Coshocton Regional Medical Center
Coshocton Regional Medical Center in Coshocton, OH publishes cash prices for 352 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 347 of 351 procedures and above it for 4. By typical cash price it ranks #2 of 137 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1460 Orange Street Coshocton, OH 43812 Collected Sep 29, 2026 Source price file (740) 622-6411
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 360109 · CMS hospital register NPI 1013468172
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 Coshocton Regional Medical Center in Coshocton, OH:
- Feb 14, 2024 Warning notice
- May 17, 2024 Case closed
- Jul 21, 2025 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. 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 Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN ANTEROPOSTERIOR AND | $98.00 | $821.39 | $74.73–$804.96 | 71% below | 88% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE CMPLT MIN 3 VIEWS | $81.00 | $404.50 | $74.73–$396.41 | 75% below | 80% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE CMPLT MIN 3 VIEW | $81.00 | $404.50 | $74.73–$396.41 | 75% below | 80% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PVR ABI'S | $125.00 | $1,196.59 | $125.25–$1,172.66 | 74% below | 90% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $165.00 | $519.90 | $74.73–$509.50 | 62% below | 68% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT IMG WHOLE BODY | $376.00 | $2,714.85 | $376.36–$2,660.55 | 76% below | 86% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE SONO | $98.00 | $976.80 | $98.42–$957.26 | 79% below | 90% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED SONO | $81.00 | $814.11 | $81.93–$797.83 | 80% below | 90% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN AND PELVIS | $328.00 | $6,793.00 | $328.44–$6,657.14 | 85% below | 95% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W/CA SCORING | $328.00 | $525.00 | $157.50–$525.00 | 80% below | 38% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONTRAST W/CALCIU | $81.00 | $273.00 | $81.90–$267.54 | 71% below | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART W/O CA SCORING | $81.00 | $273.00 | $81.90–$267.54 | 71% below | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WITHOUT CONTRAST | $224.00 | $4,616.85 | $224.62–$4,524.51 | 86% below | 95% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST | $328.00 | $5,307.84 | $328.44–$5,201.68 | 83% below | 94% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/W CONTRAST | $328.00 | $6,522.87 | $328.44–$6,392.41 | 86% below | 95% |
| CT scan of the head with contrast CPT 70460 CT-BRAIN SGL W/C | $165.00 | $3,266.50 | $165.13–$3,201.17 | 84% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/C | $165.00 | $5,887.17 | $165.13–$5,769.43 | 87% below | 97% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US BIL CAROTID DOPPLER | $224.00 | $1,623.75 | $197.76–$1,591.28 | 69% below | 86% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS FRONT & LAT | $81.00 | $272.96 | $74.73–$401.11 | 70% below | 70% |
| Chest X-ray, 2 views CPT 71046 XR CHEST SPC.VIEW | $81.00 | $409.30 | $74.73–$401.11 | 70% below | 80% |
| Chest X-ray, single view CPT 71045 XR CHEST SGLE VIEW FRONTAL | $81.00 | $292.00 | $74.73–$286.16 | 65% below | 72% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR BILATERAL CLAVICLE | $81.00 | $255.00 | $62.50–$249.90 | — | 68% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE | $81.00 | $208.33 | $62.50–$249.90 | 71% below | 61% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMINAL AORTA/KIDNEY | $98.00 | $1,658.29 | $98.42–$1,625.12 | 86% below | 94% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY | $98.00 | $649.08 | $95.99–$636.10 | 78% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-THROAX W/C | $165.00 | $3,279.61 | $165.13–$3,214.02 | 86% below | 95% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMM BILAT DIAG MAM DIAG | $101.00 | $1,547.50 | $68.22–$1,516.55 | — | 93% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO/UNILATERAL | $78.00 | $1,220.50 | $68.22–$1,196.09 | 78% below | 94% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US BIL LOWER ARTERIAL | $224.00 | $2,750.12 | $197.76–$2,695.12 | 74% below | 92% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US BIL LEG OR ARM DVT | $224.00 | $2,268.51 | $197.76–$2,223.14 | 74% below | 90% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE W/ CONTRAST | $514.00 | $3,482.43 | $46.20–$3,887.66 | 70% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO WITH DOPPLER STUDIES | $514.00 | $3,967.00 | $46.20–$3,887.66 | 70% below | 87% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO WITH DOP INTURP | $514.00 | $154.00 | $46.20–$3,887.66 | 70% below | -234% |
| Elbow X-ray, 2 views both sides CPT 73070 XR BILATERAL ELBOW 2 VIEWS | $81.00 | $255.00 | $62.50–$249.90 | — | 68% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW I or 2 VIEW | $81.00 | $208.33 | $62.50–$249.90 | 70% below | 61% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BI CMPLT MIN 3 VIEWS | $81.00 | $255.00 | $74.73–$404.79 | — | 68% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW CMPLT MIN 3 VIEWS | $81.00 | $413.05 | $74.73–$404.79 | 75% below | 80% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BN CMPLT MIN 3 VIEWS | $98.00 | $250.00 | $74.73–$245.00 | 75% below | 61% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR BILATERAL FOREARM 2 VIEWS | $81.00 | $255.00 | $74.73–$334.52 | — | 68% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VIEWS | $81.00 | $341.35 | $74.73–$334.52 | 70% below | 76% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $376.00 | $2,980.10 | $376.36–$2,920.50 | 76% below | 87% |
| Hand X-ray, 2 views both sides CPT 73120 XR BILATERAL HAND (2) VIEW | $98.00 | $333.00 | $62.50–$326.34 | — | 71% |
| Hand X-ray, 2 views CPT 73120 XR 2 VIEW HAND | $98.00 | $208.33 | $62.50–$326.34 | 63% below | 53% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR BILA CALCANEUS MIN 2 VIEWS | $81.00 | $255.00 | $62.50–$249.90 | 71% below | 68% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEOUS MIN 2 VIEWS | $81.00 | $208.33 | $62.50–$249.90 | 71% below | 61% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 UNATTENDED SLEEP STUDY - 95806 - 74001004 | $203.00 | $407.85 | $113.60–$399.69 | 71% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY WITH CPAP | $808.00 | $2,708.94 | $808.45–$2,708.94 | 79% below | 70% |
| Knee X-ray, 3 views CPT 73562 XR PATELLA/3 VIEWS KNE | $81.00 | $453.00 | $74.73–$443.94 | 77% below | 82% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS | $81.00 | $453.00 | $74.73–$443.94 | 77% below | 82% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR BILA KNEE CMPLT 4 > VIEWS | $98.00 | $333.00 | $74.73–$326.34 | 75% below | 71% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE 4/MORE VIEWS | $98.00 | $291.67 | $74.73–$326.34 | 75% below | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL SONO LIMITED | $98.00 | $1,832.42 | $98.42–$1,795.77 | 82% below | 95% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON VASC LMTD | $98.00 | $1,039.07 | $98.42–$1,018.29 | 79% below | 91% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREEN | $98.00 | $1,900.00 | $98.42–$1,862.00 | 66% below | 95% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR BIL TIBIA & FIBULA 2 VIEWS | $81.00 | $255.00 | $74.73–$360.64 | 71% below | 68% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA & FIBULA 2 VIEWS | $81.00 | $368.00 | $74.73–$360.64 | 71% below | 78% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO DYE | $224.00 | $3,509.34 | $224.62–$3,439.15 | 84% below | 94% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WITHOUT CONTRAST | $224.00 | $3,509.34 | $224.62–$3,439.15 | 84% below | 94% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI BILAT LWR EXT JOINT W/O CO | $224.00 | $1,937.00 | $224.62–$3,157.42 | — | 88% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT ANY JOINT W/O CONTRAST | $224.00 | $3,221.86 | $224.62–$3,157.42 | 87% below | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI BILAT LWR EXT JOINT W W/O | $328.00 | $2,554.00 | $328.44–$4,148.27 | — | 87% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JNTS W/WO CONTRAST | $328.00 | $4,232.93 | $328.44–$4,148.27 | 86% below | 92% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN | $224.00 | $3,837.48 | $224.62–$3,760.73 | 88% below | 94% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W & W/O CONTRAST | $328.00 | $5,617.27 | $328.44–$5,504.92 | 86% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/STEM WO CONTRAS | $224.00 | $4,524.79 | $224.62–$4,434.29 | 86% below | 95% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/STEM W&WO CONTR | $328.00 | $6,179.13 | $328.44–$6,055.55 | 85% below | 95% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMB W/O | $224.00 | $5,803.81 | $224.62–$5,687.73 | 86% below | 96% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPIN CANAL LUMB W&WO | $328.00 | $6,740.86 | $328.44–$6,606.04 | 86% below | 95% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINAL CANAL THORA WO | $224.00 | $5,803.81 | $224.62–$5,687.73 | 86% below | 96% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL W/ & W/O | $328.00 | $6,740.86 | $328.44–$6,606.04 | 85% below | 95% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINAL CANAL CERV W/O | $224.00 | $5,803.81 | $224.62–$5,687.73 | 86% below | 96% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CONTRAST | $328.00 | $4,053.49 | $328.44–$3,972.42 | 84% below | 92% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT CONTRAST | $224.00 | $3,415.50 | $224.62–$3,347.19 | 85% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXT ANY JOINT W/O CONTRAST | $224.00 | $3,221.86 | $224.62–$3,157.42 | 85% below | 93% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CS - MIN. 4 VIEWS | $98.00 | $633.00 | $74.73–$620.34 | 78% below | 85% |
| Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W/C | $165.00 | $2,843.29 | $165.13–$2,786.42 | 86% below | 94% |
| Neck soft tissue X-ray CPT 70360 XR SO TIS LAT NECK | $81.00 | $208.33 | $62.50–$204.16 | 69% below | 61% |
| Nuclear stress test imaging (SPECT), rest and stress studies one side CPT 78452 NM SPECT MYOCARDIAL ST/RT | $1,218.00 | $8,605.66 | $1,169.56–$8,433.55 | 70% below | 86% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER SONO | $98.00 | $1,347.37 | $98.42–$1,320.42 | 78% below | 93% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS | $98.00 | $1,270.72 | $98.42–$1,245.31 | 81% below | 92% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US GRAVID UTERUS | $98.00 | $337.53 | $98.42–$1,457.04 | 83% below | 71% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER 14WKS TWINS | $98.00 | $337.53 | $98.42–$1,457.04 | 83% below | 71% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB SONOGRAM - COMPLETE | $98.00 | $1,486.78 | $98.42–$1,457.04 | 83% below | 93% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WK SINGLE F | $98.00 | $1,845.51 | $98.42–$1,808.60 | 82% below | 95% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US LIMITED OB SONO | $98.00 | $855.20 | $98.42–$838.10 | 79% below | 89% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB SONOGRAM - LIMITED | $98.00 | $337.53 | $98.42–$838.10 | 79% below | 71% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR UNILATERAL RIBS 2 VIEWS | $81.00 | $208.33 | $62.50–$204.16 | 74% below | 61% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNIL INCLD PA CHST MIN 3 | $98.00 | $1,173.72 | $74.73–$1,150.25 | 75% below | 92% |
| Screening mammogram, both breasts both sides CPT 77067 BILATERAL MAMMO SCREEN | $83.00 | $280.76 | $34.65–$316.40 | — | 70% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAM | $83.00 | $322.86 | $34.65–$316.40 | 57% below | 74% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING UNILATERAL MAMMO | $83.00 | $115.50 | $34.65–$316.40 | 57% below | 28% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER CMPLT MIN 2 VIEWS | $81.00 | $333.00 | $56.07–$326.34 | 76% below | 76% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER 2 VIEW MIN | $81.00 | $280.00 | $56.07–$326.34 | 76% below | 71% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER MINIMUM 2 VIEWS | $81.00 | $186.90 | $56.07–$326.34 | 76% below | 57% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS PARNSL CMPLT MIN 3 VI | $81.00 | $250.00 | $74.73–$245.00 | 78% below | 68% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKUSL/LESS 4 VIEWS | $98.00 | $250.00 | $74.73–$245.00 | 66% below | 61% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $808.00 | $2,708.94 | $808.45–$2,708.94 | 78% below | 70% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 TTE W OR W/O CONTR, CONT ECG | $514.00 | $1,492.47 | $438.02–$1,462.62 | 75% below | 66% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $514.00 | $1,460.07 | $438.02–$1,462.62 | 75% below | 65% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 COMPLX DYN PHARYNGEL/SPEECH EV | $165.00 | $1,427.00 | $165.13–$1,398.46 | 67% below | 88% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR BILATERAL FEMUR 2 VIEWS | $81.00 | $255.00 | $74.73–$249.90 | — | 68% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR 2 VIEWS | $81.00 | $255.00 | $74.73–$249.90 | 70% below | 68% |
| Toe X-ray, 2 or more views CPT 73660 XR FOOT DIGIT MIN 2 VIEWS | $81.00 | $208.33 | $62.50–$204.16 | 68% below | 61% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANS VAGINAL SONO | $98.00 | $1,418.84 | $98.42–$1,390.46 | 82% below | 93% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL SONO OBSTETRIC | $98.00 | $1,318.33 | $98.42–$1,291.96 | 80% below | 93% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL SONO | $98.00 | $2,038.05 | $98.42–$1,997.29 | 84% below | 95% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE SONO | $98.00 | $1,126.40 | $98.42–$1,103.87 | 82% below | 91% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE | $98.00 | $1,454.48 | $98.42–$1,425.39 | 83% below | 93% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI TRCK UPPER 1CNTRST SNGL | $165.00 | $475.00 | $142.50–$1,131.90 | 72% below | 65% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI/KUB | $165.00 | $1,155.00 | $142.50–$1,131.90 | 72% below | 86% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR BILAT HUMERUS - 73060 - 32001182 | $81.00 | $255.00 | $74.73–$403.71 | — | 68% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR BILAT HUMERUS - 73060 - 32001184 | $81.00 | $411.95 | $74.73–$403.71 | — | 80% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS MIN 2 VIEWS | $81.00 | $368.00 | $74.73–$403.71 | 71% below | 78% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXT VEINS US/LTD DUP | $98.00 | $1,864.61 | $98.42–$1,827.32 | 87% below | 95% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US-VENOUS STDY XTRM UNILAT/LMT | $98.00 | $337.53 | $98.42–$1,827.32 | 87% below | 71% |
| Wrist X-ray, 2 views both sides CPT 73100 XR BILATERAL WRIST 2 VIEWS | $81.00 | $255.00 | $62.50–$249.90 | — | 68% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST 2 VIEWS | $81.00 | $208.33 | $62.50–$249.90 | 69% below | 61% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST CMPLT MIN 3 VIEWS | $81.00 | $390.00 | $74.73–$382.20 | 76% below | 79% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR BIL WRIST CMPLT MIN 3 VIEWS | $81.00 | $255.00 | $74.73–$382.20 | 76% below | 68% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP 2 VIEWS | $81.00 | $255.00 | $74.73–$249.90 | 74% below | 68% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP CMPLT MIN 2 VIEWS | $81.00 | $255.00 | $74.73–$249.90 | 74% below | 68% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN | $81.00 | $304.00 | $74.73–$297.92 | 69% below | 73% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR BILATERAL ANKLE 2 VIEWS | $81.00 | $333.00 | $62.50–$326.34 | — | 76% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VIEWS | $81.00 | $208.33 | $62.50–$326.34 | 69% below | 61% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS MIN 2 VIEWS | $81.00 | $273.00 | $74.73–$267.54 | 69% below | 70% |
| X-ray of the foot, 2 views both sides CPT 73620 XR BILATERAL FEET AP & LAT | $81.00 | $255.00 | $62.50–$249.90 | — | 68% |
| X-ray of the foot, 2 views CPT 73620 XR 2 VIEW FOOT | $81.00 | $208.33 | $62.50–$249.90 | 66% below | 61% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT CMPLT MIN 3 VIEWS | $81.00 | $388.00 | $74.73–$380.24 | 74% below | 79% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR BILA FOOT CMPLT MIN 3 VIEWS | $81.00 | $255.00 | $74.73–$380.24 | 74% below | 68% |
