Hospital

Lillian M Hudspeth Memorial Hospital

Listed in its price file as “Sutton County Hospital District”.

Lillian M Hudspeth Memorial Hospital in Sonora, TX publishes cash prices for 198 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 189 of 195 procedures and above it for 6. By typical cash price it ranks #49 of 305 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

308 Hudspeth Street, Sonora, TX 76950 Collected Sep 27, 2026 Source price file (325) 387-2521

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451324 · CMS hospital register NPI 1831140979

Scans and imaging

ProcedureCash price List priceInsurers payvs TexasOff list
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2V $128.50 $257.00 $101.41–$239.12 68% below 50%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2V $128.50 $257.00 $101.41–$239.12 — 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3V LT $116.50 $233.00 $91.85–$187.85 69% below 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3V RT $116.50 $233.00 $91.85–$187.85 69% below 50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3V RT $116.50 $233.00 $91.85–$187.85 — 50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3V LT $116.50 $233.00 $91.85–$187.85 — 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI $217.50 $435.00 $170.40–$351.90 64% below 50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI $217.50 $435.00 $170.40–$351.90 — 50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPR EXT RT WO/CONT $833.50 $1,667.00 $392.80–$1,348.95 55% below 50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPR EXT LT WO/CONT $833.50 $1,667.00 $392.80–$1,348.95 55% below 50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPR EXT RT WO/CONT $833.50 $1,667.00 $392.80–$1,348.95 — 50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPR EXT LT WO/CONT $833.50 $1,667.00 $392.80–$1,348.95 — 50%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT $188.50 $377.00 $384.20 57% below 50%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE $237.50 $475.00 $384.20 46% below 50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT $188.50 $377.00 $384.20 — 50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE $237.50 $475.00 $384.20 — 50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED $188.50 $377.00 $149.20–$299.01 49% below 50%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED $188.50 $377.00 $149.20–$299.01 — 50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO-ABDOMEN AND PELVIS W/WO CONTRAS $1,079.00 $2,158.00 $1,220.67 75% below 50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO-ABDOMEN AND PELVIS W/WO CONTRAS $1,079.00 $2,158.00 $1,220.67 — 50%
CT angiography (CTA) of the head CPT 70496 CT ANGIO-HEAD $888.00 $1,776.00 $702.78–$1,663.68 69% below 50%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO-HEAD $888.00 $1,776.00 $702.78–$1,663.68 — 50%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO-NECK $830.50 $1,661.00 $657.06–$1,549.38 69% below 50%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO-NECK $830.50 $1,661.00 $657.06–$1,549.38 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO-CHEST $1,055.00 $2,110.00 $834.94–$1,707.65 63% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO-CHEST $1,055.00 $2,110.00 $834.94–$1,707.65 — 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WO/CONTRAST $1,821.00 $3,642.00 $1,427.43–$3,008.29 46% below 50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WO/CONTRAST $1,821.00 $3,642.00 $1,427.43–$3,008.29 — 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W/CONTRAST $1,946.00 $3,892.00 $594.20–$3,150.10 50% below 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS W/CONTRAST $1,946.00 $3,892.00 $594.20–$3,150.10 — 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS W/WO CONTRAST $2,443.50 $4,887.00 $802.17–$4,554.68 41% below 50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS W/WO CONTRAST $2,443.50 $4,887.00 $802.17–$4,554.68 — 50%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST $991.50 $1,983.00 $782.10 62% below 50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST $991.50 $1,983.00 $782.10 — 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO/CONTRAST $623.50 $1,247.00 $606.36–$1,429.82 63% below 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO/CONTRAST $766.00 $1,532.00 $606.36–$1,429.82 54% below 50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO/CONTRAST $623.50 $1,247.00 $606.36–$1,429.82 — 50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL WO/CONTRAST $766.00 $1,532.00 $606.36–$1,429.82 — 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO/CONTRAST $800.00 $1,600.00 $615.53–$1,492.54 58% below 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO/CONTRAST $800.00 $1,600.00 $615.53–$1,492.54 — 50%
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST $888.00 $1,776.00 $762.30–$1,004.45 50% below 50%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST $888.00 $1,776.00 $762.30–$1,004.45 — 50%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST $1,146.00 $2,292.00 $906.84–$2,182.00 50% below 50%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST $1,146.00 $2,292.00 $906.84–$2,182.00 — 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO/CONTRAST $1,016.00 $2,032.00 $796.45–$1,149.39 51% below 50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO/CONTRAST $1,016.00 $2,032.00 $796.45–$1,149.39 — 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO/CONTRAST $961.00 $1,922.00 $685.53–$1,555.50 54% below 50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO/CONTRAST $961.00 $1,922.00 $685.53–$1,555.50 — 50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID ARTERY BILAT $350.50 $701.00 $277.21–$316.01 — 50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID ARTERY BILAT $350.50 $701.00 $277.21–$316.01 — 50%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST $1,377.00 $2,754.00 $1,206.12 50% below 50%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST $1,377.00 $2,754.00 $1,206.12 — 50%
Chest X-ray, 2 views CPT 71046 CHEST 2V $125.00 $250.00 $98.36–$233.24 68% below 50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V $125.00 $250.00 $98.36–$233.24 — 50%
