Muenster Memorial Hospital
Muenster Memorial Hospital in Muenster, TX publishes cash prices for 239 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 193 of 236 procedures and above it for 42. By typical cash price it ranks #36 of 257 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
605 N Maple Street, Muenster, TX 76252 Collected Sep 27, 2026 Source price file (940) 759-2271
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451335 · 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 one side CPT 73610 Ankle 3 Views Lt | $225.00 | $300.00 | $113.00–$225.00 | 37% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 Views Rt | $225.00 | $300.00 | $113.00–$225.00 | 37% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Physiologic Studies Up/lo | $300.00 | $400.00 | $151.00–$300.00 | 54% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ankle Brachial Index | $600.00 | $800.00 | $302.00–$600.00 | 9% below | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xray, Esophagus | $375.00 | $500.00 | $189.00–$375.00 | 25% below | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan | $750.00 | $1,000.00 | $377.00–$750.00 | 59% below | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imag/whole Body | $750.00 | $1,000.00 | $377.00–$750.00 | 59% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 Sono-uni-lat Breast Rt Complet | $300.00 | $400.00 | $151.00–$300.00 | 32% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 Sono-uni-lat Breast Lt Complet | $300.00 | $400.00 | $151.00–$300.00 | 32% below | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Non Coronary | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 60% below | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring | $188.00 | $250.00 | $94.00–$188.00 | 1% below | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis Wo Cont | $563.00 | $750.00 | $283.00–$563.00 | 83% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $600.00 | $800.00 | $302.00–$600.00 | 85% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/pelvis W/wo | $750.00 | $1,000.00 | $377.00–$750.00 | 82% below | 25% |
| CT scan of the abdomen with contrast CPT 74160 Ct-abdomen W/contrast | $525.00 | $700.00 | $264.00–$525.00 | 80% below | 25% |
| CT scan of the abdomen without contrast CPT 74150 Ct-abdomen-w/o Contrast | $488.00 | $650.00 | $245.00–$488.00 | 77% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct-paranasal Sinus W/o Con | $488.00 | $650.00 | $245.00–$488.00 | 71% below | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $488.00 | $650.00 | $245.00–$488.00 | 74% below | 25% |
| CT scan of the head with contrast CPT 70460 Ct-head W/contrast | $525.00 | $700.00 | $264.00–$525.00 | 70% below | 25% |
| CT scan of the head without and with contrast CPT 70470 Ct-head W/o & W/contrast | $750.00 | $1,000.00 | $377.00–$750.00 | 68% below | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct-l/spine W/o Contrast | $488.00 | $650.00 | $245.00–$488.00 | 76% below | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct-c/spine W/o Contrast | $488.00 | $650.00 | $245.00–$488.00 | 77% below | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C Spine W/o Contrast | $488.00 | $650.00 | $245.00–$488.00 | 77% below | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $525.00 | $700.00 | $264.00–$525.00 | 76% below | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carot-duplex Scn-ex'crani | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 20% below | 25% |
| Chest X-ray, 2 views CPT 71046 Chest 2 Views | $150.00 | $200.00 | $75.00–$150.00 | 62% below | 25% |
| Chest X-ray, single view CPT 71045 Chest 1 View P | $131.00 | $175.00 | $66.00–$131.00 | 60% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us R-perit Real Time Cmpl | $375.00 | $500.00 | $189.00–$375.00 | 49% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Sono-renal Echo B-mode | $413.00 | $550.00 | $207.00–$413.00 | 44% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct-chest W/o Contrast | $488.00 | $650.00 | $245.00–$488.00 | 74% below | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct-chest W/contrast | $525.00 | $700.00 | $264.00–$525.00 | 76% below | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial-u/s-bilat-lower Ex | $1,200.00 | $1,600.00 | $603.00–$1,200.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Syst-com Bilat Scn | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 57% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3 Views Rt | $225.00 | $300.00 | $113.00–$225.00 | 32% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3 Views Lt | $225.00 | $300.00 | $113.00–$225.00 | 32% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 Knee, 3 Views (Sunrise) Lt | $338.00 | $450.00 | $170.00–$338.00 | 2% above | 25% |
