Labette County Medical Center
Labette County Medical Center in Parsons, KS publishes cash prices for 261 common procedures listed here, from its own machine-readable price file updated Jun 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Kansas median for 165 of 261 procedures and below it for 93. By typical cash price it ranks #51 of 77 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1902 South U.S. Hwy 59, Parsons KS 67357 Collected Sep 29, 2026 Source price file (620) 421-4880
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 170120 · CMS hospital register NPI 1578560421
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE X-RAY 3 VIEWS | $221.10 | $315.85 | $80.03–$146.46 | at median | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ER FAC UPR/L XTRM ART 1-2 LVLS | $612.08 | $874.40 | $122.36–$223.92 | 2% above | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD NONINVASIVE PHYSIOLOGIC | $612.08 | $874.40 | $122.36–$223.92 | 2% above | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $612.08 | $874.40 | $122.36–$223.92 | 2% above | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $287.39 | $410.55 | $161.31–$295.19 | 34% below | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL | $1,039.29 | $1,484.70 | $367.65–$672.80 | 10% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CONTRAST | $2,860.20 | $4,086.00 | $161.31–$295.19 | 60% above | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE | $77.00 | $110.00 | $80.03–$146.46 | 36% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS W/O CONTRAST | $2,269.75 | $3,242.50 | $219.43–$401.56 | 69% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W/CONTRAST | $2,752.75 | $3,932.50 | $320.84–$587.14 | 91% above | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $2,855.72 | $4,079.60 | $320.84–$587.14 | 51% above | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST | $1,746.29 | $2,494.70 | $161.31–$295.19 | 27% above | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST | $1,610.32 | $2,300.45 | $96.15–$175.95 | 38% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $1,633.21 | $2,333.15 | $96.15–$175.95 | 61% above | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $1,495.20 | $2,136.00 | $96.15–$175.95 | 36% above | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST | $1,715.60 | $2,450.85 | $161.31–$295.19 | 39% above | 30% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $2,133.88 | $3,048.40 | $161.31–$295.19 | 59% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR W/O CONTRAST | $1,610.32 | $2,300.45 | $96.15–$175.95 | 41% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL W/O CONTRAST | $1,719.87 | $2,456.95 | $96.15–$175.95 | 62% above | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $2,009.81 | $2,871.15 | $161.31–$295.19 | 64% above | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX COMP/BIL | $574.67 | $820.95 | $219.43–$401.56 | 23% below | 30% |
| Chest X-ray, 2 views CPT 71046 CHEST PA AND LATERAL | $242.31 | $346.15 | $80.03–$146.46 | 2% above | 30% |
| Chest X-ray, 2 views CPT 71046 CX CHEST 2 VIEW | $242.31 | $346.15 | $80.03–$146.46 | 2% above | 30% |
| Chest X-ray, single view CPT 71045 CHEST PA VIEW ONLY | $193.48 | $276.40 | $80.03–$146.46 | 3% below | 30% |
| Chest X-ray, single view CPT 71045 CX CHEST 1 VIEW | $193.48 | $276.40 | $80.03–$146.46 | 3% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL | $347.45 | $496.35 | $96.15–$175.95 | 16% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN (XRAY) | $264.29 | $377.55 | $96.15–$175.95 | 20% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $1,630.20 | $2,328.85 | $96.15–$175.95 | 57% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $1,781.40 | $2,544.85 | $161.31–$295.19 | 53% above | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $714.46 | $1,020.65 | $219.43–$401.56 | 5% below | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $714.46 | $1,020.65 | $219.43–$401.56 | 6% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D COMP W CONTRAST | $1,340.68 | $1,915.25 | $502.51–$919.60 | 32% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,623.34 | $2,319.05 | $502.51–$919.60 | 17% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN | $1,168.09 | $1,668.70 | $367.65–$672.80 | 25% below | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TESTING | $178.50 | $255.00 | $198.58–$363.39 | 50% below | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM NIGHT 2 W/CPAP | $2,932.16 | $4,188.80 | $789.75–$1,445.24 | 5% above | 30% |
| Knee X-ray, 3 views CPT 73562 KNEE X-RAY 3 VIEW | $262.36 | $374.80 | $80.03–$146.46 | 9% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ER US ABD LTD (SINGLE ORGAN) | $347.45 | $496.35 | $96.15–$175.95 | at median | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD (SINGLE ORGAN) | $347.45 | $496.35 | $96.15–$175.95 | at median | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $396.38 | $566.25 | $96.15–$175.95 | 39% below | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,168.11 | $3,097.30 | $219.43–$401.56 | 57% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $2,509.68 | $3,585.25 | $320.84–$587.14 | 47% above | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $2,399.53 | $3,427.90 | $219.43–$401.56 | 69% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $2,880.78 | $4,115.40 | $320.84–$587.14 | 50% above | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $2,356.62 | $3,366.60 | $219.43–$401.56 | 83% above | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO CONTRAST | $2,787.65 | $3,982.35 | $320.84–$587.14 | 54% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $2,424.52 | $3,463.60 | $219.43–$401.56 | 93% above | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO CONTRAST | $2,934.68 | $4,192.40 | $320.84–$587.14 | 64% above | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $2,424.52 | $3,463.60 | $219.43–$401.56 | 93% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W/WO CONTRAST | $2,836.65 | $4,052.35 | $320.84–$587.14 | 49% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $2,836.65 | $4,052.35 | $320.84–$587.14 | 49% above | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $2,385.01 | $3,407.15 | $219.43–$401.56 | 92% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET TUMOR IMAGING SKULL TO THI | $4,324.74 | $6,178.20 | $1,315.06–$2,406.56 | 8% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ER US PELVIS; NON OB LIMITED | $302.02 | $431.45 | $96.15–$175.95 | 12% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS; NON OB LIMITED | $302.02 | $431.45 | $96.15–$175.95 | 12% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB | $347.45 | $496.35 | $96.15–$175.95 | 12% below | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $235.10 | $335.85 | $96.15–$175.95 | 41% below | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $153.30 | $219.00 | $96.15–$175.95 | 58% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $161.81 | $231.15 | $96.15–$175.95 | 46% below | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER X-RAY 2 VIEW | $231.63 | $330.90 | $80.03–$146.46 | 3% above | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM | $2,761.29 | $3,944.70 | $789.75–$1,445.24 | 9% above | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOW | $382.06 | $545.80 | $161.31–$295.19 | 35% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAG NON-OB | $220.05 | $314.35 | $96.15–$175.95 | 38% below | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL OB FLOOR | $165.55 | $236.50 | $96.15–$175.95 | 57% below | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $165.55 | $236.50 | $96.15–$175.95 | 57% below | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $347.45 | $496.35 | $96.15–$175.95 | 25% below | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $347.45 | $496.35 | $96.15–$175.95 | 10% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $714.46 | $1,020.65 | $96.15–$175.95 | 12% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W OR WO KUB | $369.43 | $527.75 | $161.31–$295.19 | 41% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $714.46 | $1,020.65 | $96.15–$175.95 | 6% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3-4 VIEW | $217.00 | $310.00 | $80.03–$146.46 | 6% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $231.04 | $330.05 | $80.03–$146.46 | 13% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN ONE VIEW | $158.31 | $226.15 | $80.03–$146.46 | 28% below | 30% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $30.84 | $44.05 | $44.05–$146.46 | 84% below | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER X-RAY 2 VIEW | $201.11 | $287.30 | $80.03–$146.46 | 14% above | 30% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $26.71 | $38.15 | $38.15–$146.46 | 86% below | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT X-RAY 3 VIEW | $221.76 | $316.80 | $80.03–$146.46 | 1% below | 30% |
| X-ray of the hand, 3 or more views CPT 73130 HAND X-RAY 3 VIEWS | $232.58 | $332.25 | $80.03–$146.46 | 4% above | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE X-RAY 2 VIEW | $198.14 | $283.05 | $80.03–$146.46 | 4% above | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $333.55 | $476.50 | $96.15–$175.95 | 20% above | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $391.20 | $558.85 | $96.15–$175.95 | 5% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEW | $261.49 | $373.55 | $96.15–$175.95 | 16% above | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3V | $244.02 | $348.60 | $80.03–$146.46 | 2% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEW | $263.59 | $376.55 | $80.03–$146.46 | at median | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS;1V OR 2V | $261.49 | $373.55 | $96.15–$175.95 | 23% above | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX,MINIMUM 2VWS | $212.10 | $303.00 | $80.03–$146.46 | 12% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $54.39 | $77.70 | $5.30–$9.70 | 42% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $54.29 | $77.55 | $5.18–$9.48 | 45% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL (SEND-OUT) | $330.68 | $472.40 | $47.63–$87.16 | 58% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $330.68 | $472.40 | $47.63–$87.16 | 58% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB IGE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EACH ALLERGEN | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE CAT DANDER | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE DOG DANDER | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C002 IGE PENICILLIN V | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF IGE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE | $37.73 | $53.90 | $5.22–$9.55 | 21% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RAGWEED | $150.92 | $215.60 | $5.22–$9.55 | 386% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD (SHELLFISH) | $226.38 | $323.40 | $5.22–$9.55 | 628% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD (NUTS) | $264.11 | $377.30 | $5.22–$9.55 | 750% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS MOLD (12) | $452.76 | $646.80 | $5.22–$9.55 | 1357% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS SEASONAL SPRING (12) | $452.76 | $646.80 | $5.22–$9.55 | 