Northwest Specialty Hospital
Northwest Specialty Hospital in Post Falls, ID publishes cash prices for 242 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 above the Idaho median for 136 of 242 procedures and below it for 100. By typical cash price it ranks #21 of 22 Idaho hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1593 E Polston Ave,Post Falls,ID,83854 Collected Sep 27, 2026 Source price file (208) 262-2300
Acute care hospital No emergency department CCN 130066 · CMS hospital register
The price file shows no self-pay discount
For 310 of the 310 prices listed here, the cash price in Northwest Specialty Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $250.00 | $250.00 | $136.84–$223.15 | 56% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES | $554.00 | $554.00 | $136.84–$223.15 | 2% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $326.00 | $326.00 | $180.40–$750.00 | 25% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM | $428.00 | $428.00 | $70.13–$750.00 | 128% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $450.00 | $450.00 | $70.13–$750.00 | 139% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $1,150.00 | $1,150.00 | $245.40–$1,083.32 | 38% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $1,606.00 | $1,606.00 | $358.81–$1,514.38 | 29% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,687.00 | $1,687.00 | $358.81–$1,514.38 | 25% below | — |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $713.00 | $713.00 | $107.52–$750.00 | 21% below | — |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $159.00 | $159.00 | $89.50–$750.00 | 37% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $412.00 | $412.00 | $107.52–$750.00 | 21% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $433.00 | $433.00 | $107.52–$750.00 | 27% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT | $161.00 | $161.00 | $40.89–$750.00 | 15% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $170.00 | $170.00 | $40.89–$750.00 | 11% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS | $760.00 | $760.00 | $201.29–$750.00 | 17% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $670.00 | $670.00 | $107.52–$750.00 | 18% below | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $473.00 | $473.00 | $13.38–$750.00 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $450.00 | $450.00 | $13.38–$750.00 | 11% above | — |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $300.00 | $300.00 | $13.38–$750.00 | 5% below | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $315.00 | $315.00 | $13.38–$750.00 | 1% below | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $460.00 | $460.00 | $245.40–$365.65 | 50% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $745.00 | $745.00 | $245.40–$580.92 | 22% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT | $783.00 | $783.00 | $176.25–$423.23 | 5% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $823.00 | $823.00 | $176.25–$423.23 | 11% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) | $3,724.00 | $3,724.00 | $883.20–$2,191.87 | at median | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $713.00 | $713.00 | $101.12–$750.00 | 13% below | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $2,888.00 | $2,888.00 | $101.46–$2,163.00 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS | $2,750.00 | $2,750.00 | $101.46–$2,163.00 | 1% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $1,647.00 | $1,647.00 | $245.40–$1,086.40 | 6% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $1,497.00 | $1,497.00 | $245.40–$1,195.19 | 6% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $1,740.00 | $1,740.00 | $358.81–$1,721.15 | 23% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,497.00 | $1,497.00 | $245.40–$1,170.06 | 11% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $1,824.00 | $1,824.00 | $245.40–$1,152.89 | at median | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $342.00 | $342.00 | $107.52–$750.00 | 22% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $336.00 | $336.00 | $107.52–$750.00 | 22% below | — |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $350.00 | $350.00 | $13.38–$750.00 | 4% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $3,285.00 | $3,285.00 | $883.20–$2,063.45 | 1% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $335.00 | $335.00 | $107.52–$750.00 | 24% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $366.00 | $366.00 | $180.40–$750.00 | 33% below | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $155.00 | $155.00 | $89.50–$750.00 | 23% below | — |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $163.00 | $163.00 | $89.50–$750.00 | 19% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $195.00 | $195.00 | $107.52–$750.00 | 19% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $88.00 | $88.00 | $5.30–$9.30 | 232% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $62.00 | $62.00 | $5.18–$9.09 | 92% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $784.00 | $784.00 | $47.63–$83.70 | 261% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $87.00 | $87.00 | $5.22–$7.78 | 287% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $195.00 | $195.00 | $12.09–$18.01 | 261% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $264.00 | $264.00 | $39.26–$61.43 | 58% above | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $131.00 | $131.00 | $8.46–$25.10 | 212% above | — |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $138.00 | $138.00 | $8.46–$25.10 | 229% above | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $181.00 | $181.00 | $10.32–$18.15 | 68% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $19.00 | $19.00 | $3.52–$13.92 | 16% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $23.00 | $23.00 | $3.52–$13.92 | 2% above | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $56.00 | $56.00 | $3.93–$7.11 | 121% above | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $273.00 | $273.00 | $12.11–$21.29 | 392% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $120.00 | $120.00 | $7.52–$13.23 | 160% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $59.00 | $59.00 | $5.18–$9.36 | 35% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $62.00 | $62.00 | $5.18–$9.36 | 42% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $579.00 | $579.00 | $37.27–$61.67 | 249% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $46.00 | $46.00 | $20.81–$36.57 | 52% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $154.00 | $154.00 | $13.39–$20.53 | 185% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $108.00 | $108.00 | $7.77–$23.04 | 177% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $114.00 | $114.00 | $7.77–$23.04 | 192% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $103.00 | $103.00 | $6.47–$11.12 | 217% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $109.00 | $109.00 | $6.47–$11.12 | 235% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $145.00 | $145.00 | $10.56–$21.23 | 158% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $161.00 | $161.00 | $10.56–$21.23 | 186% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $152.00 | $152.00 | $10.18–$17.89 | 62% above | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $196.00 | $196.00 | $27.94–$49.11 | 46% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $298.00 | $298.00 | $18.58–$32.65 | 185% above | — |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $153.00 | $153.00 | $13.63–$23.94 | 124% above | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $165.00 | $165.00 | $14.70–$25.84 | 127% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $117.00 | $117.00 | $9.02–$15.83 | 171% above | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $224.00 | $224.00 | $25.47–$41.19 | 160% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $206.00 | $206.00 | $12.87–$22.61 | 187% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $233.00 | $233.00 | $16.85–$25.50 | 128% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $146.00 | $146.00 | $13.71–$24.08 | 38% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $161.00 | $161.00 | $9.71–$14.47 | 274% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $56.00 | $56.00 | $10.74–$18.87 | 11% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $30.00 | $30.00 | $10.33–$18.16 | 38% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $24.00 | $24.00 | $14.27–$25.08 | 64% below | — |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $75.00 | $75.00 | $6.47–$11.37 | 138% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $99.00 | $99.00 | $8.74–$15.37 | 128% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $122.00 | $122.00 | $8.68–$15.73 | 102% above | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $297.00 | $297.00 | $18.52–$27.59 | 262% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $53.00 | $53.00 | $6.89–$12.46 | 15% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $56.00 | $56.00 | $6.89–$12.46 | 10% below | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $97.00 | $97.00 | $8.17–$14.35 | 109% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $233.00 | $233.00 | $17.03–$29.94 | 186% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $107.00 | $107.00 | $6.70–$12.13 | 143% above | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $113.00 | $113.00 | $6.70–$12.13 | 156% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $168.00 | $168.00 | $12.88–$22.63 | 192% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $83.00 | $83.00 | $5.18–$9.09 | 80% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $163.00 | $163.00 | $18.39–$32.32 | 99% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $163.00 | $163.00 | $18.39–$32.32 | 81% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $38.00 | $38.00 | $20.26–$35.60 | 58% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $87.00 | $87.00 | $41.28–$72.52 | 53% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $92.00 | $92.00 | $6.01–$10.56 | 92% above | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $333.00 | $333.00 | $20.86–$36.66 | 233% above | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $117.00 | $117.00 | $19.38–$34.05 | 52% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $93.00 | $93.00 | $4.29–$7.13 | 270% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $98.00 | $98.00 | $4.29–$7.13 | 290% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $44.00 | $44.00 | $12.60–$26.83 | 27% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $93.00 | $93.00 | $5.67–$9.97 | 211% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $40.00 | $40.00 | $14.39–$21.44 | 23% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $35.00 | $35.00 | $2.70–$5.18 | 74% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $37.00 | $37.00 | $2.70–$5.18 | 84% above | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $35.00 | $35.00 | $8.90–$15.65 | 21% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $16.00 | $16.00 | $4.38–$6.53 | 16% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $73.00 | $73.00 | $4.27–$7.50 | 160% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $111.00 | $111.00 | $61.98–$108.91 | 51% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $180.00 | $180.00 | $25.81–$41.29 | 57% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $181.00 | $181.00 | $16.80–$27.63 | 137% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $191.00 | $191.00 | $16.80–$27.63 | 150% above | — |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $56.00 | $56.00 | $4.52–$7.93 | 127% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $40.00 | $40.00 | $3.17–$5.57 | 154% above | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $23.00 | $23.00 | $4.02–$5.99 | 21% below | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $29.00 | $29.00 | $2.25–$6.67 | 128% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $31.00 | $31.00 | $2.25–$6.67 | 144% above | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $53.00 | $53.00 | $3.48–$5.19 | 214% above | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $142.00 | $142.00 | $8.07–$14.18 | 170% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $56.00 | $56.00 | $8.61–$27.39 | 47% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $167.00 | $167.00 | $15.08–$26.48 | 127% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $58.00 | $58.00 | $29.60–$52.04 | 31% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $175.00 | $175.00 | $15.05–$26.45 | 113% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $4,534.00 | $4,534.00 | $2,980.44–$5,080.77 | 25% below | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $10,141.40 | $10,141.40 | $5,162.00–$22,947.27 | 48% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $12,952.00 | $12,952.00 | $4,130.00–$11,473.63 | 7% above | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $1,440.00 | $1,440.00 | $169.33–$1,316.00 | 125% above | — |
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $3,000.00 | $3,000.00 | $169.33–$1,316.00 | 370% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $386.00 | $386.00 | $145.03–$1,316.00 | 3% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $491.00 | $491.00 | $145.03–$1,316.00 | 37% above | — |
| Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $5,500.00 | $5,500.00 | $1,522.00–$2,992.44 | 106% above | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $677.00 | $677.00 | $121.46–$1,411.46 | at median | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH | $1,357.75 | $1,357.75 | $121.46–$1,411.46 | 101% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $7,362.00 | $7,362.00 | $1,450.88–$3,203.40 | 39% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $171.00 | $171.00 | $145.03–$1,316.00 | 49% below | — |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $15,228.00 | $15,228.00 | $1,230.73–$1,833.79 | 515% above | — |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $7,278.00 | $7,278.00 | $1,230.73–$1,833.79 | 187% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $4,012.00 | $4,012.00 | $956.45–$1,522.00 | 60% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE | $292.00 | $292.00 | $93.27–$1,522.00 | 14% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $620.00 | $620.00 | $464.19–$1,316.00 | 37% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $51.00 | $51.00 | $70.02–$1,316.00 | 55% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $110.00 | $110.00 | $70.02–$1,316.00 | 2% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA | $2,160.00 | $2,160.00 | $1,080.23–$2,710.00 | 35% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA | $502.00 | $502.00 | $219.04–$2,710.00 | at median | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $123.00 | $123.00 | $60.67–$1,316.00 | 10% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $185.00 | $185.00 | $39.04–$1,316.00 | 133% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS | $149.00 | $149.00 | $73.73–$1,316.00 | 7% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE | $2,624.80 | $2,624.80 | $2,628.13–$10,815.18 | 85% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE | $4,731.00 | $4,731.00 | $2,107.10–$5,713.49 | 52% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE | $3,605.00 | $3,605.00 | $2,710.00–$10,815.18 | 79% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $319.00 | $319.00 | $377.94–$1,316.00 | 82% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $3,468.00 | $3,468.00 | $377.94–$1,316.00 | 101% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $733.00 | $733.00 | $893.56–$1,355.41 | 29% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,689.00 | $1,689.00 | $893.56–$1,355.41 | 64% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $24,812.00 | $24,812.00 | $2,712.72–$9,920.78 | 110% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE | $27,871.00 | $27,871.00 | $2,712.72–$9,920.78 | 90% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $17,406.00 | $17,406.00 | $2,712.72–$5,486.78 | 102% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,500.00 | $3,500.00 | $505.85–$1,425.11 | 246% above | — |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $12,540.00 | $12,540.00 | $4,130.00–$9,264.43 | 7% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $6,915.00 | $6,915.00 | $4,130.00–$9,264.43 | 25% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $689.00 | $689.00 | $607.56–$1,425.11 | 2% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $6,964.00 | $6,964.00 | $1,596.30–$4,253.55 | 141% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $3,000.00 | $3,000.00 | $48.14–$1,316.00 | 815% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $10,966.00 | $10,966.00 | $3,628.20–$7,665.99 | 6% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $1,433.00 | $1,433.00 | $2,581.12–$4,960.73 | 59% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $8,508.00 | $8,508.00 | $2,581.12–$4,960.73 | 143% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $197.00 | $197.00 | $133.02–$1,316.00 | 10% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $198.00 | $198.00 | $159.43–$1,316.00 | 12% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $326.00 | $326.00 | $159.43–$1,316.00 | 45% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $437.00 | $437.00 | $315.70–$1,316.00 | 99% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $3,000.00 | $3,000.00 | $315.70–$1,316.00 | 1268% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $305.00 | $305.00 | $273.38–$1,316.00 | at median | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $421.00 | $421.00 | $273.38–$1,316.00 | 38% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $56.00 | $56.00 | $82.15–$1,316.00 | 70% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $6,812.00 | $6,812.00 | $82.15–$1,316.00 | 3601% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $236.00 | $236.00 | $209.90–$1,316.00 | 30% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $325.00 | $325.00 | $209.90–$1,316.00 | 3% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $183.00 | $183.00 | $212.77–$1,316.00 | 37% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $3,000.00 | $3,000.00 | $212.77–$1,316.00 | 936% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $17,360.00 | $17,360.00 | $3,200.00–$5,014.16 | 152% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $13,767.00 | $13,767.00 | $3,200.00–$5,014.16 | 100% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $500.00 | $500.00 | $2,710.00–$9,264.43 | 92% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $46,000.00 | $46,000.00 | $4,130.00–$16,289.65 | 75% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $9,562.50 | $9,562.50 | $3,050.52–$16,289.65 | 61% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $15,500.00 | $15,500.00 | $5,162.00–$16,289.65 | 29% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $16,440.00 | $16,440.00 | $3,200.00–$9,370.14 | 17% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $5,357.75 | $5,357.75 | $4,130.00–$9,264.43 | 34% below | — |
| 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/< | $315.00 | $315.00 | $171.40–$1,316.00 | 2% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $6,102.00 | $6,102.00 | $171.40–$1,316.00 | 1799% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $3,000.00 | $3,000.00 | $549.93–$1,316.00 | 136% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $672.00 | $672.00 | $748.90–$1,355.41 | 62% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,671.00 | $1,671.00 | $748.90–$1,355.41 | 5% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC | $48,940.00 | $48,940.00 | $4,130.00–$11,119.75 | 232% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $12,558.00 | $12,558.00 | $4,130.00–$11,119.75 | 15% below | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK | $9,880.00 | $9,880.00 | $5,162.00–$26,869.62 | 48% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS | $347.00 | $347.00 | $130.67–$1,316.00 | 19% above | — |
| 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< | $497.00 | $497.00 | $130.67–$1,316.00 | 71% above | — |
| 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/< | $1,104.00 | $1,104.00 | $144.08–$1,522.00 | 360% above | — |
| Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL | $231.00 | $231.00 | $86.75–$1,316.00 | 18% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $334.00 | $334.00 | $86.75–$1,316.00 | 71% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,493.00 | $1,493.00 | $315.70–$1,316.00 | 290% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $3,000.00 | $3,000.00 | $315.70–$1,316.00 | 685% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $895.00 | $895.00 | $681.14–$1,522.00 | 33% below | — |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $3,000.00 | $3,000.00 | $681.14–$1,522.00 | 126% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $635.00 | $635.00 | $406.60–$1,316.00 | 88% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,497.00 | $1,497.00 | $1,316.00–$2,992.44 | 61% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $4,506.00 | $4,506.00 | $1,316.00–$2,992.44 | 16% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $234.00 | $234.00 | $287.08–$1,316.00 | 33% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $413.00 | $413.00 | $287.08–$1,316.00 | 18% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,500.00 | $3,500.00 | $749.16–$1,522.00 | 39% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $9,294.00 | $9,294.00 | $664.17–$1,522.00 | 270% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $6,140.00 | $6,140.00 | $2,677.34–$5,080.77 | 15% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $6,882.00 | $6,882.00 | $3,625.40–$7,227.00 | 22% below | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $695.00 | $695.00 | $84.57–$428.61 | 218% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $315.00 | $315.00 | $67.78–$203.89 | 92% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $221.00 | $221.00 | $65.61–$249.02 | 37% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $420.00 | $420.00 | $65.61–$249.02 | 161% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE | $4,554.75 | $4,554.75 | $3,365.21–$6,251.32 | 34% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $12,952.00 | $12,952.00 | $134.99–$6,339.12 | 353% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $240.00 | $240.00 | $70.02–$1,316.00 | 10% above | — |
| 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/< | $438.00 | $438.00 | $70.02–$1,316.00 | 100% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $193.00 | $193.00 | $105.19–$1,316.00 | 3% below | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $387.00 | $387.00 | $105.19–$1,316.00 | 95% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $475.00 | $475.00 | $189.78–$1,316.00 | 11% below | — |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $87.00 | $87.00 | $70.02–$1,316.00 | 39% below | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $193.00 | $193.00 | $70.02–$1,316.00 | 36% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $275.00 | $275.00 | $70.02–$307.46 | 27% above | — |
| 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 | $394.00 | $394.00 | $70.02–$307.46 | 81% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $203.00 | $203.00 | $70.02–$307.46 | 20% below | — |
| 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/< | $401.00 | $401.00 | $70.02–$307.46 | 58% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH | $198.00 | $198.00 | $105.19–$1,316.00 | 4% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $617.00 | $617.00 | $405.67–$1,316.00 | 47% below | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $3,000.00 | $3,000.00 | $405.67–$1,316.00 | 160% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $1,142.00 | $1,142.00 | $1,601.20–$5,080.77 | 82% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $7,950.00 | $7,950.00 | $2,710.00–$9,071.82 | at median | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $6,872.00 | $6,872.00 | $2,602.19–$5,080.77 | 2% below | — |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $32,000.00 | $32,000.00 | $5,162.00–$27,318.18 | 101% above | — |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $32,500.00 | $32,500.00 | $5,162.00–$27,279.93 | 105% above | — |
| Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $38,624.00 | $38,624.00 | $4,130.00–$26,869.62 | 126% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $18,084.00 | $18,084.00 | $3,421.84–$9,264.43 | 20% above | — |
| Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER | $5,500.00 | $5,500.00 | $1,282.82–$2,464.16 | 212% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $103.00 | $103.00 | $260.68–$1,316.00 | 32% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $301.00 | $301.00 | $260.68–$1,316.00 | 99% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,000.00 | $3,000.00 | $587.00–$2,530.99 | 20% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $14,499.00 | $14,499.00 | $1,270.81–$2,940.62 | 418% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $4,579.50 | $4,579.50 | $932.83–$1,522.00 | 113% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,802.50 | $2,802.50 | $560.58–$1,522.00 | 11% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,558.75 | $1,558.75 | $847.01–$2,940.62 | 28% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $8,118.00 | $8,118.00 | $932.83–$1,389.92 | 285% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $18,838.00 | $18,838.00 | $2,210.18–$8,216.66 | 51% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $152.00 | $152.00 | $72.12–$1,316.00 | 22% below | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $222.00 | $222.00 | $72.12–$1,316.00 | 14% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $340.00 | $340.00 | $243.76–$1,522.00 | 2% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $566.00 | $566.00 | $243.76–$1,522.00 | 70% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $4,414.00 | $4,414.00 | $338.10–$1,316.00 | 346% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $4,635.00 | $4,635.00 | $338.10–$1,316.00 | 368% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $233.00 | $233.00 | $170.54–$335.56 | 9% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $245.00 | $245.00 | $170.54–$335.56 | 14% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $2,528.00 | $2,528.00 | $849.56–$1,265.84 | 9% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH INTERPRETATION AND REPORT | $176.00 | $176.00 | $40.10–$47.27 | 60% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $185.00 | $185.00 | $40.10–$47.27 | 69% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $120.00 | $120.00 | $60.67–$90.40 | 31% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $126.00 | $126.00 | $60.67–$90.40 | 28% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $318.00 | $318.00 | $116.63–$325.95 | 8% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $334.00 | $334.00 | $116.63–$325.95 | 4% below | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $403.00 | $403.00 | $218.76–$325.95 | 16% below | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $424.00 | $424.00 | $218.76–$325.95 | 12% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $115.00 | $115.00 | $59.18–$110.35 | 1% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $121.00 | $121.00 | $59.18–$110.35 | 6% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $133.00 | $133.00 | $67.65–$100.80 | 16% below | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $294.00 | $294.00 | $67.65–$100.80 | 86% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $133.00 | $133.00 | $110.91–$165.26 | 47% below | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $447.00 | $447.00 | $110.91–$165.26 | 77% above | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $550.00 | $550.00 | $151.48–$225.71 | 75% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $228.00 | $228.00 | $39.24–$58.47 | 74% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $111.00 | $111.00 | $25.54–$52.52 | 84% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $308.00 | $308.00 | $192.35 | 28% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $37.00 | $37.00 | $33.13–$57.42 | 6% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $41.00 | $41.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $388.00 | $388.00 | $119.89–$178.64 | 43% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $133.00 | $133.00 | $54.98–$81.92 | 3% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $250.00 | $250.00 | $54.98–$81.92 | 83% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $133.00 | $133.00 | $80.78–$120.36 | 34% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $293.00 | $293.00 | $80.78–$120.36 | 46% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $133.00 | $133.00 | $29.55–$44.03 | 50% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $214.00 | $214.00 | $29.55–$44.03 | 141% above | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $60.00 | $60.00 | $156.77–$330.90 | 75% below | — |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $436.00 | $436.00 | $156.77–$330.90 | 81% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $852.00 | $852.00 | $231.05–$571.85 | 66% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE; INACTIVATED | $251.00 | $251.00 | $74.59 | 798% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula | $251.00 | $251.00 | $74.59 | 798% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $138.00 | $138.00 | $106.90–$126.01 | 43% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $70.00 | $70.00 | $15.26–$17.99 | 94% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE TYPES 6; 11; 16; 18; 31; 33; 45; 52; 58; NONAVALENT | $499.00 | $499.00 | — | 9% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $97.00 | $97.00 | $55.75–$65.71 | 11% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $84.00 | $84.00 | $64.65–$84.00 | 19% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $138.00 | $138.00 | $36.14–$76.32 | 5% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $73.00 | $73.00 | $63.30–$74.61 | 54% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $221.00 | $221.00 | $119.94–$141.38 | 17% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $97.00 | $97.00 | — | 64% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $855.00 | $855.00 | — | 108% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $166.00 | $166.00 | $89.35–$157.45 | 11% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $2,000.00 | $2,000.00 | — | 236% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA AND TETANUS VACCINE (7 YEARS OR OLDER) | $23.00 | $23.00 | $20.32–$23.95 | 70% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $62.00 | $62.00 | $42.16–$49.70 | 17% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $62.00 | $62.00 | $42.16–$49.70 | 17% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $73.00 | $73.00 | $44.59–$110.35 | 27% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $47.00 | $47.00 | $20.92–$24.66 | 31% above | — |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/33488c24df4126089b1f834cd2834046/charges/mrf