Pampa Regional Medical Center
Pampa Regional Medical Center in Pampa, TX publishes cash prices for 357 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 350 of 354 procedures and above it for 4. By typical cash price it ranks #28 of 303 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
One Medical Plaza Pampa, TX 79065 Collected Sep 27, 2026 Source price file Check a bill from this hospital (806) 665-3721
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 451398 · CMS hospital register NPI 1700509577
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Pampa Regional Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Pampa Regional Medical Center in Pampa, TX:
- Feb 6, 2024 Warning notice
- May 13, 2024 Case closed
- Jul 21, 2025 Warning notice
- Aug 28, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
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 |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT | $880.00 | $4,636.50 | $69.89–$3,709.20 | 69% below | 81% |
| Abdominal X-ray, 2 views CPT 74019 XR ABD COMP W DEC/ERE | $133.00 | $702.63 | $41.66–$562.10 | 65% below | 81% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 +V-LT | $104.00 | $549.29 | $34.68–$439.43 | 71% below | 81% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+V-RT | $104.00 | $549.29 | $34.68–$439.43 | 71% below | 81% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI | $111.00 | $809.25 | $53.02–$781.00 | 82% below | 86% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 SEGMENTAL PRESSURE | $111.00 | $588.54 | $53.02–$781.00 | 82% below | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT LT UPPER EXT WO CONTRAST | $526.00 | $2,772.42 | $41.66–$2,217.94 | 68% below | 81% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT RT UPPER EXT WO CONTRAST | $526.00 | $2,772.42 | $41.66–$2,217.94 | 68% below | 81% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $210.00 | $1,109.57 | $69.89–$887.66 | 60% below | 81% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $499.00 | $2,629.00 | $159.32–$2,103.20 | 68% below | 81% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BILAT BREAST | $147.00 | $1,047.50 | $41.66–$838.00 | — | 86% |
| Breast ultrasound, complete, one breast one side CPT 76641 US RT BREAST | $147.00 | $778.75 | $41.66–$838.00 | 67% below | 81% |
| Breast ultrasound, complete, one breast one side CPT 76641 US LT BREAST | $147.00 | $778.75 | $41.66–$838.00 | 67% below | 81% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US UNI/BILAT BREAST; LIMITED | $127.00 | $672.19 | $34.68–$537.75 | — | 81% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS | $814.00 | $4,288.38 | $139.03–$3,430.70 | 80% below | 81% |
| CT angiography (CTA) of the head CPT 70496 CTA-HEAD | $755.00 | $3,978.57 | $69.89–$3,182.86 | 68% below | 81% |
| CT angiography (CTA) of the neck CPT 70498 CTA-NECK | $758.00 | $3,994.16 | $69.89–$3,195.33 | 68% below | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $579.00 | $3,051.68 | $69.89–$3,356.85 | 78% below | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $579.00 | $4,196.06 | $69.89–$3,356.85 | 78% below | 86% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-CALCIUM SCORING | $119.00 | $626.90 | $26.53–$501.52 | 34% below | 81% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTR | $1,038.00 | $5,467.00 | $95.08–$4,373.60 | 65% below | 81% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST | $1,353.00 | $7,121.13 | $139.03–$5,696.90 | 64% below | 81% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTR | $1,532.00 | $8,065.75 | $139.03–$6,452.60 | 60% below | 81% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $649.00 | $3,417.94 | $69.89–$2,734.35 | 75% below | 81% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $583.00 | $3,072.23 | $41.66–$2,457.78 | 71% below | 81% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O | $535.00 | $2,817.38 | $41.66–$2,253.90 | 68% below | 81% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O | $535.00 | $2,817.38 | $41.66–$2,253.90 | 68% below | 81% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $522.00 | $2,750.00 | $41.66–$2,200.00 | 71% below | 81% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $623.00 | $3,280.41 | $69.89–$2,624.33 | 63% below | 81% |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $733.00 | $3,859.00 | $69.89–$3,087.20 | 65% below | 81% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $675.00 | $3,557.13 | $41.66–$2,845.70 | 63% below | 81% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $643.00 | $3,386.63 | $41.66–$2,709.30 | 69% below | 81% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $598.00 | $3,150.08 | $69.89–$2,520.06 | 73% below | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID | $346.00 | $1,826.00 | $95.08–$1,460.80 | 68% below | 81% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT | $1,084.00 | $5,706.25 | $69.89–$4,565.00 | 59% below | 81% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 V | $97.00 | $514.25 | $34.68–$411.40 | 75% below | 81% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 V | $87.00 | $459.05 | $34.68–$367.24 | 73% below | 81% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP-RT | $94.00 | $495.00 | $34.68–$396.00 | 70% below | 81% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP-LT | $94.00 | $495.00 | $34.68–$396.00 | 70% below | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $231.00 | $1,216.88 | $41.66–$973.50 | 68% below | 81% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $231.00 | $1,200.27 | $41.66–$973.50 | 68% below | 81% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA-AXIAL SKELETON | $117.00 | $618.81 | $26.65–$495.05 | 72% below | 81% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA APPENDICULAR SKELETON | $84.00 | $443.75 | $20.38–$355.00 | 62% below | 81% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG AFTER 18 WKS | $230.00 | $1,214.25 | $73.68–$971.40 | 67% below | 81% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $562.00 | $2,960.77 | $41.66–$2,368.62 | 66% below | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $701.00 | $3,691.88 | $69.89–$2,953.50 | 66% below | 81% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGM DIAG BI | $85.00 | $451.93 | $18.03–$451.93 | — | 81% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $85.00 | $120.23 | $18.03–$451.93 | — | 29% |
| Diagnostic mammogram, one breast CPT 77065 MAMMOGM DIAG UNI | $62.00 | $330.84 | $49.63–$1,034.48 | 78% below | 81% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAGNOSTIC LT W/ICAD | $62.00 | $1,293.10 | $49.63–$1,034.48 | 78% below | 95% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAGNOSTIC RT W/ICAD | $62.00 | $1,293.10 | $49.63–$1,034.48 | 78% below | 95% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX COMP BILAT | $539.00 | $1,231.26 | $95.08–$2,270.40 | — | 56% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG BILAT | $539.00 | $2,838.00 | $95.08–$2,270.40 | — | 81% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT UPPER EXT VEIN | $341.00 | $1,851.25 | $95.08–$1,481.00 | — | 82% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $341.00 | $1,795.51 | $95.08–$1,481.00 | 77% below | 81% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM-K | $682.00 | $3,592.36 | $117.89–$2,873.89 | 64% below | 81% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $682.00 | $3,592.36 | $117.89–$2,873.89 | 64% below | 81% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2+V-RT | $95.00 | $501.88 | $34.68–$401.50 | 70% below | 81% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2+V-LT | $95.00 | $501.88 | $34.68–$401.50 | 70% below | 81% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO | $448.00 | $2,363.00 | $41.66–$1,890.40 | 71% below | 81% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3+V | $141.00 | $742.50 | $41.66–$594.00 | 63% below | 81% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS-LT | $93.00 | $492.25 | $34.68–$393.80 | 75% below | 81% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS-RT | $93.00 | $492.25 | $34.68–$393.80 | 75% below | 81% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 BILARY DUCT WO RX | $466.00 | $2,457.40 | $159.32–$1,965.92 | 71% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+V-LT | $93.00 | $491.65 | $34.68–$393.32 | 68% below | 81% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+V-RT | $93.00 | $491.65 | $34.68–$393.32 | 68% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W/CPAP | $870.00 | $4,582.55 | $342.23–$5,004.82 | 79% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM W/CPAP | $870.00 | $4,582.55 | $342.23–$5,004.82 | 79% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT POLYSMNOGRA | $870.00 | $4,582.55 | $342.23–$5,004.82 | 79% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 TWO NIGHT POLYSOMNOGRAM | $870.00 | $4,582.55 | $342.23–$5,004.82 | 79% below | 81% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM W/CPAP TITRATION | $870.00 | $6,256.03 | $342.23–$5,004.82 | 79% below | 86% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V-RT | $112.00 | $591.14 | $34.68–$472.91 | 70% below | 81% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V-LT | $112.00 | $591.14 | $34.68–$472.91 | 70% below | 81% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4+V-LT | $131.00 | $690.68 | $41.66–$552.54 | 69% below | 81% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4+V-RT | $131.00 | $690.68 | $41.66–$552.54 | 69% below | 81% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT BILAT LOWER EXT WO | $531.00 | $2,493.70 | $41.66–$2,238.59 | — | 79% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LT LOWER EXTREMITY WO CONTR | $531.00 | $2,798.24 | $41.66–$2,238.59 | 69% below | 81% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT RT LOWER EXTREMITY WO CONTR | $531.00 | $2,798.24 | $41.66–$2,238.59 | 69% below | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIVER | $186.00 | $1,083.50 | $41.66–$866.80 | 69% below | 83% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABD LIMITED | $186.00 | $1,082.28 | $41.66–$866.80 | 69% below | 83% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN SPLEEN | $186.00 | $787.11 | $41.66–$866.80 | 69% below | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN PANCREAS | $186.00 | $983.89 | $41.66–$866.80 | 69% below | 81% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GB | $186.00 | $1,082.28 | $41.66–$866.80 | 69% below | 83% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 SOFT TISSUE | $141.00 | $742.50 | $41.66–$594.00 | 62% below | 81% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $101.00 | $531.70 | $41.66–$464.40 | 58% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V-LT | $98.00 | $517.72 | $34.68–$414.18 | 72% below | 81% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V-RT | $98.00 | $517.72 | $34.68–$414.18 | 72% below | 81% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONT | $727.00 | $3,831.25 | $95.08–$3,065.00 | 61% below | 81% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILAT LOWER EXT JOINT | $954.00 | $5,025.25 | $95.08–$4,020.20 | — | 81% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT-LT | $954.00 | $3,199.00 | $95.08–$4,020.20 | 57% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT-RT | $954.00 | $3,199.00 | $95.08–$4,020.20 | 57% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI BILAT LOWER EXT JOINT W/WO | $673.00 | $5,440.12 | $139.03–$4,352.10 | — | 88% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LT LOWER EXT JNT W/WO | $673.00 | $3,543.75 | $139.03–$4,352.10 | 78% below | 81% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI RT LOWER EXT JNT W/WO | $673.00 | $3,543.75 | $139.03–$4,352.10 | 78% below | 81% |
| MRI of the abdomen without contrast CPT 74181 MRCP | $795.00 | $4,186.80 | $95.08–$3,349.44 | 64% below | 81% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $795.00 | $3,033.25 | $95.08–$3,349.44 | 64% below | 74% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $1,231.00 | $6,480.38 | $139.03–$5,184.30 | 61% below | 81% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $852.00 | $4,486.25 | $95.08–$3,589.00 | 57% below | 81% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $1,141.00 | $6,009.75 | $139.03–$4,807.80 | 60% below | 81% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $825.00 | $4,345.61 | $95.08–$3,476.49 | 62% below | 81% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $1,160.00 | $6,107.74 | $139.03–$4,886.19 | 64% below | 81% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $854.00 | $4,499.00 | $95.08–$3,599.20 | 58% below | 81% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $1,060.00 | $5,579.96 | $139.03–$4,463.97 | 68% below | 81% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $617.00 | $3,248.75 | $95.08–$2,599.00 | 73% below | 81% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $1,077.00 | $5,673.07 | $139.03–$4,538.46 | 68% below | 81% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $763.00 | $4,020.50 | $95.08–$3,216.40 | 69% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI BILAT UPPER EXT JOINT | $759.00 | $3,873.75 | $95.08–$3,212.12 | — | 80% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT-RT | $759.00 | $3,998.75 | $95.08–$3,212.12 | 59% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT-LT - 73221 - 705513 | $759.00 | $3,998.75 | $95.08–$3,212.12 | 59% below | 81% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT-LT - 73221 - 737226 | $759.00 | $4,015.15 | $95.08–$3,212.12 | 59% below | 81% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4+V | $163.00 | $859.38 | $41.66–$687.50 | 70% below | 81% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST | $625.00 | $3,294.50 | $69.89–$2,635.60 | 69% below | 81% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST | $542.00 | $2,853.13 | $41.66–$2,282.50 | 66% below | 81% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $90.00 | $476.44 | $34.68–$381.15 | 62% below | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STRESS/REST | $734.00 | $6,806.20 | $356.18–$5,444.96 | 82% below | 89% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 VIABILITY | $734.00 | $3,863.70 | $356.18–$5,444.96 | 82% below | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM WALL MOTION | $734.00 | $5,141.00 | $356.18–$5,444.96 | 82% below | 86% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $563.00 | $2,965.59 | $41.66–$2,372.47 | 65% below | 81% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC(NON OB)LTD/FUP | $196.00 | $1,033.75 | $41.66–$827.00 | 57% below | 81% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP | $227.00 | $1,199.95 | $41.66–$959.96 | 71% below | 81% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY AFTER 14 WKS | $207.00 | $1,094.63 | $41.66–$875.70 | 66% below | 81% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG BEFORE 14 WKS | $179.00 | $946.86 | $41.66–$757.49 | 69% below | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US LMTED FHR,PP,AFI | $130.00 | $270.00 | $40.50–$549.40 | 72% below | 52% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $130.00 | $686.75 | $40.50–$549.40 | 72% below | 81% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US LIMITED FHR,PP,AFI | $130.00 | $270.00 | $40.50–$549.40 | 72% below | 52% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V-LT | $103.00 | $545.92 | $34.68–$436.74 | 67% below | 81% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V-RT | $103.00 | $545.92 | $34.68–$436.74 | 67% below | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V-LT | $132.00 | $695.29 | $41.66–$556.23 | 66% below | 81% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V-RT | $132.00 | $695.29 | $41.66–$556.23 | 66% below | 81% |
| Screening mammogram, both breasts CPT 77067 MAMMO SCREEN UNI W/ICAD | $42.00 | $176.00 | $26.40–$352.00 | 86% below | 76% |
| Screening mammogram, both breasts CPT 77067 MAMMOGRAM SCREENING | $42.00 | $352.00 | $26.40–$352.00 | 86% below | 88% |
| Screening mammogram, both breasts CPT 77067 Screening w Icad | $42.00 | $225.00 | $26.40–$352.00 | 86% below | 81% |
| Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO INCL CAD UNILAT | $42.00 | $291.00 | $26.40–$352.00 | 86% below | 86% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+V-LT | $112.00 | $592.63 | $34.68–$474.10 | 65% below | 81% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+V-RT | $112.00 | $592.63 | $34.68–$474.10 | 65% below | 81% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3+V | $136.00 | $720.50 | $34.68–$576.40 | 66% below | 81% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL< 4 V | $106.00 | $559.63 | $41.66–$503.24 | 67% below | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 DIAGNOSTIC POLYSOMNOGRAM | $870.00 | $4,582.55 | $342.23–$4,534.02 | 79% below | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY | $870.00 | $4,582.55 | $342.23–$4,534.02 | 79% below | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM | $870.00 | $5,667.53 | $342.23–$4,534.02 | 79% below | 85% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Dysphagiagram | $176.00 | $900.00 | $69.89–$818.17 | 71% below | 80% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/CAV | $176.00 | $928.84 | $69.89–$818.17 | 71% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS-LT | $101.00 | $535.26 | $34.68–$428.21 | 69% below | 81% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 VIEWS-RT | $101.00 | $535.26 | $34.68–$428.21 | 69% below | 81% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $605.00 | $3,187.25 | $41.66–$2,549.80 | 68% below | 81% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S)2+V-LT | $90.00 | $474.38 | $34.68–$379.50 | 67% below | 81% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S)2+V-RT | $90.00 | $474.38 | $34.68–$379.50 | 67% below | 81% |
