Hospital Houston-Pasadena-The Woodlands, TX

Memorial Hermann Greater Heights Hospital

Memorial Hermann Greater Heights Hospital in Houston, TX publishes cash prices for 296 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 167 of 290 procedures and above it for 95. By typical cash price it ranks #70 of 240 Texas hospitals and #6 of 54 hospitals in the Houston, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1431 STUDEMONT ST, Houston, TX 77008 Collected Sep 27, 2026 Source price file

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 Memorial Hermann Greater Heights Hospital in Houston, TX:

Jul 27, 2022 Warning notice
Nov 4, 2022 Case closed
Mar 13, 2024 Warning notice
Jun 17, 2024 Corrective action plan requested
Jul 30, 2024 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.

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 Texas	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT	$398.80	$1,246.25	—	12% above	68%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT	$398.80	$1,246.25	—	—	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT	$709.28	$2,216.50	—	1% above	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT	$709.28	$2,216.50	—	—	68%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW	$558.08	$1,744.00	—	11% above	68%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW	$558.08	$1,744.00	—	—	68%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY	$1,366.96	$4,271.75	—	25% below	68%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY	$1,366.96	$4,271.75	—	—	68%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE	$1,105.68	$3,455.25	—	150% above	68%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE	$1,105.68	$3,455.25	—	—	68%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED	$715.28	$2,235.25	—	107% above	68%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED	$715.28	$2,235.25	—	—	68%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	$1,476.56	$4,614.25	—	55% below	68%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	$1,476.56	$4,614.25	—	—	68%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT CCTA HEART W WO CONT CORONARIES & FUNCT	$1,667.92	$5,212.25	—	at median	68%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT CCTA HEART W WO CONT CORONARIES & FUNCT	$1,667.92	$5,212.25	—	—	68%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	$490.88	$1,534.00	—	138% above	68%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	$490.88	$1,534.00	—	—	68%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$2,688.48	$8,401.50	—	20% below	68%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$2,688.48	$8,401.50	—	—	68%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,033.20	$9,478.75	—	22% below	68%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,033.20	$9,478.75	—	—	68%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	$3,788.24	$11,838.25	—	9% below	68%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	$3,788.24	$11,838.25	—	—	68%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	$2,668.40	$8,338.75	—	at median	68%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	$2,668.40	$8,338.75	—	—	68%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	$2,015.84	$6,299.50	—	6% below	68%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	$2,015.84	$6,299.50	—	—	68%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST	$1,308.48	$4,089.00	—	23% below	68%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST	$1,308.48	$4,089.00	—	—	68%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN W/O CON	$1,026.88	$3,209.00	—	47% below	68%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,026.88	$3,209.00	—	47% below	68%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,026.88	$3,209.00	—	—	68%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN W/O CON	$1,026.88	$3,209.00	—	—	68%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$1,242.24	$3,882.00	—	39% below	68%
CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$1,242.24	$3,882.00	—	—	68%
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$1,443.60	$4,511.25	—	38% below	68%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$1,443.60	$4,511.25	—	—	68%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$1,577.92	$4,931.00	—	30% below	68%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$1,577.92	$4,931.00	—	—	68%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$1,260.72	$3,939.75	—	40% below	68%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$1,260.72	$3,939.75	—	—	68%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$1,986.72	$6,208.50	—	12% below	68%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$1,986.72	$6,208.50	—	—	68%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL,BILAT	$1,139.84	$3,562.00	—	—	68%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL,BILAT	$1,139.84	$3,562.00	—	—	68%
Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$389.28	$1,216.50	—	6% below	68%
Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$389.28	$1,216.50	—	—	68%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$323.92	$1,012.25	—	7% below	68%
Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$323.92	$1,012.25	—	—	68%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RETROPERITONEUM	$738.32	$2,307.25	—	1% below	68%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RETROPERITONEUM	$738.32	$2,307.25	—	—	68%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DXA DUAL ENERGY	$311.28	$972.75	—	25% below	68%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DXA AXIAL SKELET	$311.28	$972.75	—	25% below	68%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DXA AXIAL SKELET	$311.28	$972.75	—	—	68%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DXA DUAL ENERGY	$311.28	$972.75	—	—	68%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	$1,130.96	$3,534.25	—	33% above	68%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	$1,130.96	$3,534.25	—	—	68%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST	$1,251.84	$3,912.00	—	36% below	68%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST	$1,251.84	$3,912.00	—	—	68%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	$1,513.44	$4,729.50	—	33% below	68%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	$1,513.44	$4,729.50	—	—	68%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$153.20	$478.75	—	—	68%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$153.20	$478.75	—	—	68%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$145.92	$456.00	—	46% below	68%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$145.92	$456.00	—	—	68%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX	$953.68	$2,980.25	—	—	68%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX	$953.68	$2,980.25	—	—	68%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VASC DUPLEX EXTREM VENOUS,BILAT	$1,222.72	$3,821.00	—	—	68%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VASC DUPLEX EXTREM VENOUS,BILAT	$1,222.72	$3,821.00	—	—	68%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,776.32	$5,551.00	—	31% below	68%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,776.32	$5,551.00	—	—	68%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION	$1,297.04	$4,053.25	—	23% below	68%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION	$1,297.04	$4,053.25	—	—	68%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED	$458.64	$1,433.25	—	39% below	68%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED	$458.64	$1,433.25	—	—	68%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC COMPLEX POLYSOM W INIT OF CPAP REDUCED	$1,021.44	$3,192.00	—	79% below	68%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC COMPLEX POLYSOM W INIT OF CPAP	$1,702.32	$5,319.75	—	64% below	68%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC COMPLEX POLYSOM W INIT OF CPAP REDUCED	$1,021.44	$3,192.00	—	—	68%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC COMPLEX POLYSOM W INIT OF CPAP	$1,702.32	$5,319.75	—	—	68%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$630.96	$1,971.75	—	81% above	68%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$630.96	$1,971.75	—	—	68%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	$824.48	$2,576.50	—	23% above	68%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	$824.48	$2,576.50	—	—	68%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR C-	$1,425.36	$4,454.25	—	493% above	68%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR C-	$1,425.36	$4,454.25	—	—	68%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILATERAL W/O-W	$1,791.92	$5,599.75	—	—	68%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILATERAL W/O-W	$1,791.92	$5,599.75	—	—	68%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$1,610.16	$5,031.75	—	25% below	68%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MR LOWER EXT JOINT WO IV CONT	$1,610.16	$5,031.75	—	—	68%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXT JOINT W AND WO IV CONTRAST	$1,963.60	$6,136.25	—	35% below	68%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXT JOINT W AND WO IV CONTRAST	$1,963.60	$6,136.25	—	—	68%
MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$1,506.24	$4,707.00	—	34% below	68%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$1,506.24	$4,707.00	—	—	68%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST	$2,069.84	$6,468.25	—	37% below	68%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST	$2,069.84	$6,468.25	—	—	68%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$1,312.32	$4,101.00	—	40% below	68%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$1,312.32	$4,101.00	—	—	68%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$2,093.20	$6,541.25	—	31% below	68%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$2,093.20	$6,541.25	—	—	68%
MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,515.12	$4,734.75	—	34% below	68%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,515.12	$4,734.75	—	—	68%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST	$2,175.68	$6,799.00	—	32% below	68%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST	$2,175.68	$6,799.00	—	—	68%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST	$1,633.28	$5,104.00	—	24% below	68%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST	$1,633.28	$5,104.00	—	—	68%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$2,509.52	$7,842.25	—	23% below	68%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$2,509.52	$7,842.25	—	—	68%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST	$1,715.60	$5,361.25	—	28% below	68%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST	$1,715.60	$5,361.25	—	—	68%
MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST	$2,055.12	$6,422.25	—	39% below	68%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST	$2,055.12	$6,422.25	—	—	68%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST	$1,641.36	$5,129.25	—	34% below	68%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST	$1,641.36	$5,129.25	—	—	68%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, JOINT UPPER EXTREM - MR UPPER EXT WO IV CONTRAST	$1,362.24	$4,257.00	—	24% below	68%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, JOINT UPPER EXTREM - MR UPPER EXT WO IV CONTRAST	$1,362.24	$4,257.00	—	—	68%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYO-REG SPEC W/WO STRESS MULTI	$4,005.76	$12,518.00	—	8% below	68%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYO-REG SPEC W/WO STRESS MULTI	$4,005.76	$12,518.00	—	—	68%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH	$4,119.92	$12,874.75	—	9% below	68%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH	$4,119.92	$12,874.75	—	—	68%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED	$721.28	$2,254.00	—	39% above	68%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED	$721.28	$2,254.00	—	—	68%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS	$1,009.04	$3,153.25	—	17% above	68%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS	$1,009.04	$3,153.25	—	—	68%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$917.76	$2,868.00	—	39% above	68%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$917.76	$2,868.00	—	—	68%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	$833.60	$2,605.00	—	26% above	68%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	$833.60	$2,605.00	—	—	68%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$767.20	$2,397.50	—	56% above	68%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$767.20	$2,397.50	—	—	68%
Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$144.16	$450.50	—	—	68%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$144.16	$450.50	—	—	68%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$439.20	$1,372.50	—	43% above	68%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$439.20	$1,372.50	—	—	68%
Sleep study in a lab (polysomnography) CPT 95810 HC COMPLEX POLYSOMNOGRAPH-REDUCED	$1,106.80	$3,458.75	—	76% below	68%
Sleep study in a lab (polysomnography) CPT 95810 HC COMPLEX POLYSOMNOGRAPHY	$1,571.36	$4,910.50	—	66% below	68%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC COMPLEX POLYSOMNOGRAPH-REDUCED	$1,106.80	$3,458.75	—	—	68%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC COMPLEX POLYSOMNOGRAPHY	$1,571.36	$4,910.50	—	—	68%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO WITH MD	$3,144.64	$9,827.00	—	16% above	68%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO WITH MD	$3,144.64	$9,827.00	—	—	68%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH	$482.56	$1,508.00	—	20% below	68%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH	$482.56	$1,508.00	—	—	68%
Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL	$757.04	$2,365.75	—	14% above	68%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL	$757.04	$2,365.75	—	—	68%
Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$1,142.64	$3,570.75	—	94% above	68%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$1,142.64	$3,570.75	—	—	68%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,177.60	$3,680.00	—	36% above	68%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,177.60	$3,680.00	—	—	68%
Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM	$904.16	$2,825.50	—	21% above	68%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM	$904.16	$2,825.50	—	—	68%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE	$706.08	$2,206.50	—	9% above	68%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE	$706.08	$2,206.50	—	—	68%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$736.56	$2,301.75	—	at median	68%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$736.56	$2,301.75	—	—	68%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC VASC DUPLEX EXTREM VENOUS,UNI OR LTD	$1,034.16	$3,231.75	—	29% above	68%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC VASC DUPLEX EXTREM VENOUS,UNI OR LTD	$1,034.16	$3,231.75	—	—	68%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$385.04	$1,203.25	—	7% above	68%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$385.04	$1,203.25	—	—	68%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT	$551.52	$1,723.50	—	36% above	68%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT	$551.52	$1,723.50	—	—	68%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	$332.00	$1,037.50	—	2% below	68%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	$332.00	$1,037.50	—	—	68%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$300.48	$939.00	—	4% above	68%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$300.48	$939.00	—	—	68%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT	$289.92	$906.00	—	20% above	68%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT	$289.92	$906.00	—	—	68%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$337.76	$1,055.50	—	1% above	68%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$337.76	$1,055.50	—	—	68%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$389.76	$1,218.00	—	5% above	68%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$389.76	$1,218.00	—	—	68%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$396.16	$1,238.00	—	3% above	68%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$396.16	$1,238.00	—	—	68%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$294.56	$920.50	—	6% above	68%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$294.56	$920.50	—	—	68%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	$443.92	$1,387.25	—	6% below	68%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	$443.92	$1,387.25	—	—	68%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$744.48	$2,326.50	—	14% above	68%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$744.48	$2,326.50	—	—	68%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$470.64	$1,470.75	—	16% above	68%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$470.64	$1,470.75	—	—	68%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$331.76	$1,036.75	—	14% above	68%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$331.76	$1,036.75	—	—	68%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	$374.00	$1,168.75	—	at median	68%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	$374.00	$1,168.75	—	—	68%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$301.84	$943.25	—	19% below	68%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$301.84	$943.25	—	—	68%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	$346.16	$1,081.75	—	6% above	68%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	