1357% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS MOLD (4) | $452.76 | $646.80 | $5.22–$9.55 | 1357% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS FOOD (14) | $528.22 | $754.60 | $5.22–$9.55 | 1600% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD (16) | $603.68 | $862.40 | $5.22–$9.55 | 1842% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP | $54.50 | $77.85 | $12.95–$23.70 | 44% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CTD CASCADE | $38.08 | $54.40 | $12.09–$22.12 | 46% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY | $118.09 | $168.70 | $12.09–$22.12 | 68% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/TITER | $118.09 | $168.70 | $12.09–$22.12 | 68% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX | $118.09 | $168.70 | $12.09–$22.12 | 68% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $235.97 | $337.10 | $39.26–$71.85 | 81% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $235.97 | $337.10 | $39.26–$71.85 | 81% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP (SEND OUT) | $235.97 | $337.10 | $39.26–$71.85 | 81% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $83.30 | $119.00 | $8.46–$15.48 | 2% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PP LEVEL IV SURG PATH | $139.30 | $199.00 | $47.92–$87.70 | 40% below | 30% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $111.83 | $159.75 | $10.32–$18.89 | 27% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 QUEST BLOOD COLLECTION | $7.00 | $10.00 | $9.34–$17.09 | 61% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLLECTION | $17.15 | $24.50 | $9.34–$17.09 | 5% below | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $50.54 | $72.20 | $3.93–$7.19 | 60% above | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $50.54 | $72.20 | $3.93–$7.19 | 60% above | 30% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2PP | $50.54 | $72.20 | $3.93–$7.19 | 60% above | 30% |
| Blood lead test CPT 83655 LEAD PED VENOUS | $82.32 | $117.60 | $12.11–$22.16 | 55% above | 30% |
| Blood lead test CPT 83655 LEAD URINE 24HR | $82.32 | $117.60 | $12.11–$22.16 | 55% above | 30% |
| Blood lead test CPT 83655 LEAD | $82.32 | $117.60 | $12.11–$22.16 | 55% above | 30% |
| Blood lead test CPT 83655 LEAD PED CAPILLARY | $82.32 | $117.60 | $12.11–$22.16 | 55% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST | $83.23 | $118.90 | $7.52–$13.76 | 40% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE | $83.23 | $118.90 | $7.52–$13.76 | 40% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $14.35 | $20.50 | $20.50–$223.92 | 87% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE | $14.35 | $20.50 | $20.50–$223.92 | 87% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $75.08 | $107.25 | $5.18–$9.48 | 45% above | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF NAAT | $110.39 | $157.70 | $37.27–$68.20 | 5% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF NAAT (SEND-OUT) | $110.39 | $157.70 | $37.27–$68.20 | 5% below | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $248.15 | $354.50 | $20.81–$38.08 | 128% above | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $159.43 | $227.75 | $20.81–$38.08 | 64% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INHOUSE COVID-19 | $98.92 | $141.31 | $51.31–$93.90 | 28% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 CHARGE ONLY | $98.92 | $141.31 | $51.31–$93.90 | 28% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CYTOCHECK COVID-19 | $140.91 | $201.30 | $51.31–$93.90 | 2% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $140.91 | $201.30 | $51.31–$93.90 | 2% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 MAWD COVID-19 RNA | $140.91 | $201.30 | $51.31–$93.90 | 2% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $140.49 | $200.70 | $35.09–$64.21 | 20% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS NAAT | $140.49 | $200.70 | $35.09–$64.21 | 20% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $103.67 | $148.10 | $13.39–$24.50 | 12% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $73.47 | $104.95 | $7.77–$14.22 | 68% above | 30% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO NO DIFF | $57.96 | $82.80 | $6.47–$11.84 | 24% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHEM PROFILE | $163.35 | $233.35 | $10.56–$19.32 | 56% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $163.35 | $233.35 | $10.56–$19.32 | 56% above | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT | $113.05 | $161.50 | $10.18–$18.63 | 5% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $221.59 | $316.55 | $22.23–$40.68 | 72% above | 30% |
| Estradiol blood test CPT 82670 ESTRADIOL (SEND-OUT) | $303.35 | $433.35 | $27.94–$51.13 | 78% above | 30% |
| Estradiol blood test CPT 82670 ESTRADIOL | $303.35 | $433.35 | $27.94–$51.13 | 78% above | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH (SEND-OUT) | $157.05 | $224.35 | $18.58–$34.00 | 32% above | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $157.05 | $224.35 | $18.58–$34.00 | 32% above | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $400.86 | $572.65 | $19.63–$35.92 | 74% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $118.97 | $169.95 | $13.63–$24.94 | 34% above | 30% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $134.82 | $192.60 | $14.70–$26.90 | 35% above | 30% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $185.57 | $265.10 | $16.94–$31.00 | 43% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $76.55 | $109.35 | $9.02–$16.51 | 14% above | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $154.00 | $220.00 | $25.47–$46.61 | 7% above | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $106.09 | $151.55 | $37.89–$136.40 | 42% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL SCREEN | $54.60 | $78.00 | $4.75–$8.69 | 14% above | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 POST DOSE GLUCOSE | $54.60 | $78.00 | $4.75–$8.69 | 14% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT FIRST 3 SPECIMENS | $120.93 | $172.75 | $12.87–$23.55 | 31% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 1ST 3 M/W | $120.93 | $172.75 | $12.87–$23.55 | 31% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAAT | $145.15 | $207.35 | $35.09–$64.21 | 32% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $145.15 | $207.35 | $35.09–$64.21 | 32% above | 30% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGA | $102.80 | $146.85 | $16.85–$30.84 | 42% above | 30% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM | $102.80 | $146.85 | $16.85–$30.84 | 42% above | 30% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG | $102.80 | $146.85 | $16.85–$30.84 | 42% above | 30% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG | $254.07 | $362.95 | $14.38–$26.32 | 131% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT | $577.33 | $824.75 | $85.10–$155.73 | 88% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB COMBO | $146.34 | $209.05 | $24.08–$44.07 | 55% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB POST EXPOSURE | $146.34 | $209.05 | $24.08–$44.07 | 55% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $55.27 | $78.95 | $35.09–$64.21 | 58% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C (SEND-OUT) | $56.77 | $81.10 | $9.71–$17.77 | 13% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $91.18 | $130.25 | $9.71–$17.77 | 40% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB | $99.96 | $142.80 | $10.74–$19.65 | 25% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB (SEND OUT) | $99.96 | $142.80 | $10.74–$19.65 | 25% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG IA SEND OUT | $105.98 | $151.40 | $10.33–$18.90 | 66% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG | $105.98 | $151.40 | $10.33–$18.90 | 66% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $39.48 | $56.40 | $14.27–$26.11 | 51% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $124.53 | $177.90 | $14.27–$26.11 | 55% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB (SEND OUT) | $124.53 | $177.90 | $14.27–$26.11 | 55% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $462.91 | $661.30 | $42.84–$78.40 | 63% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT RNA PCR | $462.91 | $661.30 | $42.84–$78.40 | 63% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 | $72.56 | $103.65 | $13.19–$24.14 | 24% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2-SPECIFIC ANTIBODIES | $79.66 | $113.80 | $19.35–$35.41 | 10% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 SUPPLEMENTAL | $79.66 | $113.80 | $19.35–$35.41 | 10% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 | $79.66 | $113.80 | $19.35–$35.41 | 10% below | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $137.90 | $197.00 | $12.95–$23.70 | 54% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN-HS | $146.65 | $209.50 | $12.95–$23.70 | 64% above | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (SEND-OUT) | $481.11 | $687.30 | $17.92–$32.79 | 109% above | 30% |
| Insulin blood test CPT 83525 INSULIN | $124.57 | $177.95 | $11.43–$20.92 | 52% above | 30% |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL | $60.55 | $86.50 | $6.47–$11.84 | 35% above | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $90.02 | $128.60 | $8.74–$15.99 | 33% above | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $109.66 | $156.65 | $8.68–$15.88 | 46% above | 30% |
| LH (luteinizing hormone) test CPT 83002 LH | $151.83 | $216.90 | $18.52–$33.89 | 35% above | 30% |
| LH (luteinizing hormone) test CPT 83002 LH (SEND-OUT) | $151.83 | $216.90 | $18.52–$33.89 | 35% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $72.80 | $104.00 | $6.89–$12.61 | 14% above | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $94.71 | $135.30 | $8.17–$14.95 | 14% above | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W/REFLEX | $66.43 | $94.90 | $17.03–$31.16 | 46% below | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM | $166.81 | $238.30 | $17.03–$31.16 | 37% above | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL W/REFLEX | $166.81 | $238.30 | $17.03–$31.16 | 37% above | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG | $166.81 | $238.30 | $17.03–$31.16 | 37% above | 30% |
| Magnesium blood test CPT 83735 RBC MAGNESIUM | $67.76 | $96.80 | $6.70–$12.26 | 28% above | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM UR 24HR | $67.76 | $96.80 | $6.70–$12.26 | 28% above | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM | $67.76 | $96.80 | $6.70–$12.26 | 28% above | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $147.04 | $210.05 | $12.88–$23.57 | 41% above | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $147.04 | $210.05 | $12.88–$23.57 | 41% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $56.14 | $80.20 | $5.18–$9.48 | 20% above | 30% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $309.09 | $441.55 | $47.81–$87.49 | 72% above | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $103.88 | $148.40 | $18.39–$33.65 | 13% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $148.47 | $212.10 | $18.39–$33.65 | 34% above | 30% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR | $41.93 | $59.90 | $26.61–$48.70 | 55% below | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $56.70 | $81.00 | $20.26–$37.08 | 36% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT (SENDOUT) | $281.72 | $402.45 | $41.28–$75.54 | 37% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $338.07 | $482.95 | $41.28–$75.54 | 64% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $52.78 | $75.40 | $6.01–$11.00 | 12% above | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 PLUS | $2,013.20 | $2,876.00 | $759.05–$1,389.06 | 17% below | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE | $164.61 | $235.15 | $20.86–$38.17 | 45% above | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE (SEND-OUT) | $164.61 | $235.15 | $20.86–$38.17 | 45% above | 30% |
