Hospital

Southern California Hospital at Culver City

Listed in its price file as “NOR Culver City, LLC”.

Southern California Hospital at Culver City in Culver City, CA publishes cash prices for 255 common procedures listed here, from its own machine-readable price file updated Mar 18, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 212 of 252 procedures and below it for 39. By typical cash price it ranks #176 of 213 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

3828 Delmar Terrace, Culver City, CA 90231 Collected Sep 27, 2026 Source price file

The price file shows no self-pay discount

For 675 of the 675 prices listed here, the cash price in Southern California Hospital at Culver City's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN ABD W/WO CONT	$4,432.13	$4,432.13	$8.50–$3,767.31	56% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT SCAN ABD W/WO CONT	$4,432.13	$4,432.13	$3,102.49–$38,386.78	—	—
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN; 2 VIEWS	$736.77	$736.77	$2.91–$626.25	71% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN; 2 VIEWS	$736.77	$736.77	$515.74–$22,931.31	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE-MIN 3 VWS	$785.12	$785.12	$1.14–$667.35	46% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMPLETE-MIN 3 VWS	$785.12	$785.12	$549.58–$18,985.73	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL UP/LOW EXT(ABI)SINGLE	$690.72	$690.72	$1.66–$1,574.00	24% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL UPPER-EXTEMITY	$1,330.79	$1,330.79	$1.66–$1,574.00	139% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL LOWER-EXTREMITY	$1,377.99	$1,377.99	$1.66–$1,574.00	147% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL UP/LOW EXT(ABI)SINGLE	$690.72	$690.72	$483.50–$27,796.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL UPPER-EXTEMITY	$1,330.79	$1,330.79	$931.55–$27,796.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL LOWER-EXTREMITY	$1,377.99	$1,377.99	$964.59–$27,796.00	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT. WO CONT	$3,393.90	$3,393.90	$4.88–$2,884.82	49% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT. WO CONT	$3,393.90	$3,393.90	$2,375.73–$22,931.31	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$677.04	$677.04	$2.18–$575.48	13% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM	$677.04	$677.04	$473.93–$38,386.78	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$3,582.54	$3,582.54	$6.28–$3,045.16	69% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$3,582.54	$3,582.54	$2,507.78–$86,649.06	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$999.24	$999.24	$2.33–$849.35	39% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$999.24	$999.24	$699.47–$22,931.31	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LTD	$500.78	$500.78	$2.33–$425.66	7% below	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LTD	$500.78	$500.78	$350.55–$18,985.73	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$7,905.30	$7,905.30	$14.77–$6,719.51	46% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$7,905.30	$7,905.30	$5,533.71–$77,010.06	—	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD WO/W CONTRAST	$4,512.71	$4,512.71	$8.61–$3,835.80	46% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WO/W CONTRAST	$4,512.71	$4,512.71	$3,158.90–$38,386.78	—	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK WO/W CONTRAST	$4,512.71	$4,512.71	$8.61–$3,835.80	52% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK WO/W CONTRAST	$4,512.71	$4,512.71	$3,158.90–$38,386.78	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CONTRAST	$3,877.23	$3,877.23	$8.61–$3,295.65	15% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO/W CONTRAST	$3,877.23	$3,877.23	$2,714.06–$38,386.78	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN ABD&PELVIS W/O CONT	$6,642.44	$6,642.44	$10.31–$5,646.07	118% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT SCAN ABD&PELVIS W/O CONT	$6,642.44	$6,642.44	$4,649.71–$52,123.26	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN ABD&PELVIS W CONT	$8,322.39	$8,322.39	$14.77–$7,074.03	102% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT SCAN ABD&PELVIS W CONT	$8,322.39	$8,322.39	$5,825.67–$77,010.06	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN ABD&PELVIS W/WO CONT	$9,624.05	$9,624.05	$14.77–$8,180.44	115% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT SCAN ABD&PELVIS W/WO CONT	$9,624.05	$9,624.05	$6,736.84–$77,010.06	—	—
CT scan of the abdomen with contrast CPT 74160 CT SCAN ABD W/CONT	$4,176.56	$4,176.56	$7.65–$3,550.08	66% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT SCAN ABD W/CONT	$4,176.56	$4,176.56	$2,923.59–$38,386.78	—	—
CT scan of the abdomen without contrast CPT 74150 CT SCAN ABD W/O CONT.	$3,557.22	$3,557.22	$4.88–$3,023.64	86% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT SCAN ABD W/O CONT.	$3,557.22	$3,557.22	$2,490.05–$22,931.31	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL WO CONT	$4,062.21	$4,062.21	$4.88–$3,452.88	86% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX FACIAL WO CONT	$4,062.21	$4,062.21	$2,843.55–$22,931.31	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD W/O CONT.	$4,063.74	$4,063.74	$4.88–$3,454.18	78% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT SCAN HEAD W/O CONT.	$4,063.74	$4,063.74	$2,844.62–$22,931.31	—	—
CT scan of the head with contrast CPT 70460 CT SCAN HEAD W/CONT.	$4,771.74	$4,771.74	$7.65–$4,055.98	76% above	—
CT scan of the head with contrast inpatient CPT 70460 CT SCAN HEAD W/CONT.	$4,771.74	$4,771.74	$3,340.22–$38,386.78	—	—
CT scan of the head without and with contrast CPT 70470 CT SCAN HEAD W/WO CONT	$5,304.74	$5,304.74	$8.50–$4,509.03	74% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT SCAN HEAD W/WO CONT	$5,304.74	$5,304.74	$3,713.32–$38,386.78	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN L/SPINE W/O CONT.	$3,150.84	$3,150.84	$4.88–$2,678.21	10% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SCAN L/SPINE W/O CONT.	$3,150.84	$3,150.84	$2,205.59–$22,931.31	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN C/SPINE W/O CONT.	$4,403.35	$4,403.35	$4.88–$3,742.85	51% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SCAN C/SPINE W/O CONT.	$4,403.35	$4,403.35	$3,082.35–$22,931.31	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN PELVIS W/CONT.	$4,155.84	$4,155.84	$7.65–$3,532.46	63% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SCAN PELVIS W/CONT.	$4,155.84	$4,155.84	$2,909.09–$38,386.78	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID FLOW	$1,868.40	$1,868.40	$3.87–$1,588.14	59% above	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLX IMAGING	$2,669.88	$2,669.88	$3.87–$2,269.40	127% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID FLOW	$1,868.40	$1,868.40	$1,307.88–$52,123.26	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLX IMAGING	$2,669.88	$2,669.88	$1,868.92–$52,123.26	—	—
Chest CT scan without and with contrast CPT 71270 CT SCAN CHEST W/WO CONT.	$4,630.14	$4,630.14	$8.50–$3,935.62	49% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CT SCAN CHEST W/WO CONT.	$4,630.14	$4,630.14	$3,241.10–$38,386.78	—	—
Chest X-ray, 2 views CPT 71046 XR CHEST; 2 VIEWS	$842.68	$842.68	$1.58–$716.28	106% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST; 2 VIEWS	$842.68	$842.68	$589.88–$18,985.73	—	—
Chest X-ray, single view CPT 71045 XR CHEST; SINGLE VIEW	$664.24	$664.24	$1.58–$564.60	82% above	—
