Hospital

Ochiltree General Hospital

Ochiltree General Hospital in Perryton, TX publishes cash prices for 312 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 223 of 309 procedures and above it for 86. By typical cash price it ranks #49 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

3101 Garrett Drive, Perryton, TX 79070 Collected Sep 27, 2026 Source price file (806) 435-3606

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451359 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle 3 Views R	$416.00	$594.00	$291.00–$535.00	17% above	30%
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle 3 Views L	$416.00	$594.00	$291.00–$535.00	17% above	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Pro Ankle 3 View Rt	$42.00	$60.00	$51.00–$54.00	88% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Pro Ankle 3 View Lt	$42.00	$60.00	$51.00–$54.00	88% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Pro Us Abi For Arterial Doppler	$141.00	$202.00	$11.00–$182.00	79% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Abi For Arterial Doppler	$238.00	$340.00	$167.00–$306.00	64% below	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Pro Barium Swallow	$158.00	$225.00	$90.00–$203.00	68% below	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Chest Barim Swll 4 Views	$307.00	$438.00	$215.00–$394.00	39% below	30%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Scan Whole Body	$962.00	$1,374.00	$673.00–$1,237.00	47% below	30%
Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Bilat	$490.00	$700.00	$343.00–$630.00	—	30%
Breast ultrasound, complete, one breast CPT 76641 Pro Us Breast Uni	$185.00	$264.00	$96.00–$238.00	58% below	30%
Breast ultrasound, complete, one breast CPT 76641 Us Breast Uni	$490.00	$700.00	$343.00–$630.00	11% above	30%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Limited Bilateral	$675.00	$964.00	$472.00–$868.00	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limited	$675.00	$964.00	$472.00–$868.00	95% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Pro Ct Aorta Thoracic	$327.00	$467.00	$82.00–$420.00	88% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Aorta Thoracic	$2,844.00	$4,063.00	$1,991.00–$3,657.00	at median	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Chest Pe	$2,844.00	$4,063.00	$1,991.00–$3,657.00	at median	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Thorac Aort W	$2,844.00	$4,063.00	$1,991.00–$3,657.00	at median	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Pro Ct Renal Stone Wo	$412.00	$588.00	$79.00–$529.00	88% below	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Renal Stone Wo	$1,990.00	$2,843.00	$1,393.00–$2,559.00	41% below	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd Pelvis Wo	$1,990.00	$2,843.00	$1,393.00–$2,559.00	41% below	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$2,190.00	$3,128.00	$1,533.00–$2,815.00	44% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Pro Ct Abd Pelvis Wwo	$476.00	$680.00	$91.00–$612.00	89% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd Pelvis Wwo	$2,344.00	$3,348.00	$1,641.00–$3,013.00	44% below	30%
CT scan of the abdomen with contrast CPT 74160 Pro Ct Abdomen W	$319.00	$455.00	$57.00–$410.00	88% below	30%
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W	$1,117.00	$1,595.00	$782.00–$1,436.00	57% below	30%
CT scan of the abdomen without contrast CPT 74150 Pro Ct Abdomen Wo	$319.00	$455.00	$54.00–$410.00	85% below	30%
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo	$977.00	$1,396.00	$684.00–$1,256.00	54% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 Pro Ct Orbit Wwo	$303.00	$433.00	$39.00–$390.00	82% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxiofacial Wo	$952.00	$1,360.00	$666.00–$1,224.00	43% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus Wo	$952.00	$1,360.00	$666.00–$1,224.00	43% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan	$1,005.00	$1,436.00	$704.00–$1,292.00	47% below	30%
CT scan of the head with contrast CPT 70460 Pro Ct Head W	$200.00	$286.00	$142.00–$257.00	89% below	30%
CT scan of the head with contrast CPT 70460 Ct Head W	$910.00	$1,300.00	$637.00–$1,170.00	48% below	30%
CT scan of the head without and with contrast CPT 70470 Pro Ct Head Wwo	$300.00	$428.00	$57.00–$385.00	87% below	30%
CT scan of the head without and with contrast CPT 70470 Ct Head Wwo	$1,359.00	$1,942.00	$952.00–$1,748.00	42% below	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Pro Ct Lumbar	$235.00	$336.00	$46.00–$302.00	89% below	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L Spine	$1,101.00	$1,573.00	$771.00–$1,416.00	46% below	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Pro Ct Cervical Spine	$251.00	$359.00	$46.00–$323.00	88% below	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C Spine	$1,091.00	$1,559.00	$764.00–$1,403.00	48% below	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$1,015.00	$1,450.00	$711.00–$1,305.00	54% below	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Pro Us Carotid Arteries	$141.00	$202.00	$37.00–$182.00	90% below	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Us Carotid Arteries	$636.00	$908.00	$445.00–$817.00	55% below	30%
Chest X-ray, 2 views CPT 71046 Pro Chest 2 View	$52.00	$74.00	$32.00–$67.00	87% below	30%
Chest X-ray, 2 views CPT 71046 Chest 2 Views	$194.00	$277.00	$136.00–$249.00	51% below	30%
Chest X-ray, single view CPT 71045 Pro Chest 1 View	$70.00	$100.00	$8.00–$90.00	79% below	30%
Chest X-ray, single view CPT 71045 Chest Portable	$170.00	$243.00	$119.00–$219.00	48% below	30%
Chest X-ray, single view CPT 71045 Chest 1 View	$170.00	$243.00	$119.00–$219.00	48% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Pro Us Renal Echo	$175.00	$250.00	$34.00–$225.00	76% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal Echo	$458.00	$654.00	$320.00–$589.00	38% below	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Pro Bone Density Axial Skelet	$53.00	$76.00	$9.00–$68.00	87% below	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$237.00	$338.00	$166.00–$304.00	43% below	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Axial Skelet Os	$237.00	$338.00	$166.00–$304.00	43% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Pro Bone Density Wrist	$53.00	$76.00	$9.00–$68.00	76% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density Wrist	$152.00	$217.00	$106.00–$195.00	31% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Pro Ct Chest Wo	$240.00	$343.00	$49.00–$309.00	87% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo	$1,509.00	$2,155.00	$1,056.00–$1,940.00	18% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Pro Ct Chest W	$295.00	$421.00	$53.00–$379.00	87% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W	$1,722.00	$2,460.00	$1,205.00–$2,214.00	22% below	30%
Diagnostic mammogram, both breasts both sides CPT 77066 Pro Mm 2d Diagnostic Bilateral	$154.00	$220.00	$46.00–$198.00	—	30%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts	$386.00	$552.00	$270.00–$497.00	5% above	30%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast	$329.00	$470.00	$230.00–$423.00	21% above	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Pro Us Art Doppler Bilat	$211.00	$302.00	$36.00–$272.00	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Art Doppler Le Bilat	$739.00	$1,056.00	$517.00–$950.00	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Pro Us Ven Doppler Bilat	$167.00	$239.00	$32.00–$215.00	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Ven Bilat	$723.00	$1,033.00	$506.00–$930.00	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Ven Bilat Arm	$723.00	$1,033.00	$506.00–$930.00	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Pro Us Echocmplte Tte	$286.00	$409.00	$189.00–$368.00	89% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echocmplte Tte	$1,082.00	$1,545.00	$757.00–$1,391.00	58% below	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hst-unattended Study	$840.00	$1,200.00	$588.00–$1,080.00	11% above	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomno Split Night Stu	$2,454.00	$3,506.00	$1,718.00–$3,155.00	48% below	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Titration Study	$2,468.00	$3,525.00	$1,727.00–$3,173.00	48% below	30%
Knee X-ray, 3 views CPT 73562 Knee 3 Views R	$416.00	$594.00	$291.00–$535.00	26% above	30%
Knee X-ray, 3 views CPT 73562 Knee 3 Views L	$416.00	$594.00	$291.00–$535.00	26% above	30%
Knee X-ray, 3 views one side CPT 73562 Pro Knee 3 View Rt	$48.00	$68.00	$58.00–$61.00	85% below	29%