| Prolactin blood test CPT 84146 PROLACTIN | $192.29 | $274.70 | $19.38–$35.47 | 51% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $43.89 | $62.70 | $4.29–$7.85 | 29% above | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN E-CHAIN | $19.43 | $27.75 | $12.60–$23.06 | 65% below | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN LCC + TCA | $41.58 | $59.40 | $12.60–$23.06 | 25% below | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN MT3 | $47.29 | $67.55 | $12.60–$23.06 | 14% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $120.93 | $172.75 | $16.53–$30.25 | 69% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE | $57.33 | $81.90 | $5.67–$10.38 | 16% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $114.24 | $163.20 | $14.39–$26.33 | 86% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG (SEND OUT) | $114.24 | $163.20 | $14.39–$26.33 | 86% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $114.24 | $163.20 | $14.39–$26.33 | 86% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $38.47 | $54.95 | $2.70–$4.94 | 13% above | 30% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE EXAM | $72.17 | $103.10 | $8.90–$16.29 | 19% above | 30% |
| Stool ova and parasites exam CPT 87177 TEST OVA AND PARASITE EXAM | $72.17 | $103.10 | $8.90–$16.29 | 19% above | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 COLORECTAL/INTESTINAL SCREEN | $38.96 | $55.65 | $4.38–$8.02 | 44% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IFOBT | $38.96 | $55.65 | $15.92–$29.13 | 25% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $47.88 | $68.40 | $4.27–$7.81 | 26% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLEX TO TP | $47.88 | $68.40 | $4.27–$7.81 | 26% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS | $204.12 | $291.60 | $61.98–$113.42 | 8% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $148.61 | $212.30 | $25.81–$47.23 | 5% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (SEND-OUT) | $148.61 | $212.30 | $25.81–$47.23 | 5% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO AB | $133.32 | $190.45 | $14.55–$26.63 | 67% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL AB | $133.32 | $190.45 | $14.55–$26.63 | 67% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $122.40 | $174.85 | $16.80–$30.74 | 33% above | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS AMPLIFIED | $67.76 | $96.80 | $35.09–$64.21 | 50% below | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA | $67.76 | $96.80 | $35.09–$64.21 | 50% below | 30% |
| Uric acid blood test CPT 84550 URIC ACID | $56.63 | $80.90 | $4.52–$8.27 | 47% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO W/C&S | $57.16 | $81.65 | $3.17–$5.80 | 73% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ONLY | $57.16 | $81.65 | $3.17–$5.80 | 73% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 UA WITH MICRO | $57.16 | $81.65 | $3.17–$5.80 | 73% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO C&S IF IND | $57.16 | $81.65 | $3.17–$5.80 | 73% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO ONLY | $57.16 | $81.65 | $3.17–$5.80 | 73% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO DIPSTICK ONLY | $23.49 | $33.55 | $2.25–$4.12 | 4% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE AUTO DIPSTICK | $23.49 | $33.55 | $2.25–$4.12 | 4% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY | $23.49 | $33.55 | $2.25–$4.12 | 4% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE DIPSTICK | $23.49 | $33.55 | $2.25–$4.12 | 4% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 KETONE URINE | $20.41 | $29.15 | $3.48–$6.37 | 9% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK ONLY | $20.41 | $29.15 | $3.48–$6.37 | 9% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 UA, OB DPSTCK ONLY | $20.41 | $29.15 | $3.48–$6.37 | 9% above | 30% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $80.89 | $115.55 | $8.07–$14.77 | 44% above | 30% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $83.23 | $118.90 | $8.61–$15.76 | 77% above | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $118.69 | $169.55 | $15.08–$27.60 | 29% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 HYDROXY) | $340.73 | $486.75 | $29.60–$54.17 | 37% above | 30% |
