Titusville Area Hospital
Titusville Area Hospital in Titusville, PA publishes cash prices for 328 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 284 of 325 procedures and above it for 36. By typical cash price it ranks #15 of 88 Pennsylvania hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
406 W Oak Street Titusville, PA 16354-1404 Collected Sep 27, 2026 Source price file (814) 827-1851
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 391314 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $116.40 | $194.00 | $21.08 | 66% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $195.00 | $325.00 | $40.82–$325.61 | 51% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $243.60 | $406.00 | $21.08 | 43% below | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $676.80 | $1,128.00 | $21.08 | 45% below | 40% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $392.40 | $654.00 | $21.08 | 24% below | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $392.40 | $654.00 | $21.08 | at median | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $1,537.20 | $2,562.00 | $21.08 | 8% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $1,257.00 | $2,095.00 | $111.18–$1,047.50 | 20% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,257.00 | $2,095.00 | $212.00–$1,047.50 | 47% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $1,257.60 | $2,096.00 | $280.17–$1,055.39 | 53% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,053.60 | $1,756.00 | $99.00–$717.04 | 26% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,037.40 | $1,729.00 | $85.25–$587.86 | 4% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $955.20 | $1,592.00 | $21.08 | 2% above | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,003.80 | $1,673.00 | $21.08 | 17% above | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,256.40 | $2,094.00 | $21.08 | 3% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $1,037.40 | $1,729.00 | $21.08 | 2% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $956.40 | $1,594.00 | $21.08 | 2% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,051.80 | $1,753.00 | $21.08 | 26% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $735.00 | $1,225.00 | $131.27–$654.84 | — | 40% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $116.40 | $194.00 | $21.08 | 50% below | 40% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $116.40 | $194.00 | $21.08 | 25% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $351.60 | $586.00 | $21.08 | 48% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $303.00 | $505.00 | $21.08 | 15% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $339.60 | $566.00 | $21.08 | 91% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $1,037.40 | $1,729.00 | $21.08 | 2% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $1,051.80 | $1,753.00 | $21.08 | 20% below | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $232.80 | $388.00 | $21.08 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $186.60 | $311.00 | $21.08 | 26% below | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $451.20 | $752.00 | $47.80–$822.13 | 45% below | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $450.00 | $750.00 | $125.62–$654.84 | 48% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $717.00 | $1,195.00 | $235.92–$1,089.96 | 42% below | 40% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $96.00 | $160.00 | $21.08 | 71% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $404.40 | $674.00 | $21.08 | 27% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $160.20 | $267.00 | $21.08 | 37% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,256.40 | $2,094.00 | $21.08 | 25% 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 | $1,258.20 | $2,097.00 | $420.52–$1,225.16 | 52% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,237.20 | $2,062.00 | $294.22–$837.11 | 27% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $1,258.20 | $2,097.00 | $453.38–$1,033.15 | 54% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,257.00 | $2,095.00 | $190.49–$825.46 | 6% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $2,439.60 | $4,066.00 | $21.08 | 9% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,257.00 | $2,095.00 | $21.08 | 26% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $2,439.60 | $4,066.00 | $21.08 | 10% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,257.00 | $2,095.00 | $187.72–$904.35 | 27% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $2,464.20 | $4,107.00 | $295.90–$1,757.21 | 5% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,257.00 | $2,095.00 | $21.08 | 27% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,239.00 | $2,065.00 | $21.08 | 54% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $1,237.80 | $2,063.00 | $287.23–$713.15 | 28% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $1,256.40 | $2,094.00 | $206.72–$778.13 | 38% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,806.00 | $3,010.00 | $306.17–$3,721.97 | 52% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $4,981.20 | $8,302.00 | $1,283.20–$5,924.35 | 14% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $138.60 | $231.00 | $21.08 | 65% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $405.00 | $675.00 | $21.08 | 22% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $311.40 | $519.00 | $21.08 | 44% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $210.60 | $351.00 | $21.08 | 56% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $153.60 | $256.00 | $21.08 | 65% below | 40% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $192.00 | $320.00 | $21.08 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $116.40 | $194.00 | $21.08 | 65% below | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $292.20 | $487.00 | $30.80–$505.70 | 34% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $351.00 | $585.00 | $21.08 | 11% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $351.60 | $586.00 | $21.08 | 29% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $405.00 | $675.00 | $21.08 | 38% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $312.00 | $520.00 | $21.08 | 44% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $312.00 | $520.00 | $21.08 | 23% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $273.60 | $456.00 | $42.90–$505.70 | 51% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $301.80 | $503.00 | $86.46–$397.57 | 50% below | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $116.40 | $194.00 | $21.08 | 63% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $150.60 | $251.00 | $21.08 | 55% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $116.40 | $194.00 | $21.08 | 51% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $115.80 | $193.00 | $21.08 | 40% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $115.80 | $193.00 | $21.08 | 67% below | 40% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $116.40 | $194.00 | $21.08 | 61% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $115.80 | $193.00 | $21.08 | 56% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $144.60 | $241.00 | $21.08 | 45% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $200.40 | $334.00 | $21.08 | 42% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $116.40 | $194.00 | $21.08 | 55% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $150.60 | $251.00 | $21.08 | 47% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $116.40 | $194.00 | $21.08 | 56% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $138.60 | $231.00 | $21.08 | 52% 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) | $19.80 | $33.00 | $21.08 | 36% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $18.60 | $31.00 | $21.08 | 37% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $136.80 | $228.00 | $21.08 | 56% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $15.00 | $25.00 | $21.08 | 50% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $96.00 | $160.00 | $21.08 | 32% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $39.00 | $65.00 | $21.08 | 40% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $157.80 | $263.00 | $21.08 | 2% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $21.00 | $35.00 | $21.08 | 74% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $134.40 | $224.00 | $9.90–$140.59 | 18% below | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $34.20 | $57.00 | $21.08 | 60% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $13.80 | $23.00 | $21.08 | 18% above | 40% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $14.40 | $24.00 | $21.08 | 41% below | 40% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $28.20 | $47.00 | $21.08 | 56% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $26.40 | $44.00 | $21.08 | 41% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $12.60 | $21.00 | $21.08 | 83% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $18.60 | $31.00 | $21.08 | 44% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $93.60 | $156.00 | $44.24–$158.90 | 45% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $63.00 | $105.00 | $25.31–$88.72 | 46% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $63.00 | $105.00 | $25.31–$88.72 | 50% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $132.00 | $220.00 | $21.08 | 76% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $102.00 | $170.00 | $23.19–$149.61 | 37% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $33.00 | $55.00 | $21.08 | 62% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $28.20 | $47.00 | $21.08 | 32% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $23.40 | $39.00 | $21.08 | 34% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $31.80 | $53.00 | $21.08 | 67% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $35.40 | $59.00 | $21.08 | 43% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $67.20 | $112.00 | $21.08 | 40% below | 40% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $66.00 | $110.00 | $21.08 | 54% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $67.20 | $112.00 | $21.08 | 33% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $102.60 | $171.00 | $21.08 | 1% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $49.80 | $83.00 | $21.08 | 38% below | 40% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $53.40 | $89.00 | $21.08 | 29% below | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $61.20 | $102.00 | $21.08 | 36% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $27.00 | $45.00 | $21.08 | 49% below | 40% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $87.00 | $145.00 | $21.08 | 32% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $122.40 | $204.00 | $21.08 | at median | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $18.60 | $31.00 | $21.08 | 50% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $46.80 | $78.00 | $21.08 | 39% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $125.40 | $209.00 | $23.19–$149.61 | 15% below | 40% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $40.20 | $67.00 | $18.02–$61.31 | 51% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $239.40 | $399.00 | $127.70–$362.82 | 47% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $72.00 | $120.00 | $30.03–$102.67 | 42% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $102.00 | $170.00 | $57.80–$149.61 | 47% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $19.20 | $32.00 | $21.08 | 59% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $27.60 | $46.00 | $21.08 | 54% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $39.00 | $65.00 | $21.08 | 33% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $34.80 | $58.00 | $21.08 | 64% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $123.60 | $206.00 | $39.65–$182.65 | 48% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $48.00 | $80.00 | $21.08 | 35% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $70.80 | $118.00 | $23.54–$82.50 | 21% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $41.40 | $69.00 | $21.08 | 41% below | 40% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $55.20 | $92.00 | $21.08 | 44% below | 40% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $29.40 | $49.00 | $21.08 | 49% below | 40% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $24.00 | $40.00 | $21.08 | 47% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $31.20 | $52.00 | $21.08 | 46% below | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $33.60 | $56.00 | $21.08 | 51% below | 40% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $57.00 | $95.00 | $21.08 | 43% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $19.80 | $33.00 | $21.08 | 53% below | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $31.20 | $52.00 | $21.08 | 61% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $61.20 | $102.00 | $21.08 | 27% below | 40% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $25.20 | $42.00 | $21.08 | 25% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $48.00 | $80.00 | $21.08 | 33% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $42.00 | $70.00 | $21.08 | 9% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $69.00 | $115.00 | $21.08 | 24% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $69.00 | $115.00 | $21.08 | 23% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $71.40 | $119.00 | $21.08 | 17% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $147.60 | $246.00 | $46.75–$176.00 | 28% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $22.80 | $38.00 | $21.08 | 45% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $2,088.00 | $3,480.00 | $607.24–$3,236.21 | 1% above | 40% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $72.00 | $120.00 | $21.08 | 38% below | 40% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $68.40 | $114.00 | $21.08 | 35% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $15.00 | $25.00 | $21.08 | 37% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $77.40 | $129.00 | $12.49–$70.56 | 122% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $39.60 | $66.00 | $6.93–$70.48 | 24% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $21.60 | $36.00 | $21.08 | 45% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $52.20 | $87.00 | $21.08 | 35% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $8.40 | $14.00 | $21.08 | 59% below | 40% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $36.00 | $60.00 | $21.08 | 27% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $14.40 | $24.00 | $21.08 | 47% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $162.60 | $271.00 | $71.02–$264.25 | 37% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $92.40 | $154.00 | $21.08 | 37% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $46.20 | $77.00 | $21.08 | 34% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $55.80 | $93.00 | $21.08 | 36% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $102.00 | $170.00 | $42.13–$149.61 | 33% below | 40% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $17.40 | $29.00 | $21.08 | 40% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $13.80 | $23.00 | $21.08 | 53% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $10.80 | $18.00 | $21.08 | 38% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $15.60 | $26.00 | $1.58–$3.93 | 11% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $29.40 | $49.00 | $21.08 | 45% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $25.80 | $43.00 | $3.95–$9.70 | 21% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $55.80 | $93.00 | $21.08 | 27% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $57.00 | $95.00 | $21.08 | 60% below | 40% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $69.00 | $115.00 | $21.08 | 20% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $37.80 | $63.00 | $21.08 | 50% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $318.60 | $531.00 | $147.40–$280.83 | 95% below | 40% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $1,650.00 | $2,750.00 | $885.70–$1,412.05 | 71% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $513.00 | $855.00 | $21.08 | 59% below | 40% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $675.00 | $1,125.00 | $330.00–$577.45 | 82% below | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $420.00 | $700.00 | $234.17–$349.88 | 83% below | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $168.00 | $280.00 | $185.38–$329.19 | 92% below | 40% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $306.00 | $510.00 | $170.72–$285.52 | 80% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $134.40 | $224.00 | $71.33–$211.28 | 91% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $60.00 | $100.00 | $47.06–$71.37 | 69% below | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $244.20 | $407.00 | $108.35–$222.18 | 92% below | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $177.60 | $296.00 | $116.40–$174.42 | 79% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $18.60 | $31.00 | $13.14–$19.62 | 84% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $126.00 | $210.00 | $21.08 | 4% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $93.60 | $156.00 | $51.27–$101.25 | 70% below | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $282.60 | $471.00 | $168.93–$262.11 | 96% below | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $417.00 | $695.00 | $246.97–$417.25 | 97% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $163.20 | $272.00 | $92.04–$140.19 | 92% below | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $841.80 | $1,403.00 | $494.00–$757.83 | 90% below | 40% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $678.00 | $1,130.00 | $664.26–$1,019.03 | 90% below | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $294.00 | $490.00 | $314.61–$451.84 | 95% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $93.00 | $155.00 | $51.58–$76.73 | 87% below | 40% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $582.00 | $970.00 | $620.03–$872.34 | 92% below | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $1,165.20 | $1,942.00 | $674.76–$951.04 | 87% below | 40% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY | $1,552.20 | $2,587.00 | $521.40–$1,413.36 | at median | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $281.40 | $469.00 | $50.60–$253.08 | 51% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $375.00 | $625.00 | $21.08 | 14% above | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $72.00 | $120.00 | $40.82–$67.00 | 72% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $107.40 | $179.00 | $21.08 | 70% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $49.80 | $83.00 | $35.29–$51.69 | 93% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $394.20 | $657.00 | $21.08 | 14% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $93.00 | $155.00 | $55.25–$83.02 | 57% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $167.40 | $279.00 | $21.08 | 55% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $393.60 | $656.00 | $21.08 | 10% below | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $862.80 | $1,438.00 | $487.92–$762.48 | 74% below | 40% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $878.40 | $1,464.00 | $506.54–$840.07 | 74% below | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $913.80 | $1,523.00 | $560.01–$822.45 | 69% below | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $531.00 | $885.00 | $565.04–$796.98 | 90% below | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $691.20 | $1,152.00 | $375.54–$572.44 | 87% below | 40% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $898.20 | $1,497.00 | $481.29–$747.87 | 85% 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/< | $586.20 | $977.00 | $21.08 | 21% above | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $151.20 | $252.00 | $85.28–$129.93 | 93% below | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $132.00 | $220.00 | $69.84–$106.11 | 92% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $169.80 | $283.00 | $95.04–$225.32 | 93% below | 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< | $93.00 | $155.00 | $68.91–$109.74 | 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/< | $108.60 | $181.00 | $90.14–$138.39 | 85% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $249.60 | $416.00 | $21.08 | 19% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $96.60 | $161.00 | $35.00–$78.30 | 84% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $451.80 | $753.00 | $21.08 | 73% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $562.80 | $938.00 | $21.08 | 5% below | 40% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $187.80 | $313.00 | $98.45–$232.06 | 93% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $346.20 | $577.00 | $164.49–$251.39 | 89% below | 40% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $662.40 | $1,104.00 | $190.30–$551.61 | 89% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $377.40 | $629.00 | $21.08 | 23% below | 40% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $1,101.60 | $1,836.00 | $573.10–$936.59 | 83% below | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $306.00 | $510.00 | $165.58–$414.85 | 80% below | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $306.00 | $510.00 | $165.30–$211.95 | 81% below | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $937.80 | $1,563.00 | $457.05–$893.54 | 71% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $90.00 | $150.00 | $54.78–$82.39 | 76% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $162.60 | $271.00 | $21.08 | 46% below | 40% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $69.00 | $115.00 | $51.61–$76.57 | 81% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $183.00 | $305.00 | $21.08 | 44% below | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $279.00 | $465.00 | $155.61–$900.26 | 84% 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/< | $225.00 | $375.00 | $21.08 | 53% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $109.20 | $182.00 | $40.58–$61.75 | 84% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $80.40 | $134.00 | $64.87–$99.71 | 79% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $654.60 | $1,091.00 | $21.08 | 53% 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 | $274.20 | $457.00 | $21.08 | 39% 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/< | $276.00 | $460.00 | $21.08 | 42% below | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $1,053.60 | $1,756.00 | $645.18–$986.04 | 88% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $97.20 | $162.00 | $32.57–$49.74 | 82% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $453.60 | $756.00 | $21.08 | 67% below | 40% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $456.00 | $760.00 | $218.90–$410.35 | 93% below | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $448.20 | $747.00 | $202.40–$390.20 | 95% below | 40% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $388.20 | $647.00 | $218.90–$339.04 | 94% below | 40% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $1,128.00 | $1,880.00 | $1,154.32–$2,045.07 | 89% below | 40% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $487.20 | $812.00 | $220.00–$447.77 | 86% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $54.00 | $90.00 | $33.95–$48.88 | 90% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $254.40 | $424.00 | $141.68–$200.26 | 93% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $325.20 | $542.00 | $180.73–$255.54 | 90% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $204.00 | $340.00 | $113.39–$217.01 | 89% below | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $561.60 | $936.00 | $345.05–$537.12 | 94% below | 40% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $366.60 | $611.00 | $208.44–$459.62 | 86% below | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $72.00 | $120.00 | $56.94–$87.42 | 77% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $884.40 | $1,474.00 | $21.08 | 21% below | 40% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $1,168.80 | $1,948.00 | $535.32–$981.83 | 84% 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 | $325.80 | $543.00 | $21.08 | 64% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $45.00 | $75.00 | $20.24–$537.00 | 71% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $474.00 | $790.00 | $124.80–$932.74 | 27% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,168.20 | $1,947.00 | $166.79–$2,152.87 | 35% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $711.60 | $1,186.00 | $9.00–$1,319.51 | 2% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $111.00 | $185.00 | $9.17–$161.18 | 31% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $110.40 | $184.00 | $49.46–$269.00 | 54% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $199.20 | $332.00 | $38.50–$391.73 | 51% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $349.20 | $582.00 | $86.90–$687.12 | 38% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $566.40 | $944.00 | $135.30–$1,070.14 | 39% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $829.80 | $1,383.00 | $212.30–$1,537.03 | 36% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $341.40 | $569.00 | $43.21–$785.35 | 58% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $208.80 | $348.00 | $21.08 | 1% above | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $179.40 | $299.00 | $21.08 | 104% above | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $273.60 | $456.00 | $21.08 | 166% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $157.80 | $263.00 | $31.63–$579.26 | 63% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION UPTO 1HR | $304.80 | $508.00 | $31.63–$579.26 | 28% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $304.80 | $508.00 | $39.30–$579.26 | 30% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INF TX PX DX INTL UPTO 1 HR | $304.80 | $508.00 | $39.30–$579.26 | 30% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $114.60 | $191.00 | $12.70–$189.19 | 15% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $147.00 | $245.00 | $21.08 | 17% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $409.20 | $682.00 | $139.86–$785.35 | 44% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $84.60 | $141.00 | $23.23–$140.95 | 11% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $117.60 | $196.00 | $65.89–$109.27 | 42% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $148.80 | $248.00 | $106.74–$175.85 | 45% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $173.40 | $289.00 | $144.80–$238.70 | 51% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $99.00 | $165.00 | $38.62–$63.36 | 12% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $107.40 | $179.00 | $60.86–$152.04 | 146% above | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $214.80 | $358.00 | $67.90–$419.14 | 11% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $281.40 | $469.00 | $21.08 | 6% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $192.00 | $320.00 | $69.97–$419.14 | 26% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $219.00 | $365.00 | $69.97–$419.14 | 22% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $78.60 | $131.00 | $37.39–$113.32 | 23% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $81.60 | $136.00 | $40.11–$122.96 | 16% below | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $139.20 | $232.00 | $86.14–$124.39 | 16% above | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $154.80 | $258.00 | $104.42–$150.81 | 29% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $141.00 | $235.00 | $112.04–$162.39 | at median | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $80.40 | $134.00 | $77.71–$113.64 | 9% above | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $87.00 | $145.00 | $85.23–$123.07 | at median | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $93.00 | $155.00 | $89.79–$129.33 | 22% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $238.80 | $398.00 | $21.08 | 4% below | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $126.00 | $210.00 | $103.39–$144.73 | 70% below | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $130.80 | $218.00 | $21.08 | 25% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $289.20 | $482.00 | $21.08 | 61% above | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $217.80 | $363.00 | $21.08 | 20% above | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $231.00 | $385.00 | $21.08 | 7% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $12.60 | $21.00 | $10.36–$15.65 | 61% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $136.20 | $227.00 | $111.52–$188.88 | 34% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $87.00 | $145.00 | $52.75–$87.09 | 42% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $99.00 | $165.00 | $77.42–$128.64 | 41% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $60.00 | $100.00 | $28.64–$46.89 | 43% below | 40% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $535.20 | $892.00 | $303.28–$952.04 | 32% above | 40% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $204.60 | $341.00 | $23.87–$319.76 | 24% below | 40% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $138.00 | $230.00 | $9.90–$407.81 | 44% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $285.00 | $475.00 | $12.54–$785.35 | 52% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $136.20 | $227.00 | $21.08 | 23% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $238.80 | $398.00 | $10.00–$390.66 | 11% above | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $169.20 | $282.00 | $163.06–$229.94 | 41% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $21.00 | $35.00 | $17.69–$25.30 | 52% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $284.40 | $474.00 | $274.02–$379.38 | 15% below | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $51.00 | $85.00 | $71.85–$81.32 | 54% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $70.80 | $118.00 | $70.38–$81.66 | 9% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $51.00 | $85.00 | $5.00–$94.53 | 51% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $97.80 | $163.00 | $93.43–$121.59 | 81% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $160.20 | $267.00 | $151.33–$207.54 | 65% above | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACC 2 DOSE IM | $165.00 | $275.00 | $215.42–$295.19 | 14% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $413.40 | $689.00 | $288.66–$337.40 | at median | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $128.40 | $214.00 | $133.47–$154.88 | at median | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $901.01 | $1,501.68 | $10.00–$510.57 | 50% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $82.92 | $138.20 | $21.08 | 49% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $37.20 | $62.00 | $38.75–$44.87 | 31% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $61.80 | $103.00 | $0.54–$189.19 | 47% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $32.40 | $54.00 | $21.08 | 65% above | 40% |