| Transvaginal pelvic ultrasound CPT 76830 US TV-GYN | $195.00 | $1,031.25 | $41.66–$825.00 | 68% below | 81% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TV-OB | $156.00 | $823.75 | $41.66–$659.00 | 70% below | 81% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $276.00 | $1,457.23 | $41.66–$1,165.78 | 65% below | 81% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $208.00 | $1,096.79 | $41.66–$877.43 | 66% below | 81% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $192.00 | $1,014.73 | $41.66–$811.78 | 69% below | 81% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+V-RT | $95.00 | $501.16 | $34.68–$400.93 | 73% below | 81% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+V-LT | $95.00 | $501.16 | $34.68–$400.93 | 73% below | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI/LTD-RT - 93971 - 742986 | $239.00 | $915.00 | $41.66–$1,006.50 | 69% below | 74% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI/LTD-RT - 93971 - 742984 | $239.00 | $1,258.13 | $41.66–$1,006.50 | 69% below | 81% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI/LTD-LT | $239.00 | $1,258.13 | $41.66–$1,006.50 | 69% below | 81% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+V-LT | $105.00 | $556.88 | $34.68–$445.50 | 72% below | 81% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+V-RT | $105.00 | $556.88 | $34.68–$445.50 | 72% below | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2+V-LT | $101.00 | $532.95 | $34.68–$426.36 | 73% below | 81% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2+V-RT | $101.00 | $532.95 | $34.68–$426.36 | 73% below | 81% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP 1 V | $98.00 | $517.00 | $34.68–$413.60 | 71% below | 81% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S)2+V-RT | $87.00 | $459.05 | $34.68–$367.24 | 64% below | 81% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S)2+V-LT | $87.00 | $459.05 | $34.68–$367.24 | 64% below | 81% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT 3+V-BIL | $226.00 | $1,191.00 | $34.68–$952.80 | 39% below | 81% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+V-RT | $226.00 | $539.99 | $34.68–$952.80 | 39% below | 58% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+V-LT | $226.00 | $539.99 | $34.68–$952.80 | 39% below | 58% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+V-RT | $102.00 | $541.07 | $34.68–$432.86 | 73% below | 81% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+V-LT | $102.00 | $541.07 | $34.68–$432.86 | 73% below | 81% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V-RT | $93.00 | $491.65 | $34.68–$393.32 | 68% below | 81% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V-LT | $93.00 | $491.65 | $34.68–$393.32 | 68% below | 81% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $120.00 | $631.98 | $41.66–$505.58 | 73% below | 81% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE>4 V | $192.00 | $1,014.75 | $41.66–$811.80 | 69% below | 81% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $109.00 | $575.48 | $41.66–$503.24 | 73% below | 81% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $93.00 | $492.43 | $34.68–$393.94 | 66% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2/3 VIEWS | $111.00 | $587.41 | $34.68–$469.93 | 70% below | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 2 VIEW | $66.00 | $352.00 | $41.66–$503.24 | 79% below | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $66.00 | $618.81 | $41.66–$503.24 | 79% below | 89% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX2+V | $103.00 | $547.25 | $34.68–$437.80 | 66% below | 81% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $80.00 | $424.19 | $33.60–$339.35 | 57% below | 81% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT | $32.00 | $24.25 | $3.64–$137.00 | 38% below | -32% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $32.00 | $171.25 | $3.64–$137.00 | 38% below | 81% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $118.00 | $621.91 | $41.44–$497.53 | 69% below | 81% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $19.00 | $104.50 | $4.31–$83.60 | 49% below | 82% |
| Aldosterone blood test CPT 82088 ALDOSTERONE(REF) | $78.00 | $412.23 | $6.11–$329.78 | 40% below | 81% |
| Aldosterone blood test CPT 82088 ALDOSTERONE RENIN RATIO (PRA) | $78.00 | $40.75 | $6.11–$329.78 | 40% below | -91% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP) | $26.00 | $137.50 | $4.51–$110.00 | 49% below | 81% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGER TENUIS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE GARLIC | $3.00 | $16.30 | $2.45–$352.08 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW EPITHELIA | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BASIC FOOD ALLERGY PROF(6) | $3.00 | $386.33 | $2.45–$352.08 | 87% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT HAIR | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY IGE EACH IND TEST(REF) | $3.00 | $54.50 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE SWEET CHESTNUT | $3.00 | $16.30 | $2.45–$352.08 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE TOMATO | $3.00 | $16.30 | $2.45–$352.08 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT W/COMPONENT RFLX | $3.00 | $16.30 | $2.45–$352.08 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PULLALARIA PULLALANS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG EPITHELIA | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPURASENS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Flavus IgE | $3.00 | $147.25 | $2.45–$352.08 | 87% below | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM SATIVUM | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 10 | $3.00 | $440.10 | $2.45–$352.08 | 87% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile Pedi 0-3yr | $3.00 | $81.50 | $2.45–$352.08 | 87% below | 96% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE MILK W/COMPONENT RFLX | $3.00 | $16.30 | $2.45–$352.08 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM SOLANI | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS(LCI) | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $3.00 | $54.50 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PISTACHIO NUT | $3.00 | $16.30 | $2.45–$352.08 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMAT.PTERON | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE(DUST MITE) | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORMAE | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOMODENDRUM HORDEL | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLUM NOTATUM | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATIS | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM | $3.00 | $52.51 | $2.45–$352.08 | 87% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-MEAT | $3.00 | $48.90 | $2.45–$352.08 | 87% below | 94% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM(REF) | $7.00 | $38.03 | $5.70–$198.00 | 93% below | 82% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM MAT | $7.00 | $225.00 | $5.70–$198.00 | 93% below | 97% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM(REF) | $7.00 | $247.50 | $5.70–$198.00 | 93% below | 97% |
| Ammonia blood test CPT 82140 AMMONIA | $44.00 | $235.13 | $12.68–$188.10 | 69% below | 81% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $39.00 | $207.63 | $5.64–$166.10 | 50% below | 81% |
| Amylase blood test CPT 82150 AMYLASE FLUID | $39.00 | $129.78 | $5.64–$166.10 | 50% below | 70% |
| Amylase blood test CPT 82150 AMYLASE THRINE | $39.00 | $129.78 | $5.64–$166.10 | 50% below | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $31.00 | $165.00 | $11.27–$132.00 | 44% below | 81% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA, REFLEX | $12.00 | $12.09 | $1.81–$209.00 | 84% below | 1% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB IFA LC | $12.00 | $14.10 | $1.81–$209.00 | 84% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $12.00 | $261.25 | $1.81–$209.00 | 84% below | 95% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, by IFA w reflex to 11 bio | $12.00 | $12.20 | $1.81–$209.00 | 84% below | 2% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 12 PLUS PROFILE (RDL) | $12.00 | $125.00 | $1.81–$209.00 | 84% below | 90% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA by IFA, Ref to Titer/Patte | $12.00 | $66.50 | $1.81–$209.00 | 84% below | 82% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANCA by IFA | $12.00 | $137.50 | $1.81–$209.00 | 84% below | 91% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPT | $68.00 | $361.69 | $34.16–$289.35 | 56% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT | $42.00 | $225.18 | $7.50–$180.14 | 37% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $42.00 | $204.71 | $7.50–$180.14 | 37% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $42.00 | $225.18 | $7.50–$180.14 | 37% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $42.00 | $163.77 | $7.50–$180.14 | 37% below | 74% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, PRESUMPTIVE | $42.00 | $225.18 | $7.50–$180.14 | 37% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NOSE | $42.00 | $204.71 | $7.50–$180.14 | 37% below | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $42.00 | $225.18 | $7.50–$180.14 | 37% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GASTRIC | $42.00 | $225.18 | $7.50–$180.14 | 37% below | 81% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR | $42.00 | $204.71 | $7.50–$180.14 | 37% below | 79% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $78.00 | $415.25 | $7.36–$332.20 | 63% below | 81% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL BODY FLUID LC | $20.00 | $176.25 | $4.37–$141.00 | 66% below | 89% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT BLD | $20.00 | $108.75 | $4.37–$141.00 | 66% below | 82% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT | $20.00 | $108.75 | $4.37–$141.00 | 66% below | 82% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $88.00 | $465.14 | $20.77–$372.11 | 70% below | 81% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $62.00 | $326.55 | $7.31–$261.24 | 70% below | 81% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE ROUTINE LABCORP | $62.00 | $48.75 | $7.31–$261.24 | 70% below | -27% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD PEDI | $62.00 | $269.86 | $7.31–$261.24 | 70% below | 77% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $9.00 | $52.25 | $3.60–$41.80 | 52% below | 83% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUAN,BLOOD | $26.00 | $138.88 | $3.42–$111.10 | 38% below | 81% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUAN BLOOD | $26.00 | $126.25 | $3.42–$111.10 | 38% below | 79% |
