Herriman Emergency Center
Herriman Emergency Center in Herriman, UT publishes cash prices for 202 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Utah median for 117 of 200 procedures and below it for 67. By typical cash price it ranks #8 of 15 Utah hospitals and #3 of 5 hospitals in the Salt Lake City, UT area, cheapest first. Click a procedure to compare it with other hospitals nearby.
13306 S FORT HERRIMAN PKWY, HERRIMAN, UT, 84096 Collected Sep 28, 2026 Source price file (801) 545-8000
Acute care hospital Emergency department CMS star rating 5 of 5 CCN 460060 · CMS hospital register
The price file shows no self-pay discount
For 308 of the 308 prices listed here, the cash price in Herriman Emergency Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $980.24 | $980.24 | $201.83–$764.59 | 31% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $980.24 | $980.24 | $401.74 | 31% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $4,640.95 | $4,640.95 | $955.57–$3,619.94 | 45% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $4,640.95 | $4,640.95 | $848.52 | 45% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $6,269.89 | $6,269.89 | $1,290.97–$4,890.51 | 51% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo | $1,262.66 | $1,262.66 | $401.74–$607.00 | at median | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $1,262.66 | $1,262.66 | $259.98–$984.87 | at median | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $69.00 | $69.00 | $14.21–$53.82 | at median | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $8,538.94 | $8,538.94 | $1,758.17–$6,660.37 | 31% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $9,168.36 | $9,168.36 | $1,887.77–$7,151.32 | 47% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $10,996.41 | $10,996.41 | $2,264.16–$8,577.20 | 15% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $4,878.86 | $4,878.86 | $1,004.56–$3,805.51 | 8% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $4,878.86 | $4,878.86 | $401.74–$607.00 | 8% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $4,558.12 | $4,558.12 | $245.18–$607.00 | 43% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $4,558.12 | $4,558.12 | $938.52–$3,555.33 | 43% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $2,042.51 | $2,042.51 | $420.55–$1,593.16 | 15% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $3,702.22 | $3,702.22 | $762.29–$2,887.73 | 13% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $4,630.28 | $4,630.28 | $953.37–$3,611.62 | 9% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $4,630.28 | $4,630.28 | $401.74–$607.00 | 9% above | — |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections | $4,934.97 | $4,934.97 | $401.74–$607.00 | 4% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $4,934.97 | $4,934.97 | $1,016.11–$3,849.28 | 4% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $3,996.90 | $3,996.90 | $822.96–$3,117.58 | 18% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $3,996.90 | $3,996.90 | $822.96–$3,117.58 | 22% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $4,291.51 | $4,291.51 | $883.62–$3,347.38 | 5% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $2,753.08 | $2,753.08 | $566.86–$2,147.40 | 69% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $729.56 | $729.56 | $150.22–$569.06 | 43% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $611.38 | $611.38 | $125.88–$476.88 | 48% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $1,307.91 | $1,307.91 | $269.30–$1,020.17 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) | $619.52 | $619.52 | $245.18 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $619.52 | $619.52 | $127.56–$483.23 | at median | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $3,980.83 | $3,980.83 | $819.65–$3,105.05 | 21% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $4,293.53 | $4,293.53 | $884.04–$3,348.95 | 9% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $1,058.50 | $1,058.50 | $217.95–$825.63 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study | $4,082.52 | $4,082.52 | $360.16–$707.95 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $4,082.52 | $4,082.52 | $840.59–$3,184.37 | 154% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $4,613.28 | $4,613.28 | $949.87–$3,598.36 | 118% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $6,652.59 | $6,652.59 | $1,369.77–$5,189.02 | 40% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc | $6,652.59 | $6,652.59 | $816.97–$1,310.44 | 40% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $2,732.59 | $2,732.59 | $848.52 | 6% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $2,732.59 | $2,732.59 | $562.64–$2,131.42 | 6% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $1,358.70 | $1,358.70 | $279.76–$1,059.79 | 32% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) | $1,358.70 | $1,358.70 | $3,249.00 | 32% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $9,198.93 | $9,198.93 | $1,894.06–$7,175.17 | at median | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a | $9,198.93 | $9,198.93 | $1,515.91–$2,431.56 