Chest X-ray, single view inpatient CPT 71045 XR CHEST; SINGLE VIEW	$664.24	$664.24	$464.97–$18,985.73	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE	$680.36	$680.36	$1.14–$578.31	41% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE	$680.36	$680.36	$476.25–$18,985.73	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL	$1,503.47	$1,503.47	$2.45–$1,277.95	76% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA	$1,580.60	$1,580.60	$2.45–$1,343.51	85% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA/RENAL/RETROPER COMPL	$2,075.33	$2,075.33	$2.45–$1,764.03	143% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL	$1,503.47	$1,503.47	$1,052.43–$22,931.31	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA	$1,580.60	$1,580.60	$1,106.42–$22,931.31	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA/RENAL/RETROPER COMPL	$2,075.33	$2,075.33	$1,452.73–$22,931.31	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN CHEST W/O CONT.	$3,146.24	$3,146.24	$4.88–$2,674.30	57% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT SCAN CHEST W/O CONT.	$3,146.24	$3,146.24	$2,202.37–$22,931.31	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN CHEST W/CONT.	$3,923.30	$3,923.30	$7.65–$3,334.81	35% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT SCAN CHEST W/CONT.	$3,923.30	$3,923.30	$2,746.31–$38,386.78	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ARTERY BILATERAL	$2,422.38	$2,422.38	$3.87–$2,059.02	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ARTERY BILATERAL	$2,422.38	$2,422.38	$1,695.67–$52,123.26	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 LE VENOUS DUPLEX BILAT	$2,640.85	$2,640.85	$3.87–$2,244.72	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UE VEIN MAPPING BILAT	$2,640.85	$2,640.85	$3.87–$2,244.72	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UE VENOUS DUPLEX BILAT	$2,640.85	$2,640.85	$3.87–$2,244.72	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 LE VEIN MAPPING BILAT	$2,640.85	$2,640.85	$3.87–$2,244.72	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 LE VEIN MAPPING BILAT	$2,640.85	$2,640.85	$1,848.60–$52,123.26	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 LE VENOUS DUPLEX BILAT	$2,640.85	$2,640.85	$1,848.60–$52,123.26	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE VEIN MAPPING BILAT	$2,640.85	$2,640.85	$1,848.60–$52,123.26	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE VENOUS DUPLEX BILAT	$2,640.85	$2,640.85	$1,848.60–$52,123.26	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO COMPLETE	$4,692.30	$4,692.30	$9.99–$3,988.46	75% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO COMPLETE	$4,692.30	$4,692.30	$3,284.61–$118,232.97	—	—
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VW	$696.48	$696.48	$1.14–$592.01	77% above	—
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VW	$696.48	$696.48	$487.54–$18,985.73	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW COMPLETE-MIN 3 VW	$877.22	$877.22	$1.14–$745.64	83% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW COMPLETE-MIN 3 VW	$877.22	$877.22	$614.05–$18,985.73	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN MASTOID W/O CONT.	$4,062.59	$4,062.59	$4.88–$3,453.20	78% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN ORB/SEL/IAC W/O CONT	$4,403.35	$4,403.35	$4.88–$3,742.85	92% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SCAN MASTOID W/O CONT.	$4,062.59	$4,062.59	$2,843.81–$22,931.31	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SCAN ORB/SEL/IAC W/O CONT	$4,403.35	$4,403.35	$3,082.35–$22,931.31	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VIEWS	$910.60	$910.60	$1.14–$774.01	84% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VIEWS	$910.60	$910.60	$637.42–$22,931.31	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM-2 VWS	$691.87	$691.87	$1.14–$588.09	74% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM-2 VWS	$691.87	$691.87	$484.31–$18,985.73	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA (HEPATOBILLARY) SCAN	$2,869.95	$2,869.95	$7.46–$2,439.46	56% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA (HEPATOBILLARY) SCAN	$2,869.95	$2,869.95	$2,008.97–$86,649.06	—	—
Hand X-ray, 2 views CPT 73120 HAND-2 VWS	$673.46	$673.46	$1.14–$572.44	65% above	—
Hand X-ray, 2 views inpatient CPT 73120 HAND-2 VWS	$673.46	$673.46	$471.42–$22,931.31	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS HEEL MIN 2 VWS	$611.29	$611.29	$1.14–$519.60	74% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OS CALCIS HEEL MIN 2 VWS	$611.29	$611.29	$427.90–$18,985.73	—	—
Knee X-ray, 3 views CPT 73562 KNEE W/OBLIQUES 3 VW	$782.82	$782.82	$1.14–$665.40	70% above	—
Knee X-ray, 3 views inpatient CPT 73562 KNEE W/OBLIQUES 3 VW	$782.82	$782.82	$547.97–$18,985.73	—	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE-4 OR MORE VWS	$1,084.43	$1,084.43	$1.14–$921.77	85% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMPLETE-4 OR MORE VWS	$1,084.43	$1,084.43	$759.10–$22,931.31	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITIES W/O CONT.	$3,150.84	$3,150.84	$4.88–$2,678.21	48% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITIES W/O CONT.	$3,150.84	$3,150.84	$2,205.59–$22,931.31	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$929.02	$929.02	$2.45–$789.67	12% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE ORGAN	$1,026.55	$1,026.55	$2.45–$872.57	24% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$1,535.71	$1,535.71	$2.45–$1,305.35	85% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCRES ULTRSOUND	$1,764.80	$1,764.80	$2.45–$1,500.08	113% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD/QUAD/FU	$1,764.80	$1,764.80	$2.45–$1,500.08	113% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US RT LOWER QUAD	$1,148.90	$1,148.90	$2.45–$976.57	39% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$929.02	$929.02	$650.31–$22,931.31	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SINGLE ORGAN	$1,026.55	$1,026.55	$718.59–$22,931.31	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$1,535.71	$1,535.71	$1,075.00–$22,931.31	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD/QUAD/FU	$1,764.80	$1,764.80	$1,235.36–$22,931.31	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PANCRES ULTRSOUND	$1,764.80	$1,764.80	$1,235.36–$22,931.31	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US RT LOWER QUAD	$1,148.90	$1,148.90	$804.23–$22,931.31	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD	$999.24	$999.24	$1.60–$849.35	99% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR NON-VASC LMTD	$999.24	$999.24	$699.47–$22,931.31	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA 2 VWS	$822.56	$822.56	$1.14–$699.18	90% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIBULA 2 VWS	$822.56	$822.56	$575.79–$18,985.73	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRI MRA-HEAD	$6,822.37	$6,822.37	$8.61–$5,799.01	132% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI MRA-HEAD	$6,822.37	$6,822.37	$4,775.66–$52,123.26	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT ANY JT W/O CONT	$5,328.63	$5,328.63	$8.61–$4,529.34	64% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT ANY JT W/O CONT	$5,328.63	$5,328.63	$3,730.04–$52,123.26	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W&W/O CONT	$7,527.71	$7,527.71	$13.59–$6,398.55	61% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W&W/O CONT	$7,527.71	$7,527.71	$5,269.40–$77,010.06	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT.	$5,497.00	$5,497.00	$8.61–$4,672.45	98% above	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$6,116.40	$6,116.40	$8.61–$5,198.94	121% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT.	$5,497.00	$5,497.00	$3,847.90–$52,123.26	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$6,116.40	$6,116.40	$4,281.48–$52,123.26	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O CONT.	$8,766.53	$8,766.53	$13.59–$7,451.55	101% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O CONT.	$8,766.53	$8,766.53	$6,136.57–$77,010.06	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT.	$6,670.07	$6,670.07	$8.61–$5,669.56	126% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT.	$6,670.07	$6,670.07	$4,669.05–$52,123.26	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W/CONT.	$9,126.87	$9,126.87	$13.59–$7,757.84	108% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & W/CONT.	$9,126.87	$9,126.87	$6,388.81–$77,010.06	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI L/SPINE W/O CONT.	$6,504.98	$6,504.98	$8.61–$5,529.23	110% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L/SPINE W/O CONT.	$6,504.98	$6,504.98	$4,553.49–$52,123.26	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SP LUMB W/WO CONT	$8,686.97	$8,686.97	$13.59–$7,383.92	91% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SP LUMB W/WO CONT	$8,686.97	$8,686.97	$6,080.88–$77,010.06	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T/SPINE W/O CONT.	$5,693.16	$5,693.16	$8.61–$4,839.19	88% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T/SPINE W/O CONT.	$5,693.16	$5,693.16	$3,985.21–$52,123.26	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C/SPINE W/O & W/CONT.	$7,893.96	$7,893.96	$13.59–$6,709.87	79% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C/SPINE W/O & W/CONT.	$7,893.96	$7,893.96	$5,525.77–$77,010.06	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C/SPINE W/O CONT.	$5,690.02	$5,690.02	$8.61–$4,836.52	86% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C/SPINE W/O CONT.	$5,690.02	$5,690.02	$3,983.01–$52,123.26	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CONT.	$9,231.62	$9,231.62	$13.59–$7,846.88	116% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CONT.	$9,231.62	$9,231.62	$6,462.13–$77,010.06	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT.	$6,326.90	$6,326.90	$8.61–$5,377.87	146% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT.	$6,326.90	$6,326.90	$4,428.83–$52,123.26	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONT	$5,497.28	$5,497.28	$8.61–$4,672.69	105% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O CONT	$5,497.28	$5,497.28	$3,848.10–$52,123.26	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE - CERV 4 OR 5 VWS	$1,266.32	$1,266.32	$1.92–$1,076.37	107% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE - CERV 4 OR 5 VWS	$1,266.32	$1,266.32	$886.42–$22,931.31	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN NECK W/CONT.	$5,113.64	$5,113.64	$7.65–$4,346.59	98% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SCAN NECK W/CONT.	$5,113.64	$5,113.64	$3,579.55–$38,386.78	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN NECK W/O CONT.	$4,353.85	$4,353.85	$4.88–$3,700.77	113% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SCAN NECK W/O CONT.	$4,353.85	$4,353.85	$3,047.70–$22,931.31	—	—
