Valleywise Health Medical Center
Listed in its price file as “Maricopa County Special Health Care District”.
Valleywise Health Medical Center in Phoenix, AZ publishes cash prices for 472 common procedures listed here, from its own machine-readable price file updated Jun 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 393 of 448 procedures and above it for 40. By typical cash price it ranks #16 of 53 Arizona hospitals and #14 of 30 hospitals in the Phoenix, AZ area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2601 East Roosevelt Street, Phoenix AZ 85008 Collected Sep 22, 2026 Source price file Check a bill from this hospital (602) 344-5011
Acute care hospital Government-owned hospital No emergency department CMS star rating 1 of 5 CCN 030022 · CMS hospital register NPI 1073576740
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Valleywise Health Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST | $215.24 | $6,000.00 | $129.45–$843.44 | 86% below | 96% |
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $128.29 | $450.00 | $187.20–$360.00 | 40% below | 71% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC RAD ANKLE COMPLETE 3+ VIEWS | $106.79 | $900.00 | $92.86–$185.73 | 31% below | 88% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ART EXTR PR & WAVE LTD BIL | $163.27 | $1,130.00 | $141.97–$283.95 | 56% below | 86% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREM W/O CONTR | $128.29 | $2,700.00 | $111.56–$223.12 | 86% below | 95% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RAD ESOPHAGRAM | $215.24 | $900.00 | $374.40–$720.00 | 40% below | 76% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE, TOTAL BODY | $490.58 | $1,350.00 | $561.60–$1,080.00 | 69% below | 64% |
| Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE | $128.29 | $950.00 | $395.20–$760.00 | 49% below | 86% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED | $106.79 | $800.00 | $332.80–$640.00 | 48% below | 87% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN & PELVIS W CONTRAST | $428.12 | $6,500.00 | $324.69–$1,298.76 | 74% below | 93% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO-HEAD | $215.24 | $3,820.00 | $187.17–$374.33 | 82% below | 94% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO-NECK | $215.24 | $4,000.00 | $187.17–$374.33 | 82% below | 95% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST | $215.24 | $4,000.00 | $129.45–$844.80 | 84% below | 95% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE | $428.12 | $1,200.00 | $182.08–$991.92 | 49% below | 64% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST | $106.79 | $500.00 | $58.65–$780.00 | 67% below | 79% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST | $292.80 | $6,200.00 | $120.34–$780.00 | 78% below | 95% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELVIS W/CONTRAST | $428.12 | $7,500.00 | $241.82–$1,013.80 | 79% below | 94% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & W/O CONTRST 1+ BODY REGNS | $428.12 | $7,000.00 | $241.82–$1,144.00 | 82% below | 94% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST | $215.24 | $5,000.00 | $129.45–$802.04 | 83% below | 96% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $128.29 | $4,500.00 | $79.00–$780.00 | 85% below | 97% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUSES W/O CONTRAST | $128.29 | $2,500.00 | $111.56–$223.12 | 84% below | 95% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAS | $128.29 | $4,000.00 | $111.56–$223.12 | 86% below | 97% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST | $215.24 | $4,000.00 | $187.17–$374.33 | 82% below | 95% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/WO CONTRA | $215.24 | $5,000.00 | $187.17–$374.33 | 85% below | 96% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $215.24 | $4,200.00 | $129.45–$808.20 | 81% below | 95% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID, BILATERAL | $292.80 | $2,140.00 | $254.61–$509.22 | — | 86% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST W/WO CONTRAST | $215.24 | $3,500.00 | $129.45–$780.00 | 84% below | 94% |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $106.79 | $500.00 | $208.00–$400.00 | 39% below | 79% |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $106.79 | $480.00 | $199.68–$384.00 | 5% below | 78% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC RAD CLAVICLE COMPLETE | $106.79 | $650.00 | $270.40–$520.00 | 44% below | 84% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $128.29 | $1,200.00 | $499.20–$960.00 | 70% below | 89% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BD AXIAL SKELETON DEXA | $128.29 | $750.00 | $111.56–$223.12 | 58% below | 83% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BD APPENDICULAR SKELETON DEXA | $106.79 | $350.00 | $92.86–$185.73 | 48% below | 69% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM | $292.80 | $800.00 | $332.80–$640.00 | 25% below | 63% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $128.29 | $2,700.00 | $79.00–$780.00 | 86% below | 95% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/CONTRAST | $215.24 | $3,200.00 | $129.45–$780.00 | 83% below | 93% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO IHCL CAD BI | $245.04 | $680.00 | $152.83–$305.66 | — | 64% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO IHCL CAD UNI | $193.33 | $450.00 | $120.67–$241.34 | 23% below | 57% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ART LW EXTR DUPL 2 EXT/BYP BIL | $292.80 | $2,050.00 | $254.61–$509.22 | 62% below | 86% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US BILATERAL VENOUS | $292.80 | $2,590.00 | $1,077.44–$2,072.00 | — | 89% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER, COMPLETE | $670.53 | $2,460.00 | $157.56–$1,269.72 | 33% below | 73% |
| Elbow X-ray, 2 views CPT 73070 HC RADIOLOGIC EXAM, ELBOW; 2 VIEWS | $106.79 | $730.00 | $303.68–$584.00 | 44% below | 85% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC RAD ELBOW COMPLETE 3+ VIEWS | $106.79 | $850.00 | $353.60–$680.00 | 24% below | 87% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT W/O CONTRAST | $128.29 | $3,000.00 | $111.56–$223.12 | 86% below | 96% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC RAD FACIAL BONES COMPLETE | $128.29 | $880.00 | $366.08–$704.00 | 49% below | 85% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC RADIOLOGIC EXAM; FOREARM, 2 VIEWS | $106.79 | $650.00 | $270.40–$520.00 | 39% below | 84% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING IHCLUDING GALLBLADDER | $490.58 | $2,000.00 | $832.00–$1,600.00 | 51% below | 75% |
| Hand X-ray, 2 views CPT 73120 HC RAD HAND 2 VIEWS | $128.29 | $630.00 | $262.08–$504.00 | 14% above | 80% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC RAD OS CALCIS/HEEL 2V | $106.79 | $600.00 | $92.86–$185.73 | 11% below | 82% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $264.97 | — | $230.41–$460.82 | 58% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $1,053.80 | — | $916.35–$1,832.69 | 66% below | — |