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,238.27 | $1,238.27 | $254.96–$965.85 | 14% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) | $363.21 | $363.21 | $182.03–$607.00 | 23% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $363.21 | $363.21 | $74.78–$283.30 | 23% below | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $5,678.24 | $5,678.24 | $517.79–$744.00 | 29% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $5,678.24 | $5,678.24 | $1,169.15–$4,429.03 | 29% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $6,530.08 | $6,530.08 | $1,344.54–$5,093.46 | 5% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences | $6,530.08 | $6,530.08 | $573.00–$828.27 | 5% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,678.24 | $5,678.24 | $1,169.15–$4,429.03 | 26% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $5,678.24 | $5,678.24 | $517.79–$744.00 | 26% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $6,327.08 | $6,327.08 | $1,302.75–$4,935.12 | 6% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences | $6,327.08 | $6,327.08 | $573.00–$828.27 | 6% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $4,273.11 | $4,273.11 | $360.16–$3,862.00 | 1% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $4,273.11 | $4,273.11 | $879.83–$3,333.03 | 1% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar | $6,327.08 | $6,327.08 | $573.00–$828.27 | 3% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $6,327.08 | $6,327.08 | $1,302.75–$4,935.12 | 3% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material | $4,273.11 | $4,273.11 | $517.79–$744.00 | at median | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $4,273.11 | $4,273.11 | $879.83–$3,333.03 | at median | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $6,327.08 | $6,327.08 | $1,302.75–$4,935.12 | 3% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical | $6,327.08 | $6,327.08 | $573.00–$828.27 | 3% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material | $5,678.24 | $5,678.24 | $517.79–$744.00 | 11% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $5,678.24 | $5,678.24 | $1,169.15–$4,429.03 | 11% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences | $6,327.08 | $6,327.08 | $532.12–$3,862.00 | 6% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $6,327.08 | $6,327.08 | $1,302.75–$4,935.12 | 6% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $5,678.24 | $5,678.24 | $517.79–$744.00 | 33% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $5,678.24 | $5,678.24 | $1,169.15–$4,429.03 | 33% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $6,476.01 | $6,476.01 | $1,333.41–$5,051.29 | at median | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat | $6,476.01 | $6,476.01 | $2,938.37 | at median | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $996.70 | $996.70 | $205.22–$777.43 | 51% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,634.35 | $1,634.35 | $336.51–$1,274.79 | 20% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $1,186.05 | $1,186.05 | $244.21–$925.12 | 1% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $631.11 | $631.11 | $129.95–$492.27 | 6% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $903.14 | $903.14 | $185.96–$704.45 | at median | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $977.43 | $977.43 | $201.25–$762.40 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $8,336.97 | $8,336.97 | $1,716.58–$6,502.84 | at median | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $8,336.97 | $8,336.97 | $1,515.91–$2,431.56 | at median | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $6,957.10 | $6,957.10 | $1,432.47–$5,426.54 | 37% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or | $6,957.10 | $6,957.10 | $816.97–$1,310.44 | 37% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $1,200.34 | $1,200.34 | $264.52–$425.47 | 16% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $1,200.34 | $1,200.34 | $247.15–$936.27 | 16% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $996.70 | $996.70 | $205.22–$777.43 | 1% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $631.11 | $631.11 | $129.95–$492.27 | at median | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,634.35 | $1,634.35 | $336.51–$1,274.79 | 5% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $1,307.91 | $1,307.91 | $269.30–$1,020.17 | 11% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $1,190.40 | $1,190.40 | $245.10–$928.51 | 10% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $1,053.58 | $1,053.58 | $226.22–$425.47 | at median | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $1,053.58 | $1,053.58 | $216.93–$821.79 | at median | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $640.38 | $640.38 | $131.85–$499.50 | 33% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $931.32 | $931.32 | $191.76–$726.43 | 47% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $1,269.64 | $1,269.64 | $245.18 | 16% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $1,269.64 | $1,269.64 | $261.42–$990.32 | 16% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $955.78 | $955.78 | $196.80–$745.51 | 72% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $800.91 | $800.91 | $164.91–$624.71 | 23% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $609.34 | $609.34 | $125.46–$475.29 | 6% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $670.45 | $670.45 | $53.81–$254.15 | 22% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $670.45 | $670.45 | $138.05–$522.95 | 22% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $817.21 | $817.21 | $168.26–$637.42 | 29% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $174.86 | $174.86 | $17.49–$21.84 | 37% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $174.86 | $174.86 | $36.00–$136.39 | 37% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $174.86 | $174.86 | $5.18–$21.34 | 37% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $174.86 | $174.86 | $36.00–$136.39 | 37% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $715.90 | $715.90 | $47.63–$196.24 | 16% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $715.90 | $715.90 | $147.40–$558.40 | 16% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $115.21 | $115.21 | $23.72–$89.86 | 12% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $59.93 | $59.93 | $12.34–$46.75 | 63% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $348.34 | $348.34 | $71.72–$271.71 | 77% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $80.42 | $80.42 | $16.56–$62.73 | 70% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ATRIAL NATRIURETIC ANF | $1,448.24 | $1,448.24 | $298.19–$1,129.63 | 431% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $61.47 | $61.47 | $12.66–$47.95 | 58% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, | $729.58 | $729.58 | $49.76 | 47% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $729.58 | $729.58 | $150.22–$569.07 | 47% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $518.38 | $518.38 | $10.32–$42.52 | 59% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $518.38 | $518.38 | $106.73–$404.34 | 59% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $10.09 | $10.09 | $2.08–$7.87 | 75% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $10.09 | $10.09 | $3.00–$38.48 | 75% below | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $178.99 | $178.99 | $36.85–$139.61 | 71% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $178.99 | $178.99 | $3.93–$16.19 | 71% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $106.33 | $106.33 | $21.89–$82.94 | at median | — |
| Blood lead test CPT 83655 LEAD URINE | $127.54 | $127.54 | $26.26–$99.48 | 20% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $19.76 | $19.76 | $4.07–$15.41 | 79% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL URINE OTH THN DOO | $113.15 | $113.15 | $23.30–$88.26 | 19% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $475.76 | $475.76 | $2.99–$12.32 | 114% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $475.76 | $475.76 | $97.96–$371.09 | 114% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $196.13 | $196.13 | $5.18–$21.34 | 8% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $196.13 | $196.13 | $40.38–$152.98 | 8% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP | $111.81 | $111.81 | $23.02–$87.21 | 24% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $285.06 | $285.06 | $58.69–$222.35 | 95% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $617.14 | $617.14 | $127.07–$481.37 | 54% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $710.39 | $710.39 | $146.27–$554.10 | 127% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $56.41 | $56.41 | $11.61–$44.00 | 24% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique | $56.41 | $56.41 | $40.69–$361.22 | 24% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $120.19 | $120.19 | $24.75–$93.75 | 46% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $96.53 | $96.53 | $19.88–$75.29 | 55% below | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $289.33 | $289.33 | $59.57–$225.68 | 60% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $85.80 | $85.80 | $17.67–$66.92 | 57% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | $85.80 | $85.80 | $34.85–$43.51 | 57% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $76.55 | $76.55 | $15.76–$59.71 | 54% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $29.61 | $29.61 | $6.10–$23.10 | 90% below | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $91.77 | $91.77 | $18.90–$71.58 | 58% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $362.06 | $362.06 | $18.58–$76.55 | 83% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $362.06 | $362.06 | $74.55–$282.41 | 83% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $1,059.92 | $1,059.92 | $19.63–$80.88 | 62% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $1,059.92 | $1,059.92 | $218.24–$826.74 | 62% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $73.81 | $73.81 | $15.20–$57.57 | 49% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $73.81 | $73.81 | $44.98–$56.16 | 49% below | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $79.62 | $79.62 | $14.70–$60.56 | 60% below | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $79.62 | $79.62 | $16.39–$62.10 | 60% below | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $114.00 | $114.00 | $23.47–$88.92 | 33% below | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $114.00 | $114.00 | $16.94–$69.79 | 33% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $73.25 | $73.25 | $29.77–$37.16 | 53% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $73.25 | $73.25 | $15.08–$57.13 | 53% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $137.93 | $137.93 | $28.40–$107.59 | 7% below | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL | $987.45 | $987.45 | $203.32–$789.96 | 57% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) | $987.45 | $987.45 | $45.36 | 57% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $192.02 | $192.02 | $39.54–$149.78 | 44% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) | $192.02 | $192.02 | $4.75–$19.57 | 44% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $430.64 | $430.64 | $88.67–$335.90 | 115% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) | $430.64 | $430.64 | $42.47–$53.02 | 115% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $59.23 | $59.23 | $12.20–$46.20 | 70% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $246.86 | $246.86 | $50.83–$192.55 | 12% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $340.11 | $340.11 | $70.03–$265.29 | 54% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $340.11 | $340.11 | $70.03–$265.29 | 54% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $792.69 | $792.69 | $163.21–$618.30 | 48% above | — |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $792.69 | $792.69 | $14.38–$59.25 | 48% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $255.30 | $255.30 | $52.57–$199.13 | 32% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD | $1,607.33 | $1,607.33 | $330.95–$1,253.72 | 327% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $111.33 | $111.33 | $45.24–$56.49 | 47% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $111.33 | $111.33 | $22.92–$86.84 | 47% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $48.10 | $48.10 | $9.90–$37.52 | 47% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES POOL | $715.90 | $715.90 | $147.40–$558.40 | 233% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $78.88 | $78.88 | $16.24–$61.53 | 44% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $78.88 | $78.88 | $9.71–$40.01 | 44% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $208.47 | $208.47 | $42.92–$162.61 | 16% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $18.94 | $18.94 | $3.90–$14.77 | 80% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $298.99 | $298.99 | $61.56–$233.21 | 16% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $128.52 | $128.52 | $26.46–$100.25 | 61% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C DNA QN | $1,234.29 | $1,234.29 | $254.14–$962.75 | 275% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $59.23 | $59.23 | $12.20–$46.20 | 59% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $59.23 | $59.23 | $12.20–$46.20 | 62% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $899.67 | $899.67 | $185.24–$701.74 | 269% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) | $899.67 | $899.67 | $12.95–$53.35 | 269% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $241.17 | $241.17 | $49.66–$188.11 | at median | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $127.54 | $127.54 | $26.26–$99.48 | 11% below | — |
| Iron blood test (serum iron) CPT 83540 IRON | $52.60 | $52.60 | $10.83–$41.03 | 51% below | — |
| Iron blood test (serum iron) CPT 83540 IRON UR QN | $1,193.14 | $1,193.14 | $245.67–$930.65 | 1010% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $71.00 | $71.00 | $14.62–$55.38 | 44% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $71.00 | $71.00 | $28.84–$36.01 | 44% below | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i | $70.53 | $70.53 | $8.68–$35.76 | 53% below | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $70.53 | $70.53 | $14.52–$55.01 | 53% below | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $362.06 | $362.06 | $18.52–$76.30 | 12% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $362.06 | $362.06 | $74.55–$282.41 | 12% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $125.85 | $125.85 | $25.91–$98.16 | at median | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $66.38 | $66.38 | $13.67–$51.78 | 52% below | — |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) | $192.02 | $192.02 | $56.20–$70.16 | at median | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $192.02 | $192.02 | $39.54–$149.78 | at median | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $19.33 | $19.33 | $3.98–$15.08 | 83% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $54.41 | $54.41 | $11.20–$42.44 | 52% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $208.47 | $208.47 | $42.92–$162.61 | 16% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $213.27 | $213.27 | $43.91–$166.35 | 18% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $208.47 | $208.47 | $5.18–$21.34 | 16% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $208.47 | $208.47 | $42.92–$162.61 | 16% above | — |
