Boulder City Hospital
Boulder City Hospital in Boulder City, NV publishes cash prices for 264 common procedures listed here, from its own machine-readable price file updated Sep 30, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Nevada median for 213 of 262 procedures and below it for 36. By typical cash price it ranks #13 of 17 Nevada hospitals and #7 of 11 hospitals in the Las Vegas, NV area, cheapest first. Select a procedure to compare it with other hospitals nearby.
901 Adams Blvd, Boulder City, NV 89005 Collected Sep 22, 2026 Source price file Check a bill from this hospital (702) 293-4111
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 291309 · CMS hospital register
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Boulder City Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Boulder City Hospital in Boulder City, NV:
- Mar 21, 2023 Warning notice
- Jul 10, 2023 Corrective action plan requested
- Sep 13, 2023 Case closed
- Sep 12, 2025 Warning notice
- Dec 12, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,225.00–$4,849.00 | 9% above | 15% |
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,588.00–$4,849.00 | 9% above | 15% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,225.00–$4,849.00 | — | 15% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views | $370.00 | $436.00 | $322.00–$436.00 | 18% below | 15% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR Ankle Comp Min 3 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 50% above | 15% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Rt | $574.00 | $675.00 | $500.00–$675.00 | 48% above | 15% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Lt | $574.00 | $675.00 | $500.00–$675.00 | 48% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/o Cont Lt | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 3% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/o Cont Lt | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 3% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/o Cont Rt | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 3% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/o Cont Rt | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 3% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE w/o Cont Rt | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE w/o Cont Lt | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus (Fluoro) | $602.00 | $709.00 | $524.00–$709.00 | 4% above | 15% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Whole Body | $2,772.00 | $3,261.00 | $2,413.00–$3,261.00 | 76% above | 15% |
| Breast ultrasound, complete, one breast CPT 76641 US Breast Comp Bil. | $405.00 | $477.00 | $353.00–$477.00 | 14% below | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Comp Lt. | $612.00 | $720.00 | $533.00–$720.00 | 30% above | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Comp Rt. | $612.00 | $720.00 | $533.00–$720.00 | 30% above | 15% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $320.00 | $377.00 | $279.00–$377.00 | 7% above | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Ltd Lt. | $462.00 | $544.00 | $402.00–$544.00 | 54% above | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Ltd Rt. | $462.00 | $544.00 | $402.00–$544.00 | 54% above | 15% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen +Pelvis w/ Cont | $4,865.00 | $5,724.00 | $4,235.00–$5,724.00 | 68% above | 15% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen +Pelvis w/ Cont | $4,865.00 | $5,724.00 | $3,806.00–$5,724.00 | 68% above | 15% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen +Pelvis w/ Cont | $4,865.00 | $5,724.00 | $3,806.00–$5,724.00 | — | 15% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head +Angio Neck w/ + w/o Cont | $3,641.00 | $4,283.00 | $2,848.00–$4,283.00 | at median | 15% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head +Angio Neck w/ + w/o Cont | $3,641.00 | $4,283.00 | $3,169.00–$4,283.00 | at median | 15% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head | $4,247.00 | $4,996.00 | $3,322.00–$4,996.00 | 17% above | 15% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head | $4,247.00 | $4,996.00 | $3,697.00–$4,996.00 | 17% above | 15% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head +Angio Neck w/ + w/o Cont | $3,641.00 | $4,283.00 | $2,848.00–$4,283.00 | — | 15% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head | $4,247.00 | $4,996.00 | $3,322.00–$4,996.00 | — | 15% |
| CT angiography (CTA) of the neck CPT 70498 BCH CT Angio Neck | $3,641.00 | $4,283.00 | $3,169.00–$4,283.00 | 27% above | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE w/ Cont | $3,711.00 | $4,366.00 | $3,231.00–$4,366.00 | at median | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest +Abdomen +Pelvis w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | at median | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | at median | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest +Abdomen +Pelvis w/ Cont | $3,711.00 | $4,366.00 | $3,231.00–$4,366.00 | at median | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | — | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest +Abdomen +Pelvis w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | — | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen +Pelvis w/o Cont | $2,772.00 | $3,261.00 | $2,169.00–$3,261.00 | at median | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen +Pelvis w/o Cont | $2,772.00 | $3,261.00 | $2,413.00–$3,261.00 | at median | 15% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen +Pelvis w/o Cont | $2,772.00 | $3,261.00 | $2,169.00–$3,261.00 | — | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen +Pelvis w/ Cont | $3,694.00 | $4,346.00 | $2,890.00–$4,346.00 | 6% below | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen +Pelvis w/ Cont | $3,694.00 | $4,346.00 | $3,216.00–$4,346.00 | 6% below | 15% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen +Pelvis w/ Cont | $3,694.00 | $4,346.00 | $2,890.00–$4,346.00 | — | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont | $3,973.00 | $4,674.00 | $3,458.00–$4,674.00 | 16% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont | $3,973.00 | $4,674.00 | $3,108.00–$4,674.00 | 16% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont | $3,973.00 | $4,674.00 | $3,108.00–$4,674.00 | — | 15% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Cont | $3,711.00 | $4,366.00 | $3,231.00–$4,366.00 | 82% above | 15% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | 82% above | 15% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | — | 15% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 8% above | 15% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 8% above | 15% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 8% above | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Ltd | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 8% above | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Ltd | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 8% above | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 8% above | 15% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus Ltd | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 