Kearney County Hospital
Kearney County Hospital in Minden, NE publishes cash prices for 270 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 Nebraska median for 177 of 265 procedures and above it for 85. By typical cash price it ranks #18 of 44 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
727 East 1ST St, Minden, NE 68959 Collected Sep 27, 2026 Source price file (308) 832-3400
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 281306 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Left | $260.00 | $325.00 | $163.00–$637.00 | 20% below | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Right | $270.00 | $338.00 | $169.00–$662.00 | 17% below | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 Us Abi Limited Right | $445.00 | $556.00 | $278.00–$1,090.00 | 3% below | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body | $1,521.00 | $1,901.00 | $951.00–$3,726.00 | 10% below | 20% |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Complete Bilateral. | $859.00 | $1,074.00 | $537.00–$2,105.00 | — | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Left. | $430.00 | $537.00 | $269.00–$1,053.00 | 10% below | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Right. | $430.00 | $537.00 | $269.00–$1,053.00 | 10% below | 20% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Limited Bilateral. | $686.00 | $857.00 | $429.00–$1,680.00 | — | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Right. | $343.00 | $429.00 | $215.00–$841.00 | 11% below | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Right | $343.00 | $429.00 | $215.00–$841.00 | 11% below | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Left. | $343.00 | $429.00 | $215.00–$841.00 | 11% below | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Left | $343.00 | $429.00 | $215.00–$841.00 | 11% below | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest | $2,792.00 | $3,490.00 | $1,745.00–$6,840.00 | 12% below | 20% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart Calcium Scoring | $92.00 | $115.00 | $58.00–$225.00 | 31% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen And Pelvis W/o Contrast | $3,291.00 | $4,114.00 | $2,057.00–$8,063.00 | 4% below | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,964.00 | $4,955.00 | $2,478.00–$9,712.00 | 2% below | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/pelvis W/ + W/o | $4,506.00 | $5,633.00 | $2,817.00–$11,041.00 | 8% below | 20% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $2,202.00 | $2,752.00 | $1,376.00–$5,394.00 | 15% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $1,966.00 | $2,457.00 | $1,229.00–$4,816.00 | 10% below | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,740.00 | $2,175.00 | $1,088.00–$4,263.00 | 7% below | 20% |
| CT scan of the head with contrast CPT 70460 Ct Brain/head W/ Contrast | $1,874.00 | $2,343.00 | $1,172.00–$4,592.00 | 9% below | 20% |
| CT scan of the head without and with contrast CPT 70470 Ct Brain/head W/ + W/o Contrast | $2,146.00 | $2,683.00 | $1,342.00–$5,259.00 | 14% below | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast | $1,994.00 | $2,493.00 | $1,247.00–$4,886.00 | 7% below | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast | $2,029.00 | $2,536.00 | $1,268.00–$4,971.00 | 9% below | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,068.00 | $2,585.00 | $1,293.00–$5,067.00 | 14% below | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Duplex Bilateral | $1,206.00 | $1,508.00 | $754.00–$2,956.00 | — | 20% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views | $282.00 | $353.00 | $177.00–$692.00 | at median | 20% |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $226.00 | $283.00 | $142.00–$555.00 | at median | 20% |
| Chest X-ray, single view CPT 71045 Xr Chest Decubitus | $266.00 | $332.00 | $166.00–$651.00 | 17% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal | $678.00 | $848.00 | $424.00–$1,662.00 | 14% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa App Skeleton | $393.00 | $491.00 | $246.00–$962.00 | at median | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $2,003.00 | $2,504.00 | $1,252.00–$4,908.00 | 6% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Contrast | $2,175.00 | $2,719.00 | $1,360.00–$5,329.00 | 12% below | 20% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $342.00 | $428.00 | $214.00–$839.00 | 22% below | 20% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $294.00 | $368.00 | $184.00–$721.00 | 5% below | 20% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Lower Ext Arterial Duplex Bilateral | $990.00 | $1,238.00 | $619.00–$2,426.00 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Lower Ext Venous Duplex Bilateral | $1,142.00 | $1,428.00 | $714.00–$2,799.00 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo 2d Complete | $1,824.00 | $2,280.00 | $1,140.00–$4,469.00 | 14% below | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Bubble Study | $2,158.00 | $2,698.00 | $1,349.00–$5,288.00 | 2% above | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Imaging | $1,455.00 | $1,819.00 | $910.00–$3,565.00 | at median | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Polysomnography W/cpap Charge | $3,501.00 | $4,376.00 | $2,188.00–$8,577.00 | 7% below | 20% |
| Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3 Views Bilateral | $301.00 | $376.00 | $188.00–$737.00 | — | 20% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Right | $301.00 | $376.00 | $188.00–$737.00 | 18% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left | $301.00 | $376.00 | $188.00–$737.00 | 18% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Us Abdomen Limited | $559.00 | $699.00 | $350.00–$1,370.00 | at median | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Scan | $1,847.00 | $2,309.00 | $1,155.00–$4,526.00 | 198% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,182.00 | $2,727.00 | $1,364.00–$5,345.00 | 14% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee W/ + W/o Contrast Left | $3,092.00 | $3,865.00 | $1,933.00–$7,575.00 | 8% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee W/ + W/o Contrast Right | $3,092.00 | $3,865.00 | $1,933.00–$7,575.00 | 8% below | 20% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $2,629.00 | $3,286.00 | $1,643.00–$6,441.00 | 11% below | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast | $3,484.00 | $4,355.00 | $2,178.00–$8,536.00 | 5% below | 20% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $2,922.00 | $3,653.00 | $1,827.00–$7,160.00 | 5% below | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $3,301.00 | $4,126.00 | $2,063.00–$8,087.00 | 16% below | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,794.00 | $3,492.00 | $1,746.00–$6,844.00 | 11% below | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast | $3,425.00 | $4,281.00 | $2,141.00–$8,391.00 | 12% below | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast | $2,935.00 | $3,669.00 | $1,835.00–$7,191.00 | 9% below | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast | $2,794.00 | $3,492.00 | $1,746.00–$6,844.00 | 28% below | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast | $2,920.00 | $3,650.00 | $1,825.00–$7,154.00 | 5% below | 20% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast | $2,794.00 | $3,492.00 | $1,746.00–$6,844.00 | 21% below | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $2,635.00 | $3,294.00 | $1,647.00–$6,456.00 | 1% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow W/o Contrast Left | $2,158.00 | $2,697.00 | $1,349.00–$5,286.00 | 11% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow W/o Contrast Right | $2,158.00 | $2,697.00 | $1,349.00–$5,286.00 | 11% below | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Rest And Stress | $3,569.00 | $4,461.00 | $2,231.00–$8,744.00 | 11% below | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Multiple Studies | $3,569.00 | $4,461.00 | $2,231.00–$8,744.00 | 11% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Ltd | $400.00 | $500.00 | $250.00–$980.00 | 12% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $665.00 | $831.00 | $416.00–$1,629.00 | 14% below | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $549.00 | $686.00 | $343.00–$1,345.00 | 21% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob < 14 Weeks Single | $589.00 | $736.00 | $368.00–$1,443.00 | 4% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $319.00 | $399.00 | $200.00–$782.00 | 19% below | 20% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $337.00 | $421.00 | $211.00–$825.00 | — | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Left | $290.00 | $363.00 | $182.00–$711.00 | 13% below | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Right | $290.00 | $363.00 | $182.00–$711.00 | 13% below | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $3,140.00 | $3,925.00 | $1,963.00–$7,693.00 | 12% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $549.00 | $686.00 | $343.00–$1,345.00 | 9% below | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $474.00 | $592.00 | $296.00–$1,160.00 | 6% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $723.00 | $904.00 | $452.00–$1,772.00 | 12% below | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents) | $556.00 | $695.00 | $348.00–$1,362.00 | 14% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/neck Soft Tissue | $511.00 | $639.00 | $320.00–$1,252.00 | 13% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Left | $878.00 | $1,098.00 | $549.00–$2,152.00 | 14% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Right | $878.00 | $1,098.00 | $549.00–$2,152.00 | 14% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Left | $258.00 | $323.00 | $162.00–$633.00 | 22% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Right | $258.00 | $323.00 | $162.00–$633.00 | 22% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Right | $282.00 | $353.00 | $177.00–$692.00 | 1% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Left | $282.00 | $353.00 | $177.00–$692.00 | 1% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 View | $251.00 | $314.00 | $157.00–$615.00 | 4% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Right | $200.00 | $250.00 | $125.00–$490.00 | 12% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left | $200.00 | $250.00 | $125.00–$490.00 | 12% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2+ Views Right | $193.00 | $241.00 | $121.00–$472.00 | 14% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2+ Views Left | $193.00 | $241.00 | $121.00–$472.00 | 14% below | 20% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left | $207.00 | $259.00 | $130.00–$508.00 | 4% below | 20% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Right | $211.00 | $264.00 | $132.00–$517.00 | 2% below | 20% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 Xr Foot Complete 3+ Views Bilateral | $274.00 | $342.00 | $171.00–$670.00 | — | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Left | $277.00 | $346.00 | $173.00–$678.00 | 11% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Right | $277.00 | $346.00 | $173.00–$678.00 | 11% below | 20% |
| X-ray of the hand, 3 or more views both sides CPT 73130 Xr Hand Complete 3+ Views Bilateral | $268.00 | $335.00 | $168.00–$657.00 | — | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Left | $268.00 | $335.00 | $168.00–$657.00 | 22% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Right | $268.00 | $335.00 | $168.00–$657.00 | 22% below | 20% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Xr Knee 1 Or 2 Views Bilateral | $264.00 | $330.00 | $165.00–$647.00 | — | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Right | $264.00 | $330.00 | $165.00–$647.00 | 17% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left | $264.00 | $330.00 | $165.00–$647.00 | 17% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views | $362.00 | $452.00 | $226.00–$886.00 | 4% below | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $446.00 | $557.00 | $279.00–$1,092.00 | 4% below | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views | $307.00 | $384.00 | $192.00–$753.00 | at median | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Views | $211.00 | $264.00 | $132.00–$517.00 | 27% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views | $288.00 | $360.00 | $180.00–$706.00 | 6% below | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views | $259.00 | $324.00 | $162.00–$635.00 | 3% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx 2+ Views | $263.00 | $329.00 | $165.00–$645.00 | 2% below | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $38.00 | $48.00 | $24.00–$94.00 | 38% below | 21% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $54.00 | $68.00 | $34.00–$133.00 | 4% below | 21% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel Acute Rps | $82.00 | $103.00 | $52.00–$202.00 | 74% below | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody, Igg Rps | $121.00 | $151.00 | $76.00–$296.00 | 25% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp | $140.00 | $175.00 | $88.00–$343.00 | 29% below | 20% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $120.00 | $150.00 | $75.00–$294.00 | 11% below | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Only 88305 Surg Path Level Iv | $188.00 | $235.00 | $118.00–$461.00 | 2% below | 20% |