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$673.46	$673.46	$1.14–$572.44	110% above	—
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$673.46	$673.46	$471.42–$18,985.73	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF SPECT MULT	$7,355.03	$7,355.03	$17.11–$6,251.78	83% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF SPECT MULT	$7,355.03	$7,355.03	$5,148.52–$281,507.53	—	—
Pelvic CT scan without contrast CPT 72192 C.T. PELVIS W/O CONT.	$3,146.24	$3,146.24	$4.88–$2,674.30	60% above	—
Pelvic CT scan without contrast inpatient CPT 72192 C.T. PELVIS W/O CONT.	$3,146.24	$3,146.24	$2,202.37–$22,931.31	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FU	$1,019.96	$1,019.96	$1.60–$866.97	80% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FU	$1,019.96	$1,019.96	$713.97–$22,931.31	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$1,625.50	$1,625.50	$2.45–$1,381.68	73% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS	$1,625.50	$1,625.50	$1,137.85–$22,931.31	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB/FETAL AGE (>/= 14 WKS)	$428.25	$428.25	$2.45–$364.01	52% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB/FETAL AGE (>/= 14 WKS)	$428.25	$428.25	$299.78–$22,931.31	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB/FETAL AGE (< 14WKS)	$1,199.56	$1,199.56	$2.45–$1,019.63	46% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB/FETAL AGE (< 14WKS)	$1,199.56	$1,199.56	$839.69–$22,931.31	—	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VWS	$712.74	$712.74	$1.14–$605.83	54% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VWS	$712.74	$712.74	$498.92–$18,985.73	—	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 UNI RIBS W/ PA CHEST	$1,113.79	$1,113.79	$1.14–$946.72	81% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 UNI RIBS W/ PA CHEST	$1,113.79	$1,113.79	$779.65–$22,931.31	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE-MIN 2 VW	$751.96	$751.96	$1.14–$639.17	34% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE-MIN 2 VW	$751.96	$751.96	$526.37–$18,985.73	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES PARANASAL COMP MIN 3 V	$720.89	$720.89	$1.14–$612.76	58% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES PARANASAL COMP MIN 3 V	$720.89	$720.89	$504.62–$18,985.73	—	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL LTD LESS THAN 4 VIEWS	$721.80	$721.80	$1.14–$613.53	70% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LTD LESS THAN 4 VIEWS	$721.80	$721.80	$505.26–$22,931.31	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWAL FUNC W CINE/VIDEO	$677.04	$677.04	$2.18–$575.48	2% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWAL FUNC W CINE/VIDEO	$677.04	$677.04	$473.93–$38,386.78	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VW MIN	$264.78	$264.78	$1.55–$283.80	32% below	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VW MIN	$264.78	$264.78	$185.35–$18,985.73	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN T/SPINE W/O CONT.	$3,150.88	$3,150.88	$4.88–$2,678.25	12% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SCAN T/SPINE W/O CONT.	$3,150.88	$3,150.88	$2,205.62–$22,931.31	—	—
Toe X-ray, 2 or more views CPT 73660 TOES MIN 2 VWS	$686.32	$686.32	$1.14–$583.37	108% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 TOES MIN 2 VWS	$686.32	$686.32	$480.42–$18,985.73	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$2,004.24	$2,004.24	$2.45–$1,703.60	180% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$2,004.24	$2,004.24	$1,402.97–$22,931.31	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL	$1,940.92	$1,940.92	$2.45–$1,649.78	71% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL	$1,940.92	$1,940.92	$1,358.64–$22,931.31	—	—
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$1,729.11	$1,729.11	$2.45–$1,469.74	94% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$1,729.11	$1,729.11	$1,210.38–$22,931.31	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID HEAD/NECK	$1,729.11	$1,729.11	$2.45–$1,469.74	106% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID HEAD/NECK	$1,729.11	$1,729.11	$1,210.38–$22,931.31	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$825.41	$825.41	$2.18–$701.60	34% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$825.41	$825.41	$577.79–$38,386.78	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VW	$744.82	$744.82	$1.14–$633.10	74% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS MIN 2 VW	$744.82	$744.82	$521.37–$18,985.73	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 LE VENOUS DUPLEX UNILAT	$1,712.89	$1,712.89	$2.45–$1,574.00	92% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UE VENOUS DUPLEX UNILAT	$1,712.89	$1,712.89	$2.45–$1,574.00	92% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UE VEIN MAPPING UNILAT	$1,712.89	$1,712.89	$2.45–$1,574.00	92% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UE VEIN MAPPING UNILAT	$1,712.89	$1,712.89	$1,199.02–$22,931.31	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UE VENOUS DUPLEX UNILAT	$1,712.89	$1,712.89	$1,199.02–$22,931.31	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 LE VENOUS DUPLEX UNILAT	$1,712.89	$1,712.89	$1,199.02–$22,931.31	—	—
Wrist X-ray, 2 views CPT 73100 WRIST-2 VWS	$725.26	$725.26	$1.14–$616.47	87% above	—
Wrist X-ray, 2 views inpatient CPT 73100 WRIST-2 VWS	$725.26	$725.26	$507.68–$18,985.73	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST-MIN 3 VWS	$828.87	$828.87	$1.14–$704.54	65% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST-MIN 3 VWS	$828.87	$828.87	$580.21–$18,985.73	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILATERAL 2-3 VWS	$334.88	$334.88	$1.55–$284.65	20% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILATERAL 2-3 VWS	$334.88	$334.88	$234.42–$18,985.73	—	—
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN; 1 VIEW	$556.03	$556.03	$1.58–$472.63	84% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN; 1 VIEW	$556.03	$556.03	$389.22–$18,985.73	—	—
X-ray of the ankle, 2 views CPT 73600 ANKLE LTD-2 VWS	$633.16	$633.16	$1.14–$538.19	61% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE LTD-2 VWS	$633.16	$633.16	$443.21–$18,985.73	—	—
X-ray of the finger(s), 2 or more views CPT 73140 FINGERS-MIN 2 VWS	$499.63	$499.63	$1.14–$424.69	34% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS-MIN 2 VWS	$499.63	$499.63	$349.74–$18,985.73	—	—
X-ray of the foot, 2 views CPT 73620 FOOT LTD-2 VWS	$668.85	$668.85	$1.14–$568.52	65% above	—
X-ray of the foot, 2 views inpatient CPT 73620 FOOT LTD-2 VWS	$668.85	$668.85	$468.20–$18,985.73	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE-MIN 3 VWS	$785.12	$785.12	$1.14–$667.35	53% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMPLETE-MIN 3 VWS	$785.12	$785.12	$549.58–$18,985.73	—	—
X-ray of the hand, 3 or more views CPT 73130 HAND-MIN 3 VWS	$785.12	$785.12	$1.14–$667.35	54% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND-MIN 3 VWS	$785.12	$785.12	$549.58–$18,985.73	—	—
X-ray of the knee, 1 or 2 views CPT 73560 KNEE LTD 1 OR 2 VWS	$820.81	$820.81	$1.14–$697.69	115% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE LTD 1 OR 2 VWS	$820.81	$820.81	$574.57–$18,985.73	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 OR 3 VW	$861.10	$861.10	$1.14–$731.94	74% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 OR 3 VW	$861.10	$861.10	$602.77–$22,931.31	—	—
