Preston Memorial Hospital
Preston Memorial Hospital in Kingwood, WV publishes cash prices for 282 common procedures listed here, from its own machine-readable price file updated May 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the West Virginia median for 192 of 277 procedures and above it for 76. By typical cash price it ranks #1 of 31 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
150 Memorial Dr Kingwood, WV 26537 Collected Sep 29, 2026 Source price file (304) 329-1400
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 511312 · CMS hospital register NPI 1013950054
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3V LEFT | $102.88 | $205.75 | $29.32–$199.58 | 46% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3V RIGHT | $102.88 | $205.75 | $29.32–$199.58 | 46% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI SINGLE LEVEL | $411.38 | $822.75 | $102.86–$798.07 | 49% above | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BA SWAL ESOPH | $273.25 | $546.50 | $85.90–$530.11 | 25% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY | $795.75 | $1,591.50 | $102.86–$1,543.76 | 6% below | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE | $280.75 | $561.50 | $94.89–$544.66 | 2% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 GS US BREAST LIMITED | $142.88 | $285.75 | $78.17–$277.18 | 48% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED LEFT | $224.00 | $448.00 | $78.17–$434.56 | 18% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED RIGHT | $224.00 | $448.00 | $78.17–$434.56 | 18% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WITH CONTRAST | $1,991.63 | $3,983.25 | $102.86–$3,863.75 | 58% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO & ORAL ONLY | $1,874.63 | $3,749.25 | $102.86–$3,636.77 | 41% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS ORAL ONLY | $1,874.63 | $3,749.25 | $102.86–$3,636.77 | 41% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO | $1,874.63 | $3,749.25 | $102.86–$3,636.77 | 41% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS ORAL AND IV | $2,309.25 | $4,618.50 | $102.86–$4,479.95 | 50% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS IV ONLY | $2,309.25 | $4,618.50 | $102.86–$4,479.95 | 50% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO & W IV ONLY | $2,929.13 | $5,858.25 | $102.86–$5,682.50 | 73% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO & W ORAL & IV | $2,929.13 | $5,858.25 | $102.86–$5,682.50 | 73% above | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD ORAL AND IV | $1,204.00 | $2,408.00 | $102.86–$2,335.76 | 15% above | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD IV ONLY | $1,204.00 | $2,408.00 | $102.86–$2,335.76 | 15% above | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD ORAL ONLY | $937.75 | $1,875.50 | $102.86–$1,819.24 | 31% above | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO | $937.75 | $1,875.50 | $102.86–$1,819.24 | 31% above | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX-FACIAL W/O CNTRST | $909.13 | $1,818.25 | $102.86–$1,763.70 | 37% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $753.13 | $1,506.25 | $102.84–$1,461.06 | 8% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST STROKE PROTOCOL | $753.13 | $1,506.25 | $102.84–$1,461.06 | 8% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST POST STROKE | $753.13 | $1,506.25 | $102.84–$1,461.06 | 8% above | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $957.63 | $1,915.25 | $102.86–$1,857.79 | at median | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $1,162.25 | $2,324.50 | $102.86–$2,254.77 | at median | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O CONT | $971.75 | $1,943.50 | $102.86–$1,885.20 | 16% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CX SPINE W/O CONT | $973.88 | $1,947.75 | $102.86–$1,889.32 | 24% above | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS ORAL AND IV | $1,107.13 | $2,214.25 | $102.86–$2,147.82 | 17% above | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS IV ONLY | $1,107.13 | $2,214.25 | $102.86–$2,147.82 | 17% above | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER BILAT | $782.13 | $1,564.25 | $102.86–$1,517.32 | — | 50% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA/LAT | $110.13 | $220.25 | $28.07–$213.64 | 41% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR OHS CHEST PA/LAT PRE EMPLOY | $142.38 | $284.75 | $28.07–$276.21 | 24% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR OHS CHEST PA/LAT | $142.38 | $284.75 | $28.07–$276.21 | 24% below | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW | $84.88 | $169.75 | $22.18–$164.66 | 44% below | 50% |
| Chest X-ray, single view CPT 71045 DL BLACK LUNG PA CHEST X-RAY | $130.13 | $260.25 | $22.18–$252.44 | 15% below | 50% |
| Chest X-ray, single view one side CPT 71045 XR CHEST LT DECUB | $84.88 | $169.75 | $22.18–$164.66 | 44% below | 50% |
| Chest X-ray, single view one side CPT 71045 XR CHEST RT DECUB | $84.88 | $169.75 | $22.18–$164.66 | 44% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL COMPLETE | $422.38 | $844.75 | $99.74–$819.41 | 4% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DEXA BONE DENSITY | $316.00 | $632.00 | $35.16–$613.04 | 3% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG SCAN ANAT SURVEY | $732.38 | $1,464.75 | $102.86–$1,420.81 | 54% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO | $972.88 | $1,945.75 | $102.86–$1,887.38 | 24% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH IV | $1,160.88 | $2,321.75 | $102.86–$2,252.10 | 6% above | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMO 2D DIAG BILAT W/ OR W/O CAD | $312.13 | $624.25 | $102.86–$605.52 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM MAMMO 3D DIAG BILAT W/ OR W/O CAD | $312.13 | $624.25 | $102.86–$605.52 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO 3D DIAG UNLAT LT W/ OR W/O CAD | $238.75 | $477.50 | $102.86–$463.18 | 21% above | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO 2D DIAG UNI RT W OR W/O CAD | $238.75 | $477.50 | $102.86–$463.18 | 21% above | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO 2D DIAG UNI LT W OR W/O CAD | $238.75 | $477.50 | $102.86–$463.18 | 21% above | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MM MAMMO 3D DIAG UNLAT RT W/ OR W/O CAD | $238.75 | $477.50 | $102.86–$463.18 | 21% above | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ART DOP LEGS BILAT | $1,041.75 | $2,083.50 | $102.86–$2,021.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX BILAT UPPER | $761.50 | $1,523.00 | $102.86–$1,477.31 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX BILAT LOWER | $761.50 | $1,523.00 | $102.86–$1,477.31 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 GS HBPC US VENOUS DUPLEX BILAT | $763.25 | $1,526.50 | $102.86–$1,480.71 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO W/O CONTRAST COMPLETE | $1,173.50 | $2,347.00 | $102.86–$2,276.59 | 4% above | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYS W GALLBLADDER | $861.00 | $1,722.00 | $102.86–$1,670.34 | 1% above | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY TECH | $208.63 | $417.25 | $102.86–$404.73 | 41% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY VENTILATION 6 YR & > TECH | $1,800.75 | $3,601.50 | $102.86–$3,493.46 | 30% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V LEFT | $112.38 | $224.75 | $32.66–$218.01 | 42% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3V RIGHT | $112.38 | $224.75 | $32.66–$218.01 | 42% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE MIDSECTION | $222.50 | $445.00 | $80.26–$431.65 | 45% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $328.63 | $657.25 | $80.26–$637.53 | 18% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING | $99.00 | $198.00 | $59.40–$192.06 | 28% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JT W/O CONT LT | $1,807.00 | $3,614.00 | $102.86–$3,505.58 | 48% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JT W/O CONT RT | $1,807.00 | $3,614.00 | $102.86–$3,505.58 | 48% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JT W W/O CONT RT | $3,063.13 | $6,126.25 | $102.86–$5,942.46 | 58% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JT W W/O CONT LT | $3,063.13 | $6,126.25 | $102.86–$5,942.46 | 58% above | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,740.50 | $3,481.00 | $102.86–$3,376.57 | 43% above | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $2,826.50 | $5,653.00 | $102.86–$5,483.41 | 48% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,886.00 | $3,772.00 | $102.86–$3,658.84 | 42% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CON POST STROKE | $1,886.00 | $3,772.00 | $102.86–$3,658.84 | 42% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W W/O CONTR | $3,182.50 | $6,365.00 | $102.86–$6,174.05 | 64% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W W/O CONT POST STROKE | $3,182.50 | $6,365.00 | $102.86–$6,174.05 | 64% above | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O CONT | $1,843.13 | $3,686.25 | $102.86–$3,575.66 | 37% above | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W W/O CONT | $3,158.50 | $6,317.00 | $102.86–$6,127.49 | 67% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI DORSAL W/O CONTRAST | $1,862.75 | $3,725.50 | $102.86–$3,613.74 | 45% above | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CSPINE W W/O CONT | $3,192.50 | $6,385.00 | $102.86–$6,193.45 | 