Carson Valley Health
Listed in its price file as “Washoe Barton Medical Clinic DBA Carson Valley Health”.
Carson Valley Health in North Gardnerville, NV publishes cash prices for 341 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Nevada median for 155 of 331 procedures and below it for 151. By typical cash price it ranks #7 of 17 Nevada hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1107 Highway 395 North, Gardnerville NV 89410 Collected Sep 29, 2026 Source price file (775) 782-1500
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 5 of 5 CCN 291306 · CMS hospital register NPI 1396799102
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HCHG X-RAY ANKLE 3+ VW | $308.00 | $440.00 | $118.80–$396.00 | 8% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG NONINVASV EXTREM EXAM,1LEVEL,BILAT | $518.00 | $740.00 | $199.80–$666.00 | — | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG ESOPHAGRAM SINGLE CONTRAST STUDY | $511.00 | $730.00 | $197.10–$657.00 | 15% below | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HCHG BONE/JOINT IMAGING WHOLE BODY | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 29% below | 30% |
| Breast ultrasound, complete, one breast CPT 76641 HCHG ULTRASOUND BREAST COMPLETE | $350.00 | $500.00 | $135.00–$450.00 | 33% above | 30% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HCHG ULTRASOUND BREAST LIMITED | $280.00 | $400.00 | $108.00–$360.00 | 39% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CT ANGIO, CHEST (NON-CORON), COMBO, INCL IMG PROC | $1,960.00 | $2,800.00 | $756.00–$2,520.00 | 45% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CT ANGIO, CHEST (NON-CORON), COMBO, INCL IMG PROC | $1,960.00 | $2,800.00 | $1,904.00–$2,352.00 | — | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $2,030.00 | $2,900.00 | $783.00–$2,610.00 | 35% below | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $2,030.00 | $2,900.00 | $1,972.00–$2,436.00 | — | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $329.00 | $470.00 | $126.90–$423.00 | 87% below | 30% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $329.00 | $470.00 | $319.60–$394.80 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT SCAN,ABD & PELVIS,W/O CONTRAST | $1,820.00 | $2,600.00 | $702.00–$2,340.00 | 37% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT SCAN,ABD & PELVIS,W/O CONTRAST | $1,820.00 | $2,600.00 | $1,768.00–$2,184.00 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT SCAN,ABD & PELVIS,W CONTRAST | $1,715.00 | $2,450.00 | $661.50–$2,205.00 | 58% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT SCAN,ABD & PELVIS,W CONTRAST | $1,715.00 | $2,450.00 | $1,666.00–$2,058.00 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT SCAN,ABD & PELVIS,COMBO | $2,292.50 | $3,275.00 | $884.25–$2,947.50 | 51% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT SCAN,ABD & PELVIS,COMBO | $2,292.50 | $3,275.00 | $2,227.00–$2,751.00 | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 HCHG CT SCAN OF ABDOMEN CONTRAST | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 37% below | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT SCAN OF ABDOMEN CONTRAST | $1,750.00 | $2,500.00 | $1,700.00–$2,100.00 | — | 30% |
| CT scan of the abdomen without contrast CPT 74150 HCHG CT SCAN,ABDOMEN,W/O CONTRAST | $1,540.00 | $2,200.00 | $594.00–$1,980.00 | 26% below | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT SCAN,ABDOMEN,W/O CONTRAST | $1,540.00 | $2,200.00 | $1,496.00–$1,848.00 | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT SCAN,MAXILLOFACIAL AREA,W/* | $1,540.00 | $2,200.00 | $594.00–$1,980.00 | 30% below | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT SCAN,MAXILLOFACIAL AREA,W/* | $1,540.00 | $2,200.00 | $1,496.00–$1,848.00 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT SCAN,HEAD/BRAIN,W/O CONTRA* | $1,540.00 | $2,200.00 | $594.00–$1,980.00 | 29% below | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT SCAN,HEAD/BRAIN,W/O CONTRA* | $1,540.00 | $2,200.00 | $1,496.00–$1,848.00 | — | 30% |
| CT scan of the head with contrast CPT 70460 HCHG CT SCAN HEAD CONTRAST | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 35% below | 30% |
| CT scan of the head with contrast inpatient CPT 70460 HCHG CT SCAN HEAD CONTRAST | $1,750.00 | $2,500.00 | $1,700.00–$2,100.00 | — | 30% |
| CT scan of the head without and with contrast CPT 70470 HCHG CT SCAN HEAD COMBO | $1,960.00 | $2,800.00 | $756.00–$2,520.00 | 38% below | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT SCAN HEAD COMBO | $1,960.00 | $2,800.00 | $1,904.00–$2,352.00 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT SCAN,LUMBAR SPINE,W/O CONTRAST | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 47% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT SCAN,LUMBAR SPINE,W/O CONTRAST | $1,120.00 | $1,600.00 | $1,088.00–$1,344.00 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT SCAN,CERVICAL SPINE,W/O CONTRAST | $1,400.00 | $2,000.00 | $540.00–$1,800.00 | 37% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT SCAN,CERVICAL SPINE,W/O CONTRAST | $1,400.00 | $2,000.00 | $1,360.00–$1,680.00 | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT SCAN OF PELVIS CONTRAST | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 37% below | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT SCAN OF PELVIS CONTRAST | $1,750.00 | $2,500.00 | $1,700.00–$2,100.00 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HCHG DUPLEX SCAN EXTRACRANIAL,BILAT | $980.00 | $1,400.00 | $378.00–$1,260.00 | — | 30% |
| Chest X-ray, 2 views CPT 71046 HCHG CHEST XRAY 2 VIEWS | $357.00 | $510.00 | $137.70–$459.00 | 4% above | 30% |
| Chest X-ray, single view CPT 71045 HCHG CHEST XRAY SINGLE VIEW | $287.00 | $410.00 | $110.70–$369.00 | 2% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US,RETROPERIT,REAL TIME,COMPL* | $623.00 | $890.00 | $240.30–$801.00 | 23% below | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US,PREG UTER,FET & MAT,+ DETL* | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 166% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT CHEST W/O LOW DOSE SCREEN | $1,190.00 | $1,700.00 | $459.00–$1,530.00 | 38% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT THORAX DIAG WO CONTRAST | $1,190.00 | $1,700.00 | $459.00–$1,530.00 | 38% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT CHEST W/O LOW DOSE SCREEN | $1,190.00 | $1,700.00 | $1,156.00–$1,428.00 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT THORAX DIAG WO CONTRAST | $1,190.00 | $1,700.00 | $1,156.00–$1,428.00 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CAT SCAN OF CHEST CONTRAST | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 38% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CAT SCAN OF CHEST CONTRAST | $1,750.00 | $2,500.00 | $1,700.00–$2,100.00 | — | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG DX MAMMO BILAT W/WO CAD | $364.00 | $520.00 | $140.40–$468.00 | — | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 HCHG DX MAMMO UNILATERAL W/WO CAD | $287.00 | $410.00 | $110.70–$369.00 | 67% above | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG DUPLEX LO EXTREM ART BILAT | $910.00 | $1,300.00 | $351.00–$1,170.00 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG DUPLEX EXTREM VENOUS,BILAT | $1,050.00 | $1,500.00 | $405.00–$1,350.00 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO COMP W/O CONTRAST | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 17% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO 2D W/CF COMP W/CONTRAST | $1,960.00 | $2,800.00 | $756.00–$2,520.00 | 7% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO COMP W/ CONTRAST | $1,960.00 | $2,800.00 | $756.00–$2,520.00 | 7% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO COMP W/BUBBLES W/O CONTRAST | $2,030.00 | $2,900.00 | $783.00–$2,610.00 | 4% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG HEPATOBILIARY IMAGING | $1,260.00 | $1,800.00 | $486.00–$1,620.00 | 24% below | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG SLEEP STUDY UNATT & RESP EFFT | $840.00 | $1,200.00 | $324.00–$1,080.00 | 33% above | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG BMH/CVMC POLYSOMNOGRAPHY/CPAP | $3,990.00 | $5,700.00 | $1,539.00–$5,130.00 | 5% above | 30% |