| Blood culture for bacteria CPT 87040 Blood Culture Rps | $169.00 | $211.00 | $106.00–$414.00 | 6% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection: Venous Draw | $24.00 | $30.00 | $15.00–$59.00 | 9% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Collj Ven Bld Vnpnxr Techfee | $25.00 | $31.00 | $16.00–$61.00 | 5% below | 19% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Legal Draw Kchs | $48.00 | $60.00 | $30.00–$118.00 | 82% above | 20% |
| Blood glucose (sugar) test CPT 82947 Glucose Lvl | $49.00 | $61.00 | $31.00–$120.00 | 4% above | 20% |
| Blood lead test CPT 83655 Lead Bloodspot Rps | $74.00 | $93.00 | $47.00–$182.00 | 14% above | 20% |
| Blood lead test CPT 83655 Lead Venous Rps | $74.00 | $93.00 | $47.00–$182.00 | 14% above | 20% |
| Blood lead test CPT 83655 Lead Capillary Rps | $74.00 | $93.00 | $47.00–$182.00 | 14% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B-hcg Ql | $109.00 | $136.00 | $68.00–$267.00 | at median | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 Abo | $54.00 | $67.00 | $34.00–$131.00 | at median | 19% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein Rps | $86.00 | $108.00 | $54.00–$212.00 | 5% below | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 87493 C Difficile Dna Rps | $34.00 | $42.00 | $21.00–$82.00 | 77% below | 19% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin Dna Confirm Rps | $241.00 | $301.00 | $151.00–$590.00 | 62% above | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 Rps | $156.00 | $195.00 | $98.00–$382.00 | 20% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars (Covid19) Ag Poct Kchs | $59.00 | $74.00 | $37.00–$145.00 | 52% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus Sars Covid19 Ag Kchs | $74.00 | $93.00 | $47.00–$182.00 | 40% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635 Additional Clinic | $74.00 | $93.00 | $47.00–$182.00 | 40% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus Sars Ag (Sofia) | $106.00 | $132.00 | $66.00–$259.00 | 14% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635 Covid-19 Amp Probe Tech Charge | $110.00 | $137.00 | $69.00–$269.00 | 11% below | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlam/gc Amp Probe Rps | $105.00 | $131.00 | $66.00–$257.00 | 5% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $104.00 | $130.00 | $65.00–$255.00 | 9% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $84.00 | $105.00 | $53.00–$206.00 | 7% below | 20% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $52.00 | $65.00 | $33.00–$127.00 | 26% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $138.00 | $172.00 | $86.00–$337.00 | 10% below | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 Ddimer | $133.00 | $166.00 | $83.00–$325.00 | at median | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate Rps | $38.00 | $48.00 | $24.00–$94.00 | 73% below | 21% |
| Estradiol blood test CPT 82670 Estradiol Rps | $177.00 | $221.00 | $111.00–$433.00 | 37% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Rps | $113.00 | $141.00 | $71.00–$276.00 | at median | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool Rps | $140.00 | $175.00 | $88.00–$343.00 | 61% below | 20% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Rps | $107.00 | $134.00 | $67.00–$263.00 | 2% above | 20% |
| Folate (folic acid) blood test CPT 82746 Folic Acid Rps | $118.00 | $147.00 | $74.00–$288.00 | 12% above | 20% |
| Free T3 thyroid hormone test CPT 84481 T3 Free Rps | $172.00 | $215.00 | $108.00–$421.00 | 11% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (Thyroxine) Free Rps | $87.00 | $109.00 | $55.00–$214.00 | 2% above | 20% |
| Free testosterone test CPT 84402 Testosterone Fr &Tot Rps | $170.00 | $213.00 | $107.00–$417.00 | 65% above | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Bill Only General Health Panel | $309.00 | $386.00 | $193.00–$757.00 | 6% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Hour | $137.00 | $171.00 | $86.00–$335.00 | 5% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlam/gc Dna Urine, Rps | $40.00 | $50.00 | $25.00–$98.00 | 63% below | 20% |
| H. pylori stool antigen test CPT 87338 H. Pylori Stool Anti Rps | $158.00 | $198.00 | $99.00–$388.00 | 1% below | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ag/ab Panel Rps | $158.00 | $198.00 | $99.00–$388.00 | 114% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c W/eag | $68.00 | $85.00 | $43.00–$167.00 | 5% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B/s Ab Rps | $107.00 | $134.00 | $67.00–$263.00 | 18% above | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B/s Ag Rps | $82.00 | $103.00 | $52.00–$202.00 | 12% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Rps | $42.00 | $52.00 | $26.00–$102.00 | 54% below | 19% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Detect/quant Rps | $225.00 | $281.00 | $141.00–$551.00 | 33% below | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein High Sens Rps | $72.00 | $90.00 | $45.00–$176.00 | 12% below | 20% |
| Homocysteine blood test CPT 83090 Homocysteine/blood Rps | $172.00 | $215.00 | $108.00–$421.00 | 21% above | 20% |
| Insulin blood test CPT 83525 Insulin Rps | $118.00 | $147.00 | $74.00–$288.00 | 9% above | 20% |
| Iron blood test (serum iron) CPT 83540 Iron & Ibc Rps | $59.00 | $74.00 | $37.00–$145.00 | 6% below | 20% |
| Iron blood test (serum iron) CPT 83540 Iron Rps | $59.00 | $74.00 | $37.00–$145.00 | 6% below | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 Iron & Ibc Additional | $71.00 | $89.00 | $45.00–$174.00 | 4% above | 20% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $124.00 | $155.00 | $78.00–$304.00 | 8% below | 20% |
| LH (luteinizing hormone) test CPT 83002 Lh Rps | $101.00 | $126.00 | $63.00–$247.00 | 19% below | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $95.00 | $119.00 | $60.00–$233.00 | 1% below | 20% |
| Liver function blood test panel CPT 80076 Liver function blood test | $119.00 | $149.00 | $75.00–$292.00 | 8% below | 20% |
| Lyme disease antibody test CPT 86618 Lyme Rflx To Immunoblot Rps | $200.00 | $250.00 | $125.00–$490.00 | 55% above | 20% |
| Lyme disease antibody test CPT 86618 Lyme Antibody Rps | $200.00 | $250.00 | $125.00–$490.00 | 55% above | 20% |
| Magnesium blood test CPT 83735 Magnesium Level | $71.00 | $89.00 | $45.00–$174.00 | 4% above | 20% |
| Measles (rubeola) antibody test CPT 86765 Measles(rubeola) Igg Rps | $103.00 | $129.00 | $65.00–$253.00 | 24% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Scrn | $70.00 | $87.00 | $44.00–$171.00 | 8% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $108.00 | $135.00 | $68.00–$265.00 | 4% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact Rps | $206.00 | $258.00 | $129.00–$506.00 | 2% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $80.00 | $100.00 | $50.00–$196.00 | 4% above | 20% |