Chest X-ray, single view CPT 71045 CHEST 1V $113.00 $226.00 $86.89–$210.70 65% below 50%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V $113.00 $226.00 $86.89–$210.70 — 50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMP 2V LT $116.50 $233.00 $91.85 66% below 50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMP 2V RT $116.50 $233.00 $91.85 66% below 50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMP 2V LT $116.50 $233.00 $91.85 — 50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMP 2V RT $116.50 $233.00 $91.85 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL $264.00 $528.00 $89.43–$298.19 64% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL $264.00 $528.00 $89.43–$298.19 64% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL $264.00 $528.00 $89.43–$298.19 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL $264.00 $528.00 $89.43–$298.19 — 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY STUDY $270.50 $541.00 $211.97–$504.70 35% below 50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY STUDY $270.50 $541.00 $211.97–$504.70 — 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO/CONTRAST $1,024.00 $2,048.00 $61.13–$1,158.30 39% below 50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO/CONTRAST $1,024.00 $2,048.00 $61.13–$1,158.30 — 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST $1,100.50 $2,201.00 $871.10–$1,245.02 49% below 50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST $1,100.50 $2,201.00 $871.10–$1,245.02 — 50%
Diagnostic mammogram, one breast CPT 77065 MAMMOGRAPHY DIAGNOSTIC UNILATER $248.50 $497.00 $191.94–$402.05 9% below 50%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMOGRAPHY DIAGNOSTIC UNILATER $248.50 $497.00 $191.94–$402.05 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILAT LWR EXT $217.50 $435.00 $179.40–$433.50 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILAT COMPLETE $268.00 $536.00 $179.40–$433.50 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER BILAT LWR EXT $217.50 $435.00 $179.40–$433.50 — 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER BILAT COMPLETE $268.00 $536.00 $179.40–$433.50 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO HEART COMPLETE $915.50 $1,831.00 $724.39–$1,624.48 61% below 50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO HEART COMPLETE $915.50 $1,831.00 $724.39–$1,624.48 — 50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3V RT $116.50 $233.00 $91.85–$187.85 70% below 50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3V LT $116.50 $233.00 $91.85–$187.85 70% below 50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3V LT $116.50 $233.00 $91.85–$187.85 — 50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3V RT $116.50 $233.00 $91.85–$187.85 — 50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V LT $116.50 $233.00 $91.85–$140.12 69% below 50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V RT $116.50 $233.00 $91.85–$140.12 69% below 50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V LT $116.50 $233.00 $91.85–$140.12 — 50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V RT $116.50 $233.00 $91.85–$140.12 — 50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS 2V LT $116.50 $233.00 $99.63 60% below 50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS 2V RT $116.50 $233.00 $99.63 60% below 50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2V RT $116.50 $233.00 $99.63 — 50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2V LT $116.50 $233.00 $99.63 — 50%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V LT $116.50 $233.00 $81.59–$216.58 71% below 50%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V RT $116.50 $233.00 $81.59–$216.58 71% below 50%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3V LT $116.50 $233.00 $81.59–$216.58 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3V RT $116.50 $233.00 $81.59–$216.58 — 50%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4V RT OR MORE $122.50 $245.00 $96.83–$236.39 71% below 50%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4V LT OR MORE $122.50 $245.00 $96.83–$236.39 71% below 50%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4V LT OR MORE $122.50 $245.00 $96.83–$236.39 — 50%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4V RT OR MORE $122.50 $245.00 $96.83–$236.39 — 50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT LT WO/CONT $785.00 $1,570.00 $621.32–$888.03 56% below 50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT RT WO/CONT $785.00 $1,570.00 $621.32–$888.03 56% below 50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT WO/CONT LT $1,441.00 $2,882.00 $621.32–$888.03 18% below 50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT WO/CONT RT $1,441.00 $2,882.00 $621.32–$888.03 18% below 50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT RT WO/CONT $785.00 $1,570.00 $621.32–$888.03 — 50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT LT WO/CONT $785.00 $1,570.00 $621.32–$888.03 — 50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT WO/CONT LT $1,441.00 $2,882.00 $621.32–$888.03 — 50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT WO/CONT RT $1,441.00 $2,882.00 $621.32–$888.03 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN $258.00 $516.00 $204.00–$417.35 59% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER $258.00 $516.00 $204.00–$417.35 59% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS $258.00 $516.00 $204.00–$417.35 59% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER $258.00 $516.00 $204.00–$417.35 59% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL-LIMITED $258.00 $516.00 $204.00–$417.35 59% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER $258.00 $516.00 $204.00–$417.35 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL-LIMITED $258.00 $516.00 $204.00–$417.35 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER $258.00 $516.00 $204.00–$417.35 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS $258.00 $516.00 $204.00–$417.35 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN $258.00 $516.00 $204.00–$417.35 — 50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB 2V RT $161.50 $323.00 $126.36–$303.46 53% below 50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB-FIB 2V LT $161.50 $323.00 $126.36–$303.46 53% below 50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB-FIB 2V RT $161.50 $323.00 $126.36–$303.46 — 50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB-FIB 2V LT $161.50 $323.00 $126.36–$303.46 — 50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST $1,072.00 $2,144.00 $848.24–$966.52 49% below 50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST $1,072.00 $2,144.00 $848.24–$966.52 — 50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONTRAST $967.50 $1,935.00 $751.60–$1,565.70 57% below 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT W/O CONTRAST $967.50 $1,935.00 $751.60–$1,565.70 — 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST $1,662.00 $3,324.00 $1,455.90 48% below 50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST $1,662.00 $3,324.00 $1,455.90 — 50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST $1,048.50 $2,097.00 $568.38–$905.25 52% below 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST $1,048.50 $2,097.00 $568.38–$905.25 — 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST $1,794.50 $3,589.00 $1,351.39–$2,905.30 41% below 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST $1,794.50 $3,589.00 $1,351.39–$2,905.30 — 50%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST $1,236.50 $2,473.00 $975.82–$1,083.30 46% below 50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CONTRAST $1,236.50 $2,473.00 $975.82–$1,083.30 — 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W/WO CONTRAST $1,598.00 $3,196.00 $1,266.18–$1,377.38 50% below 50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W/WO CONTRAST $1,598.00 $3,196.00 $1,266.18–$1,377.38 — 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST $1,190.00 $2,380.00 $1,926.10 44% below 50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC W/O CONTRAST $1,190.00 $2,380.00 $1,926.10 — 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONTRAST $1,120.50 $2,241.00 $886.89–$1,813.90 52% below 50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL W/O CONTRAST $1,120.50 $2,241.00 $886.89–$1,813.90 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONTRAST $952.50 $1,905.00 $753.90–$1,077.52 58% below 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O CONTRAST $952.50 $1,905.00 $753.90–$1,077.52 — 50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 5V $197.50 $395.00 $223.34 64% below 50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 5V $197.50 $395.00 $223.34 — 50%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W/CONTRAST $1,018.50 $2,037.00 $879.55 50% below 50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TISSUE W/CONTRAST $1,018.50 $2,037.00 $879.55 — 50%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE WO/CONTRAST $954.50 $1,909.00 $821.75–$836.28 45% below 50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TISSUE WO/CONTRAST $954.50 $1,909.00 $821.75–$836.28 — 50%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/CONTRAST $894.50 $1,789.00 $707.77–$1,393.72 46% below 50%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO/CONTRAST $894.50 $1,789.00 $707.77–$1,393.72 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC $269.50 $539.00 $104.00–$304.72 69% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC $269.50 $539.00 $104.00–$304.72 — 50%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2V LT $128.50 $257.00 $101.41–$110.00 64% below 50%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2V $128.50 $257.00 $101.41–$110.00 64% below 50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2V $128.50 $257.00 $101.41–$110.00 — 50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2V LT $128.50 $257.00 $101.41–$110.00 — 50%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI W/PA CHEST $137.50 $275.00 $108.47–$221.85 65% below 50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI W/PA CHEST $137.50 $275.00 $108.47–$221.85 — 50%
Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAPHY SCREENING BILATERAL 2D $262.00 $524.00 $85.39–$424.15 — 50%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAPHY SCREENING BILATERAL 2D $262.00 $524.00 $85.39–$424.15 — 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2V LT OR MORE $128.50 $257.00 $101.41–$207.40 63% below 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2=>V RT $128.50 $257.00 $101.41–$207.40 63% below 50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2=>V RT $128.50 $257.00 $101.41–$207.40 — 50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2V LT OR MORE $128.50 $257.00 $101.41–$207.40 — 50%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 3V $119.00 $238.00 $134.24 66% below 50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 3V $119.00 $238.00 $134.24 — 50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2V LT $116.50 $233.00 $91.85–$92.82 67% below 50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2V RT $116.50 $233.00 $91.85–$92.82 67% below 50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2V RT $116.50 $233.00 $91.85–$92.82 — 50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2V LT $116.50 $233.00 $91.85–$92.82 — 50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO/CONTRAST $1,055.00 $2,110.00 $834.94 47% below 50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO/CONTRAST $1,055.00 $2,110.00 $834.94 — 50%
Toe X-ray, 2 or more views one side CPT 73660 TOES 2V LT OR MORE $116.50 $233.00 $99.63 60% below 50%
Toe X-ray, 2 or more views one side CPT 73660 TOES 2V RT OR MORE $116.50 $233.00 $99.63 60% below 50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES 2V LT OR MORE $116.50 $233.00 $99.63 — 50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES 2V RT OR MORE $116.50 $233.00 $99.63 — 50%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL-COMPLETE $324.50 $649.00 $256.84–$575.98 62% below 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL-COMPLETE $324.50 $649.00 $256.84–$575.98 — 50%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR $267.00 $534.00 $211.12–$431.80 56% below 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR $267.00 $534.00 $211.12–$431.80 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $238.00 $476.00 $172.38–$446.54 62% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE $238.00 $476.00 $172.38–$446.54 62% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID $238.00 $476.00 $172.38–$446.54 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE $238.00 $476.00 $172.38–$446.54 — 50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2V RT $116.50 $233.00 $91.85–$140.12 67% below 50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2V LT $116.50 $233.00 $91.85–$140.12 67% below 50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2V RT $116.50 $233.00 $91.85–$140.12 — 50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2V LT $116.50 $233.00 $91.85–$140.12 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILAT $235.00 $470.00 $184.74–$379.95 71% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER UNILAT $235.00 $470.00 $184.74–$379.95 — 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3V RT OR MORE $116.50 $233.00 $90.96–$187.85 70% below 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3V LT OR MORE $116.50 $233.00 $90.96–$187.85 70% below 50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3V RT OR MORE $116.50 $233.00 $90.96–$187.85 — 50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3V LT OR MORE $116.50 $233.00 $90.96–$187.85 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS UNI 2-3V LT $140.50 $281.00 $110.97–$201.86 65% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS UNI 2-3V RT $140.50 $281.00 $110.97–$201.86 65% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS UNI 3V RT $197.50 $395.00 $110.97–$201.86 51% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS UNI 3V LT $197.50 $395.00 $110.97–$201.86 51% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS UNI 2-3V RT $140.50 $281.00 $110.97–$201.86 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS UNI 2-3V LT $140.50 $281.00 $110.97–$201.86 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS UNI 3V RT $197.50 $395.00 $110.97–$201.86 