Highland District Hospital
Highland District Hospital in Hillsboro, OH publishes cash prices for 356 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 Ohio median for 187 of 353 procedures and below it for 166. By typical cash price it ranks #86 of 137 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1275 N High ST, Hillsboro, OH 45133 Collected Sep 29, 2026 Source price file Check a bill from this hospital (937) 393-6100
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 361332 · CMS hospital register
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Highland District Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
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 Highland District Hospital in Hillsboro, OH:
- Nov 26, 2024 Warning notice
- Dec 17, 2024 Case closed
- Mar 24, 2026 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 CT scan without and with contrast CPT 74170 HC CT ABDOMEN WO&W CONTRAST | $1,704.80 | $2,131.00 | $242.56–$1,960.52 | 30% above | 20% |
| Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS | $287.20 | $359.00 | $34.98–$330.28 | 16% below | 20% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE 3+ VIEWS | $188.00 | $235.00 | $34.98–$216.20 | 42% below | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE/BRACHIAL INDEX BIL 1 LVL | $396.00 | $495.00 | $66.87–$455.40 | 18% below | 20% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONT | $1,139.20 | $1,424.00 | $113.15–$1,310.08 | 21% above | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS | $277.60 | $347.00 | $34.98–$319.24 | 37% below | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE IMAGING WHOLE BODY | $652.80 | $816.00 | $191.80–$750.72 | 57% below | 20% |
| Breast ultrasound, complete, one breast both sides CPT 76641 HC US BREAST SCR BILAT INCLS AXILLA | $527.20 | $659.00 | $60.19–$606.28 | — | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST SCR UNILAT INCLS AXILLA | $288.00 | $360.00 | $60.19–$331.20 | 40% below | 20% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US BREAST TARGETED BILAT | $291.20 | $364.00 | $60.19–$334.88 | — | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST TARGETED UNILAT | $189.60 | $237.00 | $60.19–$218.04 | 54% below | 20% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD & PELVIS W CON INCL WO | $2,077.60 | $2,597.00 | $279.34–$2,389.24 | 2% below | 20% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD WO&W CONTRAST | $1,496.80 | $1,871.00 | $279.34–$1,721.32 | 12% above | 20% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK WO&W CONTRAST | $2,780.80 | $3,476.00 | $279.34–$3,197.92 | 113% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W OR WO CONTRAST | $1,748.80 | $2,186.00 | $279.34–$2,011.12 | 23% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN PELVIS WITHOUT CON | $1,968.80 | $2,461.00 | $242.56–$2,264.12 | 25% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS WITH CON | $2,707.20 | $3,384.00 | $242.56–$3,113.28 | 39% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN PELVIS WO & W CON | $2,615.20 | $3,269.00 | $242.56–$3,007.48 | 12% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN WITH CONTRAST | $1,368.80 | $1,711.00 | $242.56–$1,574.12 | 17% above | 20% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WITHOUT CONTRAST | $1,139.20 | $1,424.00 | $113.15–$1,310.08 | 9% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACIAL/SINUS WITHOUT CONTR | $1,465.60 | $1,832.00 | $113.15–$1,685.44 | 67% above | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WITHOUT CONTRAST | $1,139.20 | $1,424.00 | $242.56–$1,310.08 | 36% above | 20% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD WITH CONTRAST | $1,487.20 | $1,859.00 | $242.56–$1,710.28 | 48% above | 20% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD WO&W CONTRAST | $1,704.80 | $2,131.00 | $242.56–$1,960.52 | 47% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTRAST | $1,225.60 | $1,532.00 | $113.15–$1,409.44 | 12% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTRAST | $1,139.20 | $1,424.00 | $113.15–$1,310.08 | 6% above | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS WITH CONTRAST | $1,285.60 | $1,607.00 | $242.56–$1,478.44 | 5% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC EXTRACRANIAL ARTERIES DPLX BIL | $838.40 | $1,048.00 | $60.19–$964.16 | 16% above | 20% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST/LUNG WO&W CONTRAST | $1,347.20 | $1,684.00 | $242.56–$1,549.28 | 9% below | 20% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS | $196.00 | $245.00 | $34.98–$225.40 | 28% below | 20% |
| Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW | $183.20 | $229.00 | $34.98–$210.68 | 21% below | 20% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE 2 VIEWS | $173.60 | $217.00 | $34.98–$199.64 | 37% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $450.40 | $563.00 | $92.57–$517.96 | 36% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA AXIAL SKELETON | $481.60 | $602.00 | $44.93–$553.84 | 6% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST/LUNG WITHOUT CONTRAST | $1,139.20 | $1,424.00 | $113.15–$1,310.08 | 21% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST/LUNG WITH CONTRAST | $1,225.60 | $1,532.00 | $242.56–$1,409.44 | 7% above | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DX BILAT WITH CAD | $312.80 | $391.00 | $31.93–$359.72 | — | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DX UNILAT WITH CAD | $188.80 | $236.00 | $31.93–$217.12 | 47% below | 20% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER EXTRMTY ARTL DPLX BILAT | $708.00 | $885.00 | $92.57–$814.20 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VEIN DUPLX COMPLETE BILATERAL STUDY | $385.60 | $482.00 | $92.57–$443.44 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D WITH CONT DOPPLER & CF | $1,036.80 | $1,296.00 | $217.67–$1,192.32 | 39% below | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARDIOGRAM W CD&CF | $1,036.80 | $1,296.00 | $217.67–$1,192.32 | 39% below | 20% |
| Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS | $133.60 | $167.00 | $34.98–$153.64 | 50% below | 20% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW 3 VIEWS | $173.60 | $217.00 | $34.98–$199.64 | 46% below | 20% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS/MSTD/SELLA WO CONT | $1,115.20 | $1,394.00 | $113.15–$1,282.48 | 29% above | 20% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES | $230.40 | $288.00 | $34.98–$264.96 | 41% below | 20% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS | $183.20 | $229.00 | $34.98–$210.68 | 33% below | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPTOBILARY DUCTAL SYS IMAGING | $977.60 | $1,222.00 | $191.80–$1,124.24 | 38% below | 20% |
| Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS | $208.00 | $260.00 | $34.98–$239.20 | 22% below | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL | $173.60 | $217.00 | $34.98–$199.64 | 37% below | 20% |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS | $261.60 | $327.00 | $34.98–$300.84 | 26% below | 20% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4 VIEWS | $356.80 | $446.00 | $34.98–$410.32 | 10% below | 20% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONT | $1,225.60 | $1,532.00 | $113.15–$1,409.44 | 30% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LMTD TO SPCFIC ORG | $436.80 | $546.00 | $60.19–$502.32 | 21% below | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY LTD NON-VASC | $266.40 | $333.00 | $60.19–$306.36 | 44% below | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LUNG CT SCREENING | $266.40 | $333.00 | $106.56–$1,027.00 | 7% below | 20% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA FIBULA | $196.00 | $245.00 | $34.98–$225.40 | 29% below | 20% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WITHOUT CONTRAST | $2,216.80 | $2,771.00 | $191.44–$2,549.32 | 54% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXT JNT WO CON | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 30% above | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXT JNT WO&W CON | $2,216.80 | $2,771.00 | $237.83–$2,549.32 | 6% below | 20% |
| MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN WITHOUT CONTRAST | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 21% above | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN WO&W CONTRAST | $2,216.80 | $2,771.00 | $237.83–$2,549.32 | 2% below | 20% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 40% above | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WO&W CONTRAST | $2,514.40 | $3,143.00 | $237.83–$2,891.56 | 15% above | 20% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WO CONTRAST | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 34% above | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR WO&W CONTRAST | $2,514.40 | $3,143.00 | $237.83–$2,891.56 | 8% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC WO CONTRAST | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 36% above | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVICAL WO&W CONT | $2,514.40 | $3,143.00 | $237.83–$2,891.56 | 11% above | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICALWO CONTRAST | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 38% above | 20% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS WO&W CONTRAST | $2,514.40 | $3,143.00 | $237.83–$2,891.56 | 29% above | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WITHOUT CONTRAST | $2,216.80 | $2,771.00 | $157.38–$2,549.32 | 46% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPEREXT JNT WO CON | $1,794.40 | $2,243.00 | $157.38–$2,063.56 | 24% above | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4-5 VIEWS | $438.40 | $548.00 | $34.98–$504.16 | 3% below | 20% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SFT TISSUE W CONTRAST | $1,465.60 | $1,832.00 | $242.56–$1,685.44 | 25% above | 20% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SFT TISSUE WO CONTRAST | $1,225.60 | $1,532.00 | $113.15–$1,409.44 | 33% above | 20% |
| Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE | $188.00 | $235.00 | $34.98–$216.20 | 28% below | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARD PERF SPECT MULT COMP | $2,840.00 | $3,550.00 | $547.47–$3,266.00 | 31% below | 20% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET CT SKULL TO MID-THIGH | $3,590.40 | $4,488.00 | $721.13–$4,128.96 | 26% below | 20% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WITHOUT CONTRAST | $1,107.20 | $1,384.00 | $113.15–$1,273.28 | 10% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED | $168.80 | $211.00 | $60.19–$194.12 | 62% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC COMPLETE | $544.80 | $681.00 | $92.57–$626.52 | 7% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB TRANSABD> 14 WEEKS | $572.00 | $715.00 | $72.01–$657.80 | 4% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB TRNSABD < 14 WEEKS | $572.00 | $715.00 | $72.01–$657.80 | 4% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB TRANSABD LIMITED | $330.40 | $413.00 | $72.01–$379.96 | 31% below | 20% |
