Citizens Medical Center County of Victoria
Citizens Medical Center County of Victoria in Victoria, TX publishes cash prices for 252 common procedures listed here, from its own machine-readable price file updated Jul 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 228 of 248 procedures and above it for 20. By typical cash price it ranks #42 of 244 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2701 Hospital Dr Collected Sep 28, 2026 Source price file (361) 573-9181
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 450023 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray Exam Ankle 3+ Views | $255.50 | $511.00 | $25.68–$511.00 | 30% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray Exam Ankle 3+ Views | $255.50 | $511.00 | $189.07–$511.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 T-Com - 1-2 Levels | $182.50 | $365.00 | $44.68–$800.00 | 74% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arterial - Abi/Allens | $182.50 | $365.00 | $44.68–$800.00 | 74% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 T-Com - 1-2 Levels | $182.50 | $365.00 | $135.05–$365.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arterial - Abi/Allens | $182.50 | $365.00 | $135.05–$365.00 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-Ray Xm Esophagus 1Cntrst | $254.50 | $509.00 | $62.06–$509.00 | 49% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-Ray Xm Esophagus 1Cntrst | $254.50 | $509.00 | $188.33–$509.00 | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan Whole Body | $1,192.50 | $2,385.00 | $205.70–$2,385.00 | 35% below | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Scan Whole Body | $1,192.50 | $2,385.00 | $882.45–$2,385.00 | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete | $227.50 | $455.00 | $61.75–$455.00 | 49% below | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound Breast Complete | $227.50 | $455.00 | $168.35–$455.00 | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited | $227.50 | $455.00 | $47.98–$455.00 | 34% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast Limited | $227.50 | $455.00 | $168.35–$455.00 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest | $2,084.50 | $4,169.00 | $168.42–$4,169.00 | 36% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angiography Chest | $2,084.50 | $4,169.00 | $1,542.53–$4,169.00 | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Coronary Angio W/Recon | $1,976.50 | $3,953.00 | $175.06–$3,953.00 | 19% above | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Coronary Angio W/Recon | $1,976.50 | $3,953.00 | $1,462.61–$3,953.00 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Coronary Art Calcium Scoring | $190.00 | $380.00 | $68.47–$1,361.00 | 2% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Coronary Art Calcium Scoring | $190.00 | $380.00 | $140.60–$380.00 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis | $2,358.50 | $4,717.00 | $95.97–$4,717.00 | 30% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd & Pelvis | $2,358.50 | $4,717.00 | $1,745.29–$4,717.00 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd & Pelv W/Contrast | $2,553.00 | $5,106.00 | $202.05–$5,106.00 | 34% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd & Pelv W/Contrast | $2,553.00 | $5,106.00 | $1,889.22–$5,106.00 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd & Pelv 1/.Regns | $2,624.50 | $5,249.00 | $228.02–$5,249.00 | 37% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd & Pelv 1/.Regns | $2,624.50 | $5,249.00 | $1,942.13–$5,249.00 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abd W Contrast | $2,161.00 | $4,322.00 | $159.86–$4,322.00 | 19% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abd W Contrast | $2,161.00 | $4,322.00 | $1,599.14–$4,322.00 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abd Wo Contrast | $1,769.50 | $3,539.00 | $75.80–$3,539.00 | 19% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abd Wo Contrast | $1,769.50 | $3,539.00 | $1,309.43–$3,539.00 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct - Mf Wo Contr | $1,415.50 | $2,831.00 | $82.22–$2,831.00 | 17% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct - Mf Wo Contr | $1,415.50 | $2,831.00 | $1,047.47–$2,831.00 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct - Head/Brain Wo Contrast | $1,583.00 | $3,166.00 | $62.66–$3,166.00 | 20% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct - Head/Brain Wo Contrast | $1,583.00 | $3,166.00 | $1,171.42–$3,166.00 | — | 50% |
| CT scan of the head with contrast CPT 70460 Ct - Head/Brain W Contrast | $1,739.50 | $3,479.00 | $89.56–$3,479.00 | 13% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 Ct - Head/Brain W Contrast | $1,739.50 | $3,479.00 | $1,287.23–$3,479.00 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 Ct- Head/Brain W & Wo Contrast | $1,819.50 | $3,639.00 | $106.68–$3,639.00 | 22% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct- Head/Brain W & Wo Contrast | $1,819.50 | $3,639.00 | $1,346.43–$3,639.00 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Ls Wo Contrast | $1,975.50 | $3,951.00 | $77.64–$3,951.00 | 13% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Ls Wo Contrast | $1,975.50 | $3,951.00 | $1,461.87–$3,951.00 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cerv Spine Wo Contr | $1,975.50 | $3,951.00 | $78.25–$3,951.00 | 6% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cerv Spine Wo Contr | $1,975.50 | $3,951.00 | $1,461.87–$3,951.00 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis; W Contr | $1,854.50 | $3,709.00 | $161.08–$3,709.00 | 18% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis; W Contr | $1,854.50 | $3,709.00 | $1,372.33–$3,709.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Scan; Bilat | $419.50 | $839.00 | $137.54–$839.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Scan; Bilat | $419.50 | $839.00 | $310.43–$839.00 | — | 50% |
| Chest X-ray, 2 views CPT 71046 Chest 2 Views | $245.50 | $491.00 | $21.39–$491.00 | 41% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views | $245.50 | $491.00 | $181.67–$491.00 | — | 50% |
| Chest X-ray, single view CPT 71045 Chest Single View | $165.50 | $331.00 | $15.90–$331.00 | 52% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 Chest Single View | $165.50 | $331.00 | $122.47–$331.00 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Exam Abdo Back Wall Comp | $656.50 | $1,313.00 | $66.94–$1,313.00 | 12% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Exam Abdo Back Wall Comp | $656.50 | $1,313.00 | $485.81–$1,313.00 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Densitometry | $229.00 | $458.00 | $27.51–$458.00 | 45% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Densitometry | $229.00 | $458.00 | $169.46–$458.00 | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Densi/Periph 1+ Site | $111.50 | $223.00 | $20.78–$223.00 | 49% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa Bone Densi/Periph 1+ Site | $111.50 | $223.00 | $82.51–$223.00 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Sngl Fetus | $392.50 | $785.00 | $80.98–$785.00 | 53% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Us Detailed Sngl Fetus | $392.50 | $785.00 | $290.45–$785.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax; Wo Contrast | $1,846.00 | $3,692.00 | $77.32–$3,692.00 | 6% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax; Wo Contrast | $1,846.00 | $3,692.00 | $1,366.04–$3,692.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax; W Contrast | $1,976.50 | $3,953.00 | $105.14–$3,953.00 | 12% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax; W Contrast | $1,976.50 | $3,953.00 | $1,462.61–$3,953.00 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi | $297.00 | $594.00 | $72.71–$594.00 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi | $297.00 | $594.00 | $219.78–$594.00 | — | 50% |
| Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Uni | $247.50 | $495.00 | $60.59–$495.00 | 9% below | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Uni | $247.50 | $495.00 | $183.15–$495.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial; Pseudoscan - Bilat. | $351.00 | $702.00 | $182.78–$800.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Scan - Arterial Lower | $351.00 | $702.00 | $182.78–$800.00 | 85% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Us Duplex Arterial Lower | $351.00 | $702.00 | $182.78–$800.00 | 85% below | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Arterial; Pseudoscan - Bilat. | $351.00 | $702.00 | $259.74–$702.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Duplex Scan - Arterial Lower | $351.00 | $702.00 | $259.74–$702.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Us Duplex Arterial Lower | $351.00 | $702.00 | $259.74–$702.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Us - Lower; Bilateral | $392.50 | $785.00 | $139.69–$800.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Us - Upper; Bilateral | $392.50 | $785.00 | $139.69–$800.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Us Duplex Venous | $392.50 | $785.00 | $139.69–$800.00 | 81% below | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Us - Upper; Bilateral | $392.50 | $785.00 | $290.45–$785.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Us - Lower; Bilateral | $392.50 | $785.00 | $290.45–$785.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Us Duplex Venous | $392.50 | $785.00 | $290.45–$785.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo W/Wo Contrast | $1,030.50 | $2,061.00 | $115.84–$2,061.00 | 60% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo W/Wo Contrast | $1,030.50 | $2,061.00 | $762.57–$2,061.00 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Biliary Scan | $1,006.50 | $2,013.00 | $234.43–$2,013.00 | 40% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Biliary Scan | $1,006.50 | $2,013.00 | $744.81–$2,013.00 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study (Cpap / Bipap) | $1,783.00 | $3,566.00 | $436.48–$3,566.00 | 63% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study (Cpap / Bipap) | $1,783.00 | $3,566.00 | $1,319.42–$3,566.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Liver Scrn Ultrasound | $77.50 | $155.00 | $54.10–$272.97 | 88% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen | $156.50 | $313.00 | $54.10–$455.94 | 77% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Liver Scrn Ultrasound | $77.50 | $155.00 | $57.35–$155.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen | $156.50 | $313.00 | $115.81–$313.00 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C- | $113.00 | $226.00 | $81.60–$1,361.00 | 53% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C- | $113.00 | $226.00 | $83.62–$226.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast Bilat W/Wo Contr | $1,747.00 | $3,494.00 | $218.54–$3,494.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri Breast Bilat W/Wo Contr | $1,747.00 | $3,494.00 | $1,292.78–$3,494.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri - Lower Extrem Jnt Wo Con | $1,580.50 | $3,161.00 | $130.82–$3,161.00 | 27% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri - Lower Extrem Jnt Wo Con | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Lower Extrem Jnt W&Wo Con | $2,164.50 | $4,329.00 | $263.47–$4,329.00 | 26% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Lower Extrem Jnt W&Wo Con | $2,164.50 | $4,329.00 | $1,601.73–$4,329.00 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen Wo Contrast | $1,580.50 | $3,161.00 | $119.20–$3,161.00 | 31% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen Wo Contrast | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W & Wo Contrast | $2,164.50 | $4,329.00 | $219.15–$4,329.00 | 34% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W & Wo Contrast | $2,164.50 | $4,329.00 | $1,601.73–$4,329.00 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Contrast | $1,960.00 | $3,920.00 | $119.20–$3,920.00 | 12% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Contrast | $1,960.00 | $3,920.00 | $1,450.40–$3,920.00 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W & Wo Contrast | $2,780.00 | $5,560.00 | $197.76–$5,560.00 | 8% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W & Wo Contrast | $2,780.00 | $5,560.00 | $2,057.20–$5,560.00 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Spine Lumbar Wo Contr | $1,580.50 | $3,161.00 | $114.02–$3,161.00 | 31% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Spine Lumbar Wo Contr | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumb Spine W & Wo Contr | $2,164.50 | $4,329.00 | $197.75–$4,329.00 | 32% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumb Spine W & Wo Contr | $2,164.50 | $4,329.00 | $1,601.73–$4,329.00 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic Wo Contr | $1,580.50 | $3,161.00 | $113.70–$3,161.00 | 27% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Spine Thoracic Wo Contr | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cerv Spine W & Wo Contr | $2,164.50 | $4,329.00 | $198.36–$4,329.00 | 34% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cerv Spine W & Wo Contr | $2,164.50 | $4,329.00 | $1,601.73–$4,329.00 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cerv; Wo Contr | $1,580.50 | $3,161.00 | $113.40–$3,161.00 | 34% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Spine Cerv; Wo Contr | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W & Wo Contrast | $2,164.50 | $4,329.00 | $217.93–$4,329.00 | 36% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W & Wo Contrast | $2,164.50 | $4,329.00 | $1,601.73–$4,329.00 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Contrast | $1,580.50 | $3,161.00 | $149.16–$3,161.00 | 39% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis Wo Contrast | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri U Extr; Any Joint Wo Con | $1,580.50 | $3,161.00 | $131.13–$3,161.00 | 12% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri U Extr; Any Joint Wo Con | $1,580.50 | $3,161.00 | $1,169.57–$3,161.00 | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myo Resting Stress W/Spect | $2,594.00 | $5,188.00 | $318.18–$5,188.00 | 40% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myo Resting Stress W/Spect | $2,594.00 | $5,188.00 | $1,919.56–$5,188.00 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Non-Ob Follow-Up | $199.50 | $399.00 | $24.45–$437.02 | 61% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Non-Ob Follow-Up | $199.50 | $399.00 | $147.63–$399.00 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Non-Ob | $614.00 | $1,228.00 | $66.32–$1,228.00 | 29% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Non-Ob | $614.00 | $1,228.00 | $454.36–$1,228.00 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Pg Uterus >14Wks Sng/1St Gest | $536.50 | $1,073.00 | $79.77–$1,073.00 | 19% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Pg Uterus >14Wks Sng/1St Gest | $536.50 | $1,073.00 | $397.01–$1,073.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Pg Uterus <14Wks Sng/1St Gest | $473.00 | $946.00 | $63.87–$946.00 | 28% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Pg Uterus <14Wks Sng/1St Gest | $473.00 | $946.00 | $350.02–$946.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnant Uterus Limited | $253.50 | $507.00 | $45.85–$507.00 | 48% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnant Uterus Limited | $253.50 | $507.00 | $187.59–$507.00 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad | $247.50 | $495.00 | $60.59–$495.00 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad | $247.50 | $495.00 | $183.15–$495.