Lamb Healthcare Center
Lamb Healthcare Center in Littlefield, TX publishes cash prices for 290 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 Texas median for 286 of 289 procedures and above it for 3. By typical cash price it ranks #9 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1500 S Sunset, Littlefield, TX 79339 Collected Sep 27, 2026 Source price file (806) 385-6411
Acute care hospital Emergency department CCN 450698 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Lamb Healthcare Center in Littlefield, TX:
- Jul 27, 2022 Warning notice
- Nov 8, 2022 Corrective action plan requested
- Jun 6, 2023 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Lt Min 2v | $104.00 | $259.00 | $78.00–$212.00 | 71% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Rt Min 2 V | $104.00 | $260.00 | $78.00–$213.00 | 71% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Rt 3v | $109.00 | $273.00 | $78.00–$224.00 | 69% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Lt 3v | $109.00 | $273.00 | $78.00–$224.00 | 69% below | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Dp Ankle/brachial Bilat 93922 | $158.00 | $394.00 | $120.00–$323.00 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Dp-non Physlog Stdy Up/lo Extrm 1lev | $158.00 | $394.00 | $120.00–$323.00 | 76% below | 60% |
| Breast ultrasound, complete, one breast CPT 76641 Us-breast Soft Tissue | $168.00 | $420.00 | $94.00–$344.00 | 62% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Of Chest | $756.00 | $1,890.00 | $158.00–$1,550.00 | 73% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis W/o Cont 74176 | $924.00 | $2,310.00 | $215.00–$1,894.00 | 72% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,092.00 | $2,730.00 | $314.00–$2,239.00 | 72% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd & Pelvis W W/o Cont 74178 | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 72% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abd W/ Cont 74160 | $588.00 | $1,470.00 | $158.00–$1,205.00 | 77% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abd W/o Cont 74150 | $504.00 | $1,260.00 | $94.00–$1,033.00 | 76% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 Ct Renal/kidneys | $642.00 | $1,606.00 | $94.00–$1,317.00 | 70% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Facial W/o Contrast | $504.00 | $1,260.00 | $94.00–$1,033.00 | 70% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $504.00 | $1,260.00 | $94.00–$1,033.00 | 74% below | 60% |
| CT scan of the head with contrast CPT 70460 Ct Head/brain W/ Contrast 70460 | $546.00 | $1,365.00 | $158.00–$1,119.00 | 69% below | 60% |
| CT scan of the head without and with contrast CPT 70470 Ct Head W/wo Cont | $714.00 | $1,785.00 | $158.00–$1,464.00 | 69% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L Spine W/o Cont | $546.00 | $1,365.00 | $94.00–$1,119.00 | 73% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C Spine W/o | $546.00 | $1,365.00 | $94.00–$1,119.00 | 74% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,050.00 | $2,625.00 | $158.00–$2,153.00 | 52% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Dp-carotid Doppler | $294.00 | $735.00 | $215.00–$603.00 | 79% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Dp-bil Carotid Spect | $336.00 | $840.00 | $215.00–$689.00 | 76% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Dp Carotid 93880 | $336.00 | $840.00 | $215.00–$689.00 | 76% below | 60% |
| Chest X-ray, 2 views CPT 71046 Chest Pa&lat | $116.00 | $289.00 | $78.00–$237.00 | 71% below | 60% |
| Chest X-ray, single view CPT 71045 Chest Port | $99.00 | $248.00 | $78.00–$203.00 | 70% below | 60% |
| Chest X-ray, single view CPT 71045 Chest 1 View | $104.00 | $260.00 | $78.00–$213.00 | 68% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us-renal | $210.00 | $525.00 | $94.00–$431.00 | 72% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us- Anatomy Scan | $296.00 | $740.00 | $215.00–$607.00 | 60% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Cont | $504.00 | $1,260.00 | $94.00–$1,033.00 | 73% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Cont | $672.00 | $1,680.00 | $158.00–$1,378.00 | 70% below | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Dp-art Duplex Ext 93925 | $294.00 | $735.00 | $215.00–$603.00 | 86% below | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Dp-duplex Scan Of Lower Ext Ar | $294.00 | $735.00 | $215.00–$603.00 | 86% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Dp-complete Duplex Scan Of Ven | $315.00 | $788.00 | $215.00–$646.00 | 85% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Dp-bil Venus Duplex 93970 | $336.00 | $840.00 | $215.00–$689.00 | 84% below | 60% |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 Dp-unilateral Duplex Scan Of V | $336.00 | $840.00 | $215.00–$689.00 | 84% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Dp M Mode Echo 93306 | $693.00 | $1,733.00 | $492.00–$1,421.00 | 73% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Std Airflow Hrt Rate&o2 Sat Effort | $720.00 | $1,800.00 | $194.00–$1,476.00 | 5% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Std Airflow Hrt Rate&o2 Sat Ef | $756.00 | $1,890.00 | $194.00–$1,550.00 | at median | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs Sleep W/cpap 4/> Addl Pa | $2,100.00 | $5,250.00 | $773.00–$4,305.00 | 55% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 Knee Lt 3v | $111.00 | $278.00 | $78.00–$228.00 | 66% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 Knee Rt 3v | $111.00 | $278.00 | $78.00–$228.00 | 66% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 Knee Standing Rt 3v | $147.00 | $368.00 | $78.00–$302.00 | 56% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 Knee Standing Lt 3v | $147.00 | $368.00 | $78.00–$302.00 | 56% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us-gallbladder | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us-abd Limited | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us-spleen | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us-pancreas | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Lowdose Lung Cancer Screen | $212.00 | $531.00 | $94.00–$435.00 | 12% below | 60% |
| MRI of both breasts, without and then with contrast dye CPT 77049 Mri Breast Bil W/wo | $1,010.00 | $2,526.00 | $293.00–$2,071.00 | 26% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $756.00 | $1,890.00 | $215.00–$1,550.00 | 63% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee Rt W/wo 73723 | $798.00 | $1,995.00 | $314.00–$1,636.00 | 71% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Rt W/o | $840.00 | $2,100.00 | $314.00–$1,722.00 | 69% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Rt W/wo 73723 | $840.00 | $2,100.00 | $314.00–$1,722.00 | 69% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee Lt W/wo 73723 | $840.00 | $2,100.00 | $314.00–$1,722.00 | 69% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Lt W/o | $840.00 | $2,100.00 | $314.00–$1,722.00 | 69% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Foot Rt W/o | $924.00 | $2,310.00 | $314.00–$1,894.00 | 66% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Foot Rt W | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Foot Rt W & W/o 73723 | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Lt W/wo 73723 | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip Lt W/wo 73723 | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Lt W | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Rt W | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Foot Lt W/o | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Foot Lt W | $1,050.00 | $2,625.00 | $314.00–$2,153.00 | 62% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee Rt W | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 57% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Foot Lt W & W/o 73723 | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 57% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip Rt W/wo 73723 | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 57% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee Lt W | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 57% below | 60% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen Wo Contrast | $756.00 | $1,890.00 | $215.00–$1,550.00 | 66% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abd W/wo Contrast | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 64% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o | $720.00 | $1,800.00 | $215.00–$1,476.00 | 67% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $1,344.00 | $3,360.00 | $314.00–$2,755.00 | 56% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $798.00 | $1,995.00 | $215.00–$1,636.00 | 65% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar W/wo Contrast 72158 | $1,218.00 | $3,045.00 | $314.00–$2,497.00 | 62% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Wo Contrast 72146 | $756.00 | $1,890.00 | $215.00–$1,550.00 | 65% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical W/wo Contrast 72156 | $1,218.00 | $3,045.00 | $314.00–$2,497.00 | 63% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine Wo 72141 | $756.00 | $1,890.00 | $215.00–$1,550.00 | 67% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/wo Contrast | $1,176.00 | $2,940.00 | $314.00–$2,411.00 | 65% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Shoulder Lt W/o Dye 73221 | $714.00 | $1,785.00 | $215.00–$1,464.00 | 60% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow Rt W/o Dye 73221 | $756.00 | $1,890.00 | $215.00–$1,550.00 | 58% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Wrist Lt W/o Dye 73221 | $756.00 | $1,890.00 | $215.00–$1,550.00 | 58% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow Lt W/o Dye 73221 | $756.00 | $1,890.00 | $215.00–$1,550.00 | 58% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Wrist Rt W/o Dye 73221 | $756.00 | $1,890.00 | $215.00–$1,550.00 | 58% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Shoulder Rt W/o Dye 73221 | $840.00 | $2,100.00 | $215.00–$1,722.00 | 53% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us-pelvic | $231.00 | $578.00 | $94.00–$474.00 | 73% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $200.00 | $499.00 | $94.00–$409.00 | 69% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us-ob <14 Wks 1st Trimester | $168.00 | $420.00 | $94.00–$344.00 | 74% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us-ob Limited | $151.00 | $378.00 | $94.00–$310.00 | 68% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2 Views Rt | $116.00 | $289.00 | $78.00–$237.00 | 62% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2 Views Lt | $116.00 | $289.00 | $78.00–$237.00 | 62% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Rt 4v W-weights | $124.00 | $310.00 | $78.00–$254.00 | 60% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Rt 3v | $124.00 | $310.00 | $78.00–$254.00 | 60% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt 4v W-weights | $124.00 | $310.00 | $78.00–$254.00 | 60% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt 3v | $124.00 | $310.00 | $78.00–$254.00 | 60% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $1,890.00 | $4,725.00 | $773.00–$3,874.00 | 57% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $200.00 | $499.00 | $94.00–$409.00 | 69% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $252.00 | $630.00 | $94.00–$517.00 | 71% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 Dp-echo Scrotum & Contents | $200.00 | $499.00 | $94.00–$409.00 | 71% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 Us-scrotum & Contents | $210.00 | $525.00 | $94.00–$431.00 | 69% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us-soft Tissue Neck | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us-head/neck/thyroid | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us-thyroid | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us-submandibular | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us-soft Tissue Head | $210.00 | $525.00 | $94.00–$431.00 | 67% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Dp-duplex Ext Veins;un 93971 Venous Dopp | $252.00 | $630.00 | $94.00–$517.00 | 69% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Lt 3 V Min 3 | $111.00 | $278.00 | $78.00–$228.00 | 64% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Rt 3v | $111.00 | $278.00 | $78.00–$228.00 | 64% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Rt 4 V Min 4 V | $126.00 | $315.00 | $78.00–$258.00 | 59% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Joint 2 Views Unil Rt | $109.00 | $273.00 | $78.00–$224.00 | 70% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 Abd 1v | $104.00 | $260.00 | $78.00–$213.00 | 69% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 Kub | $116.00 | $289.00 | $78.00–$237.00 | 66% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Lt 1v Stress | $84.00 | $210.00 | $78.00–$172.00 | 70% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Rt Ap&lat | $104.00 | $260.00 | $78.00–$213.00 | 63% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Lt Ap&lat | $104.00 | $260.00 | $78.00–$213.00 | 63% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Min 2 Views Lt | $100.00 | $251.00 | $78.00–$206.00 | 59% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers Min 2 Views Rt | $104.00 | $260.00 | $78.00–$213.00 | 57% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Foot Rt Ap&lat | $104.00 | $260.00 | $78.00–$213.00 | 69% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Foot Lt Ap&lat | $104.00 | $260.00 | $78.00–$213.00 | 69% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Lt Min 3v | $104.00 | $260.00 | $78.00–$213.00 | 72% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Rt Min 3v | $104.00 | $260.00 | $78.00–$213.00 | 72% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views Rt | $151.00 | $378.00 | $78.00–$310.00 | 58% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views Lt | $151.00 | $378.00 | $78.00–$310.00 | 58% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Standing 1-2 Views Unil-lt | $104.00 | $260.00 | $78.00–$213.00 | 62% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Standing 1-2 Views Unil-rt | $104.00 | $260.00 | $78.00–$213.00 | 62% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1-2 Views Unil-rt | $104.00 | $260.00 | $78.00–$213.00 | 62% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1-2 Views Unil-lt | $104.00 | $260.00 | $78.00–$213.00 | 62% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar Ap&lat | $147.00 | $368.00 | $94.00–$302.00 | 69% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar Series 3 Views | $147.00 | $368.00 | $94.00–$302.00 | 69% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $168.00 | $420.00 | $94.00–$344.00 | 74% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic Ap&lat | $147.00 | $368.00 | $94.00–$302.00 | 64% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones | $126.00 | $315.00 | $78.00–$258.00 | 56% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical Ap&lat | $118.00 | $294.00 | $78.00–$241.00 | 68% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 V | $141.00 | $353.00 | $94.00–$289.00 | 62% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum Coccyx Min 2 Views | $104.00 | $260.00 | $78.00–$213.00 | 68% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum-coccyx Lat | $116.00 | $289.00 | $78.00–$237.00 | 65% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum-coccyx Ap&lat | $120.00 | $299.00 | $78.00–$245.00 | 63% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt | $14.00 | $36.00 | $5.00–$30.00 | 76% below | 61% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transaminase Sgpt | $14.00 | $34.00 | $5.00–$28.00 | 76% below | 59% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast | $14.00 | $36.00 | $5.00–$30.00 | 76% below | 61% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Aspartate Amino (Ast) | $14.00 | $35.00 | $5.00–$29.00 | 76% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Comp Profile | $87.00 | $218.00 | $43.00–$179.00 | 78% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel(rl) | $92.00 | $230.00 | $43.00–$189.00 | 76% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Allergen Each | $3.00 | $8.00 | $4.00–$7.00 | 88% below | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Adult Food Allergy Profile Ige (Rl) | $13.00 | $32.00 | $16.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pediatric Allergy Profile Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Ash Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marsh Elder Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P. Notatum Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Tree Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak White Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Nettle Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Ur Prot Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple Box Elder Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C.herbarum Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Birch Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. Tenuis Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cow Milk Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternate Ige(rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Epithelium Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Green Peas Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Ige(rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cinnamon Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork Ige(rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orange Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Potato Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mustard Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cocoa Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bakers Yeast Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Garlic Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rice Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Barley Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye Food Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. Pteronyssinus Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. Fumigatus Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mesquite Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mulberry Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 American House Dust Mite Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 European House Dust Mite Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Elm Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cantaloupe Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cherry Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coffee Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oyster Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peach Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pear Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Watermelon Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Avocado Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bass, Black Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grape/raisin Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Raspberry Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. Albicans Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D.farinae Mites Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut Ige(rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio Ige(rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Ige (Rl) | $13.00 | $32.00 | $5.00–$26.00 | 48% below | 59% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Igg | $52.00 | $130.00 | $12.00–$107.00 | 2% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Peptide Igg (Rl) | $53.00 | $133.00 | $12.00–$109.00 | at median | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen W/rflx (Rl) | $21.00 | $52.00 | $11.00–$43.00 | 77% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen | $22.00 | $54.00 | $11.00–$44.00 | 76% below | 59% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp | $59.00 | $147.00 | $35.00–$121.00 | 69% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probnp | $59.00 | $147.00 | $35.00–$121.00 | 69% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $36.00 | $89.00 | $8.00–$73.00 | 86% below | 60% |
| Blood culture for bacteria CPT 87040 Blood Culture Bacterial | $20.00 | $50.00 | $9.00–$41.00 | 92% below | 60% |
| Blood culture for bacteria CPT 87040 Blood Culture X1 | $32.00 | $79.00 | $9.00–$65.00 | 87% below | 59% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Of Venous Blood By Venipunctu | $6.00 | $15.00 | $8.00–$12.00 | 71% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $6.00 | $16.00 | $8.00–$13.00 | 71% below | 63% |
| Blood glucose (sugar) test CPT 82947 Urine Glucose Random (Rl) | $8.00 | $21.00 | $4.00–$17.00 | 84% below | 62% |
| Blood glucose (sugar) test CPT 82947 Glucose Csf (Rl) | $10.00 | $26.00 | $4.00–$21.00 | 80% below | 62% |
| Blood glucose (sugar) test CPT 82947 Fasting Glucose-o'sullivan-*charge Only* | $13.00 | $32.00 | $4.00–$26.00 | 73% below | 59% |
| Blood glucose (sugar) test CPT 82947 Glucose | $13.00 | $32.00 | $4.00–$26.00 | 73% below | 59% |
| Blood glucose (sugar) test CPT 82947 O Sullivan | $36.00 | $90.00 | $4.00–$74.00 | 27% below | 60% |
| Blood lead test CPT 83655 Lead Blood (Rl) | $21.00 | $52.00 | $11.00–$43.00 | 60% below | 60% |
