NOR Culver City
NOR Culver City in Van Nuys, CA publishes cash prices for 113 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 89 of 113 procedures and below it for 23. By typical cash price it ranks #155 of 168 California hospitals and #43 of 49 hospitals in the Los Angeles, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
14433 Emelita Street, Van Nuys, CA 91401 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 279 of the 279 prices listed here, the cash price in NOR 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| 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 | $178.02–$3,334.42 | 24% 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–$3,334.42 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN ABD&PELVIS W/O CONT | $6,642.44 | $6,642.44 | $174.31–$5,712.50 | 137% 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–$5,712.50 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN ABD&PELVIS W CONT | $8,322.39 | $8,322.39 | $281.80–$7,157.26 | 108% 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–$7,157.26 | — | — |
| 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 | $319.24–$8,276.68 | 117% 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–$8,276.68 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN ABD W/CONT | $4,176.56 | $4,176.56 | $178.02–$3,591.84 | 87% 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–$3,591.84 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN ABD W/O CONT. | $3,557.22 | $3,557.22 | $106.34–$3,059.21 | 90% 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–$3,059.21 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX FACIAL WO CONT | $4,062.21 | $4,062.21 | $106.34–$3,493.50 | 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–$3,493.50 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD W/O CONT. | $4,063.74 | $4,063.74 | $101.27–$3,494.82 | 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–$3,494.82 | — | — |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD W/CONT. | $4,771.74 | $4,771.74 | $142.83–$4,103.70 | 77% 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–$4,103.70 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT SCAN HEAD W/WO CONT | $5,304.74 | $5,304.74 | $168.04–$4,562.08 | 89% 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–$4,562.08 | — | — |
| 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 | $106.34–$2,709.72 | 12% 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–$2,709.72 | — | — |
| 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 | $106.34–$3,786.88 | 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–$3,786.88 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN PELVIS W/CONT. | $4,155.84 | $4,155.84 | $178.02–$3,574.02 | 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–$3,574.02 | — | — |
| Chest X-ray, 2 views CPT 71046 XR CHEST; 2 VIEWS | $842.68 | $842.68 | $27.48–$724.70 | 119% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST; 2 VIEWS | $842.68 | $842.68 | $589.88–$724.70 | — | — |
| Chest X-ray, single view CPT 71045 XR CHEST; SINGLE VIEW | $330.39 | $330.39 | $17.67–$284.14 | 2% below | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST; SINGLE VIEW | $330.39 | $330.39 | $231.27–$284.14 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN CHEST W/O CONT. | $3,146.24 | $3,146.24 | $106.34–$2,705.77 | 73% 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–$2,705.77 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN CHEST W/CONT. | $3,923.30 | $3,923.30 | $160.94–$3,374.04 | 68% 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–$3,374.04 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO COMPLETE | $4,692.30 | $4,692.30 | $239.76–$4,035.38 | 94% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO COMPLETE | $4,692.30 | $4,692.30 | $3,284.61–$4,035.38 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA (HEPATOBILLARY) SCAN | $2,869.95 | $2,869.95 | $291.01–$2,468.16 | 87% 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–$2,468.16 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE ORGAN | $1,026.55 | $1,026.55 | $60.74–$882.83 | 24% above | — |
| 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–$882.83 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE-MIN 2 VW | $751.96 | $751.96 | $25.86–$646.69 | 48% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMPLETE-MIN 2 VW | $751.96 | $751.96 | $526.37–$646.69 | — | — |
| X-ray of the foot, 2 views CPT 73620 FOOT LTD-2 VWS | $668.85 | $668.85 | $17.30–$575.21 | 122% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT LTD-2 VWS | $668.85 | $668.85 | $468.20–$575.21 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HAND-MIN 3 VWS | $785.12 | $785.12 | $25.14–$675.20 | 86% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND-MIN 3 VWS | $785.12 | $785.12 | $549.58–$675.20 | — | — |
