Hospital

Wyoming County

Wyoming County in Warsaw, NY publishes cash prices for 279 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 199 of 275 procedures and above it for 71. By typical cash price it ranks #36 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

400 N Main St,Warsaw,NY,14569 Collected Sep 27, 2026 Source price file (585) 786-8940

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 331323 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Wyoming County in Warsaw, NY:

  • Jun 8, 2023 Corrective action plan requested
  • Sep 13, 2023 Case closed

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

ProcedureCash price List priceInsurers payvs New YorkOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE $183.51 $262.15 $36.00 8% below 30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS $371.05 $530.07 $101.35 10% above 30%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY $832.90 $1,189.85 $308.06 3% below 30%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE $222.02 $317.17 $109.73 30% below 30%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED $183.51 $262.15 $90.23 18% below 30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST $371.05 $530.07 $287.83 67% below 30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST $423.01 $604.30 $207.86 59% below 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST $975.30 $1,393.29 $339.92 37% below 30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR $1,083.60 $1,548.00 $380.68 34% below 30%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST $782.60 $1,118.00 $241.94 23% below 30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $186.10 $265.85 $154.48 77% below 30%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST $722.40 $1,032.00 $154.48 9% below 30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE $236.00 $337.14 $142.01 66% below 30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST $722.40 $1,032.00 $142.01 4% above 30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE $722.40 $1,032.00 $118.82 5% above 30%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE $782.60 $1,118.00 $167.58 11% below 30%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST $812.70 $1,161.00 $195.71 22% below 30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST $225.80 $322.57 $153.16 73% below 30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST $312.00 $445.71 $155.82 63% below 30%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST $782.60 $1,118.00 $236.61 13% below 30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY $494.84 $706.92 $236.00 — 30%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS $183.51 $262.15 $33.64 9% below 30%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW $183.51 $262.15 $25.86 1% below 30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP $222.02 $317.17 $115.35 38% below 30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL $222.02 $317.17 $40.09 7% below 30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS $494.84 $706.92 $188.84 5% below 30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST $222.02 $317.17 $159.32 73% below 30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST $371.05 $530.07 $198.41 64% below 30%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $235.20 $336.00 $173.67 1% below 30%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI $184.10 $263.00 $137.31 31% below 30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS $494.84 $706.92 $298.26 at median 30%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS $494.84 $706.92 $229.82 at median 30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION $1,114.06 $1,591.52 $242.80 2% above 30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM $832.90 $1,189.85 $335.21 13% below 30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT $315.46 $450.65 $105.50 2% below 30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM $2,111.41 $3,016.30 $618.81 4% below 30%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 $183.51 $262.15 $39.66 9% above 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN $222.02 $317.17 $92.79 28% below 30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- $222.02 $317.17 $158.52 47% below 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE $494.84 $706.92 $258.66 51% below 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE $2,160.50 $3,086.43 $506.69 18% above 30%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST $423.01 $604.30 $262.01 59% below 30%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST $494.84 $706.92 $262.01 52% below 30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST $776.63 $1,109.47 $442.17 53% below 30%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE $494.84 $706.92 $252.60 50% below 30%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $776.63 $1,109.47 $412.55 52% below 30%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE $423.01 $604.30 $246.80 60% below 30%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $1,562.20 $2,231.71 $246.80 46% above 30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE $624.98 $892.83 $414.45 62% below 30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST $776.63 $1,109.47 $414.45 53% below 30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST $494.84 $706.92 $246.80 51% below 30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST $776.63 $1,109.47 $415.20 52% below 30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST $1,562.20 $2,231.71 $246.43 56% above 30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE $776.63 $1,109.47 $441.78 49% below 30%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST $494.84 $706.92 $299.44 50% below 30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE $1,563.30 $2,233.29 $299.44 58% above 30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE $494.84 $706.92 $258.66 59% below 30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT $2,283.62 $3,262.32 $482.86 4% above 30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT $2,867.55 $4,096.50 $482.86 30% above 30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED $222.02 $317.17 $50.78 13% below 30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE $301.10 $430.14 $111.85 17% below 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS $301.10 $430.14 $144.12 7% below 30%
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 $271.10 $387.29 $126.72 12% below 30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) $222.02 $317.17 $86.91 28% below 30%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD $194.60 $278.00 $140.13 — 30%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER $183.51 $262.15 $33.90 9% below 30%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM $2,111.41 $3,016.30 $590.40 1% above 30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT $1,114.06 $1,591.52 $279.92 2% below 30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE $2,091.96 $2,988.52 $279.92 85% above 30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION $371.05 $530.07 $130.64 10% above 30%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB $301.10 $430.14 $124.04 13% below 30%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS $240.90 $344.14 $99.70 13% below 30%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE $301.10 $430.14 $124.55 29% below 30%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM $301.07 $430.10 $107.31 15% below 30%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM $301.10 $430.14 $107.31 15% below 30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK $301.10 $430.14 $116.58 4% below 30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $371.05 $530.07 $126.55 12% below 30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY $301.10 $430.14 $143.71 14% below 30%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST $183.51 $262.15 $39.52 4% below 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS $183.51 $262.15 $45.82 at median 30%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW $183.51 $262.15 $29.71 9% below 30%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE $183.51 $262.15 $32.08 15% above 30%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) $183.51 $262.15 $36.24 16% above 30%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT $183.51 $262.15 $28.11 10% above 30%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT $183.51 $262.15 $33.70 2% above 30%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND $183.51 $262.15 $35.68 9% below 30%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 $183.51 $262.15 $33.68 at median 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS $222.02 $317.17 $39.44 16% below 30%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $222.02 $317.17 $50.23 20% below 30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS $222.02 $317.17 $33.69 10% above 30%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES $183.51 $262.15 $37.28 9% below 30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS $183.51 $262.15 $39.13 9% below 30%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS $222.02 $317.17 $29.40 at median 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS $183.51 $262.15 $31.85 9% below 30%

