Kimble Hospital
Listed in its price file as “Preferred Hospital Leasing Junction, Inc.”.
Kimble Hospital in Junction, TX publishes cash prices for 139 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 119 of 136 procedures and above it for 17. By typical cash price it ranks #55 of 305 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
349 Reid Road, Junction, TX 76849 Collected Sep 27, 2026 Source price file (325) 446-3321
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451306 · CMS hospital register NPI 1164688495
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Comp Min 3V LT | $195.00 | $325.00 | $12.85–$306.00 | 48% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Comp Min 3V RT | $195.00 | $325.00 | $12.85–$306.00 | 48% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle Comp Min 3V RT | $195.00 | $325.00 | $12.85–$306.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle Comp Min 3V LT | $195.00 | $325.00 | $12.85–$306.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Duplex Ext Lower Bilat | $246.60 | $411.00 | $145.83–$312.12 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Duplex Ext Lower Bilat | $246.60 | $411.00 | $145.83–$312.12 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd/Pel W/ Contrast | $1,980.00 | $3,300.00 | $2,244.00 | 55% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd/Pel W/ Contrast | $1,980.00 | $3,300.00 | $2,244.00 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 Cta Head W/Wo | $915.00 | $1,525.00 | $1,082.14–$1,494.50 | 68% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/Wo | $915.00 | $1,525.00 | $1,082.14–$1,494.50 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck Carotids | $1,470.00 | $2,450.00 | $1,738.52–$2,001.40 | 46% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck Carotids | $1,470.00 | $2,450.00 | $1,738.52–$2,001.40 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/Wo | $1,200.00 | $2,000.00 | $282.34–$1,815.29 | 58% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/Wo | $1,200.00 | $2,000.00 | $282.34–$1,815.29 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd/Pel W/O Contrast | $1,283.40 | $2,139.00 | $1,425.43–$1,926.19 | 62% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd/Pel W/O Contrast | $1,283.40 | $2,139.00 | $1,425.43–$1,926.19 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd/Pel W/ Contrast | $1,662.60 | $2,771.00 | $275.47–$3,200.00 | 57% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd/Pel W/ Contrast | $1,662.60 | $2,771.00 | $275.47–$3,200.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus W/O | $900.00 | $1,500.00 | $135.95–$1,137.90 | 46% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Sinus W/O | $900.00 | $1,500.00 | $135.95–$1,137.90 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O | $900.00 | $1,500.00 | $62.87–$1,497.00 | 53% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O | $900.00 | $1,500.00 | $62.87–$1,497.00 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-Spine W/O | $960.00 | $1,600.00 | $809.60–$1,207.36 | 53% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct L-Spine W/O | $960.00 | $1,600.00 | $809.60–$1,207.36 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-Spine W/O | $930.00 | $1,550.00 | $67.20–$1,600.00 | 56% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct C-Spine W/O | $930.00 | $1,550.00 | $67.20–$1,600.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Dup Carotid Bilat | $615.00 | $1,025.00 | $376.69–$600.68 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Dup Carotid Bilat | $615.00 | $1,025.00 | $376.69–$600.68 | — | 40% |
| Chest X-ray, 2 views CPT 71046 Xr Chest Ap/Lat | $180.00 | $300.00 | $112.36–$309.68 | 54% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Ap/Lat | $180.00 | $300.00 | $112.36–$309.68 | — | 40% |
| Chest X-ray, single view CPT 71045 Xr Chest 1V | $135.00 | $225.00 | $113.85–$220.50 | 58% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest 1V | $135.00 | $225.00 | $113.85–$220.50 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal | $475.80 | $793.00 | $562.71 | 36% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Renal | $475.80 | $793.00 | $562.71 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W | $1,110.00 | $1,850.00 | $84.00–$2,000.00 | 49% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest W | $1,110.00 | $1,850.00 | $84.00–$2,000.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Us Dup Lwr Ext Art Comp | $644.40 | $1,074.00 | $716.45–$814.74 | 64% below | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Us Dup Lwr Ext Art Comp | $644.40 | $1,074.00 | $716.45–$814.74 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Ext Veins Bilat | $688.80 | $1,148.00 | $407.31–$631.40 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Ext Veins Bilat | $688.80 | $1,148.00 | $407.31–$631.40 | — | 40% |
| Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 2V RT | $136.20 | $227.00 | $151.28–$171.29 | 58% below | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Xr Elbow 2V RT | $136.20 | $227.00 | $151.28–$171.29 | — | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3 Views LT | $153.00 | $255.00 | $129.03–$203.92 | 60% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow 3 Views LT | $153.00 | $255.00 | $129.03–$203.92 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbits W/O | $706.80 | $1,178.00 | $788.22 | 58% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbits W/O | $706.80 | $1,178.00 | $788.22 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2V LT | $164.40 | $274.00 | $139.64–$268.52 | 56% below | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2V RT | $164.40 | $274.00 | $139.64–$268.52 | 56% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr Forearm 2V LT | $164.40 | $274.00 | $139.64–$268.52 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr Forearm 2V RT | $164.40 | $274.00 | $139.64–$268.52 | — | 40% |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2 Views RT | $108.00 | $180.00 | $122.40–$341.90 | 67% below | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Xr Hand 2 Views RT | $108.00 | $180.00 | $122.40–$341.90 | — | 40% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3V LT | $195.00 | $325.00 | $112.36–$321.10 | 52% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3V RT | $195.00 | $325.00 | $112.36–$321.10 | 52% below | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3V LT | $195.00 | $325.00 | $112.36–$321.10 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3V RT | $195.00 | $325.00 | $112.36–$321.10 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abd Lmtd (Gallbladder | $390.00 | $650.00 | $461.24–$650.00 | 38% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abd Lmtd (Gallbladder | $390.00 | $650.00 | $461.24–$650.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Ext Non-Vasc Lmtd LT | $187.80 | $313.00 | $357.20–$362.84 | 60% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Ext Non-Vasc Lmtd LT | $187.80 | $313.00 | $357.20–$362.84 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Leg 2V LT | $171.60 | $286.00 | $109.09–$215.82 | 50% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr Leg 2V LT | $171.60 | $286.00 | $109.09–$215.82 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr C-Spine 4-5V | $204.00 | $340.00 | $227.50 | 63% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xr C-Spine 4-5V | $204.00 | $340.00 | $227.50 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Nck Sft Tissue W | $930.00 | $1,550.00 | $1,169.63–$1,519.00 | 55% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Nck Sft Tissue W | $930.00 | $1,550.00 | $1,169.63–$1,519.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob < 14 Wks Single | $382.20 | $637.00 | $168.95–$637.00 | 38% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Ob < 14 Wks Single | $382.20 | $637.00 | $168.95–$637.00 | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr Ribs 2V RT | $167.40 | $279.00 | $139.64–$211.65 | 53% below | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Xr Ribs 2V RT | $167.40 | $279.00 | $139.64–$211.65 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs W/ Pa Chest RT | $283.20 | $472.00 | $314.54–$358.06 | 28% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs W/ Pa Chest RT | $283.20 | $472.00 | $314.54–$358.06 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2V | $180.00 | $300.00 | $148.36–$228.21 | 48% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2V RT | $180.00 | $300.00 | $148.36–$228.21 | 48% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xr Shoulder 2V | $180.00 | $300.00 | $148.36–$228.21 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder 2V RT | $180.00 | $300.00 | $148.36–$228.21 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur 2V RT | $165.00 | $275.00 | $183.26–$269.50 | 53% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Xr Femur 2V RT | $165.00 | $275.00 | $183.26–$269.50 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct T-Spine W/O | $900.00 | $1,500.00 | $1,066.24–$1,072.64 | 55% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct T-Spine W/O | $900.00 | $1,500.00 | $1,066.24–$1,072.64 | — | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toes 2V LT | $145.20 | $242.00 | $112.36–$205.14 | 51% below | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Xr Toes 2V LT | $145.20 | $242.00 | $112.36–$205.14 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 