| Rib X-ray, one side, 2 views CPT 71100 HC XR RIB 2 VIEWS | $230.40 | $288.00 | $34.98–$264.96 | 26% below | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIB 3 VIEWS | $287.20 | $359.00 | $34.98–$330.28 | 27% below | 20% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCR BILAT WITH CAD | $194.40 | $243.00 | $31.93–$223.56 | — | 20% |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMOGRAM SCR UNILAT WITH CAD | $194.40 | $243.00 | $31.93–$223.56 | 1% above | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER 2+ VIEWS | $234.40 | $293.00 | $34.98–$269.56 | 31% below | 20% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL 3+VIEWS | $230.40 | $288.00 | $34.98–$264.96 | 36% below | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL <4 VIEWS | $169.60 | $212.00 | $34.98–$195.04 | 41% below | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNCTION W CINE | $277.60 | $347.00 | $87.85–$319.24 | 45% below | 20% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR 2 OR MORE VIEWS | $261.60 | $327.00 | $34.98–$300.84 | 3% below | 20% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC WO CONTRAST | $1,139.20 | $1,424.00 | $113.15–$1,310.08 | 29% above | 20% |
| Toe X-ray, 2 or more views CPT 73660 HC XR TOE SINGLE DIGIT | $208.00 | $260.00 | $34.98–$239.20 | 17% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $539.20 | $674.00 | $60.19–$620.08 | 3% below | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL | $572.00 | $715.00 | $72.01–$657.80 | 14% above | 20% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $633.60 | $792.00 | $92.57–$728.64 | 1% above | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS | $539.20 | $674.00 | $60.19–$620.08 | 1% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD & NECK SOFT TISSUE | $539.20 | $674.00 | $60.19–$620.08 | 5% below | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR UGI TRACT INCL KUB/DELAYED SNGL CONT | $362.40 | $453.00 | $87.85–$416.76 | 39% below | 20% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2 VIEWS | $206.40 | $258.00 | $34.98–$237.36 | 27% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VEIN DUPLX UNILATERAL OR LIMITED STUDY | $385.60 | $482.00 | $60.19–$443.44 | 48% below | 20% |
| Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS | $208.00 | $260.00 | $34.98–$239.20 | 20% below | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST 3+ VIEWS | $230.40 | $288.00 | $34.98–$264.96 | 33% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP 2-3 VWS UNILAT INCLDS PELVIS IF PERFORMED | $240.00 | $300.00 | $34.98–$276.00 | 22% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW | $230.40 | $288.00 | $34.98–$264.96 | 11% below | 20% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS | $138.40 | $173.00 | $34.98–$159.16 | 47% below | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER SINGLE DIGIT | $208.00 | $260.00 | $34.98–$239.20 | 20% below | 20% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS | $176.00 | $220.00 | $34.98–$202.40 | 25% below | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT 3+ VIEWS | $264.00 | $330.00 | $34.98–$303.60 | 14% below | 20% |
| X-ray of the hand, 3 or more views CPT 73130 HC XR HAND 3+VIEWS | $264.00 | $330.00 | $34.98–$303.60 | 20% below | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEW | $230.40 | $288.00 | $34.98–$264.96 | 17% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 VIEWS | $324.00 | $405.00 | $34.98–$372.60 | 1% below | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4 VIEWS | $360.80 | $451.00 | $34.98–$414.92 | 23% below | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2VIEWS | $188.00 | $235.00 | $34.98–$216.20 | 38% below | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES XR | $149.60 | $187.00 | $34.98–$172.04 | 49% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 3 OR LESS VIEWS | $230.40 | $288.00 | $34.98–$264.96 | 32% below | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS | $169.60 | $212.00 | $34.98–$195.04 | 33% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM & COCCYX 2 VIEWS | $314.40 | $393.00 | $34.98–$361.56 | 6% above | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH | $147.20 | $184.00 | $17.05–$169.28 | 12% above | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT | $56.80 | $71.00 | $5.30–$65.32 | 96% above | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST | $60.00 | $75.00 | $5.18–$69.00 | 138% above | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $184.00 | $230.00 | $12.11–$211.60 | 14% below | 20% |
| Albumin blood test CPT 82040 HC ALBUMIN | $61.60 | $77.00 | $4.95–$70.84 | 179% above | 20% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE SERUM | $161.60 | $202.00 | $17.05–$185.84 | 15% above | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $61.60 | $77.00 | $5.18–$70.84 | 157% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE | $34.40 | $43.00 | $5.22–$39.56 | 47% above | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN | $81.60 | $102.00 | $11.18–$93.84 | 35% above | 20% |
| Ammonia blood test CPT 82140 HC AMMONIA BLOOD | $64.80 | $81.00 | $11.18–$74.52 | 18% above | 20% |