| Knee X-ray, 3 views CPT 73562 HC RAD KNEE 3 VIEWS | $106.79 | $700.00 | $291.20–$560.00 | 48% below | 85% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC RAD KNEE 4+ VIEWS | $128.29 | $700.00 | $291.20–$560.00 | 53% below | 82% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREM W/O CONTR | $128.29 | $3,000.00 | $111.56–$223.12 | 88% below | 96% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $128.29 | $900.00 | $374.40–$720.00 | 67% below | 86% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY,NONVASCULAR,LIMITED | $128.29 | $550.00 | $111.56–$223.12 | 34% below | 77% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $128.29 | $1,700.00 | $79.00–$780.00 | 8% below | 92% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $106.79 | $800.00 | $92.86–$185.73 | 16% below | 87% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $292.80 | $3,200.00 | $254.61–$509.22 | 75% below | 91% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXT JT W/O CONTRAST | $292.80 | $2,800.00 | $254.61–$509.22 | 80% below | 90% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JT W/WO CONTRAST | $428.12 | $5,800.00 | $266.89–$1,321.96 | 80% below | 93% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $292.80 | $3,300.00 | $149.50–$1,290.00 | 74% below | 91% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $428.12 | $5,300.00 | $266.89–$1,290.00 | 81% below | 92% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN & STEM W/O CONTRAST | $292.80 | $3,000.00 | $149.50–$1,290.00 | 78% below | 90% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN & STEM W/WO CONTRAST | $428.12 | $5,500.00 | $248.02–$1,290.00 | 77% below | 92% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SP W/O CONTRAST | $292.80 | $3,200.00 | $142.97–$1,290.00 | 83% below | 91% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SP W/WO CONTRAST | $428.12 | $6,400.00 | $248.02–$1,290.00 | 83% below | 93% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SP W/O CONTRAST | $292.80 | $5,200.00 | $142.59–$1,290.00 | 84% below | 94% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SP W/WO CONTRAST | $428.12 | $10,000.00 | $248.79–$1,290.00 | 81% below | 96% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SP W/O CONTRAST | $292.80 | $5,500.00 | $142.21–$1,290.00 | 80% below | 95% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST | $428.12 | $5,500.00 | $266.89–$1,290.00 | 78% below | 92% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $292.80 | $3,200.00 | $166.84–$1,290.00 | 77% below | 91% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXT JT W/O CONTRAST | $292.80 | $2,400.00 | $164.41–$1,290.00 | 80% below | 88% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RAD CERVICAL SPINE COMPLETE | $128.29 | $1,250.00 | $520.00–$1,000.00 | 54% below | 90% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W/CONTRAST | $215.24 | $4,000.00 | $187.17–$374.33 | 82% below | 95% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK W/O CONTRAST | $128.29 | $2,400.00 | $111.56–$223.12 | 86% below | 95% |
| Neck soft tissue X-ray CPT 70360 HC RAD NECK SOFT TISSUE | $106.79 | $500.00 | $92.86–$185.73 | 40% below | 79% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM REST/STRESS WM/EF | $1,588.72 | $5,500.00 | $2,288.00–$4,400.00 | 41% below | 71% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC OPTICAL COHEREHCE TOMOGRAPHY | $72.39 | $160.00 | $56.80–$128.00 | — | 55% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT, SKULL-THIGH | $1,754.75 | $7,500.00 | $1,525.87–$3,051.75 | 69% below | 77% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST | $128.29 | $3,500.00 | $79.00–$780.00 | 88% below | 96% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED NON OB | $128.29 | $1,100.00 | $111.56–$223.12 | 60% below | 88% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NON OBSTETERIC) | $128.29 | $1,800.00 | $748.80–$1,440.00 | 69% below | 93% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $128.29 | $880.00 | $366.08–$704.00 | 69% below | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $128.29 | $830.00 | $345.28–$664.00 | 62% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PG UTER IMG LMTD 1+ FETUSES | $128.29 | $530.00 | $220.48–$424.00 | 60% below | 76% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RAD RIBS UNILATERAL W/O CHEST 2V | $106.79 | $350.00 | $145.60–$280.00 | 25% below | 69% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RAD RIBS UNILAT W/PA CHEST 3+ VIEWS | $128.29 | $750.00 | $312.00–$600.00 | 58% below | 83% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI IHCL CAD | $198.19 | $580.00 | $122.92–$245.84 | — | 66% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC RAD SHOULDER COMPLETE 2+ VIEWS | $106.79 | $800.00 | $332.80–$640.00 | 33% below | 87% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC RAD SINUS,PARANASAL 3V | $106.79 | $950.00 | $395.20–$760.00 | 37% below | 89% |
| Skull X-ray, fewer than 4 views CPT 70250 HC RAD SKULL<4 VIEWS | $128.29 | $700.00 | $291.20–$560.00 | 42% below | 82% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $1,053.80 | — | $916.35–$1,832.69 | 62% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME (2D) | $670.53 | $1,140.00 | $342.00–$1,166.14 | 34% below | 41% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC RAD SWALLOWING FUNCTION TEST | $215.24 | $700.00 | $291.20–$560.00 | 47% below | 69% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $106.79 | $500.00 | $208.00–$400.00 | 41% below | 79% |
| Toe X-ray, 2 or more views CPT 73660 HC RAD TOE 2V | $106.79 | $500.00 | $92.86–$185.73 | at median | 79% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $128.29 | $1,650.00 | $686.40–$1,320.00 | 66% below | 92% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL | $128.29 | $950.00 | $395.20–$760.00 | 63% below | 86% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $128.29 | $1,100.00 | $457.60–$880.00 | 75% below | 88% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM, | $128.29 | $1,100.00 | $457.60–$880.00 | 67% below | 88% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD AND NECK REAL TIME IMGE DOCM | $128.29 | $1,400.00 | $582.40–$1,120.00 | 61% below | 91% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $215.24 | $700.00 | $291.20–$560.00 | 46% below | 69% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC RADIOLOGIC EXAM; HUMERUS, MIN OF 2 VIEWS | $106.79 | $700.00 | $291.20–$560.00 | 52% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US UNILATERAL VENOUS | $128.29 | $1,240.00 | $515.84–$992.00 | 69% below | 90% |
| Wrist X-ray, 2 views CPT 73100 HC RADIOLICAL EXAM, WRIST; 2 VIEWS | $106.79 | $700.00 | $291.20–$560.00 | 31% below | 85% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST CMPL 3+ VIEWS | $106.79 | $880.00 | $366.08–$704.00 | 51% below | 88% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $106.79 | $600.00 | $249.60–$480.00 | 56% below | 82% |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $106.79 | $380.00 | $158.08–$304.00 | 45% below | 72% |
| X-ray of the ankle, 2 views CPT 73600 HC RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $106.79 | $750.00 | $92.86–$185.73 | 26% below | 86% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC RADIOLOGIC EXAM, FINGER(S), MIN OF 2 VIEWS | $106.79 | $750.00 | $92.86–$185.73 | 2% below | 86% |
| X-ray of the foot, 2 views CPT 73620 HC RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $106.79 | $600.00 | $92.86–$185.73 | 16% above | 82% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC RAD FOOT COMPLETE 3+ VIEWS | $106.79 | $680.00 | $92.86–$185.73 | 9% below | 84% |