| Blood lead test CPT 83655 LEAD BLOOD | $19.00 | $129.03 | $10.54–$103.22 | 59% below | 85% |
| Blood lead test CPT 83655 LEAD URINE | $19.00 | $103.22 | $10.54–$103.22 | 59% below | 82% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $190.00 | $1,002.99 | $6.54–$802.39 | 38% above | 81% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $25.00 | $134.75 | $3.44–$107.80 | 55% below | 81% |
| C-peptide blood test CPT 84681 C-PEPTIDE - 84681 - 800227 | $45.00 | $237.88 | $18.10–$190.30 | 38% below | 81% |
| C-peptide blood test CPT 84681 C-PEPTIDE - 84681 - 800150 | $45.00 | $216.25 | $18.10–$190.30 | 38% below | 79% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $26.00 | $140.25 | $4.51–$112.20 | 52% below | 81% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF TOXIN GENE NAA LC | $54.00 | $285.00 | $32.42–$228.00 | 69% below | 81% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $46.00 | $246.25 | $18.10–$197.00 | 65% below | 81% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $51.00 | $273.63 | $18.10–$218.90 | 68% below | 81% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL | $13.00 | $51.00 | $7.65–$90.00 | 86% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 CLIENT CPL (SONIC) | $13.00 | $90.00 | $7.65–$90.00 | 86% below | 86% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC | $13.00 | $70.00 | $7.65–$90.00 | 86% below | 81% |
| Calcium blood test, total CPT 82310 PTH intact + CALCIUM | $7.00 | $40.25 | $4.49–$85.00 | 88% below | 83% |
| Calcium blood test, total CPT 82310 CALCIUM TOT | $7.00 | $106.25 | $4.49–$85.00 | 88% below | 93% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $42.00 | $221.10 | $16.50–$176.88 | 69% below | 81% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER AB QUAL | $39.00 | $207.50 | $11.21–$166.00 | 38% below | 81% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $68.00 | $361.63 | $11.65–$289.30 | 54% below | 81% |
| Complete blood count (CBC) with differential CPT 85025 COMPL CBC W/AUTO DIFF WBC(ML) | $43.00 | $231.00 | $6.76–$184.80 | 53% below | 81% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC W/O DIFF(ML) | $29.00 | $154.00 | $5.63–$123.20 | 70% below | 81% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL(ML) | $84.00 | $446.88 | $9.19–$357.50 | 67% below | 81% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL AM | $55.00 | $291.50 | $14.18–$233.20 | 33% below | 81% |
| Cortisol blood test, total CPT 82533 CORTISOL,TOTAL,SERUM | $55.00 | $291.50 | $14.18–$233.20 | 33% below | 81% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL PM | $55.00 | $265.00 | $14.18–$233.20 | 33% below | 79% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE(CK) | $32.00 | $170.50 | $5.66–$136.40 | 48% below | 81% |
| Creatinine blood test CPT 82565 CREATININE BLD | $30.00 | $159.50 | $4.45–$127.60 | 44% below | 81% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG QUAL | $48.00 | $257.50 | $12.52–$206.00 | 32% below | 81% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $47.00 | $250.18 | $8.86–$200.14 | 72% below | 81% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $54.00 | $286.25 | $6.10–$229.00 | 66% below | 81% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGG QUAL(REF) | $36.00 | $99.77 | $7.00–$152.90 | 58% below | 64% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGM QUAL | $36.00 | $191.13 | $7.00–$152.90 | 58% below | 81% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA,IGG(REF) | $36.00 | $46.69 | $7.00–$152.90 | 58% below | 23% |
| Estradiol blood test CPT 82670 ESTRADIOL FREE | $82.00 | $519.00 | $24.31–$415.20 | 34% below | 84% |
| Estradiol blood test CPT 82670 ESTRADIOL | $82.00 | $434.50 | $24.31–$415.20 | 34% below | 81% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $19.00 | $297.00 | $15.33–$237.60 | 88% below | 94% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH/LH | $19.00 | $102.19 | $15.33–$237.60 | 88% below | 81% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $104.00 | $500.00 | $17.08–$440.00 | 51% below | 79% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL LC | $104.00 | $550.00 | $17.08–$440.00 | 51% below | 81% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL(REF) | $104.00 | $500.00 | $17.08–$440.00 | 51% below | 79% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $39.00 | $207.13 | $11.86–$165.70 | 53% below | 81% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY - 85384 - 800774 | $39.00 | $207.25 | $8.02–$165.80 | 55% below | 81% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity - 85384 - 800741 | $39.00 | $53.46 | $8.02–$165.80 | 55% below | 27% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $38.00 | $203.50 | $12.79–$162.80 | 53% below | 81% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $59.00 | $314.88 | $3.00–$251.90 | 58% below | 81% |
| Free T3 thyroid hormone test CPT 84481 T3, FREE | $59.00 | $20.00 | $3.00–$251.90 | 58% below | -195% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $37.00 | $198.00 | $7.85–$158.40 | 52% below | 81% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE | $26.00 | $140.09 | $8.34–$114.36 | 76% below | 81% |
| Free testosterone test CPT 84402 ASSAY FREE TESTOSTERONE | $26.00 | $55.60 | $8.34–$114.36 | 76% below | 53% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $6.00 | $36.00 | $5.40–$134.00 | 90% below | 83% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT | $6.00 | $167.50 | $5.40–$134.00 | 90% below | 96% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $82.00 | $434.09 | $30.73–$347.27 | 81% below | 81% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3HR | $44.00 | $232.50 | $11.20–$186.00 | 71% below | 81% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1HR | $44.00 | $232.50 | $11.20–$186.00 | 71% below | 81% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2HR | $44.00 | $232.50 | $11.20–$186.00 | 71% below | 81% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL(ML) | $48.00 | $253.00 | $14.66–$202.40 | 62% below | 81% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $49.00 | $260.11 | $12.51–$208.09 | 42% below | 81% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $80.00 | $425.50 | $37.50–$382.10 | 74% below | 81% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT REAL-TIME PCR | $80.00 | $250.00 | $37.50–$382.10 | 74% below | 68% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 LQ BSD PAP RF HGH RSKHPV | $7.00 | $41.00 | $6.15–$41.00 | 90% below | 83% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL(REF) - 86704 - 800211 | $12.00 | $66.28 | $9.94–$54.10 | 83% below | 82% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B A6 QUAL - 86706 - 851064 | $33.00 | $174.97 | $9.34–$139.98 | 50% below | 81% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG IMM ASSAY - 87340 - 862853 | $51.00 | $270.88 | $8.99–$216.70 | 28% below | 81% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $43.00 | $228.25 | $12.41–$182.60 | 50% below | 81% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT | $114.00 | $601.25 | $37.27–$481.00 | 52% below | 81% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGM ABS INDIR(REF) | $38.00 | $75.00 | $7.50–$163.00 | 47% below | 49% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 SPEC AB IGG W/RFLX(REF) | $38.00 | $50.00 | $7.50–$163.00 | 47% below | 24% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP1 AB QUAL | $38.00 | $203.75 | $7.50–$163.00 | 47% below | 81% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 SPEC AB IGG W/RFLX(REF) | $9.00 | $50.00 | $7.50–$138.45 | 89% below | 82% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGM ABS INDIR(REF) | $9.00 | $75.00 | $7.50–$138.45 | 89% below | 88% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY HSV TYPE 2 IGG | $9.00 | $173.06 | $7.50–$138.45 | 89% below | 95% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC(REF) | $30.00 | $158.49 | $11.27–$126.79 | 58% below | 81% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $50.00 | $264.59 | $15.59–$211.67 | 67% below | 81% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $36.00 | $193.88 | $9.94–$155.10 | 48% below | 81% |