| Knee X-ray, 3 views one side CPT 73562 Knee, 3 Views (Sunrise) Rt | $338.00 | $450.00 | $170.00–$338.00 | 2% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono-abdomen-limited Echo | $300.00 | $400.00 | $151.00–$300.00 | 52% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us S.t. Lower Back | $300.00 | $400.00 | $151.00–$300.00 | 52% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono-gallbladder Echo | $413.00 | $550.00 | $207.00–$413.00 | 34% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Sono-pancreas Echo B-mode | $413.00 | $550.00 | $207.00–$413.00 | 34% below | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct-lung Screening Low Dose | $488.00 | $650.00 | $245.00–$488.00 | 103% above | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Mpi Lexi Scan Rest And Stress | $2,625.00 | $3,500.00 | $1,320.00–$2,625.00 | 39% below | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Pelvic Limited | $225.00 | $300.00 | $113.00–$225.00 | 54% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Sono-pelvic Mass Evaulat. | $450.00 | $600.00 | $226.00–$450.00 | 48% below | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $488.00 | $650.00 | $245.00–$488.00 | 25% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us <14 Weeks | $188.00 | $250.00 | $94.00–$188.00 | 71% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Below Fourteen Weeks | $338.00 | $450.00 | $170.00–$338.00 | 47% below | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 Views Rt | $150.00 | $200.00 | $75.00–$150.00 | 51% below | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 Views Lt | $150.00 | $200.00 | $75.00–$150.00 | 51% below | 25% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo Cont Monitor | $1,500.00 | $2,000.00 | $754.00–$1,500.00 | 45% below | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Esophagus Radiologic Examin | $375.00 | $500.00 | $189.00–$375.00 | 38% below | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Transvag Ob | $450.00 | $600.00 | $226.00–$450.00 | 20% below | 25% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $413.00 | $550.00 | $207.00–$413.00 | 52% below | 25% |
| Ultrasound of the scrotum and testicles both sides CPT 76870 Testicular U/s Bilateral | $338.00 | $450.00 | $170.00–$338.00 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Submandibular Gland Sono | $300.00 | $400.00 | $151.00–$300.00 | 52% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Sono Soft Tissue Neck | $300.00 | $400.00 | $151.00–$300.00 | 52% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Thyroid | $300.00 | $400.00 | $151.00–$300.00 | 52% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Unilateral Venous Duplex Lt | $600.00 | $800.00 | $302.00–$600.00 | 25% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Unilateral Venous Duplex Rt | $600.00 | $800.00 | $302.00–$600.00 | 25% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Sy-unilat Dplx Sca | $600.00 | $800.00 | $302.00–$600.00 | 25% below | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3 Views Rt | $225.00 | $300.00 | $113.00–$225.00 | 28% below | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3 Views Lt | $225.00 | $300.00 | $113.00–$225.00 | 28% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Uni W/pelvis 2-3 Views Rt | $225.00 | $300.00 | $113.00–$225.00 | 39% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Uni W/pelvis 2-3 Views Lt | $225.00 | $300.00 | $113.00–$225.00 | 39% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View | $131.00 | $175.00 | $66.00–$131.00 | 61% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen--kub--upright | $131.00 | $175.00 | $66.00–$131.00 | 61% below | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle-2 Views Lt | $150.00 | $200.00 | $75.00–$150.00 | 47% below | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle-2 Views Rt | $150.00 | $200.00 | $75.00–$150.00 | 47% below | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Lt | $150.00 | $200.00 | $75.00–$150.00 | 47% below | 25% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Rt | $150.00 | $200.00 | $75.00–$150.00 | 47% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger 2 Views Rt | $150.00 | $200.00 | $75.00–$150.00 | 38% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger 2 Views Lt | $150.00 | $200.00 | $75.00–$150.00 | 38% below | 25% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Rt | $150.00 | $200.00 | $75.00–$150.00 | 55% below | 25% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Lt | $150.00 | $200.00 | $75.00–$150.00 | 55% below | 25% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 Views Lt | $150.00 | $200.00 | $75.00–$150.00 | 55% below | 25% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 Views Rt | $150.00 | $200.00 | $75.00–$150.00 | 55% below | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3 Views Lt | $225.00 | $300.00 | $113.00–$225.00 | 39% below | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3 Views Rt | $225.00 | $300.00 | $113.00–$225.00 | 39% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand 3 Views Lt | $225.00 | $300.00 | $113.00–$225.00 | 37% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand 3 Views Rt | $225.00 | $300.00 | $113.00–$225.00 | 37% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2 Views Lt | $150.00 | $200.00 | $75.00–$150.00 | 46% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2 Views Rt | $150.00 | $200.00 | $75.00–$150.00 | 46% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine-lumbar-3 Views | $225.00 | $300.00 | $113.00–$225.00 | 52% below | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $338.00 | $450.00 | $170.00–$338.00 | 48% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2view | $150.00 | $200.00 | $75.00–$150.00 | 63% below | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nose 3 Views | $132.00 | $176.00 | $66.00–$132.00 | 54% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 3v | $225.00 | $300.00 | $113.00–$225.00 | 40% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 3 Views | $225.00 | $300.00 | $113.00–$225.00 | 40% below | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 Views | $150.00 | $200.00 | $75.00–$150.00 | 60% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Coccyx/sacrum Min 2 View | $150.00 | $200.00 | $75.00–$150.00 | 54% below | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt/sgpt, Transferase | $63.00 | $84.00 | $32.00–$63.00 | 7% above | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast/sgot, Tranferase | $63.00 | $84.00 | $32.00–$63.00 | 7% above | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute | $225.00 | $300.00 | $113.00–$225.00 | 42% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut (F256) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond (F20) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut (F17) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut (F36) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio (F203) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sunflower Seed (K84) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed (F10) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut (F202) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut (F18) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Mix (F245) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Total W/reflex | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry (F44) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut (F201) Ige | $23.00 | $31.00 | $12.00–$23.00 | 7% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rasberry (Rf343) Ige | $23.00 | $30.00 | $11.00–$23.00 | 7% below | 23% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Comp Panel (F232,f233) Ige | $47.00 | $63.00 | $24.00–$47.00 | 90% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel,reg 10,weeds | $122.00 | $163.00 | $61.00–$122.00 | 392% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel,reg 10,trees | $122.00 | $163.00 | $61.00–$122.00 | 392% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel,reg 10,grasses | $122.00 | $163.00 | $61.00–$122.00 | 392% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile | $170.00 | $227.00 | $86.00–$170.00 | 586% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Profile, Tx | $569.00 | $758.00 | $286.00–$569.00 | 2196% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody | $100.00 | $133.00 | $50.00–$100.00 | 89% above | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Choice Cascading Rflx | $56.00 | $75.00 | $28.00–$56.00 | 39% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen W Reflex Ifa | $61.00 | $81.00 | $31.00–$61.00 | 33% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp B-natriuretic Peptide | $89.00 | $118.00 | $44.00–$89.00 | 54% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probnp, N-terminal | $97.00 | $129.00 | $49.00–$97.00 | 49% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $113.00 | $150.00 | $57.00–$113.00 | 56% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical-pathology Lev Iv | $75.00 | $100.00 | $38.00–$75.00 | 75% below | 25% |
| Blood culture for bacteria CPT 87040 Culture Blood | $93.00 | $124.00 | $47.00–$93.00 | 61% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Coll Fee-muenster Hospita | $11.00 | $15.00 | $6.00–$11.00 | 46% below | 27% |
| Blood glucose (sugar) test CPT 82947 Glucose, Blood | $19.00 | $25.00 | $9.00–$19.00 | 61% below | 24% |
| Blood glucose (sugar) test CPT 82947 Fhc Assay Glucose Blood Quant | $19.00 | $25.00 | $9.00–$19.00 | 61% below | 24% |
| Blood glucose (sugar) test CPT 82947 Gluc Fast/post Prandial 2 Hr | $35.00 | $46.00 | $17.00–$35.00 | 29% below | 24% |
| Blood lead test CPT 83655 Lead, Blood (Osha) | $53.00 | $71.00 | $27.00–$53.00 | 1% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Blood | $57.00 | $76.00 | $29.00–$57.00 | 68% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Discrepancy | $113.00 | $150.00 | $57.00–$113.00 | 25% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo Discrepancy | $169.00 | $225.00 | $85.00–$169.00 | 87% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $188.00 | $250.00 | $94.00–$188.00 | 108% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $52.00 | $69.00 | $26.00–$52.00 | 11% below | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Diff Tox B Qual | $112.00 | $149.00 | $56.00–$112.00 | 40% below | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9, Tumor Antigen | $204.00 | $272.00 | $103.00–$204.00 | 54% above | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125, Tumor Antigen | $143.00 | $191.00 | $72.00–$143.00 | 11% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Molecular Id Now | $113.00 | $150.00 | $57.00–$113.00 | 28% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-covid Rna Naat | $149.00 | $199.00 | $75.00–$149.00 | 68% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Covid 19 Rapid Rt-pcr | $113.00 | $150.00 | $57.00–$113.00 | 28% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars-cov2 Rna Qual Rt Covid19 | $149.00 | $199.00 | $75.00–$149.00 | 68% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis | $83.00 | $111.00 | $42.00–$83.00 | 33% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $75.00 | $100.00 | $38.00–$75.00 | 63% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $53.00 | $71.00 | $27.00–$53.00 | 42% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $30.00 | $40.00 | $15.00–$30.00 | 71% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $158.00 | $210.00 | $79.00–$158.00 | 54% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $129.00 | $172.00 | $65.00–$129.00 | 26% below | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-sulfate | $155.00 | $206.00 | $78.00–$155.00 | 1% above | 25% |