Lab tests

ProcedureCash price List priceInsurers payvs New YorkOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL $9.28 $13.25 $3.52 60% below 30%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL $9.07 $12.95 $3.45 64% below 30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $7.14 $10.20 $3.47 55% below 30%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH $9.38 $13.40 $3.47 41% below 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT $22.67 $32.38 $8.64 52% below 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $36.75 $52.50 $8.64 22% below 30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER $21.16 $30.23 $8.06 52% below 30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $32.80 $46.86 $8.06 25% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE $55.93 $79.90 $26.16 54% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL $69.60 $99.43 $26.16 43% below 30%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $14.81 $21.16 $5.64 76% below 30%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA $14.84 $21.20 $5.64 76% below 30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $89.67 $128.10 $64.48 50% below 30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY $192.72 $275.31 $64.48 7% above 30%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE $18.06 $25.80 $6.88 74% below 30%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA $61.41 $87.73 $6.88 12% below 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE $15.46 $22.08 $2.00 2% below 30%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL $6.88 $9.83 $2.62 62% below 30%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT $16.73 $23.90 $2.62 7% below 30%
Blood lead test CPT 83655 ASSAY OF LEAD $21.63 $30.90 $8.07 50% below 30%
Blood lead test CPT 83655 LEAD LEVEL $48.20 $68.86 $8.07 12% above 30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS $13.16 $18.80 $5.01 63% below 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION $19.80 $28.29 $3.45 33% below 30%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 $15.82 $22.60 $13.87 79% below 30%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 $50.80 $72.57 $13.87 33% below 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 $36.42 $52.03 $13.87 56% below 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 $86.31 $123.30 $13.87 5% above 30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB $62.30 $89.00 $52.60 46% below 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE $23.70 $33.86 $23.38 73% below 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE $378.72 $541.03 $23.38 338% above 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $23.44 $33.48 $8.92 68% below 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $23.94 $34.20 $8.92 67% below 30%
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 $13.59 $19.42 $5.18 67% below 30%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC $25.80 $36.86 $5.18 38% below 30%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $11.33 $16.18 $4.31 63% below 30%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $21.90 $31.29 $4.31 29% below 30%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $18.48 $26.40 $7.03 80% below 30%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL $165.90 $237.00 $7.03 76% above 30%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE $102.50 $146.43 $6.79 177% above 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL $23.38 $33.40 $14.82 76% below 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE $75.60 $108.00 $14.82 22% below 30%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) $12.74 $18.20 $18.61 87% below 30%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL $189.70 $271.00 $18.61 88% above 30%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL $32.52 $46.45 $12.38 57% below 30%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) $33.25 $47.50 $12.38 56% below 30%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL $241.21 $344.58 $13.08 125% above 30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL $23.86 $34.08 $9.08 64% below 30%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM $24.22 $34.60 $9.79 61% below 30%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM $25.40 $36.29 $9.79 59% below 30%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE $13.58 $19.40 $11.29 85% below 30%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) $87.10 $124.43 $11.29 2% below 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE $15.79 $22.55 $6.01 75% below 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE $60.80 $86.86 $6.01 4% below 30%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE $19.60 $28.00 $16.98 79% below 30%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE $64.80 $92.57 $16.98 30% below 30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST $8.31 $11.87 $3.17 61% below 30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE $16.20 $23.14 $3.17 24% below 30%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS $58.10 $83.00 $8.59 3% below 30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) $83.00 $118.57 $8.59 38% above 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE $62.58 $89.40 $23.38 38% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB $118.30 $169.00 $23.38 17% above 30%
H. pylori antibody blood test CPT 86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI (GASTROINTESTINAL BACTERIA) $7.70 $11.00 $11.22 85% below 30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY $17.50 $25.00 $11.22 67% below 30%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL $33.50 $47.86 $9.58 47% below 30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ $133.84 $191.20 $56.70 43% below 30%
HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS $36.10 $51.57 $9.13 37% below 30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY $37.00 $52.86 $9.13 35% below 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES $42.14 $60.20 $16.04 48% below 30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT $58.56 $83.65 $23.38 34% below 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C $9.10 $13.00 $6.46 78% below 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL $44.70 $63.86 $6.46 8% above 30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT $18.80 $26.85 $7.15 56% below 30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $33.74 $48.20 $7.15 22% below 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN $17.50 $25.00 $6.88 53% below 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $30.59 $43.70 $6.88 18% below 30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST $76.40 $109.14 $9.51 28% above 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ $192.15 $274.50 $28.55 45% above 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION $198.80 $284.00 $28.55 50% above 30%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 $12.43 $17.75 $8.79 69% below 30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST $16.73 $23.90 $8.79 58% below 30%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 $21.15 $30.22 $12.90 64% below 30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST $34.51 $49.30 $12.90 42% below 30%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY $30.85 $44.07 $8.64 35% below 30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS $73.08 $104.40 $8.64 54% above 30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL $20.93 $29.90 $11.94 73% below 30%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE $197.90 $282.71 $11.94 158% above 30%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL $39.40 $56.29 $7.62 16% below 30%
Insulin blood test CPT 83525 ASSAY OF INSULIN $152.88 $218.40 $7.62 227% above 30%
Iron blood test (serum iron) CPT 83540 IRON LEVEL $11.33 $16.18 $4.31 63% below 30%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $15.30 $21.85 $5.83 63% below 30%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL $45.20 $64.57 $5.78 32% below 30%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) $30.90 $44.14 $12.34 60% below 30%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL $32.41 $46.30 $12.34 58% below 30%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE $11.55 $16.50 $4.60 66% below 30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL $12.06 $17.23 $4.60 65% below 30%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL $78.40 $112.00 $5.44 6% above 30%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY $28.51 $40.73 $11.35 38% below 30%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $34.30 $49.00 $11.35 25% below 30%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $7.63 $10.90 $4.47 74% below 30%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $11.73 $16.75 $4.47 60% below 30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $13.75 $19.64 $8.59 70% below 30%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) $35.00 $50.00 $8.59 23% below 30%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) $30.70 $43.86 $3.45 18% below 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE $32.18 $45.97 $12.25 46% below 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE $32.19 $45.98 $12.25 46% below 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL $32.19 $45.98 $12.25 51% below 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $61.60 $88.00 $12.25 6% below 30%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING $37.82 $54.03 $17.74 41% below 30%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO $39.20 $56.00 $17.74 39% below 30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $34.60 $49.43 $13.50 53% below 30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL $72.24 $103.20 $27.50 47% below 30%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE $100.40 $143.43 $27.50 26% below 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $10.78 $15.40 $4.01 64% below 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $28.50 $40.71 $4.01 4% below 30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY $1,328.34 $1,897.63 $505.79 39% above 30%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL $21.98 $31.40 $13.90 75% below 30%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE $36.51 $52.15 $13.90 59% below 30%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN $28.07 $40.10 $12.92 61% below 30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $22.40 $32.00 $2.86 18% above 30%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME $22.60 $32.29 $2.86 19% above 30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION $22.05 $31.50 $8.39 37% below 30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS $35.39 $50.56 $8.39 2% above 30%
Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS $28.97 $41.38 $11.03 29% below 30%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $32.48 $46.40 $11.03 20% below 30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT $10.15 $14.50 $3.79 63% below 30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL $30.70 $43.86 $3.79 12% above 30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $16.94 $24.20 $9.58 60% below 30%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) $25.19 $35.98 $9.58 41% below 30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED $4.73 $6.75 $1.81 81% below 30%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES $15.58 $22.25 $5.94 60% below 30%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $46.90 $67.00 $5.94 21% above 30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS $7.67 $10.95 $2.92 49% below 30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL $14.54 $20.77 $10.62 68% below 30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST $5.81 $8.30 $2.85 68% below 30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL $29.54 $42.20 $2.85 60% above 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE $69.44 $99.20 $41.30 54% below 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON $76.30 $109.00 $41.30 49% below 30%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE $12.74 $18.20 $17.20 85% below 30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL $45.17 $64.53 $17.20 48% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT $16.59 $23.70 $9.70 67% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $37.20 $53.14 $9.70 26% below 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $29.40 $42.00 $11.19 63% below 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $59.15 $84.50 $11.19 25% below 30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $46.84 $66.92 $23.38 36% below 30%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE $49.13 $70.18 $23.38 33% below 