Us Abd Complete | $450.00 | $750.00 | $135.95–$619.38 | 48% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abd Complete | $450.00 | $750.00 | $135.95–$619.38 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head/Nck | $420.00 | $700.00 | $168.95–$532.43 | 33% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Soft Tissue Head/Nck | $420.00 | $700.00 | $168.95–$532.43 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US venous duplex RT | $420.00 | $700.00 | $76.00–$496.72 | 48% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US venous duplex RT | $420.00 | $700.00 | $76.00–$496.72 | — | 40% |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2 vw LT | $108.00 | $180.00 | $136.38–$204.14 | 66% below | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Xr Wrist 2 vw LT | $108.00 | $180.00 | $136.38–$204.14 | — | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3V LT | $180.00 | $300.00 | $139.64–$272.29 | 53% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3V RT | $180.00 | $300.00 | $139.64–$272.29 | 53% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist 3V RT | $180.00 | $300.00 | $139.64–$272.29 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist 3V LT | $180.00 | $300.00 | $139.64–$272.29 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3V RT | $165.00 | $275.00 | $195.14–$286.91 | 59% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3V LT | $165.00 | $275.00 | $195.14–$286.91 | 59% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip 2-3V LT | $165.00 | $275.00 | $195.14–$286.91 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip 2-3V RT | $165.00 | $275.00 | $195.14–$286.91 | — | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2V LT | $136.20 | $227.00 | $114.86–$220.32 | 48% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger 2V LT | $136.20 | $227.00 | $114.86–$220.32 | — | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Comp Min 3V LT | $180.00 | $300.00 | $12.85–$306.00 | 52% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Comp Min 3V RT | $180.00 | $300.00 | $12.85–$306.00 | 52% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot Comp Min 3V LT | $180.00 | $300.00 | $12.85–$306.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot Comp Min 3V RT | $180.00 | $300.00 | $12.85–$306.00 | — | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3V LT | $180.00 | $300.00 | $112.36–$294.00 | 54% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3V RT | $180.00 | $300.00 | $112.36–$294.00 | 54% below | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Min 3V LT | $180.00 | $300.00 | $112.36–$294.00 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Min 3V RT | $180.00 | $300.00 | $112.36–$294.00 | — | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1/2V LT | $132.60 | $221.00 | $156.82–$216.58 | 55% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1/2V RT | $132.60 | $221.00 | $156.82–$216.58 | 55% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1/2V LT | $132.60 | $221.00 | $156.82–$216.58 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1/2V RT | $132.60 | $221.00 | $156.82–$216.58 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L-Spine 2-3V | $210.00 | $350.00 | $248.36–$340.22 | 55% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr L-Spine 2-3V | $210.00 | $350.00 | $248.36–$340.22 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine W/Obliq 4V | $391.20 | $652.00 | $345.92–$500.03 | 38% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr L-Spine W/Obliq 4V | $391.20 | $652.00 | $345.92–$500.03 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C-Spine 2-3V | $163.20 | $272.00 | $182.00–$342.69 | 56% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr C-Spine 2-3V | $163.20 | $272.00 | $182.00–$342.69 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1V | $180.00 | $300.00 | $168.95–$499.80 | 52% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis 1V | $180.00 | $300.00 | $168.95–$499.80 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile | $266.40 | $444.00 | $183.26 | 31% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Profile | $266.40 | $444.00 | $183.26 | — | 40% |