| Amylase blood test CPT 82150 HC AMYLASE | $48.80 | $61.00 | $6.48–$56.12 | 1% below | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRUL PEP AB IGG | $157.60 | $197.00 | $12.95–$181.24 | 172% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB SCREEN | $79.20 | $99.00 | $12.09–$91.08 | 43% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $185.60 | $232.00 | $12.85–$213.44 | 24% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL EXCEPT URINE | $130.40 | $163.00 | $8.62–$149.96 | 90% above | 20% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $71.20 | $89.00 | $8.46–$81.88 | 8% above | 20% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $68.00 | $85.00 | $5.02–$78.20 | 183% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICRO LEV 4 (88305) | $314.40 | $393.00 | $28.01–$361.56 | 55% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CYT CELL BLK PREP INT | $314.40 | $393.00 | $28.01–$361.56 | 55% above | 20% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE | $92.80 | $116.00 | $10.25–$106.72 | 1% below | 20% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE RANDOM | $60.00 | $75.00 | $3.93–$69.00 | 154% above | 20% |
| Blood lead test CPT 83655 HC LEAD (83655) | $83.20 | $104.00 | $9.98–$95.68 | 71% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOT HCG QUALIT | $90.40 | $113.00 | $7.24–$103.96 | 59% above | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO | $66.40 | $83.00 | $2.99–$76.36 | 16% above | 20% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (84520) | $60.00 | $75.00 | $3.95–$69.00 | 157% above | 20% |
| C-peptide blood test CPT 84681 HC C PEPTIDE | $56.00 | $70.00 | $11.18–$64.40 | 27% below | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $68.80 | $86.00 | $5.18–$79.12 | 33% above | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN GENES | $182.40 | $228.00 | $20.71–$209.76 | 38% above | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19 9 | $38.40 | $48.00 | $10.25–$52.03 | 47% below | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 II | $100.00 | $125.00 | $10.25–$115.00 | 7% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID 19 | $195.20 | $244.00 | $20.71–$224.48 | 38% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC POC COVID 19 | $195.20 | $244.00 | $20.71–$224.48 | 38% above | 20% |
| Calcium blood test, total CPT 82310 HC CALCIUM BLOOD | $61.60 | $77.00 | $5.16–$70.84 | 95% above | 20% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA (82378) | $114.40 | $143.00 | $11.18–$131.56 | 34% above | 20% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA ZOSTER | $50.40 | $63.00 | $12.88–$57.96 | 13% below | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE | $64.80 | $81.00 | $20.71–$87.73 | 31% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $83.20 | $104.00 | $12.11–$95.68 | 56% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFFERENTIAL | $74.40 | $93.00 | $5.23–$85.56 | 104% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC WO DIFF | $35.20 | $44.00 | $5.23–$40.48 | 7% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $132.00 | $165.00 | $10.56–$151.80 | 108% above | 20% |
| Cortisol blood test, total CPT 82533 HC CORTISOL | $82.40 | $103.00 | $13.55–$94.76 | 14% above | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK | $40.00 | $50.00 | $6.51–$46.00 | 15% above | 20% |
| Creatinine blood test CPT 82565 HC CREATININE | $61.60 | $77.00 | $5.12–$70.84 | 152% above | 20% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG LEVEL | $68.80 | $86.00 | $14.22–$79.12 | 2% above | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE | $72.00 | $90.00 | $5.98–$82.80 | 3% above | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $116.80 | $146.00 | $13.55–$134.32 | 17% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRESMV INSTRMNT CHEMISTY | $323.20 | $404.00 | $12.85–$371.68 | 234% above | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG TESTING DAU7 | $323.20 | $404.00 | $12.85–$371.68 | 234% above | 20% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES PANEL | $40.00 | $50.00 | $7.01–$46.00 | 16% below | 20% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV CAPSID AB VCA | $64.80 | $81.00 | $14.22–$74.52 | at median | 20% |
| Estradiol blood test CPT 82670 HC ESTRADIOL OVUL E20 | $36.00 | $45.00 | $13.55–$69.85 | 68% below | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH BLOOD SERUM | $75.20 | $94.00 | $13.55–$86.48 | 12% below | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $263.20 | $329.00 | $11.18–$302.68 | 76% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $74.40 | $93.00 | $11.18–$85.56 | 2% below | 20% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN | $81.60 | $102.00 | $5.98–$93.84 | 81% above | 20% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE LEVEL | $88.00 | $110.00 | $11.18–$101.20 | 31% above | 20% |
| Free T3 thyroid hormone test CPT 84481 HC FREE T3 | $119.20 | $149.00 | $13.55–$137.08 | 63% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 | $72.00 | $90.00 | $9.02–$82.80 | 73% above | 20% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $94.40 | $118.00 | $13.55–$108.56 | 1% below | 20% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT | $61.60 | $77.00 | $7.20–$70.84 | 45% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1HR P P | $116.80 | $146.00 | $4.75–$134.32 | 232% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 HC GTT TOLERANCE TEST 3 SPECIMEN | $248.00 | $310.00 | $11.18–$285.20 | 269% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE, AMPLIFIED PROBE | $64.80 | $81.00 | $20.71–$87.73 | 30% below | 20% |
| H. pylori antibody blood test CPT 86677 HC HELIOBACTER PYLORI AB | $83.20 | $104.00 | $14.22–$95.68 | 17% above | 20% |