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS UNI 3V LT $197.50 $395.00 $110.97–$201.86 — 50%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V $116.50 $233.00 $91.85 66% below 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V $116.50 $233.00 $91.85 — 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2V LT OR MORE $116.50 $233.00 $99.63–$187.85 56% below 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2=>V RT $116.50 $233.00 $99.63–$187.85 56% below 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2=>V RT $116.50 $233.00 $99.63–$187.85 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2V LT OR MORE $116.50 $233.00 $99.63–$187.85 — 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3V RT $116.50 $233.00 $91.85–$187.85 69% below 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3V LT $116.50 $233.00 $91.85–$187.85 69% below 50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3V LT $116.50 $233.00 $91.85–$187.85 — 50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3V RT $116.50 $233.00 $91.85–$187.85 — 50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3V LT $116.50 $233.00 $89.68–$205.97 70% below 50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3V RT $116.50 $233.00 $89.68–$205.97 70% below 50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3V RT $116.50 $233.00 $89.68–$205.97 — 50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3V LT $116.50 $233.00 $89.68–$205.97 — 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE L/S 2-3V $125.00 $250.00 $98.91–$202.30 73% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE L/S 2-3V $125.00 $250.00 $98.91–$202.30 — 50%
X-ray of the lower back, 4 or more views CPT 72110 SPINE L/S 5V COMPLETE $207.00 $414.00 $163.75–$367.21 67% below 50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE L/S 5V COMPLETE $207.00 $414.00 $163.75–$367.21 — 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2/3V $116.50 $233.00 $91.85–$216.58 69% below 50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2/3V $116.50 $233.00 $91.85–$216.58 — 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX-SACRUM 2V $185.50 $371.00 $146.71–$159.13 43% below 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX-SACRUM 2V $185.50 $371.00 $146.71–$159.13 — 50%

Lab tests

ProcedureCash price List priceInsurers payvs TexasOff list
ACTH blood test CPT 82024 ACTH PLASMA $69.50 $139.00 $60.72 71% below 50%
ACTH blood test inpatient CPT 82024 ACTH PLASMA $69.50 $139.00 $60.72 — 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS POST EXPOSURE $112.50 $225.00 $163.82–$338.30 71% below 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL $209.00 $418.00 $163.82–$338.30 46% below 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS POST EXPOSURE $112.50 $225.00 $163.82–$338.30 — 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL $209.00 $418.00 $163.82–$338.30 — 50%
Ammonia blood test CPT 82140 AMMONIA LEVEL $87.50 $175.00 $68.33–$74.83 40% below 50%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL $87.50 $175.00 $68.33–$74.83 — 50%
Amylase blood test CPT 82150 AMYLASE $69.50 $139.00 $14.31–$129.36 29% below 50%
Amylase blood test inpatient CPT 82150 AMYLASE $69.50 $139.00 $14.31–$129.36 — 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE(CCP)ANTIBDY $88.50 $177.00 $75.73–$156.58 44% above 50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE(CCP)ANTIBDY $88.50 $177.00 $75.73–$156.58 — 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANITBODY $36.50 $73.00 $48.69–$100.66 59% below 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTINUCLEAR ANTIBODY $57.00 $114.00 $48.69–$100.66 36% below 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B ANITBODY $36.50 $73.00 $48.69–$100.66 — 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTINUCLEAR ANTIBODY $57.00 $114.00 $48.69–$100.66 — 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP $98.00 $196.00 $151.77–$366.52 47% below 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-BRAIN NATRIURETIC PEP $196.50 $393.00 $151.77–$366.52 6% above 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP $98.00 $196.00 $151.77–$366.52 — 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-BRAIN NATRIURETIC PEP $196.50 $393.00 $151.77–$366.52 — 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE $38.50 $77.00 $53.19–$70.09 45% below 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT $38.50 $77.00 $53.19–$70.09 45% below 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC $62.00 $124.00 $53.19–$70.09 11% below 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM $83.50 $167.00 $53.19–$70.09 20% above 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE $38.50 $77.00 $53.19–$70.09 — 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT $38.50 $77.00 $53.19–$70.09 — 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC $62.00 $124.00 $53.19–$70.09 — 50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM $83.50 $167.00 $53.19–$70.09 — 50%
Basic metabolic panel (blood test) CPT 80048 PANEL METABOLIC BASIC $69.00 $138.00 $7.11–$113.99 71% below 50%
Basic metabolic panel (blood test) CPT 80048 CHEM 8 $69.00 $138.00 $7.11–$113.99 71% below 50%
Basic metabolic panel (blood test) inpatient CPT 80048 CHEM 8 $69.00 $138.00 $7.11–$113.99 — 50%
Basic metabolic panel (blood test) inpatient CPT 80048 PANEL METABOLIC BASIC $69.00 $138.00 $7.11–$113.99 — 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BIOPSY $145.50 $291.00 $124.87 51% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO PATHOLOGY $243.00 $486.00 $124.87 18% below 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BIOPSY $145.50 $291.00 $124.87 — 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO PATHOLOGY $243.00 $486.00 $124.87 — 50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD QUEST $64.00 $128.00 $8.67–$118.58 73% below 50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $65.50 $131.00 $8.67–$118.58 72% below 50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD QUEST $64.00 $128.00 $8.67–$118.58 — 50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $65.50 $131.00 $8.67–$118.58 — 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $9.00 $18.00 $6.90–$18.00 55% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $9.00 $18.00 $6.90–$18.00 — 50%
Blood lead test CPT 83655 LEAD SCREEN BLOOD $44.00 $88.00 $13.02 17% below 50%
Blood lead test inpatient CPT 83655 LEAD SCREEN BLOOD $44.00 $88.00 $13.02 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM-QUAL $63.00 $126.00 $8.09–$102.00 54% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM-QUAL $63.00 $126.00 $8.09–$102.00 — 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO SEND OUT $59.00 $118.00 $51.52–$92.51 33% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO $59.00 $118.00 $51.52–$92.51 33% below 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE ABO $59.00 $118.00 $51.52–$92.51 — 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE ABO SEND OUT $59.00 $118.00 $51.52–$92.51 — 50%