| Iron blood test (serum iron) CPT 83540 IRON | $31.00 | $163.63 | $5.63–$130.90 | 58% below | 81% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING (TIBC) | $34.00 | $181.50 | $7.60–$145.20 | 62% below | 81% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL - 80069 - 835409 | $51.00 | $288.75 | $7.55–$231.00 | 72% below | 82% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL - 80069 - 800593 | $51.00 | $270.00 | $7.55–$231.00 | 72% below | 81% |
| LH (luteinizing hormone) test CPT 83002 Lutienizing Hormone (LH), Pedi | $54.00 | $105.90 | $15.89–$228.00 | 63% below | 49% |
| LH (luteinizing hormone) test CPT 83002 LH | $54.00 | $285.00 | $15.89–$228.00 | 63% below | 81% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $40.00 | $175.13 | $10.07–$168.42 | 58% below | 77% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $40.00 | $210.53 | $10.07–$168.42 | 58% below | 81% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) | $25.00 | $145.75 | $4.98–$116.60 | 45% below | 83% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) BOD | $25.00 | $33.22 | $4.98–$116.60 | 45% below | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) CSF | $25.00 | $132.50 | $4.98–$116.60 | 45% below | 81% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $41.00 | $215.88 | $5.99–$172.70 | 42% below | 81% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $69.00 | $365.75 | $5.86–$292.60 | 64% below | 81% |
| Liver function blood test panel CPT 80076 LIVER FIBROSIS RISK PROFILE | $69.00 | $39.05 | $5.86–$292.60 | 64% below | -77% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $41.00 | $219.05 | $14.82–$336.87 | 42% below | 81% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $41.00 | $421.09 | $14.82–$336.87 | 42% below | 90% |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $6.00 | $165.00 | $4.89–$132.00 | 87% below | 96% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE(REF) | $6.00 | $32.60 | $4.89–$132.00 | 87% below | 82% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY IGG | $22.00 | $116.00 | $11.21–$116.00 | 36% below | 81% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY IGM | $22.00 | $116.00 | $11.21–$116.00 | 36% below | 81% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG(REF) | $22.00 | $145.00 | $11.21–$116.00 | 36% below | 85% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $32.00 | $171.25 | $4.51–$137.00 | 62% below | 81% |
| Mumps immunity blood test CPT 86735 MUMPS AB QUAL | $43.00 | $231.25 | $11.35–$185.00 | 25% below | 81% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free | $37.00 | $195.05 | $16.00–$156.04 | 67% below | 81% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN - 84153 - 810187 | $19.00 | $233.75 | $15.17–$187.00 | 78% below | 92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE WO SERIAL L | $19.00 | $123.64 | $15.17–$187.00 | 78% below | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SERIAL MONITOR(REF) | $19.00 | $101.15 | $15.17–$187.00 | 78% below | 81% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V TLP AUTO/MAN LC | $21.00 | $115.15 | $17.27–$115.15 | 72% below | 82% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $78.00 | $415.12 | $35.91–$332.10 | 61% below | 81% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTECT | $78.00 | $301.90 | $35.91–$332.10 | 61% below | 74% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $27.00 | $143.86 | $5.23–$115.09 | 47% below | 81% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD | $26.00 | $137.50 | $4.12–$110.00 | 58% below | 81% |
| Potassium blood test CPT 84132 POTASSIUM BLD | $17.00 | $91.40 | $4.14–$73.12 | 73% below | 81% |
| Progesterone blood test CPT 84144 PROGESTERONE | $51.00 | $270.00 | $18.15–$216.00 | 49% below | 81% |
| Prolactin blood test CPT 84146 PROLACTIN | $54.00 | $289.22 | $16.86–$231.38 | 51% below | 81% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $23.00 | $123.75 | $3.73–$99.00 | 50% below | 81% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $41.00 | $218.75 | $10.96–$175.00 | 61% below | 81% |
| Rapid flu test (influenza antigen) CPT 87804 RAPID INFLUENZA A&B | $17.00 | $91.03 | $13.65–$74.31 | 82% below | 81% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $37.00 | $198.00 | $14.38–$158.40 | 63% below | 81% |
| Rh blood typing CPT 86901 L04 ANTIBODY ID Rh OBI | $18.00 | $17.44 | $2.38–$95.84 | 72% below | -3% |
| Rh blood typing CPT 86901 01A RH OBI | $18.00 | $15.85 | $2.38–$95.84 | 72% below | -14% |
| Rh blood typing CPT 86901 BLOOD TYPING RH D | $18.00 | $95.84 | $2.38–$95.84 | 72% below | 81% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANT | $17.00 | $279.68 | $4.93–$223.74 | 62% below | 94% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, IgA | $17.00 | $94.10 | $4.93–$223.74 | 62% below | 82% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, IgG | $17.00 | $94.10 | $4.93–$223.74 | 62% below | 82% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $26.00 | $140.00 | $12.52–$112.00 | 45% below | 81% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $39.00 | $208.63 | $10.71–$166.90 | 70% below | 81% |
| Sodium blood test CPT 84295 SODIUM BLD | $14.00 | $75.00 | $4.18–$60.00 | 77% below | 81% |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID/OVA & PARASI | $37.00 | $198.00 | $7.74–$158.40 | 45% below | 81% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOBT-OCCULT BLOOD - 82274 - 800385 | $20.00 | $109.86 | $13.85–$87.89 | 67% below | 82% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CONFIRM | $21.00 | $114.67 | $11.52–$91.74 | 55% below | 82% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL/SYPHILIS,NON-TREP QL | $14.00 | $119.63 | $2.45–$95.70 | 67% below | 88% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $14.00 | $16.30 | $2.45–$95.70 | 67% below | 14% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $14.00 | $76.00 | $2.45–$95.70 | 67% below | 82% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $64.00 | $340.89 | $51.13–$278.29 | 68% below | 81% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY TOTAL TESTOSTERONE | $55.00 | $55.60 | $3.87–$232.97 | 45% below | 1% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $55.00 | $291.21 | $3.87–$232.97 | 45% below | 81% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FEMALE | $55.00 | $141.96 | $3.87–$232.97 | 45% below | 61% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE MALE | $55.00 | $25.81 | $3.87–$232.97 | 45% below | -113% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Liver/Kidney Ab | $26.00 | $137.50 | $9.37–$144.76 | 63% below | 81% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO | $26.00 | $180.95 | $9.37–$144.76 | 63% below | 86% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney MicrosomalAB(REF) | $26.00 | $62.45 | $9.37–$144.76 | 63% below | 58% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE LC | $66.00 | $84.00 | $12.60–$281.60 | 39% below | 21% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $66.00 | $352.00 | $12.60–$281.60 | 39% below | 81% |
| Total IgE blood test CPT 82785 ALLERGY PROFILE W/TOTAL IGE | $35.00 | $148.35 | $14.32–$148.00 | 56% below | 76% |
| Total IgE blood test CPT 82785 IGE | $35.00 | $185.00 | $14.32–$148.00 | 56% below | 81% |
| Total cholesterol blood test CPT 82465 SERUM/WB TOT CHOLEST | $19.00 | $71.59 | $3.78–$81.60 | 66% below | 73% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BLD | $19.00 | $102.00 | $3.78–$81.60 | 66% below | 81% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $38.00 | $204.88 | $5.98–$163.90 | 53% below | 81% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 | $41.00 | $216.57 | $12.34–$173.26 | 67% below | 81% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $34.00 | $181.50 | $11.10–$145.20 | 71% below | 81% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA LC - 87661 - 800275 | $31.00 | $165.00 | $24.75–$157.55 | 65% below | 81% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $45.00 | $240.63 | $4.99–$192.50 | 38% below | 81% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $48.00 | $256.25 | $10.29–$205.00 | 57% below | 81% |
| Troponin test, quantitative CPT 84484 C TROPONIN | $48.00 | $205.00 | $10.29–$205.00 | 57% below | 77% |
| Troponin test, quantitative CPT 84484 HIGH SENSITIVITY TROPONIN I | $48.00 | $68.59 | $10.29–$205.00 | 57% below | 30% |
| Uric acid blood test CPT 84550 URIC ACID BLD | $25.00 | $132.00 | $3.93–$105.60 | 68% below | 81% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCOPE | $15.00 | $83.88 | $2.76–$85.00 | 86% below | 82% |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $15.00 | $106.25 | $2.76–$85.00 | 86% below | 86% |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $35.00 | $184.25 | $7.02–$147.40 | 73% below | 81% |
| Urine microalbumin (albumin) test CPT 82043 ALB/CREA RATIO, URINE | $34.00 | $14.47 | $2.17–$145.20 | 33% below | -135% |
