Texas Orthopedic Hospital
Texas Orthopedic Hospital in Houston, TX publishes cash prices for 133 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 Texas median for 126 of 133 procedures and below it for 7. By typical cash price it ranks #279 of 305 Texas hospitals and #50 of 62 hospitals in the Houston, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
7401 SOUTH MAIN STREET, HOUSTON, TX, 77030 Collected Sep 28, 2026 Source price file (713) 799-8600
Acute care hospital Emergency department CCN 450804 · CMS hospital register NPI 1134166192
The price file shows no self-pay discount
For 262 of the 262 prices listed here, the cash price in Texas Orthopedic Hospital'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. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Texas Orthopedic Hospital in Houston, TX:
- Feb 12, 2024 Met requirements
- May 6, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $1,552.18 | $1,552.18 | $93.13–$1,396.96 | 311% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $1,552.18 | $1,552.18 | $93.13–$1,396.96 | 311% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $14,971.31 | $14,971.31 | $898.28–$13,474.18 | 346% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $14,971.31 | $14,971.31 | $184.35–$1,387.00 | 346% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $15,412.92 | $15,412.92 | $324.45 | 296% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $15,412.92 | $15,412.92 | $924.78–$13,871.63 | 296% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $18,134.08 | $18,134.08 | $1,088.04–$16,320.67 | 335% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions | $18,134.08 | $18,134.08 | $363.31 | 335% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $7,752.73 | $7,752.73 | $183.95 | 197% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $7,752.73 | $7,752.73 | $465.16–$6,977.46 | 197% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $7,487.74 | $7,487.74 | $449.26–$6,738.97 | 266% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $7,487.74 | $7,487.74 | $109.02 | 266% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $6,995.68 | $6,995.68 | $109.02 | 267% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $6,995.68 | $6,995.68 | $419.74–$6,296.11 | 267% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $1,780.20 | $1,780.20 | $106.81–$1,602.18 | 1% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $1,780.20 | $1,780.20 | $156.43 | 1% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $1,780.20 | $1,780.20 | $106.81–$1,602.18 | 23% below | — |
| 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 | $1,780.20 | $1,780.20 | $183.95 | 23% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $9,025.69 | $9,025.69 | $541.54–$8,123.12 | 339% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $9,025.69 | $9,025.69 | $109.02 | 339% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $8,692.02 | $8,692.02 | $109.02 | 313% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $8,692.02 | $8,692.02 | $521.52–$7,822.82 | 313% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $1,764.40 | $1,764.40 | $105.86–$1,587.96 | 348% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $1,764.40 | $1,764.40 | $34.42 | 348% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $1,389.45 | $1,389.45 | $83.37–$1,250.51 | 329% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $1,389.45 | $1,389.45 | $62.88–$80.90 | 329% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $7,030.73 | $7,030.73 | $421.84–$6,327.66 | 318% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $7,030.73 | $7,030.73 | $109.02–$2,106.00 | 318% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study | $3,096.65 | $3,096.65 | $195.63 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $3,096.65 | $3,096.65 | $185.80–$2,786.99 | 55% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $922.53 | $922.53 | $55.35–$830.28 | 128% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $922.53 | $922.53 | $55.35–$830.28 | 128% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $2,614.18 | $2,614.18 | $156.85–$2,352.76 | 315% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) | $2,614.18 | $2,614.18 | $90.32 | 315% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $12,908.20 | $12,908.20 | $774.49–$11,617.38 | 477% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $12,908.20 | $12,908.20 | $774.49–$11,617.38 | 477% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT | $14,823.82 | $14,823.82 | $889.43–$13,341.44 | 367% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT | $14,823.82 | $14,823.82 | $889.43–$13,341.44 | 367% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $12,623.52 | $12,623.52 | $208.23 | 476% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $12,623.52 | $12,623.52 | $757.41–$11,361.17 | 476% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $20,578.10 | $20,578.10 | $1,234.69–$18,520.29 | 581% 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 | $20,578.10 | $20,578.10 | $339.46 | 581% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $13,437.52 | $13,437.52 | $806.25–$12,093.77 | 487% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $13,437.52 | $13,437.52 | $203.12–$2,241.00 | 487% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $23,074.94 | $23,074.94 | $1,384.50–$20,767.45 | 622% above | — |
