Hospital Syracuse, NY

Oswego Hospital Lakeview Center for Mental Health and Wellness

Oswego Hospital Lakeview Center for Mental Health and Wellness in Oswego, NY publishes cash prices for 234 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 127 of 232 procedures and below it for 103. By typical cash price it ranks #47 of 104 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

110 W 6th St,Oswego,NY,13126 29 E. Cayuga St. Oswego, NY 13126 Collected Sep 29, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs New YorkOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS $215.25 $287.00 $165.27–$501.30 20% below 25%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS $354.75 $473.00 $296.38–$898.98 38% below 25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION $1,339.58 $1,786.11 $666.34–$2,058.75 24% above 25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,419.96 $1,893.28 $666.34–$2,058.75 32% above 25%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH $2,298.50 $3,064.67 $1,776.23–$5,387.66 24% below 25%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT $1,339.58 $1,786.11 $678.74–$2,058.75 25% above 25%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE $1,419.96 $1,893.28 $678.74–$2,058.75 33% above 25%

Lab tests

ProcedureCash price List priceInsurers payvs New YorkOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL $13.81 $18.41 $5.30–$303.00 39% below 25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) $14.63 $19.51 $5.30–$303.00 35% below 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL $13.81 $18.41 $5.18–$303.00 41% below 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) $14.63 $19.51 $5.18–$303.00 38% below 25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $14.63 $19.51 $5.22–$303.00 3% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH $552.30 $736.40 $5.22–$303.00 3784% above 25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT $43.28 $57.71 $12.95–$303.00 8% below 25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $45.88 $61.17 $12.95–$303.00 2% below 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER $93.93 $125.24 $12.09–$303.00 115% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $99.56 $132.75 $12.09–$303.00 128% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL $197.99 $263.98 $39.26–$303.00 64% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE $209.87 $279.82 $39.26–$303.00 74% above 25%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $94.85 $126.46 $8.46–$303.00 53% above 25%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA $100.54 $134.05 $8.46–$303.00 62% above 25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $82.97 $110.62 $60.38–$303.00 50% below 25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY $163.32 $217.76 $60.38–$303.00 1% below 25%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA $45.88 $61.17 $10.32–$303.00 38% below 25%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE $86.57 $115.42 $10.32–$303.00 17% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE $22.10 $29.47 $3.00–$303.00 47% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE $22.45 $29.93 $3.00–$303.00 50% above 25%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL $11.05 $14.73 $3.93–$303.00 39% below 25%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT $11.71 $15.61 $3.93–$303.00 35% below 25%
Blood lead test CPT 83655 LEAD LEVEL $113.27 $151.02 $12.11–$303.00 172% above 25%
Blood lead test CPT 83655 ASSAY OF LEAD $120.06 $160.08 $12.11–$303.00 188% above 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS $39.60 $52.80 $7.52–$303.00 at median 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY $41.98 $55.97 $7.52–$303.00 6% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) $55.25 $73.66 $4.07–$303.00 64% below 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO $58.56 $78.08 $4.07–$303.00 62% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION $49.73 $66.30 $5.18–$303.00 60% above 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $52.71 $70.28 $5.18–$303.00 70% above 25%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE $229.30 $305.73 $37.27–$303.00 99% above 25%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE $243.05 $324.07 $37.27–$303.00 111% above 25%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 $90.25 $120.33 $20.81–$303.00 32% above 25%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 $95.66 $127.55 $20.81–$303.00 40% above 25%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 $54.33 $72.44 $20.81–$303.00 30% below 25%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 $57.59 $76.79 $20.81–$303.00 26% below 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN $137.68 $183.57 $51.31–$303.00 40% above 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB $145.94 $194.58 $51.31–$303.00 48% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE $92.09 $122.78 $35.09–$303.00 19% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE $97.61 $130.15 $35.09–$303.00 26% above 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $99.45 $132.60 $13.39–$303.00 41% above 25%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $75.51 $100.68 $7.77–$303.00 83% above 25%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $34.07 $45.43 $6.47–$303.00 19% above 