23% above | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 23% above | 15% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | 71% above | 15% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Cont | $3,711.00 | $4,366.00 | $3,231.00–$4,366.00 | 71% above | 15% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | — | 15% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,588.00–$4,849.00 | 65% above | 15% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,225.00–$4,849.00 | 65% above | 15% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,225.00–$4,849.00 | — | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 7% above | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 7% above | 15% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | at median | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | at median | 15% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Cont | $3,711.00 | $4,366.00 | $3,231.00–$4,366.00 | 58% above | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | 58% above | 15% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Cont | $3,711.00 | $4,366.00 | $2,903.00–$4,366.00 | — | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Duplex Bil | $1,905.00 | $2,242.00 | $1,659.00–$2,242.00 | 7% above | 15% |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o contrast | $3,925.00 | $4,618.00 | $3,417.00–$4,618.00 | 4% above | 15% |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o contrast | $3,925.00 | $4,618.00 | $3,071.00–$4,618.00 | 4% above | 15% |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,588.00–$4,849.00 | 9% above | 15% |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,225.00–$4,849.00 | 9% above | 15% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o contrast | $3,925.00 | $4,618.00 | $3,071.00–$4,618.00 | — | 15% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Cont | $4,122.00 | $4,849.00 | $3,225.00–$4,849.00 | — | 15% |
| Chest X-ray, 2 views CPT 71046 XR Chest Decubitus Bil | $370.00 | $436.00 | $322.00–$436.00 | 12% above | 15% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $578.00 | $680.00 | $503.00–$680.00 | 75% above | 15% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Fluoro | $762.00 | $897.00 | $664.00–$897.00 | 130% above | 15% |
| Chest X-ray, 2 views one side CPT 71046 XR Chest Decubitus Lt | $370.00 | $436.00 | $322.00–$436.00 | 12% above | 15% |
| Chest X-ray, 2 views one side CPT 71046 XR Chest Decubitus Rt | $370.00 | $436.00 | $322.00–$436.00 | 12% above | 15% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View | $478.00 | $563.00 | $416.00–$563.00 | 74% above | 15% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR Clavicle Comp Bil | $478.00 | $563.00 | $416.00–$563.00 | 40% above | 15% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Lt | $478.00 | $563.00 | $416.00–$563.00 | 40% above | 15% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Rt | $478.00 | $563.00 | $416.00–$563.00 | 40% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o contrast | $2,067.00 | $2,432.00 | $1,617.00–$2,432.00 | 18% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o contrast | $2,067.00 | $2,432.00 | $1,800.00–$2,432.00 | 18% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 24% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 24% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o contrast | $2,067.00 | $2,432.00 | $1,617.00–$2,432.00 | — | 15% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $2,860.00 | $3,365.00 | $2,238.00–$3,365.00 | 17% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $2,860.00 | $3,365.00 | $2,490.00–$3,365.00 | 17% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Cont | $3,003.00 | $3,533.00 | $2,615.00–$3,533.00 | 23% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Cont | $3,003.00 | $3,533.00 | $2,350.00–$3,533.00 | 23% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast | $2,860.00 | $3,365.00 | $2,238.00–$3,365.00 | — | 15% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Cont | $3,003.00 | $3,533.00 | $2,350.00–$3,533.00 | — | 15% |
| Diagnostic mammogram, both breasts CPT 77066 MA Diag Breast Addl Views 2D w/Cad Bil. | $504.00 | $593.00 | $439.00–$593.00 | 43% above | 15% |
| Diagnostic mammogram, both breasts CPT 77066 MA Diag Implant 2D w/Cad Bil. | $504.00 | $593.00 | $439.00–$593.00 | 43% above | 15% |
| Diagnostic mammogram, both breasts CPT 77066 MA Diag Breast 2D w/ Cad Bil. | $504.00 | $593.00 | $439.00–$593.00 | 43% above | 15% |
| Diagnostic mammogram, both breasts CPT 77066 MA Diag Breast Post Proc 2D w/CAD Bil | $504.00 | $593.00 | $439.00–$593.00 | 43% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast Addl Views 2D w/Cad Lt. | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast 2D w/Cad Lt. | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast 2D w/Cad Rt. | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast Addl Views 2D w/Cad Rt. | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast Post Proc 2D w/Cad Lt | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast Post Proc 2D w/Cad Rt | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Implant 2D w/Cad Lt. | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Implant 2D w/Cad Rt. | $400.00 | $470.00 | $348.00–$470.00 | 28% above | 15% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US LE Art Duplex Bil | $1,332.00 | $1,567.00 | $1,159.00–$1,567.00 | at median | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US UE Veins Duplex Bil | $1,905.00 | $2,242.00 | $1,659.00–$2,242.00 | 23% above | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US LE Veins Duplex Bil | $1,905.00 | $2,242.00 | $1,659.00–$2,242.00 | 23% above | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 TT ECHO COMPLETE CHARGE | $4,064.00 | $4,782.00 | $2,965.00–$4,782.00 | 103% above | 15% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Lt | $245.00 | $289.00 | $214.00–$289.00 | 20% below | 15% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Rt | $245.00 | $289.00 | $214.00–$289.00 | 20% below | 15% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR Elbow Comp Min 3 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 47% above | 15% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Lt | $574.00 | $675.00 | $500.00–$675.00 | 46% above | 15% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Rt | $574.00 | $675.00 | $500.00–$675.00 | 46% above | 15% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella etc. or IAC w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 8% above | 15% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella etc. or IAC w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 8% above | 15% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella etc. or IAC w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Min 3 Views | $762.00 | $897.00 | $664.00–$897.00 | 47% above | 15% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR Forearm 2 Views Bil | $391.00 | $460.00 | $340.00–$460.00 | 19% above | 15% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Rt | $518.00 | $609.00 | $451.00–$609.00 | 58% above | 15% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Lt | $518.00 | $609.00 | $451.00–$609.00 | 58% above | 15% |