Knee X-ray, 3 views one side CPT 73562 Pro Knee 3 View Lt	$48.00	$68.00	$58.00–$61.00	85% below	29%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Pro Us Appendix	$139.00	$198.00	$27.00–$178.00	78% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Pancreas Echo	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Spleen Echo	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Liver Hepatic	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Pyloric Stenosis	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Appendix	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal Wall	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder	$341.00	$487.00	$239.00–$438.00	46% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 Us Rt Upper Quad	$341.00	$487.00	$239.00–$438.00	46% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Pro Ct Low Dose Lung Scan	$240.00	$343.00	$49.00–$309.00	at median	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Scan	$245.00	$350.00	$172.00–$315.00	2% above	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint	$2,090.00	$2,986.00	$1,463.00–$2,687.00	2% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Pro Mri Lwr Ext Jt Wwo Rt	$350.00	$500.00	$425.00–$450.00	87% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Pro Mri Lwr Ext Jt Wwo Lt	$350.00	$500.00	$425.00–$450.00	87% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lwr Ext Jt Wwo Rt	$2,801.00	$4,002.00	$1,961.00–$3,602.00	2% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lwr Ext Jt Wwo Lt	$2,801.00	$4,002.00	$1,961.00–$3,602.00	2% above	30%
MRI of the abdomen without contrast CPT 74181 Pro Mri Abdomen Wo Contrast	$298.00	$425.00	$65.00–$383.00	87% below	30%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen Wo Contrast	$1,367.00	$1,953.00	$957.00–$1,758.00	38% below	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 Pro Mri Abdomen Wwo Contrast	$333.00	$475.00	$100.00–$428.00	90% below	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Wwo Contrast	$3,185.00	$4,550.00	$2,230.00–$4,095.00	2% below	30%
MRI of the brain, no contrast dye CPT 70551 Pro Mri Brain Wo Contrast	$350.00	$500.00	$67.00–$450.00	84% below	30%
MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Contrast	$2,640.00	$3,772.00	$1,848.00–$3,395.00	21% above	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan	$3,466.00	$4,951.00	$2,426.00–$4,456.00	15% above	30%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal	$2,521.00	$3,601.00	$1,764.00–$3,241.00	10% above	30%
MRI of the lower back, without and then with contrast dye CPT 72158 Pro Mri Lumbar Wwo	$350.00	$500.00	$104.00–$450.00	89% below	30%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Wwo	$3,177.00	$4,539.00	$2,224.00–$4,085.00	1% below	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Pro Mri Thoracic Spine Wo	$379.00	$542.00	$67.00–$488.00	82% below	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine Wo	$2,837.00	$4,053.00	$1,986.00–$3,648.00	32% above	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Pro Mri Cerv Spine Wwo	$353.00	$504.00	$104.00–$454.00	89% below	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cerv Spine Wwo	$3,337.00	$4,767.00	$2,336.00–$4,290.00	2% above	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Pro Mri Cerv Spine Wo	$379.00	$542.00	$67.00–$488.00	84% below	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cerv Spine Wo	$2,634.00	$3,763.00	$1,844.00–$3,387.00	14% above	30%
MRI of the pelvis without and with contrast CPT 72197 Pro Mri Pelvis Wwo	$350.00	$500.00	$100.00–$450.00	90% below	30%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/wo	$2,920.00	$4,172.00	$2,044.00–$3,755.00	14% below	30%
MRI of the pelvis, no contrast dye CPT 72195 Pro Mri Pelvis Wo	$315.00	$450.00	$66.00–$405.00	87% below	30%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo	$1,469.00	$2,098.00	$1,028.00–$1,888.00	40% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 Pro Mri Ue Jt Wo Bilateral	$350.00	$500.00	$425.00–$450.00	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 Mri Ue Jt Wo Bilat	$2,460.00	$3,514.00	$1,722.00–$3,163.00	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Pro Mri U Ext Jt Wo L	$326.00	$466.00	$396.00–$419.00	82% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri U Ext Jt Wo L	$2,460.00	$3,514.00	$1,722.00–$3,163.00	38% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri U Ext Jt W/o R	$2,460.00	$3,514.00	$1,722.00–$3,163.00	38% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Pro Mri U Ext Jt Wo Rt	$326.00	$466.00	$396.00–$419.00	82% below	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocard Spect Multi	$2,367.00	$3,382.00	$269.00–$3,044.00	45% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pro Us Pelvic Evaluation	$162.00	$231.00	$23.00–$208.00	67% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Iud Limited	$219.00	$313.00	$153.00–$282.00	55% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pro Us Pelvic Evaluation	$162.00	$231.00	$32.00–$208.00	81% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Evaluation	$400.00	$572.00	$280.00–$515.00	54% below	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus	$591.00	$844.00	$414.00–$760.00	9% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Pro Us Ob Complete <14 Weeks	$235.00	$336.00	$46.00–$302.00	63% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob Complete <14 Weeks	$591.00	$844.00	$414.00–$760.00	8% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Pro Us Placenta Afi Or Presentation	$152.00	$217.00	$30.00–$195.00	68% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Placenta Afi Or Presentat	$249.00	$356.00	$174.00–$320.00	48% below	30%
Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral	$288.00	$412.00	$202.00–$371.00	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder 2+ Views L	$416.00	$594.00	$291.00–$535.00	36% above	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder 2 + Views R	$416.00	$594.00	$291.00–$535.00	36% above	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Pro Shoulder 2+ Views Rt	$48.00	$68.00	$58.00–$61.00	84% below	29%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Pro Shoulder 2+ Views Lt	$48.00	$68.00	$58.00–$61.00	84% below	29%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$2,748.00	$3,925.00	$1,923.00–$3,533.00	38% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Barium Swallow Modified	$481.00	$687.00	$337.00–$618.00	20% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified Barium Swallow	$481.00	$687.00	$337.00–$618.00	20% below	30%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$364.00	$520.00	$255.00–$468.00	44% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 Pro Us Ob Transvaginal	$181.00	$258.00	$35.00–$232.00	68% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal	$591.00	$844.00	$414.00–$760.00	5% above	30%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$455.00	$650.00	$319.00–$585.00	47% below	30%
Ultrasound of the scrotum and testicles CPT 76870 Pro Us Testicle	$167.00	$239.00	$29.00–$215.00	76% below	30%
Ultrasound of the scrotum and testicles CPT 76870 Us Testicle	$591.00	$844.00	$414.00–$760.00	14% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Pro Us Thyroid	$134.00	$191.00	$26.00–$172.00	79% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Neck	$337.00	$481.00	$236.00–$433.00	47% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid	$337.00	$481.00	$236.00–$433.00	47% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Pro Us Ven Lt Arm	$106.00	$151.00	$128.00–$136.00	87% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Pro Us Ven Rt Arm	$106.00	$151.00	$128.00–$136.00	87% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ven Rt Leg	$524.00	$749.00	$367.00–$674.00	35% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ven Lt Leg	$524.00	$749.00	$367.00–$674.00	35% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ven Lt Arm	$524.00	$749.00	$367.00–$674.00	35% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ven Rt Arm	$524.00	$749.00	$367.00–$674.00	35% below	30%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist 3 Views L	$260.00	$371.00	$182.00–$334.00	16% below	30%
Wrist X-ray, complete, 3 or more views CPT 73110 Wrist 3 Views R	$260.00	$371.00	$182.00–$334.00	16% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Pro Wrist 3 View Lt	$49.00	$70.00	$60.00–$63.00	84% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Pro Wrist 3 View Rt	$49.00	$70.00	$9.00–$63.00	84% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Pro Hip Pelvis 2 View Infant	$54.00	$77.00	$10.00–$69.00	85% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip Pelvis 2 View Infant	$260.00	$371.00	$182.00–$334.00	29% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip Joint 2+ Views L	$260.00	$371.00	$182.00–$334.00	29% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip Joint 2+ Views R	$260.00	$371.00	$182.00–$334.00	29% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Pro Hip Joint 2+ View Rt	$54.00	$77.00	$65.00–$69.00	85% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Pro Hip Joint 2+ View Lt	$54.00	$77.00	$65.00–$69.00	85% below	30%
X-ray of the abdomen, 1 view CPT 74018 Pro Abdomen 1 View	$43.00	$62.00	$28.00–$56.00	87% below	31%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View	$167.00	$238.00	$117.00–$214.00	51% below	30%