| Progesterone blood test CPT 84144 Progesterone Rps | $111.00 | $139.00 | $70.00–$272.00 | 2% above | 20% |
| Prolactin blood test CPT 84146 Prolactin Rps | $142.00 | $177.00 | $89.00–$347.00 | 27% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $62.00 | $77.00 | $39.00–$151.00 | 23% above | 19% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Chain Of Custody | $28.00 | $35.00 | $18.00–$69.00 | 71% below | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine | $40.00 | $50.00 | $25.00–$98.00 | 58% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Sars-covid19/flu Ag Poct Kchs | $25.00 | $31.00 | $16.00–$61.00 | 66% below | 19% |
| Rapid flu test (influenza antigen) CPT 87804 87804 Panel Pricingrhc Rapid Flu Test A/b | $26.00 | $32.00 | $16.00–$63.00 | 65% below | 19% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A And B Poct | $50.00 | $62.00 | $31.00–$122.00 | 32% below | 19% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/b Clinic Poc (Re) | $51.00 | $64.00 | $27.00–$125.00 | 31% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Poc Influenza A/b Kchs_ne | $51.00 | $64.00 | $32.00–$125.00 | 31% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Poct | $30.00 | $38.00 | $19.00–$74.00 | 38% below | 21% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Test Poct | $30.00 | $38.00 | $19.00–$74.00 | 38% below | 21% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A (Sofia) | $75.00 | $94.00 | $47.00–$184.00 | 54% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 Rapid Strep Poc | $78.00 | $98.00 | $49.00–$192.00 | 60% above | 20% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Fact/ser Rps | $56.00 | $70.00 | $35.00–$137.00 | 3% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Eia Rps | $18.00 | $22.00 | $11.00–$43.00 | 76% below | 18% |
| Stool ova and parasites exam CPT 87177 Ova And Parasite Fecal Rps | $34.00 | $43.00 | $22.00–$84.00 | 54% below | 21% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool 1 Spec Poct | $14.00 | $18.00 | $9.00–$35.00 | 49% below | 22% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen | $39.00 | $49.00 | $25.00–$96.00 | 41% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Interferon Ag Rps | $195.00 | $244.00 | $122.00–$478.00 | 3% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Rps | $118.00 | $148.00 | $74.00–$290.00 | 10% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab Rps | $97.00 | $121.00 | $61.00–$237.00 | 16% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $99.00 | $124.00 | $62.00–$243.00 | 6% below | 20% |
| Uric acid blood test CPT 84550 Uric Acid Rps | $52.00 | $65.00 | $33.00–$127.00 | 1% below | 20% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $48.00 | $60.00 | $30.00–$118.00 | 4% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $26.00 | $32.00 | $16.00–$63.00 | 21% above | 19% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Rps | $77.00 | $96.00 | $48.00–$188.00 | 7% above | 20% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Qual Poct | $30.00 | $38.00 | $19.00–$74.00 | 53% below | 21% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Clinic Poc (Re) | $32.00 | $40.00 | $20.00–$78.00 | 50% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 81025 Urine Pregnancy Test Poc | $32.00 | $40.00 | $20.00–$78.00 | 50% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 U B-hcg Ql | $68.00 | $85.00 | $43.00–$167.00 | 7% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Rps | $119.00 | $149.00 | $75.00–$292.00 | 5% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25oh Total Rps | $78.00 | $98.00 | $49.00–$192.00 | 44% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg B Quant Rps | $114.00 | $143.00 | $72.00–$280.00 | 29% above | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 64615 Bilateral Chemodenervation Of Muscle Innervated By Trigeminal, Cervial Spinal | $463.00 | $579.00 | $290.00–$1,135.00 | — | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed Treatment Of Distal Radial Fracture; Without Manipulation | $683.00 | $854.00 | $427.00–$1,674.00 | 49% above | 20% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $5,807.00 | $7,259.00 | $3,630.00–$14,228.00 | 422% above | 20% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $4,086.00 | $5,107.00 | $2,554.00–$10,010.00 | 215% above | 20% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $3,786.00 | $4,733.00 | $2,367.00–$9,277.00 | 208% above | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction, Premalignant Lesions, First Lesion 17000 | $139.00 | $174.00 | $87.00–$341.00 | 9% above | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 16020 Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsequent; Small | $139.00 | $174.00 | $87.00–$341.00 | 9% above | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction Premalignant Lesion; 1st Lesion | $187.00 | $234.00 | $117.00–$459.00 | 46% above | 20% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 Tympanostomy W/local | $554.00 | $693.00 | $347.00–$1,358.00 | 18% above | 20% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Irrigation 69209 | $46.00 | $57.00 | $29.00–$112.00 | 1% below | 19% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Removal Impacted Cerumen Using Irrigation/lavage | $46.00 | $57.00 | $29.00–$112.00 | 1% below | 19% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $99.00 | $124.00 | $62.00–$243.00 | 15% above | 20% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Ceumen Requiring Instrumentation, Unilateral 69210 | $99.00 | $124.00 | $62.00–$243.00 | 15% above | 20% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 Removal Impacted Cerumen Require Instrumentation, Unilat | $129.00 | $161.00 | $81.00–$316.00 | 50% above | 20% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 Interlaminarcervical Or Thoracic | $1,281.00 | $1,601.00 | $801.00–$3,138.00 | 21% above | 20% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $12,916.00 | $16,145.00 | $8,073.00–$31,644.00 | 644% above | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision And Drainage Of Abscess; Simple Or Single | $234.00 | $292.00 | $146.00–$572.00 | 10% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision And Drainage Of Abscess, Simple Of Single 10060 | $234.00 | $292.00 | $146.00–$572.00 | 10% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Ed Pf/tech Inscision And Drainage | $234.00 | $292.00 | $93.00–$572.00 | 10% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Abscess Simple/single Techfee | $309.00 | $386.00 | $193.00–$757.00 | 19% above | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Abscess Simple Charge | $309.00 | $386.00 | $193.00–$757.00 | 19% above | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $8,158.00 | $10,197.00 | $5,099.00–$19,986.00 | 493% above | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection Tendon Sheath Charge | $140.00 | $175.00 | $88.00–$343.00 | 18% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Joints Inj. Ligament/tendon | $201.00 | $251.00 | $126.00–$492.00 | 17% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa; Without Ultrasound Guidance | $147.00 | $184.00 | $36.00–$361.00 | 23% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Joints Large Joint/bursa/shd/kn | $186.00 | $232.00 | $116.00–$838.00 | 3% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis Aspir&/inj Major Jt/bursa W/o Us Techfee | $186.00 | $232.00 | $116.00–$838.00 | 3% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Injection Major Joint | $618.00 | $773.00 | $387.00–$1,515.00 | 223% above | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Intermediate Joint Injection | $100.00 | $125.00 | $30.00–$245.00 | 46% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa (Eg, Temporomandibula | $146.00 | $182.00 | $91.00–$357.00 | 21% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa, Without Ultrasound Guidanc | $146.00 | $182.00 | $91.00–$357.00 | 21% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Joints Intermediate Jt./bursa | $201.00 | $251.00 | $126.00–$492.00 | 9% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes); Without | $139.00 | $174.00 | $87.00–$341.00 | 3% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Joints Finger/toe Ing | $150.00 | $187.00 | $94.00–$367.00 | 5% above | 20% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $9,698.00 | $12,123.00 | $6,062.00–$23,761.00 | 317% above | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $2,215.00 | $2,769.00 | $1,385.00–$5,427.00 | 94% above | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $2,563.00 | $3,204.00 | $1,602.00–$6,280.00 | 77% above | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A | $212.00 | $265.00 | $133.00–$519.00 | 30% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Other Benign Lesion Face Ears Eyelids Nose Lips Mucous Mem 0.5cm Or Less | $277.00 | $346.00 | $91.00–$678.00 | 18% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Of Nail Plate, Partial Or Complete, Simple; Single | $190.00 | $238.00 | $119.00–$466.00 | 19% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Partial/complete Simple 1 Techfee | $230.00 | $287.00 | $144.00–$563.00 | 2% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11732 Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate | $395.00 | $494.00 | $247.00–$968.00 | 19% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail & Matrix, Partl/complt, E.g. Ingrown Nail, Permanent 11750 | $395.00 | $494.00 | $247.00–$968.00 | 19% above | 20% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $5,638.00 | $7,048.00 | $3,524.00–$13,814.00 | 373% above | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple | $248.00 | $310.00 | $155.00–$608.00 | 24% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & Removal Foreign Body Subq Tiss Simple Techfee | $615.00 | $769.00 | $385.00–$1,507.00 | 89% above | 20% |
| Short arm cast (elbow to hand) CPT 29075 29075 Application, Cast; Elbow To Finger (Short Arm) | $261.00 | $326.00 | $163.00–$639.00 | 32% above | 20% |
| Short arm cast (elbow to hand) CPT 29075 Application, Cast, Elbow To Finger 29075 | $261.00 | $326.00 | $163.00–$639.00 | 32% above | 20% |
| Short arm splint (forearm and hand) CPT 29125 Application Of Short Arm Splint, Static 29125 | $124.00 | $155.00 | $78.00–$304.00 | 20% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Of Short Arm Splint (Forearm To Hand); Static | $124.00 | $155.00 | $78.00–$304.00 | 20% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Short Arm Splint Forearm-hand Static Techfee, | $253.00 | $316.00 | $158.00–$619.00 | 63% above | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 Application Short Leg Splint Calf Foot Techfee | $242.00 | $303.00 | $152.00–$594.00 | 52% above | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $20,442.00 | $25,552.00 | $12,776.00–$50,082.00 | 1609% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Ed Pf/tech Simple Repair | $107.00 | $134.00 | $40.00–$263.00 | 49% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Genitalia, Trunk And/or | $284.00 | $355.00 | $178.00–$696.00 | 37% above | 20% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion | $118.00 | $147.00 | $74.00–$288.00 | 54% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed) Single Lesion | $123.00 | $154.00 | $36.00–$302.00 | 52% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Skin Single Lesion | $293.00 | $366.00 | $183.00–$717.00 | 15% above | 20% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions | $152.00 | $190.00 | $95.00–$372.00 | 20% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Ed Pf/tech Fee Simple Repair | $307.00 | $384.00 | $52.00–$753.00 | 26% above | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 2.6-7.5cm | $307.00 | $384.00 | $192.00–$753.00 | 26% above | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Smpl Repair Scalp/neck/ax/genit/trunk 2.6-7.5cm Techfee | $307.00 | $384.00 | $192.00–$753.00 | 26% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Ed Pf/tech Simple Repair Face | $126.00 | $157.00 | $49.00–$308.00 | 45% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes | $214.00 | $268.00 | $134.00–$525.00 | 6% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membrane | $214.00 | $268.00 | $134.00–$525.00 | 6% below | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102- Tangential Biopsy Of Skin (Eg. Shave, Scoop, Saucerize, Curette) Single Lesion | $188.00 | $235.00 | $118.00–$461.00 | 1% below | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential Biopsy Of Skin (Shave,curette); Single Lesion | $188.00 | $235.00 | $118.00–$461.00 | 1% below | 20% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $6,470.00 | $8,087.00 | $4,044.00–$15,851.00 | 388% above | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Sngl Or Mult Trigger Points 1 Or 2 Musc Charge | $130.00 | $163.00 | $82.00–$319.00 | 1% above | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $5,459.00 | $6,824.00 | $3,412.00–$13,375.00 | 259% above | 20% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, Surgical Curettemen | $161.00 | $201.00 | $101.00–$394.00 | 8% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, Subcutaneous Tissue; First 20 Sq Cm Or Less | $222.00 | $277.00 | $139.00–$543.00 | 26% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcutaneous Tissue, 1st 20 Sq Cm Or Less 11042 | $222.00 | $277.00 | $139.00–$543.00 | 26% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride, Subq Tissue1st 20 Sq. Cm Charge | $653.00 | $816.00 | $408.00–$1,599.00 | 117% above | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement Subcutaneous Tissue 20 Sq Cm/< Techfee | $881.00 | $1,101.00 | $551.00–$2,158.00 | 193% above | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration | $150.00 | $187.00 | $94.00–$367.00 | 79% below | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Blodd Admin2 Hrs | $1,064.00 | $1,330.00 | $665.00–$2,607.00 | 49% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Nebulizer Hand Held Initial Treatment Charge | $38.00 | $47.00 | $24.00–$92.00 | 64% below | 19% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Inhalation Treatmentamb Only Admin Charge | $43.00 | $54.00 | $27.00–$106.00 | 59% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatmentamb Nebulizer Admin Charge | $43.00 | $54.00 | $27.00–$106.00 | 59% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized Or Nonpressurized Inhalation Treatment For Acute Airway Obstruction For Therapeuti | $45.00 | $56.00 | $28.00–$110.00 | 57% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized Or Nonpressurized Inhalation Treatment For Acute Airway Obstruction For Therapeutic Purp | $46.00 | $57.00 | $29.00–$112.00 | 57% below | 19% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Ed Nebulizer Ippb Device | $145.00 | $181.00 | $91.00–$355.00 | 37% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Nebulizer Ippb Device | $190.00 | $238.00 | $119.00–$466.00 | 80% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 99291critical Care, 30-74 | $1,381.00 | $1,726.00 | $863.00–$3,383.00 | 112% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Pocnursing | $251.00 | $314.00 | $157.00–$615.00 | 6% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281level 1 | $104.00 | $155.00 | $78.00–$304.00 | 32% below | 33% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282level 2 | $283.00 | $354.00 | $177.00–$694.00 | 47% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283level 3 | $422.00 | $528.00 | $264.00–$1,035.00 | 54% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284level 4 | $323.00 | $816.00 | $408.00–$1,599.00 | 31% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285level 5 | $982.00 | $1,227.00 | $614.00–$2,405.00 | 49% above | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Stress Testing Nuclear | $939.00 | $1,174.00 | $587.00–$2,301.00 | 12% below | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $415.00 | $519.00 | $260.00–$1,017.00 | 79% above | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $92.00 | $115.00 | $58.00–$225.00 | 55% below | 20% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $375.00 | $469.00 | $235.00–$919.00 | 66% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Intravenous Infusion, Hydration, Initial 31 Minutes To 1 Hour | $279.00 | $349.00 | $175.00–$684.00 | 27% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360hydration, First Hour | $294.00 | $367.00 | $184.00–$719.00 | 23% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Inf Hydration 31 Min To 1hr Charge | $294.00 | $367.00 | $184.00–$719.00 | 23% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365- Iv Tx, First Hour | $295.00 | $369.00 | $185.00–$723.00 | 23% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 Iv Infusion 1st Hour Charge | $332.00 | $415.00 | $208.00–$813.00 | 13% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 Iv Drug Infusion Up To 1 Hr Charge | $470.00 | $588.00 | $294.00–$1,152.00 | 23% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Admin Charge 96372admin Injection Charge | $21.00 | $26.00 | $13.00–$51.00 | 77% below | 19% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Subq/imamb Only Admin Charge | $26.00 | $33.00 | $17.00–$65.00 | 71% below | 21% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Subq/imamb Inj Med Admin Charge | $26.00 | $33.00 | $17.00–$65.00 | 71% below | 21% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Admin Charge 96372amb Only Inj Med Admin Charge | $26.00 | $33.00 | $17.00–$65.00 | 71% below | 21% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, Prophylactic, Or Diagnostic Injection (Specify Substance Or Drug); Subcutaneous O | $27.00 | $34.00 | $17.00–$67.00 | 70% below | 21% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/im Injection | $106.00 | $132.00 | $66.00–$259.00 | 16% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Im Therapeutic | $106.00 | $132.00 | $66.00–$259.00 | 16% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Im/subq Injection Charge | $117.00 | $146.00 | $73.00–$286.00 | 29% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psychiatric Diagnostic Evaluation | $112.00 | $140.00 | $70.00–$274.00 | 48% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Reeducation Units | $54.00 | $68.00 | $34.00–$133.00 | 41% below | 21% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Units | $69.00 | $86.00 | $43.00–$169.00 | 24% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $184.00 | $230.00 | $115.00–$451.00 | 11% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $263.00 | $329.00 | $165.00–$645.00 | 13% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $352.00 | $440.00 | $220.00–$862.00 | 5% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office/outpatient Visitnew Patient, Level 2 (20 Min) | $49.00 | $61.00 | $31.00–$120.00 | 60% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office Visit New Pt. Level 2 | $140.00 | $175.00 | $88.00–$343.00 | 13% above | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Nutrition Init Vst/15 Min Charge | $36.00 | $45.00 | $23.00–$88.00 | 25% below | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Evaluation Units, Low Complexity | $168.00 | $210.00 | $105.00–$412.00 | 2% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation Units, High Complexity | $208.00 | $260.00 | $130.00–$510.00 | at median | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Units, Low Complexity | $138.00 | $173.00 | $87.00–$339.00 | 13% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Units, Moderate Complexity | $173.00 | $216.00 | $108.00–$423.00 | 2% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Units | $64.00 | $80.00 | $40.00–$157.00 | 33% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $91.00 | $114.00 | $57.00–$223.00 | 4% below | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $277.00 | $346.00 | $173.00–$678.00 | 12% above | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $301.00 | $376.00 | $188.00–$737.00 | 8% above | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 Preventive Eval Initial New Pt. > 65 Year Age | $355.00 | $444.00 | $222.00–$870.00 | 30% above | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Preventive Eval Est Pt. 18-39 Year Age | $230.00 | $287.00 | $144.00–$563.00 | 6% above | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Eval Est Pt. 40-64 Year Age | $252.00 | $315.00 | $158.00–$617.00 | 9% above | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Eval Est Pt. >65 Year Age | $286.00 | $358.00 | $179.00–$702.00 | 20% above | 20% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $345.00 | $431.00 | $216.00–$845.00 | 118% above | 20% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $372.00 | $465.00 | $233.00–$911.00 | 80% above | 20% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $399.00 | $499.00 | $250.00–$978.00 | 58% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406- Smoking And Tobacco Use Cessation Visit:intermediate, Greater Than 3 Minutes Up To 10 Minutes | $39.00 | $49.00 | $25.00–$96.00 | 33% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office/outpatient Visitestablished Patient, Level 5 (40 Min) | $104.00 | $130.00 | $65.00–$255.00 | 56% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office Visit Established Pt. Level 5 | $287.00 | $359.00 | $180.00–$704.00 | 21% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office/outpatient Visitestablished Patient, Level 3 (15 Min) | $124.00 | $155.00 | $78.00–$304.00 | 5% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/outpatient Visitestablished Patient, Level 4 (25 Min) | $179.00 | $224.00 | $112.00–$439.00 | 2% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office/outpatient Visitestablished Patient, Level 2 (10 Min) | $97.00 | $121.00 | $61.00–$237.00 | 15% above | 20% |
| Speech and language evaluation CPT 92523 Slp Eval Lang Comprehension,express Unit | $307.00 | $384.00 | $192.00–$753.00 | at median | 20% |
| Speech therapy session, individual CPT 92507 Slp Auditory Processing Tx Units | $236.00 | $295.00 | $148.00–$578.00 | 3% below | 20% |
| Spirometry (breathing test) CPT 94010 Spirometry Pre And Post Bronchodilator | $249.00 | $311.00 | $156.00–$610.00 | 8% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 94060 Pulm Func Pre Post Charge | $506.00 | $633.00 | $317.00–$1,241.00 | 10% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Complete | $506.00 | $633.00 | $317.00–$1,241.00 | 10% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test W/o Bronchodilator | $506.00 | $633.00 | $317.00–$1,241.00 | 10% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity Units | $64.00 | $80.00 | $40.00–$157.00 | 26% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Units | $96.00 | $120.00 | $60.00–$235.00 | 11% above | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 0.25 Ml Covid Vacc (Moderna)amb Sars Cov-2 Mrna Charge | $166.00 | $207.00 | $104.00–$406.00 | 13% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 91322 Sars-cov-2 (Covid-19) Mrna-lnp Vaccine (Cvx 312) (Spikevax (2023-2024) Pf (Cvx 312)) | $166.00 | $207.00 | $104.00–$406.00 | 13% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Moderna Bivalent Vaccine 0.5ml/50mcg Imamb Sars Cov-2 Mrna Charge | $166.00 | $207.00 | $104.00–$406.00 | 13% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 0.5 Ml Covid Vacc (Moderna)amb Sars Cov-2 Mrna Charge | $166.00 | $207.00 | $104.00–$406.00 | 13% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 91322 Moderna (12y+)amb Sars-cov-2 (Covid-19) Mrna (Cvx 312) | $284.00 | $355.00 | $178.00–$696.00 | 49% above | 20% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 91320 Sars-cov-2 (Covid-19) Mrna-lnp Vaccine (Cvx 309) (Comirnaty (2023-2024) Pf (Cvx 309) | $166.00 | $207.00 | $104.00–$406.00 | 21% below | 20% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sars-cov-2 (Covid-19) Mrna-lnp Vaccine (Cvx 309)amb Sars-cov-2 (Covid-19) Mrna-lnp (Cvx 309) | $274.00 | $342.00 | $171.00–$670.00 | 30% above | 20% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 Varivax-varicella Virus Vaccine, Live, For Subcutaneous Use | $231.00 | $289.00 | $145.00–$566.00 | 16% above | 20% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccineamb Varicella Charge | $231.00 | $289.00 | $145.00–$566.00 | 16% above | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 No Chargeamb Influenza Vacc Charge | $16.00 | $20.00 | $10.00–$39.00 | 41% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 No Prsv 3+>amb Influenza Vacc Charge | $29.00 | $36.00 | $18.00–$71.00 | 7% above | 19% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 Influenza Virus Vaccine, Trivalent (Iiv3), Split Virus, Preservative Free, 0.5 Ml Dosage, For | $29.00 | $36.00 | $18.00–$71.00 | 7% above | 19% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (Bivalentcervarix) 90650amb Human Papillomavirus Charge | $297.00 | $371.00 | $186.00–$727.00 | 20% below | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv9 (Gardasil 9) 90651amb Human Papillomavirus Charge | $297.00 | $371.00 | $186.00–$727.00 | 20% below | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (Quadrivalentgardasil) 90649amb Human Papillomavirus Charge | $297.00 | $371.00 | $186.00–$727.00 | 20% below | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 Gardasil 9 Hpv Vaccine | $297.00 | $371.00 | $186.00–$727.00 | 20% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 No Charge (Vfc)amb Hepatitis A Vaccine Charge | $16.00 | $20.00 | $10.00–$39.00 | 83% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 Vfc 90632 Hepatitis A | $16.00 | $20.00 | $10.00–$39.00 | 83% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 90632 Hepatitis A Vaccine, Adult Dosage, For Intramuscular Use | $72.00 | $90.00 | $45.00–$176.00 | 23% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 Vaccine Hepa Adult (Vaqta)amb Hepatitis A Vaccine Charge | $72.00 | $90.00 | $45.00–$176.00 | 23% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 No Charge (Vfc)amb Hepatitis B Vaccine Charge | $16.00 | $20.00 | $10.00–$39.00 | 82% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 40mcg/ml Hepatitis B Vaccineamb Hepatitis B Vaccine Charge | $72.00 | $90.00 | $45.00–$176.00 | 21% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 20mcg/ml Hepatitis B Vaccineamb Hepatitis B Vaccine Charge | $72.00 | $90.00 | $45.00–$176.00 | 21% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 10mcg/0.5ml Hepatitis B Vaccineamb Hepatitis B Vaccine Charge | $72.00 | $90.00 | $45.00–$176.00 | 21% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 Hepatitis B Vaccine (Hepb), Adult Dosage, 3 Dose Schedule, For Intramuscular Use | $72.00 | $90.00 | $45.00–$176.00 | 21% below | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Prsv Free Inc Antigamb Influenza Vacc Charge | $102.00 | $128.00 | $64.00–$251.00 | 24% above | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Vaccine Measles-mumps-rubellaamb Measles-mumps-rubella Vaccine Charge | $82.00 | $102.00 | $51.00–$200.00 | 27% below | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 Do Not Use Measles, Mumps And Rubella Virus Vaccine (Mmr), Live, For Subcutaneous Use | $82.00 | $102.00 | $51.00–$200.00 | 27% below | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 Meningococcal Conjugate Vaccine, Serogroups A, C, W, Y, Quadrivalent, Diphtheria Toxoid | $170.00 | $213.00 | $107.00–$417.00 | 7% below | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 0.5 Ml Meningococcal Conjugateamb Meningococcal Conjugate Charge | $301.00 | $376.00 | $188.00–$737.00 | 64% above | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Vaccine Menveoamb Meningococcal Conjugate Charge | $301.00 | $376.00 | $188.00–$737.00 | 64% above | 20% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 Bexsero-meningococcal Recomb Protein & Outer Membrane Vesicle Vaccine, Serogroup B (Menb-4c), | $218.00 | $272.00 | $136.00–$533.00 | 21% below | 20% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Vaccine Bexseroamb Meningococcal Group B Charge | $218.00 | $272.00 | $136.00–$533.00 | 21% below | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Vaccine Pneumococcal 20-valent Conjugateamb Pneumococcal 20-valent Vaccine Charge | $278.00 | $348.00 | $174.00–$682.00 | 36% below | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 Prevnar 20 Pneumococcal 20 Valent | $278.00 | $348.00 | $174.00–$682.00 | 36% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Vaccine Pneumococcal 23-valent Conjugateamb Pneumococcal 23-valent Vaccine Charge | $137.00 | $171.00 | $86.00–$335.00 | 27% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Vfc 90732 Pneumococcal Polysaccharide Vaccine, 23-valent, For Subq Or Im Use | $137.00 | $171.00 | $86.00–$335.00 | 27% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 Pneumovax 23-pneumococcal Poly Vac, 23-valent (Ppsv23), Adult Or Immunosuppressed Patient | $137.00 | $171.00 | $86.00–$335.00 | 27% below | 20% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 50 Mg Beyfortusamb Nirsevimab (Cvx 306) Charge | $638.00 | $797.00 | $399.00–$1,562.00 | 10% below | 20% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 90380 Beyfortus (Nirsevimab-alip) 50 Mg/0.5 Ml Syr | $638.00 | $797.00 | $399.00–$1,562.00 | 10% below | 20% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv Vaccine Chargeamb Rsv Vaccine Charge | $368.00 | $460.00 | $230.00–$902.00 | 4% below | 20% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 90679 Rsv Vaccine Pref3, Recombinant Preservative-free 120 Mcg Pow (Kchs) | $368.00 | $460.00 | $230.00–$902.00 | 4% below | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 Shingrix (Shingles) Vaccine, Recombinant, Adjuvanted, For Intramuscular Injection | $206.00 | $258.00 | $129.00–$506.00 | 28% below | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Vaccine Zosteramb Zoster Vaccine Charge | $206.00 | $258.00 | $129.00–$506.00 | 28% below | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Vfc 90714 Td, Preservative Free, 7+yrs, For Im Use | $16.00 | $20.00 | $10.00–$39.00 | 69% below | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 No Charge (Vfc)amb Tetanus Diptheria Toxoids Charge | $16.00 | $20.00 | $10.00–$39.00 | 69% below | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 Tetanus And Diphtheria Toxoids Adsorbed (Td), Preservative Free, When Administered To Individu | $25.00 | $31.00 | $16.00–$61.00 | 52% below | 19% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvaxamb Tetanus Diptheria Toxoids Charge | $122.00 | $153.00 | $77.00–$300.00 | 135% above | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Diptheria Toxoids Vaccine (Tenivac)amb Tetanus Diptheria Toxoids Charge | $122.00 | $153.00 | $77.00–$300.00 | 135% above | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Vfc 90715 Tdap, When Administered To Individuals 7 Years Or Older, For Intramuscular Use | $16.00 | $20.00 | $10.00–$39.00 | 77% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Tdap Admin Feeamb Tdap Charge | $16.00 | $20.00 | $10.00–$39.00 | 77% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Dtap 90700 Age Under 7amb Tdap Charge | $51.00 | $64.00 | $32.00–$125.00 | 27% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Boostrix-tetanus, Diphtheria Toxoids & Acellular Pertussis Vac (Tdap), Individs 10 Years & Old | $51.00 | $64.00 | $32.00–$125.00 | 27% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Amb Tdap Charge | $51.00 | $64.00 | $32.00–$125.00 | 27% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 90715 Age Over 7amb Tdap Charge | $51.00 | $64.00 | $32.00–$125.00 | 27% below | 20% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 90691 Typhoid Vaccine | $111.00 | $139.00 | $70.00–$272.00 | 40% below | 20% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Vaccine Typhim Viamb Typhoid Vaccine Charge | $111.00 | $139.00 | $70.00–$272.00 | 40% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Administration < 19 Yrsamb Immun Admin Charge | $29.00 | $36.00 | $18.00–$71.00 | 18% below | 19% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471admin Immunization Charge | $29.00 | $36.00 | $18.00–$71.00 | 18% below | 19% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Initial Admin Charge 90471amb Only Admin Charge | $29.00 | $36.00 | $18.00–$71.00 | 18% below | 19% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Administration; First Vaccine | $29.00 | $36.00 | $18.00–$71.00 | 18% below | 19% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Administration First Vaccine | $46.00 | $58.00 | $29.00–$114.00 | 30% above | 21% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Im Adm Prq Id Subq/im Njxs 1 Vaccine Techfee | $61.00 | $76.00 | $38.00–$149.00 | 72% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Administration; Each Additional Vaccine | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Adminhep B Vaccineeach Addl | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Admininfluenza Vaccineeach Addl | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immun Adminpneumococcal Vaccineeach Addl | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Ea Additional Administration < 19 Yrsamb Immun Admin Charge | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Addl Admin Charge 90472amb Only Admin Charge | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472admin Immunization Charge | $29.00 | $36.00 | $18.00–$71.00 | 13% below | 19% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Each Additional | $42.00 | $52.00 | $26.00–$102.00 | 25% above | 19% |