| Zinc blood test CPT 84630 ZINC BLOOD | $94.96 | $135.65 | $11.39–$20.84 | 60% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE | $146.34 | $209.05 | $15.05–$27.54 | 47% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG | $146.34 | $209.05 | $15.05–$27.54 | 47% above | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $1,924.23 | $2,748.90 | $1,518.90–$2,779.59 | 13% below | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $1,571.99 | $2,245.70 | $226.85–$415.13 | 205% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE | $773.12 | $1,104.45 | $607.84–$1,112.35 | 24% above | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $252.88 | $361.25 | $361.25–$3,518.06 | 46% below | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ER FAC TX COLLES FRACT | $1,849.72 | $2,642.45 | $226.85–$415.13 | 267% above | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $665.00 | $950.00 | $641.27–$1,173.53 | 37% below | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ER REMOVAL IMPACTED CERUMEN | $427.88 | $611.25 | $54.25–$99.28 | 392% above | 30% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMP CERUMEN | $396.38 | $566.25 | $54.25–$99.28 | 297% above | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $804.51 | $1,149.30 | $649.17–$1,187.98 | 31% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,023.86 | $1,462.65 | $813.41–$1,488.54 | 4% above | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $205.63 | $293.75 | $73.44–$264.38 | 53% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE | $686.88 | $981.25 | $184.51–$337.66 | 182% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION DRAINAGE ABSCESS | $686.88 | $981.25 | $184.51–$337.66 | 182% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON SHEATH | $233.14 | $333.05 | $282.29–$516.59 | 34% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT | $369.67 | $528.10 | $282.29–$516.59 | 9% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION OF MAJOR JOINT | $439.71 | $628.15 | $282.29–$516.59 | 30% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIRATE/INJECT | $369.67 | $528.10 | $282.29–$516.59 | 34% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT/INJ SM JT | $245.67 | $350.95 | $282.29–$516.59 | 3% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $245.67 | $350.95 | $282.29–$516.59 | 3% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 CLOSURE TRUNK 2.5CM OR LESS | $1,272.25 | $1,817.50 | $373.85–$684.15 | 233% above | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $954.80 | $1,364.00 | $649.17–$1,187.98 | 20% below | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL STEROID-LUM | $954.80 | $1,364.00 | $813.41–$1,488.54 | 15% above | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ SINGLE LUMBAR/SACRAL | $954.80 | $1,364.00 | $813.41–$1,488.54 | 15% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ SINGLE FORAMEN EPIDURAL | $664.83 | $949.75 | $813.41–$1,488.54 | 31% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE | $122.99 | $175.70 | $175.70–$337.66 | 17% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 EXC NAIL SIMPLE; SINGLE | $306.01 | $437.15 | $184.51–$337.66 | 106% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 ER FAC NJX AA STRD GR OCP NRV | $402.19 | $574.55 | $282.29–$516.59 | 7% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT GREAT OCC NERVE | $402.19 | $574.55 | $282.29–$516.59 | 7% above | 30% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $596.23 | $851.75 | $834.12–$1,526.43 | 18% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL AND NAIL MATRIC | $699.41 | $999.15 | $373.85–$684.15 | 83% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE INGROWN NAIL | $699.41 | $999.15 | $373.85–$684.15 | 83% above | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,431.26 | $2,044.65 | $1,795.84–$3,286.38 | 23% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SIMPLE | $931.88 | $1,331.25 | $373.85–$684.15 | 225% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FB SUBQ SIMPLE | $931.88 | $1,331.25 | $373.85–$684.15 | 225% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST SHORT ARM | $374.50 | $535.00 | $257.22–$470.71 | 64% above | 30% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $367.50 | $525.00 | $122.36–$223.92 | 109% above | 30% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF CAST SHORT LEG | $240.63 | $343.75 | $257.22–$470.71 | at median | 30% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $336.28 | $480.40 | $149.44–$273.48 | 99% above | 30% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG CAST | $336.28 | $480.40 | $149.44–$273.48 | 99% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SMPL SCLP NCK AXIL TRNK | $423.40 | $604.85 | $184.51–$337.66 | 77% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUNDS TRUNK 2.5CM OR LESS | $423.40 | $604.85 | $184.51–$337.66 | 77% above | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN ONE LESION | $508.06 | $725.80 | $373.85–$684.15 | 31% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 ER FAC REM SKIN TAG TO&INC 15 | $1,459.50 | $2,085.00 | $184.51–$337.66 | 887% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG ANY AREA =<15 | $1,459.50 | $2,085.00 | $184.51–$337.66 | 887% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 US LUMBAR PUNCTURE | $560.28 | $800.40 | $649.17–$1,187.98 | 1% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 OUT PATIENT SPINAL TAP | $560.28 | $800.40 | $649.17–$1,187.98 | 1% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $560.28 | $800.40 | $649.17–$1,187.98 | 1% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $560.28 | $800.40 | $649.17–$1,187.98 | 1% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WOUNDS TRUNK 2.6CM-7.5CM | $423.40 | $604.85 | $184.51–$337.66 | 52% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $423.40 | $604.85 | $184.51–$337.66 | 53% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WOUNDS FACE 2.5CM OR LESS | $423.40 | $604.85 | $184.51–$337.66 | 53% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGENTIAL SINGLE | $553.88 | $791.25 | $373.85–$684.15 | 101% above | 30% |