X-ray of the abdomen, 1 view CPT 74018 K U B	$167.00	$238.00	$117.00–$214.00	51% below	30%
X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views R	$416.00	$594.00	$291.00–$535.00	47% above	30%
X-ray of the ankle, 2 views CPT 73600 Ankle 2 Views L	$416.00	$594.00	$291.00–$535.00	47% above	30%
X-ray of the ankle, 2 views one side CPT 73600 Pro Ankle 2 Views Rt	$40.00	$57.00	$48.00–$51.00	86% below	30%
X-ray of the ankle, 2 views one side CPT 73600 Pro Ankle 2 Views Lt	$40.00	$57.00	$48.00–$51.00	86% below	30%
X-ray of the finger(s), 2 or more views CPT 73140 Finger R	$260.00	$371.00	$182.00–$334.00	8% above	30%
X-ray of the finger(s), 2 or more views CPT 73140 Finger L	$260.00	$371.00	$182.00–$334.00	8% above	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 Pro Finger Rt	$33.00	$47.00	$40.00–$42.00	86% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 Pro Finger Lt	$33.00	$47.00	$40.00–$42.00	86% below	30%
X-ray of the foot, 2 views CPT 73620 Pro Foot 2 Views R	$37.00	$53.00	$45.00–$48.00	89% below	30%
X-ray of the foot, 2 views CPT 73620 Foot 2 Views L	$260.00	$371.00	$182.00–$334.00	22% below	30%
X-ray of the foot, 2 views CPT 73620 Foot 2 Views R	$260.00	$371.00	$182.00–$334.00	22% below	30%
X-ray of the foot, 2 views one side CPT 73620 Pro Foot 2 Views Lt	$37.00	$53.00	$45.00–$48.00	89% below	30%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3 Views R	$260.00	$371.00	$182.00–$334.00	30% below	30%
X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3 Views L	$260.00	$371.00	$182.00–$334.00	30% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Pro Foot 3 View Lt	$40.00	$57.00	$48.00–$51.00	89% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Pro Foot 3 View Rt	$40.00	$57.00	$48.00–$51.00	89% below	30%
X-ray of the hand, 3 or more views CPT 73130 Hand 3 Or More Views R	$291.00	$415.00	$203.00–$374.00	18% below	30%
X-ray of the hand, 3 or more views CPT 73130 Hand 3 Or More Views L	$291.00	$415.00	$203.00–$374.00	18% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 Pro Hand 3 Or More Views Lt	$42.00	$60.00	$51.00–$54.00	88% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 Pro Hand 3 Or More Views Rt	$42.00	$60.00	$51.00–$54.00	88% below	30%
X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 Or 2 Views R	$260.00	$371.00	$182.00–$334.00	6% below	30%
X-ray of the knee, 1 or 2 views CPT 73560 Knee 1 Or 2 Views L	$260.00	$371.00	$182.00–$334.00	6% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Pro Knee 1 Or 2 View Rt	$46.00	$66.00	$56.00–$59.00	83% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Pro Knee 1 Or 2 View Lt	$46.00	$66.00	$56.00–$59.00	83% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Pro Spine Lumbar 2-6 View	$56.00	$80.00	$10.00–$72.00	88% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 2-3 Views	$300.00	$429.00	$210.00–$386.00	36% below	30%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back	$311.00	$444.00	$218.00–$400.00	52% below	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Pro Spine Thoracic 2 View	$53.00	$76.00	$10.00–$68.00	87% below	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views	$240.00	$343.00	$168.00–$309.00	41% below	30%
X-ray of the nasal bones, 3 or more views CPT 70160 Pro Nose 1-3 Views	$42.00	$60.00	$8.00–$54.00	85% below	30%
X-ray of the nasal bones, 3 or more views CPT 70160 Nose 1-3 Views	$260.00	$371.00	$182.00–$334.00	8% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Pro Spine Cervical 2 Or 3 Views	$56.00	$80.00	$10.00–$72.00	85% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2 Or 3 Vws	$240.00	$343.00	$168.00–$309.00	36% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pro Pelvis 1 Or 2 View	$44.00	$63.00	$8.00–$57.00	88% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 View	$240.00	$343.00	$168.00–$309.00	35% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Pro Sacrum And Coccyx	$44.00	$63.00	$8.00–$57.00	87% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Coccyx	$181.00	$258.00	$126.00–$232.00	45% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx	$181.00	$258.00	$126.00–$232.00	45% below	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Quest Sgpt Alt	$46.00	$66.00	$32.00–$59.00	22% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Quest Only	$46.00	$66.00	$32.00–$59.00	22% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transaminase Sgpt Alt	$47.00	$67.00	$33.00–$60.00	20% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Quest Sgot Ast	$46.00	$66.00	$32.00–$59.00	22% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast Quest Only	$46.00	$66.00	$32.00–$59.00	22% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transaminase Sgot	$46.00	$66.00	$32.00–$59.00	22% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Repeat Transaminase Sgot	$46.00	$66.00	$32.00–$59.00	22% below	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Profile	$316.00	$452.00	$221.00–$407.00	18% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Cows Milk	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond Ige	$11.00	$15.00	$7.00–$14.00	56% below	27%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Pteronyssinus Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Ragweed Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine Proteins Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cotton Wood Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Maple Box Elder Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cedar Mountain Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 White Ash Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marsh Elder Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Pencillium Notatum Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Farinae Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Birch Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata Mold Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Nettle Ige	$14.00	$20.00	$10.00–$18.00	44% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar T6	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish F3	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Cows Milk F2	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White F1	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazel Nut F17	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut F13	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon F41	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop F338	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed F10	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp F24	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean F14	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna F40	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat F256	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata M6	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Flumigatus M3	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass G2	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Birch T3	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander E1	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum M2	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach I6	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed Short W1	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood T14	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio Nut Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan/hickory Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Farinae D2	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Pteronyssinus D1	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander E5	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm T8	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Stemphylium Botryosum M10	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor Racemosus M4	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Mango Fruit F91 Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Peach F95 Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Orange F33 Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 June Grass Kentucky Glue Ige	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry T70	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 White Ash T15	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass G6	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel W18	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed W14	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marsh Elder W16	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium Notatum M1	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak T7	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Nettle W20	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine Proteins E72	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Maple Box Elder T1	$18.00	$25.00	$12.00–$23.00	27% below	28%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Igg	$22.00	$32.00	$16.00–$29.00	11% below	31%