| Estradiol blood test CPT 82670 Estradiol | $113.00 | $150.00 | $57.00–$113.00 | 23% below | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim Ho Adult & Pedi | $104.00 | $139.00 | $52.00–$104.00 | 35% below | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $180.00 | $240.00 | $90.00–$180.00 | 16% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $95.00 | $126.00 | $48.00–$95.00 | 8% below | 25% |
| Folate (folic acid) blood test CPT 82746 Folic Acid | $88.00 | $117.00 | $44.00–$88.00 | 1% above | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $48.00 | $64.00 | $24.00–$48.00 | 66% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free Direct Dialysis | $91.00 | $121.00 | $46.00–$91.00 | 5% above | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4), Free | $125.00 | $167.00 | $63.00–$125.00 | 44% above | 25% |
| Free testosterone test CPT 84402 Testosterone Free | $106.00 | $141.00 | $53.00–$106.00 | 4% below | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Ogtt 1 Hr (50 Gm) | $46.00 | $61.00 | $23.00–$46.00 | 52% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Ogtt 2 Hr (75 Gm) | $62.00 | $82.00 | $31.00–$62.00 | 62% below | 24% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae Dna | $60.00 | $80.00 | $30.00–$60.00 | 57% below | 25% |
| H. pylori stool antigen test CPT 87338 Heli Pylori/stool Ant Eia | $154.00 | $205.00 | $77.00–$154.00 | 48% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Antibody Hiv 1/2 Eia | $78.00 | $104.00 | $39.00–$78.00 | 45% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Fhc Glycosylated Hemoglobin Te | $30.00 | $40.00 | $15.00–$30.00 | 67% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohgb., Hgb A1c | $63.00 | $84.00 | $32.00–$63.00 | 32% below | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen (Hbsag) | $56.00 | $75.00 | $28.00–$56.00 | 24% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C | $180.00 | $240.00 | $90.00–$180.00 | 107% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C, Viral Load | $396.00 | $528.00 | $199.00–$396.00 | 35% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes S Type I Igm | $88.00 | $117.00 | $44.00–$88.00 | 9% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type 1 | $184.00 | $245.00 | $92.00–$184.00 | 128% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes S Type Ii Igm | $88.00 | $117.00 | $44.00–$88.00 | 2% below | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 Test | $226.00 | $301.00 | $113.00–$226.00 | 151% above | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio Crp | $64.00 | $85.00 | $32.00–$64.00 | 20% below | 25% |
| Homocysteine blood test CPT 83090 Homocysteine | $180.00 | $240.00 | $90.00–$180.00 | 20% above | 25% |
| Insulin blood test CPT 83525 Insulin Level | $117.00 | $156.00 | $59.00–$117.00 | 40% above | 25% |
| Iron blood test (serum iron) CPT 83540 Iron | $34.00 | $45.00 | $17.00–$34.00 | 62% below | 24% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capac | $34.00 | $45.00 | $17.00–$34.00 | 65% below | 24% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $113.00 | $150.00 | $57.00–$113.00 | 61% below | 25% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Horm Adult & Pedi | $104.00 | $138.00 | $52.00–$104.00 | 31% below | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $52.00 | $69.00 | $26.00–$52.00 | 47% below | 25% |
| Liver function blood test panel CPT 80076 Liver function blood test | $150.00 | $200.00 | $75.00–$150.00 | 48% below | 25% |
| Magnesium blood test CPT 83735 Magnesium | $59.00 | $79.00 | $30.00–$59.00 | 34% above | 25% |
| Measles (rubeola) antibody test CPT 86765 Rubeola | $98.00 | $130.00 | $49.00–$98.00 | 240% above | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Fhc Heterophile Antibody Scree | $26.00 | $35.00 | $13.00–$26.00 | 72% below | 26% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test | $49.00 | $65.00 | $25.00–$49.00 | 47% below | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $35.00 | $46.00 | $17.00–$35.00 | 69% below | 24% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $128.00 | $170.00 | $64.00–$128.00 | 45% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone | $164.00 | $218.00 | $82.00–$164.00 | 24% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $56.00 | $75.00 | $28.00–$56.00 | 5% above | 25% |
| Progesterone blood test CPT 84144 Progesterone Level | $103.00 | $137.00 | $52.00–$103.00 | 10% below | 25% |
| Prolactin blood test CPT 84146 Prolactin | $135.00 | $180.00 | $68.00–$135.00 | 17% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $55.00 | $73.00 | $28.00–$55.00 | 16% above | 25% |
| Rapid flu test (influenza antigen) CPT 87804 Fhc Influenza Assay W/optic | $45.00 | $60.00 | $23.00–$45.00 | 53% below | 25% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A&b Quick | $74.00 | $99.00 | $37.00–$74.00 | 22% below | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Screen Direct | $23.00 | $30.00 | $11.00–$23.00 | 77% below | 23% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Fhc Strep A Assay W/optic | $26.00 | $35.00 | $13.00–$26.00 | 74% below | 26% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arth (Ra/rf) | $47.00 | $63.00 | $24.00–$47.00 | 14% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $59.00 | $79.00 | $30.00–$59.00 | 49% above | 25% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites Smears | $38.00 | $50.00 | $19.00–$38.00 | 59% below | 24% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fhc Assay Test For Blood Fecal | $26.00 | $35.00 | $13.00–$26.00 | 64% below | 26% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (Dx) W Reflex To Titer | $11.00 | $15.00 | $6.00–$11.00 | 79% below | 27% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl, Serum | $39.00 | $52.00 | $20.00–$39.00 | 27% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Gold Quantiferon | $242.00 | $323.00 | $122.00–$242.00 | 10% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total | $75.00 | $100.00 | $38.00–$75.00 | 38% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibo | $53.00 | $71.00 | $27.00–$53.00 | 41% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Lkm 1 Antibody Igg(liver) | $61.00 | $81.00 | $31.00–$61.00 | 32% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Autoantibodies | $155.00 | $207.00 | $78.00–$155.00 | 73% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $110.00 | $146.00 | $55.00–$110.00 | 11% below | 25% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Va Rna Ql Tma Male | $128.00 | $170.00 | $64.00–$128.00 | 46% above | 25% |