| X-ray of the hand, 3 or more views CPT 73130 HC RAD HAND 3+ VIEWS | $106.79 | $850.00 | $92.86–$185.73 | 48% below | 87% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC RAD KNEE 1 OR 2 VIEWS | $106.79 | $650.00 | $270.40–$520.00 | 31% below | 84% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC RAD LUMBOSACRAL SPINE 2 VIEWS | $128.29 | $800.00 | $332.80–$640.00 | 33% below | 84% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $128.29 | $1,000.00 | $416.00–$800.00 | 62% below | 87% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RAD EXAM, SPINE; THORACIC, 2 VIEWS | $128.29 | $450.00 | $187.20–$360.00 | 48% below | 71% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC RAD NASAL BONES COMPLETE | $106.79 | $550.00 | $228.80–$440.00 | 4% below | 81% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RAD CERVICAL SPINE 2 VIEW | $106.79 | $700.00 | $291.20–$560.00 | 51% below | 85% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC RAD PELVIS 1 OR 2 VIEWS | $128.29 | $700.00 | $291.20–$560.00 | 32% below | 82% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC RAD SACRUM/COCCYX 2V | $106.79 | $600.00 | $249.60–$480.00 | 17% below | 82% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC (ACTH) | $44.41 | $240.00 | $25.10–$108.00 | 48% below | 81% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT/SGPT | $6.10 | $120.00 | $3.45–$14.84 | 74% below | 95% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST/SGOT | $5.96 | $110.00 | $3.37–$14.52 | 78% below | 95% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $54.77 | $500.00 | $30.96–$133.24 | 42% below | 89% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM/PLASMA/BLOOD | $5.69 | $170.00 | $3.22–$13.84 | 61% below | 97% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $46.86 | $310.00 | $26.49–$113.96 | 45% below | 85% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE | $5.96 | $120.00 | $5.18–$10.36 | 64% below | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $6.00 | $59.00 | $3.39–$14.60 | 49% below | 90% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM | $19.29 | $150.00 | $10.90–$46.92 | 51% below | 87% |
| Ammonia blood test CPT 82140 HC AMMONIA | $16.76 | $160.00 | $9.47–$40.76 | 74% below | 90% |
| Amylase blood test CPT 82150 HC AMYLASE | $7.45 | $210.00 | $4.21–$18.12 | 43% below | 96% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY | $14.89 | $70.00 | $12.95–$25.90 | 49% below | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODY SCREEN | $13.90 | $75.00 | $12.09–$24.18 | 49% below | 81% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $45.15 | $300.00 | $39.26–$78.52 | 42% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SOURCE | $9.91 | $280.00 | $5.60–$24.12 | 84% below | 96% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $9.73 | $350.00 | $5.50–$23.68 | 86% below | 97% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL NEONATAL | $5.77 | $55.00 | $5.02–$10.04 | 71% below | 90% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $63.95 | $330.00 | $22.77–$119.40 | 26% below | 81% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE ROUTINE | $10.74 | $34.00 | $9.34–$18.68 | 35% below | 68% |
| Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE BLOOD | $4.52 | $57.00 | $2.55–$11.00 | 90% below | 92% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD | $4.52 | $57.00 | $2.55–$11.00 | 90% below | 92% |
| Blood lead test CPT 83655 HC LEAD | $13.93 | $70.00 | $12.11–$24.22 | 46% below | 80% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QL | $8.65 | $160.00 | $4.89–$21.04 | 87% below | 95% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $163.27 | $140.00 | $42.00–$283.95 | 100% above | -17% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUANTITATIVE | $4.54 | $100.00 | $2.57–$11.04 | 72% below | 95% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $23.93 | $120.00 | $13.53–$58.20 | 58% below | 80% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $5.96 | $30.00 | $3.37–$14.52 | 88% below | 80% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROB | $42.86 | $200.00 | $24.23–$104.24 | 42% below | 79% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNO TUMR AG CA 19-9 | $23.93 | $170.00 | $20.81–$41.62 | 15% below | 86% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNO TUMR AG CA 125 | $23.93 | $160.00 | $20.81–$41.62 | 65% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $59.01 | $190.00 | $51.31–$102.62 | 9% below | 69% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $5.93 | $180.00 | $3.35–$14.44 | 61% below | 97% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC AG (CEA) | $21.80 | $200.00 | $12.32–$53.04 | 62% below | 89% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $14.81 | $100.00 | $8.37–$36.00 | 28% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $40.35 | $160.00 | $22.81–$98.12 | 35% below | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $15.40 | $220.00 | $8.70–$37.44 | 61% below | 93% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W/AUTO DIF | $8.94 | $140.00 | $7.77–$15.54 | 85% below | 94% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO W/O DIFF | $7.44 | $110.00 | $6.47–$12.94 | 85% below | 93% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $12.14 | $380.00 | $6.86–$29.52 | 91% below | 97% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $18.75 | $240.00 | $10.60–$45.60 | 54% below | 92% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL | $7.49 | $230.00 | $4.23–$18.24 | 47% below | 97% |
| Creatinine blood test CPT 82565 HC CREATININE | $5.89 | $78.00 | $3.33–$14.32 | 61% below | 92% |
| Creatinine blood test CPT 82565 HC POC CREATININE | $5.89 | $78.00 | $3.33–$14.32 | 61% below | 92% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $16.55 | $120.00 | $14.39–$28.78 | 46% below | 86% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION D DIMER QN | $11.71 | $190.00 | $10.18–$20.36 | 88% below | 94% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S | $25.56 | $130.00 | $14.45–$62.16 | 52% below | 80% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRESUMPTIVE CHEM ANL | $71.46 | $300.00 | $40.39–$173.80 | 15% below | 76% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $8.06 | $220.00 | $4.56–$19.60 | 86% below | 96% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV VCA ANTIBODY IGG | $20.86 | $200.00 | $18.14–$36.28 | 3% below | 90% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $32.13 | $170.00 | $27.94–$55.88 | 50% below | 81% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIM HORMONE (FSH) | $21.37 | $170.00 | $12.08–$51.96 | 63% below | 87% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $22.57 | $110.00 | $12.76–$71.36 | 55% below | 79% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $15.67 | $130.00 | $8.86–$38.12 | 80% below | 88% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $11.18 | $200.00 | $9.72–$19.44 | 77% below | 94% |
| Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM | $16.91 | $220.00 | $9.56–$41.12 | 80% below | 92% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T-3) FREE | $19.48 | $100.00 | $11.01–$47.40 | 52% below | 81% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T-4) FREE | $10.37 | $100.00 | $9.02–$18.04 | 81% below | 90% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE | $29.29 | $100.00 | $16.56–$71.24 | 34% below | 71% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT/GGTP | $8.28 | $140.00 | $4.68–$20.12 | 71% below | 94% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1 HR PP | $5.46 | $120.00 | $3.09–$13.28 | 94% below | 95% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 1ST 3 SPEC | $14.80 | $60.00 | $8.37–$36.00 | 85% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $40.35 | $160.00 | $22.81–$98.12 | 33% below | 75% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $19.38 | — | $10.95–$47.12 | 51% below | — |
| H. pylori stool antigen test CPT 87338 HC EIA H PYLORI STOOL AG QL/SQ | $16.54 | $90.00 | $9.35–$40.20 | 62% below | 82% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $97.87 | $450.00 | $55.32–$238.04 | 20% below | 78% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC POC HIV 1 HIV 2 ANTIBODY SGL RESUL | $15.77 | $190.00 | $8.91–$38.36 | 59% below | 92% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1 HIV 2 ANTIBODY SGL RESUL | $15.77 | $190.00 | $8.91–$38.36 | 59% below | 92% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA HIV-1&HIV-2 AB SNGL QL/SQ | $27.69 | $160.00 | $13.28–$53.12 | 32% below | 83% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $40.35 | $170.00 | $22.81–$127.56 | 26% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN, GLYCOSYLATED (A1C) | $11.17 | $100.00 | $6.31–$27.16 | 77% below | 89% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC POC HEMOGLOBIN, GLYCOSYLATED (A1C) | $11.17 | $100.00 | $6.31–$27.16 | 77% below | 89% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $2.73 | $55.00 | $1.54–$6.64 | 89% below | 95% |
| Hemoglobin blood test CPT 85018 HC POC HEMOGLOBIN | $2.73 | $55.00 | $1.54–$6.64 | 89% below | 95% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY | $13.86 | $150.00 | $7.83–$33.72 | 49% below | 91% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $12.35 | $160.00 | $6.98–$30.04 | 58% below | 92% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC EIA HEPAT B SURF AG QL/SQ | $11.88 | $120.00 | $6.71–$28.88 | 46% below | 90% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $16.41 | $170.00 | $9.28–$39.92 | 57% below | 90% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $49.27 | $380.00 | $27.85–$119.80 | 45% below | 87% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SMPX I ANTIBODY | $15.17 | $280.00 | $13.19–$26.38 | 51% below | 95% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SMPX II ANTIBODY | $22.25 | $150.00 | $19.35–$38.70 | 33% below | 85% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENS | $14.89 | $110.00 | $8.42–$36.24 | 73% below | 86% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE | $20.61 | $180.00 | $11.65–$50.12 | 85% below | 89% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $13.14 | $100.00 | $7.43–$31.96 | 52% below | 87% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $7.44 | $80.00 | $6.47–$12.94 | 80% below | 91% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $10.05 | $120.00 | $8.74–$17.48 | 88% below | 92% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $9.98 | $160.00 | $5.64–$24.28 | 88% below | 94% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH) | $21.30 | $160.00 | $12.04–$51.80 | 64% below | 87% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $13.31 | $150.00 | $11.57–$23.14 | 53% below | 91% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDRO (LDH) | $6.95 | $120.00 | $6.04–$12.08 | 79% below | 94% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $7.92 | $160.00 | $6.89–$13.78 | 71% below | 95% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $9.40 | $250.00 | $5.31–$22.84 | 88% below | 96% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $19.58 | $140.00 | $17.03–$34.06 | 44% below | 86% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $7.71 | $150.00 | $6.70–$13.40 | 44% below | 95% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $14.81 | $80.00 | $8.37–$36.00 | 11% below | 81% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOTEST SCREEN | $5.96 | $80.00 | $5.18–$10.36 | 92% below | 93% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY | $15.01 | $75.00 | $13.05–$26.10 | 49% below | 80% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $54.98 | — | $31.08–$133.72 | 91% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG FREE | $21.15 | $80.00 | $11.95–$51.44 | 61% below | 74% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG TOTAL | $21.15 | $160.00 | $11.95–$51.44 | 64% below | 87% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $30.60 | $120.00 | $17.30–$100.36 | 23% below | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN | $23.30 | $170.00 | $20.26–$40.52 | 13% below | 86% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PTH) | $47.47 | $300.00 | $26.83–$115.44 | 45% below | 84% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLAS TIME (PTT) | $6.91 | $120.00 | $3.91–$16.80 | 63% below | 94% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $5.45 | $130.00 | $4.74–$9.48 | 76% below | 96% |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM/ PLASMA/ BLOOD | $5.47 | $160.00 | $3.09–$13.32 | 79% below | 97% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHRMOML ANEUPLOIDY | $872.91 | $2,000.00 | $493.38–$2,000.00 | 49% below | 56% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $23.99 | $120.00 | $13.56–$58.36 | 71% below | 80% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $22.29 | $180.00 | $12.60–$54.20 | 58% below | 88% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PT) | $4.93 | $80.00 | $2.79–$12.00 | 74% below | 94% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POC PROTHROMBIN TIME (PT) | $4.93 | $80.00 | $2.79–$12.00 | 74% below | 94% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC POC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $14.49 | $26.00 | $8.19–$26.00 | 14% below | 44% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $14.49 | $26.00 | $8.19–$26.00 | 14% below | 44% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ASSAY W/OPTIC | $19.03 | $55.00 | $16.50–$33.10 | 20% below | 65% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $19.01 | $70.00 | $16.53–$33.06 | 38% below | 73% |
| Renin blood test CPT 84244 HC RENIN | $25.29 | $110.00 | $14.29–$61.52 | 58% below | 77% |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) | $45.84 | $100.00 | $1.94–$9.48 | 2% above | 54% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QN | $6.52 | $90.00 | $5.67–$11.34 | 59% below | 93% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $16.55 | $100.00 | $9.35–$40.24 | 39% below | 83% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $14.16 | — | $8.00–$34.44 | 95% below | — |
| Sodium blood test CPT 84295 HC SODIUM SERUM/PLASMA/WHOLE BLD | $5.53 | $230.00 | $3.13–$13.48 | 72% below | 98% |