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten Ige	$23.00	$33.00	$16.00–$30.00	7% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody Igg	$132.00	$188.00	$92.00–$169.00	149% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen W/rfx	$70.00	$100.00	$49.00–$90.00	24% below	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (Nt-pro) Quest Only	$197.00	$281.00	$138.00–$253.00	3% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp Access	$207.00	$296.00	$145.00–$266.00	8% above	30%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel	$100.00	$143.00	$70.00–$129.00	61% below	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Iv Path G And M 1sp Pc	$31.00	$45.00	$17.00–$41.00	90% below	31%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Iv Path G And M 1sp Tc	$231.00	$330.00	$17.00–$297.00	22% below	30%
Blood culture for bacteria CPT 87040 Blood Culture Ref Lab	$101.00	$144.00	$71.00–$130.00	58% below	30%
Blood culture for bacteria CPT 87040 Blood Culture Ogh	$106.00	$151.00	$74.00–$136.00	56% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Dc-venipuncture	$15.00	$22.00	$11.00–$20.00	27% below	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phc-venipuncture	$15.00	$22.00	$11.00–$20.00	27% below	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$16.00	$23.00	$11.00–$21.00	22% below	30%
Blood glucose (sugar) test CPT 82947 Glucose	$48.00	$69.00	$34.00–$62.00	2% below	30%
Blood lead test CPT 83655 Lead Capillary Ogh	$75.00	$107.00	$52.00–$96.00	42% above	30%
Blood lead test CPT 83655 Lead Quest Venous	$94.00	$134.00	$66.00–$121.00	78% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Qualitative	$58.00	$83.00	$41.00–$75.00	68% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Cmbc Abo	$213.00	$304.00	$149.00–$274.00	135% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo Obi Only	$234.00	$335.00	$164.00–$302.00	159% above	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Blood Type (Charge)	$238.00	$340.00	$167.00–$306.00	163% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp Revised	$41.00	$58.00	$28.00–$52.00	30% below	29%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp Hs Non Cardiac	$103.00	$147.00	$72.00–$132.00	77% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin Stool Pcr Ogh Inhouse	$140.00	$200.00	$98.00–$180.00	25% below	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C. Diff Pcr W/reflex Toxin A/b	$175.00	$250.00	$123.00–$225.00	6% below	30%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19 9	$141.00	$201.00	$98.00–$181.00	6% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca125	$161.00	$230.00	$113.00–$207.00	at median	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid Sars-cov-19 Quest Code 39448	$105.00	$150.00	$74.00–$135.00	19% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Ogh Accula Covid Sars Cov2	$105.00	$150.00	$74.00–$135.00	19% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid Pcr Cepheid	$105.00	$150.00	$74.00–$135.00	19% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid Travel Pcr Test	$140.00	$200.00	$98.00–$180.00	58% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids	$175.00	$250.00	$123.00–$225.00	14% below	30%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated	$70.00	$100.00	$49.00–$90.00	23% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$143.00	$204.00	$100.00–$184.00	59% below	30%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Vidas Ii Exclusion	$124.00	$177.00	$87.00–$159.00	29% below	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$180.00	$257.00	$126.00–$231.00	17% above	30%
Estradiol blood test CPT 82670 Estradiol, Ultrasensitive, Lc/ms	$210.00	$300.00	$147.00–$270.00	43% above	30%
Estradiol blood test CPT 82670 Estradiol Total Adult Quest	$216.00	$308.00	$151.00–$277.00	47% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$144.00	$205.00	$100.00–$185.00	10% below	30%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin	$196.00	$280.00	$137.00–$252.00	8% below	30%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$92.00	$131.00	$64.00–$118.00	11% below	30%
Folate (folic acid) blood test CPT 82746 Folic Acid	$121.00	$173.00	$85.00–$156.00	39% above	30%
Free T3 thyroid hormone test CPT 84481 Free T3	$139.00	$198.00	$97.00–$178.00	at median	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Direct Free T4 Quest	$35.00	$50.00	$25.00–$45.00	60% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free	$85.00	$121.00	$59.00–$109.00	2% below	30%
Free testosterone test CPT 84402 Free Testosterone	$147.00	$210.00	$103.00–$189.00	33% above	30%
Free testosterone test CPT 84402 Free Dialysis	$175.00	$250.00	$123.00–$225.00	58% above	30%
Free testosterone test CPT 84402 Testosterone Free	$175.00	$250.00	$123.00–$225.00	58% above	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Health Survey	$311.00	$444.00	$218.00–$400.00	30% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Dc-one Hour Gtt	$31.00	$44.00	$22.00–$40.00	68% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Phc-one Hour Gtt	$31.00	$44.00	$22.00–$40.00	68% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 O'sullivan 50 Gram	$57.00	$82.00	$40.00–$74.00	41% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt 1 Hr Non Fasting Glucose	$71.00	$102.00	$50.00–$92.00	27% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Tolerance Test 2hr	$71.00	$102.00	$50.00–$92.00	27% below	30%
Glucose tolerance test, 3 samples CPT 82951 Gtt 2 Hr Fasting Glucose	$22.00	$32.00	$16.00–$29.00	86% below	31%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance	$71.00	$101.00	$49.00–$91.00	56% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 4hr	$74.00	$106.00	$52.00–$95.00	54% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3hr	$93.00	$133.00	$65.00–$120.00	42% below	30%
H. pylori antibody blood test CPT 86677 H Pylori Serology	$125.00	$179.00	$88.00–$161.00	4% below	30%
H. pylori stool antigen test CPT 87338 Hpylori Stool Eia	$127.00	$182.00	$89.00–$164.00	22% above	30%
H. pylori stool antigen test CPT 87338 H Pylori Eia (Stool)	$127.00	$182.00	$89.00–$164.00	22% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Dpp In House Ogh	$106.00	$151.00	$74.00–$136.00	16% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1 & 2 Antigen & Ab Quest Confirmatio	$105.00	$150.00	$74.00–$135.00	27% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Antigen & Antibodies 4th Gen W R	$106.00	$151.00	$74.00–$136.00	26% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin	$75.00	$107.00	$52.00–$96.00	19% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Phc-hepatitis B Survace Antib	$62.00	$88.00	$43.00–$79.00	3% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab Qual	$64.00	$91.00	$45.00–$82.00	at median	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surf Ag W/conf	$75.00	$107.00	$52.00–$96.00	2% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody W Reflex	$111.00	$158.00	$77.00–$142.00	28% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna Quantitative	$491.00	$702.00	$344.00–$632.00	67% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex 1/2 Igg W/rflx	$102.00	$145.00	$71.00–$131.00	26% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 1/2 W Reflx	$149.00	$213.00	$104.00–$192.00	65% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hs Crp Cardiac	$103.00	$147.00	$72.00–$132.00	29% above	30%
Homocysteine blood test CPT 83090 Homocysteine Level	$144.00	$205.00	$100.00–$185.00	4% below	30%
Insulin blood test CPT 83525 Insulin Serum	$88.00	$126.00	$62.00–$113.00	5% above	30%
Iron blood test (serum iron) CPT 83540 Iron Total	$57.00	$82.00	$40.00–$74.00	36% below	30%
Iron-binding capacity (TIBC) test CPT 83550 Tibc	$71.00	$101.00	$49.00–$91.00	28% below	30%
Kidney function blood test panel CPT 80069 Kidney function panel test	$101.00	$144.00	$71.00–$130.00	65% below	30%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$143.00	$204.00	$100.00–$184.00	5% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$63.00	$90.00	$44.00–$81.00	36% below	30%
Liver function blood test panel CPT 80076 Liver function blood test	$114.00	$163.00	$80.00–$147.00	60% below	30%
Lyme disease antibody test CPT 86618 Lyme Disease Ab/reflex Igg Igm	$88.00	$125.00	$61.00–$113.00	6% above	30%
Lyme disease antibody test CPT 86618 Lyme Disease Antibody	$104.00	$148.00	$73.00–$133.00	26% above	30%
Magnesium blood test CPT 83735 Phc-magnesium	$48.00	$69.00	$34.00–$62.00	9% above	30%
Magnesium blood test CPT 83735 Urine Magnesium 24 Hour	$50.00	$71.00	$35.00–$64.00	14% above	30%
Magnesium blood test CPT 83735 Magnesium	$59.00	$85.00	$42.00–$77.00	34% above	31%
Magnesium blood test CPT 83735 Magnesium Rbc Quest	$105.00	$150.00	$74.00–$135.00	139% above	30%