| Hand X-ray, 2 views CPT 73120 XR Hand 2 Views Bil | $478.00 | $563.00 | $416.00–$563.00 | 50% above | 15% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Lt | $478.00 | $563.00 | $416.00–$563.00 | 50% above | 15% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Rt | $478.00 | $563.00 | $416.00–$563.00 | 50% above | 15% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR Heel Min 2 Views Bil | $478.00 | $563.00 | $416.00–$563.00 | 60% above | 15% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Lt | $478.00 | $563.00 | $416.00–$563.00 | 60% above | 15% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Rt | $478.00 | $563.00 | $416.00–$563.00 | 60% above | 15% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR Knee Comp Min 4 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 22% above | 15% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Lt | $475.00 | $559.00 | $413.00–$559.00 | at median | 15% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Rt | $475.00 | $559.00 | $413.00–$559.00 | at median | 15% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Rt | $1,839.00 | $2,164.00 | $1,439.00–$2,164.00 | 8% above | 15% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Rt | $1,839.00 | $2,164.00 | $1,601.00–$2,164.00 | 8% above | 15% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Lt | $1,839.00 | $2,164.00 | $1,439.00–$2,164.00 | 8% above | 15% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Lt | $1,839.00 | $2,164.00 | $1,601.00–$2,164.00 | 8% above | 15% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/o Cont Lt | $1,839.00 | $2,164.00 | $1,439.00–$2,164.00 | — | 15% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/o Cont Rt | $1,839.00 | $2,164.00 | $1,439.00–$2,164.00 | — | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ltd | $1,243.00 | $1,463.00 | $1,082.00–$1,463.00 | 73% above | 15% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR Tibia +Fibula 2 Views Bil | $545.00 | $642.00 | $475.00–$642.00 | 83% above | 15% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Lt | $545.00 | $642.00 | $475.00–$642.00 | 83% above | 15% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Rt | $545.00 | $642.00 | $475.00–$642.00 | 83% above | 15% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Head w/o Cont | $3,344.00 | $3,934.00 | $2,911.00–$3,934.00 | 45% above | 15% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/ + w/o Cont Bil. | $2,067.00 | $2,432.00 | $1,800.00–$2,432.00 | — | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/ + w/o Cont Rt | $3,561.00 | $4,190.00 | $3,100.00–$4,190.00 | 55% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Cont Lt | $3,561.00 | $4,190.00 | $3,100.00–$4,190.00 | 55% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/ Cont Rt | $3,561.00 | $4,190.00 | $3,100.00–$4,190.00 | 55% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/ Cont Lt | $3,561.00 | $4,190.00 | $3,100.00–$4,190.00 | 55% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Cont Rt | $3,561.00 | $4,190.00 | $3,100.00–$4,190.00 | 55% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/ + w/o Cont Lt | $3,561.00 | $4,190.00 | $3,100.00–$4,190.00 | 55% above | 15% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Cont | $3,755.00 | $4,417.00 | $3,269.00–$4,417.00 | 90% above | 15% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Cont | $5,060.00 | $5,954.00 | $4,406.00–$5,954.00 | 53% above | 15% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Cont | $3,729.00 | $4,387.00 | $3,246.00–$4,387.00 | 56% above | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Cont | $5,307.00 | $6,243.00 | $4,620.00–$6,243.00 | 23% above | 15% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Cont | $3,850.00 | $4,530.00 | $3,352.00–$4,530.00 | 62% above | 15% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Cont | $5,342.00 | $6,284.00 | $4,650.00–$6,284.00 | 24% above | 15% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Cont | $3,108.00 | $3,656.00 | $2,706.00–$3,656.00 | 47% above | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Cont | $5,341.00 | $6,283.00 | $4,650.00–$6,283.00 | 31% above | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Cont | $3,823.00 | $4,497.00 | $3,328.00–$4,497.00 | 77% above | 15% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Cont | $4,977.00 | $5,855.00 | $4,333.00–$5,855.00 | 51% above | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UE Joint w/o Cont Bil | $3,108.00 | $3,656.00 | $2,706.00–$3,656.00 | 35% above | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Cont Lt | $3,108.00 | $3,656.00 | $2,706.00–$3,656.00 | 35% above | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Cont Rt | $3,108.00 | $3,656.00 | $2,706.00–$3,656.00 | 35% above | 15% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cerv Comp w/ Flex +Ext | $889.00 | $1,046.00 | $774.00–$1,046.00 | 53% above | 15% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cerv Min 4 Views | $889.00 | $1,046.00 | $774.00–$1,046.00 | 53% above | 15% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Cont | $3,616.00 | $4,255.00 | $2,829.00–$4,255.00 | 47% above | 15% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Cont | $3,616.00 | $4,255.00 | $3,148.00–$4,255.00 | 47% above | 15% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Cont | $3,616.00 | $4,255.00 | $2,829.00–$4,255.00 | — | 15% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 8% above | 15% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 8% above | 15% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $497.00 | $585.00 | $433.00–$585.00 | 48% above | 15% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Perf Spect Mult Rest+Stress | $4,064.00 | $4,782.00 | $3,538.00–$4,782.00 | 13% below | 15% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 34% above | 15% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 34% above | 15% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder +Residual Post Voiding | $810.00 | $953.00 | $706.00–$953.00 | 72% above | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non-OB Comp | $1,243.00 | $1,463.00 | $1,082.00–$1,463.00 | 32% above | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Comp Transvaginal | $1,243.00 | $1,463.00 | $1,082.00–$1,463.00 | 32% above | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnant < 14 Weeks 1st Gest | $563.00 | $663.00 | $490.00–$663.00 | 14% below | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 Weeks With Transvaginal | $537.00 | $632.00 | $468.00–$632.00 | 10% below | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant > 14 Weeks 1st Gest | $563.00 | $663.00 | $490.00–$663.00 | 6% below | 15% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs Min 3 Views Rt w/ PA Chest | $578.00 | $680.00 | $503.00–$680.00 | 55% above | 15% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs Min 3 Views Lt w/ PA Chest | $578.00 | $680.00 | $503.00–$680.00 | 55% above | 15% |
| Screening mammogram, both breasts CPT 77067 MA Routine Screen Bil w/ Cad. | $407.00 | $479.00 | $354.00–$479.00 | 146% above | 15% |
| Screening mammogram, both breasts CPT 77067 MA Routine Screen Implant Bil. | $407.00 | $479.00 | $354.00–$479.00 | 146% above | 15% |