| Stool ova and parasites exam CPT 87177 HC SMEAR OVA PARASITE COHCNT/IDEN | $10.24 | $120.00 | $8.90–$17.80 | 64% below | 91% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES CA SCREEN | $5.04 | $27.00 | $4.38–$8.76 | 82% below | 81% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC POC OCCULT BLOOD FECES CA SCREEN | $5.04 | $27.00 | $2.85–$12.24 | 82% below | 81% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES IMMUNO QL | $18.31 | $100.00 | $10.35–$44.56 | at median | 82% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC MHA TP AB CONFIRM | $15.23 | $100.00 | $8.61–$37.04 | 41% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $4.91 | $100.00 | $4.27–$8.54 | 62% below | 95% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMM AG MEAS GAMMA | $71.28 | $350.00 | $61.98–$123.96 | 2% below | 80% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $29.68 | $200.00 | $16.78–$72.20 | 14% below | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $16.73 | $100.00 | $9.46–$40.68 | 26% below | 83% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $19.32 | $170.00 | $16.80–$33.60 | 69% below | 89% |
| Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE | $18.93 | $100.00 | $10.70–$46.04 | 31% below | 81% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL | $5.00 | $100.00 | $2.83–$12.16 | 76% below | 95% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T-4) TOTAL | $7.90 | $90.00 | $4.47–$19.20 | 75% below | 91% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE (T-3) TOTAL | $16.31 | $150.00 | $9.22–$39.64 | 84% below | 89% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $14.67 | $170.00 | $8.29–$35.68 | 76% below | 91% |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $40.35 | $240.00 | $35.09–$70.18 | 20% below | 83% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $6.60 | $160.00 | $3.73–$16.04 | 62% below | 96% |
| Troponin test, quantitative CPT 84484 HC TROPONIN QN | $14.34 | $190.00 | $8.11–$34.88 | 70% below | 92% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $5.20 | $110.00 | $2.94–$12.64 | 93% below | 95% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS NONAUTO W/MICRO | $4.62 | $31.00 | $2.61–$11.24 | 77% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO | $2.59 | $45.00 | $1.46–$6.28 | 87% below | 94% |
| Urinalysis without microscope exam, automated CPT 81003 HC POC URINALYSIS AUTO W/O MICRO | $2.59 | $45.00 | $1.46–$6.28 | 87% below | 94% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O MICRO | $4.00 | $51.00 | $2.26–$9.72 | 44% below | 92% |
| Urinalysis without microscope exam, manual CPT 81002 HC POC URINALYSIS NONAUTO W/O MICRO | $4.00 | $51.00 | $2.26–$9.72 | 44% below | 92% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE W/COLONY COUNT | $9.28 | $110.00 | $5.25–$22.56 | 83% below | 92% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE QN | $6.65 | $26.00 | $3.76–$16.16 | 74% below | 74% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $9.90 | $90.00 | $5.60–$24.08 | 81% below | 89% |
| Urine pregnancy test, read by color change CPT 81025 HC POC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $9.90 | $90.00 | $5.60–$24.08 | 81% below | 89% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $17.34 | $180.00 | $9.80–$42.16 | 73% below | 90% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $34.04 | $190.00 | $19.24–$84.16 | 51% below | 82% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY IHC FRACTION | $44.28 | $280.00 | $25.03–$139.96 | 47% below | 84% |
| Zinc blood test CPT 84630 HC ZIHC | $13.10 | $100.00 | $7.40–$31.84 | 46% below | 87% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QN | $17.31 | $280.00 | $9.78–$42.08 | 35% below | 94% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $4,068.55 | — | $1,839.00–$7,075.74 | 51% below | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 HC ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $15,754.92 | $17,000.00 | $3,264.00–$27,399.86 | 43% below | 7% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $7,944.32 | — | $2,596.00–$13,816.20 | at median | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ | $8,904.43 | — | $2,250.00–$15,485.96 | 48% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $8,904.43 | — | $3,264.00–$15,485.96 | 25% below | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $8,660.52 | — | $7,530.89–$15,061.78 | — | — |
| Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FAC/TRIG/CERV MUSC MIGRAINE BIL | $376.67 | $650.00 | $195.00–$3,949.00 | 11% below | 42% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $2,026.75 | $4,300.00 | $1,290.00–$3,524.78 | 38% below | 53% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $302.70 | $700.00 | $210.00–$1,308.00 | 76% below | 57% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $302.70 | $590.00 | $177.00–$3,949.00 | 76% below | 49% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $4,015.22 | — | $2,250.00–$6,982.99 | 68% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $4,015.22 | — | $1,392.16–$6,982.99 | 77% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 HC LHC, LV, COR ARTERIES | $3,978.32 | $10,400.00 | $3,120.00–$6,918.82 | 51% below | 62% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION (NON-CODE) | $811.07 | $2,270.00 | $805.85–$1,816.00 | 13% below | 64% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $2,396.28 | — | $1,392.16–$4,167.44 | 59% below | — |
| Cataract surgery with lens implant CPT 66984 HC CATARACT SURG W/IOL,1 STAGE | $2,832.03 | $4,500.00 | $1,350.00–$4,925.28 | 20% above | 37% |
| Catheter ablation for atrial fibrillation CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL | $32,074.94 | $49,000.00 | $3,450.48–$55,782.50 | 5% below | 35% |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX | $1,130.26 | $1,900.00 | $570.00–$1,965.67 | 82% below | 41% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $2,565.20 | $3,000.00 | $900.00–$4,461.22 | at median | 14% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN | $2,565.20 | $2,340.00 | $702.00–$4,461.22 | 911% above | -10% |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEONATE | $855.68 | $1,570.00 | $471.00–$1,922.00 | at median | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLSD TX FX RADIUS+ULNA WO MANIP | $302.70 | $1,380.00 | $263.21–$3,949.00 | 81% below | 78% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLSC FLX PROX SPLENIC FLXR NDSC US XM | $1,468.45 | $3,340.00 | $1,002.00–$2,553.83 | 34% below | 56% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY REMOV POLYP | $1,468.45 | $3,520.00 | $1,056.00–$2,553.83 | 50% below | 58% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY BX | $1,468.45 | $3,520.00 | $1,056.00–$2,553.83 | 52% below | 58% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DX | $1,141.19 | $3,010.00 | $903.00–$1,984.68 | 50% below | 62% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC BX OF CERVIX W/SCOPE LEEP | $3,972.42 | $5,100.00 | $1,392.16–$6,908.56 | 17% below | 22% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE | $373.95 | $1,580.00 | $325.17–$1,582.00 | 91% below | 76% |
| Complex cataract surgery with lens implant CPT 66982 HC CATARACT SURGERY, COMPLEX | $2,832.03 | $4,200.00 | $1,260.00–$4,925.28 | 4% above | 33% |
| Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $14,166.39 | $26,100.00 | $4,262.72–$24,637.20 | 5% above | 46% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $4,325.66 | — | $1,392.16–$7,522.89 | 36% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $855.68 | $1,790.00 | $537.00–$1,488.15 | 32% below | 52% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $3,972.42 | $4,060.00 | $1,218.00–$6,908.56 | 72% below | 2% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $246.21 | $880.00 | $214.09–$3,949.00 | 29% above | 72% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $1,904.02 | — | $1,422.00–$3,311.34 | 56% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC CREATE EARDRUM OPENING,LOCAL ANESTH | $661.83 | $1,510.00 | $453.00–$3,104.00 | — | 56% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $72.39 | $230.00 | $62.95–$3,949.00 | 84% below | 69% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $72.39 | $160.00 | $48.00–$3,949.00 | 82% below | 55% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $248.09 | $460.00 | $138.00–$3,949.00 | 82% below | 46% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $8,660.52 | — | $2,596.00–$15,061.78 | 19% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $8,660.52 | — | $2,250.00–$15,061.78 | 47% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $4,575.22 | — | $1,839.00–$7,956.91 | 73% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $8,660.52 | — | $1,839.00–$15,061.78 | 43% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC | $866.22 | $1,600.00 | $480.00–$3,949.00 | 39% below | 46% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC | $405.33 | $1,260.00 | $352.46–$1,308.00 | — | 68% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC FACET BLOCK, LS SINGLE LEVE | $1,085.38 | $2,210.00 | $663.00–$1,887.61 | 9% below | 51% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $7,944.32 | — | $2,596.00–$13,816.20 | 51% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $7,944.32 | — | $2,596.00–$13,816.20 | 65% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $4,393.67 | — | $2,596.00–$7,641.17 | 73% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY,DIAGNOSTIC | $1,141.19 | $2,490.00 | $747.00–$1,984.68 | 56% below | 54% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $7,418.74 | — | $3,264.00–$12,902.15 | 58% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $7,418.74 | — | $3,264.00–$12,902.15 | 63% below | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $4,015.22 | — | $1,839.00–$6,982.99 | 65% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $1,141.19 | $4,160.00 | $792.00–$1,984.68 | 13% below | 73% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $3,406.14 | — | $1,839.00–$5,923.72 | 58% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $15,754.92 | — | $13,699.93–$27,399.86 | 56% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY ENDOMETRIAL ABLATION | $6,138.73 | $10,000.00 | $3,000.00–$10,676.05 | 29% below | 39% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY DIAGNOSTIC | $3,972.42 | $6,100.00 | $1,830.00–$6,908.56 | 59% below | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D DRAIN ABSCESS SIMP/SNGL | $246.21 | $410.00 | $123.00–$3,949.00 | 41% below | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $4,393.67 | — | $2,596.00–$7,641.17 | 73% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $376.67 | $540.00 | $162.00–$1,308.00 | at median | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJECT LARGE JOINT/BURSA | $376.67 | $1,400.00 | $327.54–$1,308.00 | 34% below | 73% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSJ NON-BIODEGRADABLE DRUG DLVR IMPLT | $163.27 | $280.00 | $84.00–$3,949.00 | at median | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT INTERMEDIATE JOINT/BURSA | $376.67 | $1,180.00 | $327.54–$1,308.00 | 15% below | 68% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA | $376.67 | $1,180.00 | $327.54–$1,308.00 | 4% above | 68% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT SMALL JOINT/BURSA | $376.67 | $1,180.00 | $327.54–$1,308.00 | 4% above | 68% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L | $4,015.22 | — | $2,250.00–$6,982.99 | 35% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $4,015.22 | — | $2,596.00–$6,982.99 | 51% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L | $4,015.22 | — | $2,596.00–$6,982.99 | 44% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG | $4,015.22 | — | $2,596.00–$6,982.99 | 50% below | — |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE | $13,044.35 | — | $11,342.91–$22,685.82 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPIC APPENDECTOMY | $7,418.74 | $12,600.00 | $2,731.52–$12,902.15 | 54% below | 41% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $13,044.35 | — | $11,342.91–$22,685.82 | — | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $13,044.35 | — | $3,784.00–$22,685.82 | 64% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $13,044.35 | — | $3,784.00–$22,685.82 | 67% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $7,418.74 | — | $2,862.00–$12,902.15 | 56% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $7,418.74 | — | $3,450.48–$12,902.15 | 66% below | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $4,731.22 | — | $4,114.11–$8,228.21 | 48% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $7,418.74 | — | $3,264.00–$12,902.15 | 53% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $674.93 | $1,830.00 | $549.00–$1,922.00 | 7% below | 63% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $498.85 | $1,240.00 | $372.00–$3,949.00 | 49% below | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRRPHY | $3,978.32 | $7,600.00 | $2,280.00–$6,918.82 | 3% above | 48% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC | $866.22 | $1,830.00 | $549.00–$3,949.00 | 37% below | 53% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,085.38 | $1,600.00 | $480.00–$3,949.00 | at median | 32% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $1,085.38 | $2,060.00 | $618.00–$1,887.61 | 1% below | 47% |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAMOT DCMPRN NRV RT 1 LMBR | $8,904.43 | — | $3,857.92–$15,485.96 | 56% below | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $33,297.37 | — | $28,954.24–$57,908.48 | 4% below | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM | $33,297.37 | — | $28,954.24–$57,908.48 | 21% below | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $8,904.43 | — | $7,742.98–$15,485.96 | — | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $21,516.53 | — | $18,710.03–$37,420.06 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $4,804.80 | — | $1,839.00–$8,356.18 | 64% below | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $8,148.45 | — | $2,596.00–$14,171.21 | 49% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $3,972.42 | $6,600.00 | $1,980.00–$6,908.56 | 61% below | 40% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $906.95 | — | $788.65–$1,577.30 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG | $868.98 | $1,600.00 | $480.00–$1,511.27 | 32% above | 46% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $868.98 | $1,350.00 | $405.00–$1,582.00 | 9% above | 36% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVE NAIL PLATE SIMPLE SNGL | $246.21 | $510.00 | $153.00–$3,949.00 | 1% above | 52% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJX ANESTH/STER AGENT GREATER OCCIPITAL NRV | $376.67 | $760.00 | $228.00–$1,308.00 | 5% above | 50% |