69% above | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O CONT | $1,777.75 | $3,555.50 | $102.86–$3,448.84 | 27% above | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT | $3,175.00 | $6,350.00 | $102.86–$6,159.50 | 66% above | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTR | $1,864.63 | $3,729.25 | $102.86–$3,617.37 | 38% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT W/O CONT LT | $1,787.13 | $3,574.25 | $102.86–$3,467.02 | 40% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT W/O CONT RT | $1,787.13 | $3,574.25 | $102.86–$3,467.02 | 40% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL MULTI REST STRESS | $1,736.63 | $3,473.25 | $102.86–$3,369.05 | 39% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $323.38 | $646.75 | $44.46–$627.35 | 5% above | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $378.38 | $756.75 | $96.79–$734.05 | 7% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG S COMP >14 1G | $473.63 | $947.25 | $102.86–$918.83 | 16% above | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY SCAN < 14 WKS | $406.50 | $813.00 | $102.86–$788.61 | 1% above | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY SCAN LIMITED | $301.75 | $603.50 | $75.32–$585.40 | 1% above | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MM MAMMO 2D SCREEN BILAT W OR W/O CAD | $279.25 | $558.50 | $102.86–$541.75 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MM MAMMO 3D SCREEN BILAT W OR W/O CAD | $279.25 | $558.50 | $102.86–$541.75 | — | 50% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO 2D SCREEN UNI RT W OR W/O CAD | $201.00 | $402.00 | $102.86–$389.94 | 32% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO 2D SCREEN UNI LT W OR W/O CAD | $201.00 | $402.00 | $102.86–$389.94 | 32% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO 3D SCREEN LT W OR W/O CAD | $279.25 | $558.50 | $102.86–$541.75 | 5% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MM MAMMO 3D SCREEN RT W OR W/O CAD | $279.25 | $558.50 | $102.86–$541.75 | 5% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER/COMP MIN 2V LT | $102.88 | $205.75 | $26.67–$199.58 | 43% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER/COMP MIN 2V RT | $102.88 | $205.75 | $26.67–$199.58 | 43% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY 4 PARAM 6 YRS > TECH | $1,605.75 | $3,211.50 | $102.86–$3,115.16 | 33% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BA SWALLOW MOD | $286.88 | $573.75 | $102.86–$556.54 | 24% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $377.25 | $754.50 | $102.86–$731.87 | 6% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG SCAN TRANS VAG | $332.00 | $664.00 | $86.46–$644.08 | 16% above | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 GYN US HBPC PREG SCAN TRANS VAG | $332.00 | $664.00 | $86.46–$644.08 | 16% above | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $438.63 | $877.25 | $102.86–$850.93 | at median | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $373.50 | $747.00 | $92.94–$724.59 | 3% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK | $343.50 | $687.00 | $100.78–$666.39 | 7% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/O KUB | $342.75 | $685.50 | $102.86–$664.94 | 7% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W KUB | $360.13 | $720.25 | $102.86–$698.64 | 3% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 GS HBPC US VENOUS DUPLEX RIGHT | $531.63 | $1,063.25 | $102.86–$1,031.35 | 50% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 GS HBPC US VENOUS DUPLEX LEFT | $531.63 | $1,063.25 | $102.86–$1,031.35 | 50% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UNILAT RIGHT LOWER | $532.88 | $1,065.75 | $102.86–$1,033.78 | 51% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UNILAT LEFT LOWER | $532.88 | $1,065.75 | $102.86–$1,033.78 | 51% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UNILAT RIGHT UPPER | $532.88 | $1,065.75 | $102.86–$1,033.78 | 51% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UNILAT LEFT UPPER | $532.88 | $1,065.75 | $102.86–$1,033.78 | 51% above | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST MIN 3V RIGHT | $108.63 | $217.25 | $32.01–$210.73 | 39% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST MIN 3V LEFT | $108.63 | $217.25 | $32.01–$210.73 | 39% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR RT HIP W PELVIS 2/3 V | $209.88 | $419.75 | $37.66–$407.16 | 10% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR LT HIP W PELVIS 2/3 V | $209.88 | $419.75 | $37.66–$407.16 | 10% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN KUB | $90.25 | $180.50 | $25.17–$175.09 | 50% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RIGHT | $91.25 | $182.50 | $27.17–$177.03 | 47% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LEFT | $91.25 | $182.50 | $27.17–$177.03 | 47% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V LT 5TH (LITTLE) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V LT 4TH (RING) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V LT 3RD (MIDDLE) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V LT 2ND (INDEX) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V LT THUMB | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V RT THUMB | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V RT 2ND (INDEX) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V RT 3RD (MIDDLE) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V RT 4TH (RING) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V RT 5TH (LITTLE) | $90.25 | $180.50 | $29.42–$175.09 | 46% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V RIGHT | $90.25 | $180.50 | $23.88–$175.09 | 44% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2V LEFT | $90.25 | $180.50 | $23.88–$175.09 | 44% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT MIN 3V LEFT | $102.88 | $205.75 | $27.52–$199.58 | 44% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT MIN 3V RIGHT | $102.88 | $205.75 | $27.52–$199.58 | 44% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3V RIGHT | $102.88 | $205.75 | $29.32–$199.58 | 45% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND MIN 3V LEFT | $102.88 | $205.75 | $29.32–$199.58 | 45% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE MIN 1V RIGHT | $96.63 | $193.25 | $28.37–$187.45 | 44% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE MIN 1V LEFT | $96.63 | $193.25 | $28.37–$187.45 | 44% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR MIN 2V | $127.88 | $255.75 | $32.26–$248.08 | 41% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUM COMP MIN 4V | $178.00 | $356.00 | $45.15–$345.32 | 37% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE DORSAL AP/LAT | $116.00 | $232.00 | $30.17–$225.04 | 47% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MIN 3V | $103.75 | $207.50 | $30.22–$201.28 | 43% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERV 3 V OR LESS | $121.50 | $243.00 | $32.26–$235.71 | 38% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2V | $91.25 | $182.50 | $29.02–$177.03 | 49% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX 2V | $102.88 | $205.75 | $26.92–$199.58 | 42% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $23.25 | $46.50 | $4.59–$102.86 | 15% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 .AST LABCORP (CHG) | $22.00 | $44.00 | $4.49–$102.86 | 25% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $22.00 | $44.00 | $4.49–$102.86 | 25% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $68.38 | $136.75 | $41.29–$132.65 | 69% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA | $9.63 | $19.25 | $4.52–$102.86 | 43% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS | $9.63 | $19.25 | $4.52–$102.86 | 43% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN | $9.63 | $19.25 | $4.52–$102.86 | 43% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SINGLE | $18.25 | $36.50 | $4.52–$102.86 | 8% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 .FOOD ALLERGEN SINGLE (1001571) | $32.50 | $65.00 | $4.52–$102.86 | 93% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 .BEE ALLERGY (1001544) | $50.63 | $101.25 | $4.52–$102.86 | 200% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 .ALLERGEN IGE SINGLE X 26 - 01002768 | $142.00 | $284.00 | $4.52–$275.48 | 741% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ABS IGA/IGG | $37.00 | $74.00 | $11.22–$102.86 | 4% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 .CCP ABS (1001568) | $80.25 | $160.50 | $11.22–$155.69 | 109% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA - LC 164947 | $9.25 | $18.50 | $10.48–$102.86 | 85% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-pro BNP | $143.38 | $286.75 | $30.62–$278.15 | 19% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $95.13 | $190.25 | $7.33–$184.54 | 144% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH IV TECH | $120.88 | $241.75 | $50.36–$234.50 | 12% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SG SURG PATH IV | $121.25 | $242.50 | $50.36–$235.23 | 13% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 ONC SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GS SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GYN SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 FF SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TF SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MS SURG PATH IV | $125.25 | $250.50 | $50.36–$242.99 | 16% above | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $118.50 | $237.00 | $8.95–$229.89 | 61% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OHS | $7.88 | $15.75 | $2.34–$102.86 | 25% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $11.00 | $22.00 | $2.34–$102.86 | 5% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 FF VENIPUNCTURE | $11.50 | $23.00 | $2.34–$102.86 | 10% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 UC VENIPUNCTURE | $16.63 | $33.25 | $2.34–$102.86 | 58% above | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $25.38 | $50.75 | $3.41–$102.86 | 10% above | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR PP | $25.38 | $50.75 | $3.41–$102.86 | 10% above | 50% |