Measles (rubeola) antibody test CPT 86765 Measles Igg Or Igm	$105.00	$150.00	$74.00–$135.00	265% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Phc-mono Spot	$31.00	$45.00	$22.00–$41.00	67% below	31%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophil Agglutina	$35.00	$50.00	$25.00–$45.00	62% below	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test	$49.00	$70.00	$34.00–$63.00	47% below	30%
Obstetric blood test panel CPT 80055 Obstetric blood test panel	$552.00	$789.00	$387.00–$710.00	118% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test	$142.00	$203.00	$99.00–$183.00	26% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test	$142.00	$203.00	$99.00–$183.00	60% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Phc-liquid Based Pap Smear	$35.00	$50.00	$25.00–$45.00	61% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Liquid Based Pap Smear	$36.00	$51.00	$25.00–$46.00	60% below	29%
Parathyroid hormone (PTH) blood test CPT 83970 Pth	$239.00	$341.00	$167.00–$307.00	10% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test	$63.00	$90.00	$44.00–$81.00	18% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatal Advanced	$2,275.00	$3,250.00	$1,593.00–$2,925.00	161% above	30%
Progesterone blood test CPT 84144 Progesterone	$121.00	$173.00	$85.00–$156.00	5% above	30%
Prolactin blood test CPT 84146 Prolactin	$121.00	$173.00	$85.00–$156.00	5% above	30%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$54.00	$77.00	$38.00–$69.00	14% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Serum Drug Screen	$165.00	$236.00	$116.00–$212.00	39% above	30%
Rapid flu test (influenza antigen) CPT 87804 Dc-influenza Assay W/ Optic	$29.00	$41.00	$20.00–$37.00	70% below	29%
Rapid flu test (influenza antigen) CPT 87804 Phc-influenza Assay W/ Optic	$29.00	$41.00	$20.00–$37.00	70% below	29%
Rapid flu test (influenza antigen) CPT 87804 Influenza Virus B	$48.00	$68.00	$33.00–$61.00	50% below	29%
Rapid flu test (influenza antigen) CPT 87804 Influenza Virus A	$84.00	$120.00	$59.00–$108.00	12% below	30%
Rapid flu test (influenza antigen) CPT 87804 Flu Swab	$87.00	$124.00	$61.00–$112.00	9% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Dc-rapid Strep	$48.00	$69.00	$34.00–$62.00	53% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Phc-rapid Strep	$48.00	$69.00	$34.00–$62.00	53% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep	$69.00	$99.00	$49.00–$89.00	32% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Antigen	$69.00	$99.00	$49.00–$89.00	32% below	30%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quanitative	$105.00	$150.00	$74.00–$135.00	92% above	30%
Rheumatoid factor (RF) test CPT 86431 Quest Rheumatoid Factor	$105.00	$150.00	$74.00–$135.00	92% above	30%
Rubella antibody test (immunity check) CPT 86762 Phc-rubella	$46.00	$66.00	$32.00–$59.00	16% above	30%
Rubella antibody test (immunity check) CPT 86762 Rubella Igg In House Ogh	$53.00	$75.00	$37.00–$68.00	34% above	29%
Rubella antibody test (immunity check) CPT 86762 Rubella Igg Quest	$53.00	$75.00	$37.00–$68.00	34% above	29%
Rubella antibody test (immunity check) CPT 86762 Rubella Igm	$111.00	$159.00	$78.00–$143.00	181% above	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate	$50.00	$72.00	$35.00–$65.00	24% below	31%
Stool ova and parasites exam CPT 87177 Ova And Parasites Concentrate And Smear	$62.00	$88.00	$43.00–$79.00	34% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Phc-hemocult Stool	$28.00	$40.00	$20.00–$36.00	27% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Test Stool	$28.00	$40.00	$20.00–$36.00	27% below	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Fecal Immunochemical Test	$122.00	$175.00	$86.00–$158.00	67% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Quest Monitor W/reflex	$44.00	$63.00	$31.00–$57.00	17% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Screen	$44.00	$63.00	$31.00–$57.00	17% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quanteferon Tb Gold 1 Tube	$479.00	$684.00	$335.00–$616.00	117% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone	$149.00	$213.00	$104.00–$192.00	24% above	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Quest Only	$149.00	$213.00	$104.00–$192.00	24% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo	$55.00	$78.00	$38.00–$70.00	39% below	29%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Lkm-1 Igg	$62.00	$88.00	$43.00–$79.00	31% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antib	$85.00	$121.00	$59.00–$109.00	5% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$98.00	$140.00	$69.00–$126.00	20% below	30%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vag Rna Quest	$175.00	$250.00	$123.00–$225.00	100% above	30%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vag Rna	$175.00	$250.00	$123.00–$225.00	100% above	30%
Uric acid blood test CPT 84550 Uric Acid	$45.00	$64.00	$31.00–$58.00	58% below	30%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope	$44.00	$63.00	$31.00–$57.00	62% below	30%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test	$23.00	$33.00	$16.00–$30.00	54% below	30%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis test	$18.00	$26.00	$13.00–$23.00	50% below	31%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine	$71.00	$102.00	$50.00–$92.00	50% below	30%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Visual Co	$40.00	$57.00	$28.00–$51.00	56% below	30%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy	$59.00	$85.00	$42.00–$77.00	35% below	31%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$88.00	$125.00	$61.00–$113.00	3% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Quest 25 Hydroxy D2 D 3	$53.00	$75.00	$37.00–$68.00	53% below	29%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 3	$88.00	$125.00	$61.00–$113.00	21% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Inhouse Ogh	$169.00	$242.00	$119.00–$218.00	51% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Oh D3 D2 Send Out	$297.00	$424.00	$208.00–$382.00	166% above	30%
Zinc blood test CPT 84630 Zinc	$88.00	$126.00	$62.00–$113.00	27% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Quantitative Hcg	$89.00	$127.00	$62.00–$114.00	18% below	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Tx Distal Fibular Fracture	$393.00	$562.00	$275.00–$506.00	16% below	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Tx Distal Fibula Fx	$393.00	$562.00	$275.00–$506.00	16% below	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Dist Fibwomnp	$580.00	$828.00	$406.00–$745.00	24% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Dist Fibwomnp Pro	$701.00	$1,001.00	$283.00–$901.00	50% above	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Mt Fxwomnp	$393.00	$562.00	$275.00–$506.00	40% above	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Tx Metatarsal Fx Wo Manipulation	$393.00	$562.00	$275.00–$506.00	40% above	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Mt Fxwomnp Pro	$416.00	$594.00	$201.00–$535.00	49% above	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Pro Cardioversion	$279.00	$399.00	$93.00–$359.00	82% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$1,180.00	$1,685.00	$826.00–$1,517.00	22% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External	$1,451.00	$2,073.00	$1,016.00–$1,866.00	4% below	30%
Cervical biopsy CPT 57500 Cervical Biopsy	$1,645.00	$2,350.00	$1,152.00–$2,115.00	42% above	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision > 28 Days	$3,396.00	$4,852.00	$2,377.00–$4,367.00	8% above	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision	$3,396.00	$4,852.00	$2,377.00–$4,367.00	8% above	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Newborn	$3,710.00	$5,300.00	$2,597.00–$4,770.00	202% above	30%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision 28 Days Or Less	$1,246.00	$1,780.00	$872.00–$1,602.00	45% below	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cl Tx Fx Radius Ulna Pro	$419.00	$599.00	$328.00–$539.00	18% below	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cl Tx Colles Fx Wo Mnp	$421.00	$602.00	$295.00–$542.00	18% below	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Tx Distal Radial Fx W/o Manipulat	$534.00	$763.00	$374.00–$687.00	4% above	30%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope	$3,360.00	$4,800.00	$2,352.00–$4,320.00	178% above	30%
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope	$3,290.00	$4,700.00	$2,303.00–$4,230.00	175% above	30%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope	$3,290.00	$4,700.00	$2,303.00–$4,230.00	113% above	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Leep	$5,213.00	$7,447.00	$3,649.00–$6,702.00	47% above	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colpo W Bx Cervix Endocer	$543.00	$775.00	$380.00–$698.00	120% above	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Diagnostic Or Thera	$2,665.00	$3,807.00	$1,865.00–$3,426.00	34% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest First Lesion	$357.00	$510.00	$250.00–$459.00	76% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Irrigation Of Ear	$105.00	$150.00	$74.00–$135.00	15% below	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Cerumen Impaction Removal Syringe Pro	$122.00	$175.00	$16.00–$158.00	1% below	30%
Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen	$151.00	$216.00	$106.00–$194.00	3% below	30%
Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen Pro	$160.00	$229.00	$27.00–$206.00	3% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Uterus Lining	$361.00	$515.00	$252.00–$464.00	2% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Nerve Block Pro	$267.00	$382.00	$80.00–$344.00	84% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Nerve Block	$1,520.00	$2,171.00	$1,064.00–$1,954.00	10% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Ct Guided Inj Nerve In Facet	$1,520.00	$2,171.00	$1,064.00–$1,954.00	10% below	30%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$11,705.00	$16,721.00	$8,193.00–$15,049.00	64% above	30%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Rubberband	$1,524.00	$2,177.00	$1,067.00–$1,959.00	71% above	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Simple	$1,400.00	$2,000.00	$980.00–$1,800.00	62% below	30%
IUD insertion (the device itself billed separately) CPT 58300 Insert Iud	$154.00	$220.00	$108.00–$198.00	59% below	30%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Contraceptive De	$525.00	$750.00	$368.00–$675.00	39% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I And D Absc Simple	$357.00	$510.00	$250.00–$459.00	24% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I And D Absc Simple Pro	$358.00	$511.00	$97.00–$460.00	23% below	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older	$9,400.00	$13,428.00	$6,580.00–$12,085.00	51% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Pro Injection Tendon Sheath	$77.00	$110.00	$33.00–$99.00	83% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Trigger Point Injection	$546.00	$780.00	$382.00–$702.00	24% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Single Tendon Sheath Or Ligame	$549.00	$784.00	$384.00–$706.00	24% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Tendon Sheath	$549.00	$784.00	$384.00–$706.00	24% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inject Knee, Hip, Or Shoulder Joint Pro	$218.00	$311.00	$39.00–$280.00	63% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Ct Joint Injection	$494.00	$706.00	$346.00–$635.00	17% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inject Knee Hip Or	$546.00	$780.00	$382.00–$702.00	8% below	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inject Knee, Hip, Or Shoulder Joint	$549.00	$784.00	$384.00–$706.00	7% below	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Non-bio Drug Delivery Implant	$238.00	$340.00	$167.00–$306.00	1% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Pro Joint Injection Small	$77.00	$110.00	$31.00–$99.00	87% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir Inject Bursa Int	$494.00	$706.00	$346.00–$635.00	17% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inject Ankle	$494.00	$706.00	$346.00–$635.00	17% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir Inject Inter Joint	$546.00	$780.00	$382.00–$702.00	8% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inject Ac Joint	$549.00	$784.00	$384.00–$706.00	7% below	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Artho Interme Joint/sterile Inje Pro	$260.00	$372.00	$31.00–$335.00	41% below	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Artho Interme Joint/sterile Injection Wo	$494.00	$706.00	$346.00–$635.00	13% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspir Inject Small Joint	$494.00	$706.00	$346.00–$635.00	13% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, Aspiration And/or Inject	$494.00	$706.00	$346.00–$635.00	13% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspir Inject Inter Small Joint	$549.00	$784.00	$384.00–$706.00	25% above	30%
Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope	$5,040.00	$7,200.00	$3,528.00–$6,480.00	15% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Int Sclp Trnk Ext<2.5 Pro	$248.00	$354.00	$129.00–$319.00	53% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Int Sclp Trnk Ext <2.5	$665.00	$950.00	$466.00–$855.00	25% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Int Sclp Trnk Ext 2.5	$725.00	$1,035.00	$507.00–$932.00	36% above	30%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance	$3,150.00	$4,500.00	$2,205.00–$4,050.00	88% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance	$3,150.00	$4,500.00	$2,205.00–$4,050.00	148% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance	$3,150.00	$4,500.00	$2,205.00–$4,050.00	116% above	30%
Miscarriage treatment with D&C, first trimester CPT 59820 D&c Missed Ab	$1,050.00	$1,500.00	$735.00–$1,350.00	71% below	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesion <0.5cm	$1,173.00	$1,676.00	$821.00–$1,508.00	46% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Pro Exc Benign Lesion .5cm Or Less	$85.00	$122.00	$94.00–$110.00	91% below	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Benign F E E N L<-.5c	$1,260.00	$1,800.00	$882.00–$1,620.00	38% above	30%
Nail removal (partial or complete), one nail CPT 11730 Nail Plate Removal	$456.00	$651.00	$319.00–$586.00	40% above	30%
Nail removal (partial or complete), one nail CPT 11730 Nail Plate Removal Pro	$531.00	$758.00	$48.00–$682.00	63% above	30%
Occipital nerve block (injection for headaches) CPT 64405 Greater Occiptal Nerve Block	$494.00	$706.00	$346.00–$635.00	16% above	30%
Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block Pro	$940.00	$1,343.00	$45.00–$1,209.00	120% above	30%
Paracentesis with imaging guidance CPT 49083 Pro Abdominal Paracentesis	$266.00	$380.00	$91.00–$342.00	84% below	30%
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis	$560.00	$800.00	$392.00–$720.00	66% below	30%
Paracentesis with imaging guidance CPT 49083 Ct Guided Paracentesis	$1,511.00	$2,159.00	$1,058.00–$1,943.00	7% below	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Nail Permanent Removal Pro	$354.00	$506.00	$92.00–$455.00	49% below	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Nail Permanent Removal	$725.00	$1,035.00	$507.00–$932.00	3% above	30%
Removal of a foreign object under the skin, simple CPT 10120 I And Rmve Fb Sq Simpl Pro	$253.00	$361.00	$99.00–$325.00	53% below	30%
Removal of a foreign object under the skin, simple CPT 10120 I And Rmve Fb Sq Simpl	$725.00	$1,035.00	$507.00–$932.00	34% above	30%
Removal of a foreign object under the skin, simple CPT 10120 I And Rmve Fb Subq Simple	$725.00	$1,035.00	$507.00–$932.00	34% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Pro Colonoscopy Screening	$333.00	$475.00	$161.00–$428.00	57% below	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal Cancer Screening Colonoscopy	$1,750.00	$2,500.00	$1,225.00–$2,250.00	124% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Screening	$1,750.00	$2,500.00	$1,225.00–$2,250.00	124% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Pro Colonoscopy Screening High Risk	$333.00	$475.00	$161.00–$428.00	75% below	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy Screening High Risk	$1,750.00	$2,500.00	$1,225.00–$2,250.00	30% above	30%
Short arm cast (elbow to hand) CPT 29075 Cast Short Arm Pro	$461.00	$659.00	$57.00–$593.00	50% above	30%
Short arm cast (elbow to hand) CPT 29075 Cast Arm Short Apply	$500.00	$715.00	$350.00–$644.00	63% above	30%
Short arm splint (forearm and hand) CPT 29125 Splnt Arm-short Stat Pro	$95.00	$136.00	$40.00–$122.00	67% below	30%
Short arm splint (forearm and hand) CPT 29125 Splint Arm Short Apply	$213.00	$304.00	$149.00–$274.00	26% below	30%
Short arm splint (forearm and hand) CPT 29125 Splint Arm Short Static	$419.00	$599.00	$294.00–$539.00	45% above	30%
Short leg cast (below the knee) CPT 29405 Cast Leg Short Apply Pro	$187.00	$267.00	$54.00–$240.00	45% below	30%
Short leg cast (below the knee) CPT 29405 Cast Leg Short Apply	$497.00	$710.00	$348.00–$639.00	47% above	30%
Short leg splint (calf to foot) CPT 29515 Splint Leg Short Apply Pro	$120.00	$171.00	$48.00–$154.00	57% below	30%
Short leg splint (calf to foot) CPT 29515 Splint Leg Short Apply	$291.00	$415.00	$203.00–$374.00	4% above	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope	$13,397.00	$19,139.00	$9,378.00–$17,225.00	155% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smpl Scalp Nk<2.5 Pro	$214.00	$306.00	$43.00–$275.00	47% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smpl Sclp Neck Trunk <2.5	$357.00	$510.00	$250.00–$459.00	11% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smpl Nk Hnd Ft<2.5	$478.00	$683.00	$335.00–$615.00	19% above	30%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Of Skin	$168.00	$240.00	$118.00–$216.00	63% below	30%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Of Skin, Single	$725.00	$1,035.00	$507.00–$932.00	58% above	30%
Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags <15	$357.00	$510.00	$250.00–$459.00	12% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Dx Pro	$489.00	$698.00	$57.00–$628.00	53% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Dx	$1,153.00	$1,647.00	$807.00–$1,482.00	10% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture	$1,260.00	$1,800.00	$882.00–$1,620.00	20% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Pro Rpr Smpl Sclp Nk2.6-7.5	$259.00	$370.00	$56.00–$333.00	44% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smpl Scalp Neck Trunk 2.6	$455.00	$650.00	$319.00–$585.00	1% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smpl Arm Leg 2.6-7.5	$478.00	$683.00	$335.00–$615.00	4% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smpl Face< 2.5 Pro	$230.00	$328.00	$53.00–$295.00	46% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smpl Scalp Face <2.5	$357.00	$510.00	$250.00–$459.00	16% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smpl Face Ear Eyeld <2.5	$478.00	$683.00	$335.00–$615.00	13% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Of Skin	$334.00	$477.00	$234.00–$429.00	7% below	30%
Thoracentesis with imaging guidance CPT 32555 Pro Thoracentesis	$1,103.00	$1,576.00	$93.00–$1,418.00	23% below	30%
Thoracentesis with imaging guidance CPT 32555 Ct Image Guided Thoracentesis	$1,224.00	$1,748.00	$857.00–$1,573.00	14% below	30%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis	$1,482.00	$2,117.00	$1,037.00–$1,905.00	4% above	30%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy	$2,105.00	$3,007.00	$1,473.00–$2,706.00	44% below	30%
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12	$5,744.00	$8,206.00	$4,021.00–$7,385.00	20% above	30%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Age 12>	$2,105.00	$3,007.00	$1,473.00–$2,706.00	52% below	30%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy	$2,105.00	$3,007.00	$1,473.00–$2,706.00	54% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trig Point 1-2 Mus Pro	$260.00	$372.00	$35.00–$335.00	55% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Ct Injection Muscle	$494.00	$706.00	$346.00–$635.00	14% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Dc-trigger Point Injection	$494.00	$706.00	$346.00–$635.00	14% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Phc-trigger Point Injection	$546.00	$780.00	$382.00–$702.00	5% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trig Point 1-2 Mus	$549.00	$784.00	$384.00–$706.00	5% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Us Vacuum Biopsy	$3,633.00	$5,190.00	$2,543.00–$4,671.00	32% above	30%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope	$3,290.00	$4,700.00	$2,303.00–$4,230.00	219% above	30%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$3,360.00	$4,800.00	$2,352.00–$4,320.00	216% above	30%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up To 14	$357.00	$510.00	$250.00–$459.00	69% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Pro Debridement, Subcut,first 20 Cm Or L	$247.00	$353.00	$54.00–$318.00	76% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue	$665.00	$950.00	$466.00–$855.00	35% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq <20cm	$665.00	$950.00	$466.00–$855.00	35% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcu Tissue <20 Cm	$665.00	$950.00	$466.00–$855.00	35% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin Subq Tissue	$838.00	$1,197.00	$587.00–$1,077.00	18% below	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Bb Blood Transfusion	$788.00	$1,125.00	$551.00–$1,013.00	16% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Dc-nebulizer Treatment	$356.00	$508.00	$249.00–$457.00	75% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Tx Med 3	$356.00	$508.00	$249.00–$457.00	75% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Collection	$356.00	$508.00	$249.00–$457.00	75% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Phc-nebulizer Treatment	$391.00	$559.00	$274.00–$503.00	92% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Subsequent	$392.00	$560.00	$274.00–$504.00	93% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$392.00	$560.00	$274.00–$504.00	93% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Initial	$392.00	$560.00	$274.00–$504.00	93% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Tx Med 2	$392.00	$560.00	$274.00–$504.00	93% above	30%
Critical care, first 30 to 74 minutes CPT 99291 Er Physicians Fee Crit Care	$1,108.00	$1,583.00	$196.00–$1,425.00	57% below	30%
Critical care, first 30 to 74 minutes CPT 99291 Er Facility Critical Care	$1,480.00	$2,114.00	$188.00–$1,903.00	43% below	30%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report	$237.00	$338.00	$166.00–$304.00	66% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Phc-ekg Tracing	$158.00	$225.00	$110.00–$203.00	47% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Dc-ekg Tracing	$158.00	$225.00	$110.00–$203.00	47% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg	$158.00	$225.00	$110.00–$203.00	47% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Physician Level 1	$110.00	$157.00	$11.00–$141.00	58% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I	$151.00	$215.00	$105.00–$194.00	42% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Physicians Level Ii	$161.00	$230.00	$40.00–$207.00	66% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii	$273.00	$390.00	$191.00–$351.00	42% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Physicians Level 3	$298.00	$425.00	$68.00–$383.00	64% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii	$486.00	$695.00	$52.00–$626.00	41% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Physician Level Iv	$482.00	$688.00	$116.00–$619.00	65% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv	$746.00	$1,065.00	$99.00–$959.00	45% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Physicians Level 5	$643.00	$918.00	$169.00–$826.00	72% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V	$1,071.00	$1,530.00	$146.00–$1,377.00	53% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 Ekg Stress Test	$564.00	$806.00	$395.00–$725.00	61% below	30%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min	$266.00	$380.00	$186.00–$342.00	6% below	30%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min	$266.00	$380.00	$186.00–$342.00	3% above	30%
Group psychotherapy session CPT 90853 Group psychotherapy	$179.00	$255.00	$125.00–$230.00	22% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydration Init Hr	$378.00	$540.00	$265.00–$486.00	16% below	30%
IV infusion of a medicine, first hour CPT 96365 Iv Tx Proph Dx Init Hr	$378.00	$540.00	$265.00–$486.00	21% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin Of Ther/anti	$21.00	$30.00	$15.00–$27.00	87% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Sq Im Tx Prop Dx	$129.00	$184.00	$90.00–$166.00	22% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychosocial Assessment	$315.00	$450.00	$221.00–$405.00	18% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Sensory Intergration	$57.00	$82.00	$40.00–$74.00	50% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Re Educatio	$90.00	$128.00	$63.00–$115.00	21% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscle Re Educ	$90.00	$128.00	$63.00–$115.00	21% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 Pta Neuromuscle Re Educ	$90.00	$128.00	$63.00–$115.00	21% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 Cota Neuromuscular Re Educatio	$90.00	$128.00	$63.00–$115.00	21% below	30%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min	$139.00	$198.00	$61.00–$178.00	39% below	30%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min	$190.00	$272.00	$108.00–$245.00	41% below	30%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min	$240.00	$343.00	$141.00–$309.00	29% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Sports Physical Initial Visit	$115.00	$165.00	$81.00–$149.00	41% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Intl Visit Limited	$115.00	$165.00	$81.00–$149.00	41% below	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nut Initial	$54.00	$77.00	$38.00–$69.00	8% below	30%
Occupational therapy evaluation, low complexity CPT 97165 Cota Eval Low Complexity	$242.00	$346.00	$170.00–$311.00	10% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluate High Complexity	$216.00	$308.00	$151.00–$277.00	29% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluate Low Complexity	$189.00	$270.00	$132.00–$243.00	20% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluate Mod Complexity	$201.00	$287.00	$141.00–$258.00	29% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Joint Mobilization	$53.00	$75.00	$37.00–$68.00	53% below	29%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Cota Joint Mobilization	$74.00	$105.00	$51.00–$95.00	34% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Joint Mobilization	$74.00	$105.00	$51.00–$95.00	34% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Myofascial Rel Ea 15 Min	$74.00	$105.00	$51.00–$95.00	34% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pta Joint Mobilization	$74.00	$105.00	$51.00–$95.00	34% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise	$109.00	$156.00	$76.00–$140.00	12% below	30%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years)	$190.00	$272.00	$133.00–$245.00	37% above	30%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years)	$190.00	$272.00	$133.00–$245.00	31% above	30%