| H. pylori stool antigen test CPT 87338 HC H PYLORI AG STOOL | $90.40 | $113.00 | $10.25–$103.96 | 29% above | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 RNA VIR LOAD QUANT | $258.40 | $323.00 | $20.71–$297.16 | 28% below | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1/2 AG-AB COMBO | $90.40 | $113.00 | $10.25–$103.96 | 22% above | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK | $196.00 | $245.00 | $20.71–$225.40 | 65% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HGB | $65.60 | $82.00 | $9.71–$75.44 | 44% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HGB A1C | $65.60 | $82.00 | $9.71–$75.44 | 44% above | 20% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $36.00 | $45.00 | $2.37–$41.40 | 122% above | 20% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL | $74.40 | $93.00 | $12.05–$85.56 | 38% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF AB | $41.60 | $52.00 | $10.74–$47.84 | 14% below | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURF AG | $17.60 | $22.00 | $10.25–$25.83 | 62% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS HCV | $63.20 | $79.00 | $14.22–$72.68 | 1% below | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANTITATIVE | $478.40 | $598.00 | $20.71–$550.16 | 149% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 AB | $34.40 | $43.00 | $13.19–$39.56 | 42% below | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 AB | $57.60 | $72.00 | $14.22–$66.24 | 13% below | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACT PROTIN HGH SENSIT | $68.80 | $86.00 | $12.95–$79.12 | 2% above | 20% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE SERUM | $59.20 | $74.00 | $13.55–$68.08 | 27% below | 20% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL (83525) | $31.20 | $39.00 | $11.43–$35.88 | 39% below | 20% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $74.40 | $93.00 | $6.47–$85.56 | 96% above | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 HC T I B C | $76.80 | $96.00 | $8.74–$88.32 | 97% above | 20% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $68.00 | $85.00 | $8.68–$78.20 | 7% below | 20% |
| LH (luteinizing hormone) test CPT 83002 HC LUTENIZING HORMONE | $135.20 | $169.00 | $13.55–$155.48 | 41% above | 20% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $36.80 | $46.00 | $11.18–$42.32 | 29% below | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH | $30.40 | $38.00 | $6.04–$34.96 | 11% above | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $62.40 | $78.00 | $6.89–$71.76 | 7% above | 20% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $84.80 | $106.00 | $8.17–$97.52 | 36% above | 20% |
| Lyme disease antibody test CPT 86618 HC BOR BURGDORFERI AB | $32.80 | $41.00 | $14.22–$42.58 | 57% below | 20% |
| Magnesium blood test CPT 83735 HC MAGNESIUM (83735) | $33.60 | $42.00 | $6.70–$38.64 | at median | 20% |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA | $64.80 | $81.00 | $12.88–$74.52 | 14% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST | $146.40 | $183.00 | $5.18–$168.36 | 181% above | 20% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB | $75.20 | $94.00 | $13.05–$86.48 | 29% above | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $114.40 | $143.00 | $11.18–$131.56 | 39% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $138.40 | $173.00 | $11.18–$159.16 | 75% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYT THIN PREP IMAGED PREP | $111.20 | $139.00 | $9.41–$127.88 | 11% above | 20% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HDH THIN PREP PAP | $111.20 | $139.00 | $9.41–$127.88 | 22% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHOROMONE (PTH) | $216.00 | $270.00 | $17.05–$248.40 | 53% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $50.40 | $63.00 | $5.98–$57.96 | 36% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APC PTT | $50.40 | $63.00 | $5.98–$57.96 | 36% above | 20% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $61.60 | $77.00 | $4.74–$70.84 | 72% above | 20% |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM (84132) | $38.40 | $48.00 | $4.76–$44.16 | 64% above | 20% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $86.40 | $108.00 | $13.55–$99.36 | 7% above | 20% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $119.20 | $149.00 | $13.55–$137.08 | 37% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $27.20 | $34.00 | $4.29–$31.28 | 13% above | 20% |
| Renin blood test CPT 84244 HC RENIN | $156.00 | $195.00 | $13.55–$179.40 | 82% above | 20% |
| Rh blood typing CPT 86901 HC RH FACTOR | $28.80 | $36.00 | $2.99–$33.12 | 23% below | 20% |
| Rheumatoid factor (RF) test CPT 86431 HC RA TITER | $32.00 | $40.00 | $5.67–$36.80 | 3% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $66.40 | $83.00 | $14.22–$76.36 | 37% above | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE | $39.20 | $49.00 | $2.70–$45.08 | 3% above | 20% |
| Sodium blood test CPT 84295 HC SODIUM SERUM (84295) | $38.40 | $48.00 | $4.81–$44.16 | 41% above | 20% |
| Stool ova and parasites exam CPT 87177 HC OAP DIRECT SMEAR | $100.00 | $125.00 | $8.90–$115.00 | 152% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT | $38.40 | $48.00 | $4.38–$44.16 | 46% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $80.00 | $100.00 | $11.18–$92.00 | 49% above | 20% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB | $44.80 | $56.00 | $13.24–$51.52 | 23% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC CSF VDRL | $21.60 | $27.00 | $4.27–$24.84 | 10% below | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HDH TB TEST CELL IMMUN MEASURE | $79.20 | $99.00 | $17.65–$154.95 | 37% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $81.60 | $102.00 | $13.55–$93.84 | 11% below | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB | $87.20 | $109.00 | $13.55–$100.28 | 34% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH HORMONE | $99.20 | $124.00 | $13.55–$114.08 | 32% above | 20% |