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR COMP MIN 4 VW	$1,161.56	$1,161.56	$1.92–$987.33	72% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR COMP MIN 4 VW	$1,161.56	$1,161.56	$813.09–$22,931.31	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VW	$652.73	$652.73	$1.14–$554.82	41% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VW	$652.73	$652.73	$456.91–$22,931.31	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3 VIEWS	$670.53	$670.53	$1.14–$569.95	48% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3 VIEWS	$670.53	$670.53	$469.37–$18,985.73	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERV 3 VW OR LESS	$828.87	$828.87	$1.14–$704.54	82% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERV 3 VW OR LESS	$828.87	$828.87	$580.21–$18,985.73	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VW	$673.46	$673.46	$1.14–$572.44	70% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VW	$673.46	$673.46	$471.42–$22,931.31	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VWS	$1,277.83	$1,277.83	$1.14–$1,086.16	165% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VWS	$1,277.83	$1,277.83	$894.48–$18,985.73	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (Chem)	$165.78	$165.78	$0.17–$140.91	284% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (Chem)	$165.78	$165.78	$116.05–$140.91	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (Chem)	$162.32	$162.32	$0.17–$137.97	258% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (Chem)	$162.32	$162.32	$113.62–$137.97	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$164.60	$164.60	$1.52–$156.81	40% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$164.60	$164.60	$115.22–$139.91	—	—
Albumin blood test CPT 82040 ALBUMIN (Chem)	$155.42	$155.42	$0.16–$132.11	523% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN (Chem)	$155.42	$155.42	$108.79–$132.11	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (Chem)	$162.32	$162.32	$0.17–$137.97	339% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS (Chem)	$162.32	$162.32	$113.62–$137.97	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR (CHIRON)	$9.60	$9.60	$0.54–$119.00	90% below	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR (CHIRON)	$9.60	$9.60	$6.72–$8.16	—	—
Ammonia blood test CPT 82140 AMMONIA (Chem)	$271.68	$271.68	$0.47–$230.93	50% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA (Chem)	$271.68	$271.68	$190.18–$230.93	—	—
Amylase blood test CPT 82150 AMYLASE PERITONEAL FLUID	$33.36	$33.36	$0.21–$28.36	50% below	—
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$33.36	$33.36	$0.21–$28.36	50% below	—
Amylase blood test CPT 82150 AMYLASE (Chem)	$326.95	$326.95	$0.21–$277.91	392% above	—
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$33.36	$33.36	$23.35–$28.36	—	—
Amylase blood test inpatient CPT 82150 AMYLASE PERITONEAL FLUID	$33.36	$33.36	$23.35–$28.36	—	—
Amylase blood test inpatient CPT 82150 AMYLASE (Chem)	$326.95	$326.95	$228.87–$277.91	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 CHROMATIN (NUCLEOSOMAL) AB	$55.00	$55.00	$0.39–$46.75	6% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B AB	$55.00	$55.00	$0.39–$46.75	6% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B AB	$55.00	$55.00	$38.50–$46.75	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHROMATIN (NUCLEOSOMAL) AB	$55.00	$55.00	$38.50–$46.75	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIUDETIC PEPTIDE	$493.86	$493.86	$1.09–$419.78	136% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIUDETIC PEPTIDE	$493.86	$493.86	$345.70–$419.78	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THROAT - (Q394)	$12.39	$12.39	$0.28–$28.38	91% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, GENITAL - (Q4558)	$13.69	$13.69	$0.28–$28.38	90% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND - (Q4446)	$14.53	$14.53	$0.28–$28.38	89% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CATHETER - (Q4446)	$14.53	$14.53	$0.28–$28.38	89% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bacterial Other Source	$29.77	$29.77	$0.28–$28.38	78% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CSF - (Q388)	$34.44	$34.44	$0.28–$29.27	74% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE	$34.44	$34.44	$0.28–$29.27	74% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ROUTINE (Micro)	$423.64	$423.64	$0.28–$360.09	219% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, THROAT - (Q394)	$12.39	$12.39	$8.67–$10.53	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, GENITAL - (Q4558)	$13.69	$13.69	$9.58–$11.64	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND - (Q4446)	$14.53	$14.53	$10.17–$12.35	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CATHETER - (Q4446)	$14.53	$14.53	$10.17–$12.35	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Bacterial Other Source	$29.77	$29.77	$20.84–$25.30	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CSF - (Q388)	$34.44	$34.44	$24.11–$29.27	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA CULTURE	$34.44	$34.44	$24.11–$29.27	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ROUTINE (Micro)	$423.64	$423.64	$296.55–$360.09	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP)	$922.11	$922.11	$0.27–$783.79	377% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP)	$922.11	$922.11	$645.48–$783.79	—	—
Bilirubin blood test, total CPT 82247 BILI-TOTAL	$157.71	$157.71	$0.16–$134.05	249% above	—
Bilirubin blood test, total inpatient CPT 82247 BILI-TOTAL	$157.71	$157.71	$110.40–$134.05	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BP_LEVEL IV SURG PATH GR&MICRO	$203.20	$203.20	$0.94–$183.44	56% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISS EXAM BY PATHOLOGIST	$522.65	$522.65	$0.94–$444.25	302% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BP_LEVEL IV SURG PATH GR&MICRO	$203.20	$203.20	$142.24–$11,521.42	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISS EXAM BY PATHOLOGIST	$522.65	$522.65	$365.86–$11,521.42	—	—
Blood culture for bacteria CPT 87040 CULTURE,BLOOD (Micro)	$545.67	$545.67	$0.33–$463.82	100% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE,BLOOD (Micro)	$545.67	$545.67	$381.97–$463.82	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$95.55	$95.55	$0.07–$81.22	378% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$95.55	$95.55	$66.89–$81.22	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE (FAST/RANDOM)	$123.18	$123.18	$0.13–$104.70	228% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FAST/RANDOM)	$123.18	$123.18	$86.23–$104.70	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUAL SERUM (Immu)	$447.82	$447.82	$0.24–$380.65	157% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUAL SERUM (Immu)	$447.82	$447.82	$313.47–$380.65	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING	$315.43	$315.43	$0.20–$268.12	201% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING	$315.43	$315.43	$220.80–$27,796.00	—	—
Blood urea nitrogen (BUN) test CPT 84520 BUN	$124.33	$124.33	$0.13–$105.68	239% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$124.33	$124.33	$87.03–$105.68	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUAL (Immu)	$162.32	$162.32	$0.17–$137.97	136% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP QUAL (Immu)	$162.32	$162.32	$113.62–$137.97	—	—
C. difficile toxin gene test (stool PCR) one side CPT 87493 C. DIFF TOXINS QL RT-PCR	$95.00	$95.00	$1.12–$122.70	38% below	—
C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 C. DIFF TOXINS QL RT-PCR	$95.00	$95.00	$66.50–$80.75	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CENTOCOR)	$11.00	$11.00	$0.67–$68.51	80% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 (CENTOCOR)	$11.00	$11.00	$7.70–$9.35	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$14.09	$14.09	$0.67–$68.51	90% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$14.09	$14.09	$9.86–$11.98	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2_PCR	$177.21	$177.21	$34.38–$168.93	93% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COVID19, QUAL RT-PCR_WPL	$70.00	$70.00	$13.58–$168.93	24% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2_PCR	$177.21	$177.21	$124.05–$150.63	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COVID19, QUAL RT-PCR_WPL	$70.00	$70.00	$49.00–$59.50	—	—
Calcium blood test, total CPT 82310 CALCIUM (Chem)	$161.17	$161.17	$0.16–$136.99	160% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM (Chem)	$161.17	$161.17	$112.82–$136.99	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$12.85	$12.85	$0.61–$62.42	88% below	—