| Urine microalbumin (albumin) test CPT 82043 UR ALB QNT/UR MICROALB LEVEL | $34.00 | $181.50 | $2.17–$145.20 | 33% below | 81% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $39.00 | $209.00 | $13.12–$167.20 | 57% below | 81% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITD (D2+D3 FRAC) LC/MS/ | $57.00 | $140.00 | $21.00–$240.30 | 54% below | 59% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXYVIT D LCMS D2+D3 LC | $57.00 | $162.80 | $21.00–$240.30 | 54% below | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, TOTAL | $57.00 | $162.80 | $21.00–$240.30 | 54% below | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $57.00 | $300.38 | $21.00–$240.30 | 54% below | 81% |
| Zinc blood test CPT 84630 ZINC BLOOD | $29.00 | $156.75 | $9.91–$125.40 | 58% below | 81% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthroscopic aided ACL rpr | $5,326.00 | $28,032.10 | $1,889.01–$22,425.68 | 27% below | 81% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888 | $5,326.00 | $12,593.40 | $1,889.01–$22,425.68 | 27% below | 58% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo | $1,511.00 | $7,953.75 | $1,193.06–$6,363.00 | 63% below | 81% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC WITH LV GRAM | $4,008.00 | $21,097.90 | $1,292.00–$16,878.32 | 57% below | 81% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE | $648.00 | $3,411.65 | $263.40–$2,729.32 | 51% below | 81% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ER | $648.00 | $2,840.13 | $263.40–$2,729.32 | 51% below | 77% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ICU | $648.00 | $2,840.13 | $263.40–$2,729.32 | 51% below | 77% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $482.00 | $2,540.78 | $381.12–$2,540.78 | 84% below | 81% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DY BY EXC | $1,435.00 | $7,554.00 | $833.07–$6,043.20 | 59% below | 81% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $1,403.00 | $7,384.73 | $833.07–$5,907.78 | 14% above | 81% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE-28 DAYS< | $375.00 | $1,978.32 | $277.88–$1,582.66 | 83% below | 81% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed TX- FRACTURE RADIUS/ULN | $152.00 | $803.75 | $77.36–$643.00 | 65% below | 81% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LES RMVL BYSNARE | $587.00 | $3,639.04 | $463.97–$2,911.23 | 51% below | 84% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $587.00 | $3,093.13 | $463.97–$2,911.23 | 51% below | 81% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY-NONSNAR - 45380 - 409232 | $733.00 | $3,859.44 | $346.43–$3,087.55 | 39% below | 81% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $733.00 | $2,309.53 | $346.43–$3,087.55 | 39% below | 68% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy - 45378 - OR36045378 | $692.00 | $2,422.28 | $363.34–$2,915.67 | 55% below | 71% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY - 45378 - 007155 | $692.00 | $3,644.59 | $363.34–$2,915.67 | 55% below | 81% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $806.00 | $4,243.47 | $141.18–$3,394.78 | 77% below | 81% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY-BX/CURETT of CERVIX | $178.00 | $939.33 | $51.50–$751.46 | 28% below | 81% |
| Coronary stent placement, one artery CPT 92928 BMS SINGLE VESSEL | $4,477.00 | $23,567.00 | $3,535.05–$18,853.60 | 62% below | 81% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/ INSER OF INDWELL STEN | $419.00 | $8,413.00 | $331.41–$6,730.40 | 90% below | 95% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332 | $419.00 | $2,209.38 | $331.41–$6,730.40 | 90% below | 81% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage (D&C Non- | $1,161.00 | $6,115.63 | $917.34–$4,892.50 | 71% below | 81% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Irrigation | $71.00 | $374.89 | $23.50–$299.91 | 36% below | 81% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI - 69210 - 004025 | $96.00 | $510.31 | $23.50–$408.25 | 23% below | 81% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI - 69210 - 049667 | $96.00 | $167.88 | $23.50–$408.25 | 23% below | 43% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJX INTERLAMINAR CRV/THRC | $602.00 | $3,168.75 | $281.31–$2,535.00 | 58% below | 81% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV - 64493 - 722020 | $500.00 | $3,295.68 | $348.53–$2,636.54 | 70% below | 85% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV - 64493 - 004013 | $500.00 | $2,323.52 | $348.53–$2,636.54 | 70% below | 78% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV - 64493 - 004017 | $500.00 | $2,636.54 | $348.53–$2,636.54 | 70% below | 81% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $2,893.00 | $15,226.88 | $2,284.03–$12,181.50 | 63% below | 81% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $1,343.00 | $7,070.00 | $1,060.50–$5,656.00 | 78% below | 81% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $533.00 | $2,809.00 | $103.26–$2,247.20 | 42% below | 81% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $1,196.00 | $6,295.23 | $944.28–$6,295.23 | 83% below | 81% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph | $1,616.00 | $8,507.68 | $1,276.15–$7,153.89 | 80% below | 81% |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $1,007.00 | $5,302.50 | $795.38–$4,242.00 | 71% below | 81% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION WO GUIDE | $889.00 | $4,679.36 | $701.90–$4,679.36 | 84% below | 81% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BX/WWO D&C | $1,630.00 | $8,583.34 | $1,287.50–$6,866.67 | 66% below | 81% |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION | $103.00 | $543.00 | $39.41–$434.40 | 73% below | 81% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS - 10060 - 034806 | $178.00 | $941.76 | $53.56–$753.41 | 59% below | 81% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $1,091.00 | $5,744.38 | $861.66–$4,601.82 | 82% below | 81% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON SHEATH/LIG | $232.00 | $1,223.50 | $18.45–$978.80 | 47% below | 81% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SC ASP JOINT MAJOR | $292.00 | $1,288.48 | $22.04–$1,231.19 | 51% below | 77% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/DRAIN/INJ JOINT - 20610 - 072100 | $292.00 | $1,319.98 | $22.04–$1,231.19 | 51% below | 78% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/DRAIN/INJ JOINT - 20610 - 701002 | $292.00 | $1,538.99 | $22.04–$1,231.19 | 51% below | 81% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis asp/inj w/o us | $265.00 | $1,398.50 | $18.45–$1,118.80 | 55% below | 81% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy w/meniscus rpr(me | $2,844.00 | $14,972.40 | $927.94–$11,977.92 | 50% below | 81% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery - 29882 - OR36029882 | $2,844.00 | $6,186.25 | $927.94–$11,977.92 | 50% below | 54% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 | $2,844.00 | $3,348.95 | $502.34–$11,977.92 | 52% below | 15% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy w/meniscectomy | $2,844.00 | $14,972.40 | $502.34–$11,977.92 | 52% below | 81% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880 | $1,006.00 | $5,298.54 | $794.78–$4,238.83 | 82% below | 81% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery - 29877 - OR36029877 | $503.00 | $2,651.25 | $397.69–$2,651.25 | 88% below | 81% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $1,238.00 | $6,516.67 | $977.50–$6,516.67 | 83% below | 81% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAP ESOPHAGOGSTRC FUNDOPLASTY | $2,290.00 | $12,057.00 | $1,808.55–$12,057.00 | 80% below | 81% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa | $839.00 | $4,418.75 | $662.81–$4,418.75 | 90% below | 81% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM or | $335.00 | $1,766.55 | $110.95–$1,413.24 | 37% below | 81% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR SCLP/AX/TRNK <2.5CM | $335.00 | $739.67 | $110.95–$1,413.24 | 37% below | 55% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbrsac | $1,013.00 | $5,334.38 | $281.31–$4,267.50 | 38% below | 81% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE LUMBAR/SCRL WO GD | $523.00 | $2,757.50 | $352.49–$2,206.00 | 57% below | 81% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&strd tfrm epi ls 1 | $2,137.00 | $11,250.00 | $352.49–$9,000.00 | 44% above | 81% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $483.00 | $2,545.44 | $72.00–$2,036.35 | 47% below | 81% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of Nail Plate (Part/Co | $191.00 | $1,010.16 | $79.96–$808.13 | 31% below | 81% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE | $191.00 | $873.65 | $79.96–$808.13 | 31% below | 78% |
| Occipital nerve block (injection for headaches) CPT 64405 N Block Anesthetic Agent, Grea | $300.00 | $1,583.13 | $23.57–$1,266.50 | 30% below | 81% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING - 49083 - 700068 | $706.00 | $3,717.45 | $361.45–$3,305.56 | 52% below | 81% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS | $706.00 | $3,717.45 | $361.45–$3,305.56 | 52% below | 81% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING (dx | $706.00 | $2,595.00 | $361.45–$3,305.56 | 52% below | 73% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING - 49083 - 964663 | $706.00 | $4,131.95 | $361.45–$3,305.56 | 52% below | 83% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 INGROWN TOE NAIL REMOVAL | $347.00 | $1,828.88 | $70.47–$1,463.10 | 30% below | 81% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Lumbarcool 1st Level Rhizotomy | $833.00 | $4,387.84 | $658.18–$3,510.27 | 72% below | 81% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $839.00 | $4,418.75 | $662.81–$4,418.75 | 83% below | 81% |
| Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl | $400.00 | $2,651.25 | $75.85–$2,121.00 | 24% below | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FORIEGN BODY | $400.00 | $2,108.68 | $75.85–$2,121.00 | 24% below | 81% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY PROC | $4,101.00 | $21,588.80 | $382.39–$17,271.04 | 43% below | 81% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $4,101.00 | $2,549.28 | $382.39–$17,271.04 | 43% below | -61% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $116.00 | $610.93 | $53.02–$488.74 | 49% below | 81% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $142.00 | $747.86 | $29.98–$598.29 | 42% below | 81% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $1,175.00 | $6,186.25 | $927.94–$4,949.00 | 72% below | 81% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $178.00 | $941.76 | $79.96–$753.41 | 47% below | 81% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $167.00 | $883.75 | $62.69–$707.00 | 62% below | 81% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $251.00 | $882.25 | $79.96–$1,060.00 | 16% below | 72% |
| Skin tag removal, up to 15 tags CPT 11200 NEVUS EXCISION/ REMOVAL OF SKI | $251.00 | $1,325.00 | $79.96–$1,060.00 | 16% below | 81% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $341.00 | $1,796.43 | $248.77–$1,437.14 | 67% below | 81% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOST | $341.00 | $1,658.45 | $248.77–$1,437.14 | 67% below | 79% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM - 12002 - 051872 | $341.00 | $1,795.50 | $79.96–$1,436.40 | 10% below | 81% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM - 12002 - 034807 | $341.00 | $941.76 | $79.96–$1,436.40 | 10% below | 64% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $178.00 | $941.76 | $79.96–$753.41 | 54% below | 81% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING | $393.00 | $2,069.00 | $249.99–$1,655.20 | 72% below | 81% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $2,256.00 | $11,875.20 | $1,781.28–$11,875.20 | 82% below | 81% |
| Total knee replacement CPT 27447 TOTAL KNEE | $1,700.00 | $21,462.00 | $1,342.62–$17,613.05 | 87% below | 92% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $1,700.00 | $8,950.80 | $1,342.62–$17,613.05 | 87% below | 81% |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid | $1,679.00 | $8,837.50 | $1,325.63–$7,153.89 | 82% below | 81% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH - 26055 - 964665 | $1,351.00 | $7,112.55 | $364.55–$5,690.04 | 44% below | 81% |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath - 26055 - OR36026055 | $1,351.00 | $2,430.31 | $364.55–$5,690.04 | 44% below | 44% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION | $219.00 | $1,155.00 | $21.53–$924.00 | 50% below | 81% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $3,562.00 | $18,750.00 | $2,409.30–$15,000.00 | 28% below | 81% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BX W/MAMMO | $291.00 | $1,535.86 | $230.38–$1,535.86 | 89% below | 81% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm - 43249 - OR36043249 | $676.00 | $2,209.38 | $331.41–$2,850.00 | 54% below | 69% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM - 43249 - 007212 | $676.00 | $3,562.50 | $331.41–$2,850.00 | 54% below | 81% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE - 43239 - 007144 | $628.00 | $3,306.86 | $302.74–$2,645.49 | 40% below | 81% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple - 43239 - OR36043239 | $628.00 | $2,018.29 | $302.74–$2,645.49 | 40% below | 69% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope wsubmuc inj | $251.00 | $1,325.62 | $198.84–$1,163.16 | 66% below | 81% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $682.00 | $3,592.48 | $538.87–$2,873.98 | 40% below | 81% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EGD | $839.00 | $3,223.78 | $361.45–$3,535.00 | 42% below | 74% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $839.00 | $4,418.75 | $361.45–$3,535.00 | 42% below | 81% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VAGINAL DELIVERY LEVEL 2 | $697.00 | $3,669.00 | $550.35–$3,382.16 | 91% below | 81% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL DELIVERY | $580.00 | $3,057.50 | $313.00–$3,057.50 | 78% below | 81% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $503.00 | $2,651.25 | $397.69–$2,621.89 | 89% below | 81% |
| Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion 1-14 | $283.00 | $1,491.33 | $79.96–$1,193.06 | 42% above | 81% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/< | $727.00 | $3,829.58 | $162.00–$3,063.66 | 28% below | 81% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $727.00 | $2,767.50 | $162.00–$3,063.66 | 28% below | 74% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep | $965.00 | $5,081.56 | $762.23–$5,081.56 | 88% below | 81% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICES | $244.00 | $1,940.20 | $24.86–$1,823.41 | 68% below | 87% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - 36430 - 009043 | $244.00 | $1,940.20 | $24.86–$1,823.41 | 68% below | 87% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRTION | $244.00 | $1,940.20 | $24.86–$1,823.41 | 68% below | 87% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - 36430 - 092962 | $244.00 | $1,940.20 | $24.86–$1,823.41 | 68% below | 87% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - 36430 - 060042 | $244.00 | $1,940.20 | $24.86–$1,823.41 | 68% below | 87% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION - 36430 - 890603 | $244.00 | $2,279.26 | $24.86–$1,823.41 | 68% below | 89% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION | $244.00 | $1,286.43 | $24.86–$1,823.41 | 68% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT - 94640 - 964001 | $201.00 | $1,060.39 | $28.92–$848.31 | 1% below | 81% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT - 94640 - 034816 | $201.00 | $192.80 | $28.92–$848.31 | 1% below | -4% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR(MS) | $147.00 | $776.00 | $116.40–$620.80 | 73% below | 81% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR(OR) | $147.00 | $776.00 | $116.40–$620.80 | 73% below | 81% |
| Critical care, first 30 to 74 minutes CPT 99291 ERCriticalCare initial 30-74mi | $1,045.00 | $5,500.00 | $329.19–$5,020.00 | 59% below | 81% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG NO INTRPRETATION | $233.00 | $1,226.50 | $86.05–$981.20 | 76% below | 81% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-ROUTINE | $83.00 | $437.25 | $23.50–$349.80 | 70% below | 81% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TLWBS | $79.00 | $348.65 | $15.17–$335.00 | 66% below | 77% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER NURSE TRIAGE ONLY/PT LWOBS | $79.00 | $130.00 | $15.17–$335.00 | 66% below | 39% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM - LEVEL 1 | $79.00 | $417.32 | $15.17–$335.00 | 66% below | 81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM - LEVEL 2 | $188.00 | $990.74 | $19.50–$792.59 | 57% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM - LEVEL 3 | $418.00 | $2,200.00 | $19.50–$1,760.00 | 47% below | 81% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM - LEVEL 4 | $665.00 | $3,500.00 | $166.29–$2,800.00 | 49% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM - LEVEL 5 | $950.00 | $5,000.00 | $237.34–$4,000.00 | 46% below | 81% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $345.00 | $1,400.30 | $86.05–$1,456.40 | 72% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG-STRESS TEST | $345.00 | $1,820.50 | $86.05–$1,456.40 | 72% below | 81% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY(900) | $60.00 | $318.30 | $40.48–$254.64 | 63% below | 81% |
| Group psychotherapy session CPT 90853 GRP PSYCH SUB HR (905) | $60.00 | $318.30 | $40.48–$254.64 | 63% below | 81% |
| Group psychotherapy session CPT 90853 GRP PSYCHOTHERAPY INTL HR(905) | $60.00 | $318.30 | $40.48–$254.64 | 63% below | 81% |