30%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD $7.91 $11.30 $3.01 66% below 30%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $12.00 $17.14 $2.11 59% below 30%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST $8.20 $11.71 $1.49 52% below 30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST $6.09 $8.70 $2.31 48% below 30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE $6.79 $9.70 $2.31 42% below 30%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT $14.12 $20.17 $5.38 67% below 30%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE $14.13 $20.18 $5.38 67% below 30%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $36.20 $51.71 $5.74 17% above 30%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL $25.40 $36.29 $10.05 60% below 30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $26.39 $37.70 $10.05 59% below 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $35.28 $50.40 $19.73 60% below 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL $50.26 $71.80 $19.73 44% below 30%
Zinc blood test CPT 84630 ASSAY OF ZINC $11.27 $16.10 $7.59 67% below 30%
Zinc blood test CPT 84630 ZINC LEVEL $27.40 $39.14 $7.59 21% below 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST $26.81 $38.30 $10.03 56% below 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL $53.90 $77.00 $10.03 12% below 30%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New YorkOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT $1,004.50 $1,435.00 $191.16 1% above 30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO $476.22 $680.32 $361.64 4% below 30%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $2,418.50 $3,455.00 $674.48 95% above 30%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,418.50 $3,455.00 $650.13 123% above 30%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,205.00 $3,150.00 $502.99 100% above 30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $157.50 $225.00 $15.41 56% above 30%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX $124.70 $178.14 $51.96 at median 30%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI $134.00 $191.43 $51.96 7% above 30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING $280.00 $400.00 $102.23 36% below 30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC $1,396.54 $1,995.05 $284.63 53% above 30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE $1,575.00 $2,250.00 $284.63 73% above 30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $1,840.70 $2,629.57 $190.78 2% above 30%
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 $6,804.00 $9,720.00 $336.69 63% above 30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,047.50 $2,925.00 $232.15 90% above 30%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $7,686.00 $10,980.00 $722.04 275% above 30%
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 $4,956.00 $7,080.00 $785.04 25% below 30%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP $4,147.50 $5,925.00 $652.69 28% above 30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY $268.00 $382.86 $219.64 4% above 30%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS $203.00 $290.00 $130.70 44% below 30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE $404.30 $577.57 $130.70 11% above 30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT $598.13 $854.47 $58.53 46% above 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT $428.00 $611.43 $66.49 17% above 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $598.13 $854.47 $66.49 64% above 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $598.13 $854.47 $56.04 71% above 30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US $598.13 $854.47 $53.90 71% above 30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE $5,481.00 $7,830.00 $749.69 52% above 30%
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 $417.90 $597.00 $275.55 25% below 30%
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/< $805.25 $1,150.35 $275.55 45% above 30%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC $1,396.54 $1,995.05 $280.63 at median 30%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $1,522.50 $2,175.00 $280.63 9% above 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $1,840.70 $2,629.57 $262.32 46% above 30%
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/< $235.00 $335.71 $151.22 74% below 30%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL $210.70 $301.00 $121.76 26% below 30%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE $404.30 $577.57 $121.76 43% above 30%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $516.00 $737.14 $327.32 58% below 30%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE $1,830.61 $2,615.15 $327.32 48% above 30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED $442.05 $631.50 $171.74 24% below 30%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE $265.60 $379.43 $167.25 52% below 30%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL $805.25 $1,150.35 $167.25 45% above 30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,152.50 $3,075.00 $352.01 100% above 30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $2,100.00 $3,000.00 $351.74 95% above 30%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST $542.33 $774.75 $94.68 73% above 30%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT $124.70 $178.14 $70.66 33% below 30%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT $257.96 $368.52 $70.66 39% above 30%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST $542.33 $774.75 $88.70 63% above 30%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $154.00 $220.00 $78.57 20% below 30%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT $318.20 $454.57 $78.57 66% above 30%
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 $207.00 $295.71 $97.80 27% below 30%
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/< $404.30 $577.57 $97.80 42% above 30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< $152.00 $217.14 $134.00–$1,457.50 — 30%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH $2,835.00 $4,050.00 $136.00 400% above 30%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS $2,415.00 $3,450.00 $97.12 735% above 30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR $1,396.54 $1,995.05 $152.02 48% above 30%