| Knee X-ray, 3 views CPT 73562 HCHG X-RAY KNEE 3 VIEW | $280.00 | $400.00 | $108.00–$360.00 | 24% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG ABDOMEN LIMITED | $483.00 | $690.00 | $186.30–$621.00 | 36% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG MRI LOWER EXTREM JT, W/O CONT* | $1,953.00 | $2,790.00 | $753.30–$2,511.00 | 2% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG MRI LOWER EXTREM JT, W/O CONT* | $1,953.00 | $2,790.00 | $1,897.20–$2,427.30 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG MRI, JOINT OF LEG. COMBO | $2,660.00 | $3,800.00 | $1,026.00–$3,420.00 | at median | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG MRI, JOINT OF LEG. COMBO | $2,660.00 | $3,800.00 | $2,584.00–$3,306.00 | — | 30% |
| MRI of the abdomen without contrast CPT 74181 HCHG MRI, ABDOMEN (MRI) | $1,872.50 | $2,675.00 | $722.25–$2,407.50 | 8% below | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI, ABDOMEN (MRI) | $1,872.50 | $2,675.00 | $1,819.00–$2,327.25 | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI, ABDOMEN, COMBO | $2,205.00 | $3,150.00 | $850.50–$2,835.00 | 33% below | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI, ABDOMEN, COMBO | $2,205.00 | $3,150.00 | $2,142.00–$2,740.50 | — | 30% |
| MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN | $1,662.50 | $2,375.00 | $641.25–$2,137.50 | 36% below | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN | $1,662.50 | $2,375.00 | $1,615.00–$2,066.25 | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN COMBO | $2,310.00 | $3,300.00 | $891.00–$2,970.00 | 46% below | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN COMBO | $2,310.00 | $3,300.00 | $2,244.00–$2,871.00 | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG MRI, LUMBAR SPINE | $1,592.50 | $2,275.00 | $614.25–$2,047.50 | 38% below | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI, LUMBAR SPINE | $1,592.50 | $2,275.00 | $1,547.00–$1,979.25 | — | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI, LUMBAR SPINE COMBO | $2,485.00 | $3,550.00 | $958.50–$3,195.00 | 42% below | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI, LUMBAR SPINE COMBO | $2,485.00 | $3,550.00 | $2,414.00–$3,088.50 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI, DORSAL SPINE | $2,187.50 | $3,125.00 | $843.75–$2,812.50 | at median | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI, DORSAL SPINE | $2,187.50 | $3,125.00 | $2,125.00–$2,718.75 | — | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI, CERV SPINE COMBO | $2,485.00 | $3,550.00 | $958.50–$3,195.00 | 39% below | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI, CERV SPINE COMBO | $2,485.00 | $3,550.00 | $2,414.00–$3,088.50 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI, CERV SPINE | $1,592.50 | $2,275.00 | $614.25–$2,047.50 | 30% below | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI, CERV SPINE | $1,592.50 | $2,275.00 | $1,547.00–$1,979.25 | — | 30% |
| MRI of the pelvis without and with contrast CPT 72197 HCHG MRI, PELVIS, COMBO | $2,187.50 | $3,125.00 | $843.75–$2,812.50 | 34% below | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI, PELVIS, COMBO | $2,187.50 | $3,125.00 | $2,125.00–$2,718.75 | — | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI, PELVIS, W/O CONTRAST | $1,638.00 | $2,340.00 | $631.80–$2,106.00 | 14% below | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI, PELVIS, W/O CONTRAST | $1,638.00 | $2,340.00 | $1,591.20–$2,035.80 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HCHG MRI, JOINT UPPER EXTREM | $1,872.50 | $2,675.00 | $722.25–$2,407.50 | 7% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HCHG MRI, JOINT UPPER EXTREM | $1,872.50 | $2,675.00 | $1,819.00–$2,327.25 | — | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG MYOCARDIAL SPECT MULTIPLE STUDIES | $3,010.00 | $4,300.00 | $1,161.00–$3,870.00 | 35% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US,PELVIC (NONOBSTETRIC),REAL* | $455.00 | $650.00 | $175.50–$585.00 | 29% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US,PELVIC (NONOBSTETRIC),REAL* | $609.00 | $870.00 | $234.90–$783.00 | 37% below | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG OB >/= 14 WKS, SNGL FETUS | $980.00 | $1,400.00 | $378.00–$1,260.00 | 31% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG OB < 14 WKS, SINGLE FETUS | $910.00 | $1,300.00 | $351.00–$1,170.00 | 33% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US,PREGNANT UTERUS,LIMITED, 1* | $770.00 | $1,100.00 | $297.00–$990.00 | 4% above | 30% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG SCREENING MAMMO BILAT W/WO CAD | $294.00 | $420.00 | $113.40–$378.00 | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HCHG X-RAY SHOULDER 2+ VW | $357.00 | $510.00 | $137.70–$459.00 | 3% below | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAPHY, 4 OR MORE | $2,940.00 | $4,200.00 | $1,134.00–$3,780.00 | 7% below | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG SWALLOWING FCN,W/CINE &/OR VIDEO | $616.00 | $880.00 | $237.60–$792.00 | 1% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG ECHOGRAPHY,TRANSVAGINAL | $700.00 | $1,000.00 | $270.00–$900.00 | 16% above | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 HCHG US,PREGNANT UTERUS,TRANSVAGIN* | $770.00 | $1,100.00 | $297.00–$990.00 | at median | 30% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG ABDOM,B-SCAN &/OR REAL TIME,C* | $644.00 | $920.00 | $248.40–$828.00 | 39% below | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 HCHG ECHO,SCROTUM & CONTENTS | $609.00 | $870.00 | $234.90–$783.00 | 21% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG HEAD/NECK TISSUES,REAL TIME | $644.00 | $920.00 | $248.40–$828.00 | 24% below | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG UGI TRACT SINGLE CONTRAST STUDY | $476.00 | $680.00 | $183.60–$612.00 | 31% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HCHG DUPLEX EXTREM VENOUS,UNI OR LTD | $840.00 | $1,200.00 | $324.00–$1,080.00 | 20% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HCHG X-RAY WRIST 3+ VW | $259.00 | $370.00 | $99.90–$333.00 | 30% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HCHG XRAY HIP UNI W/WO PELVIS 2-3 VW | $161.00 | $230.00 | $62.10–$207.00 | 46% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 HCHG XRAY ABDOMEN 1 VIEW | $343.00 | $490.00 | $132.30–$441.00 | 2% below | 30% |
| X-ray of the ankle, 2 views CPT 73600 HCHG X-RAY ANKLE 2 VW | $245.00 | $350.00 | $94.50–$315.00 | 12% below | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 HCHG X-RAY EXAM OF FINGER(S) | $231.00 | $330.00 | $89.10–$297.00 | 10% below | 30% |
| X-ray of the foot, 2 views CPT 73620 HCHG X-RAY FOOT 2 VW | $210.00 | $300.00 | $81.00–$270.00 | 31% below | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HCHG X-RAY FOOT 3+ VW | $238.00 | $340.00 | $91.80–$306.00 | 30% below | 30% |
| X-ray of the hand, 3 or more views CPT 73130 HCHG X-RAY HAND 3+ VW | $273.00 | $390.00 | $105.30–$351.00 | 14% below | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 HCHG X-RAY KNEE 1 OR 2 VIEW | $252.00 | $360.00 | $97.20–$324.00 | 16% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG X-RAY LUMBAR SPINE 2/3 VW | $287.00 | $410.00 | $110.70–$369.00 | 24% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG X-RAY LUMBAR SPINE 4 VW | $518.00 | $740.00 | $199.80–$666.00 | 8% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG X-RAY THORACIC SPINE 2 VW | $336.00 | $480.00 | $129.60–$432.00 | 8% above | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HCHG X-RAY NASAL BONES | $448.00 | $640.00 | $172.80–$576.00 | 23% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG X-RAY CERV SPINE 2 VW | $490.00 | $700.00 | $189.00–$630.00 | 17% above | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG X-RAY PELVIS 1/2 VW | $294.00 | $420.00 | $113.40–$378.00 | 17% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG X-RAY SACRUM/COCCYX 2+ VW | $336.00 | $480.00 | $129.60–$432.00 | 11% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG TRANSFERASE (ALT) (SGPT) LAB | $60.90 | $87.00 | $23.49–$78.30 | 37% below | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG TRANSFERASE (AST) (SGOT) LAB | $60.90 | $87.00 | $23.49–$78.30 | 22% below | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG ACUTE HEPATITIS PANEL REF | $343.00 | $490.00 | $132.30–$441.00 | at median | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG ACUTE HEPATITIS PANEL LAB | $343.00 | $490.00 | $132.30–$441.00 | at median | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN SPEC IGE QUAN SEMIQUAN REF | $105.00 | $150.00 | $40.50–$135.00 | 296% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CYCLIC CITRULLINATED PEPTIDE (CCP) AB REF | $84.00 | $120.00 | $32.40–$108.00 | at median | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CYCLIC CITRULLINATED PEPTIDE (CCP) AB LAB | $91.00 | $130.00 | $35.10–$117.00 | 8% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANTINUCLEAR ANTIBODIES (ANA) LAB | $77.00 | $110.00 | $29.70–$99.00 | 40% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG BMH ANTINUCLEAR ANTIBODIES*R | $91.00 | $130.00 | $35.10–$117.00 | 66% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANTINUCLEAR ANTIBODIES (ANA) REF | $91.00 | $130.00 | $35.10–$117.00 | 66% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG NATRIURETIC PEPTIDE (BNP) LAB | $329.00 | $470.00 | $126.90–$423.00 | 31% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL TOTAL CA LAB | $77.00 | $110.00 | $29.70–$99.00 | 54% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG LEVEL IV SURGICAL PATH PAT | $329.00 | $470.00 | $126.90–$423.00 | 343% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG LEVEL IV SURGICAL PATH PATREF | $329.00 | $470.00 | $126.90–$423.00 | 343% above | 30% |
| Blood culture for bacteria CPT 87040 HCHG BMH BLOOD CULTURE (BLOOD CULTURE FOR BACTERIA) | $154.00 | $220.00 | $59.40–$198.00 | 35% below | 30% |
| Blood culture for bacteria CPT 87040 HCHG CVMC BLOOD CULTURE | $154.00 | $220.00 | $59.40–$198.00 | 35% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG ROUTINE VENIPUNCTURE LAB | $25.90 | $37.00 | $9.99–$33.30 | 6% below | 30% |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE BLOOD QUANT LAB | $68.60 | $98.00 | $26.46–$88.20 | 19% below | 30% |
| Blood glucose (sugar) test CPT 82947 HCHG BMH/CVMC GLUCOSE QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP) | $98.00 | $140.00 | $37.80–$126.00 | 16% above | 30% |
| Blood lead test CPT 83655 HCHG BMH/CVMC LEAD LEVEL*R | $63.00 | $90.00 | $24.30–$81.00 | at median | 30% |
| Blood lead test CPT 83655 HCHG LEAD BLOOD REF | $84.00 | $120.00 | $32.40–$108.00 | 33% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG BMH/CVMC BLOOD TYPING ABO | $147.00 | $210.00 | $56.70–$189.00 | 14% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG BLOOD TYPING SEROLOGIC ABO BLD | $147.00 | $210.00 | $56.70–$189.00 | 14% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG C-REACTIVE PROTEIN STANDARD LAB | $45.50 | $65.00 | $17.55–$58.50 | 23% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HCHG CLOSTRIDIUM DIFF AMP PROBE MIC | $126.00 | $180.00 | $48.60–$162.00 | 36% above | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 HCHG IMMUNOASSAY TUMOR CA 19-9 REF | $175.00 | $250.00 | $67.50–$225.00 | 39% above | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG IMMUNOASSAY TUMOR CA 125 LAB | $182.00 | $260.00 | $70.20–$234.00 | 40% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HCHG SARS-COV-2 RT PCR DIAGNOS PANEL REF | $112.00 | $160.00 | $43.20–$144.00 | 32% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HCHG SARS-COV-2 RT PCR DIAGNOS PANEL POC | $147.00 | $210.00 | $56.70–$189.00 | 73% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HCHG SARS-COV-2 RT PCR DIAGNOS PANEL LAB | $147.00 | $210.00 | $56.70–$189.00 | 73% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HCHG SARS-COV-2 RT PCR DIAGNOS PANEL MIC | $147.00 | $210.00 | $56.70–$189.00 | 73% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG CHLAMYDIA TRACHOMATIS DNA AMP PROBE REF | $252.00 | $360.00 | $97.20–$324.00 | 55% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL LAB | $154.00 | $220.00 | $59.40–$198.00 | at median | 30% |
| Complete blood count (CBC) with differential CPT 85025 HCHG COMPLETE CBC W/AUTO DIFF WBC LAB | $70.00 | $100.00 | $27.00–$90.00 | 39% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 HCHG COMPLETE CBC AUTOMATED LAB | $68.60 | $98.00 | $26.46–$88.20 | 9% below | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMP METABOLIC PANEL LAB | $126.00 | $180.00 | $48.60–$162.00 | 49% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 HCHG D-DIMER QUANTITATIVE LAB | $77.00 | $110.00 | $29.70–$99.00 | 23% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DEHYDROEPIANDROSTERONE (DHEA-S) REF | $161.00 | $230.00 | $62.10–$207.00 | 37% above | 30% |
| Estradiol blood test CPT 82670 HCHG ESTRADIOL TOTAL LAB | $189.00 | $270.00 | $72.90–$243.00 | 6% above | 30% |
| Estradiol blood test CPT 82670 HCHG ESTRADIOL TOTAL REF | $189.00 | $270.00 | $72.90–$243.00 | 6% above | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 HCHG GONADOTROPIN (FSH) LAB | $147.00 | $210.00 | $56.70–$189.00 | 13% above | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HCHG CALPROTECTIN FECAL REF | $406.00 | $580.00 | $156.60–$522.00 | 247% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN LAB | $154.00 | $220.00 | $59.40–$198.00 | 15% above | 30% |
| Folate (folic acid) blood test CPT 82746 HCHG FOLIC ACID SERUM LAB | $154.00 | $220.00 | $59.40–$198.00 | 2% above | 30% |
| Free T3 thyroid hormone test CPT 84481 HCHG TRIIODOTHYRONINE (T3) FREE REF | $161.00 | $230.00 | $62.10–$207.00 | 11% above | 30% |
| Free T3 thyroid hormone test CPT 84481 HCHG TRIIODOTHYRONINE (T3) FREE LAB | $168.00 | $240.00 | $64.80–$216.00 | 16% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG THYROXINE FREE LAB | $112.00 | $160.00 | $43.20–$144.00 | 11% above | 30% |
| Free testosterone test CPT 84402 HCHG TESTOSTERONE FREE REF | $168.00 | $240.00 | $64.80–$216.00 | at median | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 1HR GESTATIONAL LOAD LAB | $84.00 | $120.00 | $32.40–$108.00 | 10% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOLERANCE TEST (GTT) LAB | $182.00 | $260.00 | $70.20–$234.00 | 6% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG N GONORRHOEAE DNA AMP PROBE REF | $252.00 | $360.00 | $97.20–$324.00 | 38% above | 30% |
| H. pylori antibody blood test CPT 86677 HCHG HELICOBACTER PYLORI ANTIBODY LAB | $119.00 | $170.00 | $45.90–$153.00 | 16% above | 30% |
| H. pylori stool antigen test CPT 87338 HCHG HELICOBACTER PYLORI STOOL ANTIGEN IA REF | $91.00 | $130.00 | $35.10–$117.00 | 6% above | 30% |
| H. pylori stool antigen test CPT 87338 HCHG HELICOBACTER PYLORI STOOL ANTIGEN IA MIC | $126.00 | $180.00 | $48.60–$162.00 | 47% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG HIV-1 DNA QUANT REF | $308.00 | $440.00 | $118.80–$396.00 | 4% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HCHG RAPID HIV-1/2 ANTIBODY LAB | $91.00 | $130.00 | $35.10–$117.00 | 30% below | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV-1/HIV-2 SINGLE RESULT ANTIBODY LAB | $112.00 | $160.00 | $43.20–$144.00 | 14% below | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG W/HIV-1&-2 AB AG IA LAB | $210.00 | $300.00 | $81.00–$270.00 | 76% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG GLYCOHEMOGLOBIN A1C LAB | $91.00 | $130.00 | $35.10–$117.00 | 6% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG GLYCOHEMOGLOBIN A1C POC | $91.00 | $130.00 | $35.10–$117.00 | 6% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG CVMC BBP SOURCE HEPATITIS B AB | $84.00 | $120.00 | $32.40–$108.00 | 3% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG HEPATITIS B SURFACE ANTIBODY (HBSAB) LAB | $175.00 | $250.00 | $67.50–$225.00 | 101% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HEPATITIS B SURFACE ANTIGEN IA REF | $112.00 | $160.00 | $43.20–$144.00 | 51% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HEPATITIS B SURFACE ANTIGEN IA LAB | $112.00 | $160.00 | $43.20–$144.00 | 51% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C ANTIBODY LAB | $98.00 | $140.00 | $37.80–$126.00 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG CVMC BBP SOURCE HEPATITIS C AB | $98.00 | $140.00 | $37.80–$126.00 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C ANTIBODY REF | $105.00 | $150.00 | $40.50–$135.00 | 1% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG HEPATITIS C DNA QUANT REF | $329.00 | $470.00 | $126.90–$423.00 | at median | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG CVMC HEP.C RNA PCR QUALITIVE | $476.00 | $680.00 | $183.60–$612.00 | 45% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HCHG HERPES SIMPLEX ANTIBODY TYPE 1 REF | $91.00 | $130.00 | $35.10–$117.00 | at median | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HCHG HERPES SIMPLEX ANTIBODY TYPE 2 REF | $84.00 | $120.00 | $32.40–$108.00 | 17% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG C-REACTIVE PROTEIN HS (HSCRP) REF | $126.00 | $180.00 | $48.60–$162.00 | 17% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG C-REACTIVE PROTEIN HS (HSCRP) LAB | $126.00 | $180.00 | $48.60–$162.00 | 17% above | 30% |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTEINE LAB | $189.00 | $270.00 | $72.90–$243.00 | 36% above | 30% |