| Blood lead test CPT 83655 Lead | $22.00 | $55.00 | $11.00–$45.00 | 58% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Hcg Qualitative | $13.00 | $33.00 | $7.00–$27.00 | 93% below | 61% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing | $92.00 | $231.00 | $3.00–$189.00 | 2% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo Group | $145.00 | $363.00 | $3.00–$298.00 | 60% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp(extended Range) | $13.00 | $32.00 | $5.00–$26.00 | 78% below | 59% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (Crp) | $14.00 | $35.00 | $5.00–$29.00 | 76% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Toxigenic C.diff By Pcr | $61.00 | $152.00 | $34.00–$125.00 | 67% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Molecular C. Difficile | $63.00 | $157.00 | $34.00–$129.00 | 66% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $12.00 | $30.00 | $15.00–$25.00 | 91% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 (Rl) | $36.00 | $90.00 | $19.00–$74.00 | 73% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $15.00 | $37.00 | $19.00–$30.00 | 91% below | 59% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 (Rl) | $36.00 | $90.00 | $19.00–$74.00 | 78% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Molecular | $80.00 | $199.00 | $46.00–$163.00 | 10% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Molecular | $84.00 | $210.00 | $46.00–$172.00 | 5% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Molecular(hs) | $94.00 | $236.00 | $46.00–$194.00 | 6% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna Probe Amplifi | $23.00 | $57.00 | $29.00–$47.00 | 81% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Rna, Tma (Rl) | $61.00 | $152.00 | $32.00–$125.00 | 51% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct/gc/tv- Female/male | $147.00 | $368.00 | $32.00–$302.00 | 18% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $39.00 | $97.00 | $12.00–$80.00 | 81% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $27.00 | $68.00 | $7.00–$56.00 | 70% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $60.00 | $150.00 | $10.00–$123.00 | 83% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Quantitive | $30.00 | $75.00 | $9.00–$61.00 | 83% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer,triage | $40.00 | $99.00 | $9.00–$81.00 | 77% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s | $50.00 | $125.00 | $20.00–$103.00 | 67% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate Immunoassay (Rl) | $80.00 | $200.00 | $20.00–$164.00 | 48% below | 60% |
| Estradiol blood test CPT 82670 Estradiol | $16.00 | $40.00 | $20.00–$33.00 | 89% below | 60% |
| Estradiol blood test CPT 82670 Estradiol Total (Rl) | $48.00 | $121.00 | $25.00–$99.00 | 67% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $20.00 | $49.00 | $17.00–$40.00 | 88% below | 59% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Hormone (Rl) | $32.00 | $80.00 | $17.00–$66.00 | 80% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool | $110.00 | $275.00 | $18.00–$226.00 | 49% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool(rl) | $116.00 | $289.00 | $18.00–$237.00 | 46% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $24.00 | $59.00 | $12.00–$48.00 | 77% below | 59% |
| Folate (folic acid) blood test CPT 82746 Folates | $14.00 | $35.00 | $13.00–$29.00 | 84% below | 60% |
| Folate (folic acid) blood test CPT 82746 Folate | $26.00 | $64.00 | $13.00–$52.00 | 70% below | 59% |
| Free T3 thyroid hormone test CPT 84481 T-3 Free | $16.00 | $40.00 | $15.00–$33.00 | 89% below | 60% |
| Free T3 thyroid hormone test CPT 84481 T3 Free (Rl) | $74.00 | $184.00 | $15.00–$151.00 | 47% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 Free | $16.00 | $40.00 | $8.00–$33.00 | 82% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $17.00 | $42.00 | $8.00–$34.00 | 80% below | 60% |
| Free testosterone test CPT 84402 Charge Only! Testosterone, Free(rl) | $105.00 | $263.00 | $23.00–$216.00 | 5% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $160.00 | $400.00 | $200.00–$328.00 | 64% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose | $8.00 | $20.00 | $4.00–$16.00 | 92% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ob 2hr Glucose Tolerance | $13.00 | $32.00 | $4.00–$26.00 | 87% below | 59% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 O'sullivan Test | $13.00 | $32.00 | $4.00–$26.00 | 87% below | 59% |
| Glucose tolerance test, 3 samples CPT 82951 Tolerance 1st Specimen Charge | $38.00 | $95.00 | $12.00–$78.00 | 76% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Dna Probe Amplifi | $23.00 | $57.00 | $29.00–$47.00 | 84% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhoeae Rna, Tma (Rl) | $61.00 | $152.00 | $32.00–$125.00 | 56% below | 60% |
| H. pylori stool antigen test CPT 87338 H Pylori Stool | $36.00 | $90.00 | $13.00–$74.00 | 65% below | 60% |
| H. pylori stool antigen test CPT 87338 H. Pylori Stool Quik Chek | $42.00 | $105.00 | $13.00–$86.00 | 60% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna, Qt Pcr(rl) | $193.00 | $482.00 | $77.00–$395.00 | 41% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1 & 2 | $12.00 | $30.00 | $12.00–$25.00 | 87% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Ag & Ab, 4th Gen, W/rfl (Rl) | $44.00 | $109.00 | $22.00–$89.00 | 69% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin | $17.00 | $42.00 | $9.00–$34.00 | 82% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin A1c | $18.00 | $45.00 | $9.00–$37.00 | 80% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Antibody | $24.00 | $60.00 | $10.00–$49.00 | 62% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag | $30.00 | $75.00 | $9.00–$61.00 | 59% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag (Rl) | $32.00 | $79.00 | $9.00–$65.00 | 57% below | 59% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Maternal Hep B Surface Ag (Cov) | $45.00 | $112.00 | $9.00–$92.00 | 39% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus | $20.00 | $50.00 | $13.00–$41.00 | 77% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody(rl) | $25.00 | $62.00 | $13.00–$51.00 | 71% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Quant By Pcr | $54.00 | $135.00 | $39.00–$111.00 | 82% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Rna Quant By Pcr (Rl) | $74.00 | $185.00 | $39.00–$152.00 | 75% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type-1 | $16.00 | $40.00 | $12.00–$33.00 | 80% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Igg (Rl) | $65.00 | $163.00 | $12.00–$134.00 | 19% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type-2 | $16.00 | $40.00 | $17.00–$33.00 | 82% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Igg (Rl) | $91.00 | $228.00 | $17.00–$187.00 | 1% above | 60% |
| Homocysteine blood test CPT 83090 Homocysteine (Cardiovasular) | $40.00 | $100.00 | $16.00–$82.00 | 73% below | 60% |
| Homocysteine blood test CPT 83090 Homocysteine, Cardiovascular (Rl) | $85.00 | $212.00 | $16.00–$174.00 | 43% below | 60% |
| Insulin blood test CPT 83525 Insulin Level | $16.00 | $40.00 | $10.00–$33.00 | 81% below | 60% |
| Insulin blood test CPT 83525 Insulin (Rl) | $20.00 | $49.00 | $10.00–$40.00 | 76% below | 59% |
| Iron blood test (serum iron) CPT 83540 Iron | $21.00 | $53.00 | $6.00–$43.00 | 76% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $14.00 | $34.00 | $8.00–$28.00 | 86% below | 59% |
| Iron-binding capacity (TIBC) test CPT 83550 Ibc | $15.00 | $38.00 | $8.00–$31.00 | 85% below | 61% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $50.00 | $124.00 | $8.00–$102.00 | 83% below | 60% |
| LH (luteinizing hormone) test CPT 83002 Lh | $14.00 | $35.00 | $17.00–$29.00 | 91% below | 60% |
| LH (luteinizing hormone) test CPT 83002 Lh (Rl) | $32.00 | $80.00 | $17.00–$66.00 | 79% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase(lip) | $12.00 | $30.00 | $6.00–$25.00 | 88% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $15.00 | $38.00 | $6.00–$31.00 | 85% below | 61% |
| Liver function blood test panel CPT 80076 Liver function blood test | $42.00 | $105.00 | $7.00–$86.00 | 85% below | 60% |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab Wb, Igg, Igm (Rl) | $30.00 | $75.00 | $15.00–$61.00 | 64% below | 60% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorf | $49.00 | $122.00 | $15.00–$100.00 | 41% below | 60% |