| Screening mammogram, both breasts CPT 77067 MA Routine Screen Implant w/ Tomo Bil. | $407.00 | $479.00 | $354.00–$479.00 | 146% above | 15% |
| Screening mammogram, both breasts CPT 77067 MA Routine Screen Breast w/ Tomo Bil. | $407.00 | $479.00 | $354.00–$479.00 | 146% above | 15% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR Shoulder Comp Min 2 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 41% above | 15% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Rt | $574.00 | $675.00 | $500.00–$675.00 | 40% above | 15% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Lt | $574.00 | $675.00 | $500.00–$675.00 | 40% above | 15% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Comp Min 3 Views | $762.00 | $897.00 | $664.00–$897.00 | 46% above | 15% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $578.00 | $680.00 | $503.00–$680.00 | 39% above | 15% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Fluoro Modified Esophagram | $1,036.00 | $1,219.00 | $902.00–$1,219.00 | 75% above | 15% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Lt | $723.00 | $851.00 | $629.00–$851.00 | 171% above | 15% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Rt | $723.00 | $851.00 | $629.00–$851.00 | 171% above | 15% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Cont | $2,171.00 | $2,554.00 | $1,890.00–$2,554.00 | 4% above | 15% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | 4% above | 15% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Cont | $2,171.00 | $2,554.00 | $1,698.00–$2,554.00 | — | 15% |
| Toe X-ray, 2 or more views CPT 73660 XR Toe(s) Min 2 Views Bil | $383.00 | $450.00 | $333.00–$450.00 | 24% above | 15% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Lt | $428.00 | $504.00 | $373.00–$504.00 | 38% above | 15% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Rt | $428.00 | $504.00 | $373.00–$504.00 | 38% above | 15% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $1,092.00 | $1,285.00 | $951.00–$1,285.00 | 89% above | 15% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Comp | $1,243.00 | $1,463.00 | $1,082.00–$1,463.00 | 29% above | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum +Contents | $1,144.00 | $1,346.00 | $996.00–$1,346.00 | 42% above | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $1,092.00 | $1,285.00 | $951.00–$1,285.00 | 45% above | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Neck | $1,092.00 | $1,285.00 | $951.00–$1,285.00 | 45% above | 15% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR Humerus Min 2 Views Bil | $536.00 | $630.00 | $466.00–$630.00 | 70% above | 15% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Lt | $536.00 | $630.00 | $466.00–$630.00 | 70% above | 15% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Rt | $536.00 | $630.00 | $466.00–$630.00 | 70% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Veins Duplex Lt | $1,239.00 | $1,457.00 | $1,078.00–$1,457.00 | 45% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Veins Duplex Rt | $1,239.00 | $1,457.00 | $1,078.00–$1,457.00 | 45% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Veins Duplex Lt | $1,239.00 | $1,457.00 | $1,078.00–$1,457.00 | 45% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Veins Duplex Rt | $1,239.00 | $1,457.00 | $1,078.00–$1,457.00 | 45% above | 15% |
| Wrist X-ray, 2 views CPT 73100 XR Wrist 2 Views Bil | $478.00 | $563.00 | $416.00–$563.00 | 48% above | 15% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Rt | $478.00 | $563.00 | $416.00–$563.00 | 48% above | 15% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Lt | $478.00 | $563.00 | $416.00–$563.00 | 48% above | 15% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR Wrist Comp Min 3 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 43% above | 15% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Lt | $475.00 | $559.00 | $413.00–$559.00 | 17% above | 15% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Rt | $475.00 | $559.00 | $413.00–$559.00 | 17% above | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Comp Min 2 Views Rt | $578.00 | $680.00 | $503.00–$680.00 | 72% above | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Comp Min 2 Views Lt | $578.00 | $680.00 | $503.00–$680.00 | 72% above | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Rt w/ Pelvis | $723.00 | $851.00 | $629.00–$851.00 | 115% above | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Lt w/ Pelvis | $723.00 | $851.00 | $629.00–$851.00 | 115% above | 15% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View | $370.00 | $436.00 | $322.00–$436.00 | 8% above | 15% |
| X-ray of the ankle, 2 views CPT 73600 XR Ankle 2 Views Bil | $478.00 | $563.00 | $416.00–$563.00 | 38% above | 15% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Rt | $478.00 | $563.00 | $416.00–$563.00 | 38% above | 15% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Lt | $478.00 | $563.00 | $416.00–$563.00 | 38% above | 15% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR Fingers Min 2 Views Bil | $428.00 | $504.00 | $373.00–$504.00 | 50% above | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Rt | $428.00 | $504.00 | $373.00–$504.00 | 50% above | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Lt | $428.00 | $504.00 | $373.00–$504.00 | 50% above | 15% |
| X-ray of the foot, 2 views CPT 73620 XR Foot 2 Views Bil | $478.00 | $563.00 | $416.00–$563.00 | 42% above | 15% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Lt | $478.00 | $563.00 | $416.00–$563.00 | 42% above | 15% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Rt | $478.00 | $563.00 | $416.00–$563.00 | 42% above | 15% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR Foot Comp Min 3 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 53% above | 15% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Lt | $475.00 | $559.00 | $413.00–$559.00 | 25% above | 15% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Rt | $475.00 | $559.00 | $413.00–$559.00 | 25% above | 15% |
| X-ray of the hand, 3 or more views CPT 73130 XR Hand Min 3 Views Bil | $578.00 | $680.00 | $503.00–$680.00 | 62% above | 15% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Rt | $574.00 | $675.00 | $500.00–$675.00 | 61% above | 15% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Lt | $574.00 | $675.00 | $500.00–$675.00 | 61% above | 15% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR Knee 1 or 2 Views Bil | $397.00 | $467.00 | $346.00–$467.00 | 17% above | 15% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Lt | $397.00 | $467.00 | $346.00–$467.00 | 17% above | 15% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Rt | $397.00 | $467.00 | $346.00–$467.00 | 17% above | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $324.00 | $381.00 | $282.00–$381.00 | 28% below | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Min 4 Views w/ Obl | $889.00 | $1,046.00 | $774.00–$1,046.00 | 55% above | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Min 3 Views | $578.00 | $680.00 | $503.00–$680.00 | 63% above | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cerv 2 or 3 Views | $267.00 | $314.00 | $232.00–$314.00 | 37% below | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 View | $478.00 | $563.00 | $416.00–$563.00 | 53% above | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum +Coccyx Min 2 Views | $574.00 | $675.00 | $500.00–$675.00 | 54% above | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $91.00 | $107.00 | $66.00–$107.00 | 3% above | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $90.00 | $106.00 | $66.00–$106.00 | 28% above | 15% |