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 | $4.58–$142.57 | 284% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (Chem) | $165.78 | $165.78 | $116.05–$142.57 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (Chem) | $162.32 | $162.32 | $4.41–$139.60 | 268% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (Chem) | $162.32 | $162.32 | $113.62–$139.60 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $44.41 | $44.41 | $13.19–$144.96 | 82% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $164.60 | $164.60 | $41.79–$144.96 | 33% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $44.41 | $44.41 | $31.09–$38.19 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $164.60 | $164.60 | $115.22–$141.56 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CHROMATIN (NUCLEOSOMAL) AB | $55.00 | $55.00 | $10.63–$47.30 | 58% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B AB | $55.00 | $55.00 | $10.63–$47.30 | 58% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B AB | $55.00 | $55.00 | $38.50–$47.30 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHROMATIN (NUCLEOSOMAL) AB | $55.00 | $55.00 | $38.50–$47.30 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIUDETIC PEPTIDE | $493.86 | $493.86 | $30.15–$424.72 | 180% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIUDETIC PEPTIDE | $493.86 | $493.86 | $345.70–$424.72 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (BMP) | $633.16 | $633.16 | $7.27–$544.52 | 228% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (BMP) | $633.16 | $633.16 | $443.21–$544.52 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BP_LEVEL IV SURG PATH GR&MICRO | $203.20 | $203.20 | $40.99–$183.44 | 33% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISS EXAM BY PATHOLOGIST | $520.35 | $520.35 | $40.99–$447.50 | 242% 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–$174.75 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISS EXAM BY PATHOLOGIST | $520.35 | $520.35 | $364.25–$447.50 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE,BLOOD (Micro) | $544.52 | $544.52 | $8.98–$468.29 | 126% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE,BLOOD (Micro) | $544.52 | $544.52 | $381.16–$468.29 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $78.28 | $78.28 | $6.72–$67.32 | 222% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $78.28 | $78.28 | $54.80–$67.32 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (FAST/RANDOM) | $123.18 | $123.18 | $3.30–$105.93 | 228% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (FAST/RANDOM) | $123.18 | $123.18 | $86.23–$105.93 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUAL SERUM (Immu) | $234.85 | $234.85 | $6.46–$201.97 | 53% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUAL SERUM (Immu) | $234.85 | $234.85 | $164.40–$201.97 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING | $490.23 | $490.23 | $2.38–$421.60 | 538% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING | $490.23 | $490.23 | $343.16–$421.60 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUAL (Immu) | $162.32 | $162.32 | $4.60–$139.60 | 247% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP QUAL (Immu) | $162.32 | $162.32 | $113.62–$139.60 | — | — |
| C. difficile toxin gene test (stool PCR) one side CPT 87493 C. DIFF TOXINS QL RT-PCR | $43.27 | $43.27 | $12.85–$106.84 | 72% below | — |
| C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 C. DIFF TOXINS QL RT-PCR | $43.27 | $43.27 | $30.29–$37.21 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CENTOCOR) | $12.02 | $12.02 | $3.57–$63.37 | 76% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 (CENTOCOR) | $12.02 | $12.02 | $8.41–$10.34 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $12.03 | $12.03 | $3.57–$63.37 | 87% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $12.03 | $12.03 | $8.42–$10.35 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2_PCR | $177.21 | $177.21 | $51.31–$152.40 | 153% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COVID19, QUAL RT-PCR_WPL | $70.00 | $70.00 | $20.79–$130.58 | at median | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2_PCR | $177.21 | $177.21 | $124.05–$152.40 | — | — |