| Uric acid blood test CPT 84550 Uric Acid | $52.00 | $69.00 | $26.00–$52.00 | 52% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $38.00 | $51.00 | $19.00–$38.00 | 68% below | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $17.00 | $22.00 | $8.00–$17.00 | 66% below | 23% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $8.00 | $10.00 | $4.00–$8.00 | 78% below | 20% |
| Urine culture for bacteria, with colony count CPT 87086 Culture-urine | $44.00 | $58.00 | $22.00–$44.00 | 69% below | 24% |
| Urine pregnancy test, read by color change CPT 81025 Fhc Urine Pregnancy Test | $38.00 | $50.00 | $19.00–$38.00 | 58% below | 24% |
| Urine pregnancy test, read by color change CPT 81025 Pregnacy Test Urine | $57.00 | $76.00 | $29.00–$57.00 | 37% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vit B-12, Cyanocobalamin | $95.00 | $126.00 | $48.00–$95.00 | 5% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D, 25-hydroxy | $45.00 | $60.00 | $23.00–$45.00 | 60% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D 25-hydroxy Tot Immuno | $45.00 | $60.00 | $23.00–$45.00 | 60% below | 25% |
| Zinc blood test CPT 84630 Zinc | $61.00 | $81.00 | $31.00–$61.00 | 12% below | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Quant. (B-hcg) | $110.00 | $147.00 | $55.00–$110.00 | 1% above | 25% |
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 Clsd Tx Dst Fib Fx Wo Man | $375.00 | $500.00 | $189.00–$375.00 | 20% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External | $900.00 | $1,200.00 | $452.00–$900.00 | 41% below | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clo Tx Dstl Rad Fx S Mnp | $375.00 | $500.00 | $189.00–$375.00 | 27% below | 25% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $2,625.00 | $3,500.00 | $1,320.00–$2,625.00 | 117% above | 25% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $2,625.00 | $3,500.00 | $1,320.00–$2,625.00 | 119% above | 25% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $2,325.00 | $3,100.00 | $1,169.00–$2,325.00 | 51% above | 25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Pneu0.5s6 Pneumoc 20-val Conj-dip Crm/pf 0.5 Ml Syringe | $435.00 | $580.00 | $219.00–$435.00 | 61% below | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Fhc Destruct Premalg Lesion | $75.00 | $100.00 | $38.00–$75.00 | 63% below | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destrct Bgn Lesion 1st | $300.00 | $400.00 | $151.00–$300.00 | 48% above | 25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Un | $20.00 | $27.00 | $9.00–$20.00 | 84% below | 26% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Fhc Remove Impacted Ear Wax Un | $23.00 | $30.00 | $11.00–$23.00 | 81% below | 23% |
| Earwax removal with instruments, one ear CPT 69210 Fhc Remove Impacted Ear Wax Un | $38.00 | $50.00 | $19.00–$38.00 | 76% below | 24% |
| Earwax removal with instruments, one ear CPT 69210 Er Rmve Impacted Cerumen | $113.00 | $150.00 | $57.00–$113.00 | 27% below | 25% |
| Earwax removal with instruments, one ear CPT 69210 Tr Rmve Impacted Cerumen | $188.00 | $250.00 | $94.00–$188.00 | 21% above | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible | $1,725.00 | $2,300.00 | $867.00–$1,725.00 | 119% above | 25% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $7,125.00 | $9,500.00 | $3,581.00–$7,125.00 | at median | 25% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoid Int/ext Simple | $3,750.00 | $5,000.00 | $1,885.00–$3,750.00 | 3% above | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Fhc Drain Skin Abscess | $150.00 | $200.00 | $75.00–$150.00 | 68% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Of Abscess Simple | $173.00 | $230.00 | $56.00–$173.00 | 63% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abscess Smple | $278.00 | $371.00 | $140.00–$278.00 | 41% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Simple Inpatient | $281.00 | $375.00 | $141.00–$281.00 | 40% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 4 Tennis Elbow | $450.00 | $600.00 | $226.00–$450.00 | 2% above | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Fhc Drain/inj Joint/bursa W/o | $86.00 | $115.00 | $43.00–$86.00 | 85% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro/asp/inj Mjr Jt/brs | $413.00 | $550.00 | $207.00–$413.00 | 30% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major Jnt | $450.00 | $600.00 | $226.00–$450.00 | 24% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Inject | $750.00 | $1,000.00 | $377.00–$750.00 | 27% above | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Fhc Drain/inj Joint/bursa W/o | $75.00 | $100.00 | $38.00–$75.00 | 87% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Int Joint | $600.00 | $800.00 | $302.00–$600.00 | 1% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Fhc