| Albumin blood test CPT 82040 Albumin Level | $87.00 | $103.00 | $64.00–$103.00 | 21% above | 16% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $90.00 | $106.00 | $66.00–$106.00 | 25% above | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Olive Tree (t9) IgE | $36.00 | $42.00 | $26.00–$42.00 | 36% above | 14% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Scallop | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmon | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cow's Milk | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific IgE | $37.00 | $44.00 | $27.00–$44.00 | 40% above | 16% |
| Ammonia blood test CPT 82140 Ammonia Level | $312.00 | $368.00 | $228.00–$368.00 | 103% above | 15% |
| Amylase blood test CPT 82150 Amylase Level | $124.00 | $146.00 | $90.00–$146.00 | 48% above | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide | $392.00 | $461.00 | $286.00–$461.00 | 56% above | 15% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Any Other | $151.00 | $177.00 | $110.00–$177.00 | 55% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel 9 | $149.00 | $175.00 | $109.00–$175.00 | 11% below | 15% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $88.00 | $104.00 | $64.00–$104.00 | 44% above | 15% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill IV-Path, GM, TC | $333.00 | $392.00 | $243.00–$392.00 | 348% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $48.00 | $57.00 | $35.00–$57.00 | 76% above | 16% |
| Blood glucose (sugar) test CPT 82947 CSF Glucose | $70.00 | $82.00 | $51.00–$82.00 | 16% below | 15% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $70.00 | $82.00 | $51.00–$82.00 | 16% below | 15% |
| Blood glucose (sugar) test CPT 82947 .Gestational GTT 1-Hr | $70.00 | $82.00 | $51.00–$82.00 | 16% below | 15% |
| Blood glucose (sugar) test CPT 82947 .Glucose Fasting | $70.00 | $82.00 | $51.00–$82.00 | 16% below | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum 1 | $284.00 | $334.00 | $207.00–$334.00 | 201% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 DESC-Serum Pregnancy Test | $284.00 | $334.00 | $207.00–$334.00 | 201% above | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO 3 | $129.00 | $151.00 | $94.00–$151.00 | at median | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $129.00 | $151.00 | $94.00–$151.00 | at median | 15% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $70.00 | $82.00 | $33.00–$82.00 | 35% above | 15% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $70.00 | $82.00 | $51.00–$82.00 | 35% above | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff by Xpert | $105.00 | $124.00 | $77.00–$124.00 | 13% above | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) | $145.00 | $170.00 | $105.00–$170.00 | 96% above | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS Coronavirus with CoV-2 RNA, Qualitative Real-Time RT-PC | $59.00 | $69.00 | $43.00–$69.00 | 20% below | 14% |
| Calcium blood test, total CPT 82310 Calcium Level | $90.00 | $106.00 | $66.00–$106.00 | 14% above | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia PCR Swab | $98.00 | $116.00 | $72.00–$116.00 | 40% below | 16% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile | $233.00 | $274.00 | $170.00–$274.00 | 51% above | 15% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Auto Diff 10 | $236.00 | $277.00 | $172.00–$277.00 | 119% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 Hemogram 5 | $90.00 | $106.00 | $66.00–$106.00 | 29% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 Hemogram1 | $90.00 | $106.00 | $66.00–$106.00 | 29% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Auto Diff 6 | $90.00 | $106.00 | $66.00–$106.00 | 29% above | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel 12 | $741.00 | $872.00 | $540.00–$872.00 | 309% above | 15% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $113.00 | $133.00 | $83.00–$133.00 | 12% above | 15% |
| Creatinine blood test CPT 82565 Creatinine | $89.00 | $105.00 | $65.00–$105.00 | 7% above | 15% |
| Creatinine blood test CPT 82565 Creatinine Level | $89.00 | $105.00 | $65.00–$105.00 | 7% above | 15% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen 14 | $536.00 | $631.00 | $391.00–$631.00 | 144% above | 15% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $124.00 | $146.00 | $90.00–$146.00 | at median | 15% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Level | $224.00 | $264.00 | $163.00–$264.00 | 67% above | 15% |
| Folate (folic acid) blood test CPT 82746 Folate | $418.00 | $491.00 | $305.00–$491.00 | 176% above | 15% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $418.00 | $491.00 | $305.00–$491.00 | 176% above | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $251.00 | $295.00 | $183.00–$295.00 | 148% above | 15% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Pane 80050 - Bill only | $120.00 | $142.00 | $88.00–$142.00 | 50% below | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT-2 Hr | $83.00 | $98.00 | $61.00–$98.00 | 18% above | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT-1 Hr | $83.00 | $98.00 | $61.00–$98.00 | 18% above | 15% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3-Hr | $220.00 | $258.00 | $160.00–$258.00 | 28% above | 15% |
| Glucose tolerance test, 3 samples CPT 82951 .GTT-3 Hr | $220.00 | $258.00 | $160.00–$258.00 | 28% above | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $212.00 | $249.00 | $154.00–$249.00 | 147% above | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin | $212.00 | $249.00 | $154.00–$249.00 | 147% above | 15% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $42.00 | $49.00 | $31.00–$49.00 | 6% above | 14% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $326.00 | $383.00 | $238.00–$383.00 | 143% above | 15% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid 3 | $347.00 | $408.00 | $253.00–$408.00 | 288% above | 15% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $347.00 | $408.00 | $253.00–$408.00 | 288% above | 15% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $108.00 | $127.00 | $79.00–$127.00 | 103% above | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $286.00 | $337.00 | $209.00–$337.00 | 204% above | 15% |
| Liver function blood test panel CPT 80076 Hepatic Panel 1 | $143.00 | $168.00 | $104.00–$168.00 | 14% below | 15% |
| Magnesium blood test CPT 83735 Magnesium Level | $116.00 | $137.00 | $85.00–$137.00 | 71% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen 1 | $90.00 | $106.00 | $66.00–$106.00 | 17% below | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen | $90.00 | $106.00 | $66.00–$106.00 | 17% below | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screen | $261.00 | $307.00 | $190.00–$307.00 | 107% above | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $107.00 | $126.00 | $78.00–$126.00 | 56% above | 15% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $86.00 | $101.00 | $62.00–$101.00 | 6% above | 15% |
