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $27.85 | $344.00 | $27.85–$327.00 | 89% below | 92% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $27.85 | $344.00 | $27.85–$327.00 | — | 92% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX 0.5ml Inj | $27.85 | $99.00 | $27.85–$325.00 | 94% below | 72% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX 0.5ml Inj | $27.85 | $99.00 | $27.85–$325.00 | — | 72% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS-A / HEPATITIS B 1.0ml ADULT IM | $27.85 | $231.00 | $27.85–$325.00 | 96% below | 88% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS-A / HEPATITIS B 1.0ml ADULT IM | $27.85 | $231.00 | $27.85–$325.00 | — | 88% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PREVNAR 13 PFS INJ | $27.85 | $559.00 | $27.85–$532.00 | 89% below | 95% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL PNEUMONIA (PPSV23) | $27.85 | $340.00 | $27.85–$325.00 | 89% below | 92% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL PNEUMONIA (PPSV23) | $27.85 | $340.00 | $27.85–$325.00 | — | 92% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PREVNAR 13 PFS INJ | $27.85 | $559.00 | $27.85–$532.00 | — | 95% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA 0.5ML INJ (TDVAX) | $27.85 | $75.00 | $27.85–$325.00 | 79% below | 63% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA & TETANUS TOX >7yrs.0.5ml Inj | $27.85 | $75.00 | $27.85–$325.00 | 79% below | 63% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA & TETANUS TOX >7yrs.0.5ml Inj | $27.85 | $75.00 | $27.85–$325.00 | — | 63% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA 0.5ML INJ (TDVAX) | $27.85 | $75.00 | $27.85–$325.00 | — | 63% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP) 0.5ML PFS <7yrs | $27.85 | $114.00 | $27.85–$325.00 | 83% below | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML PFS INJ | $27.85 | $124.00 | $27.85–$325.00 | 83% below | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML INJ (ADOLESCENT/ADULT) | $27.85 | $124.00 | $27.85–$325.00 | 83% below | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML INJ (ADOLESCENT/ADULT) | $27.85 | $124.00 | $27.85–$325.00 | — | 78% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (TDAP) 0.5ML PFS <7yrs | $27.85 | $114.00 | $27.85–$325.00 | — | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML PFS INJ | $27.85 | $124.00 | $27.85–$325.00 | — | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM PNEUMONOCCAL VACCINE | $24.19 | $156.00 | $24.19–$325.00 | 69% below | 84% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE/TOXOIDS ADMIN | $24.19 | $191.00 | $24.19–$325.00 | 69% below | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM INFLUENZA VIRUS VACCINE | $24.19 | $191.00 | $24.19–$325.00 | 69% below | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE/TOXOIDS ADMINISTRATION | $24.19 | $191.00 | $24.19–$325.00 | 69% below | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM INFLUENZA A (H1N1) VIRUS VACCINE | $24.19 | $191.00 | $24.19–$325.00 | 69% below | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM HEPATITIS B VACCINE | $24.19 | $191.00 | $24.19–$325.00 | 69% below | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM INFLUENZA VIRUS VACCINE | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM PNEUMONOCCAL VACCINE | $24.19 | $156.00 | $24.19–$325.00 | — | 84% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE/TOXOIDS ADMINISTRATION | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM INFLUENZA A (H1N1) VIRUS VACCINE | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE/TOXOIDS ADMIN | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM HEPATITIS B VACCINE | $24.19 | $191.00 | $24.19–$325.00 | — | 87% |
Source file: https://noconageneral.com/wp-content/uploads/2026/03/751368648_nocona-general-hospital_standardcharges-02.26.2026.csv