| Magnesium blood test CPT 83735 Magnesium | $17.00 | $42.00 | $6.00–$34.00 | 61% below | 60% |
| Magnesium blood test CPT 83735 Urine Magnesium 24hr (Rl) | $23.00 | $57.00 | $6.00–$47.00 | 48% below | 60% |
| Magnesium blood test CPT 83735 Urine Magnesium Random (Rl) | $31.00 | $78.00 | $6.00–$64.00 | 30% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Rubella Igg Titer | $20.00 | $50.00 | $12.00–$41.00 | 31% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody (Igg)(rl) | $26.00 | $65.00 | $12.00–$53.00 | 10% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot | $10.00 | $26.00 | $5.00–$21.00 | 89% below | 62% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $90.00 | $224.00 | $43.00–$184.00 | 65% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $20.00 | $50.00 | $17.00–$41.00 | 82% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $54.00 | $134.00 | $17.00–$110.00 | 39% below | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Cell Pap Smear | $31.00 | $78.00 | $18.00–$64.00 | 66% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone | $32.00 | $80.00 | $37.00–$66.00 | 85% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Intact Parathyroid Hormone W Calcium(rl) | $71.00 | $178.00 | $37.00–$146.00 | 67% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $36.00 | $91.00 | $5.00–$75.00 | 33% below | 60% |
| Progesterone blood test CPT 84144 Progesterone (Rl) | $36.00 | $90.00 | $19.00–$74.00 | 69% below | 60% |
| Prolactin blood test CPT 84146 Prolactin | $16.00 | $40.00 | $17.00–$33.00 | 86% below | 60% |
| Prolactin blood test CPT 84146 Prolactin (Rl) | $34.00 | $84.00 | $17.00–$69.00 | 71% below | 60% |
| Prolactin blood test CPT 84146 Procalcitonin | $52.00 | $131.00 | $17.00–$107.00 | 55% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $36.00 | $91.00 | $4.00–$75.00 | 24% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B | $28.00 | $71.00 | $15.00–$58.00 | 71% below | 61% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A | $28.00 | $71.00 | $15.00–$58.00 | 71% below | 61% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Manual | $23.00 | $57.00 | $15.00–$47.00 | 77% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant (Rl) | $19.00 | $47.00 | $5.00–$39.00 | 65% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Ra Titer | $20.00 | $50.00 | $5.00–$41.00 | 63% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Titer Igg | $20.00 | $50.00 | $13.00–$41.00 | 49% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Maternal Rubella Screen (Cov) | $25.00 | $63.00 | $13.00–$52.00 | 37% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Immune Status (Rl) | $25.00 | $63.00 | $13.00–$52.00 | 37% below | 60% |
| Stool ova and parasites exam CPT 87177 Ova & Parasities | $14.00 | $35.00 | $8.00–$29.00 | 85% below | 60% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites,concentrate/smear(rl) | $34.00 | $86.00 | $8.00–$71.00 | 64% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $4.00 | $11.00 | $4.00–$9.00 | 90% below | 64% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Fecal | $22.00 | $55.00 | $14.00–$45.00 | 70% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Stool (Singles) | $28.00 | $69.00 | $14.00–$57.00 | 62% below | 59% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $9.00 | $23.00 | $4.00–$19.00 | 83% below | 61% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr W/rflx Titer(rl) | $17.00 | $42.00 | $4.00–$34.00 | 68% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb-quantiferon Gold | $141.00 | $353.00 | $56.00–$289.00 | 36% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb-quantiferon Gold (Rl) | $348.00 | $870.00 | $56.00–$713.00 | 58% above | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total (Rl) | $74.00 | $184.00 | $23.00–$151.00 | 39% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone | $105.00 | $263.00 | $23.00–$216.00 | 13% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyroid Peroxidase | $8.00 | $21.00 | $11.00–$17.00 | 91% below | 62% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/kidney Antibody | $26.00 | $64.00 | $13.00–$52.00 | 71% below | 59% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab (Tpo)(rl) | $38.00 | $95.00 | $13.00–$78.00 | 58% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $88.00 | $220.00 | $15.00–$180.00 | 29% below | 60% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Amplified Probe | $24.00 | $60.00 | $30.00–$49.00 | 73% below | 60% |
| Trichomonas test (NAAT) CPT 87661 Dont Use-trichomonas Vaginalis Pcr(rl) | $70.00 | $175.00 | $32.00–$144.00 | 20% below | 60% |
| Uric acid blood test CPT 84550 Uric Acid | $11.00 | $27.00 | $4.00–$22.00 | 90% below | 59% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $15.00 | $37.00 | $3.00–$30.00 | 87% below | 59% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $6.00 | $15.00 | $2.00–$12.00 | 88% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $6.00 | $15.00 | $3.00–$12.00 | 83% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $16.00 | $41.00 | $7.00–$34.00 | 89% below | 61% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $9.00 | $23.00 | $8.00–$19.00 | 90% below | 61% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $26.00 | $65.00 | $14.00–$53.00 | 71% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-hydroxy Total | $27.00 | $68.00 | $27.00–$56.00 | 76% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Oh (Rl) | $90.00 | $226.00 | $27.00–$185.00 | 20% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Fractionated 25 Oh (Rl) | $90.00 | $226.00 | $27.00–$185.00 | 20% below | 60% |
| Zinc blood test CPT 84630 Zinc | $19.00 | $47.00 | $10.00–$39.00 | 72% below | 60% |
| Zinc blood test CPT 84630 Zinc (Rl) | $20.00 | $49.00 | $10.00–$40.00 | 71% below | 59% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Serum Pregnancy | $22.00 | $55.00 | $14.00–$45.00 | 80% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative (Beta) | $26.00 | $65.00 | $14.00–$53.00 | 76% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12 | $3,692.00 | $9,229.00 | $1,300.00–$7,568.00 | 2% below | 60% |
| Appendectomy, open surgery CPT 44950 Appendectomy | $1,301.00 | $3,252.00 | $1,626.00–$7,119.00 | 78% below | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Fracture Distal Fibula | $112.00 | $280.00 | $140.00–$271.00 | 76% below | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fracture Care Metatarsal | $90.00 | $225.00 | $113.00–$271.00 | 68% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Elective Carioversion | $123.00 | $308.00 | $84.00–$253.00 | 92% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elect Elec Co | $723.00 | $1,807.00 | $595.00–$1,482.00 | 52% below | 60% |