$346.16	$1,081.75	—	—	68%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC RL TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$135.28	$422.75	—	130% above	68%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$142.08	$444.00	—	142% above	68%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC RL TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$135.28	$422.75	—	—	68%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$142.08	$444.00	—	—	68%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC RL TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$120.32	$376.00	—	105% above	68%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$126.32	$394.75	—	115% above	68%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC RL TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$120.32	$376.00	—	—	68%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$126.32	$394.75	—	—	68%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC RL HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	$167.92	$524.75	—	57% below	68%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC RL HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	$167.92	$524.75	—	—	68%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RL ALLERGEN SPECIFIC IGE QUANT EA	$42.48	$132.75	—	66% above	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RL ALLERGEN SPECIFIC IGE QUANT EA	$42.48	$132.75	—	—	68%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC RL CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$38.40	$120.00	—	25% below	68%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC RL CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$38.40	$120.00	—	—	68%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC RL ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$125.52	$392.25	—	22% above	68%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC RL ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$125.52	$392.25	—	—	68%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE PROBNP	$82.64	$258.25	—	58% below	68%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$85.76	$268.00	—	56% below	68%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE PROBNP	$82.64	$258.25	—	—	68%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$85.76	$268.00	—	—	68%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$183.28	$572.75	—	28% below	68%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$183.28	$572.75	—	—	68%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 PATH GROSS & MICRO	$308.16	$963.00	—	at median	68%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC RL LEVEL 4 PATH GROSS & MICRO	$308.16	$963.00	—	at median	68%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC RL LEVEL 4 PATH GROSS & MICRO	$308.16	$963.00	—	—	68%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 PATH GROSS & MICRO	$308.16	$963.00	—	—	68%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$36.32	$113.50	—	85% below	68%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$36.32	$113.50	—	—	68%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC FNE VENIPUNCTURE	$6.40	$20.00	—	69% below	68%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE P/DAY OUTPAT ONLY	$6.40	$20.00	—	69% below	68%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC FNE VENIPUNCTURE	$6.40	$20.00	—	—	68%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE P/DAY OUTPAT ONLY	$6.40	$20.00	—	—	68%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER	$3.84	$12.00	—	92% below	68%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM	$100.96	$315.50	—	105% above	68%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER	$3.84	$12.00	—	—	68%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM	$100.96	$315.50	—	—	68%
Blood lead test CPT 83655 HC RL ASSAY OF LEAD - LEAD BLOOD	$121.04	$378.25	—	138% above	68%
Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD	$127.12	$397.25	—	150% above	68%
Blood lead test inpatient CPT 83655 HC RL ASSAY OF LEAD - LEAD BLOOD	$121.04	$378.25	—	—	68%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD	$127.12	$397.25	—	—	68%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE SERUM	$190.32	$594.75	—	5% above	68%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE SERUM	$190.32	$594.75	—	—	68%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO TYPE	$67.36	$210.50	—	24% below	68%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC RL BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	$67.36	$210.50	—	24% below	68%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO TYPE	$67.36	$210.50	—	—	68%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC RL BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	$67.36	$210.50	—	—	68%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$58.24	$182.00	—	at median	68%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$58.24	$182.00	—	—	68%
C. difficile toxin gene test (stool PCR) CPT 87493 HC RL C DIFFICILE AMPLIFIED PROBE	$147.28	$460.25	—	24% below	68%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE AMPLIFIED PROBE	$154.64	$483.25	—	20% below	68%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC RL C DIFFICILE AMPLIFIED PROBE	$147.28	$460.25	—	—	68%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE AMPLIFIED PROBE	$154.64	$483.25	—	—	68%
CA 19-9 blood test (tumor marker) CPT 86301 HC RL IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	$95.52	$298.50	—	28% below	68%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC RL IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	$95.52	$298.50	—	—	68%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	$116.24	$363.25	—	28% below	68%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	$116.24	$363.25	—	—	68%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$120.96	$378.00	—	46% above	68%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$120.96	$378.00	—	—	68%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC RL CHLAMYDIA TRACH PCR AMPLIFIED	$124.24	$388.25	—	at median	68%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH AMP PROBE	$159.28	$497.75	—	28% above	68%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC RL CHLAMYDIA TRACH PCR AMPLIFIED	$124.24	$388.25	—	—	68%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH AMP PROBE	$159.28	$497.75	—	—	68%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC RL LIPID PANEL - BUNDLED CHARGE	$254.72	$796.00	—	5% above	68%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$267.44	$835.75	—	10% above	68%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC RL LIPID PANEL - BUNDLED CHARGE	$254.72	$796.00	—	—	68%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$267.44	$835.75	—	—	68%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$91.36	$285.50	—	3% below	68%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$91.36	$285.50	—	—	68%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC	$43.20	$135.00	—	59% below	68%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC	$43.20	$135.00	—	—	68%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$251.36	$785.50	—	31% below	68%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$251.36	$785.50	—	—	68%
D-dimer blood test (blood clot marker) CPT 85379 HC RL FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$169.76	$530.50	—	7% below	68%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$178.24	$557.00	—	3% below	68%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC RL FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$169.76	$530.50	—	—	68%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$178.24	$557.00	—	—	68%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC RL DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$146.40	$457.50	—	7% below	68%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC RL DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$146.40	$457.50	—	—	68%
Estradiol blood test CPT 82670 HC RL ASSAY OF ESTRADIOL - ESTRADIOL	$172.00	$537.50	—	13% above	68%
Estradiol blood test inpatient CPT 82670 HC RL ASSAY OF ESTRADIOL - ESTRADIOL	$172.00	$537.50	—	—	68%
FSH (follicle-stimulating hormone) test CPT 83001 HC RL GONADOTROPIN (FSH) - FSH	$188.32	$588.50	—	18% above	68%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC RL GONADOTROPIN (FSH) - FSH	$188.32	$588.50	—	—	68%
Fecal calprotectin (stool inflammation test) CPT 83993 HC RL CALPROTECTIN FECAL S/O	$64.08	$200.25	—	70% below	68%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC RL CALPROTECTIN FECAL S/O	$64.08	$200.25	—	—	68%
Ferritin blood test (iron stores) CPT 82728 HC RL ASSAY OF FERRITIN - FERRITIN	$103.44	$323.25	—	1% above	68%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$108.64	$339.50	—	6% above	68%
