Pagosa Springs Medical Center
Pagosa Springs Medical Center in Pagosa Springs, CO publishes cash prices for 290 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 238 of 288 procedures and above it for 44. By typical cash price it ranks #16 of 49 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
95 S Pagosa Blvd Pagosa Springs, CO 81147 Collected Sep 29, 2026 Source price file (970) 731-3700
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 061328 · CMS hospital register
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 1 action for a hospital named Pagosa Springs Medical Center in Pagosa Springs, CO:
- May 23, 2023 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Lt | $228.64 | $285.80 | $75.44–$271.51 | 24% below | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $435.60 | $544.50 | $75.44–$517.28 | 45% below | 20% |
| Breast ultrasound, complete, one breast CPT 76641 US Breast Bil. | $229.84 | $287.30 | $106.88–$272.94 | 47% below | 20% |
| Breast ultrasound, complete, one breast CPT 76641 76645 Ultrasound, Breast | $330.88 | $413.60 | $106.88–$392.92 | 24% below | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Lt. | $330.88 | $413.60 | $106.88–$392.92 | 24% below | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest w/ Cont | $638.96 | $798.70 | $180.34–$758.77 | 74% below | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE w/ Cont | $2,267.60 | $2,834.50 | $180.34–$2,692.78 | 6% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen +Pelvis w/o Cont | $1,084.88 | $1,356.10 | $233.52–$1,288.30 | 46% below | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen +Pelvis w/ Cont | $1,322.56 | $1,653.20 | $368.43–$1,570.54 | 53% below | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont | $1,734.40 | $2,168.00 | $368.43–$2,059.60 | 50% below | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Cont | $1,322.56 | $1,653.20 | $180.34–$1,570.54 | 38% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Cont | $1,103.12 | $1,378.90 | $106.88–$1,309.96 | 22% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT Chest +Abdomen w/ + w/o Cont | $3,389.20 | $4,236.50 | $106.88–$4,024.68 | 138% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus or Facial w/o Cont | $1,103.12 | $1,378.90 | $106.88–$1,309.96 | 17% below | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont | $1,042.80 | $1,303.50 | $106.88–$1,238.33 | 25% below | 20% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Cont | $1,484.40 | $1,855.50 | $180.34–$1,762.73 | 5% below | 20% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Cont | $1,664.40 | $2,080.50 | $180.34–$1,976.48 | 9% below | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Cont | $1,103.12 | $1,378.90 | $106.88–$1,309.96 | 26% below | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Cont | $1,103.12 | $1,378.90 | $106.88–$1,309.96 | 26% below | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Cont | $1,322.56 | $1,653.20 | $180.34–$1,570.54 | 38% below | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Doppler Bil | $530.16 | $662.70 | $221.27–$629.57 | 84% below | 20% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM, CHES, 2 VIEWS | $243.04 | $303.80 | $70.86–$288.61 | 22% below | 20% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAMINATION, CHEST, SINGLE VIEW | $216.08 | $270.10 | $54.60–$256.60 | 18% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Comp | $487.44 | $609.30 | $106.88–$578.84 | 32% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA Axial Skeleton | $468.88 | $586.10 | $80.16–$556.80 | 15% below | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD DEXA Appendicular Skeleton | $185.36 | $231.70 | $65.94–$220.12 | 65% below | 20% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SNGL FETUS | $317.84 | $397.30 | $134.00–$377.44 | 72% below | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Contrast | $721.20 | $901.50 | $106.88–$856.43 | 52% below | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Cont | $1,376.80 | $1,721.00 | $106.88–$1,634.95 | 9% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax with contrast | $1,313.84 | $1,642.30 | $180.34–$1,560.19 | 30% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Cont | $1,313.84 | $1,642.30 | $180.34–$1,560.19 | 30% below | 20% |
| Diagnostic mammogram, both breasts CPT 77066 MA Diag Breast Tomo Bil. | $381.84 | $477.30 | $66.74–$453.44 | 5% above | 20% |
| Diagnostic mammogram, both breasts CPT 77066 MA Diag Bil. | $381.84 | $477.30 | $66.74–$453.44 | 5% above | 20% |
| Diagnostic mammogram, one breast CPT 77065 | $298.48 | $373.10 | $66.74–$354.45 | 18% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Post Procedure Lt | $28.72 | $35.90 | $66.74 | 92% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Breast Tomo Lt. | $298.48 | $373.10 | $66.74–$354.45 | 18% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Diag Rt. | $298.48 | $373.10 | $66.74–$354.45 | 18% below | 20% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US LE Art Duplex Bil | $700.64 | $875.80 | $221.27–$832.01 | 74% below | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US LE Veins Duplex Bil | $723.04 | $903.80 | $221.27–$858.61 | 84% below | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Venous Reflux Study Bil | $723.04 | $903.80 | $221.27–$858.61 | 84% below | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Comp | $1,353.28 | $1,691.60 | $411.18–$1,607.02 | 39% below | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepa Duct System | $986.96 | $1,233.70 | $388.68–$1,172.02 | 53% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Lt | $167.44 | $209.30 | $75.44–$198.84 | 48% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ltd | $398.56 | $498.20 | $106.88–$473.29 | 32% below | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening | $283.12 | $353.90 | $106.88–$514.00 | 8% below | 20% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/ + w/o Cont Bil | $2,364.00 | $2,955.00 | $588.01–$2,955.00 | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Cont Lt | $2,011.60 | $2,514.50 | $233.52–$2,388.78 | 2% above | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Foot w/ + w/o Cont Lt | $2,574.40 | $3,218.00 | $368.43–$3,057.10 | at median | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Cont Lt | $2,574.40 | $3,218.00 | $368.43–$3,057.10 | at median | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Cont | $2,011.60 | $2,514.50 | $233.52–$2,388.78 | 12% below | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Cont | $2,574.40 | $3,218.00 | $368.43–$3,057.10 | 20% below | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Cont | $2,031.76 | $2,539.70 | $233.52–$2,412.72 | 9% below | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Cont | $2,600.08 | $3,250.10 | $368.43–$3,087.60 | 19% below | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Cont | $2,031.76 | $2,539.70 | $233.52–$2,412.72 | at median | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Cont | $2,600.08 | $3,250.10 | $368.43–$3,087.60 | 19% below | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Cont | $2,031.76 | $2,539.70 | $233.52–$2,412.72 | 11% below | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Cont | $2,600.08 | $3,250.10 | $368.43–$3,087.60 | 20% below | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Cont | $2,031.76 | $2,539.70 | $233.52–$2,412.72 | 7% below | 20% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Cont | $2,574.40 | $3,218.00 | $368.43–$3,057.10 | 30% below | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Cont | $2,011.60 | $2,514.50 | $233.52–$2,388.78 | 14% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UE Joint w/o Cont Bil | $2,011.60 | $2,514.50 | $233.52–$2,388.78 | 32% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Cont Lt | $2,011.60 | $2,514.50 | $233.52–$2,388.78 | 32% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Cont Lt | $2,011.60 | $2,514.50 | $233.52–$2,388.78 | 32% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Non-OB Ltd | $315.20 | $394.00 | $101.84–$374.30 | 38% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non-OB Comp | $465.28 | $581.60 | $106.88–$552.52 | 33% below | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnant > 14 Weeks 1st Gest | $547.76 | $684.70 | $106.88–$650.47 | 36% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant < 14 Weeks 1st Gest | $484.72 | $605.90 | $106.88–$575.61 | 27% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Ltd | $335.44 | $419.30 | $106.88–$398.34 | 23% below | 20% |
| Screening mammogram, both breasts CPT 77067 MA Routine Screen Breast w/ Tomo Bil. | $316.08 | $395.10 | $66.74–$375.35 | 86% above | 20% |
| Screening mammogram, both breasts CPT 77067 MA Routine Screen Bil. | $316.08 | $395.10 | $66.74–$375.35 | 86% above | 20% |
| Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Breast w/ Tomo Lt. | $149.20 | $186.50 | $66.74–$270.80 | 12% below | 20% |
| Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Breast w/ Tomo Rt. | $149.20 | $186.50 | $66.74–$270.80 | 12% below | 20% |
| Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Lt. | $149.20 | $186.50 | $66.74–$270.80 | 12% below | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Lt | $228.64 | $285.80 | $73.10–$271.51 | 24% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $465.28 | $581.60 | $106.88–$552.52 | 27% below | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnant Transvaginal | $270.56 | $338.20 | $106.88–$321.29 | 56% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Comp | $514.32 | $642.90 | $106.88–$610.76 | 29% below | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum +Contents | $1,032.48 | $1,290.60 | $106.88–$1,226.07 | 54% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head +Neck Soft Tissue | $280.80 | $351.00 | $106.88–$333.45 | 56% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Veins Duplex Lt | $458.80 | $573.50 | $106.88–$544.83 | 17% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Reflux Study Lt | $458.80 | $573.50 | $106.88–$544.83 | 17% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Reflux Study Rt | $458.80 | $573.50 | $106.88–$544.83 | 17% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Rt | $228.64 | $285.80 | $75.44–$271.51 | 24% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Comp Min 2 Views Lt | $216.08 | $270.10 | $75.44–$256.60 | 45% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAMINATION, ABDOMEN, 1 VIEW | $216.08 | $270.10 | $63.14–$256.60 | 24% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Lt | $216.08 | $270.10 | $68.90–$256.60 | 28% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Lt | $216.08 | $270.10 | $75.44–$256.60 | 23% below | 20% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Lt | $216.08 | $270.10 | $59.64–$256.60 | 25% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Lt | $228.64 | $285.80 | $72.42–$271.51 | 24% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Lt | $228.64 | $285.80 | $75.44–$271.51 | 24% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Lt | $167.44 | $209.30 | $72.46–$198.84 | 44% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee Standing +1-2 Views Lt | $167.44 | $209.30 | $72.46–$198.84 | 44% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee Standing +1-2 Views Rt | $167.44 | $209.30 | $72.46–$198.84 | 44% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $234.96 | $293.70 | $75.44–$279.02 | 39% below | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Min 4 Views w/ Obl | $373.52 | $466.90 | $75.44–$443.56 | 26% below | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $228.64 | $285.80 | $69.48–$271.51 | 29% below | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Min 3 Views | $216.08 | $270.10 | $75.44–$256.60 | 33% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cerv 2 or 3 Views | $234.96 | $293.70 | $75.44–$279.02 | 35% below | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 View | $216.08 | $270.10 | $58.90–$256.60 | 28% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum +Coccyx Min 2 Views | $216.08 | $270.10 | $68.86–$256.60 | 30% below | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $58.80 | $73.50 | $4.98–$69.83 | 31% below | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $58.80 | $73.50 | $4.87–$69.83 | 5% below | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) LC | $307.60 | $384.50 | $10.92–$365.28 | 35% below | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) | $307.60 | $384.50 | $10.92–$365.28 | 35% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F091-IgE Mango LC | $39.76 | $49.70 | $4.91–$47.22 | 12% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F293-IgE Papaya Food LC | $39.76 | $49.70 | $4.91–$47.22 | 12% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut, Food LC | $39.76 | $49.70 | $4.91–$47.22 | 12% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut LC | $39.76 | $49.70 | $4.91–$47.22 | 12% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Basic Food LC | $63.76 | $79.70 | $4.91–$75.72 | 41% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC | $97.76 | $122.20 | $12.17–$116.09 | 23% below | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct LC | $28.56 | $35.70 | $11.36–$33.92 | 73% below | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide (BNP) | $200.56 | $250.70 | $36.90–$238.17 | 41% below | 20% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel 4 | $90.24 | $112.80 | $7.95–$107.16 | 47% below | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 cell block | $78.08 | $97.60 | $29.14–$148.22 | 86% below | 20% |
| Blood culture for bacteria CPT 87040 Blood Culture, Routine LC | $83.12 | $103.90 | $9.49–$98.71 | 70% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipuncture INFUSION | $10.40 | $13.00 | $3.07–$17.14 | 69% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Blood Bank Draw Charge | $10.40 | $13.00 | $3.07–$17.14 | 69% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $10.40 | $13.00 | $3.07–$17.14 | 69% below | 20% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $58.80 | $73.50 | $3.69–$69.83 | 18% below | 20% |
| Blood lead test CPT 83655 Lead, Blood (Adult) LC | $22.56 | $28.20 | $10.94–$26.79 | 80% below | 20% |
| Blood lead test CPT 83655 Lead POC | $37.36 | $46.70 | $11.38–$44.37 | 66% below | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum 2 | $96.80 | $121.00 | $6.44–$114.95 | 38% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $51.76 | $64.70 | $5.65–$64.70 | 52% below | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $90.24 | $112.80 | $4.87–$107.16 | 7% below | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin A/B | $211.36 | $264.20 | $35.03–$250.99 | 43% below | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $27.68 | $34.60 | $13.42–$41.62 | 87% below | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $24.96 | $31.20 | $12.11–$41.62 | 88% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC | $52.64 | $65.80 | $25.53–$102.62 | 58% below | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC Amplification LC | $67.60 | $84.50 | $32.79–$80.28 | 78% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel LC | $17.60 | $22.00 | $8.54–$26.78 | 86% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR Lipoprof+Graph LC | $17.60 | $22.00 | $8.54–$26.78 | 86% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel 1 | $124.16 | $155.20 | $10.92–$147.44 | 3% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Auto Diff 3 | $82.56 | $103.20 | $7.30–$98.04 | 3% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 Hemogram 2 | $82.56 | $103.20 | $6.08–$98.04 | 1% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp. Metabolic Panel (14) LC | $14.72 | $18.40 | $7.14–$21.12 | 93% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel 4 | $115.68 | $144.60 | $9.93–$137.37 | 44% below | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $216.64 | $270.80 | $4.89–$257.26 | 20% above | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate LC | $31.04 | $38.80 | $15.05–$44.46 | 86% below | 20% |
| Estradiol blood test CPT 82670 Estradiol LC | $36.48 | $45.60 | $16.57–$55.88 | 87% below | 20% |
| Estradiol blood test CPT 82670 Estradiol Level | $174.16 | $217.70 | $16.57–$206.82 | 38% below | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $124.96 | $156.20 | $16.57–$148.39 | 33% below | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC | $121.20 | $151.50 | $16.03–$143.93 | 52% below | 20% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum LC | $18.56 | $23.20 | $9.00–$27.26 | 86% below | 20% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Level | $95.36 | $119.20 | $12.81–$113.24 | 30% below | 20% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC | $19.52 | $24.40 | $9.47–$29.40 | 87% below | 20% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $110.56 | $138.20 | $13.82–$131.29 | 25% below | 20% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $231.12 | $288.90 | $15.92–$274.46 | 36% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $105.04 | $131.30 | $8.48–$124.74 | 2% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $116.48 | $145.60 | $8.48–$138.32 | 13% above | 20% |
| Free testosterone test CPT 84402 Testosterone, Free, Direct LC | $46.80 | $58.50 | $16.57–$55.58 | 80% below | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel 9 | $277.60 | $347.00 | $10.92–$347.00 | 32% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .Glucola Dose | $41.84 | $52.30 | $4.47–$49.69 | 61% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hr Request | $116.48 | $145.60 | $12.10–$138.32 | at median | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA LC | $35.12 | $43.90 | $17.03–$70.18 | 89% below | 20% |
| H. pylori antibody blood test CPT 86677 H. pylori IgG, Abs LC | $29.76 | $37.20 | $13.74–$35.34 | 86% below | 20% |