| Pacemaker implant (dual chamber) CPT 33208 HC INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $12,826.11 | $31,000.00 | $3,264.00–$22,306.28 | 13% below | 59% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS;W IMAGING | $1,113.00 | $2,250.00 | $675.00–$1,935.66 | 25% below | 51% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $15,754.92 | — | $13,699.93–$27,399.86 | 22% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $498.85 | $1,300.00 | $390.00–$1,308.00 | 14% below | 62% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $13,044.35 | — | $3,264.00–$22,685.82 | 33% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $2,396.28 | $4,700.00 | $1,108.80–$4,167.44 | 100% above | 49% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BRST LESION 1 OR > | $4,804.80 | $7,300.00 | $2,190.00–$8,356.18 | 8% below | 34% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $498.85 | $1,180.00 | $354.00–$3,949.00 | 38% below | 58% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 HC TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | $7,418.74 | $12,600.00 | $1,392.16–$12,902.15 | 50% below | 41% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND | $1,141.19 | $1,730.00 | $519.00–$1,984.68 | 51% below | 34% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $1,141.19 | — | $792.00–$1,984.68 | 53% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $4,068.55 | — | $1,839.00–$7,075.74 | 60% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC ESWL STONE LITHOTRIPSY | $4,325.66 | $11,200.00 | $3,360.00–$9,229.00 | 61% below | 61% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION CAST ELBOW FINGER SHORT ARM | $343.22 | $650.00 | $195.00–$3,949.00 | 81% below | 47% |
| Short arm splint (forearm and hand) CPT 29125 TC APPLY FOREARM SPLINT,STATIC | $163.27 | $440.00 | $145.20–$352.00 | 84% below | 63% |
| Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $343.22 | $540.00 | $178.20–$432.00 | at median | 36% |
| Short leg splint (calf to foot) CPT 29515 HC APP LOW LEG SPLNT | $199.41 | $470.00 | $155.10–$376.00 | 43% below | 58% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $4,015.22 | — | $3,264.00–$8,531.00 | 73% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC LAC SMP SCLP/HND/GEN <2.5CM | $246.21 | $560.00 | $168.00–$3,949.00 | 9% above | 56% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $498.85 | $1,300.00 | $429.00–$1,040.00 | at median | 62% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | $868.98 | $2,200.00 | $660.00–$1,511.27 | 18% above | 61% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $246.21 | $1,060.00 | $214.09–$3,949.00 | 3% above | 77% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $866.22 | $1,770.00 | $531.00–$1,506.47 | 34% above | 51% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC LAC SMPL 2.6-7.5CM | $246.21 | $580.00 | $174.00–$3,949.00 | 22% below | 58% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC LAC SMPL/F,E,N 2.5CM/LESS | $246.21 | $520.00 | $156.00–$3,949.00 | 84% below | 53% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $6,579.70 | — | $2,862.00–$11,442.96 | 48% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $498.85 | $1,060.00 | $318.00–$3,949.00 | 29% above | 53% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA | $769.79 | $2,900.00 | $669.38–$3,949.00 | 35% below | 73% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $769.79 | $2,900.00 | $669.38–$3,949.00 | 35% below | 73% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 HC TONSILLECTOMY & ADENOIDECTOMY AGE 12 OR OVER | $4,068.55 | $6,600.00 | $1,839.00–$7,075.74 | 53% below | 38% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $7,264.49 | $7,500.00 | $1,839.00–$12,633.89 | 21% below | 3% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $4,068.55 | $6,500.00 | $1,839.00–$7,075.74 | 61% below | 37% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $7,264.49 | — | $1,839.00–$12,633.89 | — | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $15,754.92 | — | $3,264.00–$27,399.86 | 33% below | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $15,754.92 | — | $3,264.00–$27,399.86 | 37% below | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $21,516.53 | — | $3,264.00–$37,420.06 | 29% below | — |
| Total thyroid removal (thyroidectomy) CPT 60240 HC THYROIDECTOMY TOTAL/COMPLETE | $7,418.74 | $12,600.00 | $3,264.00–$12,902.15 | at median | 41% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $1,973.24 | — | $1,392.16–$3,431.72 | 56% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SGL/MULT TRIG PTS,MULT MUS | $376.67 | $500.00 | $150.00–$1,308.00 | 15% below | 25% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC LAPAROSCOPY FULGURATION OVIDUCTS | $7,418.74 | $12,500.00 | $2,250.00–$12,902.15 | — | 41% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG | $2,026.75 | $3,870.00 | $1,161.00–$3,949.00 | 9% below | 48% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ESOPH ENDOSCOPY,DILATION <30MM | $2,354.78 | $5,000.00 | $1,392.16–$4,095.27 | 39% below | 53% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY W/BX | $1,113.00 | $2,270.00 | $681.00–$1,935.66 | 54% below | 51% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUCOSAL INJECTION | $1,113.00 | $3,270.00 | $967.83–$1,935.66 | 42% below | 66% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVE LESION SNARE | $2,354.78 | $4,760.00 | $1,392.16–$4,095.27 | 34% below | 51% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC UPPER GI ENDO W/GUIDE WIRE/DIL | $1,113.00 | $2,070.00 | $621.00–$1,935.66 | 25% below | 46% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY,DIAGNOSIS | $1,113.00 | $3,390.00 | $967.83–$1,935.66 | 48% below | 67% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $7,449.87 | $9,200.00 | $1,392.16–$12,956.30 | — | 19% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $6,579.70 | — | $2,862.00–$11,442.96 | 39% below | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO/URETERO W/LITHOTRIPSY | $6,579.70 | $8,500.00 | $2,550.00–$11,442.96 | 51% below | 23% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC VASECTOMY, UNI/BILATERAL | $2,565.20 | $4,680.00 | $1,392.16–$4,461.22 | — | 45% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $3,874.69 | $8,400.00 | $2,520.00–$6,738.58 | 30% below | 54% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $246.21 | $1,110.00 | $214.09–$3,949.00 | 7% above | 78% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE 1ST 20 SQCM | $498.85 | $1,430.00 | $429.00–$1,922.00 | 31% below | 65% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $8,904.43 | — | $3,264.00–$15,485.96 | 44% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSE BLOOD PROD | $541.38 | $1,510.00 | $453.00–$1,260.00 | 2% below | 64% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB SVN | $268.72 | $290.00 | $120.64–$232.00 | 3% above | 7% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR INIT | $405.33 | $750.00 | $170.78–$734.36 | 8% below | 46% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC EXY EXAM-NEW PT-COMPREHENSIVE | $163.38 | $320.00 | $113.60–$256.00 | at median | 49% |