| Potassium blood test CPT 84132 Potassium Level | $82.00 | $97.00 | $60.00–$97.00 | 33% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR | $70.00 | $82.00 | $51.00–$82.00 | 13% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin with INR | $70.00 | $82.00 | $51.00–$82.00 | 13% above | 15% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A | $75.00 | $88.00 | $55.00–$88.00 | 21% above | 15% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B | $75.00 | $88.00 | $55.00–$88.00 | 21% above | 15% |
| Rh blood typing CPT 86901 Rh | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rh blood typing CPT 86901 ABO | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rh blood typing CPT 86901 ABO Retype | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rh blood typing CPT 86901 ABO/Rh Retype | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rh blood typing CPT 86901 Rh Grouping | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rh blood typing CPT 86901 Rh Retype | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rh blood typing CPT 86901 Rh3 | $129.00 | $151.00 | $94.00–$151.00 | 114% above | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor 3 | $101.00 | $119.00 | $74.00–$119.00 | 112% above | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor 2 | $101.00 | $119.00 | $74.00–$119.00 | 112% above | 15% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $49.00 | $58.00 | $36.00–$58.00 | 11% below | 16% |
| Sodium blood test CPT 84295 Sodium Level | $82.00 | $97.00 | $60.00–$97.00 | 44% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Diagnostic 1-3 | $58.00 | $68.00 | $42.00–$68.00 | 37% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Diagnostic 1-3 BCH | $58.00 | $68.00 | $42.00–$68.00 | 37% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 1-3 | $58.00 | $68.00 | $42.00–$68.00 | 37% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screening 1-3 BCH | $58.00 | $68.00 | $42.00–$68.00 | 37% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Diagnostic 1 | $58.00 | $68.00 | $42.00–$68.00 | 37% above | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hemosure iFOB Screen | $89.00 | $105.00 | $65.00–$105.00 | 141% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hemoglobin A1c MCL | $289.00 | $340.00 | $211.00–$340.00 | 106% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $289.00 | $340.00 | $211.00–$340.00 | 106% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $289.00 | $340.00 | $211.00–$340.00 | 106% above | 15% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $78.00 | $91.00 | $57.00–$91.00 | 1% above | 14% |
| Total thyroxine (T4) blood test CPT 84436 T4, Total | $244.00 | $287.00 | $178.00–$287.00 | 160% above | 15% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis by Xpert | $98.00 | $116.00 | $72.00–$116.00 | 74% above | 16% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalisRNA, Qualitative, TMA, Males | $262.00 | $308.00 | $191.00–$308.00 | 365% above | 15% |
| Trichomonas test (NAAT) CPT 87661 SureSwab�,Trichomonas vaginalisRNA, Qualitative, TMA | $262.00 | $308.00 | $191.00–$308.00 | 365% above | 15% |
| Triglycerides blood test CPT 84478 Triglycerides | $102.00 | $120.00 | $74.00–$120.00 | 32% above | 15% |
| Troponin test, quantitative CPT 84484 High Sensitivity Troponin | $388.00 | $457.00 | $283.00–$457.00 | 120% above | 15% |
| Troponin test, quantitative CPT 84484 Troponin I | $388.00 | $457.00 | $283.00–$457.00 | 120% above | 15% |
| Uric acid blood test CPT 84550 Uric Acid | $81.00 | $96.00 | $59.00–$96.00 | 20% below | 16% |
| Urinalysis with microscope exam, automated CPT 81001 UA Complete w/ Culture if indicated | $39.00 | $46.00 | $29.00–$46.00 | 55% below | 15% |
| Urinalysis without microscope exam, automated CPT 81003 UA Complete | $39.00 | $46.00 | $29.00–$46.00 | 42% below | 15% |
| Urinalysis without microscope exam, automated CPT 81003 UA Complete 2 | $39.00 | $46.00 | $29.00–$46.00 | 42% below | 15% |
| Urinalysis without microscope exam, automated CPT 81003 UA Complete 1 | $39.00 | $46.00 | $29.00–$46.00 | 42% below | 15% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine 3 | $212.00 | $249.00 | $154.00–$249.00 | 170% above | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $258.00 | $303.00 | $188.00–$303.00 | 65% above | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25(OH), Total | $586.00 | $690.00 | $428.00–$690.00 | 230% above | 15% |
| Zinc blood test CPT 84630 Vancomycin Random | $312.00 | $368.00 | $228.00–$368.00 | 235% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Quantitative | $343.00 | $403.00 | $250.00–$403.00 | 102% above | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthroscopy Knee with Anterior Cruciate Ligament Reconstruct | $5,565.00 | $6,547.00 | $4,845.00–$6,547.00 | 33% below | 15% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy Shoulder with Subacromial Decompression and Rota | $3,866.00 | $4,549.00 | $3,366.00–$4,549.00 | 51% below | 15% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Shoulder Rotator Cuff Repair | $6,646.00 | $7,818.00 | $5,786.00–$7,818.00 | 16% below | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLO TX DIST FIBFX W/O MAN | $784.00 | $922.00 | $682.00–$922.00 | 75% above | 15% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 ED TRTMT CLOSED METATARSAL FX W/O MANIP CHARGE | $585.00 | $688.00 | $509.00–$688.00 | 14% above | 15% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION CHARGE | $4,266.00 | $5,019.00 | $3,714.00–$5,019.00 | 13% above | 15% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VALGUS WITH RESECTION OF PROXIMAL PHALANX | $6,027.00 | $7,091.00 | $5,247.00–$7,091.00 | 60% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION ELECTIVE CHARGE | $1,529.00 | $1,799.00 | $1,115.00–$1,799.00 | 34% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION IN ICU CHARGE | $1,726.00 | $2,031.00 | $1,259.00–$2,031.00 | 51% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION | $2,115.00 | $2,489.00 | $1,841.00–$2,489.00 | 85% above | 15% |
| Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Release | $3,024.00 | $3,557.00 | $2,632.00–$3,557.00 | 33% above | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 CLO TX DIST RADIAL FX W/O | $585.00 | $688.00 | $509.00–$688.00 | 32% above | 15% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Lesion Removal Snare Technique | $2,162.00 | $2,543.00 | $1,882.00–$2,543.00 | 62% above | 15% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy with Biopsy | $2,096.00 | $2,466.00 | $1,825.00–$2,466.00 | 53% above | 15% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Screening | $1,925.00 | $2,265.00 | $1,676.00–$2,265.00 | 29% above | 15% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $2,059.00 | $2,422.00 | $1,793.00–$2,422.00 | 38% above | 15% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 UNILATERAL REMOVAL OF IMPACTED EAR WAX BY LAVAGE | $251.00 | $295.00 | $218.00–$295.00 | 197% above | 15% |