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray Exam Of Shoulder 2+View | $297.00 | $594.00 | $23.53–$594.00 | 3% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray Exam Of Shoulder 2+View | $297.00 | $594.00 | $219.78–$594.00 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study | $1,697.50 | $3,395.00 | $415.55–$3,395.00 | 64% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study | $1,697.50 | $3,395.00 | $1,256.15–$3,395.00 | — | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo | $798.00 | $1,596.00 | $136.31–$1,596.00 | 71% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echo | $798.00 | $1,596.00 | $590.52–$1,596.00 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Esophagus-Modified | $306.00 | $612.00 | $88.64–$612.00 | 49% below | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Esophagus-Modified | $306.00 | $612.00 | $226.44–$612.00 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 Pelvic Non-Ob Transvaginal | $614.00 | $1,228.00 | $77.94–$1,228.00 | 7% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Pelvic Non-Ob Transvaginal | $614.00 | $1,228.00 | $454.36–$1,228.00 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 Pregnancy Eval Transvaginal | $536.50 | $1,073.00 | $51.65–$1,073.00 | 9% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Pregnancy Eval Transvaginal | $536.50 | $1,073.00 | $397.01–$1,073.00 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 Abdomen Complete | $656.50 | $1,313.00 | $70.90–$1,313.00 | 24% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Abdomen Complete | $656.50 | $1,313.00 | $485.81–$1,313.00 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents | $449.00 | $898.00 | $63.88–$898.00 | 41% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum And Contents | $449.00 | $898.00 | $332.26–$898.00 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Thyroid Soft Tissue Head/Neck | $473.00 | $946.00 | $75.80–$946.00 | 27% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Thyroid Soft Tissue Head/Neck | $473.00 | $946.00 | $350.02–$946.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Single Contrast | $254.50 | $509.00 | $75.80–$509.00 | 65% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Single Contrast | $254.50 | $509.00 | $188.33–$509.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Duplex Venous F/U | $249.00 | $498.00 | $89.25–$800.00 | 69% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Us - Lower; Unilateral | $249.00 | $498.00 | $89.25–$800.00 | 69% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Us - Upper; Unilateral | $249.00 | $498.00 | $89.25–$800.00 | 69% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Us Duplex Venous F/U | $249.00 | $498.00 | $184.26–$498.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Us - Upper; Unilateral | $249.00 | $498.00 | $184.26–$498.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Us - Lower; Unilateral | $249.00 | $498.00 | $184.26–$498.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray Exam Of Wrist 3+ Views | $255.50 | $511.00 | $30.26–$511.00 | 29% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-Ray Exam Of Wrist 3+ Views | $255.50 | $511.00 | $189.07–$511.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray Exam Hip Uni 2-3 Views | $194.00 | $388.00 | $33.93–$388.00 | 52% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray Exam Hip Uni 2-3 Views | $194.00 | $388.00 | $143.56–$388.00 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 X-Ray Exam Abdomen 1 View | $228.50 | $457.00 | $19.56–$457.00 | 33% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray Exam Abdomen 1 View | $228.50 | $457.00 | $169.09–$457.00 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-Ray Finger(S) 2+ Views | $202.00 | $404.00 | $29.04–$404.00 | 16% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray Finger(S) 2+ Views | $202.00 | $404.00 | $149.48–$404.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray Exam Of Foot; 3+ Views | $255.50 | $511.00 | $23.84–$511.00 | 31% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray Exam Of Foot; 3+ Views | $255.50 | $511.00 | $189.07–$511.00 | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 X-Ray Exam Of Hand 3+ Views | $255.50 | $511.00 | $26.59–$511.00 | 33% below | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray Exam Of Hand 3+ Views | $255.50 | $511.00 | $189.07–$511.00 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-Ray Exam Of Knee 1 Or 2 | $255.50 | $511.00 | $23.84–$511.00 | 8% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray Exam Of Knee 1 Or 2 | $255.50 | $511.00 | $189.07–$511.00 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar Ap & Lateral | $290.00 | $580.00 | $26.59–$580.00 | 39% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Spine Lumbar Ap & Lateral | $290.00 | $580.00 | $214.60–$580.00 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray Lower Spine 4+ Views | $437.50 | $875.00 | $36.07–$875.00 | 33% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Lower Spine 4+ Views | $437.50 | $875.00 | $323.75–$875.00 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Nasal Bones 3+ Views | $204.00 | $408.00 | $26.90–$408.00 | 30% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray Nasal Bones 3+ Views | $204.00 | $408.00 | $150.96–$408.00 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray Exam Neck Spine 2-3 Vw | $321.00 | $642.00 | $26.59–$642.00 | 14% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray Exam Neck Spine 2-3 Vw | $321.00 | $642.00 | $237.54–$642.00 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray Exam Of Pelvis 1-2 Views | $255.50 | $511.00 | $18.03–$511.00 | 31% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray Exam Of Pelvis 1-2 Views | $255.50 | $511.00 | $189.07–$511.00 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray Exam Tailbone 2+ Views | $299.50 | $599.00 | $22.31–$599.00 | 11% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray Exam Tailbone 2+ Views | $299.50 | $599.00 | $221.63–$599.00 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; Alanine Amino | $14.50 | $29.00 | $4.45–$39.75 | 75% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt/Alt | $14.50 | $29.00 | $4.45–$39.75 | 75% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase; Alanine Amino | $14.50 | $29.00 | $10.73–$29.00 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt/Alt | $14.50 | $29.00 | $10.73–$29.00 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast Or Sgot | $14.00 | $28.00 | $4.35–$39.75 | 76% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast Or Sgot | $14.00 | $28.00 | $10.36–$28.00 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $129.50 | $259.00 | $8.08–$372.88 | 67% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $129.50 | $259.00 | $95.83–$259.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg Spec Ige Crude Xtrc Ea | $25.00 | $50.00 | $4.38–$50.00 | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg Spec Ige Crude Xtrc Ea | $25.00 | $50.00 | $18.50–$50.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Ab | $54.00 | $108.00 | $10.88–$108.00 | 2% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp Ab | $54.00 | $108.00 | $39.96–$108.00 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (Ana); | $33.00 | $66.00 | $10.16–$92.75 | 68% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab (Ana); | $33.00 | $66.00 | $24.42–$66.00 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide | $92.50 | $185.00 | $32.98–$259.31 | 55% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $92.50 | $185.00 | $32.98–$259.31 | 55% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $92.50 | $185.00 | $68.45–$185.00 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide | $92.50 | $185.00 | $68.45–$185.00 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $23.00 | $46.00 | $7.11–$64.35 | 91% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $23.00 | $46.00 | $17.02–$46.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Path Lvl4 | $61.50 | $123.00 | $15.06–$185.28 | 80% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Exam By Path Lvl4 | $61.50 | $123.00 | $45.51–$123.00 | — | 50% |
| Blood culture for bacteria CPT 87040 Aerob Bacterial Blood Culture | $28.00 | $56.00 | $8.67–$79.50 | 88% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 Aerob Bacterial Blood Culture | $28.00 | $56.00 | $20.72–$56.00 | — | 50% |
| Blood glucose (sugar) test CPT 82947 Glucose; Quan Blood | $16.50 | $33.00 | $3.30–$33.00 | 66% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose; Quan Blood | $16.50 | $33.00 | $12.21–$33.00 | — | 50% |
| Blood lead test CPT 83655 Lead | $33.00 | $66.00 | $10.17–$92.75 | 35% below | 50% |