Ferritin blood test (iron stores) inpatient CPT 82728 HC RL ASSAY OF FERRITIN - FERRITIN	$103.44	$323.25	—	—	68%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$108.64	$339.50	—	—	68%
Folate (folic acid) blood test CPT 82746 HC RL BLOOD FOLIC ACID SERUM - FOLATE	$18.40	$57.50	—	78% below	68%
Folate (folic acid) blood test inpatient CPT 82746 HC RL BLOOD FOLIC ACID SERUM - FOLATE	$18.40	$57.50	—	—	68%
Free T3 thyroid hormone test CPT 84481 HC RL TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$56.48	$176.50	—	63% below	68%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$59.28	$185.25	—	61% below	68%
Free T3 thyroid hormone test inpatient CPT 84481 HC RL TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$56.48	$176.50	—	—	68%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$59.28	$185.25	—	—	68%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC RL THYROXINE FREE S/O	$43.76	$136.75	—	58% below	68%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$45.92	$143.50	—	55% below	68%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC RL THYROXINE FREE S/O	$43.76	$136.75	—	—	68%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$45.92	$143.50	—	—	68%
Free testosterone test CPT 84402 HC RL ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$114.80	$358.75	—	4% above	68%
Free testosterone test inpatient CPT 84402 HC RL ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$114.80	$358.75	—	—	68%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE	$357.84	$1,118.25	—	24% below	68%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE	$357.84	$1,118.25	—	—	68%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$96.72	$302.25	—	15% below	68%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$96.72	$302.25	—	—	68%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$233.68	$730.25	—	45% above	68%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPECIMENS	$233.68	$730.25	—	—	68%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC RL N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$155.44	$485.75	—	10% above	68%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$163.20	$510.00	—	15% above	68%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC RL N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$155.44	$485.75	—	—	68%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$163.20	$510.00	—	—	68%
H. pylori stool antigen test CPT 87338 HC RL IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$56.72	$177.25	—	30% below	68%
H. pylori stool antigen test inpatient CPT 87338 HC RL IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$56.72	$177.25	—	—	68%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC RL HIV1 RNA PCR QUANT TRANSPLANT	$81.76	$255.50	—	75% below	68%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV1 RNA PCR QUANT TRANSPLANT	$293.28	$916.50	—	10% below	68%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA PCR QUANT	$293.28	$916.50	—	10% below	68%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC RL HIV1 RNA PCR QUANT TRANSPLANT	$81.76	$255.50	—	—	68%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV1 RNA PCR QUANT TRANSPLANT	$293.28	$916.50	—	—	68%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA PCR QUANT	$293.28	$916.50	—	—	68%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 4TH GEN CONFIRMATION	$20.24	$63.25	—	79% below	68%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 4TH GEN CONFIRMATION	$20.24	$63.25	—	—	68%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC RL HIV-1 AG W/HIV-1 & 2 AB 4 GEN	$50.48	$157.75	—	65% below	68%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & 2 AB 4 GEN	$50.48	$157.75	—	65% below	68%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC CDC HIV 1 AG HIV 1&2 ANTIBODY	$62.72	$196.00	—	57% below	68%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC RL HIV-1 AG W/HIV-1 & 2 AB 4 GEN	$50.48	$157.75	—	—	68%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & 2 AB 4 GEN	$50.48	$157.75	—	—	68%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC CDC HIV 1 AG HIV 1&2 ANTIBODY	$62.72	$196.00	—	—	68%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC RL HUMAN PAPILLOMAVIRUS HIGH RISK	$54.00	$168.75	—	24% below	68%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC RL HUMAN PAPILLOMAVIRUS HIGH RISK	$54.00	$168.75	—	—	68%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC RL GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$44.64	$139.50	—	52% below	68%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$46.88	$146.50	—	49% below	68%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC RL GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$44.64	$139.50	—	—	68%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$46.88	$146.50	—	—	68%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC RL HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$34.64	$108.25	—	46% below	68%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC RL HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$34.64	$108.25	—	—	68%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC RL IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$53.12	$166.00	—	33% below	68%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC (STAT)HEPATITIS BSAG TRANSPLAN	$82.00	$256.25	—	4% above	68%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - ADDITIONAL CHARGE	$82.00	$256.25	—	4% above	68%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC RL IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$53.12	$166.00	—	—	68%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - ADDITIONAL CHARGE	$82.00	$256.25	—	—	68%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC (STAT)HEPATITIS BSAG TRANSPLAN	$82.00	$256.25	—	—	68%
Hepatitis C antibody blood test (screening) CPT 86803 HC RL HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$54.40	$170.00	—	37% below	68%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - ADDITIONAL CHARGE	$72.08	$225.25	—	17% below	68%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC RL HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$54.40	$170.00	—	—	68%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - ADDITIONAL CHARGE	$72.08	$225.25	—	—	68%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC RL HEPATITIS C RNA PCR QUANT	$401.04	$1,253.25	—	26% above	68%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA PCR TRANSPLANT	$493.84	$1,543.25	—	55% above	68%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC RL HEPATITIS C RNA PCR QUANT	$401.04	$1,253.25	—	—	68%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA PCR TRANSPLANT	$493.84	$1,543.25	—	—	68%
Herpes blood test, HSV-1 antibody CPT 86695 HC RL HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$90.16	$281.75	—	5% above	68%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$90.16	$281.75	—	5% above	68%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$90.16	$281.75	—	—	68%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC RL HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$90.16	$281.75	—	—	68%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$90.16	$281.75	—	at median	68%
Herpes blood test, HSV-2 antibody CPT 86696 HC RL HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$90.16	$281.75	—	at median	68%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$90.16	$281.75	—	—	68%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC RL HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$90.16	$281.75	—	—	68%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	$38.00	$118.75	—	52% below	68%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	$38.00	$118.75	—	—	68%
Homocysteine blood test CPT 83090 HC RL ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$181.52	$567.25	—	21% above	68%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$190.56	$595.50	—	27% above	68%
Homocysteine blood test inpatient CPT 83090 HC RL ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$181.52	$567.25	—	—	68%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$190.56	$595.50	—	—	68%
Insulin blood test CPT 83525 HC RL ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL	$89.04	$278.25	—	5% above	68%
Insulin blood test inpatient CPT 83525 HC RL ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL	$89.04	$278.25	—	—	68%
Iron blood test (serum iron) CPT 83540 HC RL ASSAY OF IRON - IRON	$32.96	$103.00	—	63% below	68%
Iron blood test (serum iron) inpatient CPT 83540 HC RL ASSAY OF IRON - IRON	$32.96	$103.00	—	—	68%
Iron-binding capacity (TIBC) test CPT 83550 HC RL IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	$17.76	$55.50	—	82% below	68%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC RL IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	$17.76	$55.50	—	—	68%