Drain/inj Joint/bursa W/o | $56.00 | $75.00 | $28.00–$56.00 | 87% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthocentesis/asp/inj/ Sm Jnt | $450.00 | $600.00 | $226.00–$450.00 | 3% above | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Int Sclp Tnk Ext 2.5</ | $525.00 | $700.00 | $264.00–$525.00 | 1% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intmd Scalp/trunk<2.5 | $750.00 | $1,000.00 | $377.00–$750.00 | 41% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Fhc Exc Tr-ext B9+marg 0.5 Cm< | $188.00 | $250.00 | $94.00–$188.00 | 77% below | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Esc Bgn Les Tnk Ext 0.5< | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 40% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Bgn Les Tnk Ext 0.5< | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 40% above | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Fhc Exc Bgn Les Fce 0.5< | $131.00 | $175.00 | $66.00–$131.00 | 86% below | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Bgn Les Fce 0.5< | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 23% above | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nailplate | $270.00 | $360.00 | $136.00–$270.00 | 17% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Avuls Nail Plate Simp Sgl | $300.00 | $400.00 | $151.00–$300.00 | 8% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nailplate Sin Sm | $375.00 | $500.00 | $189.00–$375.00 | 15% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Fhc Removal Of Nail Bed | $206.00 | $275.00 | $104.00–$206.00 | 71% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Ingrown Nail Er | $525.00 | $700.00 | $264.00–$525.00 | 25% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Ingrown Nail Removal Or | $581.00 | $775.00 | $292.00–$581.00 | 17% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Toenail Tx Room | $1,500.00 | $2,000.00 | $754.00–$1,500.00 | 114% above | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Body Removal Smpl | $91.00 | $121.00 | $57.00–$99.00 | 83% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Fhc Foreign Boby Remov Smple | $263.00 | $350.00 | $132.00–$263.00 | 51% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Inc Rmve Fb Subq Smpl | $525.00 | $700.00 | $264.00–$525.00 | 3% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Boby Remov Smple | $525.00 | $700.00 | $264.00–$525.00 | 3% below | 25% |
| Short arm cast (elbow to hand) CPT 29075 Cast Short Arm Applicatio | $206.00 | $275.00 | $104.00–$206.00 | 33% below | 25% |
| Short arm cast (elbow to hand) CPT 29075 Fhc Application Of Forearm Cas | $263.00 | $350.00 | $132.00–$263.00 | 14% below | 25% |
| Short arm cast (elbow to hand) CPT 29075 Cast Arm Shrt Apply | $375.00 | $500.00 | $189.00–$375.00 | 22% above | 25% |
| Short arm splint (forearm and hand) CPT 29125 Fhc Apply Forearm Splint | $150.00 | $200.00 | $23.00–$150.00 | 48% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 Spint Arm Short Applicatn | $225.00 | $300.00 | $113.00–$225.00 | 22% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Short Apply | $225.00 | $300.00 | $113.00–$225.00 | 22% below | 25% |
| Short leg cast (below the knee) CPT 29405 Cast Leg Shrt Apply | $375.00 | $500.00 | $189.00–$375.00 | 11% above | 25% |
| Short leg splint (calf to foot) CPT 29515 Truekast App/short Leg Spl C-f | $62.00 | $83.00 | $31.00–$62.00 | 78% below | 25% |
| Short leg splint (calf to foot) CPT 29515 Splint Leg Short Apply | $300.00 | $400.00 | $151.00–$300.00 | 7% above | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr S/n/ax/gen/trnk | $113.00 | $150.00 | $25.00–$113.00 | 72% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Fhc Rpr S/n/ax/gen/trnk 2.5cm/ | $113.00 | $150.00 | $57.00–$113.00 | 72% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Sime Fce Ext Ag 2.5</ | $300.00 | $400.00 | $151.00–$300.00 | 25% below | 25% |
| Skin biopsy, punch, one lesion CPT 11104 Fhc Punch Bx Skin Single Lesio | $206.00 | $275.00 | $104.00–$206.00 | 55% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 Fhc Removal Of Skin Tags <W/15 | $113.00 | $150.00 | $57.00–$113.00 | 65% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 Rmve Skin Tags Up To 15 | $270.00 | $360.00 | $136.00–$270.00 | 15% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap Lumbar Punctur | $975.00 | $1,300.00 | $490.00–$975.00 | 7% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Dx | $975.00 | $1,300.00 | $490.00–$975.00 | 7% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Fhc Rpr S/n/ax/gen/trnk2.6-7.5 | $135.00 | $180.00 | $68.00–$135.00 | 71% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr S/n/ax/gen/trnk 2.6-7.5 | $135.00 | $180.00 | $33.00–$135.00 | 71% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Fce Ext Ag 2.6-7.5cm | $375.00 | $500.00 | $189.00–$375.00 | 18% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Fhc Rpr F/e/e/n/l/m 2.5 Cm/< | $128.00 | $170.00 | $64.00–$128.00 | 70% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smpl Face >2.5 Cm | $375.00 | $500.00 | $189.00–$375.00 | 12% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigr Pnt 1 Or 2 Muscle | $750.00 | $1,000.00 | $377.00–$750.00 | 30% above | 25% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd W/dilation | $2,475.00 | $3,300.00 | $1,244.00–$2,475.00 | 69% above | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $2,250.00 | $3,000.00 | $1,131.00–$2,250.00 | 118% above | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $1,875.00 | $2,500.00 | $942.00–$1,875.00 | 76% above | 25% |