| Insulin blood test CPT 83525 HCHG INSULIN TOTAL REF | $84.00 | $120.00 | $32.40–$108.00 | at median | 30% |
| Iron blood test (serum iron) CPT 83540 HCHG IRON LAB | $68.60 | $98.00 | $26.46–$88.20 | 2% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 HCHG IRON BINDING CAPACITY LAB | $68.60 | $98.00 | $26.46–$88.20 | 18% below | 30% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL LAB | $112.00 | $160.00 | $43.20–$144.00 | 35% below | 30% |
| LH (luteinizing hormone) test CPT 83002 HCHG GONADOTROPIN (LH) LAB | $147.00 | $210.00 | $56.70–$189.00 | 11% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE LAB | $112.00 | $160.00 | $43.20–$144.00 | 12% above | 30% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL LAB | $84.00 | $120.00 | $32.40–$108.00 | 50% below | 30% |
| Lyme disease antibody test CPT 86618 HCHG LYME DISEASE ANTIBODY REF | $133.00 | $190.00 | $51.30–$171.00 | 5% above | 30% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM LAB | $45.50 | $65.00 | $17.55–$58.50 | 33% below | 30% |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM REF | $45.50 | $65.00 | $17.55–$58.50 | 33% below | 30% |
| Magnesium blood test CPT 83735 HCHG CVMC MAGNESIUM URINE | $98.00 | $140.00 | $37.80–$126.00 | 45% above | 30% |
| Measles (rubeola) antibody test CPT 86765 HCHG RUBEOLA ANTIBODY REF | $77.00 | $110.00 | $29.70–$99.00 | at median | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG HETEROPHILE ANTIBODY SCREEN LAB | $77.00 | $110.00 | $29.70–$99.00 | 29% below | 30% |
| Obstetric blood test panel CPT 80055 HCHG CVMC PRENATAL PAN H | $455.00 | $650.00 | $175.50–$585.00 | 17% below | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PROSTATE SPECIFIC AG FREE REF | $126.00 | $180.00 | $48.60–$162.00 | 154% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA DIAGNOSTIC TOTAL LAB | $126.00 | $180.00 | $48.60–$162.00 | at median | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA SCREENING TOTAL LAB | $126.00 | $180.00 | $48.60–$162.00 | at median | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA DIAGNOSTIC TOTAL REF | $126.00 | $180.00 | $48.60–$162.00 | at median | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HCHG PARATHORMONE LAB | $224.00 | $320.00 | $86.40–$288.00 | 36% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG THROMBOPLASTIN TIME PARTIAL (PTT) PLASMA LAB | $68.60 | $98.00 | $26.46–$88.20 | at median | 30% |
| Progesterone blood test CPT 84144 HCHG PROGESTERONE LAB | $154.00 | $220.00 | $59.40–$198.00 | 42% above | 30% |
| Prolactin blood test CPT 84146 HCHG PROLACTIN LAB | $168.00 | $240.00 | $64.80–$216.00 | 27% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHROMBIN TIME (PT) LAB | $30.10 | $43.00 | $11.61–$38.70 | 57% below | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HCHG DRUG TEST PRSMV DIR OPT OBS LAB | $189.00 | $270.00 | $72.90–$243.00 | at median | 30% |
| Rapid flu test (influenza antigen) CPT 87804 HCHG POC INFLUENZA ASSAY W/ VISUAL | $112.00 | $160.00 | $43.20–$144.00 | 73% above | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HCHG CVMC STREP A ASSAY W/ VISUAL | $105.00 | $150.00 | $40.50–$135.00 | 177% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 HCHG RHEUMATOID FACTOR QUANTITATIVE REF | $45.50 | $65.00 | $17.55–$58.50 | 5% below | 30% |
| Rubella antibody test (immunity check) CPT 86762 HCHG CVMC RUBELLA TITR | $84.00 | $120.00 | $32.40–$108.00 | 34% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA ANTIBODY LAB | $98.00 | $140.00 | $37.80–$126.00 | 57% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG RBC SED RATE AUTOMATED LAB | $56.00 | $80.00 | $21.60–$72.00 | 1% below | 30% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HCHG SEMEN ANALYSIS VOLUME/COUNT/MOTILITY LAB | $224.00 | $320.00 | $86.40–$288.00 | 16% below | 30% |
| Stool ova and parasites exam CPT 87177 HCHG OVA & PARASITES SMEARS REF | $60.90 | $87.00 | $23.49–$78.30 | 9% above | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG HEMOCULT TEST POC | $28.00 | $40.00 | $10.80–$36.00 | 34% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD FECES COLORECTAL SCREENING LAB | $45.50 | $65.00 | $17.55–$58.50 | 8% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG OCCULT BLOOD FECES IMMUNOASSAY LAB | $84.00 | $120.00 | $32.40–$108.00 | 128% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG OCCULT BLOOD FECES IMMUNOASSAY REF | $105.00 | $150.00 | $40.50–$135.00 | 185% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG SYPHILIS TEST NON-TREP QUAL REF | $33.60 | $48.00 | $12.96–$43.20 | 6% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG SYPHILIS TEST NON-TREP QUAL LAB | $53.20 | $76.00 | $20.52–$68.40 | 49% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG TB TEST CELL IMM MEASURE AG (QUANTIFERON) REF | $343.00 | $490.00 | $132.30–$441.00 | 220% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL LAB | $168.00 | $240.00 | $64.80–$216.00 | 13% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL REF | $168.00 | $240.00 | $64.80–$216.00 | 13% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG MICROSOMAL ANTIBODY EACH LAB | $77.00 | $110.00 | $29.70–$99.00 | at median | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG MICROSOMAL ANTIBODY EACH REF | $112.00 | $160.00 | $43.20–$144.00 | 45% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG BMH ANALYZER PANEL MICROSOMAL AB* | $112.00 | $160.00 | $43.20–$144.00 | 45% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH REF | $154.00 | $220.00 | $59.40–$198.00 | 10% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH LAB | $182.00 | $260.00 | $70.20–$234.00 | 30% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HCHG TRICHOMONAS VAG DNA AMP PROBE REF | $301.00 | $430.00 | $116.10–$387.00 | 435% above | 30% |
| Uric acid blood test CPT 84550 HCHG URIC ACID BLOOD LAB | $45.50 | $65.00 | $17.55–$58.50 | 55% below | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG BMH/CVMC URINALYSIS, AUTO, W/O SCOPE | $28.00 | $40.00 | $10.80–$36.00 | 58% below | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS AUTO W/O SCOPE LAB | $30.10 | $43.00 | $11.61–$38.70 | 55% below | 30% |
| Urine culture for bacteria, with colony count CPT 87086 HCHG URINE CULTURE/COLONY COUNT MIC | $126.00 | $180.00 | $48.60–$162.00 | 39% below | 30% |
| Urine pregnancy test, read by color change CPT 81025 HCHG URINE PREGNANCY TEST COLOR COMP POC | $147.00 | $210.00 | $56.70–$189.00 | 87% above | 30% |
| Urine pregnancy test, read by color change CPT 81025 HCHG URINE PREGNANCY TEST COLOR COMP LAB | $147.00 | $210.00 | $56.70–$189.00 | 87% above | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B-12 LAB | $161.00 | $230.00 | $62.10–$207.00 | 3% above | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HCHG CVMC B12 VITAMIN | $168.00 | $240.00 | $64.80–$216.00 | 8% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG VITAMIN D 25 HYDROXY REF | $168.00 | $240.00 | $64.80–$216.00 | 5% below | 30% |
| Zinc blood test CPT 84630 HCHG ZINC SERUM LAB | $91.00 | $130.00 | $35.10–$117.00 | 2% below | 30% |
| Zinc blood test CPT 84630 HCHG ZINC SERUM REF | $105.00 | $150.00 | $40.50–$135.00 | 13% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG GONADOTROPIN CHORIONIC QUANT LAB | $168.00 | $240.00 | $64.80–$216.00 | 1% below | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 HCHG ADENOIDECTOMY PRIMARY <AGE 12 | $5,530.00 | $7,900.00 | $2,133.00–$7,110.00 | 47% above | 30% |