| 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–$60.20 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $240.60 | $240.60 | $11.54–$206.92 | 137% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $240.60 | $240.60 | $168.42–$206.92 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC (Hema) | $402.92 | $402.92 | $6.75–$346.51 | 264% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC (Hema) | $402.92 | $402.92 | $282.04–$346.51 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET CNT, AUTO | $202.61 | $202.61 | $5.71–$174.24 | 167% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM & PLATELET CNT, AUTO | $202.61 | $202.61 | $141.83–$174.24 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $1,139.69 | $1,139.69 | $9.28–$980.13 | 346% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $1,139.69 | $1,139.69 | $797.78–$980.13 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 DDIMER QUANTITATIVE | $39.08 | $39.08 | $9.05–$33.61 | 67% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 DDIMER QUANTITATIVE | $39.08 | $39.08 | $27.36–$33.61 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $26.78 | $26.78 | $7.95–$85.05 | 57% below | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $26.78 | $26.78 | $18.75–$23.03 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, SERUM | $9.62 | $9.62 | $2.86–$56.58 | 89% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, SERUM | $9.62 | $9.62 | $6.73–$8.27 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $425.94 | $425.94 | $12.07–$366.31 | 409% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $19.21 | $19.21 | $13.45–$16.52 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $10.00 | $10.00 | $2.97–$44.77 | 88% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $459.33 | $459.33 | $321.53–$395.02 | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $217.58 | $217.58 | $14.97–$187.12 | 243% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $217.58 | $217.58 | $152.31–$187.12 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $217.58 | $217.58 | $7.91–$187.12 | 219% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $217.58 | $217.58 | $152.31–$187.12 | — | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI | $164.63 | $164.63 | $12.79–$141.58 | 122% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI | $68.12 | $68.12 | $47.68–$58.58 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANT REAL TIME PCR | $205.00 | $205.00 | $60.89–$259.06 | 141% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QUANT REAL TIME PCR | $205.00 | $205.00 | $143.50–$176.30 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB SCR | $95.55 | $95.55 | $11.96–$82.17 | 129% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AB SCR | $95.55 | $95.55 | $66.89–$82.17 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $303.92 | $303.92 | $8.54–$261.37 | 371% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $303.92 | $303.92 | $212.74–$261.37 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QL | $45.82 | $45.82 | $9.51–$39.41 | 19% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $39.66 | $39.66 | $9.12–$34.11 | 36% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.54 | $64.54 | $9.12–$55.50 | 4% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $39.66 | $39.66 | $27.76–$34.11 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.54 | $64.54 | $45.18–$55.50 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $54.74 | $54.74 | $12.57–$47.08 | 5% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $54.74 | $54.74 | $38.32–$47.08 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANTITATIVE REAL TIME | $115.00 | $115.00 | $34.16–$130.41 | 47% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANTITATIVE REAL TIME | $115.00 | $115.00 | $80.50–$98.90 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 (IgG) TYPE SPEC AB | $27.34 | $27.34 | $8.12–$40.16 | 45% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM SCREEN Q90849 | $60.18 | $60.18 | $11.72–$51.75 | 220% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 (IgG) TYPE SPEC AB | $27.34 | $27.34 | $19.14–$23.51 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM SCREEN Q90849 | $60.18 | $60.18 | $42.13–$51.75 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM SCREEN Q90849 | $60.19 | $60.19 | $17.20–$58.92 | 126% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM SCREEN Q90849 | $60.19 | $60.19 | $42.13–$51.76 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIO | $32.00 | $32.00 | $9.50–$51.36 | 22% below | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIO | $32.00 | $32.00 | $22.40–$27.52 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON, SERUM | $202.61 | $202.61 | $5.72–$174.24 | 358% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM | $202.61 | $202.61 | $141.83–$174.24 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON,TIBC & FERRITIN PANEL | $7.76 | $7.76 | $2.30–$21.30 | 86% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC (Chem) | $230.24 | $230.24 | $6.89–$198.01 | 317% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON,TIBC & FERRITIN PANEL | $7.76 | $7.76 | $5.43–$6.67 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (Chem) | $230.24 | $230.24 | $161.17–$198.01 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PNL | $633.16 | $633.16 | $7.60–$544.52 | 349% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PNL | $633.16 | $633.16 | $443.21–$544.52 | — | — |