| H. pylori antibody blood test CPT 86677 H pylori, IgM, IgG, IgA Ab LC | $84.32 | $105.40 | $13.74–$100.13 | 61% below | 20% |
| H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA LC | $20.56 | $25.70 | $9.49–$28.76 | 86% below | 20% |
| H. pylori stool antigen test CPT 87338 H Pylori Stool Ag, EIA | $194.48 | $243.10 | $9.49–$230.95 | 33% above | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph) LC | $532.64 | $665.80 | $36.19–$632.51 | 27% below | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Ab | $78.32 | $97.90 | $12.89–$93.01 | 43% below | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Ab Screen | $78.32 | $97.90 | $12.89–$93.01 | 43% below | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab with Reflex | $69.36 | $86.70 | $9.49–$82.37 | 61% below | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV, high-risk LC | $66.64 | $83.30 | $32.32–$83.30 | 51% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $35.68 | $44.60 | $6.44–$42.37 | 63% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c w/ Avg Glucose | $78.32 | $97.90 | $6.44–$93.01 | 19% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab LC | $18.72 | $23.40 | $9.08–$22.23 | 84% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antigen Screen | $89.28 | $111.60 | $10.10–$106.02 | 22% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC | $21.28 | $26.60 | $10.32–$28.54 | 85% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $112.32 | $140.40 | $13.41–$133.38 | 21% below | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Screen | $112.32 | $140.40 | $13.41–$133.38 | 21% below | 20% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC | $156.32 | $195.40 | $36.19–$185.63 | 58% below | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG LC | $76.56 | $95.70 | $12.40–$90.92 | 26% below | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2-Specific Ab, IgG LC | $127.36 | $159.20 | $13.74–$151.24 | 3% below | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac LC | $95.36 | $119.20 | $12.17–$113.24 | 26% below | 20% |
| Homocysteine blood test CPT 83090 Homocysteine LC | $39.36 | $49.20 | $16.57–$46.74 | 83% below | 20% |
| Insulin blood test CPT 83525 Insulin LC | $18.32 | $22.90 | $8.89–$22.86 | 84% below | 20% |
| Iron blood test (serum iron) CPT 83540 Iron TIBC 1 | $67.28 | $84.10 | $6.08–$79.90 | 24% below | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $75.76 | $94.70 | $6.44–$89.97 | 34% below | 20% |
| Kidney function blood test panel CPT 80069 Renal Panel 1 | $61.28 | $76.60 | $8.16–$72.77 | 74% below | 20% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(LH) LC | $24.08 | $30.10 | $11.68–$37.04 | 87% below | 20% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $128.40 | $160.50 | $16.57–$152.48 | 31% below | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $57.92 | $72.40 | $6.44–$68.78 | 50% below | 20% |
| Liver function blood test panel CPT 80076 Hepatic Panel 1 | $144.56 | $180.70 | $7.68–$171.67 | 48% below | 20% |
| Lyme disease antibody test CPT 86618 Antibody; Borrelia burgdorferi (Lyme disease) | $133.44 | $166.80 | $13.74–$158.46 | 9% below | 20% |
| Magnesium blood test CPT 83735 83735 Magnesium Level 24 Hour Urine | $68.80 | $86.00 | $6.30–$81.70 | 29% below | 20% |
| Magnesium blood test CPT 83735 Magnesium Level | $78.32 | $97.90 | $6.30–$93.01 | 19% below | 20% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgG LC | $23.76 | $29.70 | $11.52–$28.22 | 79% below | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen 1 | $66.40 | $83.00 | $4.87–$78.85 | 20% below | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Total+% Free LC | $102.00 | $127.50 | $16.03–$121.13 | 45% below | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screen | $102.00 | $127.50 | $16.03–$121.13 | 45% below | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic | $102.00 | $127.50 | $16.03–$121.13 | 45% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV all pth LC | $32.08 | $40.10 | $15.56–$53.22 | 86% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) LC | $32.08 | $40.10 | $15.56–$53.22 | 86% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV ASCU LC | $32.08 | $40.10 | $15.56–$53.22 | 86% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .Change IG Pap to LB Pap LC | $32.08 | $40.10 | $15.56–$53.22 | 86% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV ASCU 16/18 LC | $32.08 | $40.10 | $15.56–$53.22 | 86% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng, rfx HPV all LC | $57.60 | $72.00 | $22.75–$68.40 | 75% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng TV HSV 1/2 NAA LC | $101.36 | $126.70 | $22.75–$120.37 | 56% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng TV rfx HPV ASCU LC | $101.36 | $126.70 | $22.75–$120.37 | 56% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng TV rfx HPV all LC | $102.32 | $127.90 | $22.75–$121.51 | 55% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .HPV, high-risk LC | $105.68 | $132.10 | $22.75–$125.50 | 54% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, HSV 1/2 NAA LC | $135.04 | $168.80 | $22.75–$160.36 | 41% below | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV all 16/18 LC | $135.04 | $168.80 | $22.75–$160.36 | 41% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact | $251.52 | $314.40 | $38.79–$298.68 | 29% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $68.08 | $85.10 | $4.89–$80.85 | 4% above | 20% |
| Progesterone blood test CPT 84144 Progesterone LC | $24.96 | $31.20 | $12.11–$41.72 | 87% below | 20% |
| Progesterone blood test CPT 84144 Progesterone | $135.12 | $168.90 | $16.57–$160.46 | 30% below | 20% |
| Prolactin blood test CPT 84146 Prolactin LC | $25.84 | $32.30 | $12.53–$38.76 | 87% below | 20% |