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 $291.10 $415.86 $119.07 16% below 30%
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 $404.30 $577.57 $119.07 17% above 30%
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 $149.00 $212.86 $119.45 51% below 30%
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/< $404.30 $577.57 $119.45 33% above 30%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING $1,268.65 $1,812.35 $337.10 3% above 30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL $95.00 $135.71 $60.94 73% below 30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG $3,274.12 $4,677.32 $654.99 17% above 30%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,764.00 $2,520.00 $477.31 55% above 30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION $468.30 $669.00 $515.83 58% below 30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE $2,359.00 $3,370.00 $515.83 113% above 30%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT $3,990.00 $5,700.00 $412.93 81% above 30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< $396.30 $566.14 $135.12 45% below 30%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT $713.30 $1,019.00 $38.96 2% below 30%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS $876.65 $1,252.35 $38.96 20% above 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT $430.72 $615.32 $17.84 92% above 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION $430.72 $615.32 $134.00–$1,457.50 — 30%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR $430.50 $615.00 $339.41 72% below 30%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES $1,792.00 $2,560.00 $339.41 16% above 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $152.90 $218.43 $8.28 6% above 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY $179.28 $256.12 $27.53 24% above 30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY $330.27 $471.82 $53.01 5% above 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM $185.99 $265.70 $79.41 59% below 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $576.18 $823.12 $79.41 27% above 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $894.43 $1,277.75 $145.46 34% above 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $1,297.14 $1,853.05 $211.25 52% above 30%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) $312.00 $445.71 $42.10 46% below 30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST $646.10 $923.00 $42.10 12% above 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT $65.00 $92.86 $39.93 81% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES $432.85 $618.35 $39.93 24% above 30%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT $121.00 $172.86 $77.84 68% below 30%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS $432.85 $618.35 $77.84 15% above 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE $142.25 $203.22 $15.91 69% above 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Trulicity $325.26 $464.65 $15.91 286% above 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $325.26 $464.65 $15.91 286% above 30%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION $63.80 $91.14 $27.87 24% below 30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $35.00 $50.00 $130.72 82% below 30%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN $192.50 $275.00 $130.72 2% below 30%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN $192.50 $275.00 $134.00–$1,457.50 — 30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $35.00 $50.00 $200.00 88% below 30%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN $289.10 $413.00 $134.00–$1,457.50 — 30%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN $381.50 $545.00 $134.00–$1,457.50 — 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES $35.00 $50.00 $51.26 78% below 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN $124.60 $178.00 $51.26 21% below 30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN $124.60 $178.00 $134.00–$1,457.50 — 30%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN $135.00 $192.86 $86.22 21% below 30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN $140.00 $200.00 $86.22 51% below 30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN $140.00 $200.00 $86.22 22% below 30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN $140.00 $200.00 $86.22 42% below 30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS $72.90 $104.14 $22.35 12% below 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES $61.10 $87.29 $24.28 25% below 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $183.31 $261.87 $24.28 124% above 30%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 $3,051.49 $4,359.27 $162.29 1424% above 30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN $57.96 $82.80 $18.83 37% above 30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES $35.00 $50.00 $176.46 85% below 30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN $311.50 $445.00 $134.00–$1,457.50 — 30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $35.00 $50.00 $51.26 79% below 30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN $157.50 $225.00 $51.26 7% below 30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN $157.50 $225.00 $134.00–$1,457.50 — 30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $35.00 $50.00 $131.27 82% below 30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN $222.60 $318.00 $134.00–$1,457.50 — 30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES $35.00 $50.00 $51.26 73% below 30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN $96.60 $138.00 $51.26 25% below 30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN $96.60 $138.00 $134.00–$1,457.50 — 30%
Speech and language evaluation CPT 92523 EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION $351.70 $502.43 $254.16 10% below 30%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER $168.30 $240.43 $91.29 7% below 30%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV $192.10 $274.43 $91.29 6% above 30%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME $315.46 $450.65 $34.23 36% above 30%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION $633.85 $905.50 $54.73 69% above 30%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES $66.50 $95.00 $30.62 29% below 30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM $91.60 $130.86 $118.16 57% below 30%