| Blood lead test inpatient CPT 83655 Lead | $33.00 | $66.00 | $24.42–$66.00 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg; Qual | $20.50 | $41.00 | $6.32–$56.78 | 89% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg; Qual | $20.50 | $41.00 | $15.17–$41.00 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo | $182.50 | $365.00 | $2.51–$365.00 | 102% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 St-Abo Type | $182.50 | $365.00 | $2.51–$365.00 | 102% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 St-Abo Type | $182.50 | $365.00 | $135.05–$365.00 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo | $182.50 | $365.00 | $135.05–$365.00 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $14.00 | $28.00 | $4.35–$39.75 | 76% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $14.00 | $28.00 | $10.36–$28.00 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe | $95.50 | $191.00 | $31.31–$268.77 | 53% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe | $95.50 | $191.00 | $70.67–$191.00 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ia Quant; Ca 19-9 | $56.50 | $113.00 | $17.48–$158.99 | 58% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ia Quant; Ca 19-9 | $56.50 | $113.00 | $41.81–$113.00 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ia Quant; Ca 125 | $56.50 | $113.00 | $17.48–$158.99 | 65% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ia Quant; Ca 125 | $56.50 | $113.00 | $41.81–$113.00 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $100.00 | $200.00 | $43.10–$200.00 | 31% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 2019 Ref Lab | $100.00 | $200.00 | $43.10–$200.00 | 31% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 2019 Ref Lab | $100.00 | $200.00 | $74.00–$200.00 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb | $100.00 | $200.00 | $74.00–$200.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia T Amplif Na Probe | $95.50 | $191.00 | $29.48–$268.77 | 23% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C Trachomatis Amp Probe | $95.50 | $191.00 | $29.48–$268.77 | 23% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C Trachomatis Amp Probe | $95.50 | $191.00 | $70.67–$191.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia T Amplif Na Probe | $95.50 | $191.00 | $70.67–$191.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $36.50 | $73.00 | $7.66–$132.49 | 85% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $36.50 | $73.00 | $27.01–$73.00 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 Compl Cbc W Plt W Autom Diff | $21.00 | $42.00 | $6.53–$58.68 | 78% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Compl Cbc W Plt W Autom Diff | $21.00 | $42.00 | $15.54–$42.00 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 Compl Autom Cbc W Plt | $17.50 | $35.00 | $5.43–$49.21 | 83% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Compl Autom Cbc W Plt | $17.50 | $35.00 | $12.95–$35.00 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $28.50 | $57.00 | $8.87–$81.39 | 92% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $28.50 | $57.00 | $21.09–$57.00 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Qnt Ultrasensitive | $25.50 | $51.00 | $8.55–$77.60 | 86% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Qnt Ultrasensitive | $25.50 | $51.00 | $18.87–$51.00 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-S | $92.50 | $185.00 | $18.67–$185.00 | 41% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-S | $92.50 | $185.00 | $68.45–$185.00 | — | 50% |
| Estradiol blood test CPT 82670 Estradiol | $76.00 | $152.00 | $23.47–$213.88 | 50% below | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol | $76.00 | $152.00 | $56.24–$152.00 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; Fish | $50.50 | $101.00 | $15.61–$141.96 | 68% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin; Fish | $50.50 | $101.00 | $37.37–$101.00 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Assay For Calprotectin Fecal | $81.50 | $163.00 | $16.49–$163.00 | 62% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay For Calprotectin Fecal | $81.50 | $163.00 | $60.31–$163.00 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $37.00 | $74.00 | $11.45–$104.10 | 64% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $37.00 | $74.00 | $27.38–$74.00 | — | 50% |
| Folate (folic acid) blood test CPT 82746 Folic Acid; Serum | $40.00 | $80.00 | $12.35–$111.67 | 54% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid; Serum | $40.00 | $80.00 | $29.60–$80.00 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3 Free | $46.00 | $92.00 | $14.23–$128.71 | 70% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine T3 Free | $46.00 | $92.00 | $34.04–$92.00 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ThyroxineFree | $24.50 | $49.00 | $7.58–$68.14 | 77% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ThyroxineFree | $24.50 | $49.00 | $18.13–$49.00 | — | 50% |
| Free testosterone test CPT 84402 Testosterone; Free | $69.50 | $139.00 | $21.39–$194.96 | 37% below | 50% |
| Free testosterone test inpatient CPT 84402 Testosterone; Free | $69.50 | $139.00 | $51.43–$139.00 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Specimens | $35.00 | $70.00 | $10.81–$98.42 | 78% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Specimens | $35.00 | $70.00 | $25.90–$70.00 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae Amp Probe | $95.50 | $191.00 | $29.48–$268.77 | 33% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Amplif Na Probe | $95.50 | $191.00 | $29.48–$268.77 | 33% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N Gonorrhoeae Amp Probe | $95.50 | $191.00 | $70.67–$191.00 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Amplif Na Probe | $95.50 | $191.00 | $70.67–$191.00 | — | 50% |
| H. pylori antibody blood test CPT 86677 Ab; Helicobacter Pylori | $25.00 | $50.00 | $14.15–$111.67 | 81% below | 50% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Ab Qual | $25.00 | $50.00 | $14.15–$111.67 | 81% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 Ab; Helicobacter Pylori | $25.00 | $50.00 | $18.50–$50.00 | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Ab Qual | $25.00 | $50.00 | $18.50–$50.00 | — | 50% |
| H. pylori stool antigen test CPT 87338 Hpylori Stool Ag Ia | $55.00 | $110.00 | $12.08–$110.00 | 36% below | 50% |
| H. pylori stool antigen test CPT 87338 H Pylori Antigen/Stool | $55.00 | $110.00 | $12.08–$110.00 | 36% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 H Pylori Antigen/Stool | $55.00 | $110.00 | $40.70–$110.00 | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Hpylori Stool Ag Ia | $55.00 | $110.00 | $40.70–$110.00 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quant&Reverse Trnscrpj | $231.50 | $463.00 | $71.48–$651.11 | 29% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Quant&Reverse Trnscrpj | $231.50 | $463.00 | $171.31–$463.00 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/Hiv-2 Single Result | $37.50 | $75.00 | $11.52–$104.10 | 61% below | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/Hiv-2 Single Result | $37.50 | $75.00 | $27.75–$75.00 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1&2 Ab Ag Ia | $48.00 | $96.00 | $20.23–$183.60 | 67% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1&2 Ab Ag Ia | $48.00 | $96.00 | $35.52–$96.00 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types | $145.50 | $291.00 | $29.48–$291.00 | 105% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High-Risk Types | $145.50 | $291.00 | $107.67–$291.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin A1C | $26.50 | $53.00 | $8.16–$73.82 | 71% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin A1c | $26.50 | $53.00 | $8.16–$73.82 | 71% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin A1C | $26.50 | $53.00 | $19.61–$53.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin A1c | $26.50 | $53.00 | $19.61–$53.00 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab | $44.50 | $89.00 | $9.02–$89.00 | 30% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surf Ab | $44.50 | $89.00 | $32.93–$89.00 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Eia | $28.00 | $56.00 | $8.68–$79.50 | 65% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Eia | $28.00 | $56.00 | $20.72–$56.00 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab | $39.00 | $78.00 | $11.99–$109.78 | 55% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab | $39.00 | $78.00 | $28.86–$78.00 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Revrs Transcrp | $297.00 | $594.00 | $35.99–$594.00 | 8% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Transcrp | $297.00 | $594.00 | $219.78–$594.00 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Ab; Hsv 1 | $55.00 | $110.00 | $11.08–$110.00 | 36% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Ab; Hsv 1 | $55.00 | $110.00 | $40.70–$110.00 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Ab; Hsv Type 2 | $52.50 | $105.00 | $16.25–$147.64 | 42% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Ab; Hsv Type 2 | $52.50 | $105.00 | $38.85–$105.00 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Hs | $35.00 | $70.00 | $10.88–$98.42 | 56% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Hs | $35.00 | $70.00 | $25.90–$70.00 | — | 50% |