| Prolactin blood test CPT 84146 Prolactin | $146.24 | $182.80 | $16.57–$173.66 | 25% below | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $58.80 | $73.50 | $4.03–$69.83 | 9% above | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EH UDS | $52.64 | $65.80 | $11.84–$65.80 | 10% below | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Tox POC | $81.44 | $101.80 | $11.84–$101.80 | 39% above | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Rapid Flu POC | $40.72 | $50.90 | $9.49–$48.36 | 60% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza AB 1 | $83.12 | $103.90 | $9.49–$98.71 | 18% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/B POC | $89.92 | $112.40 | $9.49–$106.78 | 11% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep POC | $44.96 | $56.20 | $9.49–$53.39 | 69% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Screen 1 | $45.84 | $57.30 | $9.49–$54.44 | 69% below | 20% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC | $16.48 | $20.60 | $5.33–$19.57 | 71% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Abs, IgG LC | $19.52 | $24.40 | $9.47–$28.78 | 84% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody, IgM LC | $26.80 | $33.50 | $13.00–$31.83 | 78% below | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $46.00 | $57.50 | $2.54–$54.63 | 21% below | 20% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC | $16.08 | $20.10 | $7.80–$19.10 | 82% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool for Occult Blood Card POC | $19.36 | $24.20 | $4.12–$22.99 | 57% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FIT Stool Occult Blood Screen | $23.76 | $29.70 | $4.12–$28.22 | 47% below | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool for Occult Blood Card POC | $81.44 | $101.80 | $14.96–$96.71 | 18% below | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FIT Stool Occult Blood Diagnostic | $89.92 | $112.40 | $14.96–$106.78 | 10% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC | $11.28 | $14.10 | $4.01–$13.74 | 86% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC | $15.28 | $19.10 | $4.01–$18.15 | 80% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR Qn+TP Ab LC | $97.76 | $122.20 | $4.01–$116.09 | 25% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold LC | $147.92 | $184.90 | $39.91–$175.66 | 51% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC | $26.80 | $33.50 | $13.00–$51.62 | 90% below | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab LC | $20.80 | $26.00 | $10.09–$29.10 | 86% below | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone with Reflex | $109.52 | $136.90 | $15.79–$130.06 | 35% below | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 T4, Total | $110.56 | $138.20 | $15.79–$131.29 | 34% below | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $110.56 | $138.20 | $15.79–$131.29 | 34% below | 20% |
| Trichomonas test (NAAT) CPT 87661 TV | $72.16 | $90.20 | $32.97–$85.69 | 26% below | 20% |
| Uric acid blood test CPT 84550 Uric Acid | $58.80 | $73.50 | $4.25–$69.83 | 23% below | 20% |
| Urinalysis with microscope exam, automated CPT 81001 UA Complete 1 | $59.44 | $74.30 | $2.98–$70.59 | 46% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick POC | $28.00 | $35.00 | $2.12–$33.25 | 38% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick | $32.24 | $40.30 | $2.12–$38.29 | 28% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick POC | $28.08 | $35.10 | $3.27–$33.35 | 48% below | 20% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture LC | $9.68 | $12.10 | $4.69–$16.14 | 94% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test POC | $43.28 | $54.10 | $3.61–$51.40 | 42% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine 2 | $96.80 | $121.00 | $3.61–$114.95 | 30% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 LC | $21.28 | $26.60 | $10.32–$30.16 | 86% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $113.92 | $142.40 | $14.18–$135.28 | 24% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy LC | $55.28 | $69.10 | $26.81–$65.65 | 72% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy, D2 + D3 LC | $216.48 | $270.60 | $27.82–$257.07 | 8% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy | $222.64 | $278.30 | $27.82–$264.39 | 11% above | 20% |
| Zinc blood test CPT 84630 Zinc LC | $93.52 | $116.90 | $10.71–$111.06 | 4% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Quantitative | $154.72 | $193.40 | $14.15–$183.73 | at median | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MA Stereotactic Biopsy Bil. | $3,853.84 | $4,817.30 | $327.14–$4,576.44 | 42% above | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Stereotactic Biopsy Lt. | $3,853.84 | $4,817.30 | $327.14–$4,576.44 | 42% above | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Stereotactic Biopsy Rt. | $3,853.84 | $4,817.30 | $327.14–$4,576.44 | 42% above | 20% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACT. | $580.72 | $725.90 | $207.01–$689.61 | 5% above | 20% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TREATMENT OF METATARSAL FRACTURE. | $580.72 | $725.90 | $207.01–$689.61 | 2% below | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion, elective, electrical conversion of arrh | $1,481.76 | $1,852.20 | $217.98–$1,759.59 | 21% below | 20% |
| Cervical biopsy CPT 57500 57500 Biopsy of Cervix, 1 or more, or local excision of lesion w/wo fulguration | $367.28 | $459.10 | $344.33–$603.19 | 35% below | 20% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK. | $341.36 | $426.70 | $320.03–$2,587.40 | 16% below | 20% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 - CLOSED TX OF DISTAL RADIAL FX; W/O MANIPULATION CHAR | $580.72 | $725.90 | $207.01–$693.18 | 22% below | 20% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $1,016.80 | $1,271.00 | $368.54–$1,279.37 | 50% below | 20% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy With | $1,524.80 | $1,906.00 | $368.54–$1,810.70 | 25% below | 20% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 LEEP | $745.68 | $932.10 | $370.73–$2,994.14 | 39% below | 20% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy of the Cervix w/Biopsy and endocervical curettage Technical Charge | $388.80 | $486.00 | $291.95–$650.54 | 23% above | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTR LESION Premalign 1st one Clinic Charge | $155.44 | $194.30 | $145.73–$495.30 | 3% below | 20% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Removal impacted cerumen using irrigation/lavage, unil | $159.76 | $199.70 | $32.56–$199.70 | 31% above | 20% |