| Wart removal, up to 14 warts CPT 17110 Fhc Destruct B9 Lesion 1-14 | $94.00 | $125.00 | $47.00–$94.00 | 55% below | 25% |
| Wart removal, up to 14 warts CPT 17110 Destruct Lesion Up To 14 | $300.00 | $400.00 | $151.00–$300.00 | 42% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Tissue/dermis | $169.00 | $225.00 | $32.00–$169.00 | 84% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Fhc Deb Subq Tissue 20 Sq Cm/< | $244.00 | $325.00 | $123.00–$244.00 | 76% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subq <20cm | $525.00 | $700.00 | $264.00–$525.00 | 49% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/subq | $525.00 | $700.00 | $264.00–$525.00 | 49% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/tissue | $525.00 | $700.00 | $264.00–$525.00 | 49% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Tranfusion 0-2 Hrs | $300.00 | $400.00 | $151.00–$300.00 | 68% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 2-4 Hrs | $600.00 | $800.00 | $302.00–$600.00 | 36% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 4-6 Hrs | $750.00 | $1,000.00 | $377.00–$750.00 | 20% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 6-8 Hrs | $900.00 | $1,200.00 | $452.00–$900.00 | 4% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 8 + Hours | $1,050.00 | $1,400.00 | $528.00–$1,050.00 | 12% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Fhc Airway Inhalation Treatmen | $34.00 | $45.00 | $17.00–$34.00 | 83% below | 24% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment-resp | $150.00 | $200.00 | $75.00–$150.00 | 26% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment-er | $300.00 | $400.00 | $151.00–$300.00 | 47% above | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 Er Crit 31-74 Minutes | $1,125.00 | $1,500.00 | $566.00–$1,125.00 | 57% below | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $30.00 | $40.00 | $15.00–$30.00 | 79% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Fhc Electrocardiogram Tracing | $23.00 | $30.00 | $11.00–$23.00 | 92% below | 23% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram--ekg | $150.00 | $200.00 | $75.00–$150.00 | 49% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Pro Emergency Dept Visit | $56.00 | $75.00 | $6.00–$56.00 | 79% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Emtala Screening | $113.00 | $150.00 | $57.00–$113.00 | 57% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 | $113.00 | $150.00 | $57.00–$113.00 | 57% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Pro Emergency Dept Visit | $75.00 | $100.00 | $23.00–$75.00 | 84% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 | $225.00 | $300.00 | $113.00–$225.00 | 52% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Pro Emergency Dept Visit | $139.00 | $185.00 | $40.00–$139.00 | 83% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 | $375.00 | $500.00 | $189.00–$375.00 | 54% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Pro Emergency Dept Visit | $214.00 | $285.00 | $67.00–$214.00 | 84% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 | $525.00 | $700.00 | $264.00–$525.00 | 61% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Pro Emergency Dept Visit | $338.00 | $450.00 | $98.00–$338.00 | 85% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 | $900.00 | $1,200.00 | $452.00–$900.00 | 60% below | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Testett | $525.00 | $700.00 | $264.00–$525.00 | 64% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Initial | $98.00 | $130.00 | $49.00–$98.00 | 78% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Intitial Hr | $338.00 | $450.00 | $170.00–$338.00 | 25% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Initial Hr | $338.00 | $450.00 | $170.00–$338.00 | 25% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Thrpy Prph Dx | $600.00 | $800.00 | $302.00–$600.00 | 26% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Fhc Ther/proph/diag Inj Sc/im | $19.00 | $25.00 | $9.00–$19.00 | 88% below | 24% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Antibi Admin | $113.00 | $150.00 | $57.00–$113.00 | 32% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther Proph.dx Inj Subq/im | $113.00 | $150.00 | $57.00–$113.00 | 32% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im-subq Admin | $113.00 | $150.00 | $57.00–$113.00 | 32% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther Proph/dx Inj Subq/im | $113.00 | $150.00 | $57.00–$113.00 | 32% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Antibiotic Admin | $113.00 | $150.00 | $57.00–$113.00 | 32% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy 15m Neuroms Re-ed | $69.00 | $92.00 | $35.00–$69.00 | 39% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy 15m Neuro Re-ed | $72.00 | $96.00 | $36.00–$72.00 | 37% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $226.00 | $301.00 | $113.00–$226.00 | at median | 25% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $146.00 | $195.00 | $74.00–$146.00 | 55% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $169.00 | $225.00 | $85.00–$169.00 | 50% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient Visit New | $86.00 | $115.00 | $23.00–$86.00 | 56% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Fhc Office/outpatient Visit Ne | $86.00 | $115.00 | $43.00–$86.00 | 56% below | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low 20 Mins | $150.00 | $200.00 | $75.00–$150.00 | 44% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval Comp 45 Mins | $218.00 | $290.00 | $109.00–$218.00 | 29% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low 