| LH (luteinizing hormone) test CPT 83002 LH | $9.62 | $9.62 | $2.86–$56.37 | 88% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $9.62 | $9.62 | $6.73–$8.27 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PLEURAL FLUID | $47.58 | $47.58 | $6.08–$40.92 | 37% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $215.27 | $215.27 | $6.08–$185.13 | 185% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PLEURAL FLUID | $47.58 | $47.58 | $33.31–$40.92 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $215.27 | $215.27 | $150.69–$185.13 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL (Chem) | $1,264.02 | $1,264.02 | $6.38–$1,087.06 | 844% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PNL (Chem) | $1,264.02 | $1,264.02 | $884.81–$1,087.06 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM (Chem) | $284.34 | $284.34 | $5.96–$244.53 | 391% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM (Chem) | $284.34 | $284.34 | $199.04–$244.53 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IgG) | $16.11 | $16.11 | $4.78–$39.22 | 23% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IgG) | $16.11 | $16.11 | $11.28–$13.85 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST (Immu) | $162.32 | $162.32 | $4.49–$139.60 | 75% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST (Immu) | $162.32 | $162.32 | $113.62–$139.60 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG | $575.60 | $575.60 | $16.35–$495.02 | 1130% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG | $575.60 | $575.60 | $402.92–$495.02 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT & CALCIUM | $27.68 | $27.68 | $8.22–$125.65 | 73% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT & CALCIUM | $27.68 | $27.68 | $19.38–$23.80 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPLSTIN TIME PARTIALQ7079 | $19.00 | $19.00 | $5.34–$18.27 | 50% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (Hema) | $362.63 | $362.63 | $5.34–$311.86 | 861% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPLSTIN TIME PARTIALQ7079 | $19.00 | $19.00 | $13.30–$16.34 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (Hema) | $362.63 | $362.63 | $253.84–$311.86 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN | $13.47 | $13.47 | $4.00–$58.99 | 85% below | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $13.47 | $13.47 | $9.43–$11.58 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN (Hema) | $308.52 | $308.52 | $3.49–$265.33 | 547% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN (Hema) | $308.52 | $308.52 | $215.96–$265.33 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B ANTIGEN | $300.46 | $300.46 | $8.85–$258.40 | 298% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A&B ANTIGEN | $300.46 | $300.46 | $210.32–$258.40 | — | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $8.79 | $8.79 | $2.61–$27.08 | 51% below | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $8.79 | $8.79 | $6.15–$7.56 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD,STOOL (Micro) | $75.98 | $75.98 | $2.92–$65.34 | 95% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD,STOOL (Micro) | $75.98 | $75.98 | $53.19–$65.34 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $8.98 | $8.98 | $2.67–$13.00 | 40% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/RST QUAL.(Immu) | $133.54 | $133.54 | $3.80–$114.84 | 796% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF | $8.98 | $8.98 | $6.29–$7.72 | — | — |
| 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–$114.84 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R)-TB GOLD | $85.00 | $85.00 | $25.25–$188.69 | 20% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R)-TB GOLD | $85.00 | $85.00 | $59.50–$73.10 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL Q14966 | $13.75 | $13.75 | $4.08–$78.59 | 66% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL Q14966 | $13.75 | $13.75 | $9.63–$11.83 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $526.10 | $526.10 | $14.76–$452.45 | 529% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $526.10 | $526.10 | $368.27–$452.45 | — | — |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD (Chem) | $173.83 | $173.83 | $4.01–$149.49 | 184% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD (Chem) | $173.83 | $173.83 | $121.68–$149.49 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPY | $126.63 | $126.63 | $2.77–$108.90 | 53% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPY | $126.63 | $126.63 | $88.64–$108.90 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 URIN-ROUTINE UA | $88.64 | $88.64 | $2.58–$76.23 | 106% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URIN-ROUTINE UA | $88.64 | $88.64 | $62.05–$76.23 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPY | $95.55 | $95.55 | $1.96–$82.17 | 71% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPY | $95.55 | $95.55 | $66.89–$82.17 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREG TEST-URINE QUAL (Immu) | $176.14 | $176.14 | $2.80–$151.48 | 105% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST-URINE QUAL (Immu) | $176.14 | $176.14 | $123.30–$151.48 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $18.62 | $18.62 | $5.53–$45.89 | 70% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $18.62 | $18.62 | $13.03–$16.01 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QUESTASSURED 25-OH VIT D LC/MS | $49.10 | $49.10 | $14.58–$90.12 | 23% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QUESTASSURED 25-OH VIT D LC/MS | $49.10 | $49.10 | $34.37–$42.23 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-HCG QUANTITATIVE | $191.10 | $191.10 | $13.24–$164.35 | 37% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-HCG QUANTITATIVE | $191.10 | $191.10 | $133.77–$164.35 | — | — |
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/TRANSFUSION | $1,784.36 | $1,784.36 | $437.18–$1,534.55 | 104% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN/TRANSFUSION | $1,784.36 | $1,784.36 | $1,249.05–$1,534.55 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $1,184.31 | $1,184.31 | $75.58–$1,018.51 | 33% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY | $1,184.31 | $1,184.31 | $829.02–$1,018.51 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE | $657.34 | $657.34 | $16.40–$565.31 | 94% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE | $657.34 | $657.34 | $460.14–$565.31 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,582.91 | $1,582.91 | $52.50–$1,361.30 | 31% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $1,582.91 | $1,582.91 | $1,108.04–$1,361.30 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W PT 50 MINS. | $693.45 | $693.45 | $89.65–$596.37 | 103% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W PT 50 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Group psychotherapy session CPT 90853 GRP PSYTX TELE | $414.81 | $414.81 | $14.48–$356.74 | 53% above | — |
| Group psychotherapy session CPT 90853 NEW IOP GRP PSYTX | $414.81 | $414.81 | $14.48–$356.74 | 53% above | — |
| Group psychotherapy session CPT 90853 GRP PSYTX | $414.81 | $414.81 | $14.48–$356.74 | 53% above | — |
| Group psychotherapy session inpatient CPT 90853 GRP PSYTX TELE | $414.81 | $414.81 | $290.37–$356.74 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP PSYTX | $414.81 | $414.81 | $290.37–$356.74 | — | — |
| Group psychotherapy session inpatient CPT 90853 NEW IOP GRP PSYTX | $414.81 | $414.81 | $290.37–$356.74 | — | — |
| IV infusion of a medicine, first hour CPT 96365 IVI W/MED 1ST HR (16-90) | $801.30 | $801.30 | $62.60–$689.12 | 67% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IVI W/MED 1ST HR (16-90) | $801.30 | $801.30 | $152.97–$689.12 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM | $270.67 | $270.67 | $18.75–$232.78 | 72% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ OR IM | $270.67 | $270.67 | $51.67–$232.78 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $597.47 | $597.47 | $102.50–$513.82 | 145% 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–$513.82 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $629.70 | $629.70 | $102.50–$541.54 | 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–$541.54 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EX EA 15 MIN | $343.06 | $343.06 | $10.96–$295.03 | 165% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EX EA 15 MIN | $343.06 | $343.06 | $240.14–$295.03 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINS. | $693.45 | $693.45 | $52.87–$596.37 | 126% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINS. TELE | $693.45 | $693.45 | $52.87–$596.37 | 126% above | — |
| Psychotherapy session, 30 minutes CPT 90832 NEW IOP PSYTX W PT 30 MINS. | $693.45 | $693.45 | $52.87–$596.37 | 126% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 NEW IOP PSYTX W PT 30 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINS. TELE | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINS. TELE | $693.45 | $693.45 | $67.16–$596.37 | 118% above | — |