25%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $36.12 $48.16 $6.47–$303.00 26% above 25%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE $21.18 $28.24 $10.18–$303.00 42% below 25%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT $22.45 $29.93 $10.18–$303.00 39% below 25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL $95.77 $127.69 $22.23–$303.00 6% above 25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE $101.51 $135.35 $22.23–$303.00 12% above 25%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) $73.67 $98.23 $27.94–$303.00 21% below 25%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL $78.09 $104.12 $27.94–$303.00 16% below 25%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL $48.80 $65.06 $18.58–$303.00 29% below 25%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) $51.72 $68.96 $18.58–$303.00 24% below 25%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL $345.32 $460.42 $19.63–$303.00 275% above 25%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL $366.04 $488.05 $19.63–$303.00 298% above 25%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL $138.12 $184.16 $13.63–$303.00 138% above 25%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN $146.41 $195.21 $13.63–$303.00 152% above 25%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM $121.55 $162.06 $14.70–$303.00 119% above 25%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM $128.84 $171.78 $14.70–$303.00 133% above 25%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE $94.85 $126.46 $16.94–$303.00 12% above 25%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) $100.54 $134.05 $16.94–$303.00 18% above 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE $68.14 $90.85 $9.02–$303.00 8% above 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE $72.23 $96.30 $9.02–$303.00 14% above 25%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE $74.18 $98.91 $25.47–$303.00 7% below 25%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $346.52 $462.02 $303.00 121% above 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE $12.89 $17.19 $4.75–$303.00 31% below 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST $13.67 $18.22 $4.75–$303.00 27% below 25%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS $34.07 $45.43 $12.87–$303.00 39% below 25%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) $36.12 $48.16 $12.87–$303.00 36% below 25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE $92.09 $122.78 $35.09–$303.00 7% above 25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB $97.61 $130.15 $35.09–$303.00 13% above 25%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY $16.59 $22.12 $13.32–$303.00 68% below 25%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL $61.70 $82.26 $14.38–$303.00 7% above 25%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA $65.40 $87.20 $14.38–$303.00 13% above 25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION $209.36 $279.15 $85.10–$303.00 1% below 25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ $235.24 $313.65 $85.10–$303.00 12% above 25%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY $38.07 $50.76 $12.70–$303.00 23% below 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES $191.54 $255.39 $24.08–$303.00 146% above 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA $203.03 $270.71 $24.08–$303.00 161% above 25%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT $88.82 $118.43 $35.09–$303.00 21% above 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL $64.46 $85.94 $9.71–$303.00 65% above 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C $68.33 $91.10 $9.71–$303.00 75% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT $105.89 $141.19 $10.74–$303.00 167% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $112.25 $149.66 $10.74–$303.00 184% above 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN $58.94 $78.58 $10.33–$303.00 58% above 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $62.47 $83.29 $10.33–$303.00 67% above 25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT $37.76 $50.34 $14.27–$303.00 36% below 25%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST $40.02 $53.36 $14.27–$303.00 32% below 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION $573.69 $764.92 $42.84–$303.00 370% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ $608.12 $810.82 $42.84–$303.00 398% above 25%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 $34.99 $46.65 $12.70–$303.00 6% above 25%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST $37.09 $49.45 $12.70–$303.00 12% above 25%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 $50.65 $67.53 $19.35–$303.00 7% below 25%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST $53.69 $71.58 $19.35–$303.00 1% below 25%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY $44.21 $58.94 $12.95–$303.00 6% below 25%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS $46.86 $62.48 $12.95–$303.00 at median 25%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL $243.11 $324.14 $17.92–$303.00 224% above 25%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE $257.69 $343.59 $17.92–$303.00 243% above 25%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL $62.63 $83.50 $11.43–$303.00 51% above 25%