| Earwax removal with instruments, one ear CPT 69210 69210 CERUMEN REMOVAL | $251.00 | $295.00 | $218.00–$295.00 | 53% above | 15% |
| Gallbladder removal, laparoscopic CPT 47562 Cholecystectomy Laparoscopic | $7,220.00 | $8,495.00 | $6,286.00–$8,495.00 | 8% above | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Cholecystectomy Laparoscopic with Cholangiogram | $8,022.00 | $9,437.00 | $6,984.00–$9,437.00 | 18% above | 15% |
| Hammertoe correction surgery CPT 28285 Hammertoe Repair | $3,125.00 | $3,676.00 | $2,720.00–$3,676.00 | 12% below | 15% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy | $3,382.00 | $3,978.00 | $2,944.00–$3,978.00 | 6% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and Drainage | $386.00 | $454.00 | $336.00–$454.00 | 13% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 ED ID ABSCESS SIMPLE/SINGLE CHARGE | $693.00 | $816.00 | $604.00–$816.00 | 102% above | 15% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Hernia Repair Inguinal | $5,997.00 | $7,055.00 | $5,221.00–$7,055.00 | 24% above | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON SHEATH/LIGAMENT | $2,635.00 | $3,100.00 | $2,294.00–$3,100.00 | 691% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE | $996.00 | $1,172.00 | $867.00–$1,172.00 | 199% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE | $2,304.00 | $2,711.00 | $2,006.00–$2,711.00 | 592% above | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS ASP/INJ JOINT ED CHARGE | $1,173.00 | $1,380.00 | $1,021.00–$1,380.00 | 252% above | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Appendectomy Laparoscopic | $6,779.00 | $7,976.00 | $5,902.00–$7,976.00 | 2% above | 15% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Hernia Repair Incisional Laparoscopic | $6,374.00 | $7,499.00 | $5,549.00–$7,499.00 | 4% below | 15% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Hernia Repair Inguinal Laparoscopic | $8,696.00 | $10,230.00 | $7,570.00–$10,230.00 | 30% above | 15% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPAROSCOPY INGUINAL HERNIA REPAIR RECURRENT | $11,993.00 | $14,109.00 | $10,441.00–$14,109.00 | 5% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 ED INTERMEDIATE CLOSURE WOUNDS <2.5CM CHARGE | $524.00 | $616.00 | $456.00–$616.00 | 3% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE ED CHARGE | $798.00 | $939.00 | $695.00–$939.00 | 232% above | 15% |
| Paracentesis with imaging guidance CPT 49083 US Guide Paracentesis | $2,179.00 | $2,564.00 | $1,897.00–$2,564.00 | 115% above | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 ED EXC NAIL/MATRIX CHARGE | $1,651.00 | $1,943.00 | $1,437.00–$1,943.00 | 225% above | 15% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $5,577.00 | $6,561.00 | $4,855.00–$6,561.00 | 31% above | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 ED FOREIGN BODY REMOVAL, SMPL CHARGE | $1,020.00 | $1,200.00 | $888.00–$1,200.00 | 125% above | 15% |
| Short arm splint (forearm and hand) CPT 29125 29125 ED APPLICATION SHORT ARM SPLINT CHARGE | $444.00 | $522.00 | $386.00–$522.00 | 76% above | 15% |
| Short leg splint (calf to foot) CPT 29515 29515 ED APPLICATION SHORT LEG SPLINT CHARGE | $494.00 | $581.00 | $430.00–$581.00 | 107% above | 15% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Distal Claviculectomy Including Distal Articular Surface - M | $5,390.00 | $6,341.00 | $4,692.00–$6,341.00 | 43% above | 15% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder Decompression Subacromial with Partial Acromioplast | $5,301.00 | $6,236.00 | $4,615.00–$6,236.00 | 21% above | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMP REPR <2.5CM ED Charge | $500.00 | $588.00 | $435.00–$588.00 | 59% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Spine Puncture Lumbar Diag | $1,449.00 | $1,704.00 | $1,261.00–$1,704.00 | 81% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 ED SPINAL PUNCTURE LUMBAR CHARGE | $1,523.00 | $1,791.00 | $1,326.00–$1,791.00 | 90% above | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 ED REPAIR SMPL WOUNDS SP-NK-TR-EXT 2.6 TO 7.5CM CHARGE | $500.00 | $588.00 | $435.00–$588.00 | 24% above | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 ED REPAIR SMPL WOUNDS FACE-MM <2.5CM CHARGE | $500.00 | $588.00 | $435.00–$588.00 | 17% above | 15% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $1,981.00 | $2,331.00 | $1,725.00–$2,331.00 | 41% above | 15% |
| Total knee replacement CPT 27447 Knee Arthroplasty | $10,172.00 | $11,967.00 | $8,855.00–$11,967.00 | 27% below | 15% |
| Total shoulder replacement CPT 23472 Arthroplasty Shoulder | $6,613.00 | $7,779.00 | $5,757.00–$7,779.00 | 55% below | 15% |
| Trigger finger release surgery CPT 26055 Trigger Finger Release | $2,134.00 | $2,511.00 | $1,858.00–$2,511.00 | at median | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ SINGLE/MULT TRIGGER PTS ED CHARGE | $1,070.00 | $1,259.00 | $932.00–$1,259.00 | 221% above | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy with Biopsy | $1,784.00 | $2,099.00 | $1,553.00–$2,099.00 | at median | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy (ASC) | $1,825.00 | $2,147.00 | $1,589.00–$2,147.00 | 35% above | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM ED CHARGE | $925.00 | $1,088.00 | $805.00–$1,088.00 | 51% above | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 20 SQ CM or Les | $1,258.00 | $1,479.00 | $1,095.00–$1,479.00 | 105% above | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD PRODUCT CHARGE | $859.00 | $1,010.00 | $626.00–$1,010.00 | 71% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD PR | $1,266.00 | $1,489.00 | $923.00–$1,489.00 | 152% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT. | $94.00 | $110.00 | $68.00–$110.00 | 60% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT | $157.00 | $185.00 | $115.00–$185.00 | 34% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT | $181.00 | $213.00 | $132.00–$213.00 | 23% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VENTILATOR INLINE TX | $366.00 | $431.00 | $267.00–$431.00 | 55% above | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care | $4,427.00 | $5,208.00 | $3,854.00–$5,208.00 | 56% above | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG TRACING ONLY CHARGE | $645.00 | $759.00 | $471.00–$759.00 | 85% above | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Noninvasive ear or pulse oximetry for oxygen saturation, sin | $647.00 | $761.00 | $472.00–$761.00 | 85% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Level 1 | $347.00 | $408.00 | $302.00–$408.00 | 5% above | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Level 2 | $600.00 | $706.00 | $522.00–$706.00 | 22% above | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Level 3 | $1,343.00 | $1,580.00 | $1,169.00–$1,580.00 | 32% above | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Level 4 | $2,262.00 | $2,661.00 | $1,969.00–$2,661.00 | 37% above | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Level 5 | $3,036.00 | $3,572.00 | $2,643.00–$3,572.00 | 37% above | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 TREADMILL CHARGE | $802.00 | $944.00 | $585.00–$944.00 | 2% below | 15% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY CONJ CHARGE | $1,666.00 | $1,960.00 | $1,215.00–$1,960.00 | 255% above | 15% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYCHOTHERAPY W/O CHARGE | $1,666.00 | $1,960.00 | $1,215.00–$1,960.00 | 264% above | 15% |