Preventive checkup, new patient aged 65 or older CPT 99387 New Pt 65 Years And Older	$190.00	$272.00	$133.00–$245.00	13% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Pt 18-39 Years Of Age	$144.00	$205.00	$76.00–$185.00	24% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Pt 40-64 Years Of Age	$139.00	$199.00	$82.00–$179.00	19% below	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Pt 65 Years And Over	$150.00	$214.00	$86.00–$193.00	15% below	30%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min	$315.00	$450.00	$221.00–$405.00	64% above	30%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min	$315.00	$450.00	$221.00–$405.00	15% above	30%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min	$315.00	$450.00	$221.00–$405.00	15% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Visit Comprehensiv	$173.00	$247.00	$94.00–$222.00	44% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Visit Limited	$101.00	$144.00	$43.00–$130.00	51% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Visit-intermediate	$130.00	$186.00	$68.00–$167.00	42% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Visit Brief	$70.00	$100.00	$21.00–$90.00	57% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Sports Physical Established Patient	$101.00	$144.00	$21.00–$130.00	38% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Sports Physical Established Pt	$101.00	$144.00	$21.00–$130.00	38% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Sports Physical Initial Visit	$115.00	$165.00	$21.00–$149.00	30% below	30%
Speech and language evaluation CPT 92523 St Eval Speech/language	$389.00	$555.00	$272.00–$500.00	8% below	30%
Speech therapy session, individual CPT 92507 St Speech Lan Treatment After 120 Visits	$202.00	$288.00	$141.00–$259.00	12% below	30%
Speech therapy session, individual CPT 92507 St Speech Lan Treatment	$202.00	$288.00	$141.00–$259.00	12% below	30%
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation Responsiveness Test	$665.00	$950.00	$466.00–$855.00	6% above	30%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Funct Comp	$665.00	$950.00	$466.00–$855.00	6% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pta Therapeutic Act Ea 15 Min	$74.00	$105.00	$51.00–$95.00	37% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Act Ea 15 Min	$74.00	$105.00	$51.00–$95.00	37% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Cota Therapeutic Activity 15mi	$110.00	$157.00	$77.00–$141.00	6% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity 15mi	$110.00	$157.00	$77.00–$141.00	6% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$238.00	$340.00	$167.00–$306.00	5% below	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vaccine (Iiv) Intramuscular	$27.00	$38.00	$19.00–$34.00	67% below	29%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Dc-varicella Vaccine	$141.00	$201.00	$98.00–$181.00	72% below	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Phc-varicella Vaccine	$200.00	$285.00	$140.00–$257.00	60% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Dc-gardasil	$187.00	$267.00	$131.00–$240.00	81% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Dc-gardasil 9 Vaccine	$265.00	$378.00	$185.00–$340.00	73% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Phc-gardasil 9 Vaccine	$265.00	$378.00	$185.00–$340.00	73% below	30%
Hepatitis A vaccine, adult dose CPT 90632 Dc-hepatitis A	$76.00	$109.00	$53.00–$98.00	66% below	30%
Hepatitis A vaccine, adult dose CPT 90632 Phc-hepatitis A /Syringes	$144.00	$205.00	$100.00–$185.00	36% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Phc-hep B Not In Use	$78.00	$111.00	$54.00–$100.00	57% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Dc-hep B	$100.00	$143.00	$70.00–$129.00	44% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Dc-influenza Vaccine Hi Dose	$53.00	$76.00	$37.00–$68.00	64% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Phc-influenza Hd	$67.00	$95.00	$47.00–$86.00	55% below	29%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza (Fluzone) High Dose 0.5ml	$205.00	$293.00	$144.00–$264.00	37% above	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Dc-mmr-ii Vaccine	$85.00	$122.00	$60.00–$110.00	66% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Phc-mmr-ii Vaccine	$101.00	$144.00	$71.00–$130.00	59% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Msles/mumps/rubella Vial 0.5ml Pvt	$259.00	$370.00	$181.00–$333.00	5% above	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Dc-menveo	$148.00	$212.00	$104.00–$191.00	58% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Phc-menveo	$148.00	$212.00	$104.00–$191.00	58% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Dc-menactra Vaccine 0.5ml	$148.00	$212.00	$104.00–$191.00	58% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Phc-menactra Vaccine 0.5ml	$181.00	$258.00	$126.00–$232.00	49% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Phc-bexsero State	$438.00	$626.00	$307.00–$563.00	28% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Dc-bexsero 175mcg/0.5ml Vaccine	$438.00	$626.00	$307.00–$563.00	28% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Dc-bexsero State	$438.00	$626.00	$307.00–$563.00	28% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Phc-bexsero 175mcg/0.5ml Vaccine	$438.00	$626.00	$307.00–$563.00	28% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Dc-prevnar 20	$179.00	$256.00	$125.00–$230.00	68% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Phc-prevnar 20	$200.00	$285.00	$140.00–$257.00	64% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Dc-pneumovax 23 Vaccine	$99.00	$141.00	$69.00–$127.00	62% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Phc-pneumovax 23 Vaccine	$122.00	$175.00	$86.00–$158.00	53% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Pfs	$320.00	$457.00	$224.00–$411.00	22% above	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Phc-rsv Beyfortus 50mg/.5ml	$563.00	$804.00	$394.00–$724.00	44% below	30%
Rabies vaccine, one dose CPT 90675 Phc-rabies Vaccine	$553.00	$790.00	$387.00–$711.00	46% below	30%
Rabies vaccine, one dose CPT 90675 Dc-rabies Vaccine	$553.00	$790.00	$387.00–$711.00	46% below	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix 50mcg Sdv	$382.00	$546.00	$268.00–$491.00	12% above	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Phc-shingrix	$385.00	$550.00	$270.00–$495.00	13% above	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Dc-shingrix	$385.00	$550.00	$270.00–$495.00	13% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Phc-td 5tu/0.1ml	$25.00	$36.00	$18.00–$32.00	81% below	31%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Dc-td 5tu/0.1ml	$25.00	$36.00	$18.00–$32.00	81% below	31%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-diphtheria Vial 0.5ml	$74.00	$106.00	$52.00–$95.00	44% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Phc-boostrix Tdap 0.5ml Vaccine	$47.00	$67.00	$33.00–$60.00	72% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Dc-boostrix Tdap 0.5ml Vaccine	$55.00	$78.00	$38.00–$70.00	67% below	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet/diph/pert (Boostrix) Cpj 0.5ml	$132.00	$189.00	$93.00–$170.00	21% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vacc 7yr/>im	$140.00	$200.00	$98.00–$180.00	16% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Injection	$17.00	$24.00	$12.00–$22.00	78% below	29%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of Vaccine X1 State Asn	$17.00	$24.00	$12.00–$22.00	78% below	29%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of Vaccine X1 Vfc State	$118.00	$168.00	$82.00–$151.00	52% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of Vaccine X1	$128.00	$183.00	$90.00–$165.00	65% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immi Vfc Adm Ea Add	$10.00	$14.00	$7.00–$13.00	81% below	29%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immi Administratio Each Addito	$14.00	$20.00	$10.00–$18.00	74% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immi Administration Each Additional Vaci	$15.00	$21.00	$10.00–$19.00	72% below	29%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immi Asm Adm Ea Add	$17.00	$24.00	$12.00–$22.00	68% below	29%

Source file: https://secure.claraprice.net/price-transparency/LOMV-1774906742396/machine-readable/751211903_ochiltree-general-hospital_standardcharges.json