Kidney function blood test panel CPT 80069 HC RL RENAL FUNCTION PANEL - BUNDLED CHARGE	$52.40	$163.75	—	84% below	68%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$55.04	$172.00	—	83% below	68%
Kidney function blood test panel inpatient CPT 80069 HC RL RENAL FUNCTION PANEL - BUNDLED CHARGE	$52.40	$163.75	—	—	68%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$55.04	$172.00	—	—	68%
LH (luteinizing hormone) test CPT 83002 HC RL GONADOTROPIN (LH) - LUTEINIZING HORMONE	$204.72	$639.75	—	35% above	68%
LH (luteinizing hormone) test inpatient CPT 83002 HC RL GONADOTROPIN (LH) - LUTEINIZING HORMONE	$204.72	$639.75	—	—	68%
Lipase blood test (pancreas enzyme) CPT 83690 HC RL LIPASE S/O	$177.20	$553.75	—	80% above	68%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE	$186.08	$581.50	—	89% above	68%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC RL LIPASE S/O	$177.20	$553.75	—	—	68%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE	$186.08	$581.50	—	—	68%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$112.40	$351.25	—	61% below	68%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$112.40	$351.25	—	—	68%
Lyme disease antibody test CPT 86618 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	$43.68	$136.50	—	47% below	68%
Lyme disease antibody test inpatient CPT 86618 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	$43.68	$136.50	—	—	68%
Magnesium blood test CPT 83735 HC RL ASSAY OF MAGNESIUM - MAGNESIUM URINE	$16.00	$50.00	—	65% below	68%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$19.60	$61.25	—	57% below	68%
Magnesium blood test inpatient CPT 83735 HC RL ASSAY OF MAGNESIUM - MAGNESIUM URINE	$16.00	$50.00	—	—	68%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$19.60	$61.25	—	—	68%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG	$24.00	$75.00	—	9% below	68%
Measles (rubeola) antibody test CPT 86765 HC RL RUBEOLA - RUBEOLA ANTIBODY IGG	$24.00	$75.00	—	9% below	68%
Measles (rubeola) antibody test CPT 86765 HC RL RUBEOLA - RUBEOLA ANTIBODY, IGM	$50.64	$158.25	—	93% above	68%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG	$24.00	$75.00	—	—	68%
Measles (rubeola) antibody test inpatient CPT 86765 HC RL RUBEOLA - RUBEOLA ANTIBODY IGG	$24.00	$75.00	—	—	68%
Measles (rubeola) antibody test inpatient CPT 86765 HC RL RUBEOLA - RUBEOLA ANTIBODY, IGM	$50.64	$158.25	—	—	68%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	$66.32	$207.25	—	31% below	68%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	$66.32	$207.25	—	—	68%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE	$40.64	$127.00	—	64% below	68%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE	$40.64	$127.00	—	—	68%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL	$47.84	$149.50	—	42% below	68%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC RL PROSTATE SPECIFIC AG PSA TOTAL	$50.24	$157.00	—	39% below	68%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG TMC	$60.72	$189.75	—	27% below	68%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL	$47.84	$149.50	—	—	68%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC RL PROSTATE SPECIFIC AG PSA TOTAL	$50.24	$157.00	—	—	68%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC AG TMC	$60.72	$189.75	—	—	68%
Pap test (liquid-based, automated screening with review) CPT 88175 HC RL CYTOLOGY GYN AUTOMATED/REVIEW	$50.56	$158.00	—	31% below	68%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC RL CYTOLOGY GYN AUTOMATED/REVIEW	$50.56	$158.00	—	—	68%
Parathyroid hormone (PTH) blood test CPT 83970 HC RL ASSAY OF PARATHORMONE - PTH INTACT	$66.72	$208.50	—	70% below	68%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$70.08	$219.00	—	68% below	68%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC RL ASSAY OF PARATHORMONE - PTH INTACT	$66.72	$208.50	—	—	68%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$70.08	$219.00	—	—	68%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC RL THROMBOPLAS TIME PARTIAL - APTT	$21.60	$67.50	—	60% below	68%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$22.72	$71.00	—	57% below	68%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC RL THROMBOPLAS TIME PARTIAL - APTT	$21.60	$67.50	—	—	68%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$22.72	$71.00	—	—	68%
Progesterone blood test CPT 84144 HC RL ASSAY OF PROGESTERONE - PROGESTERONE	$139.92	$437.25	—	15% above	68%
Progesterone blood test inpatient CPT 84144 HC RL ASSAY OF PROGESTERONE - PROGESTERONE	$139.92	$437.25	—	—	68%
Prolactin blood test CPT 84146 HC RL ASSAY OF PROLACTIN - PROLACTIN	$135.92	$424.75	—	13% above	68%
Prolactin blood test inpatient CPT 84146 HC RL ASSAY OF PROLACTIN - PROLACTIN	$135.92	$424.75	—	—	68%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - ADDITIONAL CHARGE	$28.16	$88.00	—	40% below	68%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - POCT INR	$29.60	$92.50	—	37% below	68%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$29.60	$92.50	—	37% below	68%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - ADDITIONAL CHARGE	$28.16	$88.00	—	—	68%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - POCT INR	$29.60	$92.50	—	—	68%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$29.60	$92.50	—	—	68%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - POCT RAPID STREP A	$98.80	$308.75	—	8% below	68%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$103.76	$324.25	—	3% below	68%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - POCT RAPID STREP A	$98.80	$308.75	—	—	68%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$103.76	$324.25	—	—	68%
Rheumatoid factor (RF) test CPT 86431 HC RL RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$90.00	$281.25	—	62% above	68%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RL RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$90.00	$281.25	—	—	68%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$29.44	$92.00	—	25% below	68%
Rubella antibody test (immunity check) CPT 86762 HC RL RUBELLA - RUBELLA ANTIBODY, IGM	$29.44	$92.00	—	25% below	68%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RL RUBELLA - RUBELLA ANTIBODY, IGM	$29.44	$92.00	—	—	68%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$29.44	$92.00	—	—	68%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	$48.80	$152.50	—	27% below	68%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	$48.80	$152.50	—	—	68%
Stool ova and parasites exam CPT 87177 HC RL OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$18.40	$57.50	—	82% below	68%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITES CONC - ID	$243.20	$760.00	—	137% above	68%
Stool ova and parasites exam inpatient CPT 87177 HC RL OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$18.40	$57.50	—	—	68%
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES CONC - ID	$243.20	$760.00	—	—	68%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	$11.04	$34.50	—	75% below	68%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	$11.04	$34.50	—	—	68%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RPR	$56.24	$175.75	—	at median	68%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RL SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$56.24	$175.75	—	at median	68%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RL SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$56.24	$175.75	—	—	68%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RPR	$56.24	$175.75	—	—	68%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC RL TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST	$192.48	$601.50	—	13% below	68%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC RL TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST	$192.48	$601.50	—	—	68%
Testosterone blood test, total (not free testosterone) CPT 84403 HC RL ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$129.60	$405.00	—	4% above	68%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$136.08	$425.25	—	9% above	68%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC RL ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$129.60	$405.00	—	—	68%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$136.08	$425.25	—	—	68%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC RL MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$70.72	$221.00	—	28% below	68%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC RL MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$70.72	$221.00	—	—	68%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC RL ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$45.28	$141.50	—	65% below	68%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$47.52	$148.50	—	64% below	68%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC RL ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$45.28	$141.50	—	—	68%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$47.52	$148.50	—	—	68%