Blood urea nitrogen (BUN) test CPT 84520 BUN $43.50 $87.00 $33.75–$81.02 26% below 50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN $43.50 $87.00 $33.75–$81.02 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN SEND OUT $42.00 $84.00 $5.57–$78.40 28% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN $42.00 $84.00 $5.57–$78.40 28% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN $42.00 $84.00 $5.57–$78.40 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN SEND OUT $42.00 $84.00 $5.57–$78.40 — 50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $66.00 $132.00 $51.45 51% below 50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $66.00 $132.00 $51.45 — 50%
Calcium blood test, total CPT 82310 CALCIUM SERUM TOTAL $48.00 $96.00 $41.02 24% below 50%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM TOTAL $48.00 $96.00 $41.02 — 50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA $69.50 $139.00 $54.33–$59.51 57% below 50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA $69.50 $139.00 $54.33–$59.51 — 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 PANEL LIPID $69.50 $139.00 $11.25–$132.00 64% below 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID ADVANCED PANEL CARIO IQ $77.50 $155.00 $11.25–$132.00 60% below 50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 PANEL LIPID $69.50 $139.00 $11.25–$132.00 — 50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID ADVANCED PANEL CARIO IQ $77.50 $155.00 $11.25–$132.00 — 50%
Complete blood count (CBC) with differential CPT 85025 CBC $50.50 $101.00 $8.36–$94.08 45% below 50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC $50.50 $101.00 $8.36–$94.08 — 50%
Comprehensive metabolic panel (blood test) CPT 80053 PANEL METABOLIC COMP $181.00 $362.00 $11.35–$337.12 39% below 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 PANEL METABOLIC COMP $181.00 $362.00 $11.35–$337.12 — 50%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL $68.50 $137.00 $59.80 25% below 50%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION TEST, 1 SPEC $79.00 $158.00 $59.80 14% below 50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL $68.50 $137.00 $59.80 — 50%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION TEST, 1 SPEC $79.00 $158.00 $59.80 — 50%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL $46.00 $92.00 $35.16–$85.26 35% below 50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL $46.00 $92.00 $35.16–$85.26 — 50%
Creatinine blood test CPT 82565 CREATININE BLOOD $35.00 $70.00 $27.17–$65.24 42% below 50%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD $35.00 $70.00 $27.17–$65.24 — 50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $73.00 $146.00 $22.49–$136.22 58% below 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT $73.00 $146.00 $22.49–$136.22 — 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $107.00 $214.00 $98.90–$182.75 30% below 50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE $107.00 $214.00 $98.90–$182.75 — 50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 PANEL ELECTROLYTE $105.00 $210.00 $90.16 46% below 50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 PANEL ELECTROLYTE $105.00 $210.00 $90.16 — 50%
Estradiol blood test CPT 82670 ESTRADIOL $102.50 $205.00 $165.75 29% below 50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $102.50 $205.00 $165.75 — 50%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORM $66.50 $133.00 $107.10 58% below 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORM $66.50 $133.00 $107.10 — 50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL $132.50 $265.00 $113.60–$246.96 38% below 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL $132.50 $265.00 $113.60–$246.96 — 50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL $51.00 $102.00 $11.45–$95.72 51% below 50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL $51.00 $102.00 $11.45–$95.72 — 50%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY, CLAUSS $26.50 $53.00 $22.54 71% below 50%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY, CLAUSS $26.50 $53.00 $22.54 — 50%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM $65.00 $130.00 $67.65–$120.54 31% below 50%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM $65.00 $130.00 $67.65–$120.54 — 50%
Free T3 thyroid hormone test CPT 84481 T3 FREE (IN HOUSE) $92.00 $184.00 $14.23–$193.80 35% below 50%
Free T3 thyroid hormone test CPT 84481 T3 FREE $120.00 $240.00 $14.23–$193.80 15% below 50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE (IN HOUSE) $92.00 $184.00 $14.23–$193.80 — 50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $120.00 $240.00 $14.23–$193.80 — 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $68.00 $136.00 $7.58–$126.42 23% below 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $68.00 $136.00 $7.58–$126.42 — 50%
Free testosterone test CPT 84402 TESTOSTERONE FREE SERUM $83.00 $166.00 $134.30–$147.26 25% below 50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE SERUM $83.00 $166.00 $134.30–$147.26 — 50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $293.00 $586.00 $330.86–$585.00 34% below 50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $293.00 $586.00 $330.86–$585.00 — 50%
H. pylori antibody blood test CPT 86677 H PYLORI $31.00 $62.00 $18.11–$50.15 76% below 50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI $31.00 $62.00 $18.11–$50.15 — 50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2, SINGLE ASSAY $27.00 $54.00 $11.52–$30.29 74% below 50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1&2, SINGLE ASSAY $27.00 $54.00 $11.52–$30.29 — 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PAP SMEAR-HPV DNA(HIGH RISK) $68.00 $136.00 $37.73–$127.42 4% below 50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 PAP SMEAR-HPV DNA(HIGH RISK) $68.00 $136.00 $37.73–$127.42 — 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C $54.50 $109.00 $21.46–$100.94 41% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C $54.50 $109.00 $21.46–$100.94 — 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG W/CONF $37.00 $74.00 $31.56 53% below 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG W/CONF $37.00 $74.00 $31.56 — 50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $65.50 $131.00 $55.90–$73.66 25% below 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $65.50 $131.00 $55.90–$73.66 — 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES IgM 1/2(HSV) $87.50 $175.00 $98.60 11% above 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES IgG 1/2 $87.50 $175.00 $98.60 11% above 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES IgG RFLX INHIBITION $87.50 $175.00 $98.60 11% above 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES IgG 1/2 $87.50 $175.00 $98.60 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES IgM 1/2(HSV) $87.50 $175.00 $98.60 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES IgG RFLX INHIBITION $87.50 $175.00 $98.60 — 50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TITER $29.50 $59.00 $33.26 67% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS (HSV) $29.50 $59.00 $33.26 67% below 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS (HSV) $29.50 $59.00 $33.26 — 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TITER $29.50 $59.00 $33.26 — 50%