| Blood lead test CPT 83655 .LEAD (1004107) | $7.18 | $14.35 | $8.61–$102.86 | 47% below | 50% |
| Blood lead test CPT 83655 LEAD ADULT | $8.50 | $17.00 | $10.20–$102.86 | 38% below | 50% |
| Blood lead test CPT 83655 .LEAD BLD (1001729) | $26.75 | $53.50 | $10.49–$102.86 | 97% above | 50% |
| Blood lead test CPT 83655 .LEAD-1001215 | $44.75 | $89.50 | $10.49–$102.86 | 229% above | 50% |
| Blood lead test CPT 83655 .LEAD BLOOD -1000890 | $71.38 | $142.75 | $10.49–$138.47 | 425% above | 50% |
| Blood lead test CPT 83655 LEAD CAPILLARY PEDIATRIC | $71.38 | $142.75 | $10.49–$138.47 | 425% above | 50% |
| Blood lead test CPT 83655 LEAD PEDIATRIC | $71.38 | $142.75 | $10.49–$138.47 | 425% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY RAPID SERUM | $71.88 | $143.75 | $6.52–$139.44 | 82% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .BB ABO - MON | $20.00 | $40.00 | $2.59–$102.86 | 47% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .BB ABO TYPE | $25.50 | $51.00 | $2.59–$102.86 | 33% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 .CPR SF(1001840) | $40.25 | $80.50 | $4.49–$102.86 | 46% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 .CRP, QUANT - LABCORP | $63.50 | $127.00 | $4.49–$123.19 | 131% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN HS INFLAMMATION | $63.50 | $127.00 | $4.49–$123.19 | 131% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE, NAA | $166.00 | $332.00 | $30.41–$322.04 | 46% above | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $17.25 | $34.50 | $18.04–$102.86 | 78% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 .CA 19-9 - 1000980 | $248.38 | $496.75 | $18.04–$481.85 | 217% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 .CA 125 HOSPICE HEALTH FAIR | $59.75 | $119.50 | $18.04–$115.92 | 37% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $78.25 | $156.50 | $18.04–$151.81 | 18% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 .COVID-19, NAA (PMH) | $57.13 | $114.25 | $34.28–$110.82 | 47% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS COVID-19 AB, IGM | $64.63 | $129.25 | $38.78–$125.37 | 40% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS COVID-19 AB, IGA | $64.63 | $129.25 | $38.78–$125.37 | 40% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19, NAA (BOE-PMH) | $116.25 | $232.50 | $69.75–$225.53 | 8% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 .COVID-19, NAA (LABCORP) | $129.00 | $258.00 | $77.40–$250.26 | 20% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 .COVID-19, NAA (BOE-LC) | $129.00 | $258.00 | $77.40–$250.26 | 20% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 .COVID-19 PCR (MON-WVUH) | $192.00 | $384.00 | $102.86–$372.48 | 79% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMY (1003690 & 1895) | $36.50 | $73.00 | $30.41–$102.86 | 35% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .C TRACH (1003690 & 1895) | $78.63 | $157.25 | $30.41–$152.53 | 41% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMY (1004305) | $80.00 | $160.00 | $30.41–$155.20 | 43% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .REFLEX N GONO NAA CONFIRM-1003700 | $225.63 | $451.25 | $30.41–$437.71 | 305% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .REFLEX CHLAM TRACH NAA CONFIRM-1003700 | $225.63 | $451.25 | $30.41–$437.71 | 305% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $29.75 | $59.50 | $11.61–$102.86 | 52% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 .LIPID PANEL - LABCORP | $29.75 | $59.50 | $11.61–$102.86 | 52% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $47.38 | $94.75 | $6.73–$102.86 | 14% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 MANUAL DIFF WTH CBC | $47.38 | $94.75 | $6.73–$102.86 | 14% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 .TESTING CBC | $47.38 | $94.75 | $6.73–$102.86 | 14% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 .CBC PLTS & DIFF CHARGE ONLY | $47.38 | $94.75 | $6.73–$102.86 | 14% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC W PLTS WO DIFF | $29.13 | $58.25 | $5.60–$102.86 | 16% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 .HEMOGRAM CHARGE ONLY | $31.38 | $62.75 | $5.60–$102.86 | 9% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 DA COMPREHENSIVE METABOLIC PANEL | $15.00 | $30.00 | $9.16–$102.86 | 69% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $124.38 | $248.75 | $9.16–$241.29 | 154% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 .COMP PANEL | $124.38 | $248.75 | $9.16–$241.29 | 154% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 DDIMER | $60.75 | $121.50 | $8.82–$117.86 | 2% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $106.50 | $213.00 | $19.27–$206.61 | 15% above | 50% |
| Estradiol blood test CPT 82670 .ESTRADIOL TOTAL (1001792) | $43.63 | $87.25 | $24.21–$102.86 | 47% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $45.88 | $91.75 | $24.21–$102.86 | 45% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $15.88 | $31.75 | $16.11–$102.86 | 80% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 PROTEIN ELECTROPHORESIS, 24H URINE | $108.63 | $217.25 | $16.11–$210.73 | 34% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $291.25 | $582.50 | $17.01–$565.03 | 269% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $22.00 | $44.00 | $11.82–$102.86 | 68% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 .FERRITIN - LABCORP | $22.00 | $44.00 | $11.82–$102.86 | 68% below | 50% |
| Folate (folic acid) blood test CPT 82746 .FOLATE - LABCORP | $90.50 | $181.00 | $12.75–$175.57 | 29% above | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $90.50 | $181.00 | $12.75–$175.57 | 29% above | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $148.13 | $296.25 | $14.68–$287.36 | 72% above | 50% |
| Free T3 thyroid hormone test CPT 84481 .T3 FREE - LABCORP | $148.13 | $296.25 | $14.68–$287.36 | 72% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $16.88 | $33.75 | $7.82–$102.86 | 68% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 .FREE T4 - LABCORP | $20.25 | $40.50 | $7.82–$102.86 | 61% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE CASCADE H | $22.00 | $44.00 | $7.82–$102.86 | 58% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE CASCADE LOW TSH | $22.50 | $45.00 | $7.82–$102.86 | 57% below | 50% |
| Free testosterone test CPT 84402 .TESTOSTERONE FREE (1001516) | $18.88 | $37.75 | $22.07–$102.86 | 70% below | 50% |
| Free testosterone test CPT 84402 .TESTOSTERONE FREE (1001527) | $70.00 | $140.00 | $22.07–$135.80 | 10% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE DIRECT | $109.00 | $218.00 | $22.07–$211.46 | 72% above | 50% |
| Free testosterone test CPT 84402 .TESTOSTERONE FREE-1000830 | $140.00 | $280.00 | $22.07–$271.60 | 120% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 .GENERAL HEALTH PANEL | $72.88 | $145.75 | $31.56–$141.38 | 68% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1HR | $60.13 | $120.25 | $4.11–$116.64 | 88% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $96.38 | $192.75 | $11.15–$186.97 | 48% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GC (1003700 & 3932) | $36.50 | $73.00 | $30.41–$102.86 | 40% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GC (1003690 & 1895) | $78.63 | $157.25 | $30.41–$152.53 | 29% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .GC (1004305) | $80.00 | $160.00 | $30.41–$155.20 | 32% above | 50% |