| Total IgE blood test CPT 82785 HC IGE | $84.80 | $106.00 | $11.18–$97.52 | 32% above | 20% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $60.00 | $75.00 | $4.35–$69.00 | 64% above | 20% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 THYROXIN | $81.60 | $102.00 | $6.87–$93.84 | 101% above | 20% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $65.60 | $82.00 | $13.55–$75.44 | 9% above | 20% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $61.60 | $77.00 | $11.18–$70.84 | 15% below | 20% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA | $60.80 | $76.00 | $20.71–$87.73 | 30% below | 20% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $61.60 | $77.00 | $5.74–$70.84 | 68% above | 20% |
| Troponin test, quantitative CPT 84484 HC TROPONIN I | $97.60 | $122.00 | $11.18–$112.24 | 18% above | 20% |
| Uric acid blood test CPT 84550 HC URIC ACID | $61.60 | $77.00 | $4.52–$70.84 | 75% above | 20% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPY | $56.80 | $71.00 | $3.17–$65.32 | 110% above | 20% |
| Urinalysis without microscope exam, automated CPT 81003 HC UA DIPSTICK OR TABLET REAGENT AUTOM WO MICROSCPY | $32.00 | $40.00 | $2.25–$36.80 | 33% above | 20% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE ROUTINE WO MICRO | $32.00 | $40.00 | $2.25–$36.80 | 33% above | 20% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE DIP STICK | $6.40 | $8.00 | $3.48–$8.70 | 61% below | 20% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE | $56.80 | $71.00 | $8.07–$65.32 | at median | 20% |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN | $51.20 | $64.00 | $3.93–$58.88 | 1% above | 20% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE | $90.40 | $113.00 | $3.93–$103.96 | 86% above | 20% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE POCT | $90.40 | $113.00 | $3.93–$103.96 | 86% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 TEST | $81.60 | $102.00 | $13.55–$93.84 | 11% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC CHOLECALCIFEROL (VIT D25 OH) | $116.00 | $145.00 | $12.85–$133.40 | 26% above | 20% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYRO | $158.40 | $198.00 | $12.85–$182.16 | 3% above | 20% |
| Zinc blood test CPT 84630 HC ZINC | $40.00 | $50.00 | $9.98–$46.00 | 22% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE (84702) | $104.00 | $130.00 | $13.55–$119.60 | 54% above | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE | $685.60 | $857.00 | $178.23–$788.44 | 21% above | 20% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC TREATMENT OF ANKLE FRACTURE | $413.60 | $517.00 | $165.44–$3,671.00 | 9% above | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $790.40 | $988.00 | $244.90–$908.96 | 62% below | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC TREAT FRACTURE RADIUS/ULNA | $383.20 | $479.00 | $153.28–$440.68 | 6% below | 20% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL | $2,985.60 | $3,732.00 | $548.40–$4,917.00 | 13% below | 20% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY | $2,792.00 | $3,490.00 | $1,116.80–$4,917.00 | 16% below | 20% |
| Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $1,972.80 | $2,466.00 | $789.12–$4,917.00 | 28% below | 20% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC AND ASC CYSTOURETHEROSCOPY | $716.00 | $895.00 | $286.40–$3,671.00 | 64% below | 20% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI | $40.80 | $51.00 | $16.32–$69.63 | 74% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX UNI | $155.20 | $194.00 | $62.08–$178.48 | at median | 20% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC | $249.60 | $312.00 | $99.84–$365.80 | 89% below | 20% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV | $211.20 | $264.00 | $84.48–$365.80 | 90% below | 20% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY | $821.60 | $1,027.00 | $328.64–$944.84 | 68% below | 20% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJ HYSTERSALP/SONO | $120.00 | $150.00 | $48.00–$138.00 | 69% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D SKIN/SQ ABCESS SIMP/SINGLE | $248.80 | $311.00 | $99.52–$286.12 | 36% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $92.80 | $116.00 | $37.12–$113.04 | 73% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGLE TENDON SHEATH LIGAMENT OR APONEUROSIS | $595.20 | $744.00 | $107.66–$684.48 | 75% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJ JOINT/BURSA W/O US | $595.20 | $744.00 | $107.66–$684.48 | 14% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO ASP/INJ LRG JOINT WO US GUID | $601.60 | $752.00 | $107.66–$691.84 | 14% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ JOINT/BURSA W/O US | $595.20 | $744.00 | $107.66–$684.48 | 5% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHRO ASP/INJ MED JOINT WO US GUID | $780.80 | $976.00 | $107.66–$897.92 | 25% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ JOINT/BURSA W/O US | $83.20 | $104.00 | $33.28–$113.04 | 83% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHRO ASP/INJ SM JOINT WO US GUID | $734.40 | $918.00 | $107.66–$844.56 | 49% above | 20% |
| Laser treatment of clouding after cataract surgery (YAG) both sides CPT 66821 HDH EYE LASER POST CAPSUL YAG BILAT | $2,653.60 | $3,317.00 | $1,061.44–$3,051.64 | — | 20% |
| Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 HDH EYE LASER POST CAPSUL YAG UNILAT | $1,768.80 | $2,211.00 | $707.52–$2,034.12 | 25% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC HOD INTMD RPR S/A/T/EXT 2.5 CM OR < | $311.20 | $389.00 | $124.48–$357.88 | 45% below | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC | $232.00 | $290.00 | $92.80–$365.80 | 89% below | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $258.40 | $323.00 | $103.36–$3,671.00 | 87% below | 20% |
| Lumbar spinal fusion (posterior), one level CPT 22612 HC LUMBAR SPINE FUSION | $3,774.40 | $4,718.00 | $1,509.76–$6,032.88 | 86% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 HC HOD AVULSION 1 NAIL PLATE SIMPLE | $156.00 | $195.00 | $29.37–$179.40 | 53% below | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 HC N BLOCK INJ OCCIPITAL | $125.60 | $157.00 | $50.24–$187.15 | 87% below | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK GREATER OCCIPITAL NERVE | $685.60 | $857.00 | $178.23–$788.44 | 27% below | 20% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMG | $2,757.60 | $3,447.00 | $284.53–$3,171.24 | 59% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC HOD EXCISION NAIL & MATRIX | $272.80 | $341.00 | $109.12–$313.72 | 65% below | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT | $447.20 | $559.00 | $178.88–$514.28 | 86% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 HC FOREIGN BODY INCISN/REMOV SIM | $172.00 | $215.00 | $68.80–$197.80 | 75% below | 20% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND | $1,972.80 | $2,466.00 | $789.12–$4,917.00 | 24% below | 20% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND | $1,972.80 | $2,466.00 | $789.12–$4,917.00 | 24% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT | $85.60 | $107.00 | $34.24–$98.44 | 71% below | 20% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION LOWER LEG SPLINT | $106.40 | $133.00 | $34.79–$122.36 | 65% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SIMPLE ALL BUT FACE | $248.00 | $310.00 | $99.20–$285.20 | 25% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 HC BIOPSY PUNCH SKIN SINGLE LESION | $996.80 | $1,246.00 | $239.85–$1,146.32 | 122% above | 20% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMVL SKIN TAGS OR POLYDACTYLY | $549.60 | $687.00 | $103.98–$632.04 | 87% above | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $1,665.60 | $2,082.00 | $348.38–$3,671.00 | 53% above | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR S/N/AX/GEN/TRNK2.6-7.5CM | $272.00 | $340.00 | $108.80–$312.80 | 23% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR F/E/E/N/L/M 2.5 CM/< | $256.80 | $321.00 | $102.72–$295.32 | 28% below | 20% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASPIRATE ONLY W IMAGING | $2,245.60 | $2,807.00 | $468.52–$2,582.44 | 21% above | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ 1+ TRIGGER PTS 1-2MUSC GRP | $615.20 | $769.00 | $107.66–$707.48 | 12% below | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BIOPSY BREAST LOCALIZ DEVIC SPECMN IMAG US GUIDE | $3,743.20 | $4,679.00 | $635.62–$4,304.68 | 12% above | 20% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ESOPH EGD DILATION <30 MM | $1,930.40 | $2,413.00 | $480.68–$4,917.00 | 46% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $2,713.60 | $3,392.00 | $480.68–$4,917.00 | 3% below | 20% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVE LESION SNARE | $2,981.60 | $3,727.00 | $480.68–$4,917.00 | 11% below | 20% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD GUIDE WIRE INSERTION | $2,713.60 | $3,392.00 | $480.68–$4,917.00 | 3% below | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,936.00 | $2,420.00 | $480.68–$3,671.00 | 26% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBQ 20 SQ CM | $112.00 | $140.00 | $44.80–$4,917.00 | 86% below | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HDH BLOOD/PLATELET ADMIN | $190.40 | $238.00 | $76.16–$293.63 | 83% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT HHN/MDI/HELIOX | $85.60 | $107.00 | $34.24–$98.44 | 52% below | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 HC INFUSION CHEMO 1ST 16-90M | $899.20 | $1,124.00 | $170.99–$1,034.08 | 18% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED VISIT CRITICAL CARE | $2,334.40 | $2,918.00 | $42.34–$2,684.56 | 21% below | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG | $693.60 | $867.00 | $129.97–$797.64 | 27% below | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD TRACING ONLY | $214.40 | $268.00 | $14.48–$246.56 | 16% above | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HDH ED TRIAGE ONLY | $104.00 | $130.00 | $41.60–$119.60 | 67% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED VISIT LEVEL 1 | $172.80 | $216.00 | $42.34–$198.72 | 45% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED VISIT LEVEL 2 | $301.60 | $377.00 | $42.34–$346.84 | 41% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED VISIT LEVEL 3 | $474.40 | $593.00 | $42.34–$545.56 | 44% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED VISIT LEVEL 4 | $726.40 | $908.00 | $42.34–$835.36 | 46% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED VISIT LEVEL 5 | $1,107.20 | $1,384.00 | $42.34–$1,273.28 | 37% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC PHARMACOLOGIC STRESS | $1,098.40 | $1,373.00 | $66.87–$1,263.16 | 22% above | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC TREADMILL WITHOUT ISOTOPE | $1,098.40 | $1,373.00 | $66.87–$1,263.16 | 22% above | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC TREADMILL WITH ISOTOPE | $1,098.40 | $1,373.00 | $66.87–$1,263.16 | 22% above | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY INTERVENTION W/ PATIENT | $358.40 | $448.00 | $85.78–$412.16 | 21% above | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY INTERVENTION W/O PATIENT | $358.40 | $448.00 | $85.78–$412.16 | 16% above | 20% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $214.40 | $268.00 | $71.17–$246.56 | 24% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC INFUSION HYDRATION 1ST 31-90 M | $132.80 | $166.00 | $53.12–$179.54 | 68% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 HC INFUSION DRUG 1ST 16-90 MIN | $227.20 | $284.00 | $90.88–$261.28 | 48% below | 20% |