20 Mins | $150.00 | $200.00 | $75.00–$150.00 | 37% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod 30 Mins | $165.00 | $220.00 | $83.00–$165.00 | 42% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Joint Mobilization Ea 15m | $65.00 | $86.00 | $32.00–$65.00 | 42% below | 24% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Tx Techniq Ea 15m | $65.00 | $86.00 | $32.00–$65.00 | 42% below | 24% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $69.00 | $92.00 | $35.00–$69.00 | 44% below | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $109.00 | $145.00 | $55.00–$109.00 | 22% below | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $146.00 | $195.00 | $74.00–$146.00 | 1% above | 25% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Fhc Prev Visit Est Age 18-39 | $113.00 | $150.00 | $57.00–$113.00 | 3% below | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Fhc Prev Visit Est Age 40-64 | $143.00 | $190.00 | $72.00–$143.00 | 16% below | 25% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Fhc Per Pm Reeval Est Pat 65+ | $169.00 | $225.00 | $85.00–$169.00 | 4% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Fhc Office/outpatient Visit Es | $131.00 | $175.00 | $66.00–$131.00 | 58% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Fhc/office Outpatient Visit Es | $75.00 | $100.00 | $33.00–$75.00 | 63% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Fhc Office/outpatient Visit Es | $75.00 | $100.00 | $38.00–$75.00 | 63% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Outpt Visit Est Level 3 | $226.00 | $301.00 | $113.00–$226.00 | 11% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Fhc Office/outpatient Visit Es | $94.00 | $125.00 | $47.00–$94.00 | 58% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Fhc/office Outpatient Visit Es | $120.00 | $160.00 | $48.00–$120.00 | 46% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Fhc Office/outpatient Visit Es | $64.00 | $85.00 | $32.00–$64.00 | 61% below | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $214.00 | $285.00 | $107.00–$214.00 | 32% above | 25% |
| Speech and language evaluation CPT 92523 Eval Speech Sound Prod W/lang | $416.00 | $555.00 | $209.00–$416.00 | 2% below | 25% |
| Speech therapy session, individual CPT 92507 Tx Sp/he/vce/aud Comm 15 | $41.00 | $55.00 | $21.00–$41.00 | 82% below | 25% |
| Speech therapy session, individual CPT 92507 Tx Sp/hr/vce/aud/comm 30 | $79.00 | $105.00 | $40.00–$79.00 | 66% below | 25% |
| Speech therapy session, individual CPT 92507 Tx Sp/hr/vce/aud/comm 45 | $120.00 | $160.00 | $60.00–$120.00 | 48% below | 25% |
| Speech therapy session, individual CPT 92507 Tx Sp/hr/vce/aud/comm | $174.00 | $232.00 | $87.00–$174.00 | 24% below | 25% |
| Speech therapy session, individual CPT 92507 Tx Sp/hr/vce/aud/comm 75 | $206.00 | $275.00 | $104.00–$206.00 | 10% below | 25% |
| Speech therapy session, individual CPT 92507 Tx Sp/hr/vce/aud/comm 90 | $248.00 | $330.00 | $124.00–$248.00 | 8% above | 25% |
| Spirometry (breathing test) CPT 94010 Fhc Breathing Capacity Test | $38.00 | $50.00 | $19.00–$38.00 | 90% below | 24% |
| Spirometry before and after a bronchodilator CPT 94060 Fhc Evaluation Of Wheezing | $75.00 | $100.00 | $38.00–$75.00 | 88% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy Actvty 1 1 Ea 15m | $81.00 | $108.00 | $41.00–$81.00 | 31% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy Actvty 1 1ea 15mn | $81.00 | $108.00 | $41.00–$81.00 | 31% below | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Fhc Var Vaccine Live Subq | $75.00 | $100.00 | $38.00–$75.00 | 85% below | 25% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Fhc 9vhpv Vaccine 2/3 Dose Im | $309.00 | $412.00 | $155.00–$309.00 | 68% below | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 Fhc Hepa Vaccine Adult Im | $131.00 | $175.00 | $66.00–$131.00 | 42% below | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Fhc Hepb Vaccine 3 Dose Adult | $131.00 | $175.00 | $66.00–$131.00 | 27% below | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fhc Flu Vaccine High Dose | $56.00 | $75.00 | $28.00–$56.00 | 62% below | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fhc Iiv No Prsv Increased Ag I | $56.00 | $75.00 | $28.00–$56.00 | 62% below | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Fhc Mmr Vaccine Sc | $45.00 | $60.00 | $23.00–$45.00 | 82% below | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Fhc Menacwyd/menacwycrm Vacc I | $281.00 | $375.00 | $141.00–$281.00 | 21% below | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Fhc Ppsv23 Vacc 2 Yrs+ Subq/im | $120.00 | $160.00 | $60.00–$120.00 | 54% below | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Fhc Td Vacc No Presv 7 Yrs+ Im | $45.00 | $60.00 | $23.00–$45.00 | 66% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Fhc Tdap Vaccine 7 Yrs/> Im | $45.00 | $60.00 | $23.00–$45.00 | 73% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Fhc Immunization Admin | $19.00 | $25.00 | $9.00–$19.00 | 75% below | 24% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $113.00 | $150.00 | $57.00–$113.00 | 46% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Imuunization Administratn | $113.00 | $150.00 | $57.00–$113.00 | 46% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Fhc Immunization Admin Each Ad | $8.00 | $10.00 | $4.00–$8.00 | 85% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin 2 Or More | $19.00 | $25.00 | $9.00–$19.00 | 64% below | 24% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm Each Add | $19.00 | $25.00 | $9.00–$19.00 | 64% below | 24% |