| Earwax removal with instruments, one ear CPT 69210 69210 Removal Impacted Cerumen Requiring Instrumentation, Un | $164.72 | $205.90 | $57.48–$205.90 | at median | 20% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 - ENDOMETRIAL SAMPLING CHARGE | $236.96 | $296.20 | $178.13–$603.19 | 24% below | 20% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy internal by rubber band ligation(s) | $672.72 | $840.90 | $370.73–$1,941.25 | 72% below | 20% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion of intrauterine device (IUD) | $156.24 | $195.30 | $146.48–$484.14 | 88% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision And Drainage Of Abscess Simple | $491.04 | $613.80 | $180.58–$583.11 | 60% above | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, Planterar ''''Fascia'''' | $671.44 | $839.30 | $78.54–$797.34 | 16% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major Joint, Shoulder, Hip, Knee Charge | $684.72 | $855.90 | $90.88–$813.11 | 1% above | 20% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 - INSERT DRUG IMPLANT DEVIC CHARGE | $232.00 | $290.00 | $116.11–$507.64 | 31% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Intermed Joint, Wrist, Elbow, Ankle Charge | $723.84 | $904.80 | $74.48–$859.56 | 4% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, Aspirtn and/or Inj; Small Joint or Bursa (eg, Fingers, toes) Cha | $708.40 | $885.50 | $71.32–$841.23 | 48% above | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or | $917.68 | $1,147.10 | $310.54–$1,089.75 | 92% above | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Remove Lesion, Trunk/Arm/Leg <.5 cm Charge | $299.84 | $374.80 | $281.10–$587.19 | 49% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Remove Lesion, Face/Lid/Ear/Nose/Lip <.5 cm Charge | $342.72 | $428.40 | $321.30–$602.68 | 54% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate, Partial or Complete, Simple; Single Charge | $520.00 | $650.00 | $86.42–$617.50 | 63% above | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Injection; anesthetic agent; greater occipital nerve | $678.88 | $848.60 | $105.08–$806.17 | 10% below | 20% |
| Paracentesis with imaging guidance CPT 49083 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $2,330.40 | $2,913.00 | $212.66–$2,767.35 | 41% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excise of Nail matrix, Part. or Complete, for Permanent Removal Charge | $885.52 | $1,106.90 | $205.90–$1,051.56 | 12% above | 20% |
| Removal of a breast lump, open surgery CPT 19120 19120 Excision Of Cyst, Fibroadenoma, Or Other Benign Or Mal | $1,191.04 | $1,488.80 | $370.73–$1,843.84 | 48% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision and removal of foreign body, subcutaneous tissue; simple | $917.68 | $1,147.10 | $215.49–$1,089.75 | 91% above | 20% |
| Short arm cast (elbow to hand) CPT 29075 Applic, Cast; Elbow to Finger (Short Arm) Charge | $142.24 | $177.80 | $68.99–$248.16 | 54% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Of Short Arm Splint | $336.16 | $420.20 | $57.28–$399.19 | 13% above | 20% |
| Short leg cast (below the knee) CPT 29405 29405 Application Of Short Leg Cast | $334.48 | $418.10 | $119.32–$397.20 | 16% below | 20% |
| Short leg splint (calf to foot) CPT 29515 29515 Application Of Short Leg Splint | $363.60 | $454.50 | $57.28–$431.78 | 59% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > | $550.80 | $688.50 | $89.88–$654.08 | 23% above | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 0.5 cm or Le | $471.36 | $589.20 | $370.73–$632.48 | 71% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags, Up To And Including 15 Lesions | $481.68 | $602.10 | $158.02–$572.00 | 68% above | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 - SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,504.24 | $1,880.30 | $124.68–$1,786.29 | 65% 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 Simple Repair Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm t | $453.52 | $566.90 | $117.28–$538.56 | 7% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mu | $470.08 | $587.60 | $110.00–$558.22 | 35% above | 20% |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis, needle or catheter, aspiration of the p | $1,943.52 | $2,429.40 | $218.08–$2,307.93 | 10% below | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s | $723.84 | $904.80 | $74.88–$859.56 | 43% above | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 Biopsy breast w/placement of localization device, including ultrasound gui | $2,158.48 | $2,698.10 | $307.58–$2,563.20 | 36% below | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 19083 US BREAST BX W/ CLIP PLACEMENT, LT; FIRST LESION | $2,158.48 | $2,698.10 | $307.58–$2,563.20 | 36% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy | $1,982.40 | $2,478.00 | $276.66–$2,354.10 | 6% above | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy with | $1,982.40 | $2,478.00 | $276.66–$2,354.10 | 6% above | 20% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy, Unilateral or Bilateral (Separate Procedure), w/Postoperative Semen E | $779.92 | $974.90 | $370.73–$2,713.28 | — | 20% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction of Benign Lesions, except skin tag/cutan v | $265.28 | $331.60 | $180.58–$521.18 | 3% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, Subcutaneous Tissue; First 20 Sq Cm Or Le | $276.24 | $345.30 | $120.82–$495.45 | 53% below | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Bill Blood Administration | $1,034.32 | $1,292.90 | $82.90–$1,228.26 | 31% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction | $59.36 | $74.20 | $55.65–$401.24 | 82% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Subsequent | $75.36 | $94.20 | $19.04–$94.20 | 77% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Flutter Therapy Subsequent | $75.36 | $94.20 | $19.04–$94.20 | 77% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Flutter Therapy Initial | $75.36 | $94.20 | $19.04–$94.20 | 77% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Sputum Induction - RT Charge | $75.36 | $94.20 | $19.04–$94.20 | 77% below | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $933.36 | $1,166.70 | $275.48–$1,108.37 | 22% below | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 - Chemo Adm, IV Inf Initial - Patient Supplied Med | $1,006.88 | $1,258.60 | $275.48–$1,195.67 | 16% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care | $2,541.76 | $3,177.20 | $428.10–$3,177.20 | 28% below | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead, Tracing Only Charge | $126.72 | $158.40 | $13.34–$150.48 | 51% below | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG/ECG 12 Lead | $149.68 | $187.10 | $13.34–$177.75 | 42% below | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ED EKG 12 LEAD, TRACING ONLY CHARGE | $149.68 | $187.10 | $13.34–$177.75 | 42% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $330.32 | $412.90 | $23.44–$412.90 | 5% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $487.52 | $609.40 | $83.68–$609.40 | 17% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $802.88 | $1,003.60 | $143.60–$1,003.60 | 26% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $1,164.00 | $1,455.00 | $241.76–$1,455.00 | 32% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $1,639.04 | $2,048.80 | $351.34–$2,048.80 | 34% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST (without Imaging) | $671.92 | $839.90 | $75.80–$797.91 | 46% below | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PT CHARGE | $187.28 | $234.10 | $90.83–$222.40 | 64% below | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy w/o Patient 50 mins | $280.48 | $350.60 | $136.03–$333.07 | 42% below | 20% |
| Group psychotherapy session CPT 90853 90853 Group Psychotherapy | $194.64 | $243.30 | $46.96–$282.08 | 34% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Therapy Hydration - First Hour ED | $226.24 | $282.80 | $68.32–$399.29 | 51% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Therapy Hydration - First Hour | $239.68 | $299.60 | $68.32–$399.29 | 48% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 ED IV INF INIT UP TO 1 HR | $244.72 | $305.90 | $118.69–$399.29 | 54% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV Therapy Infusion - First Hour | $259.44 | $324.30 | $125.83–$399.29 | 51% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV Infusion, Initial, w/ Patient Supplied Medication | $326.96 | $408.70 | $134.58–$399.29 | 39% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intra | $29.68 | $37.10 | $27.83–$411.38 | 82% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection, subcutaneous or intramuscular, first inject | $88.96 | $111.20 | $29.18–$105.64 | 46% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq or IM Injection, w/ Patient Supplied Med | $156.48 | $195.60 | $29.18–$185.82 | 5% below | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $329.28 | $411.60 | $145.69–$391.02 | 58% below | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 - NERVE CONDUCTION STUDIES 7-8 STUDIES | $416.16 | $520.20 | $179.75–$746.02 | 67% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges | $141.28 | $176.60 | $28.32–$167.77 | 20% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges | $141.28 | $176.60 | $28.32–$167.77 | 20% above | 20% |
| New patient office visit, about 30 minutes CPT 99203 Office/OP New Visit Level 3 99203 | $195.68 | $244.60 | $183.45–$548.74 | 18% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 Office/OP New Visit Level 4 99204 | $238.00 | $297.50 | $223.13–$650.70 | 27% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 Office/OP New Visit Level 5 99205 Tech Chg | $296.48 | $370.60 | $277.95–$746.92 | 33% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/OP New Visit Level 2 99202 | $148.56 | $185.70 | $139.28–$479.04 | 8% below | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTR INITIAL ASSESS PER 15 MIN CHARGE | $212.96 | $266.20 | $16.44–$259.02 | 280% above | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Low Complex Units | $242.32 | $302.90 | $24.66–$287.76 | 26% below | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT High Complex Units | $232.24 | $290.30 | $68.98–$315.42 | 28% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Low Complex Units | $232.24 | $290.30 | $22.77–$315.42 | 18% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Moderate Complex Units | $232.24 | $290.30 | $45.53–$315.42 | 25% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Traction Charge | $89.12 | $111.40 | $25.50–$105.83 | 11% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units | $89.12 | $111.40 | $25.50–$105.83 | 11% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $95.44 | $119.30 | $27.31–$113.34 | 13% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $95.44 | $119.30 | $27.31–$113.34 | 13% below | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Preventive Medicine 18-39 years New - 99385 | $247.52 | $309.40 | $113.44–$572.12 | 12% above | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Preventive Medicine 40-64 years New - 99386 | $247.52 | $309.40 | $232.05–$612.50 | at median | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Medicine 65+ years New - 99387 | $247.52 | $309.40 | $232.05–$629.98 | at median | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Medicine 18-39 years Established - 99395 | $185.36 | $231.70 | $113.44–$555.72 | 26% above | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Medicine 40-64 years Established - 99396 | $185.36 | $231.70 | $173.78–$570.20 | 21% above | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Medicine 65+ years Established - 99397 | $185.36 | $231.70 | $173.78–$579.70 | 1% above | 20% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy; 30 mins | $113.12 | $141.40 | $54.86–$159.70 | 44% below | 20% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy; 45 mins | $173.68 | $217.10 | $84.23–$206.25 | 38% below | 20% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy; 60 mins | $201.76 | $252.20 | $97.85–$260.36 | 33% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/OP Established Visit Level 5 99215 | $259.76 | $324.70 | $243.53–$671.24 | 6% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Level 3 Established - 99213 | $127.12 | $158.90 | $119.18–$515.28 | 25% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/OP Established Visit Level 4 99214 | $179.68 | $224.60 | $168.45–$578.88 | 21% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/OP Established Visit Level 2 99212 | $96.00 | $120.00 | $90.00–$453.74 | 26% below | 20% |
| Speech and language evaluation CPT 92523 92523 Evaluation of speech sound production; with evaluation | $393.28 | $491.60 | $117.90–$469.76 | 18% below | 20% |
| Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg | $431.36 | $539.20 | $58.77–$512.24 | 9% above | 20% |
| Spirometry (breathing test) CPT 94010 RT FVC | $226.80 | $283.50 | $56.06–$269.33 | 36% below | 20% |
| Spirometry (breathing test) CPT 94010 94010 Spirometry | $226.80 | $283.50 | $56.06–$269.33 | 36% below | 20% |
| Spirometry (breathing test) CPT 94010 RT Spirometry with Graphic Record Charge | $226.80 | $283.50 | $56.06–$269.33 | 36% below | 20% |
| Spirometry (breathing test) CPT 94010 94010 - Spirometry | $226.80 | $283.50 | $56.06–$269.33 | 36% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 RT Pre Post BD Spiro Charge | $287.04 | $358.80 | $80.82–$340.86 | 38% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 RT Pre Post BD Spiro Charge | $287.04 | $358.80 | $80.82–$340.86 | 38% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 RT Spirometry with Graphic Record Charge | $287.04 | $358.80 | $80.82–$340.86 | 38% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre/Post BD. | $287.04 | $358.80 | $80.82–$340.86 | 38% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 94060 - Spirometry Pre/Post Bronchodilation | $287.04 | $358.80 | $80.82–$340.86 | 38% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charges | $142.16 | $177.70 | $28.29–$168.82 | 9% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge | $142.16 | $177.70 | $28.29–$168.82 | 9% above | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Therapeutic Phlebotomy INFUSION | $322.08 | $402.60 | $77.32–$382.47 | 30% below | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 90653 Fluad Trivalent | $74.88 | $93.60 | $35.65–$93.60 | 75% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 91322 - INS SARSCOV2 VAC 50 MCG | $303.52 | $379.40 | $147.21–$379.40 | 71% above | 20% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine POC | $181.52 | $226.90 | $81.67–$215.56 | 74% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 #N/A | $7.56 | $9.45 | $3.67–$35.65 | 88% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 Fluarix Trivalent | $37.44 | $46.80 | $18.16–$46.80 | 42% below | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 Gardasil 9 HPV vaccine INS | $402.24 | $502.80 | $144.61–$477.66 | 53% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 #N/A | $46.01 | $57.51 | $22.31–$57.51 | 92% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Adult Vaccine | $104.40 | $130.50 | $35.65–$130.50 | 83% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine, Adult | $95.84 | $119.80 | $35.65–$119.80 | 39% below | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Fluzone High-Dose 0.5mL Single dose syringe; Trivalent | $76.40 | $95.50 | $35.65–$95.50 | 62% below | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 #N/A | $86.98 | $108.73 | $35.65–$108.73 | 80% below | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR Measles/Mumps/Rubella Virus Vaccine POC | $110.32 | $137.90 | $35.65–$137.90 | 75% below | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for | $230.00 | $287.50 | $111.55–$287.50 | 67% below | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 PCV 20 Vaccine | $527.12 | $658.90 | $144.61–$658.90 | 39% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23-Valent Adult Vaccine POC | $112.00 | $140.00 | $35.65–$140.00 | 70% below | 20% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 90380 - INS RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML | $1,072.14 | $1,340.18 | $519.99–$1,340.18 | 40% below | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 Zoster (shingles) vaccine (HZV), recombinant, sub-unit | $305.84 | $382.30 | $144.61–$382.30 | 5% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids acellular pertussis vaccine (TdaP), 7 years or old | $72.24 | $90.30 | $35.04–$90.30 | 73% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal conjugate vaccine, 13 valent, for intramuscular use | $32.24 | $40.30 | $15.64–$50.67 | 62% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Admin | $34.64 | $43.30 | $16.80–$50.67 | 59% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of 1 vaccine | $34.64 | $43.30 | $16.80–$50.67 | 59% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN, SINGLE VACCINE CHARGE | $108.16 | $135.20 | $42.00–$128.44 | 29% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each additional vaccine | $34.64 | $43.30 | $16.80–$50.67 | 57% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 INS Each additional vaccine | $35.76 | $44.70 | $17.34–$50.67 | 56% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZAITON ADMIN, EA ADD VACCINE CHARGE | $50.72 | $63.40 | $24.60–$63.40 | 37% below | 20% |