Insulin blood test CPT 83525 ASSAY OF INSULIN $66.38 $88.51 $11.43–$303.00 60% above 25%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON $5.63 $7.50 $6.47–$303.00 80% below 25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $53.41 $71.21 $8.74–$303.00 30% above 25%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST $56.61 $75.48 $8.74–$303.00 37% above 25%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL $123.40 $164.53 $8.68–$303.00 83% above 25%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $130.80 $174.40 $8.68–$303.00 94% above 25%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL $48.80 $65.06 $18.52–$303.00 34% below 25%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) $51.72 $68.96 $18.52–$303.00 30% below 25%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL $55.25 $73.66 $6.89–$303.00 76% above 25%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE $58.56 $78.08 $6.89–$303.00 87% above 25%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL $58.94 $78.58 $8.17–$303.00 18% below 25%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $62.47 $83.29 $8.17–$303.00 13% below 25%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $45.12 $60.16 $13.32–$303.00 at median 25%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY $47.83 $63.77 $13.32–$303.00 6% above 25%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $51.56 $68.75 $6.70–$303.00 89% above 25%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $54.66 $72.88 $6.70–$303.00 101% above 25%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $60.53 $80.70 $12.70–$303.00 39% above 25%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) $114.20 $152.26 $12.70–$303.00 161% above 25%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) $68.14 $90.85 $5.18–$303.00 88% above 25%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN $72.23 $96.30 $5.18–$303.00 99% above 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE $15.65 $20.87 $18.39–$303.00 72% below 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE $16.59 $22.12 $18.39–$303.00 70% below 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $95.77 $127.69 $18.39–$303.00 47% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL $97.31 $129.75 $18.39–$303.00 49% above 25%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING $123.36 $164.48 $26.61–$303.00 102% above 25%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO $130.76 $174.35 $26.61–$303.00 114% above 25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING $98.54 $131.38 $20.26–$303.00 40% above 25%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $104.45 $139.26 $20.26–$303.00 49% above 25%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL $128.92 $171.89 $41.28–$303.00 4% above 25%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE $136.65 $182.20 $41.28–$303.00 10% above 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $49.78 $66.37 $6.01–$303.00 101% above 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $88.61 $118.14 $6.01–$303.00 257% above 25%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL $93.93 $125.24 $20.86–$303.00 9% above 25%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE $99.56 $132.75 $20.86–$303.00 16% above 25%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL $86.56 $115.41 $19.38–$303.00 23% above 25%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN $91.75 $122.33 $19.38–$303.00 31% above 25%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME $19.34 $25.79 $4.29–$303.00 11% above 25%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $20.51 $27.34 $4.29–$303.00 17% above 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION $9.45 $12.60 $12.60–$303.00 62% below 25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS $18.90 $25.20 $12.60–$303.00 23% below 25%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $24.41 $32.54 $15.62–$303.00 24% below 25%
Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS $25.50 $34.00 $15.62–$303.00 20% below 25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL $16.58 $22.10 $5.67–$303.00 22% below 25%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT $17.57 $23.43 $5.67–$303.00 17% below 25%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) $93.93 $125.24 $12.89–$303.00 128% above 25%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $99.56 $132.75 $12.89–$303.00 142% above 25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED $41.44 $55.25 $2.70–$303.00 67% above 25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED $43.93 $58.57 $2.70–$303.00 77% above 25%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT $136.65 $182.20 $12.31–$303.00 330% above 25%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $25.38 $33.84 $8.90–$303.00 24% below 25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY $38.80 $51.73 $15.92–$303.00 4% below 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST $72.75 $97.00 $3.93–$303.00 360% above 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL $77.12 $102.82 $3.93–$303.00 388% above 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON $101.29 $135.05 $61.98–$303.00 17% below 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE $107.36 $143.15 $61.98–$303.00 12% below 25%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL $68.14 $90.85 $25.81–$303.00 15% below 25%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE $72.23 $96.30 $25.81–$303.00 10% below 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT $74.59 $99.45 $14.55–$303.00 59% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $79.07 $105.42 $14.55–$303.00 68% above 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $128.92 $171.89 $16.80–$303.00 68% above 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $136.65 $182.20 $16.80–$303.00 78% above 25%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE $150.10 $200.13 $35.09–$303.00 119% above 25%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $159.11 $212.14 $35.09–$303.00 133% above 25%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD $4.88 $6.50 $4.52–$303.00 80% below 25%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID $5.36 $7.15 $4.52–$303.00 78% below 25%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE $43.93 $58.57 $3.17–$303.00 63% above 25%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $78.18 $104.24 $3.17–$303.00 190% above 25%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE $21.18 $28.24 $4.02–$303.00 117% above 25%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE $20.51 $27.34 $2.25–$303.00 46% above 25%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST $38.69 $51.58 $2.25–$303.00 175% above 25%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST $5.25 $7.00 $3.48–$303.00 49% below 25%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE $34.17 $45.56 $3.48–$303.00 235% above 25%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE $98.54 $131.38 $8.07–$303.00 152% above 25%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT $104.45 $139.26 $8.07–$303.00 167% above 25%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $41.44 $55.25 $8.61–$303.00 44% above 25%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL $132.60 $176.80 $15.08–$303.00 138% above 25%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $140.56 $187.41 $15.08–$303.00 153% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $22.50 $30.00 $29.60–$303.00 71% below 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL $110.51 $147.34 $29.60–$303.00 42% above 25%
Zinc blood test CPT 84630 ZINC LEVEL $169.43 $225.91 $11.39–$303.00 460% above 25%
Zinc blood test CPT 84630 ASSAY OF ZINC $179.60 $239.46 $11.39–$303.00 493% above 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL $39.60 $52.80 $15.05–$303.00 35% below 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST $41.98 $55.97 $15.05–$303.00 31% below 25%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New YorkOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) $3,330.95 $4,441.27 $4,118.35–$12,491.78 13% below 25%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH $1,426.38 $1,901.84 $2,051.56–$8,662.00 49% below 25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE $257.66 $343.55 $306.40–$5,174.00 46% below 25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT $824.80 $1,099.73 $821.01–$6,471.00 at median 25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT $874.28 $1,165.71 $821.01–$6,471.00 6% above 25%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) $5,653.20 $7,537.60 $2,596.60–$9,860.00 130% above 25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK $97.07 $129.43 — — 25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO $251.57 $335.42 $306.40–$5,174.00 47% below 25%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $2,543.69 $3,391.59 $1,486.43–$8,662.00 82% above 25%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,681.74 $3,575.65 $1,486.43–$8,662.00 92% above 25%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,681.74 $3,575.65 $1,155.16–$8,662.00 149% above 25%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE $2,826.60 $3,768.80 $3,400.00–$13,281.23 31% below 25%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE $4,644.50 $6,192.67 $866.15–$6,471.00 431% above 25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION $70.41 $93.88 $249.22–$5,174.00 70% below 25%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA $4,644.50 $6,192.67 $1,927.33–$8,662.00 165% above 25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING $117.71 $156.94 $73.28–$5,174.00 18% above 25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $124.77 $166.36 $73.28–$5,174.00 25% above 25%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI $26.37 $35.16 $73.28–$5,174.00 78% below 25%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX $112.92 $150.56 $73.28–$5,174.00 6% below 25%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE $6,681.09 $8,908.12 $8,041.57–$24,391.69 10% below 25%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE $5,630.77 $7,507.69 $4,447.46–$13,490.04 35% above 25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,511.91 $4,682.54 $1,155.16–$6,471.00 226% above 25%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $5,003.50 $6,671.33 $7,509.55–$22,777.97 8% below 25%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE $10,007.00 $13,342.66 $7,509.55–$22,777.97 45% above 25%
Hammertoe correction surgery CPT 28285 CORRECTION OF TOE JOINT DEFORMITY $2,826.60 $3,768.80 $4,064.38–$12,328.08 26% below 25%
Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING $4,262.09 $5,682.78 $1,155.16–$6,471.00 295% above 25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY $309.41 $412.55 $49.78–$5,174.00 15% above 25%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE $2,826.60 $3,768.80 $3,400.00–$18,847.94 52% below 25%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $4,644.50 $6,192.67 $3,400.00–$12,196.65 23% above 25%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION $2,826.60 $3,768.80 $5,174.00 1022% above 25%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE $224.13 $298.84 $249.22–$5,174.00 33% below 25%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS $337.80 $450.40 $249.22–$5,174.00 1% above 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT $235.22 $313.63 $381.28–$5,174.00 34% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $249.34 $332.45 $381.28–$5,174.00 30% below 25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE $116.25 $155.00 $165.27–$5,174.00 51% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT $99.53 $132.70 $381.28–$5,174.00 72% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $254.76 $339.68 $381.28–$5,174.00 27% below 25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US $254.76 $339.68 $381.28–$5,174.00 27% below 25%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE $10,007.00 $13,342.66 $7,509.55–$22,777.97 53% above 25%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE $10,007.00 $13,342.66 $7,509.55–$22,777.97 45% above 25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< $445.31 $593.75 $504.96–$5,174.00 17% below 25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS $2,131.04 $2,841.39 $504.96–$5,174.00 298% above 25%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $990.36 $1,320.48 $1,098.66–$6,471.00 6% below 25%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER $4,644.50 $6,192.67 $4,021.05–$12,196.65 23% above 25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< $713.10 $950.80 $879.62–$6,471.00 14% below 25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< $866.27 $1,155.03 $879.62–$6,471.00 4% above 25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS $3,511.91 $4,682.54 $879.62–$6,471.00 320% above 25%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE $568.73 $758.30 $249.22–$5,174.00 101% above 25%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV $540.12 $720.16 $381.28–$5,174.00 48% above 25%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $271.85 $362.47 $1,050.00–$8,662.00 76% below 25%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE $688.65 $918.20 $1,126.63–$8,662.00 38% below 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED $134.91 $179.88 $504.96–$5,174.00 71% below 25%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND $4,644.50 $6,192.67 $8,662.00 92% above 25%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE $7,517.44 $10,023.25 $9,705.00–$40,050.46 39% below 25%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE $579.92 $773.22 $504.96–$5,174.00 20% above 25%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL $1,086.80 $1,449.06 $504.96–$5,174.00 125% above 25%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,681.74 $3,575.65 $1,155.16–$6,471.00 149% above 25%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $2,681.74 $3,575.65 $1,155.16–$6,471.00 149% above 25%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE $4,376.23 $5,834.97 $4,118.35–$12,491.78 14% above 25%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE $5,243.82 $6,991.76 $4,378.62–$16,140.00 25% above 25%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST $309.38 $412.51 $347.43–$5,174.00 2% below 25%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT $159.72 $212.96 $86.00–$5,174.00 5% above 25%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT $203.79 $271.72 $165.27–$5,174.00 34% above 25%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST $390.53 $520.71 $347.43–$5,174.00 24% above 25%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $275.55 $367.40 $201.86–$5,174.00 45% above 25%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT $292.08 $389.44 $201.86–$5,174.00 53% above 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< $64.92 $86.56 $249.22–$5,174.00 77% below 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS $177.03 $236.04 $249.22–$5,174.00 37% below 25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH $590.17 $786.89 $504.96–$5,174.00 5% above 25%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION $625.58 $834.10 $504.96–$5,174.00 11% above 25%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS $101.25 $135.00 $249.22–$5,174.00 57% below 25%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 $262.73 $350.30 $249.22–$5,174.00 12% above 25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST $1,079.39 $1,439.19 $876.82–$6,471.00 24% above 25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR $1,144.16 $1,525.54 $876.82–$6,471.00 31% above 25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM $85.76 $114.35 $249.22–$5,174.00 72% below 25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM $96.36 $128.48 $249.22–$5,174.00 68% below 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS $95.69 $127.59 $249.22–$5,174.00 67% below 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< $101.44 $135.25 $249.22–$5,174.00 65% below 25%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE $8,752.46 $11,669.95 $6,660.24–$20,201.84 45% above 25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES $625.58 $834.10 $504.96–$5,174.00 41% above 25%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE $876.17 $1,168.23 $779.21–$6,471.00 27% below 25%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING $928.74 $1,238.32 $779.21–$6,471.00 23% below 25%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) $5,653.20 $7,537.60 $4,118.35–$12,491.78 47% above 25%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $5,653.20 $7,537.60 $5,400.00–$22,304.39 19% below 25%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) $5,653.20 $7,537.60 $4,118.35–$12,491.78 47% above 25%
Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $11,261.53 $15,015.37 $9,300.00–$48,372.84 26% below 25%
Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $5,003.50 $6,671.33 $9,300.00–$48,372.84 64% below 25%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL $555.03 $740.04 $381.28–$5,174.00 59% above 25%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM $1,755.95 $2,341.27 $2,383.60–$8,662.00 22% below 25%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $3,511.91 $4,682.54 $1,126.63–$8,662.00 217% above 25%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,755.95 $2,341.27 $1,126.63–$8,662.00 58% above 25%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $1,755.95 $2,341.27 $2,383.60–$8,662.00 22% below 25%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE $1,755.95 $2,341.27 $1,126.63–$8,662.00 58% above 25%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $2,543.69 $3,391.59 $1,126.63–$8,662.00 129% above 25%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE $9,440.57 $12,587.42 $5,400.00–$20,201.84 57% above 25%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT $4,020.83 $5,361.11 $2,596.60–$9,860.00 83% above 25%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 $65.93 $87.91 $249.22–$5,174.00 72% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< $614.71 $819.61 $504.96–$5,174.00 15% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS $1,005.76 $1,341.01 $504.96–$5,174.00 40% above 25%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT $345.83 $461.10 $548.01–$5,174.00 48% below 25%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS $400.28 $533.71 $548.01–$5,174.00 40% below 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION $105.43 $140.57 — — 25%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS $525.50 $700.66 $164.39–$1,244.52 9% below 25%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR $557.03 $742.70 $164.39–$1,244.52 3% below 25%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> $121.73 $162.31 $165.38–$501.63 27% below 25%
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> $216.06 $288.08 $165.38–$501.63 22% above 25%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES $1,514.86 $2,019.81 $1,026.07–$3,112.28 2% below 25%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR $1,605.75 $2,141.00 $1,026.07–$3,112.28 4% above 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE $180.58 $240.77 $74.97 195% above 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $110.51 $147.34 $32.38–$222.27 22% below 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING $117.14 $156.18 $32.38–$222.27 17% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY $391.40 $521.86 $104.74–$1,790.00 190% above 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY $507.18 $676.24 $190.73–$1,790.00 77% above 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM $537.61 $716.81 $190.73–$1,790.00 88% above 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $617.24 $822.98 $339.08–$1,790.00 42% above 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM $654.27 $872.36 $339.08–$1,790.00 51% above 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $799.06 $1,065.41 $518.31–$1,790.00 32% above 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM $847.00 $1,129.33 $518.31–$1,790.00 40% above 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $909.11 $1,212.14 $739.75–$2,243.81 9% above 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM $963.65 $1,284.87 $739.75–$2,243.81 16% above 25%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST $258.07 $344.09 $194.10–$813.53 53% below 25%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) $496.34 $661.78 $194.10–$813.53 9% below 25%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT $203.83 $271.77 $165.38–$501.63 34% above 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT $256.49 $341.99 $264.21–$801.40 26% below 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES $322.50 $430.00 $264.21–$801.40 7% below 25%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT $322.50 $430.00 $264.21–$801.40 13% below 25%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS $363.64 $484.85 $264.21–$1,790.00 2% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE $82.61 $110.15 $89.44–$271.29 2% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $98.40 $131.20 $89.44–$1,790.00 17% above 25%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION $63.00 $84.00 $220.47–$668.73 70% below 25%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN $79.50 $106.00 $69.26–$210.08 58% below 25%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $239.24 $318.98 $69.26–$600.00 25% above 25%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $263.16 $350.88 $113.42–$600.00 8% below 25%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN $278.95 $371.93 $113.42–$344.03 3% below 25%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES $324.41 $432.54 $155.18–$470.69 7% above 25%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN $721.21 $961.61 $155.18–$470.69 138% above 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES $191.40 $255.20 $40.00–$600.00 22% above 25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN $202.88 $270.51 $40.00–$121.33 29% above 25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN $41.25 $55.00 $25.87–$78.47 26% below 25%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS) $251.25 $335.00 — 16% above 25%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS) $251.25 $335.00 — 9% above 25%
Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) $251.25 $335.00 — 20% above 25%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES $24.75 $33.00 $46.54–$141.17 38% below 25%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN $26.25 $35.00 $46.54–$141.17 35% below 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN $231.27 $308.36 $122.25–$370.81 2% below 25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES $257.25 $343.00 $122.25–$370.81 9% above 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $191.40 $255.20 $56.01–$600.00 19% above 25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN $302.27 $403.03 $56.01–$169.89 88% above 25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $90.97 $121.29 — — 25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN $163.32 $217.76 $82.33–$249.72 15% below 25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $215.31 $287.08 $82.33–$600.00 12% above 25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $134.41 $179.21 — — 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN $39.75 $53.00 $30.18–$91.54 68% below 25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES $172.25 $229.66 $30.18–$600.00 40% above 25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES $54.91 $73.21 — — 25%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME $116.28 $155.04 $268.21–$813.53 47% below 25%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION $213.98 $285.31 $463.53–$1,405.98 42% below 25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY $84.27 $112.36 $165.27–$501.30 60% below 25%

Vaccines

ProcedureCash price List priceInsurers payvs New YorkOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE; INACTIVATED $56.25 $75.00 — 54% below 25%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM $212.70 $283.60 $161.65 at median 25%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2024-2025 Formula Ages 12 and up $319.05 $425.40 $161.65 50% above 25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ $221.70 $295.60 — 2% above 25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM $21.83 $29.10 — 30% below 25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE $27.00 $36.00 — 13% below 25%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM $892.88 $1,190.50 — 768% above 25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM $121.50 $162.00 — 40% above 25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE $114.00 $152.00 — 2% above 25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM $147.76 $197.01 — 32% above 25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC $131.85 $175.80 — 17% above 25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM $251.18 $334.90 — 25% above 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE; 20 VALENT (PCV20); FOR INTRAMUSCULAR USE $201.75 $269.00 — 53% below 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM $328.57 $438.09 — 23% below 25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 $560.23 $746.97 — 31% above 25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM $76.05 $101.40 — 45% below 25%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM $255.59 $340.78 $319.75–$969.87 46% below 25%
Rabies vaccine, one dose CPT 90675 RabAvert $608.09 $810.78 $319.75–$969.87 29% above 25%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix $243.00 $324.00 — 26% below 25%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGLES VACCINE FOR INJECTION INTO MUSCLE $243.00 $324.00 — 26% below 25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac $43.52 $58.02 — 18% below 25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM $56.25 $75.00 — 6% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix $78.62 $104.82 — 42% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM $109.95 $146.60 — 98% above 25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) $110.25 $147.00 — 99% above 25%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM $195.28 $260.37 — 27% below 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE $27.03 $36.04 $89.44–$271.29 65% below 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN $48.75 $65.00 $89.44–$271.29 37% below 25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD $48.75 $65.00 — 31% above 25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE $62.25 $83.00 — 67% above 25%

Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/2e1cb55d7318bddaef0f8776011277c1/charges/mrf