Homocysteine blood test CPT 83090 HOMOCYSTINE-CARDIO $123.00 $246.00 $198.90 18% below 50%
Homocysteine blood test CPT 83090 HOMOCYSTINE-NUTRITIONAL $123.00 $246.00 $198.90 18% below 50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE-NUTRITIONAL $123.00 $246.00 $198.90 — 50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE-CARDIO $123.00 $246.00 $198.90 — 50%
Insulin blood test CPT 83525 INSULIN TOTAL $41.00 $82.00 $35.88–$66.30 51% below 50%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL $41.00 $82.00 $35.88–$66.30 — 50%
Iron blood test (serum iron) CPT 83540 IRON SERUM $33.00 $66.00 $5.43–$57.78 62% below 50%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM $33.00 $66.00 $5.43–$57.78 — 50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC W/IRON SERUM $41.50 $83.00 $7.34–$73.63 58% below 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC W/IRON SERUM $41.50 $83.00 $7.34–$73.63 — 50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $101.00 $202.00 $79.03–$188.82 43% below 50%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $101.00 $202.00 $79.03–$188.82 — 50%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $66.50 $133.00 $107.10 56% below 50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $66.50 $133.00 $107.10 — 50%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID $83.00 $166.00 $9.72–$154.84 15% below 50%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID $83.00 $166.00 $9.72–$154.84 — 50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $40.00 $80.00 $31.28–$74.48 15% below 50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH $40.00 $80.00 $31.28–$74.48 — 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM $65.00 $130.00 $15.23–$120.54 32% below 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM $65.00 $130.00 $15.23–$120.54 — 50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $150.50 $301.00 $117.72–$248.63 30% below 50%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $150.50 $301.00 $117.72–$248.63 — 50%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $48.00 $96.00 $36.78–$89.18 3% below 50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL $48.00 $96.00 $36.78–$89.18 — 50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT (HETEROPHILE) $35.00 $70.00 $29.75–$56.10 59% below 50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT (HETEROPHILE) $35.00 $70.00 $29.75–$56.10 — 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC $66.50 $133.00 $51.13–$123.48 26% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL SCREENING $66.50 $133.00 $51.13–$123.48 26% below 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL SCREENING $66.50 $133.00 $51.13–$123.48 — 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL DIAGNOSTIC $66.50 $133.00 $51.13–$123.48 — 50%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR-THIN PREP $66.00 $132.00 $28.61–$106.25 10% below 50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR-THIN PREP $66.00 $132.00 $28.61–$106.25 — 50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE W/CALCIUM $61.00 $122.00 $128.01–$305.44 72% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) $163.50 $327.00 $128.01–$305.44 25% below 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE W/CALCIUM $61.00 $122.00 $128.01–$305.44 — 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PTH) $163.50 $327.00 $128.01–$305.44 — 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $48.00 $96.00 $6.46–$89.18 11% below 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $48.00 $96.00 $6.46–$89.18 — 50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS $41.00 $82.00 $32.10–$66.30 35% below 50%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS $41.00 $82.00 $32.10–$66.30 — 50%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL $81.00 $162.00 $130.90 30% below 50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL $81.00 $162.00 $130.90 — 50%
Prolactin blood test CPT 84146 PROLACTIN LEVEL $93.50 $187.00 $105.73–$151.30 19% below 50%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL $93.50 $187.00 $105.73–$151.30 — 50%
Prothrombin time (PT/INR) clotting test CPT 85610 PT $46.00 $92.00 $4.61–$85.26 3% below 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT $46.00 $92.00 $4.61–$85.26 — 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN-UA 6 PANEL $33.00 $66.00 $25.06–$60.76 73% below 50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCRN-UA 6 PANEL $33.00 $66.00 $25.06–$60.76 — 50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B SWAB $24.50 $49.00 $17.79–$45.08 74% below 50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A & B SWAB $24.50 $49.00 $17.79–$45.08 — 50%
Rh blood typing CPT 86901 BLOOD TYPE RH (O) $59.00 $118.00 $51.52–$92.51 8% below 50%
Rh blood typing CPT 86901 BLOOD TYPE RH (O) SEND OUT $59.00 $118.00 $51.52–$92.51 8% below 50%
Rh blood typing inpatient CPT 86901 BLOOD TYPE RH (O) $59.00 $118.00 $51.52–$92.51 — 50%
Rh blood typing inpatient CPT 86901 BLOOD TYPE RH (O) SEND OUT $59.00 $118.00 $51.52–$92.51 — 50%
Stool ova and parasites exam CPT 87177 STOOL OVA & PARASITES SMEAR $57.00 $114.00 $9.57–$100.66 36% below 50%
Stool ova and parasites exam inpatient CPT 87177 STOOL OVA & PARASITES SMEAR $57.00 $114.00 $9.57–$100.66 — 50%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS $39.50 $79.00 $44.55 15% below 50%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODY $63.00 $126.00 $44.55 36% above 50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS $39.50 $79.00 $44.55 — 50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ANTIBODY $63.00 $126.00 $44.55 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (VDRL) $37.50 $75.00 $42.17 29% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (VDRL) $37.50 $75.00 $42.17 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R)-TB GOLD $185.50 $371.00 $162.38–$300.05 9% below 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R)-TB GOLD $185.50 $371.00 $162.38–$300.05 — 50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL TOTAL $118.50 $237.00 $87.32–$209.70 17% above 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LEVEL TOTAL $118.50 $237.00 $87.32–$209.70 — 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO (THYROID PEROXIDASE ANTIBODIES) $53.50 $107.00 $46.46–$85.85 40% below 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO (THYROID PEROXIDASE ANTIBODIES) $53.50 $107.00 $46.46–$85.85 — 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $61.50 $123.00 $18.06–$117.00 50% below 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $61.50 $123.00 $18.06–$117.00 — 50%