| Ammonia blood test CPT 82140 Ammonia Level | $109.20 | $182.00 | $20.56–$178.36 | 25% below | 40% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $109.20 | $182.00 | $20.56–$178.36 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Pos Reflex Panel | $48.00 | $80.00 | $21.20–$53.32 | 46% below | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Pos Reflex Panel | $48.00 | $80.00 | $21.20–$53.32 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp Triage | $150.00 | $250.00 | $73.15–$245.00 | 19% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp Triage | $150.00 | $250.00 | $73.15–$245.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat | $90.00 | $150.00 | $12.16–$147.00 | 30% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Fluid | $90.00 | $150.00 | $12.16–$147.00 | 30% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Wound | $90.00 | $150.00 | $12.16–$147.00 | 30% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Sputum | $90.00 | $150.00 | $12.16–$147.00 | 30% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Wound | $90.00 | $150.00 | $12.16–$147.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat | $90.00 | $150.00 | $12.16–$147.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Fluid | $90.00 | $150.00 | $12.16–$147.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Sputum | $90.00 | $150.00 | $12.16–$147.00 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 Bmp | $135.00 | $225.00 | $11.94–$221.22 | 44% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Bmp | $135.00 | $225.00 | $11.94–$221.22 | — | 40% |
| Blood culture for bacteria CPT 87040 Culture Blood | $120.00 | $200.00 | $37.19–$196.00 | 49% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 Culture Blood | $120.00 | $200.00 | $37.19–$196.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $8.40 | $14.00 | $1.39–$14.00 | 58% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $8.40 | $14.00 | $1.39–$14.00 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qualitative Serum | $101.40 | $169.00 | $13.18–$153.39 | 26% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qualitative Serum | $101.40 | $169.00 | $13.18–$153.39 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun Level | $42.00 | $70.00 | $6.92–$52.83 | 29% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun Level | $42.00 | $70.00 | $6.92–$52.83 | — | 40% |
| C-peptide blood test CPT 84681 C-Peptide Lab | $139.20 | $232.00 | $175.07 | 71% above | 40% |
| C-peptide blood test inpatient CPT 84681 C-Peptide Lab | $139.20 | $232.00 | $175.07 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein Lab | $60.00 | $100.00 | $7.31–$129.95 | 3% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein Lab | $60.00 | $100.00 | $7.31–$129.95 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Reference Lab | $240.00 | $400.00 | $272.00–$392.00 | 169% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 Reference Lab | $240.00 | $400.00 | $272.00–$392.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile | $90.00 | $150.00 | $48.26–$147.00 | 54% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile | $90.00 | $150.00 | $48.26–$147.00 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 Cbc | $60.00 | $100.00 | $7.61–$98.00 | 34% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc | $60.00 | $100.00 | $7.61–$98.00 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 Cbc W/O Differential | $60.00 | $100.00 | $7.84–$75.46 | 37% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc W/O Differential | $60.00 | $100.00 | $7.84–$75.46 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 Cmp Lab | $165.00 | $275.00 | $18.51–$269.50 | 44% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cmp Lab | $165.00 | $275.00 | $18.51–$269.50 | — | 40% |
| Cortisol blood test, total CPT 82533 Cortisol, Random | $120.00 | $200.00 | $28.58–$150.92 | 31% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, Random | $120.00 | $200.00 | $28.58–$150.92 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk Lab | $60.00 | $100.00 | $23.46–$98.00 | 16% below | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk Lab | $60.00 | $100.00 | $23.46–$98.00 | — | 40% |
| Creatinine blood test CPT 82565 Creatinine Lab | $45.60 | $76.00 | $8.97–$74.48 | 25% below | 40% |
| Creatinine blood test inpatient CPT 82565 Creatinine Lab | $45.60 | $76.00 | $8.97–$74.48 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Level | $125.40 | $209.00 | $157.71–$157.72 | 22% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh Level | $125.40 | $209.00 | $157.71–$157.72 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $171.60 | $286.00 | $280.28 | 20% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool | $171.60 | $286.00 | $280.28 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $103.20 | $172.00 | $114.62–$168.56 | at median | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $103.20 | $172.00 | $114.62–$168.56 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 Ft3 (Free T3) Lab | $147.00 | $245.00 | $29.71–$271.90 | 4% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 Ft3 (Free T3) Lab | $147.00 | $245.00 | $29.71–$271.90 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Ft4 (Free Thyroxine) | $75.00 | $125.00 | $15.82–$122.50 | 15% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Ft4 (Free Thyroxine) | $75.00 | $125.00 | $15.82–$122.50 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt Lab | $93.00 | $155.00 | $10.16–$116.97 | 45% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt Lab | $93.00 | $155.00 | $10.16–$116.97 | — | 40% |