Trichomonas test (NAAT) CPT 87661 HC RL TRICHOMONAS VAGINALIS AMPLIF PROBE	$70.88	$221.50	—	19% below	68%
Trichomonas test (NAAT) inpatient CPT 87661 HC RL TRICHOMONAS VAGINALIS AMPLIF PROBE	$70.88	$221.50	—	—	68%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID	$90.88	$284.00	—	18% below	68%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID	$90.88	$284.00	—	—	68%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC FNE NEEDS UNIQUE CODE	$121.44	$379.50	—	4% above	68%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$121.44	$379.50	—	4% above	68%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC FNE NEEDS UNIQUE CODE	$121.44	$379.50	—	—	68%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$121.44	$379.50	—	—	68%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$67.36	$210.50	—	25% above	68%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$67.36	$210.50	—	—	68%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT URINALYSIS DIPSTICK	$114.08	$356.50	—	219% above	68%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT URINALYSIS DIPSTICK	$114.08	$356.50	—	—	68%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE W COLONY COUNT	$122.08	$381.50	—	14% below	68%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE W COLONY COUNT	$122.08	$381.50	—	—	68%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - POCT PREGNANCY, URINE	$16.00	$50.00	—	82% below	68%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$164.00	$512.50	—	82% above	68%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - POCT PREGNANCY, URINE	$16.00	$50.00	—	—	68%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$164.00	$512.50	—	—	68%
Vitamin B12 (cobalamin) blood test CPT 82607 HC RL VITAMIN B-12 - VITAMIN B12	$18.32	$57.25	—	80% below	68%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC RL VITAMIN B-12 - VITAMIN B12	$18.32	$57.25	—	—	68%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC RL ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25	$51.68	$161.50	—	56% below	68%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC RL ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25	$51.68	$161.50	—	—	68%
Zinc blood test CPT 84630 HC RL ASSAY OF ZINC - ZINC	$68.16	$213.00	—	1% below	68%
Zinc blood test inpatient CPT 84630 HC RL ASSAY OF ZINC - ZINC	$68.16	$213.00	—	—	68%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC RL CHORIONIC GONADOTROPIN, QUANT - HCG QUANT BLOOD	$172.32	$538.50	—	53% above	68%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$180.96	$565.50	—	61% above	68%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC RL CHORIONIC GONADOTROPIN, QUANT - HCG QUANT BLOOD	$172.32	$538.50	—	—	68%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$180.96	$565.50	—	—	68%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$1,714.72	$5,358.50	—	208% above	68%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$1,714.72	$5,358.50	—	—	68%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$2,639.92	$8,249.75	—	25% below	68%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$2,639.92	$8,249.75	—	—	68%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIBULA FX	$1,371.28	$4,285.25	—	194% above	68%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIBULA FX	$1,371.28	$4,285.25	—	—	68%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY	$4,075.52	$12,736.00	—	66% below	68%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY	$4,075.52	$12,736.00	—	—	68%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL	$1,331.52	$4,161.00	—	22% below	68%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL	$1,331.52	$4,161.00	—	—	68%
Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$30,293.20	$94,666.25	—	17% below	68%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$30,293.20	$94,666.25	—	—	68%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX SINGL OR MULT	$174.96	$546.75	—	85% below	68%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX SINGL OR MULT	$174.96	$546.75	—	—	68%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION	$346.32	$1,082.25	—	72% below	68%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION	$346.32	$1,082.25	—	—	68%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$980.80	$3,065.00	—	73% above	68%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$980.80	$3,065.00	—	—	68%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY	$1,061.52	$3,317.25	—	at median	68%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY	$1,061.52	$3,317.25	—	—	68%
Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$1,468.16	$4,588.00	—	23% above	68%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$1,468.16	$4,588.00	—	—	68%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$1,468.16	$4,588.00	—	23% above	68%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$1,468.16	$4,588.00	—	—	68%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$1,468.16	$4,588.00	—	at median	68%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$1,468.16	$4,588.00	—	—	68%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY OF CERVIX W/BIOPSY	$246.96	$771.75	—	at median	68%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY OF CERVIX W/BIOPSY	$246.96	$771.75	—	—	68%
Coronary stent placement, one artery CPT 92928 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$4,579.44	$14,310.75	—	61% below	68%
Coronary stent placement, one artery inpatient CPT 92928 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$4,579.44	$14,310.75	—	—	68%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOSCOPY,INSERT URETERAL STENT	$539.92	$1,687.25	—	88% below	68%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOSCOPY,INSERT URETERAL STENT	$539.92	$1,687.25	—	—	68%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$512.56	$1,601.75	—	54% below	68%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$512.56	$1,601.75	—	—	68%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION	$272.24	$850.75	—	34% above	68%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION	$272.24	$850.75	—	—	68%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$124.80	$390.00	—	1% above	68%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$124.80	$390.00	—	—	68%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$254.56	$795.50	—	48% above	68%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$254.56	$795.50	—	—	68%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL SAMPLING WO CERV	$331.60	$1,036.25	—	10% below	68%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL SAMPLING WO CERV	$331.60	$1,036.25	—	—	68%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,468.88	$7,715.25	—	58% above	68%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$2,468.88	$7,715.25	—	—	68%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJECTION OF A PHARMACOLOGIC AGENT	$304.72	$952.25	—	42% below	68%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJECTION OF A PHARMACOLOGIC AGENT	$304.72	$952.25	—	—	68%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL BILAT	$2,874.80	$8,983.75	—	—	68%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL	$2,400.48	$7,501.50	—	42% above	68%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL BILAT	$2,874.80	$8,983.75	—	—	68%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL	$2,400.48	$7,501.50	—	—	68%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID	$536.72	$1,677.25	—	32% below	68%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID	$536.72	$1,677.25	—	—	68%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$579.76	$1,811.75	—	35% below	68%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$579.76	$1,811.75	—	—	68%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$373.44	$1,167.00	—	2% below	68%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$373.44	$1,167.00	—	—	68%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$590.08	$1,844.00	—	26% above	68%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$590.08	$1,844.00	—	—	68%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGLE TENDON SHEATH/LIG	$370.24	$1,157.00	—	16% below	68%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SINGLE TENDON SHEATH/LIG	$370.24	$1,157.00	—	—	68%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$932.00	$2,912.50	—	30% above	68%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$932.00	$2,912.50	—	—	68%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$675.12	$2,109.75	—	7% above	68%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$675.12	$2,109.75	—	—	68%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$665.36	$2,079.25	—	41% above	68%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$665.36	$2,079.25	—	—	68%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY APPENDECTOMY	$7,083.76	$22,136.75	—	at median	68%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY APPENDECTOMY	$7,083.76	$22,136.75	—	—	68%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$531.52	$1,661.00	—	2% below	68%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$531.52	$1,661.00	—	—	68%
Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$2,988.40	$9,338.75	—	70% below	68%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$2,988.40	$9,338.75	—	—	68%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,710.40	$8,470.00	—	61% above	68%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,710.40	$8,470.00	—	—	68%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$1,287.84	$4,024.50	—	3% above	68%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$1,287.84	$4,024.50	—	—	68%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$737.92	$2,306.00	—	48% below	68%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$737.92	$2,306.00	—	—	68%
Miscarriage treatment with D&C, first trimester CPT 59820 HC TX MISCARRIAGE-1ST TRIMESTER	$2,585.20	$8,078.75	—	29% below	68%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TX MISCARRIAGE-1ST TRIMESTER	$2,585.20	$8,078.75	—	—	68%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL	$939.12	$2,934.75	—	2% above	68%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL	$939.12	$2,934.75	—	—	68%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$482.00	$1,506.25	—	35% above	68%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$482.00	$1,506.25	—	—	68%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL	$129.60	$405.00	—	70% below	68%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL	$129.60	$405.00	—	—	68%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,945.04	$6,078.25	—	20% above	68%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,945.04	$6,078.25	—	—	68%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$1,320.00	$4,125.00	—	66% above	68%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$1,320.00	$4,125.00	—	—	68%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH	$1,994.00	$6,231.25	—	24% below	68%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH	$1,994.00	$6,231.25	—	—	68%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUC LUMBR/SACRAL SINGLE FA	$1,444.88	$4,515.25	—	49% below	68%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUC LUMBR/SACRAL SINGLE FA	$1,444.88	$4,515.25	—	—	68%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$531.76	$1,661.75	—	17% below	68%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$531.76	$1,661.75	—	—	68%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND	$644.24	$2,013.25	—	18% below	68%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND	$644.24	$2,013.25	—	—	68%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND	$564.88	$1,765.25	—	47% below	68%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND	$564.88	$1,765.25	—	—	68%
Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST	$147.60	$461.25	—	52% below	68%
Short arm cast (elbow to hand) CPT 29075 HC APPLIC CAST ELBOW TO FINGER	$164.32	$513.50	—	46% below	68%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST	$147.60	$461.25	—	—	68%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLIC CAST ELBOW TO FINGER	$164.32	$513.50	—	—	68%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$288.72	$902.25	—	at median	68%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$288.72	$902.25	—	—	68%
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$499.44	$1,560.75	—	60% above	68%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT	$499.44	$1,560.75	—	—	68%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$424.32	$1,326.00	—	1% above	68%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM	$424.32	$1,326.00	—	—	68%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$514.96	$1,609.25	—	12% above	68%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$514.96	$1,609.25	—	—	68%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO & INCLUDING 15 LESIONS	$338.80	$1,058.75	—	6% above	68%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO & INCLUDING 15 LESIONS	$338.80	$1,058.75	—	—	68%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$836.16	$2,613.00	—	20% below	68%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$836.16	$2,613.00	—	—	68%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$456.88	$1,427.75	—	4% below	68%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$456.88	$1,427.75	—	—	68%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM	$424.16	$1,325.50	—	at median	68%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM	$424.16	$1,325.50	—	—	68%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LESION	$514.96	$1,609.25	—	43% above	68%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LESION	$514.96	$1,609.25	—	—	68%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,423.68	$4,449.00	—	at median	68%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,423.68	$4,449.00	—	—	68%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$577.28	$1,804.00	—	at median	68%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$577.28	$1,804.00	—	—	68%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$2,650.24	$8,282.00	—	4% below	68%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$2,650.24	$8,282.00	—	—	68%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD	$1,468.16	$4,588.00	—	at median	68%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD	$1,468.16	$4,588.00	—	—	68%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$1,468.16	$4,588.00	—	54% above	68%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$1,468.16	$4,588.00	—	—	68%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD	$1,468.16	$4,588.00	—	101% above	68%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD	$1,468.16	$4,588.00	—	—	68%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD	$744.16	$2,325.50	—	35% below	68%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD	$744.16	$2,325.50	—	—	68%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS - EGD	$696.64	$2,177.00	—	5% below	68%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS - EGD	$696.64	$2,177.00	—	—	68%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$1,055.68	$3,299.00	—	at median	68%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$1,055.68	$3,299.00	—	—	68%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST - ENDO US (UPPER)	$1,332.64	$4,164.50	—	at median	68%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST - ENDO US (UPPER)	$1,332.64	$4,164.50	—	—	68%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST VEIN	$4,160.56	$13,001.75	—	at median	68%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST VEIN	$4,160.56	$13,001.75	—	—	68%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$1,025.76	$3,205.50	—	at median	68%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$1,025.76	$3,205.50	—	—	68%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$111.28	$347.75	—	88% below	68%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$111.28	$347.75	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INDUCED SPUTUM	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT NEBULIZER W MECH VENT	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT NEBULIZER BREATH ACTUATED	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION PAP TREATMENT	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI EXTENDED TX	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI EXTENDED WITH VENT	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI WITH VENT	$18.40	$57.50	—	91% below	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT NEBULIZER W MECH VENT	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI WITH VENT	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI EXTENDED WITH VENT	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INDUCED SPUTUM	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI EXTENDED TX	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION PAP TREATMENT	$18.40	$57.50	—	—	68%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT NEBULIZER BREATH ACTUATED	$18.40	$57.50	—	—	68%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR	$540.56	$1,689.25	—	12% below	68%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR	$540.56	$1,689.25	—	—	68%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES	$2,591.28	$8,097.75	—	at median	68%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES	$2,591.28	$8,097.75	—	—	68%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD	$278.64	