| X-ray of the hand, 3 or more views CPT 73130 XR BILA HAND CMPLT MIN 3 VIEW | $81.00 | $255.00 | $74.73–$294.00 | 75% below | 68% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3 VIEWS | $81.00 | $300.00 | $74.73–$294.00 | 75% below | 73% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR BILAT KNEE 1 OR 2 VIEWS | $81.00 | $255.00 | $62.50–$249.90 | — | 68% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR 2 VIEW KNEE | $81.00 | $208.33 | $62.50–$249.90 | 71% below | 61% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSAC 2-3 VIEWS | $98.00 | $350.00 | $74.73–$343.00 | 70% below | 72% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPIN LUMBOSAC MIN 4 VIEW | $98.00 | $655.00 | $74.73–$641.90 | 79% below | 85% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS | $98.00 | $208.33 | $62.50–$204.16 | 68% below | 53% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BN CMPLT MIN 3 VIEWS | $81.00 | $250.00 | $74.73–$245.00 | 72% below | 68% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $81.00 | $424.00 | $74.73–$415.52 | 76% below | 81% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS | $98.00 | $208.33 | $62.50–$204.16 | 61% below | 53% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS | $81.00 | $560.82 | $74.73–$549.60 | 73% below | 86% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH-ADRENOCORT HORMONE | $38.00 | $360.14 | $36.44–$352.94 | 71% below | 89% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE,ALAINE AMINO | $5.00 | $330.26 | $5.30–$323.65 | 83% below | 98% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE,ASPARTATE AMINO | $5.00 | $331.95 | $5.18–$325.31 | 80% below | 98% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $47.00 | $563.00 | $25.89–$551.74 | 78% below | 92% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $4.00 | $80.33 | $4.95–$78.72 | 82% below | 95% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $40.00 | $371.92 | $36.44–$364.48 | 72% below | 89% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $5.00 | $370.88 | $5.18–$363.46 | 79% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-BERRY LC | $5.00 | $48.90 | $1.00–$479.71 | 79% below | 90% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG PROFILE SHELLFSH 062695 | $5.00 | $97.80 | $1.00–$479.71 | 79% below | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MOLD LC | $5.00 | $130.40 | $1.00–$479.71 | 79% below | 96% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG PF PINEAPPLE LC602770 | $5.00 | $16.30 | $1.00–$479.71 | 79% below | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PANET 65052 EA ALLERGAN | $5.00 | $104.70 | $1.00–$479.71 | 79% below | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-NUT LC | $5.00 | $81.50 | $1.00–$479.71 | 79% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PF ORANGE LC602472 | $5.00 | $16.30 | $1.00–$479.71 | 79% below | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG TOTAL AREA 5 LC602632 | $5.00 | $230.65 | $1.00–$479.71 | 79% below | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD BASIC LC | $5.00 | $97.80 | $1.00–$479.71 | 79% below | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN W/CMP RFLX AREA 4 LC | $5.00 | $489.50 | $1.00–$479.71 | 79% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGN PROFILE FOOD-CITRUS LC | $5.00 | $81.50 | $1.00–$479.71 | 79% below | 94% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPC IGE CRUDE XTRCT EA LC | $5.00 | $230.70 | $1.00–$479.71 | 79% below | 98% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food, IgE | $5.00 | $195.60 | $1.00–$479.71 | 79% below | 97% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA LC | $5.00 | $3.26 | $1.00–$479.71 | 79% below | -53% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN(AFP) | $16.00 | $201.00 | $11.40–$196.98 | 74% below | 92% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP QUAD SCREEN LC017319 | $16.00 | $38.00 | $11.40–$196.98 | 74% below | 58% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM LC | $16.00 | $152.10 | $11.40–$196.98 | 74% below | 89% |
| Ammonia blood test CPT 82140 AMMONIA | $14.00 | $243.86 | $14.57–$238.98 | 74% below | 94% |
| Amylase blood test CPT 82150 AMYLASE | $6.00 | $363.46 | $6.48–$356.19 | 88% below | 98% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY IGG/IGA LC | $12.00 | $71.85 | $12.95–$140.14 | 79% below | 83% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $12.00 | $143.00 | $12.95–$140.14 | 79% below | 92% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $12.00 | $219.52 | $12.09–$215.13 | 78% below | 95% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $39.00 | $427.00 | $27.46–$418.46 | 74% below | 91% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $5.00 | $97.11 | $5.02–$95.17 | 79% below | 95% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV GROSS TECH | $49.00 | $652.38 | $49.06–$639.33 | 76% below | 92% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE | $9.00 | $38.00 | $3.48–$52.87 | 43% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $9.00 | $53.95 | $3.48–$52.87 | 43% below | 83% |
| Blood lead test CPT 83655 LEAD | $12.00 | $210.00 | $12.11–$205.80 | 75% below | 94% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING,ABO | $125.00 | $279.70 | $36.66–$274.11 | 119% above | 55% |
| C-peptide blood test CPT 84681 C PEPTIDE SERUM LC 010108 | $20.00 | $18.25 | $5.48–$230.64 | 74% below | -10% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $20.00 | $235.35 | $5.48–$230.64 | 74% below | 92% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN AMPLIFIED PROBE | $37.00 | $285.00 | $37.27–$279.30 | 72% below | 87% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $20.00 | $246.00 | $20.81–$241.08 | 72% below | 92% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $20.00 | $259.00 | $20.81–$253.82 | 79% below | 92% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAGNOSTIC PANEL | $51.00 | $51.31 | $15.39–$251.42 | 64% below | 1% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $51.00 | $256.55 | $15.39–$251.42 | 64% below | 80% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DIAG PANEL SONIC | $51.00 | $70.00 | $15.39–$251.42 | 64% below | 27% |
| Calcium blood test, total CPT 82310 CALCIUM,TOTAL | $5.00 | $360.00 | $5.16–$352.80 | 84% below | 99% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRONIC ANTIGEN (CEA) | $18.00 | $243.02 | $18.96–$238.16 | 79% below | 93% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB | $12.00 | $175.50 | $12.88–$171.99 | 79% below | 93% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PRB LC | $35.00 | $57.75 | $17.33–$313.60 | 63% below | 39% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAA | $35.00 | $320.00 | $17.33–$313.60 | 63% below | 89% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $13.00 | $263.00 | $13.39–$257.74 | 76% below | 95% |
| Complete blood count (CBC) with differential CPT 85025 CBC,COMPLETE AUTO DIFFERENTIAL | $7.00 | $150.00 | $7.77–$147.00 | 81% below | 95% |
| Complete blood count (CBC), no differential CPT 85027 CBC, NO AUTO DIFFERENTIAL | $6.00 | $182.45 | $6.47–$178.80 | 82% below | 97% |
| Cortisol blood test, total CPT 82533 CORTISOL, TOTAL | $16.00 | $221.50 | $16.30–$217.07 | 78% below | 93% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $6.00 | $486.24 | $6.51–$476.52 | 83% below | 99% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $5.00 | $89.00 | $5.12–$87.22 | 80% below | 94% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS CMV AB | $14.00 | $52.00 | $6.90–$50.96 | 79% below | 73% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG LC006494 | $14.00 | $23.00 | $6.90–$50.96 | 79% below | 39% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S, DEHYDROEPIAN SULFATE | $22.00 | $270.00 | $22.23–$264.60 | 78% below | 92% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE URINE LC | $62.00 | $75.00 | $16.50–$300.86 | 36% below | 17% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SC QL, MULTI, | $62.00 | $244.86 | $16.50–$300.86 | 36% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $62.00 | $280.00 | $16.50–$300.86 | 36% below | 78% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SC QL, MULTI, EACH | $62.00 | $307.00 | $16.50–$300.86 | 36% below | 80% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MED PRO DRUG PANEL | $62.00 | $55.00 | $16.50–$300.86 | 36% below | -13% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS,VIRAL CAPS | $18.00 | $222.48 | $18.14–$218.03 | 72% below | 92% |