| H. pylori antibody blood test CPT 86677 .H PYLORI IGG -1000652 | $31.50 | $63.00 | $13.14–$102.86 | 37% below | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG | $85.38 | $170.75 | $12.46–$165.63 | 65% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV p24 AG/AB WITH REFLEX (PMH) | $125.50 | $251.00 | $20.87–$243.47 | 129% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV HIGH/LOW SINGLE ASSAY - 1001233 | $113.38 | $226.75 | $30.41–$219.95 | 80% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .PAP (1001895) | $114.50 | $229.00 | $30.41–$222.13 | 82% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 DA HEMOGLOBIN A1C | $7.50 | $15.00 | $8.42–$102.86 | 85% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HA1C-HEALTH FAIR | $9.88 | $19.75 | $8.42–$102.86 | 80% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 .HA1C-HOSPICE HF | $10.13 | $20.25 | $8.42–$102.86 | 80% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $47.13 | $94.25 | $8.42–$102.86 | 5% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 MS HEMOGLOBIN A1C | $48.88 | $97.75 | $8.42–$102.86 | 1% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 FF HEMOGLOBIN A1C | $48.88 | $97.75 | $8.42–$102.86 | 1% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB, QUAL | $15.63 | $31.25 | $9.31–$102.86 | 64% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 .HEP B SUR AB(1003908) | $15.63 | $31.25 | $9.31–$102.86 | 64% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN | $15.00 | $30.00 | $8.95–$102.86 | 71% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 .HEP B SUR AG(1003908) | $15.00 | $30.00 | $8.95–$102.86 | 71% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 .HCV-HEALTH FAIR | $9.38 | $18.75 | $11.25–$102.86 | 83% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 .HCV (1003908) | $17.25 | $34.50 | $12.36–$102.86 | 68% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV AB RFLX TO QNT PCR | $32.50 | $65.00 | $12.36–$102.86 | 41% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C CONFIRM RNA QNT | $120.00 | $240.00 | $37.13–$232.80 | 31% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV QNT PCR - CHG ONLY | $154.38 | $308.75 | $37.13–$299.49 | 11% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV, QNT, RNA PCR, REFLEX GENOTYPE | $157.50 | $315.00 | $37.13–$305.55 | 9% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QNT PCR | $512.00 | $1,024.00 | $37.13–$993.28 | 194% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 .HERPES TYPE I IGG-1000885 | $16.63 | $33.25 | $11.43–$102.86 | 59% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HERPES TYPE II IGG-1000885 | $16.75 | $33.50 | $16.78–$102.86 | 64% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC | $16.50 | $33.00 | $11.22–$102.86 | 71% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, PLASMA | $41.63 | $83.25 | $14.62–$102.86 | 52% below | 50% |
| Insulin blood test CPT 83525 .INSULIN (1001502) | $6.63 | $13.25 | $7.95–$102.86 | 87% below | 50% |
| Insulin blood test CPT 83525 INSULIN | $8.50 | $17.00 | $9.91–$102.86 | 83% below | 50% |
| Insulin blood test CPT 83525 .INSULIN TOTAL (1001885) | $19.00 | $38.00 | $9.91–$102.86 | 62% below | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $22.00 | $44.00 | $5.61–$102.86 | 46% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IBC | $22.00 | $44.00 | $7.57–$102.86 | 47% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $122.25 | $244.50 | $7.53–$237.17 | 206% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLUID | $38.38 | $76.75 | $5.97–$102.86 | at median | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 .LIPASE LABCORP | $41.88 | $83.75 | $5.97–$102.86 | 9% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $41.88 | $83.75 | $5.97–$102.86 | 9% above | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $94.25 | $188.50 | $7.08–$182.85 | 148% above | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB W/ REFLEX | $41.38 | $82.75 | $14.76–$102.86 | 36% above | 50% |
| Lyme disease antibody test CPT 86618 .LYMES (1003975) | $126.13 | $252.25 | $14.76–$244.68 | 314% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM 24HR URINE | $12.75 | $25.50 | $5.80–$102.86 | 25% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $42.13 | $84.25 | $5.80–$102.86 | 148% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM - LABCORP | $42.13 | $84.25 | $5.80–$102.86 | 148% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $86.38 | $172.75 | $5.80–$167.57 | 408% above | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ABS, IGG | $18.88 | $37.75 | $11.16–$102.86 | 51% below | 50% |
| Measles (rubeola) antibody test CPT 86765 .RUBEOLA ANTIBODIES-1000880 | $31.38 | $62.75 | $11.16–$102.86 | 18% below | 50% |
| Measles (rubeola) antibody test CPT 86765 .MEASLES IGM (1003657) | $194.88 | $389.75 | $11.16–$378.06 | 410% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $39.13 | $78.25 | $4.49–$102.86 | 13% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 FF MONO TEST | $40.63 | $81.25 | $4.49–$102.86 | 18% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 UC MONO TEST | $40.63 | $81.25 | $4.49–$102.86 | 18% above | 50% |
| Obstetric blood test panel CPT 80055 .OBSTETRIC PANEL CHARGE ONLY | $369.50 | $739.00 | $41.43–$716.83 | 67% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .FREE PSA (RFLX CHG 1001898) | $23.25 | $46.50 | $15.94–$102.86 | 57% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE & TOTAL | $144.13 | $288.25 | $15.94–$279.60 | 164% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN-HEALTH FAIR | $38.88 | $77.75 | $15.94–$102.86 | 37% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 .PSA SCREEN-HOSPICE HF | $40.00 | $80.00 | $15.94–$102.86 | 35% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 .PSA SCREEN-HF-LABCORP | $46.38 | $92.75 | $15.94–$102.86 | 24% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL, REFLEX TO FREE | $51.13 | $102.25 | $15.94–$102.86 | 17% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $51.13 | $102.25 | $15.94–$102.86 | 17% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .PAP (1003932) | $56.38 | $112.75 | $22.96–$109.37 | 31% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP WITH REFLEX TO HPV | $69.63 | $139.25 | $22.96–$135.07 | 15% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .HPV (1001895) | $113.38 | $226.75 | $22.96–$219.95 | 38% above | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP & HPV RFLX TO GENOTYPE 16 &18,45 | $114.50 | $229.00 | $22.96–$222.13 | 40% above | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP & HPV | $114.50 | $229.00 | $22.96–$222.13 | 40% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP/ NO REFLEX TO HPV | $69.63 | $139.25 | $17.56–$135.07 | 39% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE, INTACT | $152.88 | $305.75 | $35.77–$296.58 | 8% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $36.25 | $72.50 | $5.20–$102.86 | 7% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .APTT (1001300) | $109.38 | $218.75 | $5.20–$212.19 | 180% above | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $14.38 | $28.75 | $17.25–$102.86 | 86% below | 50% |
| Progesterone blood test CPT 84144 .PROG TOTAL (1001985) | $164.63 | $329.25 | $18.08–$319.37 | 65% above | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $11.75 | $23.50 | $14.10–$102.86 | 81% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR | $25.38 | $50.75 | $3.41–$102.86 | 4% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 MS PT/INR | $26.38 | $52.75 | $3.41–$102.86 | 8% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .PT (1001300) | $69.63 | $139.25 | $3.41–$135.07 | 184% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 MAT URINE DRUG SCREEN 11 PANEL M CUP | $9.25 | $18.50 | $9.83–$102.86 | 74% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 FM RAPID FLU A | $68.00 | $136.00 | $12.91–$131.92 | 46% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 UC RAPID FLU A | $68.00 | $136.00 | $12.91–$131.92 | 46% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 FF RAPID FLU A | $68.00 | $136.00 | $12.91–$131.92 | 46% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 FM RAPID FLU B | $68.00 | $136.00 | $12.91–$131.92 | 46% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 UC STREP GRP A IMMUNOASSAY | $20.88 | $41.75 | $12.89–$102.86 | 48% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 FK STREP GRP A IMMUNOASSAY | $20.88 | $41.75 | $12.89–$102.86 | 48% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 FF STREP GRP A IMMUNOASSAY | $20.88 | $41.75 | $12.89–$102.86 | 48% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 TK STREP GRP A IMMUNOASSAY | $20.88 | $41.75 | $12.89–$102.86 | 48% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 MS STREP GRP A IMMUNOASSAY | $20.88 | $41.75 | $12.89–$102.86 | 48% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 FM STREP GRP A IMMUNOASSAY | $20.88 | $41.75 | $12.89–$102.86 | 48% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUAL | $30.75 | $61.50 | $4.91–$102.86 | 12% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 .RA FACTOR (1001568) | $80.25 | $160.50 | $4.91–$155.69 | 129% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $10.63 | $21.25 | $12.47–$102.86 | 78% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 .RUBELLA ANTIBODY-1000880 | $65.63 | $131.25 | $12.47–$127.31 | 35% above | 50% |
| Stool ova and parasites exam CPT 87177 .O&P SMEAR (1000836) | $23.75 | $47.50 | $7.71–$102.86 | 48% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FM OCCULT BLOOD 1-3 TESTS SCREENING | $20.88 | $41.75 | $3.42–$102.86 | 44% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 UC OCCULT BLOOD 1-3 TESTS SCREENING | $20.88 | $41.75 | $3.42–$102.86 | 44% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 MS OCCULT BLOOD 1-3 TESTS SCREENING | $20.88 | $41.75 | $3.42–$102.86 | 44% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 TK OCCULT BLOOD 1-3 TESTS SCREENING | $20.88 | $41.75 | $3.42–$102.86 | 44% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FF OCCULT BLOOD 1-3 TESTS SCREENING | $20.88 | $41.75 | $3.42–$102.86 | 44% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FK OCCULT BLOOD 1-3 TESTS SCREENING | $20.88 | $41.75 | $3.42–$102.86 | 44% above | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD 1 TO 3 DETERMINATION | $15.38 | $30.75 | $13.78–$102.86 | 58% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL W/REFLEX | $7.00 | $14.00 | $3.71–$102.86 | 73% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD | $125.50 | $251.00 | $53.72–$243.47 | 32% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 .TESTOSTERONE TOTAL (1001516) | $18.88 | $37.75 | $22.37–$102.86 | 75% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 .TESTOSTERONE TOTAL (1001527) | $70.00 | $140.00 | $22.37–$135.80 | 9% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $129.13 | $258.25 | $22.37–$250.50 | 69% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 .TESTOSTERONE TOTAL-1000830 | $129.13 | $258.25 | $22.37–$250.50 | 69% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO ABS | $18.50 | $37.00 | $12.61–$102.86 | 74% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LKM ANTIBODIES | $23.50 | $47.00 | $12.61–$102.86 | 66% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 .TSH HOSPICE HF | $55.63 | $111.25 | $14.56–$107.91 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - HEALTH FAIR | $55.63 | $111.25 | $14.56–$107.91 | at median | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 .TSH - HF-LABCORP | $66.25 | $132.50 | $14.56–$128.53 | 19% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE | $72.75 | $145.50 | $14.56–$141.14 | 31% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 .THYROID CASCADE - LABCORP | $72.75 | $145.50 | $14.56–$141.14 | 31% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $72.75 | $145.50 | $14.56–$141.14 | 31% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 .TSH - LABCORP | $72.75 | $145.50 | $14.56–$141.14 | 31% above | 50% |