| Obstetric blood test panel CPT 80055 OB PANEL | $584.20 | $584.20 | $120.29–$455.68 | 27% above | — |
| Obstetric blood test panel CPT 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated | $584.20 | $584.20 | $47.81–$196.98 | 27% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $422.41 | $422.41 | $86.97–$329.48 | 110% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $422.41 | $422.41 | $60.69–$75.77 | 110% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $99.61 | $99.61 | $20.51–$77.70 | 65% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $99.61 | $99.61 | $60.69–$75.77 | 65% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP AUTO W MAN RESCN TLP | $414.17 | $414.17 | $85.28–$323.05 | 192% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $340.11 | $340.11 | $70.03–$265.29 | 144% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $340.11 | $340.11 | $66.86–$83.47 | 144% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $36.68 | $36.68 | $7.55–$28.61 | 86% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $746.07 | $746.07 | $153.62–$581.93 | 185% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $29.55 | $29.55 | $6.08–$23.05 | 79% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $112.98 | $112.98 | $23.26–$88.12 | 21% below | — |
| Progesterone blood test CPT 84144 Progesterone | $112.98 | $112.98 | $68.84–$85.94 | 21% below | — |
| Prolactin blood test CPT 84146 PROLACTIN | $104.93 | $104.93 | $21.61–$81.85 | 51% below | — |
| Prolactin blood test CPT 84146 Prolactin | $104.93 | $104.93 | $63.95–$79.85 | 51% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $29.55 | $29.55 | $6.08–$23.05 | 69% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $208.89 | $208.89 | $43.01–$162.93 | 80% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $246.86 | $246.86 | $50.83–$192.55 | 52% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $246.86 | $246.86 | $4.50–$50.55 | 52% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $116.89 | $116.89 | $24.07–$91.17 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $234.51 | $234.51 | $48.29–$182.92 | 101% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $285.27 | $285.27 | $58.74–$222.51 | 144% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $394.96 | $394.96 | $81.32–$308.07 | 20% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $32.27 | $32.27 | $6.64–$25.17 | 72% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $36.47 | $36.47 | $7.51–$28.45 | 53% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $208.47 | $208.47 | $42.92–$162.61 | 170% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $215.32 | $215.32 | $44.33–$167.95 | 12% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $39.38 | $39.38 | $8.11–$30.72 | 82% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $68.04 | $68.04 | $14.01–$53.07 | 37% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $68.04 | $68.04 | $14.01–$53.07 | 37% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB | $394.96 | $394.96 | $81.32–$308.07 | 265% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $90.81 | $90.81 | $18.70–$70.83 | 55% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $90.81 | $90.81 | $16.80–$69.22 | 55% below | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $63.01 | $63.01 | $12.97–$49.15 | 5% below | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $111.09 | $111.09 | $22.87–$86.65 | at median | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $111.09 | $111.09 | $14.92–$18.62 | at median | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $23.63 | $23.63 | $4.87–$18.43 | 76% below | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w | $23.63 | $23.63 | $3.17–$13.06 | 76% below | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $133.97 | $133.97 | $27.58–$104.50 | 24% above | — |
| Urinalysis without microscope exam, manual CPT 81002 SPEC GRAV UR MANUAL | $102.21 | $102.21 | $21.05–$79.72 | 37% above | — |
| Urinalysis without microscope exam, manual CPT 81002 KETONES UR MANUAL | $144.69 | $144.69 | $29.79–$112.86 | 93% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $102.21 | $102.21 | $21.05–$79.72 | at median | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $102.21 | $102.21 | $26.63–$33.25 | at median | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $19.76 | $19.76 | $4.07–$15.41 | 81% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $81.65 | $81.65 | $15.08–$62.13 | 46% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $81.65 | $81.65 | $16.81–$63.69 | 46% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $52.76 | $52.76 | $10.86–$41.15 | 76% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $52.76 | $52.76 | $29.60–$121.95 | 76% below | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $25.33 | $25.33 | $5.22–$19.76 | 78% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $29.61 | $29.61 | $6.10–$23.10 | 77% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $81.52 | $81.52 | $16.78–$63.59 | 35% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $5,418.28 | $5,418.28 | $1,115.62–$4,226.26 | 103% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $4,589.88 | $4,589.88 | $945.06–$3,580.11 | 245% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $229.65 | $229.65 | $47.28–$179.13 | 24% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $10,194.81 | $10,194.81 | $2,099.11–$7,951.95 | 11% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $661.00 | $661.00 | $136.10–$515.58 | 35% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy | $661.00 | $661.00 | $463.99–$744.25 | 35% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $727.41 | $727.41 | $149.77–$567.38 | 128% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $90.00 | $90.00 | $18.53–$70.20 | 82% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,573.83 | $1,573.83 | $324.05–$1,227.59 | 23% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $2,591.50 | $2,591.50 | $533.59–$2,021.37 | 12% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $4,318.12 | $4,318.12 | $889.10–$3,368.13 | 9% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $5,626.11 | $5,626.11 | $1,158.42–$4,388.37 | 8% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $1,943.46 | $1,943.46 | $400.16–$1,515.90 | 10% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $1,731.18 | $1,731.18 | $356.45–$1,350.32 | 124% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $2,238.09 | $2,238.09 | $460.82–$1,745.71 | 239% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $475.95 | $475.95 | $98.00–$371.24 | 71% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act | $252.05 | $252.05 | $26.99–$45.79 | 40% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $103.13 | $103.13 | $21.23–$80.44 | 10% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | $103.13 | $103.13 | $25.70–$50.88 | 10% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $434.57 | $434.57 | $82.93–$143.86 | 38% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | $447.63 | $447.63 | $80.79–$140.15 | 27% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st | $447.63 | $447.63 | $80.79–$140.15 | 44% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | $447.63 | $447.63 | $80.79–$140.15 | 27% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $160.36 | $160.36 | $33.02–$125.08 | 11% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | $160.36 | $160.36 | $44.39–$71.20 | 11% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $269.82 | $269.82 | $55.56–$215.86 | 7% below | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $623.32 | $623.32 | $187.45–$319.62 | at median | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual | $196.90 | $196.90 | $63.05–$107.31 | 11% below | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation | $586.60 | $586.60 | $233.13–$373.94 | at median | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $586.60 | $586.60 | $120.78–$457.55 | at median | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $1,079.95 | $1,079.95 | $222.36–$842.36 | 3% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) | $378.49 | $378.49 | $192.06–$308.07 | 15% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $378.49 | $378.49 | $77.93–$295.22 | 15% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Utah | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $148.90 | $148.90 | $875.48 | 67% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX LIVE VAC SQ | $148.90 | $148.90 | $30.66–$119.12 | 67% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $86.26 | $86.26 | $17.76–$67.28 | 25% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $518.22 | $518.22 | $106.70–$404.21 | 177% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $518.22 | $518.22 | $285.57 | 177% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $506.50 | $506.50 | $445.13 | 19% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $506.50 | $506.50 | $104.29–$405.20 | 19% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use | $377.52 | $377.52 | $507.19 | 2% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $377.52 | $377.52 | $77.73–$294.47 | 2% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM | $2,078.52 | $2,078.52 | $427.97–$1,662.82 | 42% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $2,078.52 | $2,078.52 | $2,713.47 | 42% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $1,774.45 | $1,774.45 | $1,197.84 | 49% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $1,774.45 | $1,774.45 | $365.36–$1,384.07 | 49% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $272.03 | $272.03 | $147.25 | 47% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $272.03 | $272.03 | $56.01–$217.62 | 47% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $401.86 | $401.86 | $82.74–$321.49 | 16% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | $401.86 | $401.86 | $150.02 | 16% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $297.99 | $297.99 | $61.36–$232.43 | 10% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $123.03 | $123.03 | $25.33–$98.42 | 20% below | — |