| Estradiol blood test CPT 82670 ESTRADIOL | $27.00 | $304.48 | $27.94–$298.39 | 76% below | 91% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE (FSH) | $18.00 | $240.22 | $18.58–$235.42 | 79% below | 93% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPRTECTIN, FECAL | $19.00 | $366.28 | $19.63–$358.95 | 87% below | 95% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $13.00 | $49.00 | $13.63–$48.02 | 83% below | 73% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $9.00 | $165.00 | $9.72–$161.70 | 80% below | 95% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $14.00 | $200.00 | $14.70–$196.00 | 79% below | 93% |
| Free T3 thyroid hormone test CPT 84481 THIIODOTHYRONINE FREE (T3) | $16.00 | $237.45 | $16.94–$232.70 | 78% below | 93% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE - 84439 - 30100392 | $9.00 | $33.00 | $9.02–$168.56 | 78% below | 73% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE - 84439 - 30100393 | $9.00 | $172.00 | $9.02–$168.56 | 78% below | 95% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $25.00 | $277.52 | $25.47–$271.97 | 74% below | 91% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (GGT) | $7.00 | $122.00 | $7.20–$119.56 | 84% below | 94% |
| Glucose tolerance test, 3 samples CPT 82951 GTT, INITIAL 3 SPECIMENS | $12.00 | $999.53 | $12.87–$979.54 | 82% below | 99% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA AMP PRB LC | $35.00 | $57.80 | $17.34–$234.22 | 62% below | 39% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOE, APT | $35.00 | $239.00 | $17.34–$234.22 | 62% below | 85% |
| H. pylori antibody blood test CPT 86677 HELICOBATER PYLORI AB | $16.00 | $190.88 | $16.85–$187.06 | 77% below | 92% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG, STOOL | $14.00 | $240.00 | $14.38–$235.20 | 80% below | 94% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL AG EIA 180764 | $14.00 | $140.00 | $14.38–$235.20 | 80% below | 90% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV - 1, QUANTIFICATION | $85.00 | $608.00 | $44.26–$595.84 | 76% below | 86% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2AB,SINGLE ASSAY | $13.00 | $168.00 | $13.71–$164.64 | 79% below | 92% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $24.00 | $87.00 | $21.90–$85.26 | 68% below | 72% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA AMP PROBE | $35.00 | $126.00 | $35.09–$123.48 | 70% below | 72% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN,GLYCO (A1C) | $9.00 | $149.00 | $9.71–$146.02 | 80% below | 94% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB, TOTAL | $12.00 | $165.00 | $12.05–$161.70 | 78% below | 93% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $10.00 | $160.93 | $10.74–$157.71 | 79% below | 94% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG, EIT | $10.00 | $158.00 | $10.33–$154.84 | 78% below | 94% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C(HCV) w/rflx Quant | $14.00 | $25.95 | $7.79–$323.12 | 78% below | 46% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS AB | $14.00 | $329.71 | $7.79–$323.12 | 78% below | 96% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA BY PCR | $42.00 | $551.93 | $42.84–$540.89 | 78% below | 92% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR QNT LC550080 | $42.00 | $250.00 | $42.84–$540.89 | 78% below | 83% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX,TYPE 1 | $13.00 | $335.55 | $13.19–$328.84 | 78% below | 96% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX,TYPE 2 | $19.00 | $176.00 | $19.35–$172.48 | 71% below | 89% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN; HI SENS | $12.00 | $176.30 | $12.95–$172.77 | 82% below | 93% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $17.00 | $238.00 | $17.92–$233.24 | 79% below | 93% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $11.00 | $165.00 | $11.43–$161.70 | 79% below | 93% |
| Iron blood test (serum iron) CPT 83540 IRON | $6.00 | $129.00 | $6.47–$126.42 | 84% below | 95% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY, TOTAL | $8.00 | $349.93 | $8.74–$342.93 | 79% below | 98% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) | $18.00 | $247.99 | $18.52–$243.03 | 81% below | 93% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $11.00 | $179.00 | $11.57–$175.42 | 79% below | 94% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH LACTATE DEHYROGENASE | $6.00 | $298.31 | $6.04–$292.34 | 78% below | 98% |
| Lyme disease antibody test CPT 86618 BORELLA BURGDORFERI AB | $17.00 | $200.00 | $17.03–$196.00 | 78% below | 92% |
| Magnesium blood test CPT 83735 RBC MAGNESIUM | $6.00 | $324.13 | $6.70–$317.65 | 82% below | 98% |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.00 | $324.13 | $6.70–$317.65 | 82% below | 98% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $12.00 | $175.50 | $12.88–$171.99 | 79% below | 93% |
| Mumps immunity blood test CPT 86735 MUMPS AB - 86735 - 30200123 | $13.00 | $48.00 | $13.05–$421.01 | 78% below | 73% |
| Mumps immunity blood test CPT 86735 MUMPS AB - 86735 - 30200124 | $13.00 | $429.60 | $13.05–$421.01 | 78% below | 97% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $47.00 | $453.86 | $25.89–$444.78 | 78% below | 90% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG, FREE | $18.00 | $171.38 | $18.39–$167.95 | 78% below | 89% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG, SCREEN | $18.00 | $225.54 | $4.20–$221.03 | 77% below | 92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG, TOTAL | $18.00 | $225.54 | $4.20–$221.03 | 77% below | 92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HEALTH FAIR PSA | $18.00 | $14.00 | $4.20–$221.03 | 77% below | -29% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH EVAL AUTO AND REVIEW | $26.00 | $288.40 | $20.12–$282.63 | 74% below | 91% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN-PAP THIN PREP | $20.00 | $254.33 | $20.12–$249.24 | 78% below | 92% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $41.00 | $459.31 | $36.44–$450.12 | 71% below | 91% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBO TIME, PARTIAL (PTT) | $6.00 | $134.00 | $6.01–$131.32 | 84% below | 96% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $4.00 | $162.89 | $4.76–$159.63 | 83% below | 98% |
| Progesterone blood test CPT 84144 PROGESTERONE | $20.00 | $255.78 | $20.86–$250.66 | 75% below | 92% |
| Prolactin blood test CPT 84146 PROLACTIN | $19.00 | $263.00 | $19.38–$257.74 | 78% below | 93% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $4.00 | $325.63 | $4.29–$319.12 | 83% below | 99% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN MIXING TIME | $4.00 | $90.00 | $4.29–$319.12 | 83% below | 96% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $12.00 | $175.00 | $12.60–$171.50 | 79% below | 93% |
| Rapid flu test (influenza antigen) CPT 87804 INF AGENT,INFLUENZA,DOO | $16.00 | $143.00 | $16.55–$140.14 | 76% below | 89% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A NASAL/NASOPHARYNX | $16.00 | $82.75 | $16.55–$140.14 | 76% below | 81% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B NASAL/NASOPHARYNX | $16.00 | $82.75 | $16.55–$140.14 | 76% below | 81% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A,IAD BY IMMUNOASS | $16.00 | $44.00 | $13.20–$43.12 | 72% below | 64% |
| Renin blood test CPT 84244 RENIN | $21.00 | $269.64 | $21.99–$264.25 | 75% below | 92% |
| Rh blood typing CPT 86901 BLOOD TYPING, RH(D) | $35.00 | $180.00 | $35.16–$176.40 | 6% below | 81% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QT | $5.00 | $95.00 | $5.67–$247.45 | 85% below | 95% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT LC | $5.00 | $71.90 | $5.67–$247.45 | 85% below | 93% |
| Rheumatoid factor (RF) test CPT 86431 IA2 AUTOANTIBODIES LC141531 | $5.00 | $252.50 | $5.67–$247.45 | 85% below | 98% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $14.00 | $329.71 | $14.39–$323.12 | 71% below | 96% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS, VOL, MOT& DI | $12.00 | $490.00 | $11.80–$480.20 | 91% below | 98% |