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINO-EMBRYONIC AG	$401.77	$401.77	$0.61–$341.50	278% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$12.85	$12.85	$9.00–$10.92	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINO-EMBRYONIC AG	$401.77	$401.77	$281.24–$341.50	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VZV ANTIBODY (IgG)	$70.60	$70.60	$0.41–$60.01	86% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV ANTIBODY (IgG)	$70.60	$70.60	$49.42–$60.01	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$420.19	$420.19	$0.43–$357.16	267% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$420.19	$420.19	$294.13–$357.16	—	—
Complete blood count (CBC) with differential CPT 85025 CBC (Hema)	$404.07	$404.07	$0.25–$343.46	265% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC (Hema)	$404.07	$404.07	$282.85–$343.46	—	—
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET CNT, AUTO	$366.08	$366.08	$0.21–$311.17	321% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM & PLATELET CNT, AUTO	$366.08	$366.08	$256.26–$311.17	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$1,139.69	$1,139.69	$0.34–$968.74	346% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$1,139.69	$1,139.69	$797.78–$968.74	—	—
Cortisol blood test, total CPT 82533 CORTISOL	$31.84	$31.84	$0.52–$53.66	68% below	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$244.06	$244.06	$0.52–$207.45	147% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$31.84	$31.84	$22.29–$27.06	—	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$244.06	$244.06	$170.84–$207.45	—	—
Creatine kinase (CK) blood test, total CPT 82550 CPK (Chem)	$297.01	$297.01	$0.21–$252.46	240% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (Chem)	$297.01	$297.01	$207.91–$252.46	—	—
Creatinine blood test CPT 82565 CREATININE BLOOD (Chem)	$161.17	$161.17	$0.16–$136.99	237% above	—
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD (Chem)	$161.17	$161.17	$112.82–$136.99	—	—
D-dimer blood test (blood clot marker) CPT 85379 DDIMER QUANTITATIVE	$196.86	$196.86	$0.33–$167.33	37% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 DDIMER QUANTITATIVE	$196.86	$196.86	$137.80–$167.33	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN TR	$177.29	$177.29	$1.80–$204.58	148% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL	$221.55	$221.55	$1.80–$204.58	210% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE	$221.55	$221.55	$1.80–$204.58	210% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE	$343.06	$343.06	$1.80–$291.60	380% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN (TYLENOL)	$343.06	$343.06	$1.80–$291.60	380% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL (Chem.)	$474.30	$474.30	$1.80–$403.16	564% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN TR	$177.29	$177.29	$124.10–$150.70	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL	$221.55	$221.55	$155.09–$188.32	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE	$221.55	$221.55	$155.09–$188.32	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN (TYLENOL)	$343.06	$343.06	$240.14–$291.60	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE	$343.06	$343.06	$240.14–$291.60	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL (Chem.)	$474.30	$474.30	$332.01–$403.16	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES (Chem)	$219.88	$219.88	$0.22–$186.90	152% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES (Chem)	$219.88	$219.88	$153.92–$186.90	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV NUCLEAR AG-EBNA AB Q6421	$10.36	$10.36	$0.56–$59.72	62% below	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAP AG AB-IGG Q6421	$14.92	$14.92	$0.56–$59.72	45% below	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV NUCLEAR AG-EBNA AB Q6421	$10.36	$10.36	$7.25–$8.81	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAP AG AB-IGG Q6421	$14.92	$14.92	$10.44–$12.68	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$26.78	$26.78	$0.89–$91.99	71% below	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$26.78	$26.78	$18.75–$22.76	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$425.94	$425.94	$0.44–$362.05	297% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$425.94	$425.94	$298.16–$362.05	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN	$265.93	$265.93	$0.27–$226.04	85% above	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$265.93	$265.93	$186.15–$226.04	—	—
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$460.48	$460.48	$0.47–$391.41	322% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$10.00	$10.00	$7.00–$8.50	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3	$305.07	$305.07	$0.54–$259.31	197% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$305.07	$305.07	$213.55–$259.31	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$217.58	$217.58	$0.29–$184.94	219% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$217.58	$217.58	$152.31–$184.94	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$225.63	$225.63	$0.23–$191.79	407% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$225.63	$225.63	$157.94–$191.79	—	—
H. pylori stool antigen test CPT 87338 HELICOBACTER PYL ANTI, EIA, ST	$10.00	$10.00	$0.46–$47.34	88% below	—
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI	$10.00	$10.00	$0.46–$47.34	88% below	—
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYL ANTI, EIA, ST	$10.00	$10.00	$7.00–$8.50	—	—
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI	$219.88	$219.88	$153.92–$186.90	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANT REAL TIME PCR	$175.00	$175.00	$2.72–$280.17	59% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QUANT REAL TIME PCR	$175.00	$175.00	$122.50–$148.75	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB SCR	$189.95	$189.95	$0.44–$161.46	218% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AB SCR	$189.95	$189.95	$132.97–$161.46	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$303.92	$303.92	$0.31–$258.33	366% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C	$303.92	$303.92	$212.74–$258.33	—	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN (Hema)	$103.61	$103.61	$0.08–$88.07	157% above	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (Hema)	$103.61	$103.61	$72.53–$88.07	—	—
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL	$351.12	$351.12	$0.39–$298.45	831% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL	$351.12	$351.12	$245.78–$298.45	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB QL	$355.72	$355.72	$249.00–$302.36	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$113.67	$113.67	$0.33–$96.62	58% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$263.62	$263.62	$0.33–$224.08	267% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$113.67	$113.67	$79.57–$96.62	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$263.62	$263.62	$184.53–$224.08	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$222.19	$222.19	$0.46–$188.86	277% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$222.19	$222.19	$155.53–$188.86	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANTITATIVE REAL TIME	$55.00	$55.00	$1.37–$141.04	37% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANTITATIVE REAL TIME	$55.00	$55.00	$38.50–$46.75	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 (IgG) TYPE SPEC AB	$10.00	$10.00	$0.42–$43.43	48% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM SCREEN Q90849	$42.93	$42.93	$0.42–$43.43	122% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 (IgG) TYPE SPEC AB	$10.00	$10.00	$7.00–$8.50	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM SCREEN Q90849	$42.93	$42.93	$30.05–$36.49	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM SCREEN Q90849	$42.93	$42.93	$0.62–$63.71	79% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM SCREEN Q90849	$42.93	$42.93	$30.05–$36.49	—	—
Insulin blood test CPT 83525 INSULIN LEVEL (SO)	$6.00	$6.00	$0.37–$37.63	87% below	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL (SO)	$6.00	$6.00	$4.20–$5.10	—	—