| Psychotherapy session, 45 minutes CPT 90834 NEW IOP PSYTX W PT 45 MINS. | $693.45 | $693.45 | $67.16–$596.37 | 118% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINS. | $693.45 | $693.45 | $67.16–$596.37 | 118% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 NEW IOP PSYTX W PT 45 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINS. TELE | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINS. TELE | $693.45 | $693.45 | $98.02–$596.37 | 103% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINS. | $693.45 | $693.45 | $98.02–$596.37 | 103% above | — |
| Psychotherapy session, 60 minutes CPT 90837 NEW IOP PSYTX W PT 60 MINS. | $693.45 | $693.45 | $98.02–$596.37 | 103% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 NEW IOP PSYTX W PT 60 MINS. | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINS. TELE | $693.45 | $693.45 | $485.42–$596.37 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIV EA 15 MIN | $358.03 | $358.03 | $11.14–$307.91 | 161% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIV EA 15 MIN | $358.03 | $358.03 | $250.62–$307.91 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| 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–$591.32 | 195% above | — |
| 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 | $131.26–$591.32 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 10MCG/0.5ML | $164.63 | $164.63 | $48.90–$145.47 | 95% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/1.0ML | $387.95 | $387.95 | $70.38–$333.64 | 359% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 10MCG/0.5ML | $164.63 | $164.63 | $31.43–$141.58 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/1.0ML | $387.95 | $387.95 | $74.06–$333.64 | — | — |
| 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 | $77.86–$240.13 | 123% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent | $279.22 | $279.22 | $77.86–$240.13 | 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 | $53.30–$240.13 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose Quadrivalent | $279.22 | $279.22 | $53.30–$240.13 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 0.5ML INJ | $291.26 | $291.26 | $86.50–$275.88 | 80% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 0.5ML INJ | $291.26 | $291.26 | $55.60–$250.48 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCCINE 2.5 UNITS | $1,148.90 | $1,148.90 | $313.68–$988.05 | 63% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCCINE 2.5 UNITS | $1,148.90 | $1,148.90 | $219.33–$988.05 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH 5UN/2UN 0.5ML | $90.94 | $90.94 | $19.53–$78.21 | 15% above | — |
| 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 | $90.94 | $90.94 | $19.53–$78.21 | 15% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid 5 units/0.5 mL intramuscular suspension | $102.46 | $102.46 | $22.01–$88.12 | 29% above | — |
| 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 | $102.46 | $102.46 | $22.01–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID 5UN 0.5ML | $102.46 | $102.46 | $22.01–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH 2UN/2UN 0.5ML | $102.46 | $102.46 | $22.01–$88.12 | 29% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH 5UN/2UN 0.5ML | $90.94 | $90.94 | $17.36–$78.21 | — | — |
| 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 | $90.94 | $90.94 | $17.36–$78.21 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH 2UN/2UN 0.5ML | $102.46 | $102.46 | $19.56–$88.12 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOXOID 5UN 0.5ML | $102.46 | $102.46 | $19.56–$88.12 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid 5 units/0.5 mL intramuscular suspension | $102.46 | $102.46 | $19.56–$88.12 | — | — |
| 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 | $102.46 | $102.46 | $19.56–$88.12 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL(TDaP) 0.5ML | $262.47 | $262.47 | $43.21–$225.72 | 211% 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 | $262.47 | $262.47 | $43.21–$225.72 | 211% 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–$225.72 | 211% above | — |
| 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 | $262.47 | $262.47 | $50.11–$225.72 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL(TDaP) 0.5ML | $262.47 | $262.47 | $50.11–$225.72 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DAPTACEL (DTaP VAC) 0.5ML | $262.47 | $262.47 | $50.11–$225.72 | — | — |
Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/7924/393877251_nor-culver-city-llc_standardcharges.csv