Bartlett Regional Hospital
Bartlett Regional Hospital in Juneau, AK publishes cash prices for 268 common procedures listed here, from its own machine-readable price file updated Sep 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Alaska median for 140 of 266 procedures and below it for 101. By typical cash price it ranks #10 of 16 Alaska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
3260 Hospital Dr JUNEAU AK 99801 Collected Sep 29, 2026 Source price file (907) 796-8900
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 020008 · CMS hospital register NPI 1891849261
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 3 actions for a hospital named Bartlett Regional Hospital in Juneau, AK:
- Dec 28, 2022 Met requirements
- Dec 12, 2023 Met requirements
- Feb 28, 2024 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 Alaska | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $464.10 | $546.00 | $518.70–$546.00 | 12% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries | $602.86 | $709.25 | $673.79–$709.25 | 3% above | 15% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body | $1,972.21 | $2,320.25 | $2,204.24–$2,320.25 | at median | 15% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $556.96 | $655.25 | $622.49–$655.25 | 14% above | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $3,285.25 | $3,865.00 | $3,671.75–$3,865.00 | 7% above | 15% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of blood vessels and grafts of heart with contrast | $3,793.98 | $4,463.50 | $4,240.33–$4,463.50 | 86% above | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium | $176.80 | $208.00 | $197.60–$208.00 | at median | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $4,452.51 | $5,238.25 | $4,976.34–$5,238.25 | 3% above | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,921.93 | $5,790.50 | $5,500.98–$5,790.50 | 1% above | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $5,059.41 | $5,952.25 | $5,654.64–$5,952.25 | at median | 15% |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $3,120.56 | $3,671.25 | $3,487.69–$3,671.25 | 6% above | 15% |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $2,394.88 | $2,817.50 | $2,676.63–$2,817.50 | at median | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $2,231.04 | $2,624.75 | $2,493.51–$2,624.75 | 17% above | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $2,255.26 | $2,653.25 | $2,520.59–$2,653.25 | at median | 15% |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $2,461.39 | $2,895.75 | $2,750.96–$2,895.75 | at median | 15% |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $2,923.15 | $3,439.00 | $3,267.05–$3,439.00 | 9% above | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $2,720.64 | $3,200.75 | $3,040.71–$3,200.75 | 11% above | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $2,253.78 | $2,651.50 | $2,518.93–$2,651.50 | 1% above | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,084.44 | $3,628.75 | $3,447.31–$3,628.75 | 27% above | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $1,359.15 | $1,599.00 | $1,519.05–$1,599.00 | 16% below | 15% |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $445.61 | $524.25 | $498.04–$524.25 | at median | 15% |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $410.55 | $483.00 | $458.85–$483.00 | 4% above | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $818.13 | $962.50 | $914.38–$962.50 | 19% below | 15% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine | $310.46 | $365.25 | $346.99–$365.25 | 13% below | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot | $310.46 | $365.25 | $346.99–$365.25 | 23% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $2,461.39 | $2,895.75 | $2,750.96–$2,895.75 | at median | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $3,155.63 | $3,712.50 | $3,526.88–$3,712.50 | 3% above | 15% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $564.19 | $663.75 | $630.56–$663.75 | 13% below | 15% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $456.88 | $537.50 | $510.63–$537.50 | 7% above | 15% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts | $1,344.70 | $1,582.00 | $1,502.90–$1,582.00 | 1% above | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $1,379.55 | $1,623.00 | $1,541.85–$1,623.00 | 1% below | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2,723.40 | $3,204.00 | $3,043.80–$3,204.00 | 37% above | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate, breathing, airflow, and effort | $1,216.56 | $1,431.25 | $1,359.69–$1,431.25 | 125% above | 15% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) | $6,081.33 | $7,154.50 | $6,796.78–$7,154.50 | 19% above | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $619.44 | $728.75 | $692.31–$728.75 | 1% below | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening | $962.41 | $1,132.25 | $1,075.64–$1,132.25 | 228% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $3,239.99 | $3,811.75 | $3,621.16–$3,811.75 | at median | 15% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $4,021.99 | $4,731.75 | $4,495.16–$4,731.75 | 3% above | 15% |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $3,167.74 | $3,726.75 | $3,540.41–$3,726.75 | 10% below | 15% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $4,604.24 | $5,416.75 | $5,145.91–$5,416.75 | 2% below | 15% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $3,154.99 | $3,711.75 | $3,526.16–$3,711.75 | 5% below | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $4,437.43 | $5,220.50 | $4,959.48–$5,220.50 | 2% above | 15% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $3,444.84 | $4,052.75 | $3,850.11–$4,052.75 | at median | 15% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $4,051.53 | $4,766.50 | $4,528.18–$4,766.50 | 4% below | 15% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $3,176.66 | $3,737.25 | $3,550.39–$3,737.25 | 2% above | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $4,479.08 | $5,269.50 | $5,006.03–$5,269.50 | 8% above | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $3,068.08 | $3,609.50 | $3,429.03–$3,609.50 | 12% below | 15% |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $4,473.76 | $5,263.25 | $5,000.09–$5,263.25 | 4% below | 15% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $2,967.78 | $3,491.50 | $3,316.93–$3,491.50 | 6% below | 15% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $3,638.43 | $4,280.50 | $4,066.48–$4,280.50 | 13% below | 15% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Imaging of retina | $224.40 | $264.00 | $129.50–$258.72 | 2% above | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $619.44 | $728.75 | $692.31–$728.75 | at median | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $925.01 | $1,088.25 | $1,033.84–$1,088.25 | 4% below | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $1,069.30 | $1,258.00 | $1,195.10–$1,258.00 | 1% above | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus | $777.11 | $914.25 | $868.54–$914.25 | 8% below | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus | $573.33 | $674.50 | $640.78–$674.50 | 8% below | 15% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $5,574.51 | $6,558.25 | $6,230.34–$6,558.25 | 17% above | 15% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $728.88 | $857.50 | $814.63–$857.50 | 24% below | 15% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $556.96 | $655.25 | $622.49–$655.25 | 14% below | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus | $677.24 | $796.75 | $756.91–$796.75 | 4% below | 15% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $922.04 | $1,084.75 | $1,030.51–$1,084.75 | 16% below | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $753.74 | $886.75 | $842.41–$886.75 | 20% below | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $656.20 | $772.00 | $733.40–$772.00 | 30% below | 15% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract | $1,055.91 | $1,242.25 | $1,180.14–$1,242.25 | 5% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $942.86 | $1,109.25 | $1,053.79–$1,109.25 | 15% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $468.56 | $551.25 | $523.69–$551.25 | 7% above | 15% |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $405.45 | $477.00 | $453.15–$477.00 | 5% below | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $558.03 | $656.50 | $623.68–$656.50 | at median | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $807.08 | $949.50 | $902.03–$949.50 | 23% above | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $481.95 | $567.00 | $538.65–$567.00 | 11% above | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $520.84 | $612.75 | $582.11–$612.75 | at median | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $425.00 | $500.00 | $475.00–$500.00 | at median | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $479.61 | $564.25 | $536.04–$564.25 | 20% above | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alaska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $83.73 | $98.50 | $93.58–$98.50 | 44% above | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $74.38 | $87.50 | $83.13–$87.50 | 40% above | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $241.40 | $284.00 | $269.80–$284.00 | 18% below | 15% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $147.26 | $173.25 | $164.59–$173.25 | 11% above | 15% |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $203.79 | $239.75 | $227.76–$239.75 | 3% below | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $43.35 | $51.00 | $48.45–$51.00 | 14% above | 15% |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $63.11 | $74.25 | $70.54–$74.25 | 48% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $109.65 | $129.00 | $122.55–$129.00 | 9% above | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $70.34 | $82.75 | $78.61–$82.75 | 24% above | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $112.20 | $132.00 | $125.40–$132.00 | 77% above | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $363.59 | $427.75 | $406.36–$427.75 | 55% above | 15% |
| 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 | $95.84 | $112.75 | $107.11–$112.75 | 8% below | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $175.53 | $206.50 | $196.18–$206.50 | 16% above | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $160.01 | $188.25 | $178.84–$188.25 | 62% above | 15% |
| 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 | $131.96 | $155.25 | $147.49–$155.25 | 22% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $95.63 | $112.50 | $106.88–$112.50 | 17% above | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $177.44 | $208.75 | $198.31–$208.75 | 4% above | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $176.80 | $208.00 | $197.60–$208.00 | 13% below | 15% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $144.29 | $169.75 | $161.26–$169.75 | 23% above | 15% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $140.25 | $165.00 | $156.75–$165.00 | 1% above | 15% |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $169.58 | $199.50 | $189.53–$199.50 | 7% above | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $134.94 | $158.75 | $150.81–$158.75 | 2% below | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose | $55.89 | $65.75 | $62.46–$65.75 | 12% below | 15% |
| Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $152.58 | $179.50 | $170.53–$179.50 | 39% above | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | $171.06 | $201.25 | $191.19–$201.25 | 49% above | 15% |
| HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus | $151.30 | $178.00 | $169.10–$178.00 | 38% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $115.39 | $135.75 | $128.96–$135.75 | 6% below | 15% |
| Iron blood test (serum iron) CPT 83540 Iron level | $77.99 | $91.75 | $87.16–$91.75 | 1% below | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $90.95 | $107.00 | $101.65–$107.00 | 19% above | 15% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $257.55 | $303.00 | $287.85–$303.00 | 71% above | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $121.55 | $143.00 | $135.85–$143.00 | 1% above | 15% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $106.68 | $125.50 | $119.23–$125.50 | 6% above | 15% |
| Magnesium blood test CPT 83735 Magnesium level | $92.65 | $109.00 | $103.55–$109.00 | 25% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $103.91 | $122.25 | $116.14–$122.25 | 35% above | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $164.90 | $194.00 | $184.30–$194.00 | 1% below | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $120.49 | $141.75 | $134.66–$141.75 | 27% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $72.68 | $85.50 | $81.23–$85.50 | 83% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation | $168.73 | $198.50 | $188.58–$198.50 | 103% above | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level | $90.95 | $107.00 | $101.65–$107.00 | 35% above | 15% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis | $159.59 | $187.75 | $178.36–$187.75 | 50% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $169.79 | $199.75 | $189.76–$199.75 | 10% above | 15% |
| Uric acid blood test CPT 84550 Uric acid level, blood | $60.56 | $71.25 | $67.69–$71.25 | 1% above | 15% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $110.93 | $130.50 | $123.98–$130.50 | at median | 15% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $54.83 | $64.50 | $61.28–$64.50 | 11% above | 15% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $37.40 | $44.00 | $41.80–$44.00 | 4% below | 15% |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $132.60 | $156.00 | $148.20–$156.00 | 26% above | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $144.71 | $170.25 | $161.74–$170.25 | 24% above | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $206.34 | $242.75 | $230.61–$242.75 | 40% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $190.83 | $224.50 | $213.28–$224.50 | 43% above | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alaska | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Removal of ruptured infected appendix | $7,146.80 | $8,408.00 | $6,580.60–$8,239.84 | 16% above | 15% |
| Appendectomy, open surgery CPT 44950 Removal of appendix | $5,247.05 | $6,173.00 | $4,830.80–$6,049.54 | 4% above | 15% |
| Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $815.15 | $959.00 | $630.00–$939.82 | 25% below | 15% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot | $1,383.80 | $1,628.00 | $1,023.75–$1,595.44 | 125% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat | $1,181.50 | $1,390.00 | $549.50–$1,362.20 | 4% below | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat | $1,891.04 | $2,224.75 | $2,113.51–$2,224.75 | 54% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat | $1,908.89 | $2,245.75 | $2,133.46–$2,245.75 | 56% above | 15% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat | $1,908.89 | $2,245.75 | $2,133.46–$2,245.75 | — | 15% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens | $5,119.55 | $6,023.00 | $4,101.75–$5,902.54 | 5% below | 15% |
| Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth | $392.70 | $462.00 | $196.56–$452.76 | 56% below | 15% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device | $2,382.34 | $2,802.75 | $2,662.61–$2,802.75 | 217% above | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $1,791.80 | $2,108.00 | $1,554.00–$2,065.84 | 215% above | 15% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $2,952.90 | $3,474.00 | $1,944.80–$3,404.52 | 8% above | 15% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $2,715.75 | $3,195.00 | $1,536.60–$3,131.10 | 24% above | 15% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $2,461.60 | $2,896.00 | $1,414.40–$2,838.08 | 30% above | 15% |
| Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of prosthetic lens | $6,361.40 | $7,484.00 | $5,096.25–$7,334.32 | — | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope | $950.30 | $1,118.00 | $416.50–$1,095.64 | 24% below | 15% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus | $1,474.75 | $1,735.00 | $566.02–$1,700.30 | 33% below | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth | $550.80 | $648.00 | $264.25–$635.04 | 141% above | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus | $335.75 | $395.00 | $226.59–$387.10 | 24% below | 15% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance | $2,630.96 | $3,095.25 | $2,940.49–$3,095.25 | 61% above | 15% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of drug into eye | $815.15 | $959.00 | $643.50–$939.82 | 13% above | 15% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level | $2,287.56 | $2,691.25 | $2,556.69–$2,691.25 | 1% above | 15% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length | $4,242.35 | $4,991.00 | $1,555.19–$4,891.18 | 16% below | 15% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length | $4,454.85 | $5,241.00 | $4,443.40–$5,136.18 | 11% below | 15% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Initial repair of sliding hernia of abdomen, more than 10 cm in length | $5,987.40 | $7,044.00 | $5,972.20–$6,903.12 | 18% below | 15% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length | $2,990.30 | $3,518.00 | $2,652.00–$3,447.64 | 37% below | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope | $636.65 | $749.00 | $426.40–$734.02 | 55% below | 15% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $6,960.65 | $8,189.00 | $4,950.40–$8,025.22 | at median | 15% |
| 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 | $7,984.90 | $9,394.00 | $5,374.20–$9,206.12 | 14% below | 15% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Removal of gallbladder | $9,185.95 | $10,807.00 | $8,031.40–$10,590.86 | 3% above | 15% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding | $1,550.40 | $1,824.00 | $1,427.40–$1,787.52 | 3% below | 15% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Removal of single external and internal hemorrhoid group | $3,550.45 | $4,177.00 | $2,654.60–$4,093.46 | 19% below | 15% |
| Hysterectomy through an abdominal incision (total) CPT 58150 Removal of uterus and cervix through abdomen | $7,732.45 | $9,097.00 | $5,066.25–$8,915.06 | 7% above | 15% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes | $714.43 | $840.50 | $798.48–$840.50 | 29% below | 15% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope | $4,023.05 | $4,733.00 | $687.96–$4,638.34 | 15% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $644.30 | $758.00 | $488.25–$742.84 | 56% above | 15% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $5,069.40 | $5,964.00 | $3,907.80–$5,844.72 | 10% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $437.75 | $515.00 | $232.75–$504.70 | 5% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $610.09 | $717.75 | $681.86–$717.75 | 46% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $340.00 | $400.00 | $189.00–$392.00 | 5% below | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $547.83 | $644.50 | $612.28–$644.50 | 53% above | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $300.90 | $354.00 | $178.50–$346.92 | 15% below | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope | $5,576.85 | $6,561.00 | $4,524.00–$6,429.78 | 2% below | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope | $5,576.85 | $6,561.00 | $1,585.22–$6,429.78 | 2% below | 15% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Strengthening of muscle between esophagus and stomach by wrapping part of stomach around esophagus using an endoscope | $9,179.15 | $10,799.00 | $8,140.60–$10,583.02 | 14% above | 15% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Removal of uterus through abdomen using an endoscope, 250.0 g or less | $2,312.00 | $2,720.00 | $2,009.28–$2,665.60 | 71% below | 15% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | $4,152.25 | $4,885.00 | $2,327.78–$4,787.30 | 48% below | 15% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Repair of groin hernia using an endoscope | $5,451.05 | $6,413.00 | $3,221.40–$6,284.74 | 2% above | 15% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Repair of recurrent groin hernia using an endoscope | $4,735.35 | $5,571.00 | $4,175.60–$5,459.58 | 2% above | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope | $3,706.85 | $4,361.00 | $1,680.77–$4,273.78 | 31% below | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope | $5,689.90 | $6,694.00 | $3,228.75–$6,560.12 | 6% above | 15% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser | $2,655.40 | $3,124.00 | $1,995.75–$3,061.52 | — | 15% |
| 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 | $1,404.20 | $1,652.00 | $771.75–$1,618.96 | 91% above | 15% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance | $2,536.19 | $2,983.75 | $2,834.56–$2,983.75 | at median | 15% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal | $3,108.03 | $3,656.50 | $3,473.68–$3,656.50 | 75% above | 15% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $3,039.60 | $3,576.00 | $3,397.20–$3,576.00 | 1% below | 15% |
| Lumpectomy (partial mastectomy) CPT 19301 Partial removal of breast | $4,447.20 | $5,232.00 | $3,284.75–$5,127.36 | 5% above | 15% |
| Mastectomy (total removal of the breast) CPT 19303 Simple complete removal of breast | $6,285.75 | $7,395.00 | $4,835.25–$7,247.10 | 2% above | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less | $682.55 | $803.00 | $406.00–$786.94 | 1% above | 15% |