| Group psychotherapy session CPT 90853 GRP PSYCH SUB HR(900) | $60.00 | $318.30 | $40.48–$254.64 | 63% below | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $65.00 | $342.50 | $33.55–$798.87 | 85% below | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT (31 - 96360 - 007029 | $65.00 | $998.59 | $33.55–$798.87 | 85% below | 93% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT (31 - 96360 - 060047 | $65.00 | $583.20 | $33.55–$798.87 | 85% below | 89% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT (31 - 96360 - 004266 | $65.00 | $583.20 | $33.55–$798.87 | 85% below | 89% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT (31 - 96360 - 006005 | $65.00 | $583.20 | $33.55–$798.87 | 85% below | 89% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1 H | $65.00 | $342.50 | $33.55–$798.87 | 85% below | 81% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT (31 - 96360 - 060010 | $65.00 | $998.59 | $33.55–$798.87 | 85% below | 93% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(LN | $52.00 | $642.25 | $41.10–$998.59 | 88% below | 92% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(NU | $52.00 | $642.25 | $41.10–$998.59 | 88% below | 92% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HR | $52.00 | $274.00 | $41.10–$998.59 | 88% below | 81% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(OB | $52.00 | $642.25 | $41.10–$998.59 | 88% below | 92% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(ER | $52.00 | $998.59 | $41.10–$998.59 | 88% below | 95% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(MS - 96365 - 006002 | $52.00 | $642.25 | $41.10–$998.59 | 88% below | 92% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(OR | $52.00 | $998.59 | $41.10–$998.59 | 88% below | 95% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT(MS - 96365 - 060003 | $52.00 | $998.59 | $41.10–$998.59 | 88% below | 95% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(OR | $189.00 | $998.59 | $34.49–$998.59 | 17% below | 81% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(IC | $189.00 | $318.56 | $34.49–$998.59 | 17% below | 41% |
| IV push of a medicine, first drug CPT 96374 INTIAL PUSH OF A DRUG | $189.00 | $258.00 | $34.49–$998.59 | 17% below | 27% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(OB | $189.00 | $318.56 | $34.49–$998.59 | 17% below | 41% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(MS - 96374 - 060005 | $189.00 | $998.59 | $34.49–$998.59 | 17% below | 81% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV (ER) | $189.00 | $998.59 | $34.49–$998.59 | 17% below | 81% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(ER | $189.00 | $318.56 | $34.49–$998.59 | 17% below | 41% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(LN | $189.00 | $318.56 | $34.49–$998.59 | 17% below | 41% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH(MS - 96374 - 006007 | $189.00 | $318.56 | $34.49–$998.59 | 17% below | 41% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM(MS) | $64.00 | $337.32 | $28.69–$269.86 | 56% below | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SEBQ | $64.00 | $337.32 | $28.69–$269.86 | 56% below | 81% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM(NUR) | $64.00 | $202.03 | $28.69–$269.86 | 56% below | 68% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im | $64.00 | $202.03 | $28.69–$269.86 | 56% below | 68% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTIBIOTIC IM | $64.00 | $280.41 | $28.69–$269.86 | 56% below | 77% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM(LND) | $64.00 | $202.03 | $28.69–$269.86 | 56% below | 68% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM(OB) | $64.00 | $202.03 | $28.69–$269.86 | 56% below | 68% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM(ICU) | $64.00 | $202.03 | $28.69–$269.86 | 56% below | 68% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX INTERVIEW(900) | $91.00 | $500.00 | $70.73–$400.00 | 76% below | 82% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HEALTH BEHVR ASMNT/RE-ASMT-900 | $91.00 | $478.98 | $70.73–$400.00 | 76% below | 81% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HEALTH BEHAVR ASMT/REASMT-905 | $91.00 | $478.98 | $70.73–$400.00 | 76% below | 81% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED 15MIN | $39.00 | $174.63 | $26.19–$166.10 | 65% below | 78% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation | $39.00 | $207.63 | $26.19–$166.10 | 65% below | 81% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY PER 15M | $16.00 | $89.25 | $13.39–$89.25 | 68% below | 82% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $91.00 | $482.08 | $72.31–$385.66 | 62% below | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $137.00 | $725.32 | $75.25–$580.26 | 53% below | 81% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 45 MIN | $137.00 | $585.00 | $75.25–$580.26 | 53% below | 77% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Wound Eval-High to Severe Risk | $137.00 | $696.07 | $75.25–$580.26 | 53% below | 80% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Wound Eval-Low Risk | $80.00 | $308.90 | $46.34–$339.70 | 60% below | 74% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $80.00 | $424.63 | $46.34–$339.70 | 60% below | 81% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Wound Eval-Mod Risk - 97162 - 487026 | $124.00 | $324.00 | $48.60–$522.70 | 47% below | 62% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $124.00 | $653.38 | $48.60–$522.70 | 47% below | 81% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $29.00 | $144.78 | $21.72–$124.30 | 74% below | 80% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $29.00 | $155.38 | $21.72–$124.30 | 74% below | 81% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EX 15 MIN | $33.00 | $178.75 | $26.81–$143.00 | 71% below | 82% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX 15 MIN | $33.00 | $178.75 | $26.81–$143.00 | 71% below | 82% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX OFF 20-30 MIN W/E&M(905) | $58.00 | $310.24 | $46.54–$516.80 | 69% below | 81% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX OFF 20-30 MIN W/E&M(900) | $58.00 | $310.24 | $46.54–$516.80 | 69% below | 81% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PS | $58.00 | $646.00 | $46.54–$516.80 | 69% below | 91% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAM 45 MIN(1:1(905)) | $153.00 | $807.50 | $53.10–$646.00 | 44% below | 81% |
| Psychotherapy session, 45 minutes CPT 90834 HLTH BEHAVR IVNTJ INDIV F2-905 | $153.00 | $354.00 | $53.10–$646.00 | 44% below | 57% |
| Psychotherapy session, 45 minutes CPT 90834 HEALTH BEHAVIOR IVNTJ INDIV F2 | $153.00 | $354.00 | $53.10–$646.00 | 44% below | 57% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAM 45 MN(1:1(900)) | $153.00 | $807.50 | $53.10–$646.00 | 44% below | 81% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES(900) | $142.00 | $750.00 | $70.73–$600.00 | 48% below | 81% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MIN(905) | $142.00 | $750.00 | $70.73–$600.00 | 48% below | 81% |
| Speech and language evaluation CPT 92523 Eval of sound prod. w/ lang | $195.00 | $1,031.25 | $79.00–$825.00 | 47% below | 81% |
| Speech therapy session, individual CPT 92507 ST SP/LANG/HEAR TX | $79.00 | $304.00 | $45.60–$334.40 | 63% below | 74% |
| Speech therapy session, individual CPT 92507 SLP SPEECH TREATMENT 75 | $79.00 | $418.00 | $45.60–$334.40 | 63% below | 81% |
| Speech therapy session, individual CPT 92507 SLP SPEECH TREATMENT 45MIN | $79.00 | $418.00 | $45.60–$334.40 | 63% below | 81% |
| Speech therapy session, individual CPT 92507 SLP SPEECH TREATMENT 30MIN | $79.00 | $418.00 | $45.60–$334.40 | 63% below | 81% |
| Speech therapy session, individual CPT 92507 SLP SPEECH TREATMENT 60MIN | $79.00 | $418.00 | $45.60–$334.40 | 63% below | 81% |
| Spirometry (breathing test) CPT 94010 PFT INDUSTRIAL | $67.00 | $357.40 | $53.61–$416.43 | 81% below | 81% |
| Spirometry (breathing test) CPT 94010 PFT BASIC STUDY | $67.00 | $491.43 | $53.61–$416.43 | 81% below | 86% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR BFR/AFTR | $308.00 | $1,623.50 | $41.07–$1,298.80 | 48% below | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY | $32.00 | $172.36 | $25.85–$137.89 | 72% below | 81% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACT 15MIN | $32.00 | $172.36 | $25.85–$137.89 | 72% below | 81% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $65.00 | $345.00 | $51.75–$276.00 | 70% below | 81% |
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 IMMUNIZATION | $12.00 | $337.32 | $10.12–$269.86 | 84% below | 96% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INITIAL IMMUNIZATION INJ - 90471 - 004533 | $12.00 | $67.46 | $10.12–$269.86 | 84% below | 82% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INITIAL IMMUNIZATION INJ - 90471 - 009042 | $12.00 | $67.46 | $10.12–$269.86 | 84% below | 82% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SQ IMMUNIZATION INJECTIO | $12.00 | $337.32 | $10.12–$269.86 | 84% below | 96% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SQ IMMUNIZATION INJ - 90471 - 009044 | $12.00 | $67.46 | $10.12–$269.86 | 84% below | 82% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN 1VACC IM/SUBQ | $12.00 | $174.60 | $10.12–$269.86 | 84% below | 93% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACC | $12.00 | $67.46 | $10.12–$269.86 | 84% below | 82% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SQ IMMUNIZATION INJ - 90471 - 009036 | $12.00 | $67.46 | $10.12–$269.86 | 84% below | 82% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $4.00 | $86.00 | $3.94–$68.80 | 91% below | 95% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION EA ADDL | $4.00 | $26.25 | $3.94–$68.80 | 91% below | 85% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://prmctx.com/wp-content/uploads/2026/09/100154_PampaRegionalMedicalCenter_StandardCharges.json