| Homocysteine blood test CPT 83090 Assay Of Homocystine | $46.00 | $92.00 | $15.05–$128.71 | 69% below | 50% |
| Homocysteine blood test inpatient CPT 83090 Assay Of Homocystine | $46.00 | $92.00 | $34.04–$92.00 | — | 50% |
| Insulin blood test CPT 83525 Insulin Total | $31.00 | $62.00 | $9.60–$87.07 | 64% below | 50% |
| Insulin blood test inpatient CPT 83525 Insulin Total | $31.00 | $62.00 | $22.94–$62.00 | — | 50% |
| Iron blood test (serum iron) CPT 83540 Iron/Fe | $17.50 | $35.00 | $5.43–$49.21 | 80% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron/Fe | $17.50 | $35.00 | $12.95–$35.00 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $24.00 | $48.00 | $7.34–$66.25 | 76% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity | $24.00 | $48.00 | $17.76–$48.00 | — | 50% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $23.50 | $47.00 | $7.29–$66.25 | 93% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $23.50 | $47.00 | $17.39–$47.00 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin;Luteinizing Horm | $50.50 | $101.00 | $15.56–$141.96 | 67% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin;Luteinizing Horm | $50.50 | $101.00 | $37.37–$101.00 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase/ Body Fluid | $19.00 | $38.00 | $5.79–$53.00 | 83% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $19.00 | $38.00 | $5.79–$53.00 | 83% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $19.00 | $38.00 | $14.06–$38.00 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase/ Body Fluid | $19.00 | $38.00 | $14.06–$38.00 | — | 50% |
| Liver function blood test panel CPT 80076 Liver Panel | $22.00 | $44.00 | $6.86–$62.46 | 92% below | 50% |
| Liver function blood test panel inpatient CPT 80076 Liver Panel | $22.00 | $44.00 | $16.28–$44.00 | — | 50% |
| Lyme disease antibody test CPT 86618 Ab; Lyme'S Disease | $71.00 | $142.00 | $14.31–$142.00 | 14% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 Ab; Lyme'S Disease | $71.00 | $142.00 | $52.54–$142.00 | — | 50% |
| Magnesium blood test CPT 83735 Magnesium/ 24 Hr Urine | $18.00 | $36.00 | $5.63–$51.10 | 62% below | 50% |
| Magnesium blood test CPT 83735 Magnesium | $18.00 | $36.00 | $5.63–$51.10 | 62% below | 50% |
| Magnesium blood test inpatient CPT 83735 Magnesium | $18.00 | $36.00 | $13.32–$36.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 Magnesium/ 24 Hr Urine | $18.00 | $36.00 | $13.32–$36.00 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 Ab; Rubeola | $35.00 | $70.00 | $10.82–$98.42 | 33% above | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Ab; Rubeola | $35.00 | $70.00 | $25.90–$70.00 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Qual Heterophile Ab | $14.00 | $28.00 | $4.35–$39.75 | 85% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Qual Heterophile Ab | $14.00 | $28.00 | $10.36–$28.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $50.00 | $100.00 | $18.02–$140.06 | 56% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free | $50.00 | $100.00 | $37.00–$100.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa; Total | $50.00 | $100.00 | $18.02–$140.06 | 40% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa; Total | $50.00 | $100.00 | $37.00–$100.00 | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath C/V Auto Fluid Redo | $55.50 | $111.00 | $22.35–$202.53 | 24% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath C/V Auto Fluid Redo | $55.50 | $111.00 | $41.07–$111.00 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone | $112.50 | $225.00 | $34.68–$316.09 | 50% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone | $112.50 | $225.00 | $83.25–$225.00 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thrombo (Ptt) | $16.50 | $33.00 | $5.05–$45.43 | 69% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt; Plasma Or Whole Blood | $16.50 | $33.00 | $5.05–$45.43 | 69% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt; Plasma Or Whole Blood | $16.50 | $33.00 | $12.21–$33.00 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thrombo (Ptt) | $16.50 | $33.00 | $12.21–$33.00 | — | 50% |
| Progesterone blood test CPT 84144 Progesterone Assay | $57.00 | $114.00 | $17.52–$158.99 | 53% below | 50% |
| Progesterone blood test inpatient CPT 84144 Progesterone Assay | $57.00 | $114.00 | $42.18–$114.00 | — | 50% |
| Prolactin blood test CPT 84146 Prolactin | $80.50 | $161.00 | $16.28–$161.00 | 33% below | 50% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $80.50 | $161.00 | $59.57–$161.00 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $10.50 | $21.00 | $3.60–$30.28 | 78% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $10.50 | $21.00 | $7.77–$21.00 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitave | $15.50 | $31.00 | $4.76–$43.53 | 72% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Quan Rheum Factor | $15.50 | $31.00 | $4.76–$43.53 | 72% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Quan Rheum Factor | $15.50 | $31.00 | $11.47–$31.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitave | $15.50 | $31.00 | $11.47–$31.00 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 Ab; Rubella | $39.00 | $78.00 | $12.09–$109.78 | 1% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Ab; Rubella | $39.00 | $78.00 | $28.86–$78.00 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $7.50 | $15.00 | $2.27–$20.82 | 89% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate | $7.50 | $15.00 | $5.55–$15.00 | — | 50% |
| Stool ova and parasites exam CPT 87177 O&P Dir Smr W Id | $36.50 | $73.00 | $7.48–$73.00 | 64% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 O&P Dir Smr W Id | $36.50 | $73.00 | $27.01–$73.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Fhg Qual 1-3 | $43.50 | $87.00 | $13.37–$121.14 | 42% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Bld Fhg Qual 1-3 | $43.50 | $87.00 | $32.19–$87.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Trep Qual | $47.50 | $95.00 | $3.59–$95.00 | 16% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Trep Qual | $47.50 | $95.00 | $35.15–$95.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Test Cell Immun Measure | $170.00 | $340.00 | $52.06–$473.19 | 23% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb Test Cell Immun Measure | $170.00 | $340.00 | $125.80–$340.00 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; Total | $70.50 | $141.00 | $21.68–$196.85 | 44% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone; Total | $70.50 | $141.00 | $52.17–$141.00 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab Each | $39.50 | $79.00 | $12.22–$111.67 | 59% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab Each | $39.50 | $79.00 | $29.23–$79.00 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh | $45.50 | $91.00 | $14.11–$128.71 | 65% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh | $45.50 | $91.00 | $33.67–$91.00 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Amplif | $98.50 | $197.00 | $29.48–$197.00 | 13% above | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif | $98.50 | $197.00 | $72.89–$197.00 | — | 50% |