| Trichomonas test (NAAT) CPT 87661 .TRICH VAGINALIS (1003690) | $78.63 | $157.25 | $30.41–$152.53 | 2% above | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, NAA | $116.75 | $233.50 | $30.41–$226.50 | 51% above | 50% |
| Trichomonas test (NAAT) CPT 87661 ML TRICH VAG BY NAA | $188.63 | $377.25 | $30.41–$365.93 | 144% above | 50% |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $37.00 | $74.00 | $3.92–$102.86 | 17% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINE WITH MICROSCOPIC CHARGE ONLY | $41.63 | $83.25 | $2.75–$102.86 | 46% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 FM URINALYSIS DIPSTICK CHARGE ONLY | $5.25 | $10.50 | $1.94–$102.86 | 61% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UC URINALYSIS DIPSTICK | $5.25 | $10.50 | $1.94–$102.86 | 61% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 .URINALYSIS DIPSTICK CHARGE ONLY | $20.63 | $41.25 | $1.94–$102.86 | 54% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACRO ONLY | $20.75 | $41.50 | $1.94–$102.86 | 55% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY URINE | $12.13 | $24.25 | $2.71–$102.86 | at median | 50% |
| Urinalysis without microscope exam, manual CPT 81002 MS URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 UR URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 FM URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 TK URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 FF URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 FK URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 MAT URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 ONC URINE DIP | $12.63 | $25.25 | $2.71–$102.86 | 4% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE URINE | $20.75 | $41.50 | $2.71–$102.86 | 71% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $52.00 | $104.00 | $7.00–$102.86 | 9% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY RAPID URINE | $20.13 | $40.25 | $6.72–$102.86 | 4% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 FF PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 UC PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 FM PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 MS PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 TK PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 FK PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 MAT PREGNANCY RAPID URINE | $20.88 | $41.75 | $6.72–$102.86 | 1% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 .VITAMIN B12 - LABCORP | $88.63 | $177.25 | $13.07–$171.93 | 10% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $88.63 | $177.25 | $13.07–$171.93 | 10% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .VITAMIN D HEALTH FAIR | $83.50 | $167.00 | $25.65–$161.99 | 3% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .VITAMIN D-HF-LABCORP | $99.38 | $198.75 | $25.65–$192.79 | 16% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .VITAMIN D 25 HYDROXY (LABCORP) | $109.38 | $218.75 | $25.65–$212.19 | 28% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 .VITAMIN D 25 HYDROXY - LABCORP | $109.38 | $218.75 | $25.65–$212.19 | 28% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $109.38 | $218.75 | $25.65–$212.19 | 28% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 & D3 FRACTIONATED | $127.75 | $255.50 | $25.65–$247.84 | 49% above | 50% |
| Zinc blood test CPT 84630 ZINC PLASMA | $10.88 | $21.75 | $9.87–$102.86 | 68% below | 50% |
| Zinc blood test CPT 84630 ZINC, WHOLE BLOOD | $83.63 | $167.25 | $9.87–$162.23 | 147% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 .GONADOTROPIN-1000940 | $23.13 | $46.25 | $13.05–$102.86 | 67% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANT | $118.50 | $237.00 | $13.05–$229.89 | 68% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 GYN HBPC CHEMODENERV MUSC FAC TRIG CERVI | $56.25 | $112.50 | $67.50–$148.04 | 84% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM PLACEMENT OF CLIP W GUIDANCE RT | $604.25 | $1,208.50 | $102.86–$1,172.25 | 76% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM PLACEMENT OF CLIP W GUIDANCE LT | $604.25 | $1,208.50 | $102.86–$1,172.25 | 76% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 OS HBPC CLOSED TX DIST FIB FX W/O MANIP | $76.00 | $152.00 | $91.20–$294.51 | 75% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TRT ANKLE FX | $275.38 | $550.75 | $102.86–$534.23 | 9% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 OS HBPC CLD TX METATARSAL FX WO MANIP EA | $52.25 | $104.50 | $62.70–$204.07 | 78% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TRT METATARSAL FX | $190.63 | $381.25 | $102.86–$369.81 | 20% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION /EXT | $722.75 | $1,445.50 | $102.86–$1,402.14 | 31% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL | $722.75 | $1,445.50 | $102.86–$1,402.14 | 31% below | 50% |
| Cervical biopsy CPT 57500 GYN HBPC BIOPSY OF CERVIX | $149.25 | $298.50 | $102.86–$289.55 | 86% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 OS HBPC CL TX DIS RAD FX W/W/O ULNA W/OM | $68.38 | $136.75 | $82.05–$291.77 | 81% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TRT FX RADIUS/ULNA | $252.75 | $505.50 | $102.86–$490.34 | 28% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 GYN HBPC CYSTOURETHROSCOPY | $375.88 | $751.75 | $102.86–$729.20 | 54% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 UR HBPC CYSTOURETHROSCOPY | $375.88 | $751.75 | $102.86–$729.20 | 54% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 S1 HBPC DESTRUCTION PREMALIGNANT 1ST LES | $28.38 | $56.75 | $34.05–$102.86 | 86% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 MS REMOVAL IMPACTED CERUMEN IRRIG/LAVAGE | $15.38 | $30.75 | $12.26–$102.86 | 81% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 TK REMOVAL IMPACTED CERUMEN IRRIG/LAVAGE | $15.50 | $31.00 | $12.26–$102.86 | 81% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 UC HBPC CERUMEN REMOVAL 1 EAR | $19.63 | $39.25 | $23.55–$102.86 | 71% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 RMV INPACTED EAR WAX 1 EAR | $45.63 | $91.25 | $44.72–$102.86 | 33% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 GYN HBPC ENDOMETRIAL SAMPLE W W/O ENDOCE | $40.88 | $81.75 | $49.05–$102.86 | 80% below | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 S1 HBPC HEMORRHOIDECTOMY INTERNAL RUBBER | $94.13 | $188.25 | $102.86–$252.68 | 91% below | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 GS HBPC HEMORRHOID LIGATION | $103.50 | $207.00 | $102.86–$252.68 | 90% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 GYN HBPC INSERTION INTRAUTERINE DEVICE | $35.75 | $71.50 | $42.90–$102.86 | 78% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 OBS INCISION & DRAIN ABSCESS SIMPLE/SING | $136.13 | $272.25 | $102.86–$264.08 | 41% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INC/DRAIN ABSCESS /SIMP | $136.13 | $272.25 | $102.86–$264.08 | 41% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 AC INCISION & DRAIN ABSCESS SIMPLE/SINGL | $136.13 | $272.25 | $102.86–$264.08 | 41% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH | $97.25 | $194.50 | $50.89–$188.67 | 71% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 NE HBPC ARTHROCENTESIS ASP INJ MAJOR | $52.13 | $104.25 | $57.61–$102.86 | 85% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S1 HBPC ARTHROCENTESIS ASP INJ MAJOR JT | $52.13 | $104.25 | $57.61–$102.86 | 85% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OS HBPC ARTHROCENTESIS ASP INJ MAJOR JT | $52.13 | $104.25 | $57.61–$102.86 | 85% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIRAT/INJ MAJOR JOINT | $97.25 | $194.50 | $57.61–$188.67 | 72% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO AS/INJ MAJOR | $97.25 | $194.50 | $57.61–$188.67 | 72% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 GYN HBPC INSERTION NONBIODEGRA DRUG IMPL | $89.75 | $179.50 | $84.15–$174.12 | 46% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP AND OR INJ INTERMED | $92.63 | $185.25 | $48.26–$179.69 | 74% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 S1 HBPC LAYERED CLOSURE WOUND <2.5 CM | $125.63 | $251.25 | $102.86–$243.71 | 69% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 GYN HBPC LAYERED CLOSURE WOUND <2.5 CM | $125.63 | $251.25 | $102.86–$243.71 | 69% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER WOUND 2.5 | $178.13 | $356.25 | $102.86–$345.56 | 56% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 S1 HBPC EXCISION BEN LESION 0.5 CM OR < | $63.75 | $127.50 | $76.50–$123.68 | 89% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 GS HBPC EXCISION BEN LES 0.5 OR < CM TRU | $64.25 | $128.50 | $77.10–$124.65 | 89% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ET EXCISION BEN LES 0.5 OR < CM TRU | $64.25 | $128.50 | $77.10–$124.65 | 89% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 SG HBPC EXCISION BEN LES 0.5 OR < CM TRU | $65.75 | $131.50 | $78.90–$127.56 | 89% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 OS HBPC AVULSION NAIL PLATE SIMPLE SINGL | $60.13 | $120.25 | $72.15–$116.64 | 75% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 POD HBPC AVULSION NAIL PLATE PART/COMP S | $60.13 | $120.25 | $72.15–$116.64 | 75% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 S1 HBPC AVULSION NAIL PLATE PART/COMP SI | $60.13 | $120.25 | $72.15–$116.64 | 75% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLA SINGLE | $142.00 | $284.00 | $102.11–$275.48 | 40% below | 50% |