| H. pylori antibody blood test CPT 86677 H. Pylori Antibodies Igg | $90.00 | $150.00 | $113.19–$114.86 | 31% below | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H. Pylori Antibodies Igg | $90.00 | $150.00 | $113.19–$114.86 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $60.00 | $100.00 | $17.04–$98.00 | 35% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $60.00 | $100.00 | $17.04–$98.00 | — | 40% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $26.40 | $44.00 | $33.20 | 44% below | 40% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $26.40 | $44.00 | $33.20 | — | 40% |
| Iron blood test (serum iron) CPT 83540 Iron Serum | $48.00 | $80.00 | $53.31–$78.40 | 45% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Serum | $48.00 | $80.00 | $53.31–$78.40 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $67.80 | $113.00 | $75.30–$110.74 | 31% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity | $67.80 | $113.00 | $75.30–$110.74 | — | 40% |
| Kidney function blood test panel CPT 80069 Renal Profile | $107.40 | $179.00 | $101.96–$175.42 | 39% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 Renal Profile | $107.40 | $179.00 | $101.96–$175.42 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 Lactate/Lactic Acid | $48.00 | $80.00 | $21.36–$78.40 | 51% below | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate/Lactic Acid | $48.00 | $80.00 | $21.36–$78.40 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Lab | $60.00 | $100.00 | $66.64–$70.56 | 28% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Lab | $60.00 | $100.00 | $66.64–$70.56 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Lab | $45.00 | $75.00 | $7.46–$75.00 | 53% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Lab | $45.00 | $75.00 | $7.46–$75.00 | — | 40% |
| Liver function blood test panel CPT 80076 Liver Panel | $55.80 | $93.00 | $11.53–$70.18 | 74% below | 40% |
| Liver function blood test panel inpatient CPT 80076 Liver Panel | $55.80 | $93.00 | $11.53–$70.18 | — | 40% |
| Magnesium blood test CPT 83735 Magnesium Serum | $69.00 | $115.00 | $9.46–$294.00 | 39% above | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum | $69.00 | $115.00 | $9.46–$294.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 A-Psa Free | $97.80 | $163.00 | $108.62–$123.00 | 13% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 A-Psa Free | $97.80 | $163.00 | $108.62–$123.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total w Reflex to PSA Fre | $90.00 | $150.00 | $34.26–$113.19 | 1% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total w Reflex to PSA Fre | $90.00 | $150.00 | $34.26–$113.19 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact | $180.00 | $300.00 | $199.92–$294.00 | 17% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact | $180.00 | $300.00 | $199.92–$294.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Lab | $60.00 | $100.00 | $10.53–$90.76 | 11% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Lab | $60.00 | $100.00 | $10.53–$90.76 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic | $46.80 | $78.00 | $6.68–$51.98 | 26% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Inorganic | $46.80 | $78.00 | $6.68–$51.98 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr Lab | $54.00 | $90.00 | $6.06–$88.20 | 14% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr Lab | $54.00 | $90.00 | $6.06–$88.20 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor;Quantit | $34.80 | $58.00 | $41.76–$109.96 | 37% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor;Quantit | $34.80 | $58.00 | $41.76–$109.96 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Stool Series | $39.60 | $66.00 | $43.98–$66.00 | 42% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Stool Series | $39.60 | $66.00 | $43.98–$66.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold | $154.80 | $258.00 | $108.70–$194.69 | 24% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon Tb Gold | $154.80 | $258.00 | $108.70–$194.69 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $123.00 | $205.00 | $48.09–$154.70 | 21% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $123.00 | $205.00 | $48.09–$154.70 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO/Thyroid Peroxidase | $72.60 | $121.00 | $25.51–$91.31 | 19% below | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO/Thyroid Peroxidase | $72.60 | $121.00 | $25.51–$91.31 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Level | $105.00 | $175.00 | $29.47–$171.50 | 15% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Level | $105.00 | $175.00 | $29.47–$171.50 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 (Thyroxine) | $64.20 | $107.00 | $9.41–$27.33 | 20% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 (Thyroxine) | $64.20 | $107.00 | $9.41–$27.33 | — | 40% |
