Meadville Medical Center
Meadville Medical Center in Meadville, PA publishes cash prices for 250 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 192 of 248 procedures and above it for 51. By typical cash price it ranks #23 of 88 Pennsylvania hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
751 Liberty Street Meadville, PA 16335-2559 Collected Sep 27, 2026 Source price file (814) 333-5000
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 390113 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Meadville Medical Center in Meadville, PA:
- Jan 22, 2025 Warning notice
- Feb 24, 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 Pennsylvania | Off list |
|---|---|---|---|---|---|
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $836.40 | $1,394.00 | $836.40–$906.10 | 35% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $351.00 | $585.00 | $351.00–$380.25 | 34% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $151.20 | $252.00 | $151.20–$279.55 | 15% below | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $154.20 | $257.00 | $154.20–$205.32 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $121.80 | $203.00 | $121.80–$162.91 | 52% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $198.00 | $330.00 | $198.00–$247.50 | 63% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $765.00 | $1,275.00 | $765.00–$956.25 | 75% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $54.00 | $90.00 | $54.00–$185.48 | 79% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,420.20 | $2,367.00 | $1,420.20–$1,538.55 | 15% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,290.20 | $3,817.00 | $2,290.20–$2,481.05 | 12% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,435.20 | $2,392.00 | $1,435.20–$1,554.80 | 30% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,310.00 | $3,850.00 | $2,310.00–$4,144.81 | 38% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $48.60 | $81.00 | $48.60–$154.07 | 90% below | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $124.20 | $207.00 | $124.20–$166.60 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $709.20 | $1,182.00 | $709.20–$886.50 | 77% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $876.00 | $1,460.00 | $876.00–$1,740.81 | 34% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $30.00 | $50.00 | $30.00–$60.00 | 3% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $25.20 | $42.00 | $25.20–$50.40 | 15% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $304.20 | $507.00 | $304.20–$608.40 | 1% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $40.20 | $67.00 | $40.20–$80.40 | 34% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $51.60 | $86.00 | $51.60–$103.20 | 21% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $46.80 | $78.00 | $46.80–$93.60 | 42% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $62.40 | $104.00 | $62.40–$78.00 | 62% below | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $54.60 | $91.00 | $54.60–$109.20 | 36% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $4.80 | $8.00 | $4.80–$7.90 | 59% below | 40% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $25.80 | $43.00 | $25.80–$51.60 | 6% above | 40% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $64.80 | $108.00 | $64.80–$129.60 | 2% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $221.40 | $369.00 | $221.40–$442.80 | 197% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $30.60 | $51.00 | $30.60–$61.20 | 9% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $87.60 | $146.00 | $87.60–$175.20 | 25% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $87.00 | $145.00 | $87.00–$174.00 | 31% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $119.40 | $199.00 | $119.40–$238.80 | 59% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $26.40 | $44.00 | $26.40–$33.50 | 84% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $60.00 | $100.00 | $60.00–$120.00 | 32% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $42.00 | $70.00 | $42.00–$84.00 | 2% above | 40% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $38.40 | $64.00 | $38.40–$76.80 | 9% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $61.20 | $102.00 | $61.20–$122.40 | 37% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $43.20 | $72.00 | $43.20–$86.40 | 30% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $98.40 | $164.00 | $98.40–$196.80 | 13% below | 40% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $139.20 | $232.00 | $139.20–$278.40 | 2% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $81.60 | $136.00 | $81.60–$163.20 | 19% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $79.80 | $133.00 | $79.80–$159.60 | at median | 40% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $76.20 | $127.00 | $76.20–$152.40 | 1% above | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $85.80 | $143.00 | $85.80–$171.60 | 10% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $49.80 | $83.00 | $49.80–$99.60 | 5% below | 40% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $130.20 | $217.00 | $130.20–$260.40 | 1% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $38.40 | $64.00 | $38.40–$76.80 | 3% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $67.20 | $112.00 | $67.20–$134.40 | 12% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $26.40 | $44.00 | $26.40–$33.50 | 82% below | 40% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $111.00 | $185.00 | $111.00–$222.00 | 35% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $19.80 | $33.00 | $19.80–$24.75 | 84% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $45.00 | $75.00 | $45.00–$65.73 | 77% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $57.60 | $96.00 | $57.60–$115.20 | 22% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $73.20 | $122.00 | $73.20–$146.40 | 22% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $57.00 | $95.00 | $57.00–$114.00 | 2% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $82.20 | $137.00 | $82.20–$164.40 | 14% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $69.00 | $115.00 | $69.00–$86.25 | 7% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $90.00 | $150.00 | $90.00–$112.50 | at median | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $56.40 | $94.00 | $56.40–$112.80 | 20% below | 40% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $119.40 | $199.00 | $119.40–$238.80 | 21% above | 40% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $49.20 | $82.00 | $49.20–$98.40 | 15% below | 40% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $40.80 | $68.00 | $40.80–$81.60 | 11% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $52.80 | $88.00 | $52.80–$105.60 | 9% below | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $62.40 | $104.00 | $62.40–$124.80 | 9% below | 40% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $81.00 | $135.00 | $81.00–$162.00 | 19% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $42.60 | $71.00 | $42.60–$85.20 | 1% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $46.80 | $78.00 | $46.80–$93.60 | 41% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $73.20 | $122.00 | $73.20–$146.40 | 13% below | 40% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $30.60 | $51.00 | $30.60–$61.20 | 9% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $49.80 | $83.00 | $49.80–$99.60 | 31% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $38.40 | $64.00 | $38.40–$76.80 | at median | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $112.80 | $188.00 | $112.80–$225.60 | 24% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $80.40 | $134.00 | $80.40–$160.80 | 10% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $24.60 | $41.00 | $24.60–$36.28 | 68% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $114.60 | $191.00 | $114.60–$229.20 | 87% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $189.60 | $316.00 | $189.60–$379.20 | 7% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $38.40 | $64.00 | $38.40–$76.80 | 7% below | 40% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $91.20 | $152.00 | $91.20–$182.40 | 22% below | 40% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $98.40 | $164.00 | $98.40–$196.80 | 7% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $25.20 | $42.00 | $25.20–$50.40 | 5% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $100.20 | $167.00 | $100.20–$200.40 | 187% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $100.20 | $167.00 | $100.20–$200.40 | 92% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $58.80 | $98.00 | $58.80–$117.60 | 51% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $62.40 | $104.00 | $62.40–$124.80 | 22% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $33.60 | $56.00 | $33.60–$67.20 | 63% above | 40% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $46.20 | $77.00 | $46.20–$92.40 | 6% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $25.20 | $42.00 | $25.20–$50.40 | 24% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $27.00 | $45.00 | $27.00–$54.00 | 1% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $116.40 | $194.00 | $116.40–$232.80 | 21% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $70.20 | $117.00 | $70.20–$140.40 | at median | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $85.80 | $143.00 | $85.80–$171.60 | 1% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $208.80 | $348.00 | $208.80–$261.00 | 38% above | 40% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $28.20 | $47.00 | $28.20–$56.40 | 2% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $50.40 | $84.00 | $50.40–$100.80 | 70% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $40.80 | $68.00 | $40.80–$81.60 | 134% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $4.20 | $7.00 | $4.20–$5.25 | 76% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $42.00 | $70.00 | $42.00–$84.00 | 22% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $34.80 | $58.00 | $34.80–$43.50 | 6% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $64.80 | $108.00 | $64.80–$129.60 | 16% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $147.60 | $246.00 | $147.60–$295.20 | 3% above | 40% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $60.60 | $101.00 | $60.60–$121.20 | 5% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $69.60 | $116.00 | $69.60–$139.20 | 8% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $130.80 | $218.00 | $130.80–$163.50 | 70% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,610.00 | $4,350.00 | $2,610.00–$5,144.15 | 27% below | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $5,380.80 | $8,968.00 | $5,380.80–$10,211.88 | 33% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $151.80 | $253.00 | $151.80–$189.75 | 88% below | 40% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $95.40 | $159.00 | $95.40–$119.25 | 94% below | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $3,372.00 | $5,620.00 | $3,372.00–$4,215.00 | 27% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $3,123.00 | $5,205.00 | $3,123.00–$6,503.88 | 156% above | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $419.40 | $699.00 | $419.40–$524.25 | 83% below | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $246.60 | $411.00 | $246.60–$308.25 | 88% below | 40% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $413.40 | $689.00 | $413.40–$516.75 | 72% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $206.40 | $344.00 | $206.40–$258.00 | 41% below | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $552.00 | $920.00 | $552.00–$690.00 | 87% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $246.00 | $410.00 | $246.00–$307.50 | 84% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $58.80 | $98.00 | $58.80–$73.50 | 70% below | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $166.80 | $278.00 | $166.80–$210.70 | 94% below | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $147.60 | $246.00 | $147.60–$184.50 | 83% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $14.40 | $24.00 | $14.40–$19.62 | 88% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $49.80 | $83.00 | $49.80–$62.25 | 59% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $288.00 | $480.00 | $288.00–$360.00 | 8% below | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $527.40 | $879.00 | $527.40–$659.25 | 96% below | 40% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $478.80 | $798.00 | $478.80–$598.50 | 96% below | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $196.80 | $328.00 | $196.80–$246.00 | 97% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $120.00 | $200.00 | $120.00–$150.00 | 94% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $138.00 | $230.00 | $138.00–$172.50 | 80% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $254.40 | $424.00 | $254.40–$318.00 | 56% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $354.60 | $591.00 | $354.60–$384.15 | 7% above | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $816.00 | $1,360.00 | $816.00–$1,020.00 | 91% below | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $831.00 | $1,385.00 | $831.00–$1,038.75 | 74% below | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $75.00 | $125.00 | $75.00–$93.75 | 71% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $104.40 | $174.00 | $104.40–$137.61 | 71% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $51.60 | $86.00 | $51.60–$64.50 | 92% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $235.20 | $392.00 | $235.20–$294.00 | 48% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $112.80 | $188.00 | $112.80–$141.00 | 48% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $44.40 | $74.00 | $44.40–$55.50 | 88% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $42.00 | $70.00 | $42.00–$52.50 | 90% below | 40% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $2,061.00 | $3,435.00 | $2,061.00–$2,576.25 | 80% below | 40% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $2,268.00 | $3,780.00 | $2,268.00–$2,835.00 | 55% below | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $3,144.00 | $5,240.00 | $3,144.00–$3,930.00 | 56% below | 40% |
| 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/< | $174.00 | $290.00 | $174.00–$217.50 | 64% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $168.00 | $280.00 | $168.00–$210.00 | 92% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $207.00 | $345.00 | $207.00–$258.75 | 92% below | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $765.00 | $1,275.00 | $765.00–$956.25 | 86% below | 40% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $390.60 | $651.00 | $390.60–$488.25 | 52% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $91.80 | $153.00 | $91.80–$114.75 | 92% below | 40% |
| 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/< | $98.40 | $164.00 | $98.40–$138.39 | 86% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $72.00 | $120.00 | $72.00–$90.00 | 77% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $72.60 | $121.00 | $72.60–$90.75 | 88% below | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $17,978.40 | $29,964.00 | $17,978.40–$33,226.70 | 11% above | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $224.40 | $374.00 | $224.40–$280.50 | 87% below | 40% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $182.40 | $304.00 | $182.40–$228.00 | 94% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $252.00 | $420.00 | $252.00–$315.00 | 92% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $116.40 | $194.00 | $116.40–$145.50 | 76% below | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $398.40 | $664.00 | $398.40–$498.00 | 74% below | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $397.20 | $662.00 | $397.20–$496.50 | 76% below | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $458.40 | $764.00 | $458.40–$893.54 | 86% below | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $600.00 | $1,000.00 | $600.00–$750.00 | 91% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $419.40 | $699.00 | $419.40–$843.20 | 13% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $36.60 | $61.00 | $36.60–$53.06 | 88% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $45.00 | $75.00 | $45.00–$64.85 | 86% below | 40% |
| 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/< | $117.00 | $195.00 | $117.00–$146.25 | 76% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $109.20 | $182.00 | $109.20–$136.50 | 84% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $137.40 | $229.00 | $137.40–$171.75 | 78% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $30.00 | $50.00 | $30.00–$99.71 | 92% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $214.20 | $357.00 | $214.20–$267.75 | 85% below | 40% |
| 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 | $137.40 | $229.00 | $137.40–$171.75 | 70% below | 40% |
| 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/< | $121.80 | $203.00 | $121.80–$152.25 | 75% below | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $739.80 | $1,233.00 | $739.80–$954.38 | 91% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $97.20 | $162.00 | $97.20–$121.50 | 82% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $139.20 | $232.00 | $139.20–$174.00 | 90% below | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $292.80 | $488.00 | $292.80–$386.11 | 97% below | 40% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $253.80 | $423.00 | $253.80–$339.04 | 96% below | 40% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $258.00 | $430.00 | $258.00–$355.87 | 97% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $48.00 | $80.00 | $48.00–$60.00 | 91% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $2,348.40 | $3,914.00 | $2,348.40–$5,144.15 | 25% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $328.20 | $547.00 | $328.20–$410.25 | 90% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $183.60 | $306.00 | $183.60–$229.50 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $449.40 | $749.00 | $449.40–$561.75 | 84% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $420.60 | $701.00 | $420.60–$525.75 | 87% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $355.20 | $592.00 | $355.20–$444.00 | 86% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $162.60 | $271.00 | $162.60–$203.25 | 91% below | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $3,261.00 | $5,435.00 | $3,261.00–$4,076.25 | 18% below | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $2,742.00 | $4,570.00 | $2,742.00–$3,427.50 | 28% below | 40% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $450.00 | $750.00 | $450.00–$562.50 | 83% below | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $6,303.00 | $10,505.00 | $6,303.00–$9,993.10 | 28% below | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $79.80 | $133.00 | $79.80–$99.75 | 74% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $85.20 | $142.00 | $85.20–$106.50 | 92% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $709.80 | $1,183.00 | $709.80–$1,388.02 | 20% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $579.00 | $965.00 | $579.00–$1,053.09 | 11% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $39.60 | $66.00 | $39.60–$49.50 | 86% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $339.60 | $566.00 | $339.60–$424.50 | 81% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $314.40 | $524.00 | $314.40–$491.50 | 57% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $124.20 | $207.00 | $124.20–$188.59 | 23% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $48.00 | $80.00 | $48.00–$60.00 | 88% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $78.00 | $130.00 | $78.00–$97.50 | 86% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $127.20 | $212.00 | $127.20–$160.87 | 86% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $183.00 | $305.00 | $183.00–$234.12 | 86% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $586.20 | $977.00 | $586.20–$988.67 | 28% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $208.80 | $348.00 | $208.80–$261.00 | 1% above | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $273.60 | $456.00 | $273.60–$342.00 | 166% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $341.40 | $569.00 | $341.40–$668.93 | 19% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $447.60 | $746.00 | $447.60–$668.93 | 3% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $25.80 | $43.00 | $25.80–$32.25 | 81% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $147.00 | $245.00 | $147.00–$201.58 | 17% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $441.60 | $736.00 | $441.60–$552.00 | 39% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $66.60 | $111.00 | $66.60–$72.15 | 30% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $151.20 | $252.00 | $151.20–$189.00 | 26% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $215.40 | $359.00 | $215.40–$269.25 | 21% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $273.60 | $456.00 | $273.60–$342.00 | 23% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $66.00 | $110.00 | $66.00–$114.44 | 41% below | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $277.20 | $462.00 | $277.20–$300.30 | 14% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $298.20 | $497.00 | $298.20–$323.05 | 1% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $277.20 | $462.00 | $277.20–$300.30 | 7% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $285.60 | $476.00 | $285.60–$309.40 | 1% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $59.40 | $99.00 | $59.40–$64.35 | 42% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $74.40 | $124.00 | $74.40–$80.60 | 23% below | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $115.20 | $192.00 | $115.20–$436.70 | 4% below | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $131.40 | $219.00 | $131.40–$436.70 | 10% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $141.00 | $235.00 | $141.00–$176.25 | at median | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $104.40 | $174.00 | $104.40–$436.70 | 41% above | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $111.00 | $185.00 | $111.00–$436.70 | 28% above | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $119.40 | $199.00 | $119.40–$149.25 | at median | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $238.80 | $398.00 | $238.80–$298.50 | 4% below | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $111.60 | $186.00 | $111.60–$144.73 | 74% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $119.40 | $199.00 | $119.40–$149.25 | 33% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $180.00 | $300.00 | $180.00–$225.00 | 1% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $266.40 | $444.00 | $266.40–$333.00 | 7% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $11.40 | $19.00 | $11.40–$15.65 | 65% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $120.00 | $200.00 | $120.00–$188.88 | 42% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $30.00 | $50.00 | $30.00–$114.44 | 80% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $90.00 | $150.00 | $90.00–$128.64 | 46% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $57.60 | $96.00 | $57.60–$103.00 | 45% below | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $201.60 | $336.00 | $201.60–$252.00 | 9% above | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $297.00 | $495.00 | $297.00–$371.25 | 11% above | 40% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $159.00 | $265.00 | $159.00–$172.25 | 41% below | 40% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $39.00 | $65.00 | $39.00–$48.75 | 84% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $63.00 | $105.00 | $63.00–$78.75 | 89% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $82.20 | $137.00 | $82.20–$89.05 | 26% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $202.20 | $337.00 | $202.20–$409.25 | 6% below | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $11.39 | $18.98 | $11.39–$15.00 | 74% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $210.00 | $350.00 | $210.00–$227.50 | 37% below | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $219.00 | $365.00 | $219.00–$237.25 | 86% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $63.00 | $105.00 | $63.00–$70.38 | 3% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $177.26 | $295.44 | $177.26–$192.04 | 69% above | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $45.86 | $76.43 | $45.86–$15.00 | 15% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $169.48 | $282.46 | $169.48–$15.00 | 59% below | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $657.60 | $1,096.00 | $657.60–$712.40 | 30% above | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $606.60 | $1,011.00 | $606.60–$1,111.67 | 1% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $23.36 | $38.94 | $23.36–$110.40 | 57% below | 40% |
Source file: https://www.mmchs.org/wp-content/uploads/2026/09/251512436_Meadville-Medical-Center_standardcharges_09.11.26.csv