| Paracentesis with imaging guidance CPT 49083 US GUIDED PARACENTESIS | $273.88 | $547.75 | $102.86–$531.32 | 81% below | 50% |
| Paracentesis with imaging guidance CPT 49083 EDT ABDOMINAL PARACENTESIS W GUIDANCE | $544.63 | $1,089.25 | $102.86–$1,056.57 | 61% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W GUIDANCE TECH | $544.63 | $1,089.25 | $102.86–$1,056.57 | 61% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 POD HBPC EXCISION NAIL/MATRIX PART/COMPL | $86.25 | $172.50 | $102.86–$167.33 | 78% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 S1 HBPC EXCISION NAIL/MATRIX PART/COMPLE | $86.25 | $172.50 | $102.86–$167.33 | 78% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL | $219.63 | $439.25 | $102.86–$426.07 | 45% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 OS HBPC INC REMOVE FOR BODY SIMPLE | $68.38 | $136.75 | $82.05–$132.65 | 83% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 S1 HBPC INCISION REMOVAL FB SIMPLE | $107.75 | $215.50 | $97.92–$209.04 | 72% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC/REM FOREIGN BDY /SIMP | $161.25 | $322.50 | $97.92–$312.83 | 59% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST | $96.63 | $193.25 | $80.36–$187.45 | 66% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 OS HBPC APPLICATION SHORT ARM SPLINT STA | $57.13 | $114.25 | $59.00–$110.82 | 67% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 S1 HBPC APPLICATION SHORT ARM SPLINT STA | $57.13 | $114.25 | $59.00–$110.82 | 67% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $86.25 | $172.50 | $59.00–$167.33 | 50% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APP SHT LEG SPLINT | $76.50 | $153.00 | $66.53–$148.41 | 67% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 S1 HBPC SIMPLE REPAIR SUP WOUND 2.5 CM < | $76.50 | $153.00 | $82.53–$148.41 | 69% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE WOUND 2.5 | $166.88 | $333.75 | $82.53–$323.74 | 33% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 SG HBPC PUNCH BX SKIN SINGLE LESION | $192.50 | $385.00 | $102.86–$373.45 | 49% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 S1 HBPC PUNCH BX SKIN SINGLE LESION | $192.50 | $385.00 | $102.86–$373.45 | 49% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 GYN HBPC PUNCH BX SKIN SINGLE LESION | $192.50 | $385.00 | $102.86–$373.45 | 49% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 RMV SKIN TAGS | $108.00 | $216.00 | $81.66–$209.52 | 44% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMB DIAG | $238.75 | $477.50 | $102.86–$463.18 | 76% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,007.63 | $2,015.25 | $102.86–$1,954.79 | 2% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 S1 HBPC SIMP RPR SUPERFIC WD 2.6-7.5 CM | $109.00 | $218.00 | $101.31–$211.46 | 56% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE WOUND 2.6-7.5 | $179.00 | $358.00 | $101.31–$347.26 | 28% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP REP SUPERFICIAL 2.5 | $177.38 | $354.75 | $101.10–$344.11 | 30% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 S1 HBPC TANGENTIAL BX SKIN SHAVE/CUR LES | $150.25 | $300.50 | $89.48–$291.49 | 53% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 SG HBPC TANGENTIAL BX SKIN SHAVE/CURET L | $150.25 | $300.50 | $89.48–$291.49 | 53% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS ASP W IMAGING GUIDANCE | $184.63 | $369.25 | $102.86–$358.17 | 87% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT, 1/2 MUSCLE | $67.00 | $134.00 | $51.94–$129.98 | 77% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BX RT | $611.13 | $1,222.25 | $102.86–$1,185.58 | 75% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BX LT | $611.13 | $1,222.25 | $102.86–$1,185.58 | 75% below | 50% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 UR HBPC VASECTOMY UNILAT/BILAT | $375.88 | $751.75 | $102.86–$729.20 | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 GS HBPC ENDOVENOUS ABLATION TX 1ST VEIN | $2,599.13 | $5,198.25 | $102.86–$5,042.30 | 9% below | 50% |
| Wart removal, up to 14 warts CPT 17110 SG HBPC DESTRUCTION BENIGN LES UP TO 14 | $64.00 | $128.00 | $64.26–$124.16 | 68% below | 50% |
| Wart removal, up to 14 warts CPT 17110 GYN HBPC DESTRUCTION BENIGN LES UP TO 14 | $64.00 | $128.00 | $64.26–$124.16 | 68% below | 50% |
| Wart removal, up to 14 warts CPT 17110 S1 HBPC DESTRUCTION BENIGN LES UP TO 14 | $64.00 | $128.00 | $64.26–$124.16 | 68% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN /SUB TISSUE | $199.63 | $399.25 | $102.86–$387.27 | 39% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BB TRANSFUSION CHARGE | $214.50 | $429.00 | $30.28–$416.13 | 66% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TK RESPIR NEBULIZER TREATMENT, INITIAL | $54.50 | $109.00 | $15.59–$105.73 | 74% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MS RESPIR NEBULIZER TREATMENT, INITIAL | $54.50 | $109.00 | $15.59–$105.73 | 74% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UC RESPIR NEBULIZER TREATMENT, INITIAL | $54.50 | $109.00 | $15.59–$105.73 | 74% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FM RESPIR NEBULIZER TREATMENT, INITIAL | $54.50 | $109.00 | $15.59–$105.73 | 74% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FK RESPIR NEBULIZER TREATMENT, INITIAL | $54.50 | $109.00 | $15.59–$105.73 | 74% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FF RESPIR NEBULIZER TREATMENT, INITIAL | $54.50 | $109.00 | $15.59–$105.73 | 74% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED TECH INHALATION TX BY NURSING | $163.25 | $326.50 | $15.59–$316.71 | 22% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT INT RESP | $163.25 | $326.50 | $15.59–$316.71 | 22% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL RESP | $163.25 | $326.50 | $15.59–$316.71 | 22% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 DRUG ADMIN IV UP TO 1 HOUR | $304.88 | $609.75 | $102.86–$591.46 | 50% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 ONC CHEMO ADMIN IV INF UP TO 1 HR | $304.88 | $609.75 | $102.86–$591.46 | 50% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE (LEVEL 6)30-74 MIN | $1,041.88 | $2,083.75 | $102.86–$2,021.24 | 7% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG /AWAKE & DROWSY | $365.88 | $731.75 | $102.86–$709.80 | 41% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 SC EEG AWAKE DROWSY TECH | $365.88 | $731.75 | $102.86–$709.80 | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 FK EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY 15 LEAD | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 FF EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 TF EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 MS EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 FM EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 UC EKG TRACING ONLY | $87.50 | $175.00 | $102.86–$169.75 | 28% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER BASIC 1 | $96.88 | $193.75 | $20.41–$187.94 | 34% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 ER LEFT AFTER SCREEN | $96.88 | $193.75 | $20.41–$187.94 | 34% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER BASIC 2 | $150.75 | $301.50 | $39.84–$292.46 | 40% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER BASIC 3 | $249.13 | $498.25 | $59.71–$483.30 | 35% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER BASIC 4 | $392.00 | $784.00 | $102.86–$760.48 | 36% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER BASIC 5 | $622.75 | $1,245.50 | $102.86–$1,208.14 | 23% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING ONLY | $641.75 | $1,283.50 | $102.86–$1,245.00 | at median | 50% |