Total thyroxine (T4) blood test CPT 84436 T4 $61.50 $123.00 $52.74 24% below 50%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 $61.50 $123.00 $52.74 — 50%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL (IN HOUSE) $63.00 $126.00 $54.33–$112.20 50% below 50%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $69.50 $139.00 $54.33–$112.20 45% below 50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL (IN HOUSE) $63.00 $126.00 $54.33–$112.20 — 50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL $69.50 $139.00 $54.33–$112.20 — 50%
Troponin test, quantitative CPT 84484 TROPONIN I QUANT $160.50 $321.00 $27.54–$298.90 18% above 50%
Troponin test, quantitative CPT 84484 TROPONIN, HS $160.50 $321.00 $27.54–$298.90 18% above 50%
Troponin test, quantitative inpatient CPT 84484 TROPONIN, HS $160.50 $321.00 $27.54–$298.90 — 50%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I QUANT $160.50 $321.00 $27.54–$298.90 — 50%
Uric acid blood test CPT 84550 URIC ACID SERUM $49.00 $98.00 $38.28–$91.14 46% below 50%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM $49.00 $98.00 $38.28–$91.14 — 50%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO $38.00 $76.00 $3.40–$70.56 65% below 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO $38.00 $76.00 $3.40–$70.56 — 50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE UA CLEAN CATCH (QUEST) $33.50 $67.00 $8.68–$61.74 76% below 50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE UA CATH (QUEST) $33.50 $67.00 $8.68–$61.74 76% below 50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE UA CATHETER $82.50 $165.00 $8.68–$61.74 41% below 50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE UA CLEAN-CATCH $82.50 $165.00 $8.68–$61.74 41% below 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE UA CATH (QUEST) $33.50 $67.00 $8.68–$61.74 — 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE UA CLEAN CATCH (QUEST) $33.50 $67.00 $8.68–$61.74 — 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE UA CATHETER $82.50 $165.00 $8.68–$61.74 — 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE UA CLEAN-CATCH $82.50 $165.00 $8.68–$61.74 — 50%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN MICRO UA 24HR $22.50 $45.00 $6.22–$72.52 56% below 50%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM UA W/CREAT(QUEST) $34.50 $69.00 $6.22–$72.52 32% below 50%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE $39.00 $78.00 $6.22–$72.52 24% below 50%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN MICRO UA 24HR $22.50 $45.00 $6.22–$72.52 — 50%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM UA W/CREAT(QUEST) $34.50 $69.00 $6.22–$72.52 — 50%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE $39.00 $78.00 $6.22–$72.52 — 50%
Urine pregnancy test, read by color change CPT 81025 URINE PREG COLOR $63.00 $126.00 $54.10–$71.28 26% below 50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG COLOR $63.00 $126.00 $54.10–$71.28 — 50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $77.00 $154.00 $60.09–$136.07 15% below 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $77.00 $154.00 $60.09–$136.07 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY $138.00 $276.00 $31.82–$262.00 12% above 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY $138.00 $276.00 $31.82–$262.00 — 50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D,1,25-DIHYDROXY $169.00 $338.00 $132.12–$272.85 2% above 50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D,1,25-DIHYDROXY $169.00 $338.00 $132.12–$272.85 — 50%
Zinc blood test CPT 84630 ZINC SCREEN $33.00 $66.00 $25.52 52% below 50%
Zinc blood test inpatient CPT 84630 ZINC SCREEN $33.00 $66.00 $25.52 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE SERUM (QUEST) $73.50 $147.00 $16.18 34% below 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE SERUM $73.50 $147.00 $16.18 34% below 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE SERUM $73.50 $147.00 $16.18 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE SERUM (QUEST) $73.50 $147.00 $16.18 — 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs TexasOff list
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE $247.50 $495.00 $400.35 47% below 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE $247.50 $495.00 $400.35 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION JOINT LARGE $313.50 $627.00 $269.13 52% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 A-CENTESIS ASPRATE INJ LR $335.00 $670.00 $269.13 49% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION JOINT LARGE $313.50 $627.00 $269.13 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 A-CENTESIS ASPRATE INJ LR $335.00 $670.00 $269.13 — 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR INT S/T/E =<2.5CM $234.00 $468.00 $184.94 56% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR INT S/T/E =<2.5CM $234.00 $468.00 $184.94 — 50%
Short leg splint (calf to foot) CPT 29515 SPLINT ANKLE APPLY $166.50 $333.00 $142.90–$269.45 36% below 50%
Short leg splint (calf to foot) CPT 29515 SPLINT LEG SHORT APPLY $166.50 $333.00 $142.90–$269.45 36% below 50%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT ANKLE APPLY $166.50 $333.00 $142.90–$269.45 — 50%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT LEG SHORT APPLY $166.50 $333.00 $142.90–$269.45 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SMPL S/N/T/E =<2.5CM $245.50 $491.00 $194.09–$396.95 32% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR SMPL S/N/T/E =<2.5CM $245.50 $491.00 $194.09–$396.95 — 50%
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 S/N/T/E 2.6-7.5CM $264.00 $528.00 $491.96 42% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SMPL S/N/T/E 2.6-7.5CM $264.00 $528.00 $491.96 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMPL F/E/E/N/L =<2.5CM $220.00 $440.00 $174.14 44% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR SMPL F/E/E/N/L =<2.5CM $220.00 $440.00 $174.14 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs TexasOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMNT SUBSEQU $49.50 $99.00 $38.69–$94.00 76% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMNT INITIAL $49.50 $99.00 $38.69–$94.00 76% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMNT SUBSEQU $49.50 $99.00 $38.69–$94.00 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMNT INITIAL $49.50 $99.00 $38.69–$94.00 — 50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE UP TO 74 MI $1,320.00 $2,640.00 $1,044.82–$2,463.72 49% below 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE UP TO 74 MI $1,320.00 $2,640.00 $1,044.82–$2,463.72 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EK