| Transferrin blood test CPT 84466 Transferin Lab | $46.80 | $78.00 | $55.04 | 61% below | 40% |
| Transferrin blood test inpatient CPT 84466 Transferin Lab | $46.80 | $78.00 | $55.04 | — | 40% |
| Triglycerides blood test CPT 84478 Triglyceride | $36.00 | $60.00 | $45.28 | 59% below | 40% |
| Triglycerides blood test inpatient CPT 84478 Triglyceride | $36.00 | $60.00 | $45.28 | — | 40% |
| Troponin test, quantitative CPT 84484 Troponin Lab | $204.60 | $341.00 | $23.24–$334.18 | 51% above | 40% |
| Troponin test, quantitative inpatient CPT 84484 Troponin Lab | $204.60 | $341.00 | $23.24–$334.18 | — | 40% |
| Uric acid blood test CPT 84550 Uric Acid Blood | $52.20 | $87.00 | $44.02–$85.26 | 43% below | 40% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Blood | $52.20 | $87.00 | $44.02–$85.26 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Ua W/Micro | $45.00 | $75.00 | $5.56–$73.50 | 58% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Ua W/Micro | $45.00 | $75.00 | $5.56–$73.50 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis By Dip Stick | $25.20 | $42.00 | $4.28–$41.16 | 30% below | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis By Dip Stick | $25.20 | $42.00 | $4.28–$41.16 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Ua | $60.00 | $100.00 | $9.94–$98.00 | 57% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Ua | $60.00 | $100.00 | $9.94–$98.00 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Random Urin | $58.20 | $97.00 | $10.77–$95.06 | 14% above | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Random Urin | $58.20 | $97.00 | $10.77–$95.06 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative Urine | $21.00 | $35.00 | $15.09–$31.77 | 75% below | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative Urine | $21.00 | $35.00 | $15.09–$31.77 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $90.00 | $150.00 | $54.34–$147.00 | 1% below | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $90.00 | $150.00 | $54.34–$147.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydr Lab | $135.00 | $225.00 | $51.92–$220.50 | 10% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydr Lab | $135.00 | $225.00 | $51.92–$220.50 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Quan | $172.80 | $288.00 | $26.39–$261.41 | 54% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg, Quan | $172.80 | $288.00 | $26.39–$261.41 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smple/Single | $205.20 | $342.00 | $67.01–$310.41 | 56% below | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Smple/Single | $205.20 | $342.00 | $67.01–$310.41 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 I & Remove Fb Subq Simple | $300.00 | $500.00 | $333.20–$493.66 | 44% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I & Remove Fb Subq Simple | $300.00 | $500.00 | $333.20–$493.66 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 Splint Leg Shrt Apply | $175.20 | $292.00 | $147.75 | 33% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 Splint Leg Shrt Apply | $175.20 | $292.00 | $147.75 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smple Sclp Nck Trnk E | $135.00 | $225.00 | $108.72–$222.70 | 63% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr Smple Sclp Nck Trnk E | $135.00 | $225.00 | $108.72–$222.70 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smple Sclp Nck Trnk E | $246.60 | $411.00 | $110.13–$410.34 | 46% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr Smple Sclp Nck Trnk E | $246.60 | $411.00 | $110.13–$410.34 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Tx Per Tx | $189.00 | $315.00 | $120.96–$238.96 | 7% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hhn Tx Per Tx | $189.00 | $315.00 | $120.96–$238.96 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1St 30-74 M | $1,200.00 | $2,000.00 | $198.81–$1,962.20 | 54% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care 1St 30-74 M | $1,200.00 | $2,000.00 | $198.81–$1,962.20 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing Only | $99.00 | $165.00 | $6.50–$164.25 | 65% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing Only | $99.00 | $165.00 | $6.50–$164.25 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 | $240.00 | $400.00 | $84.48–$301.84 | 49% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Level 2 | $240.00 | $400.00 | $84.48–$301.84 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 | $414.00 | $690.00 | $145.73–$688.20 | 50% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E&M Level 3 W/Modifier | $420.00 | $700.00 | $145.73–$688.20 | 49% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Level 3 | $414.00 | $690.00 | $145.73–$688.20 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E&M Level 3 W/Modifier | $420.00 | $700.00 | $145.73–$688.20 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E&M Level 4W/Modiifer | $690.00 | $1,150.00 | $71.82–$1,129.20 | 47% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 | $690.00 | $1,150.00 | $71.82–$1,129.20 | 47% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Level 4 | $690.00 | $1,150.00 | $71.82–$1,129.20 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E&M Level 4W/Modiifer | $690.00 | $1,150.00 | $71.82–$1,129.20 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E&M Level 5 W/Modifier | $780.00 | $1,300.00 | $743.00–$1,707.26 | 61% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 | $1,026.00 | $1,710.00 | $743.00–$1,707.26 | 49% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E&M Level 5 W/Modifier | $780.00 | $1,300.00 | $743.00–$1,707.26 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Level 5 | $1,026.00 | $1,710.00 | $743.00–$1,707.26 | — | 40% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $135.00 | $225.00 | $159.66–$170.68 | 30% below | 40% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $135.00 | $225.00 | $159.66–$170.68 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 Iv Inf Initial Hour | $90.00 | $150.00 | $99.96–$150.00 | 81% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Initial Hour | $90.00 | $150.00 | $99.96–$150.00 | — | 40% |
| IV push of a medicine, first drug CPT 96374 Ivp Singl Or Initl Drug | $75.00 | $125.00 | $12.43–$122.50 | 68% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 Ivp Singl Or Initl Drug | $75.00 | $125.00 | $12.43–$122.50 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Subq Injection | $60.00 | $100.00 | $50.60–$200.00 | 61% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Dx/Therapeutic Subq/I | $60.00 | $100.00 | $50.60–$200.00 | 61% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Dx/Therapeutic Subq/I | $60.00 | $100.00 | $50.60–$200.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Subq Injection | $60.00 | $100.00 | $50.60–$200.00 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition Visit Initial | $30.00 | $50.00 | $28.79 | 48% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition Visit Initial | $30.00 | $50.00 | $28.79 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity | $135.00 | $225.00 | $113.85–$170.68 | 33% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity | $135.00 | $225.00 | $113.85–$170.68 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt-Manual Therapy | $60.00 | $100.00 | $50.60–$70.96 | 46% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt-Manual Therapy | $60.00 | $100.00 | $50.60–$70.96 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt -Therapeutic Exercise | $60.00 | $100.00 | $15.24–$75.86 | 46% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt -Therapeutic Exercise | $60.00 | $100.00 | $15.24–$75.86 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Indv Psychothrpy 16-37 Mins | $135.00 | $225.00 | $170.68 | 29% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Indv Psychothrpy 16-37 Mins | $135.00 | $225.00 | $170.68 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Indv Psychothrpy 38-52 Mins | $180.00 | $300.00 | $212.88–$227.58 | 34% below | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Indv Psychothrpy 38-52 Mins | $180.00 | $300.00 | $212.88–$227.58 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Indv Psychothrpy 53-67 Mins | $240.00 | $400.00 | $303.44 | 13% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Indv Psychothrpy 53-67 Mins | $240.00 | $400.00 | $303.44 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 Pft B/A Dilator | $169.80 | $283.00 | $25.15–$214.68 | 71% below | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pft B/A Dilator | $169.80 | $283.00 | $25.15–$214.68 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt -Therapeutic Activities | $63.00 | $105.00 | $33.75–$79.65 | 44% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt -Therapeutic Activities | $63.00 | $105.00 | $33.75–$79.65 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Single | $18.60 | $31.00 | $7.59–$36.72 | 75% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin Single | $18.60 | $31.00 | $7.59–$36.72 | — | 40% |