| Sodium blood test CPT 84295 SODIUM SERUM | $4.00 | $173.23 | $4.81–$169.77 | 85% below | 98% |
| Stool ova and parasites exam CPT 87177 OVA AND PARA, SMEARS CONC/ID | $8.00 | $32.00 | $8.90–$31.36 | 80% below | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FOB;GUAIAC,QL,MULTIPLE W/SINGLE REPORT | $4.00 | $12.00 | $3.60–$12.00 | 85% below | 67% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $15.00 | $79.60 | $15.92–$78.01 | 72% below | 81% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM-FTA AB | $13.00 | $180.30 | $13.24–$176.69 | 78% below | 93% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin(RPR) | $4.00 | $8.15 | $2.45–$88.19 | 83% below | 51% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QL (RPR,VDRL) | $4.00 | $89.99 | $2.45–$88.19 | 83% below | 96% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST IMMY AG RESP MEASURE | $61.00 | $506.58 | $37.73–$496.45 | 51% below | 88% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LC/MS | $25.00 | $16.30 | $4.89–$248.92 | 73% below | -53% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $25.00 | $254.00 | $4.89–$248.92 | 73% below | 90% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LVR-KIDNEY MICROSOMAL AB163980 | $14.00 | $62.45 | $14.55–$165.62 | 78% below | 78% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODY EA LC | $14.00 | $106.40 | $14.55–$165.62 | 78% below | 87% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ABS, EACH | $14.00 | $169.00 | $14.55–$165.62 | 78% below | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE LC330015 | $16.00 | $18.55 | $4.20–$207.68 | 79% below | 14% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE (TSH) | $16.00 | $211.92 | $4.20–$207.68 | 79% below | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HEALTH FAIR, TSH | $16.00 | $14.00 | $4.20–$207.68 | 79% below | -14% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN, IGE | $16.00 | $201.87 | $16.46–$226.09 | 75% below | 92% |
| Total IgE blood test CPT 82785 ASSAY IGE RESPIRATORY AREA 5 | $16.00 | $230.65 | $16.46–$226.09 | 75% below | 93% |
| Total IgE blood test CPT 82785 ASSAY IGE LC602632 | $16.00 | $230.70 | $16.46–$226.09 | 75% below | 93% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $4.00 | $216.98 | $4.35–$212.64 | 89% below | 98% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL (T4) | $6.00 | $133.43 | $6.87–$130.76 | 85% below | 96% |
| Total triiodothyronine (T3) blood test CPT 84480 THIIODOTHYRONINE TOTAL (T3) | $14.00 | $194.00 | $14.18–$190.12 | 77% below | 93% |
| Transferrin blood test CPT 84466 TRANSFERIN | $12.00 | $44.00 | $12.76–$43.12 | 84% below | 73% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $35.00 | $334.32 | $35.09–$327.63 | 59% below | 90% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG NAA 188052 | $35.00 | $165.00 | $35.09–$327.63 | 59% below | 79% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $5.00 | $247.44 | $5.74–$242.49 | 86% below | 98% |
| Troponin test, quantitative CPT 84484 TROPONIN, QT | $12.00 | $237.45 | $12.47–$232.70 | 86% below | 95% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $4.00 | $14.00 | $4.02–$13.72 | 78% below | 71% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON AUTO W/OUT MICROSCOPY | $3.00 | $9.00 | $2.70–$8.82 | 82% below | 67% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $8.00 | $40.35 | $8.07–$132.30 | 86% below | 80% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE | $8.00 | $135.00 | $8.07–$132.30 | 86% below | 94% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $5.00 | $135.96 | $5.78–$133.24 | 90% below | 96% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST - 81025 - 30700005 | $8.00 | $531.56 | $8.40–$520.93 | 84% below | 98% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST - 81025 - 30700006 | $8.00 | $52.00 | $8.40–$520.93 | 84% below | 85% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 (CYANOCOBALAMIN) | $15.00 | $200.00 | $15.08–$196.00 | 80% below | 93% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEROL (VITAMIN D) | $29.00 | $312.50 | $27.46–$306.25 | 68% below | 91% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D, 1,25- | $38.00 | $392.00 | $27.46–$384.16 | 75% below | 90% |
| Zinc blood test CPT 84630 ZINC | $11.00 | $165.00 | $11.39–$161.70 | 79% below | 93% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QNT LC017319 | $15.00 | $38.00 | $11.40–$642.14 | 78% below | 61% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT LC | $15.00 | $152.10 | $11.40–$642.14 | 78% below | 90% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORION (HCG) QT | $15.00 | $655.24 | $11.40–$642.14 | 78% below | 98% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopysurgery - 29888 - | $6,831.00 | $1,636.66 | $491.00–$1,636.66 | 82% below | -317% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $6,831.00 | $2,044.44 | $613.33–$2,044.44 | 79% below | -234% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLS TR DIS FIB FX LM W/O MAN | $232.00 | $496.42 | $148.93–$644.70 | 38% below | 53% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DISTL FIBUL FX W/O MAN | $232.00 | $644.70 | $148.93–$644.70 | 38% below | 64% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture - 28470 - 51000128 | $232.00 | $644.70 | $148.93–$644.70 | 36% below | 64% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METARSAL FX W/O MAN EA | $232.00 | $644.70 | $148.93–$644.70 | 36% below | 64% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TR METATARSL FX W/O MAN EA | $232.00 | $496.42 | $148.93–$644.70 | 36% below | 53% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - 92960 - 45000358 | $622.00 | $3,685.43 | $622.24–$3,611.72 | 70% below | 83% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - 92960 - 76101019 | $622.00 | $3,685.43 | $622.24–$3,611.72 | 70% below | 83% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $1,838.00 | $3,323.08 | $996.92–$3,256.62 | 78% below | 45% |
| Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp | $2,172.00 | $3,601.75 | $1,080.53–$3,529.72 | 69% below | 40% |
| Cervical biopsy CPT 57500 Biopsy of cervix | $867.00 | $1,674.12 | $502.24–$1,674.12 | 53% below | 48% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRC W/O CLAMP/DEV/DOR >28DAYS | $1,967.00 | $5,087.04 | $1,526.11–$4,985.30 | 68% below | 61% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TRT DIS RAD/ULNAR W/O MAN | $232.00 | $496.42 | $148.93–$644.70 | 42% below | 53% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna | $232.00 | $644.70 | $148.93–$644.70 | 42% below | 64% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TRT RAD/ULNA FX W/O MAN | $232.00 | $496.42 | $148.93–$644.70 | 42% below | 53% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX DISTL RADL FX W/O MANI | $232.00 | $644.70 | $148.93–$644.70 | 42% below | 64% |
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/POLYPECTOMY SNARE - 45385 - 75000021 | $1,126.00 | $6,858.53 | $1,126.56–$6,721.36 | 68% below | 84% |
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/POLYPECTOMY SNARE - 45385 - 75000044 | $1,126.00 | $6,858.53 | $1,126.56–$6,721.36 | 68% below | 84% |
| Colonoscopy with tissue sample CPT 45380 COLONSCOPY W/BIOPSY - 45380 - 75000045 | $1,126.00 | $6,858.53 | $1,126.56–$6,721.36 | 68% below | 84% |
| Colonoscopy with tissue sample CPT 45380 COLONSCOPY W/BIOPSY - 45380 - 75000020 | $1,126.00 | $6,858.53 | $1,126.56–$6,721.36 | 68% below | 84% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $875.00 | $5,214.23 | $875.50–$5,109.95 | 69% below | 83% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett of cervix w/scope | $286.00 | $805.05 | $241.52–$805.05 | 69% below | 64% |
| Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp | $2,172.00 | $4,078.43 | $1,223.53–$3,996.86 | 70% below | 47% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332 | $3,318.00 | $3,666.67 | $1,100.00–$3,666.67 | 67% below | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion | $188.00 | $506.85 | $152.06–$496.71 | 7% below | 63% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST'N;ANY METHOD;ONE LESS | $188.00 | $506.85 | $152.06–$496.71 | 7% below | 63% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY | $507.00 | $1,379.61 | $141.67–$1,352.02 | 56% below | 63% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 LEVEL III MINOR PROCEDURE | $55.00 | $391.30 | $55.54–$383.47 | 64% below | 86% |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax | $55.00 | $167.70 | $50.31–$424.61 | 64% below | 67% |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPACTED CERUMEN | $55.00 | $433.28 | $50.31–$424.61 | 64% below | 87% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $190.00 | $482.10 | $144.63–$482.10 | 51% below | 61% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $664.00 | $1,796.43 | $538.93–$1,796.43 | 70% below | 63% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LS FACET/MEDIAL BRANCH BLOCK | $832.00 | $3,824.20 | $832.67–$3,824.20 | 62% below | 78% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $6,094.00 | $6,733.33 | $1,618.07–$6,733.33 | 78% below | 9% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc | $6,094.00 | $7,200.00 | $1,618.07–$7,200.00 | 82% below | 15% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $3,370.00 | $4,985.71 | $1,495.71–$4,985.71 | 80% below | 32% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPE FLEXIBLE | $875.00 | $5,214.23 | $875.50–$5,109.95 | 66% below | 83% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $5,691.00 | $6,492.71 | $1,947.81–$6,492.71 | 67% below | 12% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph | $5,691.00 | $7,225.00 | $2,167.50–$7,225.00 | 67% below | 21% |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $3,080.00 | $2,133.33 | $523.20–$2,133.33 | 68% below | -44% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATURE HEMORRHOIDECTOMY | $875.00 | $3,549.90 | $584.75–$3,479.00 | 54% below | 75% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) - 46221 - 51000178 | $875.00 | $2,129.94 | $584.75–$3,479.00 | 54% below | 59% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) - 46221 - 75000077 | $875.00 | $3,550.00 | $584.75–$3,479.00 | 54% below | 75% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY SING COLUMN | $2,613.00 | $11,672.90 | $2,417.08–$11,439.44 | 76% below | 78% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single | $188.00 | $4,000.00 | $152.06–$3,920.00 | 51% below | 95% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D - 10060 - 76101000 | $188.00 | $506.85 | $152.06–$3,920.00 | 51% below | 63% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D - 10060 - 45000001 | $188.00 | $1,235.15 | $152.06–$3,920.00 | 51% below | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess - 10060 - 51000013 | $188.00 | $506.85 | $152.06–$3,920.00 | 51% below | 63% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $3,370.00 | $6,171.88 | $1,851.56–$6,048.44 | 68% below | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament - 20550 - 51000092 | $288.00 | $734.10 | $220.23–$2,500.00 | 15% below | 61% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament - 20550 - OR36020550 | $288.00 | $2,500.00 | $220.23–$2,500.00 | 15% below | 88% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US - 20610 - 51000098 | $288.00 | $734.10 | $220.23–$2,578.16 | 59% below | 61% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA - 20610 - 45000108 | $288.00 | $2,578.16 | $220.23–$2,578.16 | 59% below | 89% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA - 20610 - 32001000 | $288.00 | $2,578.00 | $220.23–$2,578.16 | 59% below | 89% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us - 20610 - OR36020610 | $288.00 | $2,500.00 | $220.23–$2,578.16 | 59% below | 88% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device | $125.00 | $315.12 | $94.54–$308.82 | 71% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us - 20605 - OR36020605 | $288.00 | $2,500.00 | $220.23–$2,500.00 | 54% below | 88% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 LEVEL I NERVE INJECTION CCMH | $288.00 | $734.10 | $220.23–$2,500.00 | 54% below | 61% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERM JOINT, BURSA, GANG | $288.00 | $783.55 | $220.23–$2,500.00 | 54% below | 63% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inject joint/bursa - 20605 - 51000097 | $288.00 | $742.44 | $220.23–$2,500.00 | 54% below | 61% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/ASPIRATE JOINT SMALL | $288.00 | $734.10 | $220.23–$734.10 | 42% below | 61% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inject joint/bursa - 20600 - 51000096 | $288.00 | $734.10 | $220.23–$734.10 | 42% below | 61% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopysurgery - 29882 - | $3,080.00 | $1,800.00 | $540.00–$1,800.00 | 88% below | -71% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 | $3,080.00 | $3,680.00 | $1,104.00–$3,680.00 | 78% below | 16% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880 | $3,080.00 | $4,000.00 | $1,200.00–$4,000.00 | 79% below | 23% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $5,691.00 | $5,435.71 | $1,630.71–$5,435.71 | 68% below | -5% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty | $10,007.00 | $10,550.00 | $1,484.39–$10,550.00 | 76% below | 5% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $5,691.00 | $7,462.50 | $2,238.75–$7,462.50 | 77% below | 24% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $5,691.00 | $4,800.00 | $1,440.00–$4,800.00 | 81% below | -19% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd wnd repair s/a/t/ext - 12031 - 51000072 | $382.00 | $932.40 | $279.72–$2,154.59 | 32% below | 59% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RP INT W SC/AX/TRK&EX ECLD H/F | $382.00 | $2,198.56 | $279.72–$2,154.59 | 32% below | 83% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR EPIDURAL INJ W/GUIDANCE | $664.00 | $4,191.67 | $664.54–$4,191.67 | 67% below | 84% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION LUMBAR EPIDURAL | $832.00 | $3,360.30 | $832.67–$3,360.30 | 49% below | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LS TRANSFORAMINAL EPIDURAL | $832.00 | $2,294.52 | $688.36–$2,294.52 | 60% below | 64% |
| Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy | $3,686.00 | $4,480.00 | $1,344.00–$4,480.00 | 81% below | 18% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LES 0.5<CM TRK/ARM/LEG | $666.00 | $1,718.55 | $512.41–$1,684.18 | 51% below | 61% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 < cm | $666.00 | $1,718.55 | $512.41–$1,684.18 | 51% below | 61% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 < cm | $666.00 | $1,718.55 | $512.41–$1,684.18 | 51% below | 61% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCB9 LES 0.5CM< F/ER/EY/NS/LP | $666.00 | $1,718.55 | $512.41–$1,684.18 | 51% below | 61% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate - 11730 - 51000055 | $188.00 | $506.85 | $62.76–$3,136.00 | 41% below | 63% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLT-PAR/COM SMPL SGL | $188.00 | $589.15 | $62.76–$3,136.00 | 41% below | 68% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate - 11730 - OR36011730 | $188.00 | $3,200.00 | $62.76–$3,136.00 | 41% below | 94% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ AA/STRD OCCIP NERVE BLOCK | $288.00 | $1,475.95 | $213.30–$1,475.95 | 70% below | 80% |
| Occipital nerve block (injection for headaches) CPT 64405 NB OCCIPITAL BIL-PC | $288.00 | $711.00 | $213.30–$1,475.95 | 70% below | 59% |
| Occipital nerve block (injection for headaches) one side CPT 64405 NB OCCIPITAL RT-PC | $288.00 | $711.00 | $213.30–$1,475.95 | 70% below | 59% |