$870.75	—	72% below	68%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD	$278.64	$870.75	—	—	68%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD	$332.40	$1,038.75	—	12% above	68%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD	$332.40	$1,038.75	—	—	68%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	$224.40	$701.25	—	22% below	68%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	$224.40	$701.25	—	—	68%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	$397.52	$1,242.25	—	17% below	68%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	$397.52	$1,242.25	—	—	68%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$791.92	$2,474.75	—	4% below	68%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$791.92	$2,474.75	—	—	68%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,309.76	$4,093.00	—	4% below	68%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,309.76	$4,093.00	—	—	68%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,695.20	$5,297.50	—	27% below	68%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,695.20	$5,297.50	—	—	68%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - EXERCISE OR PHARMA	$1,537.28	$4,804.00	—	7% above	68%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - EXERCISE OR PHARMA	$1,537.28	$4,804.00	—	—	68%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS	$281.92	$881.00	—	at median	68%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS	$281.92	$881.00	—	—	68%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT	$258.40	$807.50	—	at median	68%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT	$258.40	$807.50	—	—	68%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN	$228.40	$713.75	—	at median	68%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$274.32	$857.25	—	20% above	68%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN	$228.40	$713.75	—	—	68%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY	$274.32	$857.25	—	—	68%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN	$405.60	$1,267.50	—	17% below	68%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN	$405.60	$1,267.50	—	—	68%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$468.40	$1,463.75	—	8% below	68%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$468.40	$1,463.75	—	—	68%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	$152.00	$475.00	—	10% below	68%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	$152.00	$475.00	—	—	68%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$387.44	$1,210.75	—	1% above	68%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$387.44	$1,210.75	—	—	68%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB	$1,414.56	$4,420.50	—	37% above	68%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB	$1,414.56	$4,420.50	—	—	68%
New patient office visit, about 30 minutes CPT 99203 HC CONSULTATION - DETAILED 30 MIN	$22.56	$70.50	—	91% below	68%
New patient office visit, about 30 minutes CPT 99203 HC NEW PT OUTPT VISIT LEVEL 3	$48.00	$150.00	—	81% below	68%
New patient office visit, about 30 minutes inpatient CPT 99203 HC CONSULTATION - DETAILED 30 MIN	$22.56	$70.50	—	—	68%
New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT OUTPT VISIT LEVEL 3	$48.00	$150.00	—	—	68%
New patient office visit, about 45 minutes CPT 99204 HC NEW PT OUTPT VISIT LEVEL 4	$51.20	$160.00	—	84% below	68%
New patient office visit, about 45 minutes CPT 99204 HC TIRR - NEW PT OUTPT VISIT LEVEL 4	$140.00	$437.50	—	56% below	68%
New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT OUTPT VISIT LEVEL 4	$51.20	$160.00	—	—	68%
New patient office visit, about 45 minutes inpatient CPT 99204 HC TIRR - NEW PT OUTPT VISIT LEVEL 4	$140.00	$437.50	—	—	68%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT OUTPT VISIT LEVEL 5	$54.40	$170.00	—	84% below	68%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT OUTPT VISIT LEVEL 5 - TMC ONLY	$54.40	$170.00	—	84% below	68%
New patient office visit, about 60 minutes CPT 99205 HC CONSULTATION-HIGH COMPLEXITY	$56.48	$176.50	—	83% below	68%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT OUTPT VISIT LEVEL 5 - TMC ONLY	$54.40	$170.00	—	—	68%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT OUTPT VISIT LEVEL 5	$54.40	$170.00	—	—	68%
New patient office visit, about 60 minutes inpatient CPT 99205 HC CONSULTATION-HIGH COMPLEXITY	$56.48	$176.50	—	—	68%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT OUTPT VISIT LEVEL 2	$44.80	$140.00	—	77% below	68%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT OUTPT VISIT LEVEL 2	$44.80	$140.00	—	—	68%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$14.00	$43.75	—	76% below	68%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$14.00	$43.75	—	—	68%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH EVAL PROF BASE	$234.88	$734.00	—	21% below	68%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH EVAL PROF BASE	$234.88	$734.00	—	—	68%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$192.08	$600.25	—	at median	68%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$192.08	$600.25	—	—	68%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$250.00	$781.25	—	9% below	68%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$250.00	$781.25	—	—	68%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$274.08	$856.50	—	at median	68%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$274.08	$856.50	—	—	68%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$42.88	$134.00	—	9% below	68%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$42.88	$134.00	—	—	68%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT OUTPT VISIT LEVEL 5 - TMC ONLY	$148.80	$465.00	—	52% below	68%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT OUTPT VISIT LEVEL 5	$148.80	$465.00	—	52% below	68%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT OUTPT VISIT LEVEL 5 - TMC ONLY	$148.80	$465.00	—	—	68%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT OUTPT VISIT LEVEL 5	$148.80	$465.00	—	—	68%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT OUTPT VISIT LEVEL 3 - TMC ONLY	$110.08	$344.00	—	48% below	68%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT OUTPT VISIT LEVEL 3	$110.08	$344.00	—	48% below	68%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST PT OUTPT VISIT LEVEL 3	$110.08	$344.00	—	—	68%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST PT OUTPT VISIT LEVEL 3 - TMC ONLY	$110.08	$344.00	—	—	68%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT OUTPT VISIT LEVEL 4 - TMC ONLY	$129.20	$403.75	—	53% below	68%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT OUTPT VISIT LEVEL 4	$129.20	$403.75	—	53% below	68%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST PT OUTPT VISIT LEVEL 4 - TMC ONLY	$129.20	$403.75	—	—	68%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST PT OUTPT VISIT LEVEL 4	$129.20	$403.75	—	—	68%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT OUTPT VISIT LEVEL 2	$41.60	$130.00	—	75% below	68%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EST PT OUTPT VISIT LEVEL 2	$41.60	$130.00	—	—	68%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC PSYCH RESP TEAM EVAL >29MIN	$89.36	$279.25	—	at median	68%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC CONSULT- DETAILED >29MIN	$89.36	$279.25	—	at median	68%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC CONSULT- DETAILED >29MIN	$89.36	$279.25	—	—	68%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC PSYCH RESP TEAM EVAL >29MIN	$89.36	$279.25	—	—	68%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC PSYCH RESP TEAM EVAL >39MIN	$162.32	$507.25	—	at median	68%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC PSYCH RESP TEAM EVAL >39MIN	$162.32	$507.25	—	—	68%
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR	$391.60	$1,223.75	—	at median	68%
Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR	$391.60	$1,223.75	—	—	68%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR	$539.12	$1,684.75	—	14% below	68%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR	$539.12	$1,684.75	—	—	68%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY	$199.68	$624.00	—	20% below	68%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY	$199.68	$624.00	—	—	68%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$73.52	$229.75	—	5% below	68%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$73.52	$229.75	—	—	68%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL	$46.16	$144.25	—	14% below	68%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL	$46.16	$144.25	—	—	68%

Source file: https://memorialhermann.org/-/media/memorial-hermann/org/files/patients-and-visitors/cms-standard-hospital-charges/741152597_memorial-hermann-greater-heights-hospital_standardcharges.ashx