| 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 | $736.95 | $867.00 | $518.00–$849.66 | 17% below | 15% |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance | $1,641.78 | $1,931.50 | $1,834.93–$1,931.50 | 27% above | 15% |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance | $1,721.25 | $2,025.00 | $813.80–$1,984.50 | 33% above | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $887.40 | $1,044.00 | $509.25–$1,023.12 | at median | 15% |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $3,027.70 | $3,562.00 | $2,082.50–$3,490.76 | 15% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $960.50 | $1,130.00 | $519.75–$1,107.40 | 43% above | 15% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Removal of thyroid lobe on side of neck | $8,871.45 | $10,437.00 | $3,531.50–$10,228.26 | 29% above | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,461.60 | $2,896.00 | $952.00–$2,838.08 | 33% above | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $2,461.60 | $2,896.00 | $950.25–$2,838.08 | 23% above | 15% |
| Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast | $474.30 | $558.00 | $313.25–$546.84 | 9% above | 15% |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $356.15 | $419.00 | $199.50–$410.62 | 32% above | 15% |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $392.70 | $462.00 | $250.25–$452.76 | 18% above | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth | $391.85 | $461.00 | $130.13–$451.78 | 3% below | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth | $708.05 | $833.00 | $250.25–$816.34 | 75% above | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less | $1,111.80 | $1,308.00 | $602.00–$1,281.84 | at median | 15% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $485.35 | $571.00 | $369.25–$559.58 | 24% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $699.00 | $699.00 | $239.01 | at median | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $816.00 | $960.00 | $393.75–$940.80 | 17% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,237.39 | $1,455.75 | $1,382.96–$1,455.75 | 77% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,401.01 | $1,648.25 | $1,565.84–$1,648.25 | 100% above | 15% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,237.39 | $1,455.75 | $1,382.96–$1,455.75 | — | 15% |
| 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 | $619.65 | $729.00 | $294.00–$714.42 | 3% below | 15% |
| 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 | $600.95 | $707.00 | $276.50–$692.86 | 13% above | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth | $562.70 | $662.00 | $199.50–$648.76 | 55% above | 15% |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance | $1,570.80 | $1,848.00 | $563.50–$1,811.04 | 29% below | 15% |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance | $1,666.64 | $1,960.75 | $1,862.71–$1,960.75 | 25% below | 15% |
| Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis | $14,783.20 | $17,392.00 | $6,853.00–$17,044.16 | 9% below | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth | $3,411.48 | $4,013.50 | $3,812.83–$4,013.50 | at median | 15% |
| 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 | $2,216.80 | $2,608.00 | $1,170.00–$2,555.84 | 19% below | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,952.45 | $2,297.00 | $1,055.60–$2,251.06 | 17% above | 15% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,323.45 | $1,557.00 | $1,058.20–$1,525.86 | 53% below | 15% |
| 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 | $2,657.95 | $3,127.00 | $1,502.80–$3,064.46 | at median | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,453.50 | $1,710.00 | $938.60–$1,675.80 | 1% above | 15% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct | $2,982.65 | $3,509.00 | $1,153.25–$3,438.82 | 19% above | 15% |
| Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths | $638.35 | $751.00 | $350.00–$735.98 | 157% above | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $865.30 | $1,018.00 | $311.50–$997.64 | 54% above | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alaska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $1,357.03 | $1,596.50 | $1,516.68–$1,596.50 | 15% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $553.14 | $650.75 | $618.21–$650.75 | 30% above | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less | $1,028.08 | $1,209.50 | $1,149.03–$1,209.50 | 13% above | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $1,013.20 | $1,192.00 | $756.00–$1,168.16 | 29% below | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $3,451.85 | $4,061.00 | $3,857.95–$4,061.00 | 141% above | 15% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes | $3,451.85 | $4,061.00 | $3,857.95–$4,061.00 | — | 15% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of brain wave activity (EEG), awake and drowsy | $1,228.25 | $1,445.00 | $1,372.75–$1,445.00 | 12% above | 15% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of brain wave activity (EEG), awake and drowsy | $2,074.85 | $2,441.00 | $288.75–$2,392.18 | 90% above | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $354.03 | $416.50 | $395.68–$416.50 | at median | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $255.64 | $300.75 | $285.71–$300.75 | 18% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional | $255.64 | $300.75 | $285.71–$300.75 | — | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $250.75 | $295.00 | $140.40–$289.10 | 32% below | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $528.70 | $622.00 | $590.90–$622.00 | 42% above | 15% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making | $528.70 | $622.00 | $590.90–$622.00 | — | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $330.65 | $389.00 | $210.00–$381.22 | 37% below | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $928.63 | $1,092.50 | $1,037.88–$1,092.50 | 78% above | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making | $928.63 | $1,092.50 | $1,037.88–$1,092.50 | — | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $433.50 | $510.00 | $398.40–$499.80 | 49% below | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $1,560.18 | $1,835.50 | $1,743.73–$1,835.50 | 85% above | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making | $1,560.18 | $1,835.50 | $1,743.73–$1,835.50 | — | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $692.75 | $815.00 | $586.80–$798.70 | 54% below | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $2,301.38 | $2,707.50 | $2,572.13–$2,707.50 | 52% above | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making | $2,301.38 | $2,707.50 | $2,572.13–$2,707.50 | — | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $1,366.59 | $1,607.75 | $1,527.36–$1,607.75 | 18% above | 15% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes | $439.03 | $516.50 | $490.68–$516.50 | 28% above | 15% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes | $341.06 | $401.25 | $381.19–$401.25 | 14% above | 15% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $100.73 | $118.50 | $112.58–$118.50 | 6% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $358.28 | $421.50 | $400.43–$421.50 | 44% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $570.35 | $671.00 | $637.45–$671.00 | 11% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $358.28 | $421.50 | $400.43–$421.50 | — | 15% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $575.24 | $676.75 | $642.91–$676.75 | at median | 15% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $604.14 | $710.75 | $675.21–$710.75 | 5% above | 15% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $575.24 | $676.75 | $642.91–$676.75 | — | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $81.60 | $96.00 | $64.61–$94.08 | 37% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $85.85 | $101.00 | $97.97–$101.50 | 34% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $177.65 | $209.00 | $198.55–$209.00 | 36% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $186.36 | $219.25 | $208.29–$219.25 | 43% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle | $177.65 | $209.00 | $198.55–$209.00 | — | 15% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $563.98 | $663.50 | $427.20–$650.23 | 22% above | 15% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $563.98 | $663.50 | $325.78–$663.50 | 22% above | 15% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $179.14 | $210.75 | $200.21–$210.75 | 5% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $333.20 | $392.00 | $197.47–$384.16 | 1% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $350.20 | $412.00 | $197.47–$412.00 | 7% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $350.20 | $412.00 | $260.40–$403.76 | 7% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $396.95 | $467.00 | $260.40–$457.66 | 21% above | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $525.30 | $618.00 | $333.97–$605.64 | 1% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $533.80 | $628.00 | $333.97–$628.00 | at median | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $533.80 | $628.00 | $439.20–$615.44 | at median | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $606.90 | $714.00 | $439.20–$699.72 | 14% above | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $671.50 | $790.00 | $573.60–$774.20 | at median | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $671.50 | $790.00 | $434.07–$790.00 | at median | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $692.75 | $815.00 | $434.07–$798.70 | 3% above | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $764.15 | $899.00 | $573.60–$881.02 | 14% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $239.70 | $282.00 | $129.22–$276.36 | at median | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $278.80 | $328.00 | $171.60–$321.44 | 16% above | 15% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $131.11 | $154.25 | $146.54–$154.25 | 53% above | 15% |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $297.93 | $350.50 | $332.98–$350.50 | 28% below | 15% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes | $365.50 | $430.00 | $408.50–$430.00 | 31% below | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes | $309.40 | $364.00 | $345.80–$364.00 | 26% below | 15% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes | $309.40 | $364.00 | $345.80–$364.00 | 35% below | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $182.33 | $214.50 | $203.78–$214.50 | 3% above | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $159.59 | $187.75 | $178.36–$187.75 | 6% below | 15% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services | $494.70 | $582.00 | $361.27–$701.75 | 8% below | 15% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services | $494.70 | $582.00 | $481.20–$570.36 | 8% below | 15% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Evaluation of psychological test, first hour | $368.48 | $433.50 | $372.00–$424.83 | at median | 15% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour | $441.79 | $519.75 | $444.00–$509.36 | at median | 15% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour | $441.79 | $519.75 | $337.61–$647.50 | at median | 15% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $211.44 | $248.75 | $236.31–$248.75 | 34% above | 15% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $282.84 | $332.75 | $316.11–$332.75 | 54% above | 15% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $423.73 | $498.50 | $473.58–$498.50 | 23% above | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes | $89.46 | $105.25 | $99.99–$105.25 | 50% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $470.69 | $553.75 | $376.80–$542.68 | 5% below | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $470.69 | $553.75 | $284.83–$553.75 | 5% below | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $517.65 | $609.00 | $284.83–$596.82 | 4% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $534.65 | $629.00 | $376.80–$616.42 | 7% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $233.75 | $275.00 | $131.04–$269.50 | 6% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $236.73 | $278.50 | $131.04–$278.50 | 8% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $236.73 | $278.50 | $174.00–$272.93 | 8% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $267.75 | $315.00 | $174.00–$308.70 | 22% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $329.80 | $388.00 | $201.11–$380.24 | at median | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $349.14 | $410.75 | $201.11–$410.75 | 6% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $349.14 | $410.75 | $266.40–$402.54 | 6% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $396.10 | $466.00 | $266.40–$456.68 | 20% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $159.38 | $187.50 | $64.61–$187.50 | 2% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $159.38 | $187.50 | $86.40–$183.75 | 2% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $176.80 | $208.00 | $86.40–$203.84 | 13% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $183.60 | $216.00 | $64.61–$211.68 | 18% above | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $415.23 | $488.50 | $324.00–$488.50 | 1% below | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $415.23 | $488.50 | $324.00–$478.73 | 1% below | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $479.40 | $564.00 | $535.80–$552.72 | 15% above | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $500.65 | $589.00 | $571.33–$577.22 | 20% above | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $592.45 | $697.00 | $500.00–$697.00 | at median | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $592.45 | $697.00 | $520.80–$683.06 | at median | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $657.90 | $774.00 | $735.30–$758.52 | 11% above | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $672.35 | $791.00 | $767.27–$775.18 | 14% above | 15% |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression | $793.90 | $934.00 | $887.30–$934.00 | 22% above | 15% |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder | $312.16 | $367.25 | $348.89–$367.25 | 29% below | 15% |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $544.85 | $641.00 | $608.95–$641.00 | 49% above | 15% |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $799.64 | $940.75 | $893.71–$940.75 | 10% above | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $166.18 | $195.50 | $185.73–$195.50 | at median | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem | $333.41 | $392.25 | $372.64–$392.25 | 19% above | 15% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician | $385.90 | $454.00 | $353.50–$444.92 | 30% below | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alaska | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use | $160.87 | $189.26 | $179.80–$189.26 | 21% below | 15% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine | $160.87 | $189.26 | $179.80–$189.26 | 36% below | 15% |
| 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 | $50.65 | $59.59 | $56.61–$59.59 | 4% below | 15% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage | $91.49 | $107.63 | $102.25–$107.63 | 30% below | 15% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus, preservative free | $91.49 | $107.63 | $102.25–$107.63 | 39% below | 15% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine | $91.49 | $107.63 | $102.25–$107.63 | 53% below | 15% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine | $95.84 | $112.75 | $107.11–$112.75 | 60% below | 15% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $229.82 | $270.38 | $256.86–$270.38 | 64% below | 15% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent | $133.43 | $156.98 | $149.13–$156.98 | 64% below | 15% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle | $229.82 | $270.38 | $256.86–$270.38 | 61% below | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) | $50.65 | $59.59 | $56.61–$59.59 | 62% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | $50.65 | $59.59 | $56.61–$59.59 | 67% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $129.84 | $152.75 | $145.11–$152.75 | 55% above | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $152.79 | $179.75 | $170.76–$179.75 | 83% above | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine | $129.84 | $152.75 | $145.11–$152.75 | — | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $99.03 | $116.50 | $110.68–$116.50 | 95% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $116.88 | $137.50 | $130.63–$137.50 | 131% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine, each additional vaccine | $99.03 | $116.50 | $110.68–$116.50 | — | 15% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBRHJUNEAUAK&type=CDMWithoutLabel&fileType=CSV