| Uric acid blood test CPT 84550 Uric Acid Blood | $12.50 | $25.00 | $3.80–$34.07 | 89% below | 50% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Blood | $12.50 | $25.00 | $9.25–$25.00 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Autom Urine Dip W Micro | $10.50 | $21.00 | $2.66–$24.61 | 91% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Autom Urine Dip W Micro | $10.50 | $21.00 | $7.77–$21.00 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Macro (Dipstick) | $7.50 | $15.00 | $1.89–$17.03 | 86% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Macro (Dipstick) | $7.50 | $15.00 | $5.55–$15.00 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Visual Color | $21.50 | $43.00 | $7.23–$49.21 | 76% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Visual Color | $21.50 | $43.00 | $15.91–$43.00 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $41.00 | $82.00 | $12.67–$115.46 | 55% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $41.00 | $82.00 | $30.34–$82.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $74.00 | $148.00 | $24.86–$227.13 | 38% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $74.00 | $148.00 | $54.76–$148.00 | — | 50% |
| Zinc blood test CPT 84630 Zinc | $92.50 | $185.00 | $9.57–$185.00 | 32% above | 50% |
| Zinc blood test inpatient CPT 84630 Zinc | $92.50 | $185.00 | $68.45–$185.00 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg; Quan | $24.00 | $48.00 | $12.64–$115.46 | 79% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg; Quan | $24.00 | $48.00 | $17.76–$48.00 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1St Lesion Strtctc | $1,875.00 | $3,750.00 | $459.00–$3,750.00 | 46% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1St Lesion Strtctc | $1,875.00 | $3,750.00 | $1,387.50–$3,750.00 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Dstl Fib Fx Wo Manip | $301.50 | $603.00 | $73.81–$603.00 | 35% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cl Tx Dstl Fib Fx Wo Manip | $301.50 | $603.00 | $223.11–$603.00 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cl Tx Metatarsal Fx; Wo Manip | $301.50 | $603.00 | $73.81–$603.00 | 8% above | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cl Tx Metatarsal Fx; Wo Manip | $301.50 | $603.00 | $223.11–$603.00 | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 Lt Heart Cath W/Cor Angio | $2,653.00 | $5,306.00 | $647.71–$10,260.00 | 77% below | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lt Heart Cath W/Cor Angio | $2,653.00 | $5,306.00 | $1,963.22–$5,306.00 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $749.50 | $1,499.00 | $86.38–$1,499.00 | 52% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext | $749.50 | $1,499.00 | $86.38–$1,499.00 | 52% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion | $749.50 | $1,499.00 | $554.63–$1,499.00 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext | $749.50 | $1,499.00 | $554.63–$1,499.00 | — | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 Pvi Ablation | $29,976.00 | $59,952.00 | $744.78–$59,952.00 | 18% below | 50% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Pvi Ablation | $29,976.00 | $59,952.00 | $22,182.24–$59,952.00 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Rad Fx/Epiphl Wo Mnp | $301.50 | $603.00 | $73.81–$603.00 | 47% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Rad Fx/Epiphl Wo Mnp | $301.50 | $603.00 | $223.11–$603.00 | — | 50% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Flex W Bx;Sgl/Mul | $1,402.50 | $2,805.00 | $343.33–$2,805.00 | 17% above | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Flex W Bx;Sgl/Mul | $1,402.50 | $2,805.00 | $1,037.85–$2,805.00 | — | 50% |
| Coronary stent placement, one artery CPT 92928 Prq Card Stent W/Angio Addl | $17,395.00 | $34,790.00 | $462.99–$34,790.00 | 49% above | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 Prq Card Stent W/Angio Addl | $17,395.00 | $34,790.00 | $12,872.30–$34,790.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni | $77.00 | $154.00 | $12.21–$350.00 | 38% below | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Uni | $77.00 | $154.00 | $56.98–$154.00 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax Uni | $77.00 | $154.00 | $18.85–$350.00 | 55% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 Rem Impacted Cerumen One/Both | $77.00 | $154.00 | $18.85–$154.00 | 55% below | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax Uni | $77.00 | $154.00 | $56.98–$154.00 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Rem Impacted Cerumen One/Both | $77.00 | $154.00 | $56.98–$154.00 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc | $902.50 | $1,805.00 | $220.93–$1,805.00 | 40% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc | $902.50 | $1,805.00 | $667.85–$1,805.00 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Jnt L/S 1 Lev | $902.50 | $1,805.00 | $220.93–$2,024.00 | 47% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Jnt L/S 1 Lev | $902.50 | $1,805.00 | $667.85–$1,805.00 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc; Smpl Or Sgl | $244.50 | $489.00 | $59.85–$489.00 | 48% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Cyst Abscess Simple/Single | $244.50 | $489.00 | $46.00–$489.00 | 48% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Absc; Smpl Or Sgl | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Cyst Abscess Simple/Single | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon/Ligament/Fascia | $472.50 | $945.00 | $23.54–$2,024.00 | 7% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon/Ligament/Fascia | $472.50 | $945.00 | $349.65–$945.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Maj Jnt/Bursa W/O Us | $366.00 | $732.00 | $27.96–$2,024.00 | 47% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Major Jnt/Bursa W/O | $366.00 | $732.00 | $89.60–$732.00 | 47% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Major Jnt/Bursa W/O | $366.00 | $732.00 | $270.84–$732.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Maj Jnt/Bursa W/O Us | $366.00 | $732.00 | $270.84–$732.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Inter Jnt/Bur W/O Us | $366.00 | $732.00 | $23.54–$2,024.00 | 42% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Interm Jnt/Bursa | $366.00 | $732.00 | $89.60–$732.00 | 42% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Inter Jnt/Bur W/O Us | $366.00 | $732.00 | $270.84–$732.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Interm Jnt/Bursa | $366.00 | $732.00 | $270.84–$732.00 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Sm Jt/Bursa W/O Us | $394.00 | $788.00 | $22.70–$2,024.00 | 16% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject Sm Jnt/Bursa | $394.00 | $788.00 | $96.45–$788.00 | 16% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Sm Jt/Bursa W/O Us | $394.00 | $788.00 | $291.56–$788.00 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject Sm Jnt/Bursa | $394.00 | $788.00 | $291.56–$788.00 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd Wnd Repair S/A/T/Ext | $446.50 | $893.00 | $109.30–$893.00 | 16% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd Wnd Repair S/A/T/Ext | $446.50 | $893.00 | $330.41–$893.00 | — | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath | $2,653.00 | $5,306.00 | $573.74–$10,260.00 | 73% below | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Heart Cath | $2,653.00 | $5,306.00 | $1,963.22–$5,306.00 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac | $873.00 | $1,746.00 | $213.71–$1,746.00 | 48% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac | $873.00 | $1,746.00 | $646.02–$1,746.00 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar L/S | $902.50 | $1,805.00 | $220.93–$1,805.00 | 28% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar L/S | $902.50 | $1,805.00 | $667.85–$1,805.00 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Foramen Epidural L/S | $902.50 | $1,805.00 | $220.93–$2,024.00 | 37% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Foramen Epidural L/S | $902.50 | $1,805.00 | $667.85–$1,805.00 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm | $1,062.50 | $2,125.00 | $260.10–$2,125.00 | 28% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm | $1,062.50 | $2,125.00 | $786.25–$2,125.00 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Simp/Singl | $244.50 | $489.00 | $43.40–$489.00 | 31% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Simp/Singl | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Anes;Great Occipital Nrv | $218.00 | $436.00 | $30.18–$2,024.00 | 49% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Anes;Great Occipital Nrv | $218.00 | $436.00 | $161.32–$436.00 | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 Insrt Heart Pm Atrial & Vent | $13,134.00 | $26,268.00 | $1,671.00–$26,268.00 | 31% below | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt Heart Pm Atrial & Vent | $13,134.00 | $26,268.00 | $9,719.16–$26,268.00 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 Us Guided Paracentesis | $1,366.50 | $2,733.00 | $334.52–$2,733.00 | 16% below | 50% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging | $1,366.50 | $2,733.00 | $334.52–$2,733.00 | 16% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Us Guided Paracentesis | $1,366.50 | $2,733.00 | $1,011.21–$2,733.00 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging | $1,366.50 | $2,733.00 | $1,011.21–$2,733.