| Appendectomy, open surgery CPT 44950 HCHG APPENDECTOMY | $8,483.30 | $12,119.00 | $3,272.13–$10,907.10 | 19% above | 30% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HCHG ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $10,640.00 | $15,200.00 | $4,104.00–$13,680.00 | 32% above | 30% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 HCHG ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR | $5,670.00 | $8,100.00 | $2,187.00–$7,290.00 | 28% below | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG BX BREAST 1ST LESION STRTCTC | $2,730.00 | $3,900.00 | $1,053.00–$3,510.00 | 21% above | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HCHG BMH/CVMC CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE W/O MA | $448.00 | $640.00 | $172.80–$576.00 | 27% below | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HCHG BMH/CVMC TREAT METATARSAL FRACTURE W/O MANIPULATION | $441.00 | $630.00 | $170.10–$567.00 | 14% below | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HCHG CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT | $5,758.20 | $8,226.00 | $2,221.02–$7,403.40 | 57% above | 30% |
| Bunion correction with removal of part of the big toe joint CPT 28292 HCHG COR HLX VLGS RSC PRX PHLX BS | $3,990.00 | $5,700.00 | $1,539.00–$5,130.00 | 12% above | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HCHG LT HRT ART/VENTRICLE ANGIO | $20,580.00 | $29,400.00 | $7,938.00–$26,460.00 | 142% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION EXTERNAL ELECTVE | $1,330.00 | $1,900.00 | $513.00–$1,710.00 | 5% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG BMH/CVMC CARDIOVERSION | $1,330.00 | $1,900.00 | $513.00–$1,710.00 | 5% above | 30% |
| Carpal tunnel release, open surgery CPT 64721 HCHG NEUROPLASTY & OR TRANSPOS MEDIAN NRV CARPAL TUN | $3,290.00 | $4,700.00 | $1,269.00–$4,230.00 | 49% above | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HCHG CIRCUMCISION AGE >28 DAYS | $4,690.00 | $6,700.00 | $1,809.00–$6,030.00 | 102% above | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $4,207.35 | $6,010.50 | $1,622.84–$5,409.45 | 171% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HCHG TREAT FX W/O MANIPULATION | $448.00 | $640.00 | $172.80–$576.00 | 1% above | 30% |
| Colonoscopy with polyp removal CPT 45385 HCHG CVMC 2-COLONOSCOPY W/REMOVAL OF TUMOR,POLYP OR LESION | $1,190.00 | $1,700.00 | $459.00–$1,530.00 | 12% below | 30% |
| Colonoscopy with polyp removal CPT 45385 HCHG CVMC COLONOSCOPY,WITH REMOVAL OF TUMOR,POLYP,OR LESION | $2,013.90 | $2,877.00 | $776.79–$2,589.30 | 50% above | 30% |
| Colonoscopy with tissue sample CPT 45380 HCHG CVMC 2-COLONOSCOPY,FLEXIBLE WITH BIOPSY,SINGLE OR MULTIPLE | $1,050.00 | $1,500.00 | $405.00–$1,350.00 | 21% below | 30% |
| Colonoscopy with tissue sample CPT 45380 HCHG CVM COLONOSCOPY,FLEXIBLE WITH BIOPSY,SINGLE OR MULTIPLE | $2,005.50 | $2,865.00 | $773.55–$2,578.50 | 50% above | 30% |
| Colonoscopy with tissue sample CPT 45380 HCHG CVM 2-COLONOSCOPY,FLEXIBLE WITH BIOPSY,SINGLE OR MULTIPLE | $2,345.00 | $3,350.00 | $904.50–$3,015.00 | 76% above | 30% |
| Colonoscopy, diagnostic CPT 45378 HCHG CVMC COLONOSCOPY,FLEXIBLE,PROXIMAL TO SPLENIC FLEXURE,DIAGN | $2,100.00 | $3,000.00 | $810.00–$2,700.00 | 41% above | 30% |
| Colonoscopy, diagnostic CPT 45378 HCHG CVMC 2-COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE D | $2,100.00 | $3,000.00 | $810.00–$2,700.00 | 41% above | 30% |
| Cystoscopy with ureteral stent placement CPT 52332 HCHG CYSTO W/INSERT URETERAL STENT | $3,360.00 | $4,800.00 | $1,296.00–$4,320.00 | 7% below | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HCHG CYSTOURETHROSCOPY | $2,940.00 | $4,200.00 | $1,134.00–$3,780.00 | 58% above | 30% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HCHG TYMPANOSTOMY GENERAL ANESTHESIA | $2,800.00 | $4,000.00 | $1,080.00–$3,600.00 | 56% above | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HCHG REM IMPACTED CERUMEN IRR/LVG UNILAT | $67.90 | $97.00 | $26.19–$87.30 | at median | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 HCHG REMOVAL IMPACTED CERUMEN INSTR UNILAT | $203.00 | $290.00 | $78.30–$261.00 | 27% above | 30% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HCHG NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $2,590.00 | $3,700.00 | $999.00–$3,330.00 | 33% below | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HCHG NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | $3,920.00 | $5,600.00 | $1,512.00–$5,040.00 | 21% below | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJ,EPI CERV/THOR SINGLE W IG | $1,330.00 | $1,900.00 | $513.00–$1,710.00 | 73% above | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, 1ST LEVE | $4,480.00 | $6,400.00 | $1,728.00–$5,760.00 | 366% above | 30% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HCHG HERNIA REPAIR VENTRAL ANY APPROACH 3-10 CM REDUCIBLE | $1,890.00 | $2,700.00 | $729.00–$2,430.00 | 60% below | 30% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 HCHG HERNIA REPAIR VENTRAL ANY APPROACH >10 CM REDUCIBLE | $1,890.00 | $2,700.00 | $729.00–$2,430.00 | 40% below | 30% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HCHG HERNIA REPAIR VENTRAL ANY APPROACH <3CM REDUCIBLE | $1,890.00 | $2,700.00 | $729.00–$2,430.00 | 51% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG CVM 2-SIGMOIDOSCOPY,FLEXIBLE DIAGNOSTIC | $427.00 | $610.00 | $164.70–$549.00 | 58% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HCHG CVM SIGMOIDOSCOPY,FLEXIBLE DIAGNOSTIC | $2,310.00 | $3,300.00 | $891.00–$2,970.00 | 128% above | 30% |
| Gallbladder removal, laparoscopic CPT 47562 HCHG LAPAROSCOPY SURG CHOLECYSTECTOMY | $6,370.00 | $9,100.00 | $2,457.00–$8,190.00 | 3% below | 30% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HCHG LAPS CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $7,770.00 | $11,100.00 | $2,997.00–$9,990.00 | 16% above | 30% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 HCHG CHOLECYSTECTOMY | $10,500.00 | $15,000.00 | $4,050.00–$13,500.00 | — | 30% |
| Hammertoe correction surgery CPT 28285 HCHG CORRECTION HAMMERTOE | $3,500.00 | $5,000.00 | $1,350.00–$4,500.00 | 1% below | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HCHG LIGATION OF HEMORRHOID(S) | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 8% above | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HCHG CVMC HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 8% above | 30% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HCHG HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $4,593.40 | $6,562.00 | $1,771.74–$5,905.80 | 48% above | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG CATH/INJECT HYSTEROSALPINGOGRAM | $161.00 | $230.00 | $62.10–$207.00 | 8% below | 30% |
| Hysteroscopy with endometrial ablation CPT 58563 HCHG HYSTEROSCOPY ENDOMETRIAL ABLATION | $4,760.00 | $6,800.00 | $1,836.00–$6,120.00 | 13% below | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HCHG HYSTEROSCOPY BX ENDOMETRIUM POLYPC W/WO D&C | $4,410.00 | $6,300.00 | $1,701.00–$5,670.00 | 6% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HCHG I&D ABSCESS, SIMPLE OR SINGLE | $427.00 | $610.00 | $164.70–$549.00 | 25% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HCHG DRAIN SKIN ABSCESS SIMPLE | $427.00 | $610.00 | $164.70–$549.00 | 25% above | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HCHG RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $5,600.00 | $8,000.00 | $2,160.00–$7,200.00 | 37% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJ(S) SNGL TENDON SHEATH/LIGAMNT | $546.00 | $780.00 | $210.60–$702.00 | 64% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG INJ/ASPIR-LARGE JT/BURSA W/O US GUIDE | $840.00 | $1,200.00 | $324.00–$1,080.00 | 149% above | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HCHG INSERT DRUG IMPLANT | $2,170.00 | $3,100.00 | $837.00–$2,790.00 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG INJ/ASPIR-INTERMED JT/BURSA W/O US GUIDE | $553.00 | $790.00 | $213.30–$711.00 | 66% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG INJ/ASPIR-SMALL JT/BURSA W/O US GUIDE | $672.00 | $960.00 | $259.20–$864.00 | 102% above | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 