| Cervical biopsy CPT 57500 Biopsy Cervix | $258.00 | $646.00 | $323.00–$1,013.00 | 78% below | 60% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery | $3,017.00 | $7,543.00 | $2,157.00–$6,185.00 | 27% below | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Ecx Not Clamp/age >28 Days | $1,493.00 | $3,733.00 | $1,300.00–$3,061.00 | 52% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision | $681.00 | $1,703.00 | $852.00–$2,299.00 | 45% below | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/clamp W/regional Block | $2,304.00 | $5,760.00 | $1,300.00–$4,723.00 | 87% above | 60% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate | $1,822.00 | $4,555.00 | $627.00–$3,735.00 | 20% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Fracture Care Radius | $110.00 | $275.00 | $138.00–$271.00 | 79% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radius/ulna | $228.00 | $569.00 | $222.00–$467.00 | 56% below | 60% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $702.00 | $1,756.00 | $878.00–$1,440.00 | 42% below | 60% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $737.00 | $1,842.00 | $921.00–$1,510.00 | 38% below | 60% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $737.00 | $1,842.00 | $837.00–$1,510.00 | 52% below | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy & Biopsy Cervix & Endocerv | $110.00 | $275.00 | $138.00–$1,300.00 | 55% below | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Cu | $341.00 | $853.00 | $274.00–$1,300.00 | 38% above | 60% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage | $1,038.00 | $2,596.00 | $1,298.00–$3,560.00 | 74% below | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Cryo Freeze First Wart | $66.00 | $166.00 | $83.00–$221.00 | 67% below | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Cerumen | $72.00 | $179.00 | $53.00–$147.00 | 42% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 Removal Of Cerumen | $26.00 | $65.00 | $33.00–$65.00 | 83% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 F B Removal-cerumen | $30.00 | $75.00 | $24.00–$61.00 | 81% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 Remov Impacted Cerumen (Sep | $69.00 | $173.00 | $53.00–$142.00 | 56% below | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining | $80.00 | $200.00 | $100.00–$1,300.00 | 78% below | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/wo Endocervix Bx W/o Di | $199.00 | $497.00 | $182.00–$1,300.00 | 46% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidscopy Flexible Dx W | $325.00 | $812.00 | $406.00–$1,300.00 | 59% below | 60% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $3,648.00 | $9,121.00 | $4,561.00–$7,479.00 | 49% below | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap Surg Cholecystectomy W/cholangiogra | $2,900.00 | $7,250.00 | $1,300.00–$6,648.00 | 65% below | 60% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Gallbladder Excision | $240.00 | $600.00 | $300.00–$492.00 | 93% below | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion Iud | $60.00 | $150.00 | $75.00–$1,300.00 | 84% below | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device | $192.00 | $481.00 | $241.00–$1,300.00 | 49% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Of | $74.00 | $185.00 | $93.00–$221.00 | 84% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abscess; Simpl/sngl | $79.00 | $198.00 | $88.00–$162.00 | 83% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abcess Simpl/sngl: 10060 | $231.00 | $578.00 | $181.00–$474.00 | 51% below | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $1,954.00 | $4,885.00 | $2,443.00–$4,006.00 | 69% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Trigger Point Inject | $100.00 | $250.00 | $125.00–$338.00 | 77% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentisis/aspir/inj;ma | $45.00 | $113.00 | $35.00–$93.00 | 92% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration Large Joint | $100.00 | $250.00 | $125.00–$338.00 | 83% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentisis/aspir/inj;ma: 20610 | $336.00 | $841.00 | $276.00–$690.00 | 43% below | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Implantable Contraceptive Cap | $100.00 | $250.00 | $120.00–$1,300.00 | 58% below | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device | $145.00 | $363.00 | $120.00–$1,300.00 | 40% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration Medium Joint | $100.00 | $250.00 | $125.00–$338.00 | 83% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentisis/aspir/ijn;in | $336.00 | $841.00 | $276.00–$690.00 | 43% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis/aspir//inj;; | $38.00 | $94.00 | $28.00–$77.00 | 91% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration S Joint | $100.00 | $250.00 | $125.00–$338.00 | 77% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis/aspir/inj | $336.00 | $841.00 | $276.00–$690.00 | 23% below | 60% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laproscopy | $1,914.00 | $4,785.00 | $1,300.00–$6,648.00 | 73% below | 60% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laprascopy Surgical Append | $3,045.00 | $7,613.00 | $1,300.00–$6,648.00 | 57% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparo Hernia Repair | $1,914.00 | $4,785.00 | $2,393.00–$6,648.00 | 85% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Wounds Scalp | $137.00 | $343.00 | $172.00–$447.00 | 74% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Clo Sclp/ax/trunk/ext | $231.00 | $578.00 | $289.00–$474.00 | 57% below | 60% |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial W/lymph | $2,105.00 | $5,262.00 | $1,300.00–$4,315.00 | 51% below | 60% |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complet | $2,020.00 | $5,050.00 | $1,300.00–$7,302.00 | 67% below | 60% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care Of Miscarriage | $1,078.00 | $2,696.00 | $1,300.00–$3,560.00 | 70% below | 60% |
| Miscarriage treatment with D&C, first trimester CPT 59820 D&c Missed Abortion/miscarriage 1st Tri | $1,212.00 | $3,029.00 | $1,300.00–$3,560.00 | 67% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Benign Lesions | $238.00 | $596.00 | $298.00–$1,300.00 | 70% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-ext B9+margin 0.5 < Cm | $350.00 | $876.00 | $438.00–$1,300.00 | 57% below | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excisions Benign Lesion | $238.00 | $596.00 | $298.00–$779.00 | 74% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate | $52.00 | $129.00 | $43.00–$106.00 | 84% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate | $66.00 | $166.00 | $83.00–$221.00 | 80% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Par/com | $231.00 | $578.00 | $181.00–$474.00 | 29% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block | $70.00 | $175.00 | $88.00–$338.00 | 84% below | 60% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/imaging | $1,041.00 | $2,603.00 | $816.00–$2,134.00 | 36% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail Partial | $137.00 | $343.00 | $172.00–$447.00 | 80% below | 60% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $1,315.00 | $3,287.00 | $1,644.00–$4,306.00 | 73% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Of Foreign Body | $60.00 | $150.00 | $75.00–$447.00 | 89% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 Incs & Remov Fb Subq Tiss; | $79.00 | $198.00 | $89.00–$162.00 | 85% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 Incs & Remov Fb Subq Tiss: 10120 | $402.00 | $1,006.00 | $366.00–$825.00 | 26% below | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Screening | $200.00 | $500.00 | $250.00–$1,023.00 | 74% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 Short Arm Cast | $88.00 | $221.00 | $111.00–$308.00 | 71% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast 29075 | $310.00 | $776.00 | $252.00–$636.00 | 1% above | 60% |
| Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint; Sta | $37.00 | $92.00 | $36.00–$75.00 | 87% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint;sta 29125 | $145.00 | $363.00 | $120.00–$298.00 | 50% below | 60% |