| IV push of a medicine, first drug CPT 96374 HC INJECTION 1ST IVP/INFSN <= 15M | $94.40 | $118.00 | $28.05–$108.56 | 62% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECT MED IM/SUBQ | $94.40 | $118.00 | $28.05–$108.56 | 33% below | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC DIAGNOSTIC EVALUATION | $358.40 | $448.00 | $106.60–$412.16 | 14% above | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION 7 - 8 STUDIES | $693.60 | $867.00 | $241.33–$797.64 | 50% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-ED EACH 15 MIN | $112.00 | $140.00 | $44.80–$128.80 | 4% above | 20% |
| New patient office visit, about 30 minutes CPT 99203 HDH NEW PATIENT VISIT LEVEL 3 | $233.60 | $292.00 | $42.34–$268.64 | 113% above | 20% |
| New patient office visit, about 45 minutes CPT 99204 HDH NEW PATIENT VISIT LEVEL 4 | $288.80 | $361.00 | $42.34–$332.12 | 138% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 HDH NEW PATIENT VISIT LEVEL 5 | $308.80 | $386.00 | $42.34–$355.12 | 79% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HDH NEW PATIENT VISIT LEVEL 2 | $155.20 | $194.00 | $42.34–$178.48 | 59% above | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTR THRPY INITIAL/15 MIN | $54.40 | $68.00 | $21.76–$62.56 | 17% below | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $246.40 | $308.00 | $79.68–$283.36 | 6% below | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY | $256.80 | $321.00 | $57.40–$295.32 | 15% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY | $246.40 | $308.00 | $57.40–$283.36 | 6% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $252.00 | $315.00 | $57.40–$289.80 | 9% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL TECHN THERAPY EACH 15 MIN | $120.80 | $151.00 | $48.32–$138.92 | 10% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXER/ISOKIN TRNG EACH 15 MIN | $120.00 | $150.00 | $48.00–$138.00 | 3% above | 20% |
| Psychiatric evaluation with medical services CPT 90792 HC DIAGNOSTIC EVALUATION W/ MED SVCS | $358.40 | $448.00 | $106.60–$412.16 | 1% above | 20% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY CRISIS INIT 30 - 74 MINS | $358.40 | $448.00 | $64.26–$412.16 | 14% above | 20% |
| Psychotherapy session, 30 minutes CPT 90832 HC INDIV THERAPY 16-37 MINS | $358.40 | $448.00 | $51.37–$412.16 | 94% above | 20% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIV THERAPY 38-52 MINS | $358.40 | $448.00 | $64.26–$412.16 | 34% above | 20% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIV THERAPY 53+MIN | $358.40 | $448.00 | $64.26–$412.16 | 14% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10M | $52.80 | $66.00 | $21.12–$60.72 | 21% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST VISIT LEVEL 5 | $284.00 | $355.00 | $42.34–$326.60 | 68% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST VISIT LEVEL 3 | $206.40 | $258.00 | $42.34–$237.36 | 80% above | 20% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH & LANG | $356.00 | $445.00 | $43.57–$409.40 | 7% above | 20% |
| Speech therapy session, individual CPT 92507 HC THERAPY SPEECH | $139.20 | $174.00 | $43.57–$160.08 | 36% below | 20% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY SINGLE | $168.00 | $210.00 | $67.20–$193.20 | 47% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY DOUBLE | $283.20 | $354.00 | $78.83–$325.68 | 51% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC FUNCTIONAL/THERAPEUTIC ACTIVITIES EA 15 MIN | $153.60 | $192.00 | $52.41–$176.64 | 27% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $34.40 | $43.00 | $13.76–$39.56 | 85% below | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $69.74 | $87.17 | $6.15–$80.20 | 52% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP | $207.62 | $259.52 | $6.15–$238.76 | 33% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $247.98 | $309.98 | $6.15–$285.18 | 123% above | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $281.14 | $351.42 | $6.15–$323.31 | 35% above | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $716.76 | $895.95 | $292.44–$824.27 | 8% above | 20% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $1,251.67 | $1,564.59 | $10.38–$1,439.42 | 31% above | 20% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $1,351.32 | $1,689.15 | $10.38–$1,554.02 | 42% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN OF HEPATITIS B VACCINE | $36.00 | $45.00 | $10.52–$41.40 | 6% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN OF VACCINE | $36.00 | $45.00 | $10.52–$41.40 | 6% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VACCINE | $36.00 | $45.00 | $10.52–$41.40 | 6% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN OF PNEUMOCOCCAL VACCINE | $36.00 | $45.00 | $10.52–$41.40 | 6% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADM (EA ADDTL) | $36.00 | $45.00 | $10.52–$41.40 | 3% above | 20% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.