| 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 | $23,074.94 | $23,074.94 | $340.48 | 622% 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 | $13,723.66 | $13,723.66 | $202.45 | 540% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $13,723.66 | $13,723.66 | $823.42–$12,351.29 | 540% 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 | $17,692.80 | $17,692.80 | $341.15 | 442% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $17,692.80 | $17,692.80 | $1,061.57–$15,923.52 | 442% 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 | $13,744.43 | $13,744.43 | $202.45 | 493% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $13,744.43 | $13,744.43 | $824.67–$12,369.99 | 493% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $21,710.87 | $21,710.87 | $1,302.65–$19,539.78 | 542% 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 | $21,710.87 | $21,710.87 | $360.24 | 542% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $13,886.77 | $13,886.77 | $238.19 | 465% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $13,886.77 | $13,886.77 | $833.21–$12,498.09 | 465% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $13,742.95 | $13,742.95 | $824.58–$12,368.66 | 512% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $13,742.95 | $13,742.95 | $824.58–$12,368.66 | 512% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $1,730.44 | $1,730.44 | $103.83–$1,557.40 | 402% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $1,730.44 | $1,730.44 | $103.83–$1,557.40 | 402% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $2,955.60 | $2,955.60 | $109.02 | 243% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $2,955.60 | $2,955.60 | $177.34–$2,660.04 | 243% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation | $2,009.93 | $2,009.93 | $109.02 | 219% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $2,009.93 | $2,009.93 | $120.60–$1,808.94 | 219% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $1,553.99 | $1,553.99 | $93.24–$1,398.59 | 93% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $1,553.99 | $1,553.99 | $93.24–$1,398.59 | 93% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $1,553.99 | $1,553.99 | $93.24–$1,398.59 | 93% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $1,225.32 | $1,225.32 | $73.52–$1,102.79 | 218% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $1,225.32 | $1,225.32 | $73.52–$1,102.79 | 218% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V LT | $889.10 | $889.10 | $53.35–$800.19 | 120% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3 V RT | $889.10 | $889.10 | $53.35–$800.19 | 120% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $857.44 | $857.44 | $30.68–$182.03 | 153% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $857.44 | $857.44 | $51.45–$771.70 | 153% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $1,119.20 | $1,119.20 | $67.15–$1,007.28 | 272% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $1,119.20 | $1,119.20 | $67.15–$1,007.28 | 272% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $1,164.47 | $1,164.47 | $69.87–$1,048.02 | 341% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $1,164.47 | $1,164.47 | $69.87–$1,048.02 | 341% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $888.58 | $888.58 | $53.31–$799.72 | 167% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $888.58 | $888.58 | $53.31–$799.72 | 167% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $1,420.59 | $1,420.59 | $85.24–$1,278.53 | 282% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $1,420.59 | $1,420.59 | $85.24–$1,278.53 | 282% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $1,318.70 | $1,318.70 | $79.12–$1,186.83 | 238% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $1,318.70 | $1,318.70 | $79.12–$1,186.83 | 238% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $1,332.85 | $1,332.85 | $79.97–$1,199.56 | 352% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $1,332.85 | $1,332.85 | $79.97–$1,199.56 | 352% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $1,842.23 | $1,842.23 | $40.90–$137.06 | 294% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $1,842.23 | $1,842.23 | $110.53–$1,658.01 | 294% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $3,053.39 | $3,053.39 | $52.48 | 387% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $3,053.39 | $3,053.39 | $183.20–$2,748.05 | 387% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $2,037.49 | $2,037.49 | $122.25–$1,833.74 | 405% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $2,037.49 | $2,037.49 | $33.74–$245.18 | 405% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $1,693.67 | $1,693.67 | $101.62–$1,524.30 | 354% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $1,693.67 | $1,693.67 | $40.56–$182.03 | 354% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $1,407.85 | $1,407.85 | $84.47–$1,267.06 | 279% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $1,407.85 | $1,407.85 | $71.37–$91.81 | 279% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $493.81 | $493.81 | $33.41 | 51% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $493.81 | $493.81 | $29.63–$444.43 | 51% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $109.25 | $109.25 | $4.54–$28.74 | 86% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $109.25 | $109.25 | $6.55–$98.33 | 86% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $109.25 | $109.25 | $4.44–$26.95 | 89% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $109.25 | $109.25 | $6.55–$98.33 | 89% 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 | $1,492.17 | $1,492.17 | $8.24–$47.63 | 285% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $1,492.17 | $1,492.17 | $89.53–$1,342.95 | 285% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $1,358.97 | $1,358.97 | $81.54–$1,223.07 | 2110% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $1,358.97 | $1,358.97 | $11.10–$12.95 | 2110% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); | $332.26 | $332.26 | $10.36–$64.67 | 276% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $332.26 | $332.26 | $19.94–$299.03 | 276% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $1,601.42 | $1,601.42 | $33.64–$208.36 | 761% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $1,601.42 | $1,601.42 | $96.09–$1,441.28 | 761% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium | $963.86 | $963.86 | $34.86–$44.92 | 301% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $963.86 | $963.86 | $57.83–$867.47 | 301% above | — |
| 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, | $1,063.00 | $1,063.00 | $144.71–$186.48 | 258% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $1,063.00 | $1,063.00 | $63.78–$956.70 | 258% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $793.24 | $793.24 | $8.84–$53.90 | 234% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $793.24 | $793.24 | $47.59–$713.92 | 234% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $221.51 | $221.51 | $13.29–$199.36 | 399% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $221.51 | $221.51 | $3.37–$21.54 | 399% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $706.43 | $706.43 | $42.39–$635.79 | 414% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $706.43 | $706.43 | $30.66–$39.51 | 414% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $374.17 | $374.17 | $22.45–$336.75 | 324% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $374.17 | $374.17 | $2.56–$16.18 | 324% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $857.60 | $857.60 | $51.46–$771.84 | 1373% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $857.60 | $857.60 | $20.91–$26.95 | 1373% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP | $372.70 | $372.70 | $22.36–$335.43 | 109% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $1,834.91 | $1,834.91 | $110.09–$1,651.42 | 931% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $912.97 | $912.97 | $17.83–$109.59 | 573% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $912.97 | $912.97 | $54.78–$821.67 | 573% above | — |
| 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 | $64.54 | $64.54 | $52.34 | 28% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $64.54 | $64.54 | $3.87–$58.09 | 28% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $514.86 | $514.86 | $144.97–$186.82 | 309% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $514.86 | $514.86 | $30.89–$463.37 | 309% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $673.50 | $673.50 | $40.41–$606.15 | 245% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $673.50 | $673.50 | $55.77–$71.87 | 245% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $547.79 | $547.79 | $5.54–$34.15 | 474% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $547.79 | $547.79 | $32.87–$493.01 | 474% above | — |
| 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 | $1,586.00 | $1,586.00 | $43.21–$55.69 | 434% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $1,586.00 | $1,586.00 | $95.16–$1,427.40 | 434% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $1,029.69 | $1,029.69 | $61.78–$926.72 | 488% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $1,029.69 | $1,029.69 | $41.83–$53.90 | 488% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $1,550.55 | $1,550.55 | $76.68–$98.82 | 869% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $1,550.55 | $1,550.55 | $93.03–$1,395.49 | 869% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $1,119.51 | $1,119.51 | $11.68–$71.87 | 982% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $1,119.51 | $1,119.51 | $67.17–$1,007.56 | 982% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $1,438.30 | $1,438.30 | $86.30–$1,294.47 | 1422% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $1,438.30 | $1,438.30 | $59.93–$77.23 | 1422% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $1,293.12 | $1,293.12 | $77.59–$1,163.81 | 817% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $1,293.12 | $1,293.12 | $14.51–$89.84 | 817% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $580.71 | $580.71 | $37.63–$48.49 | 558% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $580.71 | $580.71 | $34.84–$522.64 | 558% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $813.00 | $813.00 | $48.78–$731.70 | 635% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $813.00 | $813.00 | $104.53–$134.70 | 635% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $514.86 | $514.86 | $30.89–$463.37 | 264% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $514.86 | $514.86 | $30.07–$186.82 | 264% 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 | $143.80 | $143.80 | $12.32–$75.44 | 45% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $143.80 | $143.80 | $8.63–$129.42 | 45% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed | $1,800.49 | $1,800.49 | $349.86–$450.86 | 458% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $1,800.49 | $1,800.49 | $108.03–$1,620.44 | 458% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $240.80 | $240.80 | $14.45–$216.72 | 71% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $240.80 | $240.80 | $20.63–$127.56 | 71% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $912.97 | $912.97 | $54.78–$821.67 | 891% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $912.97 | $912.97 | $40.44–$52.12 | 891% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $836.62 | $836.62 | $50.20–$752.96 | 1171% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $836.62 | $836.62 | $9.20–$57.47 | 1171% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $793.24 | $793.24 | $47.59–$713.92 | 918% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $793.24 | $793.24 | $8.85–$53.90 | 918% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $1,180.00 | $1,180.00 | $12.23–$75.44 | 1256% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $1,180.00 | $1,180.00 | $70.80–$1,062.00 | 1256% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed | $1,800.49 | $1,800.49 | $175.62–$226.32 | 512% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $1,800.49 | $1,800.49 | $108.03–$1,620.44 | 512% above | — |
| Iron blood test (serum iron) CPT 83540 Iron | $881.53 | $881.53 | $5.54–$34.15 | 913% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $881.53 | $881.53 | $52.89–$793.38 | 913% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $800.71 | $800.71 | $48.04–$720.64 | 717% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $800.71 | $800.71 | $7.49–$8.74 | 717% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $957.87 | $957.87 | $57.47–$862.08 | 440% above | — |
| 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 | $957.87 | $957.87 | $6.13–$46.70 | 440% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $857.60 | $857.60 | $51.46–$771.84 | 804% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $857.60 | $857.60 | $5.91–$35.94 | 804% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $2,454.53 | $2,454.53 | $147.27–$2,209.08 | 1037% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani | $2,454.53 | $2,454.53 | $6.13–$43.13 | 1037% above | — |
| Magnesium blood test CPT 83735 Magnesium | $857.60 | $857.60 | $5.74–$35.94 | 1629% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $857.60 | $857.60 | $51.46–$771.84 | 1629% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $128.80 | $128.80 | $7.73–$115.92 | 250% above | — |
| Measles (rubeola) antibody test CPT 86765 Antibody; rubeola | $128.80 | $128.80 | $52.96–$68.24 | 250% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $547.79 | $547.79 | $32.87–$493.01 | 513% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $547.79 | $547.79 | $15.76–$96.98 | 513% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $1,707.00 | $1,707.00 | $102.42–$1,536.30 | 688% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) | $1,707.00 | $1,707.00 | $170.08–$219.18 | 688% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $793.24 | $793.24 | $47.59–$713.92 | 1367% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $793.24 | $793.24 | $25.07–$32.31 | 1367% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $716.90 | $716.90 | $43.01–$645.21 | 1417% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; | $716.90 | $716.90 | $3.67–$23.38 | 1417% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $727.00 | $727.00 | $4.86–$30.52 | 1219% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $727.00 | $727.00 | $43.62–$654.30 | 1219% above | — |
| Rubella antibody test (immunity check) CPT 86762 Antibody; rubella | $297.83 | $297.83 | $58.54–$75.44 | 512% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $297.83 | $297.83 | $17.87–$268.05 | 512% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $33.02 | $33.02 | $1.98–$29.72 | 41% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $33.02 | $33.02 | $2.32–$14.40 | 41% below | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $912.97 | $912.97 | $7.63–$46.70 | 926% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $912.97 | $912.97 | $54.78–$821.67 | 926% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $619.80 | $619.80 | $255.08–$328.72 | 203% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $619.80 | $619.80 | $37.19–$557.82 | 203% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $1,911.24 | $1,911.24 | $105.96–$136.54 | 1787% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $1,911.24 | $1,911.24 | $114.67–$1,720.12 | 1787% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $1,456.26 | $1,456.26 | $69.71–$89.84 | 1083% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,456.26 | $1,456.26 | $87.38–$1,310.63 | 1083% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique | $350.90 | $350.90 | $30.07–$186.82 | 301% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $350.90 | $350.90 | $21.05–$315.81 | 301% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $633.10 | $633.10 | $3.88–$23.38 | 597% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $633.10 | $633.10 | $37.99–$569.79 | 597% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $716.00 | $716.00 | $42.96–$644.40 | 564% above | — |