Iron blood test (serum iron) CPT 83540 IRON, SERUM	$202.61	$202.61	$0.21–$172.22	246% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM	$202.61	$202.61	$141.83–$172.22	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON,TIBC & FERRITIN PANEL	$7.76	$7.76	$0.24–$28.77	90% below	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC (Chem)	$231.39	$231.39	$0.24–$196.68	213% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON,TIBC & FERRITIN PANEL	$7.76	$7.76	$5.43–$6.60	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (Chem)	$231.39	$231.39	$161.97–$196.68	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PNL	$1,350.36	$1,350.36	$0.28–$1,147.81	849% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PNL	$1,350.36	$1,350.36	$945.25–$1,147.81	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$189.95	$189.95	$0.34–$161.46	34% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$189.95	$189.95	$132.97–$161.46	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LD PERITONEAL FLUID	$6.50	$6.50	$0.19–$19.89	81% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LD PERICARDIAL FLUID	$6.50	$6.50	$0.19–$19.89	81% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYD. CSF	$6.50	$6.50	$0.19–$19.89	81% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, PLEURAL FLUID	$14.00	$14.00	$0.19–$19.89	58% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (Chem)	$188.80	$188.80	$0.19–$160.48	461% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD PERICARDIAL FLUID	$6.50	$6.50	$4.55–$5.53	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYD. CSF	$6.50	$6.50	$4.55–$5.53	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD PERITONEAL FLUID	$6.50	$6.50	$4.55–$5.53	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, PLEURAL FLUID	$14.00	$14.00	$9.80–$11.90	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH (Chem)	$188.80	$188.80	$132.16–$160.48	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PLEURAL FLUID	$12.61	$12.61	$0.22–$22.68	89% below	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$215.27	$215.27	$0.22–$182.98	95% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PLEURAL FLUID	$12.61	$12.61	$8.83–$10.72	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$215.27	$215.27	$150.69–$182.98	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL (Chem)	$1,265.17	$1,265.17	$0.26–$1,075.39	737% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PNL (Chem)	$1,265.17	$1,265.17	$885.62–$1,075.39	—	—
Magnesium blood test CPT 83735 MAGNESIUM (Chem)	$285.50	$285.50	$0.21–$242.68	260% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM (Chem)	$285.50	$285.50	$199.85–$242.68	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgG)	$7.50	$7.50	$0.41–$42.40	77% below	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IgG)	$7.50	$7.50	$5.25–$6.38	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST (Immu)	$162.32	$162.32	$0.17–$137.97	55% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST (Immu)	$162.32	$162.32	$113.62–$137.97	—	—
Mumps immunity blood test CPT 86735 CALIFORNIA IGG & IGM	$7.20	$7.20	$0.42–$42.96	63% below	—
Mumps immunity blood test CPT 86735 MUMPS AB, IGG & IGM, IFA	$23.85	$23.85	$0.42–$42.96	23% above	—
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY (IgG)	$23.85	$23.85	$0.42–$42.96	23% above	—
Mumps immunity blood test inpatient CPT 86735 CALIFORNIA IGG & IGM	$7.20	$7.20	$5.04–$6.12	—	—
Mumps immunity blood test inpatient CPT 86735 MUMPS AB, IGG & IGM, IFA	$23.85	$23.85	$16.70–$20.27	—	—
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY (IgG)	$23.85	$23.85	$16.70–$20.27	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG	$575.60	$575.60	$0.59–$489.26	882% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG	$575.60	$575.60	$402.92–$489.26	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT & CALCIUM	$20.17	$20.17	$1.32–$135.91	82% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT & CALCIUM	$20.17	$20.17	$14.12–$17.14	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPLSTIN TIME PARTIALQ7079	$13.00	$13.00	$0.19–$19.79	80% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (Hema)	$363.78	$363.78	$0.19–$309.21	447% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPLSTIN TIME PARTIALQ7079	$13.00	$13.00	$9.10–$11.05	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (Hema)	$363.78	$363.78	$254.65–$309.21	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS (Chem)	$174.98	$174.98	$0.15–$148.73	131% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS (Chem)	$174.98	$174.98	$122.49–$148.73	—	—
Potassium blood test CPT 84132 POTASSIUM (Chem)	$143.91	$143.91	$0.15–$122.32	96% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM (Chem)	$143.91	$143.91	$100.74–$122.32	—	—
Prolactin blood test CPT 84146 PROLACTIN	$29.38	$29.38	$0.62–$63.80	73% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$29.38	$29.38	$20.57–$24.97	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN (Hema)	$309.67	$309.67	$0.13–$263.22	370% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN (Hema)	$309.67	$309.67	$216.77–$263.22	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B ANTIGEN	$301.62	$301.62	$0.30–$256.38	300% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A&B ANTIGEN	$301.62	$301.62	$211.13–$256.38	—	—
Rh blood typing CPT 86901 RH TYPING	$181.89	$181.89	$0.20–$154.61	156% above	—
Rh blood typing inpatient CPT 86901 RH TYPING	$181.89	$181.89	$127.32–$8,464.17	—	—
Sodium blood test CPT 84295 SODIUM (Chem)	$150.81	$150.81	$0.15–$128.19	130% above	—
Sodium blood test inpatient CPT 84295 SODIUM (Chem)	$150.81	$150.81	$105.57–$128.19	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITE	$43.16	$43.16	$0.28–$36.69	107% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE	$43.16	$43.16	$30.21–$36.69	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD,STOOL (Micro)	$105.91	$105.91	$0.10–$90.02	172% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD,STOOL (Micro)	$105.91	$105.91	$74.14–$90.02	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$16.19	$16.19	$0.42–$43.59	28% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB CASC REFLEX	$58.00	$58.00	$0.42–$49.30	157% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$16.19	$16.19	$11.33–$13.76	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS AB CASC REFLEX	$58.00	$58.00	$40.60–$49.30	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$7.50	$7.50	$0.14–$14.06	64% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/RST QUAL.(Immu)	$133.54	$133.54	$0.14–$113.51	536% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF	$19.17	$19.17	$13.42–$16.29	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR/RST QUAL.(Immu)	$133.54	$133.54	$93.48–$113.51	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R)-TB GOLD	$40.00	$40.00	$1.98–$204.06	59% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R)-TB GOLD	$40.00	$40.00	$28.00–$34.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL, MALES	$18.00	$18.00	$0.83–$84.97	63% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL (Q14966)	$35.82	$35.82	$0.83–$84.97	27% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL, MALES	$18.00	$18.00	$12.60–$15.30	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL (Q14966)	$35.82	$35.82	$25.07–$30.45	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$526.10	$526.10	$0.54–$447.19	384% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$526.10	$526.10	$368.27–$447.19	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL (Chem)	$174.98	$174.98	$0.14–$148.73	297% above	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL (Chem)	$174.98	$174.98	$122.49–$148.73	—	—
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE, TOTAL- (Q867)	$7.06	$7.06	$0.22–$22.62	82% below	—
Total thyroxine (T4) blood test CPT 84436 T-4 (Chem)	$215.27	$215.27	$0.22–$182.98	449% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE, TOTAL- (Q867)	$7.06	$7.06	$4.94–$6.00	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 T-4 (Chem)	$215.27	$215.27	$150.69–$182.98	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDE (Chem)	$180.74	$180.74	$0.18–$153.63	338% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE (Chem)	$180.74	$180.74	$126.52–$153.63	—	—
Troponin test, quantitative CPT 84484 TROPONIN I	$412.13	$412.13	$0.32–$350.31	128% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$412.13	$412.13	$288.49–$350.31	—	—
Uric acid blood test CPT 84550 URIC ACID, BLOOD (Chem)	$174.98	$174.98	$0.14–$148.73	168% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD (Chem)	$174.98	$174.98	$122.49–$148.73	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPY	$432.85	$432.85	$0.10–$367.92	422% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPY	$432.85	$432.85	$303.00–$367.92	—	—
Urinalysis with microscope exam, manual CPT 81000 URIN-ROUTINE UA	$285.50	$285.50	$0.10–$242.68	800% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URIN-ROUTINE UA	$285.50	$285.50	$199.85–$242.68	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPY	$359.18	$359.18	$0.07–$305.30	541% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPY	$359.18	$359.18	$251.43–$305.30	—	—
Urine microalbumin (albumin) test CPT 82043 MALB RAND UR W/O CR	$6.00	$6.00	$0.19–$19.03	83% below	—
Urine microalbumin (albumin) test inpatient CPT 82043 MALB RAND UR W/O CR	$6.00	$6.00	$4.20–$5.10	—	—