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $446.50 | $893.00 | $109.30–$893.00 | 44% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed | $446.50 | $893.00 | $330.41–$893.00 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumbar Facet Jnt Sac | $1,847.00 | $3,694.00 | $452.15–$6,523.00 | 34% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumbar Facet Jnt Sac | $1,847.00 | $3,694.00 | $1,366.78–$3,694.00 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 Inc & Rem Fb Sq; Smpl | $446.50 | $893.00 | $109.30–$893.00 | 30% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Inc & Rem Fb Sq; Smpl | $446.50 | $893.00 | $330.41–$893.00 | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast | $321.00 | $642.00 | $78.58–$642.00 | 5% above | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast | $321.00 | $642.00 | $237.54–$642.00 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint | $152.50 | $305.00 | $32.69–$305.00 | 47% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 Apply Short Arm Splint; Static | $152.50 | $305.00 | $32.69–$350.00 | 47% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint | $152.50 | $305.00 | $112.85–$305.00 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply Short Arm Splint; Static | $152.50 | $305.00 | $112.85–$305.00 | — | 50% |
| Short leg cast (below the knee) CPT 29405 Apply Sh Leg Cast | $321.00 | $642.00 | $78.58–$642.00 | 5% below | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 Apply Sh Leg Cast | $321.00 | $642.00 | $237.54–$642.00 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint | $187.00 | $374.00 | $40.56–$374.00 | 40% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 Apply Short Leg Splint | $187.00 | $374.00 | $138.38–$374.00 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Srep S/N/A/G/Tr/E; 2.5Cm/< | $244.50 | $489.00 | $36.03–$489.00 | 42% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Srep S/N/A/G/Tr/E; 2.5Cm/< | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $244.00 | $488.00 | $46.00–$488.00 | 47% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion | $244.00 | $488.00 | $180.56–$488.00 | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags <W/15 | $305.00 | $610.00 | $61.76–$610.00 | 4% below | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags <W/15 | $305.00 | $610.00 | $225.70–$610.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx Lmbr Spi Pnxr | $873.00 | $1,746.00 | $213.71–$2,024.00 | 17% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx Lmbr Spi Pnxr | $873.00 | $1,746.00 | $646.02–$1,746.00 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sreps/N/A/G/Tr/E; 2.6-7.5Cm | $244.50 | $489.00 | $47.39–$489.00 | 48% 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 Sreps/N/A/G/Tr/E; 2.6-7.5Cm | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Srep F/E/N/L/Mm; 2.5Cm/< | $244.50 | $489.00 | $44.95–$489.00 | 42% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Srep F/E/N/L/Mm; 2.5Cm/< | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 Image Guided Thoracentesis | $945.00 | $1,890.00 | $86.77–$1,890.00 | 34% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging | $945.00 | $1,890.00 | $86.77–$1,890.00 | 34% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging | $945.00 | $1,890.00 | $699.30–$1,890.00 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Image Guided Thoracentesis | $945.00 | $1,890.00 | $699.30–$1,890.00 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl | $366.00 | $732.00 | $89.60–$732.00 | 37% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl | $366.00 | $732.00 | $270.84–$732.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Us Breast Biopsy | $1,875.00 | $3,750.00 | $459.00–$3,750.00 | 32% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Us Breast Biopsy | $1,875.00 | $3,750.00 | $1,387.50–$3,750.00 | — | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Guide Wire Insertion | $1,097.50 | $2,195.00 | $268.67–$2,195.00 | 50% above | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Guide Wire Insertion | $1,097.50 | $2,195.00 | $812.15–$2,195.00 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesion 1-14 | $244.50 | $489.00 | $59.85–$489.00 | 16% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesion 1-14 | $244.50 | $489.00 | $180.93–$489.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Init 20Sq Cm Or< | $446.50 | $893.00 | $109.30–$893.00 | 56% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Init 20 Sq Cm Or< | $446.50 | $893.00 | $46.00–$893.00 | 56% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq Int 20 Sq Cm Or < | $446.50 | $893.00 | $46.00–$893.00 | 56% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subq Int 20 Sq Cm Or < | $446.50 | $893.00 | $330.41–$893.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subq Init 20 Sq Cm Or< | $446.50 | $893.00 | $330.41–$893.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subq Init 20Sq Cm Or< | $446.50 | $893.00 | $330.41–$893.00 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood Or Blood Comp | $665.00 | $1,330.00 | $33.51–$1,330.00 | 29% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE BLOOD OR BLOOD COMP | $665.00 | $1,330.00 | $33.51–$1,330.00 | 29% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSE BLOOD OR BLOOD COMP | $665.00 | $1,330.00 | $492.10–$1,330.00 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood Or Blood Comp | $665.00 | $1,330.00 | $492.10–$1,330.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Updraft Treatment Initial | $221.00 | $442.00 | $6.23–$442.00 | 9% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Updraft Treatment Subsequent | $221.00 | $442.00 | $6.23–$442.00 | 9% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Updraft Treatment Subsequent | $221.00 | $442.00 | $163.54–$442.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Updraft Treatment Initial | $221.00 | $442.00 | $163.54–$442.00 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion 1 Hr | $383.50 | $767.00 | $93.88–$1,283.00 | 37% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion 1 Hr | $383.50 | $767.00 | $283.79–$767.00 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1St Hour | $931.00 | $1,862.00 | $227.91–$3,800.00 | 64% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care 1St Hour | $931.00 | $1,862.00 | $688.94–$1,862.00 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy Reg | $501.50 | $1,003.00 | $122.77–$1,003.00 | 49% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy Reg | $501.50 | $1,003.00 | $371.11–$1,003.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg; Tracing Only | $157.50 | $315.00 | $5.81–$456.00 | 47% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead Ekg; Tracing Only | $157.50 | $315.00 | $116.55–$315.00 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Care Level I | $97.50 | $195.00 | $51.36–$476.00 | 66% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emtala Medical Screen | $97.50 | $195.00 | $51.36–$476.00 | 66% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emtala Medical Screen | $97.50 | $195.00 | $72.15–$195.00 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Care Level I | $97.50 | $195.00 | $72.15–$195.00 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Care Level Ii | $179.00 | $358.00 | $51.36–$600.00 | 63% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Care Level Ii | $179.00 | $358.00 | $132.46–$358.