| Comprehensive eye exam, returning patient CPT 92014 HC OPTH SERVS COMP EST PT | $163.38 | $250.00 | $88.75–$200.00 | at median | 35% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | $157.90 | $430.00 | $152.65–$344.00 | 76% below | 63% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74 MIN | $1,013.66 | $8,000.00 | $396.00–$6,722.00 | 64% below | 87% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD | $264.97 | $1,310.00 | $465.05–$1,048.00 | 55% below | 80% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $72.39 | $370.00 | $7.85–$271.00 | 44% below | 80% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ECT TREATMENT | $1,053.80 | $1,480.00 | $444.00–$12,548.00 | 13% above | 29% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ECT TREATMENT | $1,053.80 | $1,480.00 | $952.16–$1,082.00 | — | 29% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT | $103.48 | $1,000.00 | $89.98–$1,702.00 | 58% below | 90% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 11 VISIT | $188.42 | $1,240.00 | $163.84–$1,702.00 | 50% below | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 111 VISIT | $334.98 | $2,050.00 | $291.29–$1,702.00 | 52% below | 84% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 1V VISIT | $512.04 | $2,790.00 | $396.00–$1,702.00 | 55% below | 82% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC TRAUMA ACTIVATION WITHOUT PRENOTIFICATION - LEVEL 1 | $730.80 | $22,000.00 | $396.00–$1,702.00 | 56% below | 97% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC BURN ACTIVATION WITHOUT PRENOTIFICATION - LEVEL 3 | $730.80 | $12,600.00 | $396.00–$1,702.00 | 56% below | 94% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC BURN ACTIVATION WITHOUT PRENOTIFICATION - LEVEL 2 | $730.80 | $18,700.00 | $396.00–$1,702.00 | 56% below | 96% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL V VISIT | $730.80 | $3,760.00 | $396.00–$1,702.00 | 56% below | 81% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC TRAUMA ACTIVATION WITHOUT PRENOTIFICATION - LEVEL 2 | $730.80 | $17,400.00 | $396.00–$1,702.00 | 56% below | 96% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC TRAUMA ACTIVATION WITHOUT PRENOTIFICATION - LEVEL 3 | $730.80 | $11,800.00 | $396.00–$1,702.00 | 56% below | 94% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC BURN ACTIVATION WITHOUT PRENOTIFICATION - LEVEL 1 | $730.80 | $22,000.00 | $396.00–$1,702.00 | 56% below | 97% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $264.97 | $1,120.00 | $47.76–$406.00 | 59% below | 76% |
| Eye exam, returning patient, intermediate CPT 92012 HC OPTHALM SVSC;MEDICAL EXAM&EVAL | $163.38 | $250.00 | $88.75–$200.00 | at median | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS 50 MIN | $217.81 | $410.00 | $123.00–$378.80 | 40% above | 47% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT 50 MIN | $217.81 | $280.00 | $84.00–$378.80 | 40% above | 22% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY OTHER W2351 | $124.67 | $200.00 | $60.00–$216.81 | 6% below | 38% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT | $261.02 | $650.00 | $230.75–$520.00 | 39% above | 60% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION UP TO 1 HOUR INIT | $261.02 | $660.00 | $234.30–$528.00 | 1% above | 60% |
| IV push of a medicine, first drug CPT 96374 HC INJECT IV, FIRST OR SINGLE DRUG | $261.02 | $350.00 | $124.25–$280.00 | 60% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/TCOPH/DIAG INJ SC/IM | $88.36 | $150.00 | $53.25–$120.00 | 28% above | 41% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION | $217.81 | $560.00 | $198.80–$448.00 | at median | 61% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES; 7-8 STUDIES | $457.92 | $950.00 | $285.00–$796.38 | 129% above | 52% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $48.24 | $300.00 | $42.87–$240.00 | 71% below | 84% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $40.97 | $100.00 | $14.29–$80.00 | 72% below | 59% |
| Occupational therapy evaluation, low complexity CPT 97165 TC OT EVAL LOW COMPLEX 30 MIN | $148.67 | $560.00 | $81.44–$525.00 | 64% below | 73% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $145.39 | $630.00 | $84.03–$525.00 | 75% below | 77% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $145.39 | $480.00 | $84.03–$525.00 | 59% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $145.39 | $540.00 | $84.03–$525.00 | 71% below | 73% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THPY,1+AREAS,1/4 HR | $40.94 | $440.00 | $62.88–$352.00 | 72% below | 91% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC TPY EXERC/TCOC,1+AREA,1/4HR | $42.91 | $360.00 | $20.45–$525.00 | 75% below | 88% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVIS | $217.81 | $600.00 | $213.00–$480.00 | 4% below | 64% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | $264.97 | $490.00 | $173.95–$392.00 | 10% below | 46% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $217.81 | — | $103.20–$412.80 | at median | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $217.81 | $370.00 | $131.35–$296.00 | 40% above | 41% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $217.81 | $410.00 | $123.00–$378.80 | 20% above | 47% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES | $217.81 | $500.00 | $150.00–$378.80 | 5% above | 56% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $45.98 | $54.00 | $19.17–$43.20 | 49% above | 15% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $341.32 | $720.00 | $102.89–$576.00 | 61% below | 53% |
| Speech therapy session, individual CPT 92507 HC TX SPEECH DISORDER,INDIV | $114.79 | $440.00 | $75.10–$150.20 | 65% below | 74% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $264.97 | $490.00 | $173.95–$392.00 | 37% above | 46% |
| Spirometry (breathing test) CPT 94010 HC MOBILE BREATHING CAPACITY TEST | $264.97 | $440.00 | $156.20–$352.00 | 37% above | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM | $457.92 | $740.00 | $262.70–$592.00 | 50% above | 38% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | $264.97 | $640.00 | $192.00–$460.82 | 43% below | 59% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPTC ACT,1ON1,EA 15 MIN | $52.20 | $270.00 | $26.43–$525.00 | 74% below | 81% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $163.27 | $460.00 | $138.00–$2,260.00 | 41% below | 65% |
| Visual field test, extended CPT 92083 HC VISUAL FIELD EXAM EXTENDED | $163.27 | $230.00 | $95.68–$184.00 | — | 29% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $367.70 | — | $250.94–$1,383.76 | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN,1 SINGLE/COMB VAC/TOXOID | $88.36 | $90.00 | $27.00–$153.66 | 61% above | 2% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Arizona | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal scaling & root | $793.33 | — | $117.14–$1,287.88 | — | — |
| Porcelain crown CDT D2740 Crown porcelain/ceramic | $793.33 | — | $484.20–$1,287.88 | — | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony | $793.33 | — | $689.86–$1,379.71 | — | — |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 End thxpy, molar tooth | $793.33 | — | $689.86–$1,379.71 | — | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental prophylaxis adult | $163.38 | — | $40.39–$182.29 | — | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr | $793.33 | — | $70.02–$1,287.88 | — | — |
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://valleywise.pt.panaceainc.com/MRFDownload/valleywise/valleywise