| Group psychotherapy session CPT 90853 INTERACTIVE GROUP THERAPY HOULRY | $220.00 | $259.00 | $161.00–$259.00 | 21% below | 15% |
| Group psychotherapy session CPT 90853 90853 GROUP THERAPY | $258.00 | $303.00 | $188.00–$303.00 | 8% below | 15% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHTX CHARGE | $793.00 | $933.00 | $579.00–$933.00 | 183% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INFUSIUON 31 | $980.00 | $1,153.00 | $715.00–$1,153.00 | 171% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION INFUSION 31 CHARGE | $980.00 | $1,153.00 | $715.00–$1,153.00 | 171% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 OUTPT IV THERAPY START | $538.00 | $633.00 | $393.00–$633.00 | 24% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 96365 OUT PATIENT IV THERAPY ST CHARGE | $578.00 | $680.00 | $422.00–$680.00 | 34% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 INITIAL IVPB UNDER 60 MIN | $735.00 | $864.00 | $536.00–$864.00 | 70% above | 15% |
| IV push of a medicine, first drug CPT 96374 IV PUSH SGL/INITIAL USE D | $258.00 | $303.00 | $188.00–$303.00 | 8% above | 15% |
| IV push of a medicine, first drug CPT 96374 96374 IV PUSH SGL/INITIAL USE CHARGE | $258.00 | $303.00 | $188.00–$303.00 | 8% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 OUT PATIENT IM/SQ INJECTI CHARGE | $117.00 | $138.00 | $85.00–$138.00 | 18% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 ED SQ / INTRAMUSCULAR INJ | $223.00 | $263.00 | $163.00–$263.00 | 124% above | 15% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT BU: OT Neuromuscular Reeducation Charges | $88.00 | $104.00 | $77.00–$104.00 | 7% below | 15% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges | $88.00 | $104.00 | $77.00–$104.00 | 7% below | 15% |
| New patient office visit, about 30 minutes CPT 99203 Office/New Patient-Detailed (21-30) | $216.00 | $254.00 | $252.00–$189.00 | at median | 15% |
| New patient office visit, about 30 minutes CPT 99203 Office/New Patient-Detailed (30) | $294.00 | $345.00 | $256.00–$345.00 | 36% above | 15% |
| New patient office visit, about 45 minutes CPT 99204 Office/New Patient-Comprehensive (31-45) | $329.00 | $387.00 | $252.00–$242.00 | 27% above | 15% |
| New patient office visit, about 45 minutes CPT 99204 Office/New Patient-Comprehensive (45) | $444.00 | $523.00 | $387.00–$523.00 | 71% above | 15% |
| New patient office visit, about 60 minutes CPT 99205 Office/New Patient-Comprehensive/High Complexity (46-60) | $341.00 | $401.00 | $252.00–$369.00 | at median | 15% |
| New patient office visit, about 60 minutes CPT 99205 Office/New Patient-Comprehensive/High Complexity (60) | $585.00 | $689.00 | $510.00–$689.00 | 72% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/New Patient-Expanded (11-20) | $169.00 | $198.00 | $252.00–$168.00 | 6% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/New Patient-Expanded (15) | $296.00 | $349.00 | $258.00–$349.00 | 85% above | 15% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Low Complex Units | $345.00 | $406.00 | $301.00–$406.00 | 56% above | 15% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT High Complex Units | $345.00 | $406.00 | $301.00–$406.00 | 28% above | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Low Complex Units | $345.00 | $406.00 | $301.00–$406.00 | 105% above | 15% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Moderate Complex Units | $345.00 | $406.00 | $301.00–$406.00 | 56% above | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Joint Mobilization Charges | $88.00 | $104.00 | $77.00–$104.00 | 2% above | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units | $88.00 | $104.00 | $77.00–$104.00 | 2% above | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Mobilization | $88.00 | $104.00 | $77.00–$104.00 | 2% above | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Charges | $88.00 | $104.00 | $77.00–$104.00 | 3% below | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTBU: OT Therapeutic Exercise Charges | $88.00 | $104.00 | $77.00–$104.00 | 3% below | 15% |
| Psychotherapy session, 30 minutes CPT 90832 90832 INDIV/FAMILY 30 MIN THERA | $413.00 | $486.00 | $301.00–$486.00 | 36% above | 15% |
| Psychotherapy session, 45 minutes CPT 90834 90834 INDIV/FAMILY 45 MIN THERA | $413.00 | $486.00 | $301.00–$486.00 | 28% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Established Patient-Comprehensive/High Complexity (26-45) (Level 5) | $256.00 | $301.00 | $252.00 | at median | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Established Patient-Comprehensive/High Complexity (40) | $480.00 | $565.00 | $418.00–$565.00 | 88% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Established Patient-Expanded (11-15) (Level 3) | $162.00 | $191.00 | $252.00–$122.00 | 3% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Established Patient-Expanded (20) | $242.00 | $285.00 | $211.00–$285.00 | 54% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Established Patient-Detailed (16-25) (Level 4) | $225.00 | $265.00 | $252.00–$182.00 | at median | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Established Patient-Detailed (30) | $341.00 | $401.00 | $297.00–$401.00 | 52% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Established Patient-Focused (6-10) (Level 2) | $109.00 | $128.00 | $252.00–$83.00 | 2% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Established Patient-Focused (10) | $151.00 | $177.00 | $131.00–$177.00 | 36% above | 15% |
| Speech and language evaluation CPT 92523 Speech Sound Prod w/ Language Charge | $174.00 | $205.00 | $152.00–$205.00 | 24% below | 15% |
| Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg | $174.00 | $205.00 | $152.00–$205.00 | 71% above | 15% |
| Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid | $174.00 | $205.00 | $152.00–$205.00 | 71% above | 15% |
| Speech therapy session, individual CPT 92507 Speech/Language/Voice/Auditory Charge | $174.00 | $205.00 | $152.00–$205.00 | 71% above | 15% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY (PFT) | $581.00 | $684.00 | $424.00–$684.00 | 108% above | 15% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUAT | $1,049.00 | $1,234.00 | $765.00–$1,234.00 | 104% above | 15% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 90867 THERAPEUTIC REPETITIVE TM CHARGE | $1,060.00 | $1,247.00 | $773.00–$1,247.00 | — | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge | $88.00 | $104.00 | $77.00–$104.00 | 21% above | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charges | $88.00 | $104.00 | $77.00–$104.00 | 21% above | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY CHARGE | $245.00 | $288.00 | $178.00–$288.00 | 3% below | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ER | $153.00 | $180.00 | $111.00–$180.00 | 81% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD VACCINE | $172.00 | $203.00 | $126.00–$203.00 | 152% above | 15% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://bchcares.org/880065829_boulder-city-hospital_standard-charges.csv