HCHG ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $4,970.00 | $7,100.00 | $1,917.00–$6,390.00 | 36% above | 30% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HCHG ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $4,970.00 | $7,100.00 | $1,917.00–$6,390.00 | 32% above | 30% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HCHG ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | $5,320.00 | $7,600.00 | $2,052.00–$6,840.00 | 45% above | 30% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HCHG LAPAROSCOPIC APPENDECTOMY | $6,370.00 | $9,100.00 | $2,457.00–$8,190.00 | 3% below | 30% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HCHG LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $12,320.00 | $17,600.00 | $4,752.00–$15,840.00 | 2% above | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HCHG LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $8,400.00 | $12,000.00 | $3,240.00–$10,800.00 | 28% above | 30% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HCHG LAPS SURG RPR RECURRENT INGUINAL HERNIA | $11,463.38 | $16,376.25 | $4,421.59–$14,738.63 | 26% above | 30% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HCHG LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $7,630.00 | $10,900.00 | $2,943.00–$9,810.00 | 13% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG REPAIR-INT-SATE <2.5 CM | $770.00 | $1,100.00 | $297.00–$990.00 | 39% above | 30% |
| Left heart catheterization, diagnostic one side CPT 93452 HCHG CATH LEFT HEART W/VENTRCL GRA* | $16,800.00 | $24,000.00 | $6,480.00–$21,600.00 | 268% above | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ,EPI LUMB/SAC SINGLE W IG | $1,330.00 | $1,900.00 | $513.00–$1,710.00 | 145% above | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ,EPI LUMB/SAC SINGLE W/O IG | $910.00 | $1,300.00 | $351.00–$1,170.00 | 3% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ,FORAMEN,L/S,1 LEVEL | $1,680.00 | $2,400.00 | $648.00–$2,160.00 | 91% above | 30% |
| Lumpectomy (partial mastectomy) CPT 19301 HCHG MASTECTOMY PARTIAL | $5,014.28 | $7,163.25 | $1,934.08–$6,446.93 | 18% above | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HCHG EXCISION/BGN LESN TAL <.5 CM | $1,330.00 | $1,900.00 | $513.00–$1,710.00 | 68% above | 30% |
| Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE,SIMPLE/SGL | $53.90 | $77.00 | $20.79–$69.30 | 78% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE SINGLE | $518.00 | $740.00 | $199.80–$666.00 | 116% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ(S) ANES GREATER OCCIPITAL NERVE | $546.00 | $780.00 | $210.60–$702.00 | 62% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 HCHG N BLOCK INJ(S) GREATER OCCIPITAL | $553.00 | $790.00 | $213.30–$711.00 | 64% above | 30% |
| Pacemaker implant (dual chamber) CPT 33208 HCHG PPM INSERT-DUAL- W/LEADS | $15,680.00 | $22,400.00 | $6,048.00–$20,160.00 | 38% above | 30% |
| Paracentesis with imaging guidance CPT 49083 HCHG PARACENTESIS, ABD WITH IMAGING | $2,520.00 | $3,600.00 | $972.00–$3,240.00 | 111% above | 30% |
| Paracentesis with imaging guidance CPT 49083 HCHG ABDOMEN PARACENTESIS W/IMAGING | $2,520.00 | $3,600.00 | $972.00–$3,240.00 | 111% above | 30% |
| Partial knee replacement (one compartment) CPT 27446 HCHG ARTHROPLASTY KNEE MEDIAL OR LATERAL COMP | $11,340.00 | $16,200.00 | $4,374.00–$14,580.00 | at median | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG EXCISION-NAIL & MATRIX | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 244% above | 30% |
| Removal of a breast lump, open surgery CPT 19120 HCHG EXC CYST ABERRANT BREAST TISSUE OPEN 1/> LESION | $4,060.00 | $5,800.00 | $1,566.00–$5,220.00 | 5% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 HCHG INCISION/REM FB SUBQ SIMPLE | $1,400.00 | $2,000.00 | $540.00–$1,800.00 | 209% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HCHG SCREENING COLONOSCOPY, PT NOT HIGH RISK | $1,960.00 | $2,800.00 | $756.00–$2,520.00 | 85% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HCHG CANCER SCN-COLONOSCOPY-NON HR | $2,100.00 | $3,000.00 | $810.00–$2,700.00 | 98% above | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HCHG SCREENING COLONOSCOPY. HIGH RISK PT | $770.00 | $1,100.00 | $297.00–$990.00 | 24% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HCHG COLORECTAL CANCER SCN-COLON HR | $1,965.60 | $2,808.00 | $758.16–$2,527.20 | 94% above | 30% |
| Septoplasty to straighten the nasal septum CPT 30520 HCHG SEPTOPLASTY/SUBMUCOUS RESEC W/WO CARTILAGE GRF | $3,010.00 | $4,300.00 | $1,161.00–$3,870.00 | 17% below | 30% |
| Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $3,010.00 | $4,300.00 | $1,161.00–$3,870.00 | 17% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 HCHG SPLINT APPLICATION SHORT ARM | $294.00 | $420.00 | $113.40–$378.00 | 25% above | 30% |
| Short leg cast (below the knee) CPT 29405 HCHG CAST APPL SHORT LEG | $308.00 | $440.00 | $118.80–$396.00 | 1% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HCHG SPLINT APPLICATION SHORT LEG | $427.00 | $610.00 | $164.70–$549.00 | 88% above | 30% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HCHG ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY | $3,010.00 | $4,300.00 | $1,161.00–$3,870.00 | 18% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HCHG ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE | $3,010.00 | $4,300.00 | $1,161.00–$3,870.00 | 13% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG REPAIR-SMP-SNAGTE <2.5 CM | $315.00 | $450.00 | $121.50–$405.00 | at median | 30% |
| Skin biopsy, punch, one lesion CPT 11104 HCHG PUNCH BIOPSY OF SKIN SINGLE LESION | $294.00 | $420.00 | $113.40–$378.00 | 10% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 HCHG REMOVAL SKIN TAGS UP TO 15 LESIONS | $469.00 | $670.00 | $180.90–$603.00 | 115% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG SPINAL PUNCTURE,DIAGNOSTIC | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 40% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG SPINAL PUNCTURE,LUMBAR,DIAG. | $1,470.00 | $2,100.00 | $567.00–$1,890.00 | 84% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG REPAIR-SMP-SNAGTE 2.6-7.5 CM | $315.00 | $450.00 | $121.50–$405.00 | 22% below | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HCHG REPAIR-SMP-FEENL <2.5 CM | $301.00 | $430.00 | $116.10–$387.00 | 35% below | 30% |
| TURP (transurethral resection of the prostate) CPT 52601 HCHG TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $7,560.00 | $10,800.00 | $2,916.00–$9,720.00 | 29% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG TANGENTIAL SKIN BX SINGLE LESION | $294.00 | $420.00 | $113.40–$378.00 | 1% above | 30% |
| Thoracentesis with imaging guidance CPT 32555 HCHG BMH/CVMC THORACENTESIS, NEEDLE OR CATHETER,W/IMAGING GUIDAN | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 36% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 HCHG BMH/CVMC ASPIRATE PLEURA W IMAGING | $1,470.00 | $2,100.00 | $567.00–$1,890.00 | 16% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 HCHG THORACENTESIS WITH IMAGING GUIDANCE | $1,470.00 | $2,100.00 | $567.00–$1,890.00 | 16% below | 30% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 HCHG TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $2,940.00 | $4,200.00 | $1,134.00–$3,780.00 | 18% below | 30% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HCHG TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $3,570.00 | $5,100.00 | $1,377.00–$4,590.00 | 45% below | 30% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HCHG TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $3,570.00 | $5,100.00 | $1,377.00–$4,590.00 | 1% below | 30% |
| Total hip replacement CPT 27130 HCHG TOTAL HIP ARTHROPLASTY W OR WO GRAFT | $8,400.00 | $12,000.00 | $3,240.00–$10,800.00 | 25% below | 30% |
| Total knee replacement CPT 27447 HCHG TOTAL KNEE ARTHROPLASTY MEDIAL AND LATERAL | $8,820.00 | $12,600.00 | $3,402.00–$11,340.00 | 27% below | 30% |
| Total shoulder replacement CPT 23472 HCHG ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $10,500.00 | $15,000.00 | $4,050.00–$13,500.00 | at median | 30% |
| Trigger finger release surgery CPT 26055 HCHG TENDON SHEATH INCISION | $2,380.00 | $3,400.00 | $918.00–$3,060.00 | 28% above | 30% |