| 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 | $716.00 | $716.00 | $12.56–$16.18 | 564% above | — |
| Urinalysis without microscope exam, automated CPT 81003 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 | $248.00 | $248.00 | $9.74–$12.55 | 395% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $248.00 | $248.00 | $14.88–$223.20 | 395% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $266.40 | $266.40 | $6.92–$43.13 | 92% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $266.40 | $266.40 | $15.98–$239.76 | 92% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $324.78 | $324.78 | $34.86–$44.92 | 282% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $324.78 | $324.78 | $19.49–$292.30 | 282% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $996.79 | $996.79 | $59.81–$897.11 | 998% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $996.79 | $996.79 | $62.74–$80.85 | 998% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $1,016.24 | $1,016.24 | $60.97–$914.62 | 725% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $1,016.24 | $1,016.24 | $25.36–$156.30 | 725% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Short arm splint (forearm and hand) CPT 29125 Application of short arm splint (forearm to hand); static | $963.00 | $963.00 | $194.07–$5,841.00 | 307% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $659.32 | $659.32 | $39.56–$600.00 | 25% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components | $659.32 | $659.32 | $32.27–$5,841.00 | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $146.00 | $146.00 | $8.76–$600.00 | 28% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m | $146.00 | $146.00 | $430.47–$596.03 | 28% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $4,669.09 | $4,669.09 | $606.98–$4,202.18 | 80% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | $4,669.09 | $4,669.09 | $3,730.00–$7,960.00 | 80% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $1,039.20 | $1,039.20 | $128.72–$178.23 | 266% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $1,039.20 | $1,039.20 | $62.35–$935.28 | 266% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | $777.49 | $777.49 | $77.04–$832.00 | 197% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $777.49 | $777.49 | $147.72–$699.74 | 197% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,161.48 | $1,161.48 | $220.68–$1,045.33 | 147% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | $1,161.48 | $1,161.48 | $77.04–$1,490.00 | 147% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $1,584.94 | $1,584.94 | $301.14–$1,426.45 | 92% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | $1,584.94 | $1,584.94 | $77.04–$2,938.00 | 92% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $2,923.45 | $2,923.45 | $409.28–$2,631.11 | 123% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $2,923.45 | $2,923.45 | $320.00–$4,206.00 | 123% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | $3,700.95 | $3,700.95 | $363.00–$7,960.00 | 84% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $3,700.95 | $3,700.95 | $518.13–$3,330.86 | 84% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $379.32 | $379.32 | $22.76–$600.00 | 16% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $379.32 | $379.32 | $358.56 | 16% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $855.65 | $855.65 | $51.34–$770.09 | 83% above | — |
| IV infusion of a medicine, first hour CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour | $855.65 | $855.65 | $170.35–$235.87 | 83% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $52.89 | $52.89 | $3.17–$600.00 | 65% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | $52.89 | $52.89 | $141.50–$195.92 | 65% below | — |
| 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 | $426.48 | $426.48 | $98.72–$506.10 | 75% 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 | $1,470.16 | $1,470.16 | $96.12–$502.67 | 382% 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 | $426.48 | $426.48 | $96.12–$502.67 | 113% 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 | $813.68 | $813.68 | $96.12–$502.67 | 222% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $177.00 | $177.00 | $38.31 | 271% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $177.00 | $177.00 | $10.62–$159.30 | 271% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $906.00 | $906.00 | $54.36–$815.40 | 258% 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 | $906.00 | $906.00 | $220.23 | 258% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $296.57 | $296.57 | $17.79–$266.91 | 139% 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 | $296.57 | $296.57 | $36.34–$147.64 | 139% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $286.12 | $286.12 | $17.17–$257.51 | 88% 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 | $286.12 | $286.12 | $65.14 | 88% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $358.50 | $358.50 | $21.51–$600.00 | 380% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | $358.50 | $358.50 | $141.50–$195.92 | 380% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition | $320.28 | $320.28 | $30.35–$42.02 | 500% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $320.28 | $320.28 | $19.22–$600.00 | 500% above | — |