Vaccines

ProcedureCash price List priceInsurers payvs New YorkOff list
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM $80.01 $114.30 $134.00–$1,457.50 — 30%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax 2023-2024 Formula $200.03 $285.75 $134.00–$1,457.50 — 30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM $23.07 $32.95 $2,755.78 26% below 30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Quadrivalent $23.07 $32.95 $2,755.78 26% below 30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2024-2025 Formula PFS $32.27 $46.10 $2,755.78 4% above 30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS $33.90 $48.43 $2,755.78 9% above 30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix $128.18 $183.12 $2,755.78 39% below 30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM $128.18 $183.12 $2,755.78 39% below 30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM $32.62 $46.60 $2,755.78 60% below 30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax HB $66.02 $94.31 $2,755.78 19% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2023-2024 Formula $44.60 $63.71 $2,755.78 60% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM $44.60 $63.71 $2,755.78 60% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula $45.77 $65.38 $2,755.78 59% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula $47.66 $68.09 $2,755.78 57% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2015-2016 Formula $50.27 $71.81 $2,755.78 55% below 30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC $21.00 $30.00 $2,755.78 81% below 30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II $155.67 $222.38 $2,755.78 43% above 30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra $311.42 $444.89 $2,755.78 60% above 30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM $311.42 $444.89 $2,755.78 60% above 30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM $453.05 $647.22 $2,755.78 6% above 30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 $453.05 $647.22 $2,755.78 6% above 30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 $178.75 $255.35 $2,755.78 26% above 30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM $178.75 $255.35 $2,755.78 26% above 30%
Rabies vaccine, one dose CPT 90675 RabAvert $597.24 $853.20 $2,755.78 24% above 30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM $625.11 $893.02 $2,755.78 30% above 30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM $42.91 $61.30 $2,755.78 23% below 30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac $55.78 $79.68 $2,755.78 at median 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM $72.64 $103.77 $2,755.78 29% above 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel $77.95 $111.35 $2,755.78 39% above 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix $83.83 $119.75 $2,755.78 49% above 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE $142.25 $203.22 $22.27 92% above 30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF VACCINE $13.72 $19.60 $134.00–$1,457.50 — 30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD $45.20 $64.57 $17.07 42% above 30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE $111.20 $158.86 $17.07 248% above 30%

Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/4be8e5d7452bc47c57cfa9afaa2bec25/charges/mrf