| Trigger finger release surgery CPT 26055 HCHG INCISE FINGER TENDON SHEATH | $2,380.00 | $3,400.00 | $918.00–$3,060.00 | 28% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJ(S) TRIGGER PT(S) 1/2 MUSCLE | $770.00 | $1,100.00 | $297.00–$990.00 | 131% above | 30% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HCHG LAPAROSCOPY FULGURATION OVIDUCTS | $5,040.00 | $7,200.00 | $1,944.00–$6,480.00 | 23% below | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG BX BREAST 1ST LESION US IMAG | $3,500.00 | $5,000.00 | $1,238.78–$4,500.00 | 95% above | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG CVMC 2-UPPER GASTROINTESTINAL ENDOSCOPY W/BALLOON DILATION | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 46% below | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HCHG CVMC UPPER GASTROINTESTIONAL ENDOSCOPY W/BALLOON DILATION | $2,240.00 | $3,200.00 | $864.00–$2,880.00 | 7% above | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG CVMC 2-UPPER GASTROINTESTINAL ENDOSCOPY WITH BIOPSY | $1,400.00 | $2,000.00 | $540.00–$1,800.00 | 12% below | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HCHG CVMC UPPER GASTROINTESTINAL ENDOSCOPY WITH BIOPSY | $2,800.00 | $4,000.00 | $1,080.00–$3,600.00 | 76% above | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HCHG CVMC 2-UPPER GASTROINTESTINAL ENDOSCOPY WITH SUBMUCOSAL INJ | $840.00 | $1,200.00 | $324.00–$1,080.00 | 15% below | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HCHG CVMC UPPER GASTROINTESTINAL ENDOSCOPY W/SUBMUCOSAL INJ | $1,610.00 | $2,300.00 | $621.00–$2,070.00 | 63% above | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HCHG CVMC 2-UPPER GI ENDOSCOPY W/REMOVAL OF TUMOR, POLYP OR LESI | $840.00 | $1,200.00 | $324.00–$1,080.00 | 60% below | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HCHG CVMC UPPER GI ENDOSCOPY W/REMOVAL OF TUMOR, POLYP OR LESION | $2,030.00 | $2,900.00 | $783.00–$2,610.00 | 3% below | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG CVMC 2-UPPR GASTROINTESTINAL ENDOSCOPY WITH INSERT GUIDE WI | $630.00 | $900.00 | $243.00–$810.00 | 36% below | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HCHG CVMC UPPER GASTROINTESTINAL ENDOSCOPY WITH INSERT GUIDE WIR | $2,170.00 | $3,100.00 | $837.00–$2,790.00 | 120% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG CVMC UPPER GI ENDOSCOPY, DIAGNOSTIC | $1,610.00 | $2,300.00 | $621.00–$2,070.00 | 19% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG CVMC UPPER GASTROINTESTINAL ENDOSCOPY INC ESOPHAGUS,STOMACH | $1,610.00 | $2,300.00 | $621.00–$2,070.00 | 19% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HCHG CVMC 2-UPPER GASTROINTESTINAL ENDOSCOPY INC ESOPHAGUS,STOMA | $1,610.00 | $2,300.00 | $621.00–$2,070.00 | 19% above | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HCHG CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $6,440.00 | $9,200.00 | $2,484.00–$8,280.00 | 10% above | 30% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HCHG CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $6,020.00 | $8,600.00 | $2,322.00–$7,740.00 | 3% above | 30% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HCHG VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $2,800.00 | $4,000.00 | $1,080.00–$3,600.00 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG DEBRIDE SUBQ TISSUE 20SQCM< | $1,050.00 | $1,500.00 | $405.00–$1,350.00 | 71% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG CVMC DEB SUBQ TISSUE 20 SQ CM /< | $1,277.50 | $1,825.00 | $492.75–$1,642.50 | 108% above | 30% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 HCHG OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP | $7,140.00 | $10,200.00 | $2,754.00–$9,180.00 | 10% below | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG TRANSFUSION BLOOD/BLOOD PRODUCTS BLD | $140.00 | $200.00 | $54.00–$180.00 | 72% below | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION HOUR | $560.00 | $800.00 | $216.00–$720.00 | 12% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD 1ST HR UP TO 60 MIN. | $630.00 | $900.00 | $243.00–$810.00 | 25% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BMH/CVMC BLOOD TRANSFUSION 1ST HOUR | $700.00 | $1,000.00 | $270.00–$900.00 | 39% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION 1ST HOUR | $700.00 | $1,000.00 | $270.00–$900.00 | 39% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION >1HR TO 4HRS | $910.00 | $1,300.00 | $351.00–$1,170.00 | 81% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC-TRANSFUSION BLOOD/BLOOD COMPONENTS | $980.00 | $1,400.00 | $378.00–$1,260.00 | 95% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION >1HR TO 4 HRS. | $980.00 | $1,400.00 | $378.00–$1,260.00 | 95% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION 4-6 HRS. | $1,120.00 | $1,600.00 | $432.00–$1,440.00 | 123% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 4 TO 6 HRS | $1,190.00 | $1,700.00 | $459.00–$1,530.00 | 137% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION 4 TO 6 HOURS | $1,330.00 | $1,900.00 | $513.00–$1,710.00 | 165% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION 6 TO 8 HOURS | $1,470.00 | $2,100.00 | $567.00–$1,890.00 | 193% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 6 TO 8 | $1,680.00 | $2,400.00 | $648.00–$2,160.00 | 235% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG CVMC BLOOD TRANSFUSION >8 HOURS | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 248% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 8 TO 10 HR | $1,750.00 | $2,500.00 | $675.00–$2,250.00 | 248% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC CONTINUOUS NEB < 1 HOUR | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC HND HELD NEB INITIAL | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC IPPB TX INIT | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC AERO TX INLINE | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC AIRWAY INHALATION TREATMENT | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC IPPB RX | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC BREATH ACTIVATED NEBULIZER INITIAL | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG CVMC MDI DOSE TITRATION | $119.00 | $170.00 | $45.90–$153.00 | 50% below | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HCHG CHEMO ADMIN-IV-1ST DRUG < 1 HR | $910.00 | $1,300.00 | $351.00–$1,170.00 | 52% above | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HCHG CVMC HIGHLY COMPLEX DRUG INF-1ST HR.-1ST SUBSTANC | $910.00 | $1,300.00 | $351.00–$1,170.00 | 52% above | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 HCHG CRITICAL CARE-30 TO 74 MINUTES | $2,940.00 | $4,200.00 | $1,134.00–$3,780.00 | 14% above | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG AWAKE | $343.00 | $490.00 | $132.30–$441.00 | 40% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG ER EKG | $245.00 | $350.00 | $94.50–$315.00 | 30% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG ELECTROCARDIOGRAM | $248.50 | $355.00 | $95.85–$319.50 | 29% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG LEVEL I BRIEF | $217.00 | $310.00 | $83.70–$279.00 | 18% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG LEVEL II LIMITED | $455.00 | $650.00 | $175.50–$585.00 | at median | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG LEVEL III INTERMEDIATE | $1,015.00 | $1,450.00 | $391.50–$1,305.00 | 31% above | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG LEVEL IV EXTENDED | $1,610.00 | $2,300.00 | $621.00–$2,070.00 | 5% above | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG LEVEL V COMPREHENSIVE | $2,212.00 | $3,160.00 | $853.20–$2,844.00 | 13% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CARDIO STRESS TEST | $840.00 | $1,200.00 | $324.00–$1,080.00 | at median | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CARDIOVASC STRESS TST TRACING ONLY | $840.00 | $1,200.00 | $324.00–$1,080.00 | at median | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HCHG PHP FAMILY THERAPY W/ PATIENT | $322.00 | $460.00 | $124.20–$414.00 | 29% below | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHG IOP FAMILY THERAPY W/O PT | $322.00 | $460.00 | $124.20–$414.00 | 28% below | 30% |