Urine pregnancy test, read by color change CPT 81025 PREG TEST-URINE QUAL (Immu)	$246.36	$246.36	$0.18–$209.41	180% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST-URINE QUAL (Immu)	$246.36	$246.36	$172.45–$209.41	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$18.62	$18.62	$0.48–$49.65	80% below	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$18.62	$18.62	$13.03–$15.83	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QUESTASSURED 25-OH VIT D LC/MS	$15.00	$15.00	$0.95–$97.45	77% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D; 25 HYDROXY	$177.29	$177.29	$0.95–$150.70	171% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QUESTASSURED 25-OH VIT D LC/MS	$15.00	$15.00	$10.50–$12.75	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D; 25 HYDROXY	$177.29	$177.29	$124.10–$150.70	—	—
Zinc blood test CPT 84630 ZINC LEVEL	$7.71	$7.71	$0.36–$37.50	45% below	—
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$7.71	$7.71	$5.40–$6.55	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-HCG QUANTITATIVE	$447.82	$447.82	$0.48–$380.65	150% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-HCG QUANTITATIVE	$447.82	$447.82	$313.47–$380.65	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ART/VENTRICL W COR ANGIO	$29,164.57	$29,164.57	$69.17–$24,789.88	126% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ART/VENTRICL W COR ANGIO	$29,164.57	$29,164.57	$20,415.20–$693,573.19	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT ER	$2,488.73	$2,488.73	$9.50–$2,115.42	33% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC	$3,826.52	$3,826.52	$9.50–$3,252.54	104% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT ER	$2,488.73	$2,488.73	$1,742.11–$141,108.52	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELEC	$3,826.52	$3,826.52	$2,678.56–$141,108.52	—	—
Coronary stent placement, one artery CPT 92928 INTRACO NONDE STENT	$43,130.46	$43,130.46	$217.59–$36,660.89	188% above	—
Coronary stent placement, one artery inpatient CPT 92928 INTRACO NONDE STENT	$43,130.46	$43,130.46	$30,191.32–$2,445,428.58	—	—
Left heart catheterization, diagnostic CPT 93452 LT HRT CATH W/VENTR	$16,382.76	$16,382.76	$69.17–$13,925.35	65% above	—
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CATH W/VENTR	$16,382.76	$16,382.76	$11,467.93–$693,573.19	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN	$1,662.69	$1,662.69	$6.10–$1,413.29	90% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN/TRANSFUSION	$1,784.36	$1,784.36	$6.10–$1,516.71	104% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN	$1,662.69	$1,662.69	$1,163.88–$94,271.04	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN/TRANSFUSION	$1,784.36	$1,784.36	$1,249.05–$94,271.04	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (AD'L TREATMNT/DAY)	$773.54	$773.54	$0.76–$1,065.00	140% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI (1ST TREATMNT/DAY)	$773.54	$773.54	$0.76–$1,065.00	140% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURI/NONPRES INHAL TX	$824.72	$824.72	$0.76–$1,758.00	155% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSUR/NONPRES INHAL TX - REP	$824.72	$824.72	$0.76–$1,065.00	155% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (1ST TREATMNT/DAY)	$773.54	$773.54	$541.48–$43,859.07	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURI/NONPRES INHAL TX	$773.54	$773.54	$541.48–$43,859.07	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI (AD'L TREATMNT/DAY)	$773.54	$773.54	$541.48–$43,859.07	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSUR/NONPRES INHAL TX - REP	$824.72	$824.72	$577.30–$43,859.07	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74MIN.	$9,679.31	$9,679.31	$11.85–$8,227.41	109% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST 30-74MIN.	$9,679.31	$9,679.31	$6,775.52–$181,696.91	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$1,184.31	$1,184.31	$4.33–$1,006.66	15% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$1,184.31	$1,184.31	$829.02–$67,148.02	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE	$657.34	$657.34	$0.68–$558.74	94% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE	$657.34	$657.34	$460.14–$12,807.77	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL I - BRIEF	$1,260.57	$1,260.57	$1.28–$2,387.00	200% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL I - BRIEF	$1,260.57	$1,260.57	$882.40–$18,987.65	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II - LIMITED	$2,044.53	$2,044.53	$2.20–$2,387.00	134% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II - LIMITED	$2,044.53	$2,044.53	$1,431.17–$34,147.01	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III - INTERMEDIATE	$3,149.69	$3,149.69	$3.46–$2,677.24	106% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III - INTERMEDIATE	$3,149.69	$3,149.69	$2,204.78–$59,706.79	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV - EXTENDED	$5,304.74	$5,304.74	$5.57–$4,509.03	96% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV - EXTENDED	$5,304.74	$5,304.74	$3,713.32–$91,821.39	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL V - COMPREHENSIVE	$7,568.01	$7,568.01	$8.23–$6,432.81	114% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL V - COMPREHENSIVE	$7,568.01	$7,568.01	$5,297.61–$132,205.96	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$1,184.31	$1,184.31	$4.53–$1,006.66	12% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST	$1,184.31	$1,184.31	$829.02–$67,148.02	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$611.06	$611.06	$3.24–$519.40	79% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN	$611.06	$611.06	$427.74–$34,646.93	—	—
Group psychotherapy session CPT 90853 GRP PSYTX TELE	$351.79	$351.79	$1.44–$299.02	27% above	—
Group psychotherapy session CPT 90853 GRP PSYCHTHRPY 60 MIN	$351.79	$351.79	$1.44–$299.02	27% above	—
Group psychotherapy session inpatient CPT 90853 GRP PSYTX TELE	$351.79	$351.79	$246.25–$19,947.13	—	—
Group psychotherapy session inpatient CPT 90853 GRP PSYCHTHRPY 60 MIN	$351.79	$351.79	$246.25–$19,947.13	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVI HYDRATION (31-90)	$620.50	$620.50	$1.85–$1,758.00	26% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IVI HYDRATION (31-90)	$620.50	$620.50	$434.35–$45,431.92	—	—
IV infusion of a medicine, first hour CPT 96365 IVI W/MED 1ST HR (16-90)	$620.50	$620.50	$3.22–$1,758.00	6% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IVI W/MED 1ST HR (16-90)	$620.50	$620.50	$434.35–$45,431.92	—	—
IV push of a medicine, first drug CPT 96374 IVP 1ST 15MIN	$724.11	$724.11	$0.89–$1,758.00	105% above	—
IV push of a medicine, first drug CPT 96374 IVP 1st 15MIN	$724.11	$724.11	$0.89–$679.12	105% above	—
IV push of a medicine, first drug inpatient CPT 96374 IVP 1ST 15MIN	$724.11	$724.11	$506.88–$45,431.92	—	—
IV push of a medicine, first drug inpatient CPT 96374 IVP 1st 15MIN	$724.11	$724.11	$138.23–$45,431.92	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM	$270.67	$270.67	$0.89–$394.00	51% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ OR IM	$270.67	$270.67	$189.47–$15,347.79	—	—
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED EA15MIN	$270.54	$270.54	$0.88–$314.00	112% above	—
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION	$285.50	$285.50	$0.88–$314.00	124% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED EA15MIN	$270.54	$270.54	$189.38–$229.96	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUCATION	$285.50	$285.50	$199.85–$242.68	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$597.47	$597.47	$2.09–$507.85	130% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$597.47	$597.47	$418.23–$507.85	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$660.79	$660.79	$2.17–$561.67	56% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$660.79	$660.79	$462.55–$561.67	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$597.47	$597.47	$2.17–$507.85	152% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$597.47	$597.47	$418.23–$507.85	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$629.70	$629.70	$2.17–$535.25	77% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$629.70	$629.70	$440.79–$535.25	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 1>REG. 15MIN	$237.14	$237.14	$0.78–$314.00	98% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 1>REG. 15MIN	$237.14	$237.14	$166.00–$201.57	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX EA 15MIN	$116.27	$116.27	$0.84–$314.00	10% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EX EA 15 MIN	$140.45	$140.45	$0.84–$314.00	9% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX EA 15MIN	$116.27	$116.27	$81.39–$98.83	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EX EA 15 MIN	$140.45	$140.45	$98.32–$119.38	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINS. TELE	$611.06	$611.06	$2.28–$519.40	92% above	—