| Thoracentesis with imaging guidance CPT 32555 OP THORACENTESIS WITH IMAGING | $1,013.92 | $1,448.45 | $576.90–$1,055.73 | 4% above | 30% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,013.92 | $1,448.45 | $576.90–$1,055.73 | 4% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ER FAC INJ TRIG POINT 1-2 MUSC | $343.32 | $490.45 | $282.29–$516.59 | 48% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION | $343.32 | $490.45 | $282.29–$516.59 | 48% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 TO 2 | $343.32 | $490.45 | $282.29–$516.59 | 48% above | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $2,738.44 | $3,912.05 | $1,518.90–$2,779.59 | 39% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $904.09 | $1,291.55 | $834.12–$1,526.43 | 27% below | 30% |
| Wart removal, up to 14 warts CPT 17110 DESTROY <=14 BENIGN LESIONS | $860.13 | $1,228.75 | $184.51–$337.66 | 357% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND DEBRIDE, SUPERFICIAL | $437.57 | $625.10 | $373.85–$684.15 | 36% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCU 1ST 20 SQ CM | $437.57 | $625.10 | $373.85–$684.15 | 36% above | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLOOD OR BLOOD COMP | $630.91 | $901.30 | $405.73–$742.48 | 4% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ALBUTEROL 17 GM INH - MDI | $138.64 | $198.05 | $198.05–$368.53 | 8% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ADVAIR DISK 250/50 28 MDI | $138.64 | $198.05 | $198.05–$368.53 | 8% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ALBUTEROL 0.083% SOLN - BAN | $138.64 | $198.05 | $198.05–$368.53 | 8% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SEREVENT - MDI | $138.64 | $198.05 | $198.05–$368.53 | 8% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 LEVALBUTEROL 0.31 MG/3ML SOL | $138.64 | $198.05 | $198.05–$368.53 | 8% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DUONEB 0.5/3 ML VIAL - BAN | $138.64 | $198.05 | $198.05–$368.53 | 8% above | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $225.89 | $322.70 | $303.77–$555.90 | 43% below | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 ER FAC CRIT CARE FIRST HR | $1,027.04 | $1,467.20 | $759.66–$1,390.18 | 25% above | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 1ST VISIT | $1,027.04 | $1,467.20 | $759.66–$1,390.18 | 25% above | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $386.02 | $551.45 | $198.58–$363.39 | 25% below | 30% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $28.00 | $40.00 | $10.00–$36.00 | 66% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG STANDARD 12 LEAD | $151.90 | $217.00 | $54.25–$99.28 | 16% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG PEDIATRIC | $151.90 | $217.00 | $54.25–$99.28 | 16% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FAC LEVEL I | $143.36 | $204.80 | $77.55–$141.91 | 4% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FAC LEVEL I W/ PROC | $143.36 | $204.80 | $77.55–$141.91 | 4% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 LEFT ER WITHOUT BEING SEEN | $140.00 | $200.00 | $77.55–$141.91 | 2% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FAC LEVEL II | $212.10 | $303.00 | $141.21–$258.41 | 6% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FAC LEVEL II W/ PROC | $212.10 | $303.00 | $141.21–$258.41 | 6% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FAC LEVEL III | $347.41 | $496.30 | $251.05–$459.41 | at median | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FAC ED VISIT LOW MDM | $347.41 | $496.30 | $251.05–$459.41 | at median | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FAC LEVEL IV | $496.30 | $709.00 | $383.74–$702.24 | 1% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FAC LEVEL IV W/ PROC | $496.30 | $709.00 | $383.74–$702.24 | 1% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FAC LEVEL V | $936.11 | $1,337.30 | $547.68–$1,002.26 | 11% above | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FAC LEVEL V W/ PROC | $936.11 | $1,337.30 | $547.68–$1,002.26 | 11% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING ONLY | $311.64 | $445.20 | $198.58–$363.39 | 46% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $236.95 | $338.50 | $195.61–$357.97 | 9% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY, INITIAL | $271.95 | $388.50 | $195.61–$357.97 | 1% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $271.95 | $388.50 | $195.61–$357.97 | 1% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SC/IM - ER | $110.74 | $158.20 | $66.22–$121.17 | 62% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SC/IM - NURSING | $110.74 | $158.20 | $66.22–$121.17 | 62% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NSG INJ SC/IM EXT RR | $110.74 | $158.20 | $66.22–$121.17 | 62% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 NEW OUTPT VISIT LOW MDM 30 MIN | $151.41 | $216.30 | $54.08–$194.67 | at median | 30% |
| New patient office visit, about 45 minutes CPT 99204 NEW OUTPT VISIT MOD MDM 45 MIN | $232.61 | $332.30 | $83.08–$299.07 | 16% above | 30% |
| New patient office visit, about 60 minutes CPT 99205 NEW OUTPT VISIT HI MDM 60 MIN | $289.77 | $413.95 | $103.49–$372.56 | 2% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OUTPT VISIT SF MDM 15 MIN | $104.27 | $148.95 | $37.24–$134.06 | 9% below | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $44.14 | $63.05 | $35.63–$65.20 | 39% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS > 3 UP TO 10 MIN | $25.62 | $36.60 | $34.46–$63.06 | 15% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST OUTPT VISIT HI MDM 40 MIN | $202.02 | $288.60 | $72.15–$259.74 | 12% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TREATMENT ROOM LEVEL III | $111.83 | $159.75 | $39.94–$143.78 | 19% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $181.58 | $259.40 | $64.85–$233.46 | 31% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TREATMENT ROOM LEVEL IV | $155.16 | $221.65 | $55.41–$199.49 | 13% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT ROOM LEVEL II | $111.83 | $159.75 | $39.94–$143.78 | 8% above | 30% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHO SPASM EVAL SPIRO W VC | $430.01 | $614.30 | $343.18–$628.01 | 2% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY NURSING | $177.10 | $253.00 | $122.36–$223.92 | 31% above | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX (MODERNA) COVID (12UP | $138.04 | $197.20 | $49.30–$177.48 | at median | 30% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX (MODERNA) COVID (12UP | $138.04 | $197.20 | $49.30–$177.48 | at median | 30% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX (MODERNA) COVID (12UP | $138.04 | $197.20 | $49.30–$177.48 | — | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE WITH DILUENT | $144.10 | $205.85 | $51.46–$185.27 | 34% below | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE WITH DILUENT | $144.10 | $205.85 | $51.46–$185.27 | 34% below | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE/PF | $288.93 | $412.75 | $103.19–$371.48 | 32% above | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE/PF | $288.93 | $412.75 | $103.19–$371.48 | 32% above | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE WITH DILUENT | $144.10 | $205.85 | $51.46–$185.27 | — | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE LIVE/PF | $288.93 | $412.75 | $103.19–$371.48 | — | 30% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC NO PRSV 0.5 ML | $59.22 | $84.60 | $21.15–$76.14 | 72% above | 30% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC NO PRSV 0.5 ML | $59.22 | $84.60 | $21.15–$76.14 | 72% above | 30% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACC NO PRSV 0.5 ML | $59.22 | $84.60 | $21.15–$76.14 | — | 30% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT/PF | $460.39 | $657.70 | $164.43–$591.93 | 12% above | 30% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT/PF | $460.39 | $657.70 | $164.43–$591.93 | 12% above | 30% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9-VALENT/PF | $460.39 | $657.70 | $164.43–$591.93 | — | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE/PF ADULT | $99.75 | $142.50 | $35.63–$128.25 | 19% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE/PF ADULT | $99.75 | $142.50 | $35.63–$128.25 | 19% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 MENINGOCOCCAL B VACCINE4-COMP | $234.89 | $335.55 | $83.89–$302.00 | 91% above | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 MENINGOCOCCAL B VACCINE4-COMP | $234.89 | $335.55 | $83.89–$302.00 | 91% above | 30% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE/PF ADULT | $99.75 | $142.50 | $35.63–$128.25 | — | 30% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 MENINGOCOCCAL B VACCINE4-COMP | $234.89 | $335.55 | $83.89–$302.00 | — | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE/PF | $69.44 | $99.20 | $24.80–$89.28 | 40% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE/PF | $69.44 | $99.20 | $24.80–$89.28 | 40% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE/PF | $69.44 | $99.20 | $24.80–$89.28 | — | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE HD (65YR UP) | $77.53 | $110.75 | $27.69–$99.68 | 18% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE HD (65YR UP) | $77.53 | $110.75 | $27.69–$99.68 | 18% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE HD (65YR UP) | $77.53 | $110.75 | $27.69–$99.68 | — | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE 0.5ML VIAL | $119.14 | $170.20 | $42.55–$153.18 | 5% below | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE 0.5ML VIAL | $119.14 | $170.20 | $42.55–$153.18 | 5% below | 30% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE 0.5ML VIAL | $119.14 | $170.20 | $42.55–$153.18 | — | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW-135 DIP/PF | $155.09 | $221.55 | $55.39–$199.40 | 35% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW-135 DIP/PF | $155.09 | $221.55 | $55.39–$199.40 | 35% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE 1 VIAL | $165.24 | $236.05 | $59.01–$212.45 | 31% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE 1 VIAL | $165.24 | $236.05 | $59.01–$212.45 | 31% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW-135 DIP/PF | $155.09 | $221.55 | $55.39–$199.40 | — | 30% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE 1 VIAL | $165.24 | $236.05 | $59.01–$212.45 | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $402.29 | $574.70 | $143.68–$517.23 | 1% above | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $402.29 | $574.70 | $143.68–$517.23 | 1% above | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $402.29 | $574.70 | $143.68–$517.23 | — | 30% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP | $770.04 | $1,100.05 | $275.01–$990.05 | 36% below | 30% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP | $770.04 | $1,100.05 | $275.01–$990.05 | 36% below | 30% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP | $770.04 | $1,100.05 | $275.01–$990.05 | — | 30% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $420.18 | $600.25 | $270.11–$540.23 | 31% below | 30% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $420.18 | $600.25 | $319.74–$585.12 | 31% below | 30% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE | $420.18 | $600.25 | $270.11–$540.23 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $38.08 | $54.40 | $54.40–$121.17 | 2% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $32.69 | $46.70 | $11.68–$42.03 | 33% above | 30% |
Source file: https://labettehealth.pt.panaceainc.com/MRFDownload/labettehealth/labettehealth