| Group psychotherapy session CPT 90853 HCHG IOP GROUP THERAPY-CD | $280.00 | $400.00 | $108.00–$360.00 | at median | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INF THERAPY-HYDRATION 31-60MIN | $455.00 | $650.00 | $175.50–$585.00 | 16% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 HCHG INF THERAPY-TH/DIAG-INIT < 1HR | $469.00 | $670.00 | $180.90–$603.00 | at median | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJECTION-DIAG/THERAP-SQ/IM | $140.00 | $200.00 | $54.00–$180.00 | 31% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HCHG CVMC PSYCH DIAGNOSTIC EVALUATION | $343.00 | $490.00 | $132.30–$441.00 | 8% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEUROMUSCULAR RE-EDUCATION-M59 | $119.00 | $170.00 | $45.90–$153.00 | 23% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 HCHG OFFICE VISIT-NEW-LEVEL 3 | $224.00 | $320.00 | $86.40–$288.00 | 4% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 HCHG CVMC WC NEW PATIENT LEVEL 3 | $224.00 | $320.00 | $86.40–$288.00 | 4% above | 30% |
| New patient office visit, about 45 minutes CPT 99204 HCHG CVMC WC NEW PATIENT LEVEL 4 | $259.00 | $370.00 | $99.90–$333.00 | 7% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 HCHG OFFICE VISIT-NEW-LEVEL 4 | $301.00 | $430.00 | $116.10–$387.00 | 8% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 HCHG CVMC WC NEW PATIENT LEVEL 5 | $350.00 | $500.00 | $135.00–$450.00 | 3% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG CVMC WC NEW PATIENT LEVEL 2 | $126.00 | $180.00 | $48.60–$162.00 | 21% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG OFFICE VISIT-NEW-LEVEL 2 | $182.00 | $260.00 | $70.20–$234.00 | 14% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG MED NUT THERAPY INITIAL 15 MIN | $70.00 | $100.00 | $27.00–$90.00 | 14% above | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 HCHG OT EVAL LOW COMPLEX 30 MIN | $238.00 | $340.00 | $91.80–$306.00 | 16% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HCHG PT EVAL HIGH COMPLEX 45 MIN | $290.50 | $415.00 | $112.05–$373.50 | 9% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HCHG PT EVAL LOW COMPLEX 20 MIN | $199.50 | $285.00 | $76.95–$256.50 | 17% above | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HCHG PT EVAL MOD COMPLEX 30 MIN | $234.50 | $335.00 | $90.45–$301.50 | 12% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY TECHNIQUE 15MIN | $119.00 | $170.00 | $45.90–$153.00 | 40% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG THERAPEUTIC EXERCISE EA 15 MIN | $109.90 | $157.00 | $42.39–$141.30 | 25% above | 30% |
| Psychiatric evaluation with medical services CPT 90792 HCHG CVMC PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICE | $322.00 | $460.00 | $124.20–$414.00 | 1% below | 30% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HCHG PSYCHOTHERAPY CRISIS 60 MIN (AT) | $322.00 | $460.00 | $124.20–$414.00 | 11% above | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG CVMC PSYCHOTHERAPY, 30 MINUTES WITH PATIENT AND/OR FAMILY M | $322.00 | $460.00 | $124.20–$414.00 | 8% above | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG CVMC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT AND/OR FAMILY M | $322.00 | $460.00 | $124.20–$414.00 | at median | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG CVMC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT AND/OR FAMILY M | $350.00 | $500.00 | $135.00–$450.00 | at median | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG CVMC WC ESTABLISHED PATIENT LEVEL 5 | $259.00 | $370.00 | $99.90–$333.00 | at median | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG OFFICE VISIT-EST-LEVEL 5 | $273.00 | $390.00 | $105.30–$351.00 | 5% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG CVMC WC ESTABLISHED PATIENT LEVEL 3 | $185.50 | $265.00 | $71.55–$238.50 | 15% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG LEVEL III VISIT ESTABLISHED | $189.00 | $270.00 | $72.90–$243.00 | 17% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG CVMC WC ESTABLISHED PATIENT LEVEL 4 | $224.00 | $320.00 | $86.40–$288.00 | at median | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG LEVEL IV VISIT ESTABLISHED PT | $238.00 | $340.00 | $91.80–$306.00 | 6% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG EST PT FACILITY DETAILED | $238.00 | $340.00 | $91.80–$306.00 | 6% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG LEVEL II VISIT ESTABLISHED PT | $147.00 | $210.00 | $56.70–$189.00 | 18% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG CVMC WC ESTABLISHED PATIENT LEVEL 2 | $147.00 | $210.00 | $56.70–$189.00 | 18% above | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HCHG OFFICE-OP CONSULTATION NEW/ESTAB PATIENT 40 MIN | $126.00 | $180.00 | $48.60–$162.00 | 26% below | 30% |
| Speech and language evaluation CPT 92523 HCHG SPEECH SOUND LANG COMPREHEN | $252.00 | $360.00 | $97.20–$324.00 | 11% above | 30% |
| Speech therapy session, individual CPT 92507 HCHG SPEECH LANG TX-INDIVIDUAL | $203.00 | $290.00 | $78.30–$261.00 | 87% above | 30% |
| Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY W/ GRAPHIC RCD (NO PROFEE) | $231.00 | $330.00 | $89.10–$297.00 | 17% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 HCHG CVMC SPIRO PRE & POST | $630.00 | $900.00 | $243.00–$810.00 | 12% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVITIES 15 MIN | $119.00 | $170.00 | $45.90–$153.00 | 100% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG PHLEBOTOMY,THERAPEUTIC | $196.00 | $280.00 | $75.60–$252.00 | 22% below | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nevada | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HCHG COVID-19 VACCINE 50 MCG | $210.00 | $300.00 | $81.00–$270.00 | — | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HCHG FLUZONE HD VACCINE (SPLIT VIRUS PF) | $228.55 | $326.50 | $88.16–$293.85 | 12% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HCHG FLUZONE HD VACCINE (SPLIT VIRUS PF) | $228.55 | $326.50 | $88.16–$293.85 | 12% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HCHG FLUZONE HD VACCINE (SPLIT VIRUS PF) | $228.55 | $326.50 | $88.16–$293.85 | — | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HCHG FLUZONE HD VACCINE (SPLIT VIRUS PF) | $228.55 | $326.50 | $88.16–$293.85 | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HCHG PCV20 VACCINE INTRAMUSCULAR USE | $567.64 | $810.92 | $218.95–$729.83 | at median | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HCHG PCV20 VACCINE INTRAMUSCULAR USE | $567.64 | $810.92 | $218.95–$729.83 | at median | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HCHG PCV20 VACCINE INTRAMUSCULAR USE | $567.64 | $810.92 | $218.95–$729.83 | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HCHG PCV20 VACCINE INTRAMUSCULAR USE | $567.64 | $810.92 | $218.95–$729.83 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG PNEUMOCOCCAL VACCINE VALENT 23 | $448.53 | $640.75 | $173.00–$576.68 | 52% above | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HCHG PNEUMOCOCCAL VACCINE VALENT 23 | $448.53 | $640.75 | $173.00–$576.68 | 52% above | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG PNEUMOCOCCAL VACCINE VALENT 23 | $448.53 | $640.75 | $173.00–$576.68 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HCHG PNEUMOCOCCAL VACCINE VALENT 23 | $448.53 | $640.75 | $173.00–$576.68 | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HCHG TDAP VACCINE(AGE>=7) | $196.00 | $280.00 | $75.60–$252.00 | 12% above | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HCHG TDAP VACCINE(AGE>=7) | $196.00 | $280.00 | $75.60–$252.00 | 12% above | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HCHG TDAP VACCINE(AGE>=7) | $196.00 | $280.00 | $75.60–$252.00 | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HCHG TDAP VACCINE(AGE>=7) | $196.00 | $280.00 | $75.60–$252.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG PNEUMOCOCCAL ADMINISTRATION | $36.40 | $52.00 | $14.04–$46.80 | 59% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG INFLUENZA ADMINISTRATION | $84.00 | $120.00 | $32.40–$108.00 | 5% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG IMMUNIZATION ADMINISTRATION | $84.00 | $120.00 | $32.40–$108.00 | 5% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG BMH/CVMC IMMUNIZATION ADMIN, EACH ADD | $58.80 | $84.00 | $22.68–$75.60 | 12% below | 30% |
Source file: https://carsonvalleyhealth.pt.panaceainc.com/MRFDownload/carsonvalleyhealth/carsonvalley