Psychotherapy session, 30 minutes CPT 90832 PSYCH PT 30 MIN	$611.06	$611.06	$2.28–$519.40	92% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINS. TELE	$611.06	$611.06	$427.74–$34,646.93	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH PT 30 MIN	$611.06	$611.06	$427.74–$34,646.93	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT 45 MIN	$611.06	$611.06	$2.94–$519.40	92% above	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINS. TELE	$611.06	$611.06	$2.94–$519.40	92% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT 45 MIN	$611.06	$611.06	$427.74–$34,646.93	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINS. TELE	$611.06	$611.06	$427.74–$34,646.93	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINS. TELE	$611.06	$611.06	$2.94–$519.40	66% above	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT 60 MIN	$611.06	$611.06	$2.94–$519.40	66% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT 60 MIN	$611.06	$611.06	$427.74–$34,646.93	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINS. TELE	$611.06	$611.06	$427.74–$34,646.93	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$113.30	$113.30	$0.53–$356.00	54% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$113.30	$113.30	$79.31–$6,424.07	—	—
Speech and language evaluation CPT 92523 SPEECH EVAL LANG COMP & EXPRES	$1,329.64	$1,329.64	$5.02–$1,130.19	191% above	—
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL LANG COMP & EXPRES	$1,329.64	$1,329.64	$930.75–$1,130.19	—	—
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE TREATMENT	$428.25	$428.25	$1.97–$364.01	54% above	—
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE TREATMENT	$428.25	$428.25	$299.78–$364.01	—	—
Spirometry (breathing test) CPT 94010 SPIRO SCREEN	$600.93	$600.93	$1.32–$1,090.00	70% above	—
Spirometry (breathing test) inpatient CPT 94010 SPIRO SCREEN	$600.93	$600.93	$420.65–$33,737.45	—	—
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL PRE/PS	$1,184.31	$1,184.31	$2.51–$1,090.00	48% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL PRE/PS	$1,184.31	$1,184.31	$829.02–$67,148.02	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVE EA 15	$196.86	$196.86	$0.93–$314.00	43% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIV EA 15 MIN	$208.37	$208.37	$0.93–$314.00	52% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVE EA 15	$196.86	$196.86	$137.80–$167.33	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIV EA 15 MIN	$208.37	$208.37	$145.86–$177.11	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (cvx 309) PF 30 mcg/0.3 mL susp	$687.58	$687.58	$131.10–$584.44	195% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 24-25 30 mcg/0.3 SYR	$687.58	$687.58	$131.10–$584.44	195% above	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (cvx 309) PF 30 mcg/0.3 mL susp	$687.58	$687.58	$103.14–$584.44	—	—
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC 24-25 30 mcg/0.3 SYR	$687.58	$687.58	$103.14–$584.44	—	—
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine adult (Vaqta) 50 units/1mL intramuscular suspension	$293.56	$293.56	$58.86–$249.53	111% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A virus vaccine 1ml	$293.56	$293.56	$58.86–$249.53	111% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A virus vaccine 1ml	$293.56	$293.56	$44.03–$249.53	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A vaccine adult (Vaqta) 50 units/1mL intramuscular suspension	$293.56	$293.56	$44.03–$249.53	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine pediatric (Engerix) 10 mcg/0.5 mL intramuscular suspension	$164.63	$164.63	$41.32–$231.71	50% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 10MCG/0.5ML	$164.63	$164.63	$41.32–$231.71	50% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine adult (Engerix-B) 20 mcg/1mL intramuscular suspension	$387.95	$387.95	$70.38–$329.76	252% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/1.0ML	$387.95	$387.95	$70.38–$329.76	252% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine pediatric (Engerix) 10 mcg/0.5 mL intramuscular suspension	$164.63	$164.63	$24.69–$139.94	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 10MCG/0.5ML	$164.63	$164.63	$24.69–$139.94	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine adult (Engerix-B) 20 mcg/1mL intramuscular suspension	$387.95	$387.95	$58.19–$329.76	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/1.0ML	$387.95	$387.95	$58.19–$329.76	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated preservative-free Fluzone HD intramuscular suspension	$279.22	$279.22	$70.08–$323.17	123% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent	$279.22	$279.22	$70.08–$323.17	123% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated preservative-free Fluzone HD intramuscular suspension	$279.22	$279.22	$41.88–$237.34	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose Quadrivalent	$279.22	$279.22	$41.88–$237.34	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal (Pneumovax) 23-polyvalent vaccine injectable solution	$291.26	$291.26	$73.11–$439.42	80% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 0.5ML INJ	$291.26	$291.26	$73.11–$439.42	80% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal (Pneumovax) 23-polyvalent vaccine injectable solution	$291.26	$291.26	$43.69–$247.57	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 0.5ML INJ	$291.26	$291.26	$43.69–$247.57	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCCINE 2.5 UNITS	$943.99	$943.99	$236.94–$1,032.73	34% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCCINE 2.5 UNITS	$943.99	$943.99	$141.60–$802.39	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL intramuscular suspension	$80.58	$80.58	$16.16–$68.49	at median	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH 2UN/2UN 0.5ML	$80.58	$80.58	$16.16–$68.49	at median	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2units/0.5 mL intramuscular suspension	$94.40	$94.40	$18.93–$80.24	17% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH 5UN/2UN 0.5ML	$94.40	$94.40	$18.93–$80.24	17% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID 5UN 0.5ML	$102.46	$102.46	$20.54–$87.09	27% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$113.97	$113.97	$22.85–$96.87	41% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL intramuscular suspension	$80.58	$80.58	$12.09–$68.49	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH 2UN/2UN 0.5ML	$80.58	$80.58	$12.09–$68.49	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2units/0.5 mL intramuscular suspension	$94.40	$94.40	$14.16–$80.24	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH 5UN/2UN 0.5ML	$94.40	$94.40	$14.16–$80.24	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOXOID 5UN 0.5ML	$102.46	$102.46	$15.37–$87.09	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$113.97	$113.97	$17.10–$96.87	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL(DTaP) 0.5ML	$145.05	$145.05	$29.08–$123.29	25% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphtheria/pertussis (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL intramuscular suspension	$145.05	$145.05	$29.08–$123.29	25% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria/tetanus/pertussis (DTaP) pediatric 15 units-5 units-23 mcg/0.5 mL intramuscular suspension	$262.47	$262.47	$43.21–$223.10	126% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DAPTACEL (DTaP VAC) 0.5ML	$262.47	$262.47	$43.21–$223.10	126% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL(DTaP) 0.5ML	$145.05	$145.05	$21.76–$123.29	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphtheria/pertussis (Tdap) adult/adol 5 units-2 units-15.5 mcg/0.5 mL intramuscular suspension	$145.05	$145.05	$21.76–$123.29	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DAPTACEL (DTaP VAC) 0.5ML	$262.47	$262.47	$39.37–$223.10	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria/tetanus/pertussis (DTaP) pediatric 15 units-5 units-23 mcg/0.5 mL intramuscular suspension	$262.47	$262.47	$39.37–$223.10	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 DTP VACC OR SINGLE/COMBO ADM	$270.67	$270.67	$0.89–$230.07	160% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$270.67	$270.67	$0.89–$230.07	160% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 DTP VACC OR SINGLE/COMBO ADM	$270.67	$270.67	$189.47–$15,347.79	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION	$270.67	$270.67	$189.47–$15,347.79	—	—

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/7922/393877251_nor-culver-city-llc_standardcharges.csv