Mountain View Hospital
Mountain View Hospital in Idaho Falls, ID publishes cash prices for 300 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Idaho median for 181 of 300 procedures and above it for 110. By typical cash price it ranks #5 of 22 Idaho hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2325 Coronado St,Idaho Falls,ID,83404 Collected Sep 27, 2026 Source price file (208) 557-2700
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 130065 · CMS hospital register
The price file shows no self-pay discount
For 420 of the 420 prices listed here, the cash price in Mountain View Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS | $135.00 | $135.00 | $81.28–$192.51 | 58% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $300.00 | $300.00 | $81.28–$251.45 | 7% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $604.00 | $604.00 | $97.64–$589.82 | 28% below | — |
| Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS | $135.00 | $135.00 | $81.28–$192.51 | 56% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $1,404.00 | $1,404.00 | $222.84–$1,123.07 | 20% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $1,097.00 | $1,097.00 | $222.84–$1,039.69 | 35% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $1,097.00 | $1,097.00 | $222.84–$1,039.69 | 40% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $2,000.00 | $2,000.00 | $1,209.13–$2,863.73 | 53% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN | $3,675.00 | $3,675.00 | $1,335.50–$3,470.71 | 63% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $290.00 | $290.00 | $97.64–$231.26 | 33% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $368.00 | $368.00 | $97.64–$311.65 | 20% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS | $100.00 | $100.00 | $81.28–$192.51 | 67% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT | $1,836.00 | $1,836.00 | $510.32–$1,208.65 | 4% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $87.00 | $87.00 | $81.28–$192.51 | 62% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS | $164.00 | $164.00 | $81.28–$192.51 | 47% below | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $270.00 | $270.00 | $81.28–$192.51 | 15% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $101.00 | $101.00 | $81.28–$192.51 | 66% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $120.00 | $120.00 | $97.64–$231.26 | 58% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $110.00 | $110.00 | $81.28–$192.51 | 58% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $38.85 | $38.85 | $5.04–$19.91 | 47% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $67.80 | $67.80 | $5.04–$19.91 | 156% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $37.80 | $37.80 | $4.92–$19.50 | 17% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $67.80 | $67.80 | $4.92–$19.50 | 110% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $211.00 | $211.00 | $45.25–$124.19 | 3% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $21.75 | $21.75 | $4.96–$15.31 | 3% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $736.55 | $736.55 | $4.96–$15.31 | 3174% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $82.00 | $82.00 | $12.30–$47.91 | 32% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $114.00 | $114.00 | $12.30–$47.91 | 84% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $100.00 | $100.00 | $11.49–$37.64 | 85% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $183.00 | $183.00 | $11.49–$37.64 | 239% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $132.00 | $132.00 | $37.30–$108.91 | 21% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $191.00 | $191.00 | $37.30–$108.91 | 14% above | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $42.00 | $42.00 | $8.04–$34.45 | at median | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $203.26 | $203.26 | $48.67–$115.27 | 14% below | — |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $164.85 | $164.85 | $9.80–$40.96 | 53% above | — |
| Blood culture for bacteria CPT 87040 dexAMETHasone Sodium Phosphate | $164.85 | $164.85 | $9.80–$40.96 | 53% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $21.00 | $21.00 | $8.58–$21.02 | 7% below | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $17.00 | $17.00 | $3.73–$15.21 | 33% below | — |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $33.60 | $33.60 | $3.73–$15.21 | 33% above | — |
| Blood lead test CPT 83655 LEAD LEVEL | $20.00 | $20.00 | $11.50–$41.82 | 64% below | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $47.18 | $47.18 | $11.50–$41.82 | 15% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $25.00 | $25.00 | $7.14–$20.97 | 46% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $147.00 | $147.00 | $124.26–$294.30 | 214% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $219.00 | $219.00 | $124.26–$294.30 | 368% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $68.75 | $68.75 | $4.92–$19.86 | 58% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $117.00 | $117.00 | $4.92–$19.86 | 169% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $113.00 | $113.00 | $35.41–$96.45 | 32% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $320.00 | $320.00 | $35.41–$96.45 | 93% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $60.00 | $60.00 | $19.77–$57.88 | 38% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $101.00 | $101.00 | $19.77–$57.88 | 5% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $68.00 | $68.00 | $19.77–$67.32 | 28% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $87.00 | $87.00 | $19.77–$67.32 | 8% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $138.00 | $138.00 | $48.74–$115.45 | 47% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $124.00 | $124.00 | $33.34–$105.54 | 8% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $179.32 | $179.32 | $33.34–$105.54 | 57% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $52.00 | $52.00 | $12.72–$42.99 | 4% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $81.04 | $81.04 | $12.72–$42.99 | 50% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $43.00 | $43.00 | $7.38–$36.59 | 10% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $30.00 | $30.00 | $6.15–$26.01 | 8% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $73.50 | $73.50 | $10.03–$47.02 | 31% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $261.24 | $261.24 | $9.67–$25.76 | 179% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $75.00 | $75.00 | $21.12–$64.29 | 21% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $106.05 | $106.05 | $21.12–$64.29 | 12% above | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $105.00 | $105.00 | $26.54–$92.07 | 22% below | — |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $151.88 | $151.88 | $26.54–$92.07 | 13% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $75.00 | $75.00 | $17.65–$67.55 | 28% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $121.80 | $121.80 | $17.65–$67.55 | 16% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $250.00 | $250.00 | $18.65–$81.36 | 86% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $99.75 | $99.75 | $12.95–$52.25 | 46% above | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $91.00 | $91.00 | $13.96–$52.03 | 25% above | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $99.75 | $99.75 | $13.96–$52.03 | 37% above | — |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $66.00 | $66.00 | $16.09–$67.31 | at median | — |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $87.00 | $87.00 | $16.09–$67.31 | 31% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $36.00 | $36.00 | $8.57–$35.06 | 17% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $45.00 | $45.00 | $8.57–$35.06 | 4% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $28.58 | $28.58 | $24.20–$57.31 | 67% below | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $62.25 | $62.25 | $24.20–$57.31 | 28% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $192.50 | $192.50 | $121.56 | 5% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $28.00 | $28.00 | $4.51–$18.11 | at median | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $35.00 | $35.00 | $12.23–$32.58 | 51% below | — |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $39.00 | $39.00 | $12.23–$32.58 | 46% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $117.00 | $117.00 | $33.34–$99.37 | 12% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $168.84 | $168.84 | $33.34–$99.37 | 61% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $44.00 | $44.00 | $16.01–$42.87 | 57% below | — |
| H. pylori antibody blood test CPT 86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI (GASTROINTESTINAL BACTERIA) | $50.00 | $50.00 | $16.01–$42.87 | 51% below | — |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $110.00 | $110.00 | $13.66–$59.25 | 29% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $275.00 | $275.00 | $80.84–$191.48 | 29% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $45.00 | $45.00 | $13.02–$35.06 | 58% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $93.00 | $93.00 | $22.88–$54.24 | 12% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $144.03 | $144.03 | $22.88–$54.24 | 73% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $58.00 | $58.00 | $33.34–$109.79 | 36% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $129.00 | $129.00 | $33.34–$109.79 | 43% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $35.00 | $35.00 | $9.22–$29.20 | 19% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $43.05 | $43.05 | $9.22–$29.20 | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $64.00 | $64.00 | $10.20–$39.51 | 27% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $88.20 | $88.20 | $10.20–$39.51 | 76% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $68.00 | $68.00 | $9.81–$38.63 | 39% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $78.75 | $78.75 | $9.81–$38.63 | 62% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $121.80 | $121.80 | $13.56–$54.47 | 82% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $156.00 | $156.00 | $40.70–$148.18 | 29% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $27.00 | $27.00 | $12.53–$29.68 | 33% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $36.00 | $36.00 | $12.53–$29.68 | 10% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $52.00 | $52.00 | $18.38–$45.47 | 23% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $53.00 | $53.00 | $18.38–$45.47 | 21% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $72.45 | $72.45 | $12.30–$47.99 | 16% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $66.00 | $66.00 | $17.02–$57.50 | 18% below | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $100.00 | $100.00 | $17.02–$57.50 | 25% above | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $75.00 | $75.00 | $10.86–$42.77 | 23% above | — |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $172.00 | $172.00 | $10.86–$42.77 | 182% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $53.55 | $53.55 | $6.15–$25.69 | 70% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $65.10 | $65.10 | $8.30–$33.34 | 50% above | — |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $41.00 | $41.00 | $8.25–$34.82 | 32% below | — |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $53.32 | $53.32 | $17.59–$49.98 | 35% below | — |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $82.44 | $82.44 | $17.59–$49.98 | 1% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $93.45 | $93.45 | $6.55–$27.55 | 50% above | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $155.50 | $155.50 | $7.76–$34.09 | 235% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $156.00 | $156.00 | $7.76–$34.09 | 236% above | — |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $54.00 | $54.00 | $16.18–$50.37 | 34% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $253.00 | $253.00 | $16.18–$50.37 | 210% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $28.00 | $28.00 | $6.36–$26.28 | 37% below | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $48.00 | $48.00 | $6.36–$26.28 | 9% above | — |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $39.05 | $39.05 | $12.24–$33.30 | 32% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $63.40 | $63.40 | $12.24–$33.30 | 10% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $22.05 | $22.05 | $4.92–$16.68 | 52% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $22.06 | $22.06 | $4.92–$16.68 | 52% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $70.00 | $70.00 | $17.47–$60.01 | 15% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $68.25 | $68.25 | $17.47–$69.46 | 24% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $180.00 | $180.00 | $17.47–$69.46 | 100% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $106.00 | $106.00 | $25.28–$85.30 | 1% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $149.00 | $149.00 | $25.28–$85.30 | 39% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING | $80.35 | $80.35 | $19.25–$64.09 | 11% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $120.00 | $120.00 | $19.25–$64.09 | 33% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $160.00 | $160.00 | $39.22–$143.54 | 13% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $15.00 | $15.00 | $5.71–$24.66 | 69% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $75.60 | $75.60 | $5.71–$24.66 | 58% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 TEST FOR DETECTING GENES ASSOCIATED WITH FETAL DISEASE; ANEUPLOIDY GENOMIC SEQUENCE ANALYSIS PANEL | $1,669.50 | $1,669.50 | $721.10–$1,707.86 | 256% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $2,000.00 | $2,000.00 | $721.10–$1,707.86 | 327% above | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $90.00 | $90.00 | $19.82–$69.64 | 10% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $114.87 | $114.87 | $19.82–$69.64 | 15% above | — |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $107.59 | $107.59 | $18.41–$65.22 | 40% above | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $145.95 | $145.95 | $18.41–$65.22 | 90% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $46.20 | $46.20 | $4.08–$18.84 | 84% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $183.06 | $183.06 | $4.08–$18.84 | 628% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION | $120.00 | $120.00 | $11.97–$98.30 | 100% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $332.00 | $332.00 | $11.97–$98.30 | 453% above | — |
| Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS | $30.00 | $30.00 | $15.72–$37.24 | 53% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $30.00 | $30.00 | $15.70–$37.19 | 51% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $28.00 | $28.00 | $5.39–$19.87 | 6% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $168.00 | $168.00 | $5.39–$19.87 | 462% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $35.00 | $35.00 | $13.67–$32.38 | 32% below | — |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $70.00 | $70.00 | $13.67–$32.38 | 35% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $43.05 | $43.05 | $2.56–$11.87 | 114% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $48.00 | $48.00 | $11.69–$29.76 | 49% below | — |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $34.00 | $34.00 | $8.46–$28.94 | 23% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $83.00 | $83.00 | $8.46–$28.94 | 87% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $26.00 | $26.00 | $4.16–$12.65 | 37% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $61.00 | $61.00 | $15.12–$50.07 | 14% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $20.00 | $20.00 | $4.06–$16.28 | 29% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $39.05 | $39.05 | $4.06–$16.28 | 39% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $242.00 | $242.00 | $58.88–$199.19 | 6% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $264.00 | $264.00 | $58.88–$199.19 | 15% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $96.00 | $96.00 | $24.52–$81.95 | 17% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $144.00 | $144.00 | $24.52–$81.95 | 25% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $57.00 | $57.00 | $13.82–$53.90 | 20% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $61.00 | $61.00 | $13.82–$53.90 | 14% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $85.00 | $85.00 | $15.96–$72.76 | 11% above | — |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $224.00 | $224.00 | $33.34–$160.58 | 92% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $281.00 | $281.00 | $33.34–$160.58 | 141% above | — |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $42.00 | $42.00 | $4.29–$16.39 | 70% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $15.00 | $15.00 | $3.01–$13.00 | 5% below | — |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $40.00 | $40.00 | $3.01–$13.00 | 154% above | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $10.00 | $10.00 | $2.14–$11.54 | 21% below | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $35.00 | $35.00 | $2.14–$11.54 | 175% above | — |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $40.00 | $40.00 | $7.67–$33.05 | 24% below | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $30.00 | $30.00 | $8.18–$26.21 | 21% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $84.00 | $84.00 | $14.33–$58.27 | 14% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $102.00 | $102.00 | $14.33–$58.27 | 38% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $122.00 | $122.00 | $28.12–$104.23 | 45% above | — |
| Zinc blood test CPT 84630 ZINC LEVEL | $48.00 | $48.00 | $10.82–$41.35 | 29% below | — |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $54.78 | $54.78 | $10.82–$41.35 | 19% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $96.00 | $96.00 | $14.30–$53.86 | 17% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $96.60 | $96.60 | $14.30–$53.86 | 18% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $4,350.00 | $4,350.00 | $3,096.47–$7,333.74 | 28% below | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $8,452.00 | $8,452.00 | $7,174.11–$28,398.96 | 56% below | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $4,000.00 | $4,000.00 | $704.75–$3,398.37 | 30% above | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $2,524.00 | $2,524.00 | $2,120.30–$14,319.99 | 1% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $9,947.00 | $9,947.00 | $6,776.93–$16,050.62 | 18% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $8,527.00 | $8,527.00 | $6,622.76–$16,050.62 | 30% below | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $5,201.00 | $5,201.00 | $4,414.62–$15,611.00 | 55% below | — |
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $389.00 | $389.00 | $286.67–$678.96 | 39% below | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $400.00 | $400.00 | $286.67–$678.96 | 37% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE | $893.00 | $893.00 | $155.83–$545.62 | 138% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $1,195.00 | $1,195.00 | $155.83–$545.63 | 218% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $1,195.00 | $1,195.00 | $152.47–$545.63 | 234% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $4,551.00 | $4,551.00 | $3,055.88–$7,237.62 | 27% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $5,255.00 | $5,255.00 | $3,055.88–$7,237.62 | 24% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $14,000.00 | $14,000.00 | $3,027.80–$7,171.11 | 20% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $2,000.00 | $2,000.00 | $617.29–$1,462.00 | 35% above | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $2,665.70 | $2,665.70 | $1,823.74–$4,319.39 | at median | — |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $1,765.00 | $1,765.00 | $1,498.07–$5,104.87 | 68% below | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $883.00 | $883.00 | $750.06–$2,037.35 | 30% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $4,145.75 | $4,145.75 | $1,952.31–$4,623.88 | 22% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $2,700.00 | $2,700.00 | $1,952.31–$4,623.88 | 1036% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $1,195.00 | $1,195.00 | $152.47–$545.63 | 255% above | — |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,940.00 | $1,940.00 | $1,117.61–$2,646.97 | 22% below | — |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,150.00 | $2,150.00 | $1,117.61–$2,646.97 | 15% below | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,408.75 | $1,408.75 | $868.54–$2,057.06 | 44% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE | $1,751.00 | $1,751.00 | $1,571.17–$7,160.47 | 16% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $1,200.00 | $1,200.00 | $267.66–$674.05 | 255% above | — |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $2,226.00 | $2,226.00 | $1,889.01–$5,104.87 | 60% below | — |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $18,000.00 | $18,000.00 | $8,137.29–$25,535.56 | 26% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $6,040.95 | $6,040.95 | $3,292.16–$7,797.22 | 31% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $1,114.00 | $1,114.00 | $651.23–$1,542.40 | 14% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $1,522.00 | $1,522.00 | $1,522.00–$7,160.47 | 49% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,044.00 | $3,044.00 | $2,713.06–$7,160.47 | 3% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $102.00 | $102.00 | $81.74–$443.81 | 9% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $1,610.00 | $1,610.00 | $1,293.97–$3,432.08 | 52% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA | $459.00 | $459.00 | $459.00–$1,192.99 | 9% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $927.00 | $927.00 | $503.71–$1,192.99 | 85% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $77.00 | $77.00 | $55.09–$130.48 | 31% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $297.00 | $297.00 | $55.09–$130.48 | 166% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $106.00 | $106.00 | $55.09–$130.48 | 33% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $670.00 | $670.00 | $55.09–$130.48 | 743% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS | $160.00 | $160.00 | $135.18–$447.19 | at median | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $876.00 | $876.00 | $135.18–$447.19 | 448% above | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $6,444.00 | $6,444.00 | $5,155.24–$15,611.00 | 61% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE | $2,369.00 | $2,369.00 | $2,369.00–$15,611.00 | 86% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $4,738.00 | $4,738.00 | $4,098.01–$15,611.00 | 73% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $4,738.00 | $4,738.00 | $3,482.08–$8,247.04 | 52% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $2,961.25 | $2,961.25 | $2,759.28–$15,611.00 | 83% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $2,174.00 | $2,174.00 | $432.53–$1,561.39 | 26% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $2,185.00 | $2,185.00 | $432.53–$1,561.39 | 27% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,955.00 | $1,955.00 | $826.05–$1,956.44 | 89% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $5,000.00 | $5,000.00 | $3,636.06–$14,319.99 | 58% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE | $6,000.00 | $6,000.00 | $3,636.06–$14,319.99 | 59% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $4,413.00 | $4,413.00 | $3,343.91–$7,919.80 | 49% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,082.00 | $1,082.00 | $648.81–$2,057.06 | 7% above | — |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $8,271.00 | $8,271.00 | $5,646.21–$13,372.60 | 30% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $6,159.40 | $6,159.40 | $5,646.21–$13,372.60 | 33% below | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $3,399.00 | $3,399.00 | $3,055.88–$7,237.62 | 24% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $2,162.00 | $2,162.00 | $486.23–$2,057.06 | 208% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $3,174.00 | $3,174.00 | $2,538.90–$6,139.71 | 10% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $12,388.00 | $12,388.00 | $2,538.90–$6,139.71 | 329% above | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $9,500.00 | $9,500.00 | $6,544.58–$28,398.96 | 40% below | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $13,390.00 | $13,390.00 | $810.12–$5,357.60 | at median | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $269.00 | $269.00 | $45.73–$264.36 | 18% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $340.00 | $340.00 | $45.73–$264.36 | 4% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $2,665.13 | $2,665.13 | $2,665.13–$11,065.32 | 77% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $5,330.25 | $5,330.25 | $4,672.02–$11,065.32 | 55% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $3,500.60 | $3,500.60 | $2,583.87–$7,160.47 | at median | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $1,545.00 | $1,545.00 | $229.26 | 608% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $2,158.00 | $2,158.00 | $229.26 | 889% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $936.00 | $936.00 | $187.39–$443.81 | 316% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $4,031.00 | $4,031.00 | $3,343.91–$7,919.80 | 36% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $474.00 | $474.00 | $286.67–$678.96 | 116% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $598.00 | $598.00 | $286.67–$678.96 | 173% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $380.00 | $380.00 | $286.67–$678.96 | 25% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $752.00 | $752.00 | $286.67–$678.96 | 147% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $375.00 | $375.00 | $57.76–$294.30 | 104% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $354.00 | $354.00 | $286.67–$678.96 | 6% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $434.00 | $434.00 | $286.67–$678.96 | 29% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $355.00 | $355.00 | $286.67–$678.96 | 23% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $434.00 | $434.00 | $286.67–$678.96 | 50% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $6,118.20 | $6,118.20 | $3,055.88–$7,237.62 | 11% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $5,562.00 | $5,562.00 | $3,055.88–$7,237.62 | 19% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $5,572.00 | $5,572.00 | $3,055.88–$7,237.62 | 19% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $5,408.00 | $5,408.00 | $3,055.88–$7,237.62 | 21% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $6,503.00 | $6,503.00 | $5,358.21–$13,372.60 | at median | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $10,174.00 | $10,174.00 | $9,066.79–$23,513.02 | 61% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $9,476.00 | $9,476.00 | $8,829.23–$23,513.02 | 61% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $10,897.40 | $10,897.40 | $9,066.79–$23,513.02 | 50% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $12,337.40 | $12,337.40 | $9,066.79–$23,513.02 | 44% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $7,817.70 | $7,817.70 | $5,358.21–$13,372.60 | 44% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $9,476.00 | $9,476.00 | $5,646.21–$13,372.60 | 37% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $7,699.25 | $7,699.25 | $5,646.21–$13,372.60 | 5% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $390.00 | $390.00 | $298.95–$899.19 | 21% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $1,666.00 | $1,666.00 | $298.95–$899.19 | 419% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $14,000.00 | $14,000.00 | $3,027.80–$7,171.11 | 17% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $2,078.00 | $2,078.00 | $572.62–$1,561.39 | 63% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $2,174.00 | $2,174.00 | $572.62–$1,561.39 | 71% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $800.00 | $800.00 | $671.59–$1,956.44 | 31% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL | $1,785.00 | $1,785.00 | $671.59–$1,956.44 | 54% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,053.00 | $2,053.00 | $826.05–$1,956.44 | 17% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $2,921.00 | $2,921.00 | $826.05–$1,956.44 | 67% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $8,878.00 | $8,878.00 | $6,776.93–$16,050.62 | 40% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC | $15,000.00 | $15,000.00 | $6,776.93–$16,050.62 | 2% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $8,366.00 | $8,366.00 | $6,692.49–$16,050.62 | 43% below | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK | $7,403.00 | $7,403.00 | $5,922.68–$38,784.51 | 61% below | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $5,150.00 | $5,150.00 | $3,529.19–$8,660.88 | 16% below | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $6,077.00 | $6,077.00 | $4,659.53–$14,687.96 | 48% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $3,435.05 | $3,435.05 | $2,713.06–$7,160.47 | 58% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $4,189.45 | $4,189.45 | $2,713.06–$7,160.47 | 49% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; 1-5 TISSUE BLOCKS | $1,222.00 | $1,222.00 | $421.57–$1,634.80 | 28% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS | $283.50 | $283.50 | $283.50–$1,566.38 | 3% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $567.00 | $567.00 | $388.06–$1,566.38 | 95% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $257.50 | $257.50 | $257.50–$1,566.38 | 7% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $515.00 | $515.00 | $380.45–$1,566.38 | 115% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $206.00 | $206.00 | $187.39–$443.81 | 6% above | — |
| Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL | $936.00 | $936.00 | $187.39–$443.81 | 380% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $430.00 | $430.00 | $286.67–$678.96 | 12% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,075.00 | $1,075.00 | $286.67–$678.96 | 181% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $19,000.00 | $19,000.00 | $7,446.41–$23,119.63 | 49% above | — |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $1,518.00 | $1,518.00 | $847.08–$2,006.24 | 14% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $2,703.00 | $2,703.00 | $847.08–$2,006.23 | 103% above | — |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $13,560.00 | $13,560.00 | $11,990.67–$28,398.96 | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL | $1,030.00 | $1,030.00 | $379.66–$899.19 | 205% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $1,666.00 | $1,666.00 | $379.66–$899.19 | 394% above | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $1,442.00 | $1,442.00 | $1,262.40 | 51% below | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE | $7,725.00 | $7,725.00 | $6,773.82–$23,513.02 | 71% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $2,415.00 | $2,415.00 | $1,823.74–$4,319.39 | 38% below | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,070.00 | $4,070.00 | $3,256.27–$8,660.88 | 33% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $325.00 | $325.00 | $276.50–$899.19 | 7% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $1,666.00 | $1,666.00 | $276.50–$899.19 | 375% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $7,032.00 | $7,032.00 | $5,646.21–$13,372.60 | 51% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,703.00 | $2,703.00 | $868.54–$2,057.06 | 8% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,472.00 | $1,472.00 | $868.54–$2,057.06 | 41% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $2,250.55 | $2,250.55 | $2,250.55–$7,333.74 | 69% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $4,501.10 | $4,501.10 | $3,096.47–$7,333.74 | 38% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $11,252.75 | $11,252.75 | $3,292.16–$7,797.22 | 28% above | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $252.00 | $252.00 | $216.65–$618.68 | 15% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $169.00 | $169.00 | $124.26–$294.30 | 3% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $565.00 | $565.00 | $124.26–$294.30 | 245% above | — |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST | $150.00 | $150.00 | $150.00–$618.68 | 18% below | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $1,250.00 | $1,250.00 | $227.48–$618.68 | 582% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $714.00 | $714.00 | $108.03–$359.44 | 344% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $4,263.00 | $4,263.00 | $3,055.88–$7,237.62 | 38% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $3,908.52 | $3,908.52 | $128.24–$3,071.21 | 37% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $225.00 | $225.00 | $105.62–$443.81 | 3% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $936.00 | $936.00 | $105.62–$443.81 | 328% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $155.00 | $155.00 | $379.66–$899.19 | 22% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $823.00 | $823.00 | $652.17–$1,566.38 | 55% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $876.00 | $876.00 | $83.38–$443.81 | 519% above | — |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $978.00 | $978.00 | $83.38–$443.81 | 591% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,000.00 | $1,000.00 | $617.76–$1,561.39 | 22% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $765.00 | $765.00 | $105.62–$443.81 | 252% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $936.00 | $936.00 | $105.62–$443.81 | 331% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $800.00 | $800.00 | $105.62–$443.81 | 215% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $936.00 | $936.00 | $105.62–$443.81 | 268% above | — |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $5,562.00 | $5,562.00 | $5,007.64–$11,860.20 | 55% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH | $183.00 | $183.00 | $132.63–$899.19 | 4% below | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $1,486.29 | $1,486.29 | $585.87–$1,387.58 | 29% above | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $3,290.00 | $3,290.00 | $585.87–$1,387.58 | 185% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $2,714.00 | $2,714.00 | $2,505.17–$7,333.74 | 56% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $5,347.50 | $5,347.50 | $4,932.67–$13,094.55 | 33% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $2,714.00 | $2,714.00 | $2,505.40–$7,333.74 | 61% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $4,205.00 | $4,205.00 | $2,505.40–$7,333.74 | 40% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) | $4,350.00 | $4,350.00 | $3,692.43–$13,094.55 | 40% below | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $11,087.15 | $11,087.15 | $9,204.14–$28,398.96 | 30% below | — |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $13,487.15 | $13,487.15 | $9,204.14–$28,398.96 | 15% below | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $10,068.25 | $10,068.25 | $9,104.42–$28,398.96 | 37% below | — |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $11,268.25 | $11,268.25 | $9,104.42–$28,398.96 | 29% below | — |
| Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $8,788.00 | $8,788.00 | $8,027.52–$38,784.51 | 49% below | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $10,335.00 | $10,335.00 | $8,027.52–$38,784.51 | 40% below | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $9,557.00 | $9,557.00 | $5,646.21–$13,372.60 | 37% below | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $2,890.00 | $2,890.00 | $1,501.79–$3,556.87 | 64% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $354.00 | $354.00 | $286.67–$678.96 | 134% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $381.00 | $381.00 | $286.67–$678.96 | 152% above | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 DESTRUCTION OF FALLOPIAN TUBES USING AN ENDOSCOPE | $5,390.05 | $5,390.05 | $4,351.81–$13,372.60 | at median | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $1,545.00 | $1,545.00 | $1,310.80–$4,244.58 | 45% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,463.00 | $1,463.00 | $847.08–$2,006.23 | 32% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,082.00 | $1,082.00 | $826.50–$2,006.24 | 57% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,339.00 | $1,339.00 | $1,285.81–$4,244.58 | 38% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE | $1,539.85 | $1,539.85 | $847.08–$2,006.24 | at median | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,718.10 | $1,718.10 | $847.08–$2,006.23 | 18% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $5,562.00 | $5,562.00 | $5,007.64–$11,860.20 | 55% below | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $11,252.75 | $11,252.75 | $5,007.64–$11,860.20 | 10% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $2,500.00 | $2,500.00 | $1,952.31–$4,623.88 | 42% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $2,575.00 | $2,575.00 | $1,952.31–$4,623.88 | 46% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $463.50 | $463.50 | $187.39–$443.81 | 139% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $927.00 | $927.00 | $187.39–$443.81 | 378% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $1,666.00 | $1,666.00 | $379.66–$899.19 | 400% above | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $7,802.00 | $7,802.00 | $6,621.92–$16,050.62 | 19% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $1,000.00 | $1,000.00 | $412.03–$975.87 | 1% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $1,030.00 | $1,030.00 | $412.03–$975.87 | 4% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $140.00 | $140.00 | $119.51–$484.38 | 35% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $135.00 | $135.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $700.00 | $700.00 | $120.00–$730.62 | 3% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST | $104.00 | $104.00 | $104.00–$284.63 | 75% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $3,926.00 | $3,926.00 | $599.42–$1,827.16 | 70% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH INTERPRETATION AND REPORT | $35.00 | $35.00 | $35.00–$50.91 | 68% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $150.00 | $150.00 | $55.09–$130.48 | 14% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $370.00 | $370.00 | $73.59–$186.53 | 87% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $679.00 | $679.00 | $130.69–$339.64 | 92% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,183.00 | $1,183.00 | $203.51–$603.83 | 93% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,912.00 | $1,912.00 | $389.70–$922.97 | 91% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $2,788.00 | $2,788.00 | $556.20–$1,317.31 | 92% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $230.00 | $230.00 | $201.66–$477.61 | 70% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $585.00 | $585.00 | $201.66–$477.61 | 23% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS | $310.00 | $310.00 | $262.88 | 3% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $250.00 | $250.00 | $120.00–$470.50 | 28% below | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $500.00 | $500.00 | $120.00–$470.50 | 4% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $125.00 | $125.00 | $67.24–$159.26 | 10% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $150.00 | $150.00 | $67.24–$159.26 | 32% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $400.00 | $400.00 | $297.03–$825.41 | 2% below | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $136.00 | $136.00 | $64.27–$152.21 | 14% below | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $332.00 | $332.00 | $105.36–$249.55 | 32% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $275.00 | $275.00 | $143.91–$340.83 | 13% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $89.00 | $89.00 | $26.40–$62.53 | 24% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $35.00 | $35.00 | $35.00–$82.89 | at median | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $154.00 | $154.00 | $113.90–$269.75 | 43% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $115.00 | $115.00 | $52.23–$123.70 | 16% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $140.00 | $140.00 | $76.74–$181.76 | 30% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $82.00 | $82.00 | $28.07–$66.49 | 8% below | — |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $70.00 | $70.00 | $70.00–$477.61 | 71% below | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $210.00 | $210.00 | $162.72–$477.61 | 13% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $194.00 | $194.00 | $124.26–$294.30 | 21% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $377.00 | $377.00 | $124.26–$294.30 | 53% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula | $25.00 | $25.00 | $16.41–$19.57 | 31% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024-2025 Formula | $25.00 | $25.00 | $16.41–$19.57 | 31% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula | $75.00 | $75.00 | $72.25–$80.36 | 48% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula | $75.00 | $75.00 | $72.25–$80.36 | 48% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 | $331.00 | $331.00 | $284.44 | 19% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $150.00 | $150.00 | $41.78–$131.13 | at median | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix | $364.10 | $364.10 | $205.42 | 13% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $84.00 | $84.00 | $47.08–$51.61 | 12% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel | $154.00 | $154.00 | $47.08–$51.61 | 105% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $50.00 | $50.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $48.00 | $48.00 | $48.00–$159.26 | 17% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $61.00 | $61.00 | $48.76–$159.26 | 6% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $50.00 | $50.00 | $30.93 | 39% above | — |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/99dbb216f23f3deb517e3fb3a823bb70/charges/mrf