| Short leg cast (below the knee) CPT 29405 Short Leg Cast | $88.00 | $221.00 | $111.00–$308.00 | 74% below | 60% |
| Short leg splint (calf to foot) CPT 29515 Applic Short Leg Splint 29515 | $182.00 | $455.00 | $146.00–$373.00 | 35% below | 60% |
| Short leg splint (calf to foot) CPT 29515 Insert Non-tunnel Cv Cath Age 5yrs Or Ol | $210.00 | $525.00 | $43.00–$431.00 | 25% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Suture Repair Simple | $66.00 | $166.00 | $83.00–$221.00 | 84% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Repr Sclp/ax/genit/tr | $90.00 | $225.00 | $39.00–$185.00 | 78% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Repr Sclp/ax/genit/tr 12001 | $231.00 | $578.00 | $181.00–$474.00 | 42% below | 60% |
| Skin biopsy, punch, one lesion CPT 11104 Do Not Use Biopsy, Punch Of Skin | $40.00 | $100.00 | $50.00–$447.00 | 91% below | 60% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Malignant Lesion .05cm Or Less | $238.00 | $596.00 | $298.00–$779.00 | 80% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags Up To 15 | $66.00 | $166.00 | $83.00–$221.00 | 79% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tag: 11200 | $175.00 | $437.00 | $181.00–$358.00 | 45% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $620.00 | $1,550.00 | $635.00–$1,300.00 | 41% below | 60% |
| 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 Superfical | $66.00 | $166.00 | $83.00–$221.00 | 86% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simpl Repr Sclp/ax/genit/tr: 12002 | $100.00 | $251.00 | $50.00–$206.00 | 78% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Superficial Wounds: 12002 | $231.00 | $578.00 | $181.00–$474.00 | 50% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Of Wound | $66.00 | $166.00 | $83.00–$221.00 | 84% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simpl Repr Face/ears/nose/m | $93.00 | $233.00 | $48.00–$191.00 | 78% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simpl Repr Face/ears/nose M 12011 | $231.00 | $578.00 | $181.00–$474.00 | 46% below | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy/punch Of Skin | $66.00 | $166.00 | $83.00–$447.00 | 82% below | 60% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Age12/older | $1,418.00 | $3,544.00 | $1,300.00–$3,646.00 | 68% below | 60% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Under Age 12 | $3,565.00 | $8,912.00 | $1,300.00–$7,308.00 | 22% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Pts 1-2 Muscles | $100.00 | $250.00 | $125.00–$338.00 | 83% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl | $246.00 | $614.00 | $276.00–$503.00 | 57% below | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $670.00 | $1,676.00 | $816.00–$1,374.00 | 35% below | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Tumor Removal Polyp/oth Lesion Snare | $1,236.00 | $3,089.00 | $1,300.00–$2,533.00 | 9% above | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $648.00 | $1,620.00 | $810.00–$1,328.00 | 39% below | 60% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery | $1,400.00 | $3,500.00 | $1,500.00–$2,870.00 | 48% below | 60% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Unilateral Or Bilateral | $420.00 | $1,050.00 | $525.00–$2,299.00 | — | 60% |
| Wart removal, up to 14 warts CPT 17110 Milia Up To 14 | $66.00 | $166.00 | $83.00–$221.00 | 69% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Skin And | $100.00 | $250.00 | $125.00–$447.00 | 90% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid;skin & Subq Tiss | $445.00 | $1,112.00 | $366.00–$912.00 | 57% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/blood Co | $489.00 | $1,222.00 | $397.00–$1,002.00 | 48% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 Bb Transfusion Administration | $804.00 | $2,010.00 | $397.00–$1,648.00 | 15% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Oxygen Less Than 1 Hour | $23.00 | $58.00 | $29.00–$241.00 | 89% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Oxygen First Hour | $31.00 | $78.00 | $39.00–$241.00 | 85% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment | $87.00 | $217.00 | $109.00–$241.00 | 57% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Subsequent 2nd Med | $230.00 | $576.00 | $197.00–$472.00 | 13% above | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhilation | $242.00 | $605.00 | $197.00–$496.00 | 19% above | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Inf 1 Hour | $590.00 | $1,475.00 | $297.00–$1,210.00 | 3% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care E&m-unstable | $334.00 | $835.00 | $176.00–$685.00 | 87% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care/30-74 Min(trauma Rm):99291 | $958.00 | $2,396.00 | $743.00–$1,965.00 | 63% below | 60% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $35.00 | $87.00 | $44.00–$71.00 | 75% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Xxxxelectrogardiogram | $28.00 | $69.00 | $35.00–$65.00 | 91% below | 59% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg | $72.00 | $179.00 | $53.00–$147.00 | 76% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg-routine W/12 Leads;inte | $72.00 | $179.00 | $53.00–$147.00 | 76% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogramekg | $97.00 | $243.00 | $53.00–$199.00 | 67% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 5 | $164.00 | $410.00 | $76.00–$336.00 | 37% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Evaluation And Management | $37.00 | $92.00 | $36.00–$75.00 | 92% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 4 | $264.00 | $661.00 | $138.00–$542.00 | 44% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Evaluation And Management | $60.00 | $151.00 | $62.00–$124.00 | 93% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Visit | $70.00 | $175.00 | $88.00–$300.00 | 92% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 | $480.00 | $1,200.00 | $246.00–$984.00 | 42% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Evaluation And Management | $109.00 | $273.00 | $105.00–$224.00 | 92% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 2 | $802.00 | $2,005.00 | $375.00–$1,644.00 | 41% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Evaluation And Management | $163.00 | $407.00 | $152.00–$334.00 | 93% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 1 | $930.00 | $2,325.00 | $536.00–$1,907.00 | 59% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Dp-cardiac Stress Test | $280.00 | $700.00 | $194.00–$574.00 | 81% below | 60% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg Monitor/report 24 | $60.00 | $150.00 | $75.00–$123.00 | 97% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Fluids 31 Minutes To An Hour | $70.00 | $175.00 | $88.00–$234.00 | 84% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus Therap/dx By Phys/ Er | $263.00 | $658.00 | $191.00–$540.00 | 41% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Init: 96360 O/p | $393.00 | $983.00 | $191.00–$806.00 | 13% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 E/r Ther/proph/diag Iv Inf Init: 96365 | $263.00 | $658.00 | $191.00–$540.00 | 45% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 O/p Iv Infus Therap/dx | $393.00 | $983.00 | $191.00–$806.00 | 17% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag Inj, Sc/im | $80.00 | $199.00 | $65.00–$163.00 | 52% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 E/r Ther/proph/diag Inj, Sc/im 96372 | $80.00 | $199.00 | $65.00–$163.00 | 52% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 O/p Intravenous Infu For Therapy Prophyl | $90.00 | $226.00 | $65.00–$185.00 | 45% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-education 15mins | $42.00 | $106.00 | $29.00–$87.00 | 63% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $68.00 | $169.00 | $85.00–$139.00 | 70% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $100.00 | $251.00 | $126.00–$206.00 | 69% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $132.00 | $331.00 | $166.00–$271.00 | 61% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient 2 | $58.00 | $144.00 | $66.00–$118.00 | 70% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Mins | $77.00 | $192.00 | $86.00–$157.00 | 75% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 General Evaluation Charge | $77.00 | $192.00 | $86.00–$157.00 | 68% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min | $77.00 | $192.00 | $86.00–$157.00 | 73% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 15 Mins | $38.00 | $95.00 | $24.00–$78.00 | 66% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $41.00 | $103.00 | $25.00–$84.00 | 67% below | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $100.00 | $250.00 | $125.00–$205.00 | 28% below | 60% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $100.00 | $250.00 | $125.00–$205.00 | 31% below | 60% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Wellness New Pt 65 And Older | $100.00 | $250.00 | $125.00–$205.00 | 40% below | 60% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Wellness Est Pt 18-39 Yrs Old | $100.00 | $250.00 | $125.00–$205.00 | 14% below | 60% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Wellness Est Pt 40-64 Yrs Old | $100.00 | $250.00 | $125.00–$205.00 | 42% below | 60% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Wellness Est Pt 65 Yrs And Older | $100.00 | $250.00 | $125.00–$205.00 | 43% below | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation Counseling | $10.00 | $25.00 | $13.00–$41.00 | 79% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Ov/np 99215 | $108.00 | $270.00 | $135.00–$221.00 | 65% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient 15 | $108.00 | $270.00 | $135.00–$221.00 | 65% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient 13 | $54.00 | $136.00 | $68.00–$112.00 | 74% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ov/np 99213 | $54.00 | $136.00 | $68.00–$112.00 | 74% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient 14 | $77.00 | $193.00 | $97.00–$158.00 | 65% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Ov/np 99214 | $77.00 | $193.00 | $97.00–$158.00 | 65% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient 12 | $46.00 | $116.00 | $52.00–$95.00 | 72% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient Visit 10 Minutes | $63.00 | $158.00 | $52.00–$130.00 | 62% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $34.00 | $84.00 | $42.00–$69.00 | 62% below | 60% |
| Speech therapy session, individual CPT 92507 Speech Therapy Visit | $95.00 | $238.00 | $67.00–$195.00 | 59% below | 60% |
| Spirometry (breathing test) CPT 94010 Spirometry | $54.00 | $135.00 | $68.00–$237.00 | 86% below | 60% |
| Spirometry (breathing test) CPT 94010 Incentive Spirometry (Inspiratory) | $81.00 | $203.00 | $102.00–$237.00 | 78% below | 60% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Basic | $120.00 | $299.00 | $150.00–$245.00 | 68% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Pre & Po | $212.00 | $531.00 | $266.00–$435.00 | 66% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 Bronchospsm Eval; Spirom Pre | $340.00 | $851.00 | $336.00–$698.00 | 46% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities | $34.00 | $84.00 | $31.00–$69.00 | 71% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Transfer Training | $44.00 | $110.00 | $31.00–$90.00 | 63% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $145.00 | $363.00 | $120.00–$298.00 | 42% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax Covid Vaccine | $58.00 | $146.00 | $73.00–$120.00 | 53% below | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine | $100.00 | $250.00 | $125.00–$205.00 | 80% below | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vac Adult | $28.00 | $70.00 | $35.00–$57.00 | 88% below | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Inj (Havrix) | $36.00 | $90.00 | $45.00–$74.00 | 84% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine Adult Im | $28.00 | $70.00 | $35.00–$57.00 | 84% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Hi Dose 0.5ml (Fluzone) | $62.00 | $154.00 | $77.00–$126.00 | 58% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Zone High Dose | $62.00 | $154.00 | $77.00–$126.00 | 58% below | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-m-r Ii Vaccine 0.5ml | $66.00 | $166.00 | $83.00–$136.00 | 73% below | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vaccine | $84.00 | $210.00 | $90.00–$172.00 | 66% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Menvo | $86.00 | $214.00 | $107.00–$175.00 | 76% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 | $140.00 | $350.00 | $175.00–$287.00 | 75% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Prevnar 23 | $97.00 | $242.00 | $121.00–$203.00 | 63% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Inj (Pneumovax 23) | $150.00 | $375.00 | $188.00–$308.00 | 43% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vac (Prevnar15 | $237.00 | $593.00 | $297.00–$486.00 | 9% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine (Prevnar 13) | $240.00 | $600.00 | $300.00–$492.00 | 8% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine (Prevnar 20) | $278.00 | $695.00 | $348.00–$570.00 | 6% above | 60% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine Im | $140.00 | $350.00 | $175.00–$365.00 | 86% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Im Td >7yrs | $18.00 | $45.00 | $23.00–$37.00 | 86% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus And Diphtheria (Td) Inj 0.5ml | $23.00 | $58.00 | $29.00–$48.00 | 83% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Tetnus 7 Yrs And Older | $28.00 | $70.00 | $31.00–$57.00 | 79% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine > 7 Im | $33.00 | $83.00 | $31.00–$68.00 | 75% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine No Prsrv >/=7 Im | $33.00 | $83.00 | $42.00–$68.00 | 75% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Meningococcal( A,c,y,w-135) Inj (Menveo) | $140.00 | $350.00 | $175.00–$287.00 | 6% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet/diph/acel/pertussis (Dtap) 0.5 Ml | $24.00 | $60.00 | $30.00–$49.00 | 86% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Im | $33.00 | $83.00 | $32.00–$68.00 | 80% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap | $40.00 | $100.00 | $32.00–$82.00 | 76% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adaceltdap 0.5ml Inj | $60.00 | $150.00 | $75.00–$123.00 | 64% below | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 90471 | $80.00 | $199.00 | $65.00–$163.00 | 3% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin | $4.00 | $10.00 | $5.00–$8.00 | 93% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Each Add 90472 | $16.00 | $41.00 | $21.00–$34.00 | 70% below | 61% |