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Sane Examiner Fee | $116.50 | $233.00 | $51.36–$1,113.00 | 86% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Care Level Iii | $312.00 | $624.00 | $51.36–$1,113.00 | 63% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Sane Examiner Fee | $116.50 | $233.00 | $86.21–$233.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Care Level Iii | $312.00 | $624.00 | $230.88–$624.00 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Care Level Iv | $491.50 | $983.00 | $120.32–$1,700.00 | 64% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Care Level Iv | $491.50 | $983.00 | $363.71–$983.00 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Care Level V | $705.00 | $1,410.00 | $172.58–$3,800.00 | 70% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Care Level V | $705.00 | $1,410.00 | $521.70–$1,410.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test | $436.00 | $872.00 | $35.15–$1,140.00 | 70% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cvslr Stress Test; Tracing | $436.00 | $872.00 | $35.15–$1,140.00 | 70% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Rehab Cardiac Stress | $436.00 | $872.00 | $35.15–$1,140.00 | 70% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test | $436.00 | $872.00 | $322.64–$872.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Rehab Cardiac Stress | $436.00 | $872.00 | $322.64–$872.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cvslr Stress Test; Tracing | $436.00 | $872.00 | $322.64–$872.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydrate Iv Inf Init 31-60 Mins | $257.00 | $514.00 | $24.42–$556.00 | 47% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydrate Iv Infus Init 31-60Min | $257.00 | $514.00 | $24.42–$556.00 | 47% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus Hydrate Init 31Min-1H | $257.00 | $514.00 | $24.42–$556.00 | 47% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HOPDHydration IV Infusion Init | $320.50 | $641.00 | $24.42–$641.00 | 33% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infus Hydrate Init 31Min-1H | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydrate Iv Infus Init 31-60Min | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydrate Iv Inf Init 31-60 Mins | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HOPDHydration IV Infusion Init | $320.50 | $641.00 | $237.17–$641.00 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 Ther/Pro/Di Iv Inf Init =<1 Hr | $257.00 | $514.00 | $46.81–$556.00 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Up To 1 Hour | $257.00 | $514.00 | $46.81–$556.00 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infuse Tx/Dx/Pro 1St Hr Ini | $257.00 | $514.00 | $46.81–$556.00 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 Ther/Pro/Diag Iv Inf Init<1 Hr | $257.00 | $514.00 | $46.81–$556.00 | 49% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Pro/Diag Iv Inf Init<1 Hr | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Up To 1 Hour | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infuse Tx/Dx/Pro 1St Hr Ini | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Pro/Di Iv Inf Init =<1 Hr | $257.00 | $514.00 | $190.18–$514.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im | $101.00 | $202.00 | $11.43–$356.00 | 40% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Im/Sq Ther/Diag/Proph | $101.00 | $202.00 | $11.43–$350.00 | 40% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Im/Sq Ther/Dx Rad Oncology | $101.00 | $202.00 | $11.43–$356.00 | 40% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HOPD Ther/Proph/diag inj sc/im | $108.50 | $217.00 | $11.43–$356.00 | 36% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im | $101.00 | $202.00 | $74.74–$202.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Im/Sq Ther/Dx Rad Oncology | $101.00 | $202.00 | $74.74–$202.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Im/Sq Ther/Diag/Proph | $101.00 | $202.00 | $74.74–$202.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HOPD Ther/Proph/diag inj sc/im | $108.50 | $217.00 | $80.29–$217.00 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Ed 15 Min | $81.00 | $162.00 | $19.83–$162.00 | 29% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Ed 15 Min | $81.00 | $162.00 | $59.94–$162.00 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Init Nutrition Ther; Each 15M | $32.00 | $64.00 | $25.93–$79.00 | 45% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Init Nutrition Ther; Each 15M | $32.00 | $64.00 | $23.68–$64.00 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval 45 Min | $203.50 | $407.00 | $49.82–$407.00 | 33% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval 45 Min | $203.50 | $407.00 | $150.59–$407.00 | — | 50% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Basic | $216.50 | $433.00 | $17.73–$433.00 | 45% below | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Basic | $216.50 | $433.00 | $160.21–$433.00 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 Pulm Func W/Pre Post Bronch | $442.50 | $885.00 | $26.60–$885.00 | 30% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pulm Func W/Pre Post Bronch | $442.50 | $885.00 | $327.45–$885.00 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $141.00 | $282.00 | $69.88–$282.00 | 44% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HOPD Phlebotomy Therapeutic | $200.00 | $400.00 | $48.96–$400.00 | 20% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic | $141.00 | $282.00 | $104.34–$282.00 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HOPD Phlebotomy Therapeutic | $200.00 | $400.00 | $148.00–$400.00 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Vac .5Ml | $201.08 | $402.15 | $49.22–$402.15 | 19% below | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Vac .5Ml | $201.08 | $402.15 | $148.80–$402.15 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mcv4 Menacwy Vaccine Im | $287.58 | $575.15 | $70.40–$575.15 | 19% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mcv4 Menacwy Vaccine Im | $287.58 | $575.15 | $212.81–$575.15 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20 Vaccine | $653.40 | $1,306.80 | $268.94–$1,306.80 | 16% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20 Vaccine | $653.40 | $1,306.80 | $483.52–$1,306.80 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vac Polyva 0 .5Ml | $234.23 | $468.45 | $57.34–$468.45 | 19% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vac Polyva 0 .5Ml | $234.23 | $468.45 | $173.33–$468.45 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus PFS | $1,228.80 | $2,457.60 | $358.81–$2,457.60 | 7% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus PFS | $1,228.80 | $2,457.60 | $909.31–$2,457.60 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Varicella Vacc 1 Vial | $147.50 | $295.00 | $36.11–$295.00 | 57% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Varicella Vacc 1 Vial | $147.50 | $295.00 | $109.15–$295.00 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphth-Tet Toxoid Inj 0.5 Ml | $123.93 | $247.85 | $30.34–$247.85 | 6% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphth-Tet Toxoid Inj 0.5 Ml | $123.93 | $247.85 | $91.70–$247.85 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Im 0.5Ml | $133.63 | $267.25 | $32.71–$267.25 | 20% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Im 0.5Ml | $133.63 | $267.25 | $98.88–$267.25 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Adm One Vaccine | $84.50 | $169.00 | $16.36–$169.00 | 9% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Adm One Vaccine | $84.50 | $169.00 | $62.53–$169.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm;Ea Ad Vaccine | $21.00 | $42.00 | $5.14–$50.00 | 61% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Adm;Ea Ad Vaccine | $21.00 | $42.00 | $15.54–$42.00 | — | 50% |
Source file: https://www.cmcvictoria.com/files/741698143_citizens-medical-center-county-of-victoria_standardcharges5.csv