ELECTROCARDIOGRAM $64.50 $129.00 $50.22–$129.00 77% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EK ELECTROCARDIOGRAM $64.50 $129.00 $50.22–$129.00 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/M LEVEL I $196.50 $393.00 $95.00–$170.60 25% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 E/M LEVEL I $196.50 $393.00 $95.00–$170.60 — 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/M LEVEL 2 W/MODIFIER $196.50 $393.00 $66.56–$222.16 58% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/M LEVEL 2 $196.50 $393.00 $66.56–$222.16 58% below 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E/M LEVEL 2 W/MODIFIER $196.50 $393.00 $66.56–$222.16 — 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E/M LEVEL 2 $196.50 $393.00 $66.56–$222.16 — 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/M LEVEL 3 $345.00 $690.00 $66.56–$646.06 58% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/M LEVEL 3 W/MODIFIER $345.00 $690.00 $66.56–$646.06 58% below 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/M LEVEL 3 W/MODIFIER $345.00 $690.00 $66.56–$646.06 — 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/M LEVEL 3 $345.00 $690.00 $66.56–$646.06 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/M LEVEL 4 $605.00 $1,210.00 $136.76–$1,131.16 54% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/M LEVEL 4 W/MODIFIER $605.00 $1,210.00 $136.76–$1,131.16 54% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/M LEVEL 4 W/MODIFIER $605.00 $1,210.00 $136.76–$1,131.16 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/M LEVEL 4 $605.00 $1,210.00 $136.76–$1,131.16 — 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/M LEVEL 5 $702.50 $1,405.00 $540.75–$1,338.00 65% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/M LEVEL 5 W/MODIFIER $702.50 $1,405.00 $540.75–$1,338.00 65% below 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/M LEVEL 5 W/MODIFIER $702.50 $1,405.00 $540.75–$1,338.00 — 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/M LEVEL 5 $702.50 $1,405.00 $540.75–$1,338.00 — 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 US STRESS CARDIAC TEST $142.50 $285.00 $112.63–$149.05 89% below 50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 US STRESS CARDIAC TEST $142.50 $285.00 $112.63–$149.05 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INITIAL 1HR W/MODIFIER $281.00 $562.00 $222.00–$524.30 37% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INITIAL 1HR $281.00 $562.00 $222.00–$524.30 37% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INITIAL HR TX RM $306.50 $613.00 $222.00–$524.30 32% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INITIAL 1HR W/MODIFIER $281.00 $562.00 $222.00–$524.30 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INITIAL 1HR $281.00 $562.00 $222.00–$524.30 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INITIAL HR TX RM $306.50 $613.00 $222.00–$524.30 — 50%
IV infusion of a medicine, first hour CPT 96365 IV INF TX PX TX TO 1HR $281.00 $562.00 $220.21–$524.30 40% below 50%
IV infusion of a medicine, first hour CPT 96365 IV INF TX PX TX TO 1HR W/MODIFIER $281.00 $562.00 $220.21–$524.30 40% below 50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX PX TX TO 1HR $281.00 $562.00 $220.21–$524.30 — 50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX PX TX TO 1HR W/MODIFIER $281.00 $562.00 $220.21–$524.30 — 50%
IV push of a medicine, first drug CPT 96374 IVP INITIAL DRUG $118.00 $236.00 $93.09–$190.40 49% below 50%
IV push of a medicine, first drug CPT 96374 IVP INITIAL DRUG W/MODIFIER $124.00 $248.00 $95.38–$231.28 46% below 50%
IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL DRUG $118.00 $236.00 $93.09–$190.40 — 50%
IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL DRUG W/MODIFIER $124.00 $248.00 $95.38–$231.28 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION $58.50 $117.00 $46.13–$65.94 62% below 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION W/MODIFIER $59.50 $119.00 $46.97–$112.94 61% below 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SUBQ INJECTION $58.50 $117.00 $46.13–$65.94 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SUBQ INJECTION W/MODIFIER $59.50 $119.00 $46.97–$112.94 — 50%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUCATION $67.50 $135.00 $52.68–$108.80 40% below 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR REEDUCATION $67.50 $135.00 $52.68–$108.80 — 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ACETAMINOPHEN 650MG ER TAB $23.00 $46.00 $317.12 87% below 50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ACETAMINOPHEN 650MG ER TAB $23.00 $46.00 $317.12 — 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION COMPLEX $239.50 $479.00 $188.19–$387.60 22% below 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION COMPLEX $239.50 $479.00 $188.19–$387.60 — 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW $153.50 $307.00 $120.69–$248.20 23% below 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW $153.50 $307.00 $120.69–$248.20 — 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE $192.50 $385.00 $151.15–$311.10 24% below 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE $192.50 $385.00 $151.15–$311.10 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN $67.50 $135.00 $52.68–$108.80 40% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JOINT MOBILIZATION EA 15 $67.50 $135.00 $52.68–$108.80 40% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY EA 15 MIN $67.50 $135.00 $52.68–$108.80 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JOINT MOBILIZATION EA 15 $67.50 $135.00 $52.68–$108.80 — 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISES PER 15 MINUTES $70.00 $140.00 $54.75–$226.10 38% below 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT EXERCISES PER 15 MINUTES $70.00 $140.00 $54.75–$226.10 — 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES $70.00 $140.00 $55.24–$113.05 38% below 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES $70.00 $140.00 $55.24–$113.05 — 50%

Vaccines

ProcedureCash price List priceInsurers payvs TexasOff list
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 ACTHIB VL(TETANUS TOXOID)PFS $26.00 $52.00 $20.36–$41.65 79% below 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTH/TET TOX VAC 0.5ML $26.00 $52.00 $20.36–$41.65 79% below 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTH/TET TOX VAC 0.5ML $26.00 $52.00 $20.36–$41.65 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 ACTHIB VL(TETANUS TOXOID)PFS $26.00 $52.00 $20.36–$41.65 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION IMMUNIZATION $61.50 $123.00 $48.16–$100.00 18% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJECTION IMMUNIZATION $61.50 $123.00 $48.16–$100.00 — 50%

Source file: https://hospitalpricetransparencyfiles.com/sutton-county-hospital-district/752152933_Sutton-County-Hospital-District_standardcharges.csv