| Occipital nerve block (injection for headaches) one side CPT 64405 NB OCCIPITAL LT-PC | $288.00 | $711.00 | $213.30–$1,475.95 | 70% below | 59% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS WITH GUIDANCE | $853.00 | $3,807.75 | $669.14–$3,731.60 | 51% below | 78% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $853.00 | $2,230.47 | $669.14–$3,731.60 | 51% below | 62% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed - 11750 - 51000058 | $382.00 | $932.40 | $279.72–$4,050.66 | 51% below | 59% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed - 11750 - OR36011750 | $382.00 | $4,133.33 | $279.72–$4,050.66 | 51% below | 91% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/NAIL MTRX PAR/COM PRM | $382.00 | $942.24 | $279.72–$4,050.66 | 51% below | 59% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $1,887.00 | $5,087.04 | $1,413.99–$4,985.30 | 12% below | 63% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 L/S SINGLE SAC JT NRV DES/NEUR | $1,838.00 | $4,831.50 | $1,449.45–$4,831.50 | 43% below | 62% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,838.00 | $4,831.50 | $1,449.45–$4,831.50 | 43% below | 62% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $3,686.00 | $3,200.00 | $960.00–$3,200.00 | 17% below | -15% |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FOREIGN BDY SUBQ TISS SMPL | $382.00 | $1,597.55 | $222.13–$3,136.00 | 43% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 I & R FB-SQ TISSUE;SIMPLE | $382.00 | $2,198.56 | $222.13–$3,136.00 | 43% below | 83% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body | $382.00 | $932.40 | $222.13–$3,136.00 | 43% below | 59% |
| Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl | $382.00 | $3,200.00 | $222.13–$3,136.00 | 43% below | 88% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCREEN-HIGH RISK | $875.00 | $2,915.00 | $874.50–$2,856.70 | 66% below | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPTER | $3,318.00 | $8,780.58 | $133.91–$8,604.97 | 67% below | 62% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $3,318.00 | $4,585.71 | $133.91–$8,604.97 | 67% below | 28% |
| Short arm cast (elbow to hand) CPT 29075 ELBOW TO FINGER/SHORT ARM | $263.00 | $706.74 | $138.58–$692.61 | 13% below | 63% |
| Short arm cast (elbow to hand) CPT 29075 Application of forearm cast | $263.00 | $706.74 | $138.58–$692.61 | 13% below | 63% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION FOREARM CAST BOTH | $263.00 | $706.74 | $138.58–$692.61 | 13% below | 63% |
| Short arm splint (forearm and hand) CPT 29125 APPL FOREARM SPLINT | $125.00 | $745.36 | $74.32–$978.25 | 57% below | 83% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND) | $125.00 | $998.21 | $74.32–$978.25 | 57% below | 87% |
| Short arm splint (forearm and hand) CPT 29125 Apply forearm splint - 29125 - 51000141 | $125.00 | $319.44 | $74.32–$978.25 | 57% below | 61% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST | $263.00 | $711.84 | $138.58–$697.60 | 34% below | 63% |
| Short leg cast (below the knee) CPT 29405 Apply short leg cast - 29405 - 51000152 | $263.00 | $706.74 | $138.58–$697.60 | 34% below | 63% |
| Short leg cast (below the knee) CPT 29405 APPL SHRT LEG CAST | $263.00 | $706.74 | $138.58–$697.60 | 34% below | 63% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST - BOTH | $263.00 | $548.12 | $138.58–$697.60 | 34% below | 52% |
| Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT | $152.00 | $942.34 | $74.32–$923.49 | 50% below | 84% |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $152.00 | $403.86 | $74.32–$923.49 | 50% below | 62% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT - BOTH | $152.00 | $942.34 | $74.32–$923.49 | 50% below | 84% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $3,080.00 | $1,784.50 | $535.35–$1,784.50 | 90% below | -73% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP RPR WND 2.5CM< S/NK/AX/TR/ | $188.00 | $1,235.15 | $152.06–$1,210.45 | 43% below | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair superficial wound(s) - 12001 - 51000066 | $188.00 | $506.85 | $152.06–$1,210.45 | 43% below | 63% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION - 11104 - 76101051 | $382.00 | $932.40 | $158.81–$913.75 | 15% below | 59% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION - 11104 - 45000519 | $382.00 | $529.35 | $158.81–$913.75 | 15% below | 28% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SNGL LESION | $382.00 | $873.65 | $158.81–$913.75 | 15% below | 56% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 < cm | $666.00 | $1,718.55 | $512.41–$1,684.18 | 51% below | 61% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags | $188.00 | $506.85 | $152.06–$496.71 | 36% below | 63% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS, MULTIPLE | $188.00 | $506.85 | $152.06–$496.71 | 36% below | 63% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE W/CFS | $664.00 | $1,630.14 | $489.04–$2,925.85 | 39% below | 59% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $664.00 | $1,630.14 | $489.04–$2,925.85 | 39% below | 59% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE (LUMBAR) | $664.00 | $1,796.43 | $489.04–$2,925.85 | 39% below | 63% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE FOR DIAGNOSTIC | $664.00 | $2,925.85 | $489.04–$2,925.85 | 39% below | 77% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair superficial wound(s) - 12002 - 51000067 | $188.00 | $506.85 | $152.06–$1,210.45 | 47% below | 63% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMP RPR WND 2.6-7.5 S/NK/AX/TR | $188.00 | $1,235.15 | $152.06–$1,210.45 | 47% below | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP RPR WD 2.5< F/ER/EY/NS/LP/ | $188.00 | $1,235.15 | $152.06–$1,210.45 | 41% below | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair superficial wound(s) - 12011 - 51000069 | $188.00 | $506.85 | $152.06–$1,210.45 | 41% below | 63% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SNGL LESION - 11102 - 45000517 | $382.00 | $529.35 | $158.81–$3,136.00 | 26% above | 28% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SNGL LESION - 11102 - 76101050 | $382.00 | $932.40 | $158.81–$3,136.00 | 26% above | 59% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $382.00 | $3,200.00 | $158.81–$3,136.00 | 26% above | 88% |
| Thoracentesis with imaging guidance CPT 32555 THORCNTSIS W/INSRT TB WS INCL | $590.00 | $2,035.03 | $590.56–$4,253.27 | 67% below | 71% |
| Thoracentesis with imaging guidance CPT 32555 US GUIDANCE THORACENTESIS | $590.00 | $4,340.07 | $590.56–$4,253.27 | 67% below | 86% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $590.00 | $4,237.71 | $590.56–$4,253.27 | 67% below | 86% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $12,086.00 | $11,887.50 | $3,566.25–$11,887.50 | 75% below | -2% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $12,086.00 | $11,547.40 | $3,464.22–$11,547.40 | 75% below | -5% |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $1,513.00 | $3,360.00 | $1,008.00–$3,360.00 | 54% below | 55% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION, TRIGGER POINT | $288.00 | $1,237.40 | $222.73–$1,237.40 | 59% below | 77% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE/MULTI TRIGGER POINT | $288.00 | $742.44 | $222.73–$1,237.40 | 59% below | 61% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $288.00 | $742.44 | $222.73–$1,237.40 | 59% below | 61% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag | $1,554.00 | $3,200.00 | $960.00–$9,435.93 | 53% below | 51% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST PERCUT W/DEVICE | $1,554.00 | $4,044.09 | $960.00–$9,435.93 | 53% below | 62% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST 1ST LESION US IM | $1,554.00 | $9,628.50 | $960.00–$9,435.93 | 53% below | 84% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $1,806.00 | $7,416.75 | $230.01–$7,268.42 | 49% below | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY - 43239 - 75000003 | $853.00 | $5,330.85 | $230.01–$5,224.23 | 70% below | 84% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY - 43239 - 75000064 | $853.00 | $5,330.85 | $230.01–$5,224.23 | 70% below | 84% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD, W/BIOPSY | $853.00 | $3,717.00 | $230.01–$5,224.23 | 70% below | 77% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD, W/POLYPECTOMY, SNARE | $1,806.00 | $7,416.75 | $230.01–$7,268.42 | 46% below | 76% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD, SIMPLE | $853.00 | $3,266.00 | $230.01–$3,200.68 | 67% below | 74% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD, DX W/WO SPECIMEN COLLECTI - 43235 - 75000065 | $853.00 | $2,230.47 | $230.01–$3,200.68 | 67% below | 62% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD, DX W/WO SPECIMEN COLLECTI - 43235 - 75000002 | $853.00 | $2,230.47 | $230.01–$3,200.68 | 67% below | 62% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HOLIMUN URETERAL LITHOTRIPSY | $5,047.00 | $11,118.10 | $133.91–$10,895.74 | 57% below | 55% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy | $5,047.00 | $4,950.00 | $1,485.00–$4,950.00 | 67% below | -2% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $1,967.00 | $3,103.57 | $931.07–$3,041.50 | 45% below | 37% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $2,972.00 | $7,478.22 | $1,794.58–$7,328.66 | 54% below | 60% |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 - 17110 - 51000084 | $188.00 | $506.85 | $152.06–$3,087.00 | 40% below | 63% |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 - 17110 - OR36017110 | $188.00 | $3,150.00 | $152.06–$3,087.00 | 40% below | 94% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBCU TISS 20SQ CM OR < | $382.00 | $932.40 | $279.72–$923.40 | 51% below | 59% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/SUBQ =/<20SQCM | $382.00 | $942.24 | $279.72–$923.40 | 51% below | 59% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $415.00 | $1,940.20 | $415.33–$1,940.20 | 63% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $415.00 | $1,940.20 | $415.33–$1,940.20 | 63% below | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $206.00 | $574.80 | $85.52–$1,314.38 | 16% above | 64% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT | $206.00 | $1,341.20 | $85.52–$1,314.38 | 16% above | 85% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT | $206.00 | $1,341.20 | $85.52–$1,314.38 | 16% above | 85% |
| Chemotherapy IV infusion, first hour CPT 96413 INFUSION TO 1 HR, CHEM | $310.00 | $865.14 | $259.54–$847.84 | 59% below | 64% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPLETE AUDIOGRAM | $121.00 | $1,814.90 | $121.13–$1,778.60 | 55% below | 93% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE | $777.00 | $1,952.99 | $90.46–$1,913.93 | 74% below | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $203.00 | $756.93 | $203.28–$756.93 | 79% below | 73% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/AT LEST 12LDS TRAC ONLY | $55.00 | $526.54 | $30.94–$516.01 | 70% below | 90% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I | $79.00 | $273.00 | $79.38–$267.54 | 75% below | 71% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II | $144.00 | $502.00 | $90.46–$491.96 | 72% below | 71% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III | $256.00 | $938.00 | $90.46–$919.24 | 70% below | 73% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV | $392.00 | $1,403.50 | $90.46–$1,375.43 | 70% below | 72% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V | $560.00 | $2,331.00 | $90.46–$2,284.38 | 68% below | 76% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRS TST TRACE ONLY W/O IN | $203.00 | $2,136.80 | $142.85–$2,094.06 | 77% below | 90% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PATIENT | $167.00 | $371.85 | $111.56–$364.41 | 46% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INFUS HYD INIT 31MIN-1HR | $200.00 | $935.90 | $200.24–$1,284.05 | 52% below | 79% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUS INI 31-1HR | $200.00 | $1,310.26 | $200.24–$1,284.05 | 52% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 ER IV INFUS THPY/PROPH/DX INTL | $200.00 | $935.90 | $200.24–$1,284.05 | 54% below | 79% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY UP TO 1 HR | $200.00 | $1,310.26 | $200.24–$1,284.05 | 54% below | 85% |
| IV push of a medicine, first drug CPT 96374 IV PUSH MED | $200.00 | $1,310.26 | $59.94–$1,284.05 | 18% below | 85% |
| IV push of a medicine, first drug CPT 96374 ER THERAPYPRO//DX IV PUSH INI | $200.00 | $935.90 | $59.94–$1,284.05 | 18% below | 79% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $200.00 | $573.27 | $59.94–$1,284.05 | 18% below | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERA OR DXNS INJECT | $67.00 | $418.25 | $52.38–$409.89 | 53% below | 84% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER THER/PRO/DX INJ SQ/IM | $67.00 | $298.75 | $52.38–$409.89 | 53% below | 78% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBCUTANEOUS | $67.00 | $410.71 | $52.38–$409.89 | 53% below | 84% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP OR DIAG INJEC | $67.00 | $418.25 | $52.38–$409.89 | 53% below | 84% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROP OR DX INJ | $67.00 | $174.60 | $52.38–$409.89 | 53% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR/REEDUCATION 15MN - 97112 - 42000023 | $31.00 | $422.39 | $27.95–$413.94 | 71% below | 93% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR/REEDUCATION 15MN - 97112 - 43001020 | $31.00 | $222.15 | $27.95–$413.94 | 71% below | 86% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR/REEDUCATION 15MN - 97112 - 44001010 | $31.00 | $93.17 | $27.95–$413.94 | 71% below | 67% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL ASSESSMENT EA 15 MIN | $25.00 | $303.50 | $25.66–$297.43 | 62% below | 92% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $96.00 | $667.37 | $96.30–$654.02 | 63% below | 86% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $93.00 | $1,355.60 | $93.88–$1,328.49 | 69% below | 93% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $93.00 | $625.55 | $93.86–$613.04 | 64% below | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $93.00 | $903.49 | $93.87–$885.42 | 67% below | 90% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL RELEASE/JNT RLS 15M | $26.00 | $700.21 | $26.59–$686.21 | 76% below | 96% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $26.00 | $431.61 | $26.59–$686.21 | 76% below | 94% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXER-STRGH-ENDUR-ROM EA 15 MIN | $27.00 | $785.80 | $27.87–$1,471.41 | 77% below | 97% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXER-STRENGTH-ENDUR-ROM EA 15 | $27.00 | $1,501.44 | $27.87–$1,471.41 | 77% below | 98% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $35.00 | $134.20 | $35.27–$131.52 | 20% below | 74% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND LANG COMP - 92523 - 4441009 | $217.00 | $228.69 | $68.61–$1,471.41 | 34% below | 5% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND LANG COMP - 92523 - 44401009 | $217.00 | $1,501.44 | $68.61–$1,471.41 | 34% below | 86% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY INDIVIDUAL | $73.00 | $1,222.57 | $73.34–$1,198.12 | 67% below | 94% |
| Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY | $203.00 | $952.00 | $85.52–$932.96 | 35% below | 79% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W/BRONCHODILATION PRE/POST | $351.00 | $3,381.49 | $168.41–$3,313.86 | 39% below | 90% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACT/FUNCT PRFRM 15 MIN - 97530 - 42000029 | $33.00 | $415.27 | $33.33–$445.06 | 72% below | 92% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACT/FUNCT PRFRM 15 MIN - 97530 - 43001024 | $33.00 | $454.14 | $33.33–$445.06 | 72% below | 93% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Theraputic Phlebotomy | $125.00 | $545.15 | $47.02–$1,949.02 | 47% below | 77% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPUTIC | $125.00 | $1,988.80 | $47.02–$1,949.02 | 47% below | 94% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $125.00 | $315.12 | $47.02–$1,949.02 | 47% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACCINE | $319.00 | — | $22.18–$23.29 | 67% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION - 90471 - 51000239 | $67.00 | $443.95 | $22.49–$435.07 | 75% above | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION - 90471 - 77100001 | $67.00 | $418.25 | $22.49–$435.07 | 75% above | 84% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADIMIN VACCINE INFLUENZA ER | $67.00 | $289.75 | $22.49–$435.07 | 75% above | 77% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE | $67.00 | $111.09 | $22.49–$435.07 | 75% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VACCINE - 90471 - 77100011 | $67.00 | $298.75 | $22.49–$435.07 | 75% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE - 90471 - 77100010 | $67.00 | $298.75 | $22.49–$435.07 | 75% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE PNEUMOCOCCAL ER | $67.00 | $298.75 | $22.49–$435.07 | 75% above | 78% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN | $67.00 | $298.75 | $22.49–$435.07 | 75% above | 78% |
Source file: https://coshoctonhospital.org/wp-content/uploads/2026/09/1129LH_CoshoctonRegionalMedicalCenter_standardcharges.json