| Group psychotherapy session CPT 90853 MAT GROUP PSYCHOTHERAPY | $43.88 | $87.75 | $47.74–$102.86 | 23% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FM IV INFUSION INIT 31 MIN TO 1 HR | $80.13 | $160.25 | $33.56–$155.44 | 66% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYD INIT UP-1 HR | $146.75 | $293.50 | $33.56–$284.70 | 38% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYD INIT 31 - 60 MIN | $151.63 | $303.25 | $33.56–$294.15 | 36% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYD INIT 31 - 60 MIN CT SCAN | $151.63 | $303.25 | $33.56–$294.15 | 36% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ONC IV INF/HYDRATION INIT 31 - 60 MIN | $151.63 | $303.25 | $33.56–$294.15 | 36% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYD INT UP-1HR | $184.00 | $368.00 | $33.56–$356.96 | 23% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FK IV INF/HYD INT UP-1HR | $184.13 | $368.25 | $33.56–$357.20 | 22% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MS IV INF/HYDRATION INITIAL 31 MIN-1HR | $184.13 | $368.25 | $33.56–$357.20 | 22% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYD INIT 31-60 MIN | $184.13 | $368.25 | $33.56–$357.20 | 22% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 UC IV INF/HYD INT UP-1HR | $184.13 | $368.25 | $33.56–$357.20 | 22% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FF IV INF/HYD INT UP-1HR | $184.13 | $368.25 | $33.56–$357.20 | 22% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TF IV INF/HYDRATION INITIAL 31 MIN-1HR | $184.13 | $368.25 | $33.56–$357.20 | 22% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV THER INIT UP -1HR | $187.50 | $375.00 | $62.82–$363.75 | 24% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV THER INIT UP-1 HR | $187.63 | $375.25 | $62.82–$363.99 | 24% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 UC IV THER INIT UP -1HR | $187.63 | $375.25 | $62.82–$363.99 | 24% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 FF IV THER INIT UP -1HR | $187.63 | $375.25 | $62.82–$363.99 | 24% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 FK IV THER INIT UP -1HR | $187.63 | $375.25 | $62.82–$363.99 | 24% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ONC IV THER INIT UP-1 HR | $187.63 | $375.25 | $62.82–$363.99 | 24% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 UR THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 GY THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 MAT THERAPEUTIC INJECTION SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FK THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OS THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ONC THERAPEUTIC INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FF THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TK THER INJ SQ OR IM | $29.63 | $59.25 | $15.24–$102.86 | 57% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 GS THER INJ SQ OR IM | $30.13 | $60.25 | $15.24–$102.86 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SG THER INJ SQ OR IM | $30.13 | $60.25 | $15.24–$102.86 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 FM IM/SQ INJECTIONS OF MEDS | $30.25 | $60.50 | $15.24–$102.86 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 UC THER INJ SQ OR IM | $32.00 | $64.00 | $15.24–$102.86 | 54% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 EPINEPHrine 0.15MG (EPIPEN JUNIOR) | $373.63 | $747.25 | $15.24–$724.83 | 441% above | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 MAT PSYCHIATRIC DIAGNOSTIC EVAL | $154.25 | $308.50 | $102.86–$299.25 | 20% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 STUDIES TECH | $95.50 | $191.00 | $102.86–$185.27 | 78% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT KX NEURO RE-ED 15 MIN | $75.75 | $151.50 | $31.80–$146.96 | 6% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE-ED 15 MIN | $75.88 | $151.75 | $31.80–$147.20 | 5% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE-EDUCATION EA 15 MIN | $75.88 | $151.75 | $31.80–$147.20 | 5% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT KX NEURO RE-EDUCATION EA 15 MIN | $75.88 | $151.75 | $31.80–$147.20 | 5% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITNL THPY INIT 15MIN | $43.88 | $87.75 | $32.04–$102.86 | at median | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT KX EVAL LOW COMPLEX (30 MIN) | $159.13 | $318.25 | $82.33–$308.70 | 14% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX (20 MIN) | $159.25 | $318.50 | $82.33–$308.95 | 13% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT KX EVAL HIGH COMPLEX (45 MIN) | $221.88 | $443.75 | $77.05–$430.44 | 4% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT AQUATIC EVAL HIGH COMPLEX (45 MIN) | $221.88 | $443.75 | $77.05–$430.44 | 4% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX (45 MIN) | $221.88 | $443.75 | $77.05–$430.44 | 4% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX (20 MIN) | $147.88 | $295.75 | $77.05–$286.88 | 20% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT AQUATIC EVAL LOW COMPLEX (20 MIN) | $147.88 | $295.75 | $77.05–$286.88 | 20% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT KX EVAL LOW COMPLEX (20 MIN) | $147.88 | $295.75 | $77.05–$286.88 | 20% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT KX EVAL MODERATE COMPLEX (30 MIN) | $184.63 | $369.25 | $77.05–$358.17 | 13% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEX (30 MIN) | $184.75 | $369.50 | $77.05–$358.42 | 13% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT AQUATIC EVAL MODERAT COMPLEX (30 MIN) | $184.75 | $369.50 | $77.05–$358.42 | 13% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $68.13 | $136.25 | $25.44–$132.16 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT KX MANUAL THERAPY 15 MIN | $68.13 | $136.25 | $25.44–$132.16 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT KX MANUAL THERAPY EA 15 MIN | $68.13 | $136.25 | $25.44–$132.16 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN | $68.13 | $136.25 | $25.44–$132.16 | at median | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC PROCEDURE EA 15 MIN | $73.13 | $146.25 | $28.03–$141.86 | 4% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT KX THERAPEUTIC EXERCISE /EA 15 | $73.13 | $146.25 | $28.03–$141.86 | 4% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT KX THERAPEUTIC PROCEDURE EA 15 MIN | $73.13 | $146.25 | $28.03–$141.86 | 4% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE /EA 15 | $73.13 | $146.25 | $28.03–$141.86 | 4% above | 50% |
| Psychiatric evaluation with medical services CPT 90792 MAT PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICA | $200.50 | $401.00 | $102.86–$388.97 | at median | 50% |
| Psychotherapy session, 30 minutes CPT 90832 MAT PSYCHOTHERAPY 30 MIN F2F W/O E/M | $70.38 | $140.75 | $67.20–$136.53 | 42% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 MAT PSYCHOTHERAPY 45 MIN F2F W/O E/M | $93.13 | $186.25 | $95.48–$180.66 | 40% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 MAT PSYCHOTHERAPY 60 MIN F2F W/O E/M | $138.00 | $276.00 | $102.86–$267.72 | 27% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SA HBPC EP COMP | $66.38 | $132.75 | $79.65–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SM HBPC EP COMP | $66.38 | $132.75 | $79.65–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FM HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ONC/HEM HBPC EP COMPREHENSIVE | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 GS HBPC EP COMP | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OS HBPC EP COMP | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 S1 HBPC EP COMP | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SG HBPC EP COMP | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 POD HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 GYN HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 MAT HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FK HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 TF HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 UC HBPC EP COMP | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 MS HBPC EXTENDED | $66.50 | $133.00 | $79.80–$132.88 | 12% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 TREATMENT /COMPLEX | $178.25 | $356.50 | $102.86–$345.81 | 135% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SA HBPC EP LIMITED | $27.00 | $54.00 | $32.40–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SM HBPC EP LIMITED | $27.00 | $54.00 | $32.40–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 MAT HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FK HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TF HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 MS HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FM HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 UC HBPC EP LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 GS HBPC EP LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OS HBPC EP LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 S1 HBPC EP LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ONC/HEM HBPC EP LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SG HBPC EP LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 POD HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 GYN HBPC LIMITED | $27.13 | $54.25 | $32.55–$102.86 | 61% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TREATMENT /MODERATE | $97.25 | $194.50 | $67.12–$188.67 | 41% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 S1 HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 POD HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GYN HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MAT HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FK HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TF HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 UC HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FM HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MS HBPC INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SM HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SG HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SA HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ONC/HEM HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GS HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OS HBPC EP INTERMEDIATE | $44.13 | $88.25 | $52.95–$102.86 | 47% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TREATMENT /HIGH | $133.50 | $267.00 | $98.63–$258.99 | 60% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OS HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SG HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 S1 HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GS HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ONC/HEM HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SA HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SM HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 POD HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GYN HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MAT HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FK HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TF HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MS HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FM HBPC BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 UC HBPC EP BRIEF | $22.75 | $45.50 | $27.30–$102.86 | 64% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT /LIMITED | $121.88 | $243.75 | $40.21–$236.44 | 93% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 8-22 MN KX | $240.13 | $480.25 | $102.86–$465.84 | 14% below | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 8-22 MIN | $240.13 | $480.25 | $102.86–$465.84 | 14% below | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 23-37 MIN | $276.38 | $552.75 | $102.86–$536.17 | 1% below | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/CMP/EXP 23-37 MN KX | $276.38 | $552.75 | $102.86–$536.17 | 1% below | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/CMP/EXP 38-52 MN KX | $349.25 | $698.50 | $102.86–$677.55 | 25% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 38-52 MIN | $349.25 | $698.50 | $102.86–$677.55 | 25% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 53-67 MIN | $458.13 | $916.25 | $102.86–$888.76 | 64% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/CMP/EXP 53-67 MN KX | $458.13 | $916.25 | $102.86–$888.76 | 64% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 68-82 MIN | $494.50 | $989.00 | $102.86–$959.33 | 78% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/CMP/EXP 68-82 MN KX | $494.50 | $989.00 | $102.86–$959.33 | 78% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 83-97 MIN | $567.13 | $1,134.25 | $102.86–$1,100.22 | 104% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/CMP/EXP 83-97 MN KX | $567.13 | $1,134.25 | $102.86–$1,100.22 | 104% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LNG/CMP/EXP 98-112 MN KX | $639.38 | $1,278.75 | $102.86–$1,240.39 | 130% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVAL SP/LANG/COMP/EXP 98-112 MIN | $639.63 | $1,279.25 | $102.86–$1,240.87 | 130% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVA SP/LANG/COMP/EXP 113-127 MIN | $712.00 | $1,424.00 | $102.86–$1,381.28 | 156% above | 50% |
| Speech and language evaluation CPT 92523 ST COMP EVA SP/LNG/CMP/EXP 113-127 MN KX | $712.00 | $1,424.00 | $102.86–$1,381.28 | 156% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 8-22 MIN | $47.88 | $95.75 | $57.45–$102.86 | 69% below | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 8-22 MIN KX | $48.00 | $96.00 | $57.60–$102.86 | 69% below | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 23-37 MIN | $93.75 | $187.50 | $74.84–$181.88 | 39% below | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 23-37 MIN KX | $93.75 | $187.50 | $74.84–$181.88 | 39% below | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 38-52 MIN | $139.63 | $279.25 | $74.84–$270.87 | 10% below | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 38-52 MIN KX | $139.63 | $279.25 | $74.84–$270.87 | 10% below | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 53-67 MIN | $186.00 | $372.00 | $74.84–$360.84 | 20% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 53-67 MIN KX | $186.00 | $372.00 | $74.84–$360.84 | 20% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 68-82 MIN | $231.13 | $462.25 | $74.84–$448.38 | 50% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 68-82 MIN KX | $231.25 | $462.50 | $74.84–$448.63 | 50% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 83-97 MIN | $275.75 | $551.50 | $74.84–$534.96 | 79% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 83-97 MIN KX | $275.88 | $551.75 | $74.84–$535.20 | 79% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 98-112 MIN | $320.50 | $641.00 | $74.84–$621.77 | 108% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 98-112 MN KX | $320.75 | $641.50 | $74.84–$622.26 | 108% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/CMP/EXP 113-127 MN KX | $366.50 | $733.00 | $74.84–$711.01 | 137% above | 50% |
| Speech therapy session, individual CPT 92507 ST COMP TX SP/LANG/COMP/EXP 113-127 MIN | $366.75 | $733.50 | $74.84–$711.50 | 138% above | 50% |
| Spirometry (breathing test) CPT 94010 FK SPIROMETRY | $31.00 | $62.00 | $31.44–$102.86 | 84% below | 50% |
| Spirometry (breathing test) CPT 94010 FF SPIROMETRY | $31.00 | $62.00 | $31.44–$102.86 | 84% below | 50% |
| Spirometry (breathing test) CPT 94010 PFT W/O DILATOR B LUNG | $77.50 | $155.00 | $31.44–$150.35 | 61% below | 50% |
| Spirometry (breathing test) CPT 94010 PFT BLACK LUNG | $77.50 | $155.00 | $31.44–$150.35 | 61% below | 50% |
| Spirometry (breathing test) CPT 94010 PFT W/O DILATOR | $166.13 | $332.25 | $31.44–$322.28 | 17% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PFT W DILATOR | $236.88 | $473.75 | $52.52–$459.54 | 30% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT KX THERAPEUTIC ACTIVITY 15 MIN | $76.25 | $152.50 | $35.61–$147.93 | at median | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT KX THERAPEUTIC ACTIVITY EA 15 MIN | $77.25 | $154.50 | $35.61–$149.87 | 1% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN | $77.25 | $154.50 | $35.61–$149.87 | 1% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY EA 15 MIN | $77.25 | $154.50 | $35.61–$149.87 | 1% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $51.38 | $102.75 | $61.65–$102.86 | 65% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACC 12+ 25-26 (PFIZER) | $159.75 | $319.50 | $95.85–$309.92 | 6% above | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 FF VARICELLA | $153.88 | $307.75 | $102.86–$298.52 | 22% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (VARIVAX) | $178.25 | $356.50 | $102.86–$345.81 | 10% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA 6 months + VACCINE 0.5ML | $26.00 | $52.00 | $17.69–$102.86 | 24% above | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS 9-VALENT VACCINE | $285.88 | $571.75 | $102.86–$554.60 | 10% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 FF HEPATITIS A (HAVRIX) ADULT VAC 1ML | $87.13 | $174.25 | $70.82–$169.02 | 11% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 UC HEPATITIS A (HAVRIX) ADULT VACCINE | $89.50 | $179.00 | $70.82–$173.63 | 8% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ESCREEN HEP B VACC | $41.88 | $83.75 | $50.25–$102.86 | 37% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B (ENGERIX-B)ADULT INJ 20MCG | $75.00 | $150.00 | $67.06–$145.50 | 13% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA HD 65 YEARS + VACCINE 0.5ML | $71.25 | $142.50 | $56.01–$138.23 | 11% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINATION | $48.13 | $96.25 | $57.75–$102.86 | 59% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 FF MMR | $86.50 | $173.00 | $79.87–$167.81 | 26% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA (MMR II) VACCINE | $97.00 | $194.00 | $79.87–$188.18 | 17% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL (MCV4) (MENACTRA) VACCINE | $123.75 | $247.50 | $102.86–$240.08 | 21% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 FF MENINGOCOCCAL MPSV4 (MENACTRA) | $151.00 | $302.00 | $102.86–$292.94 | 4% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 FM MENINGOCOCCAL MPSV4 (MENACTRA) | $151.00 | $302.00 | $102.86–$292.94 | 4% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACCINE (BEXSERO) | $219.00 | $438.00 | $102.86–$424.86 | 4% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCCOCAL 20 (PREVNAR 20) INJ 0.5ML | $285.88 | $571.75 | $102.86–$554.60 | 21% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 UC PPSV 23 (PNEUMOCOCCAL PNEUMOVAX 23) | $98.25 | $196.50 | $102.86–$190.61 | 10% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 FF PPSV 23 PNEUMOCOCCAL (PNEUMOVAX 23) | $98.25 | $196.50 | $102.86–$190.61 | 10% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCCOCAL 23 (PNEUMOVAX) INJ 0.5ML | $126.00 | $252.00 | $102.86–$244.44 | 15% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB (BEYFORTUS) 50MG/0.5ML INJ | $565.13 | $1,130.25 | $102.86–$1,096.34 | 28% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT) INJ 1 ML | $346.00 | $692.00 | $102.86–$671.24 | 29% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 FF ZOSTER VACCINE (SHINGRIX)50MCG/0.5ML | $192.00 | $384.00 | $102.86–$372.48 | 9% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE (SHINGRIX) 50MCG/0.5ML | $192.00 | $384.00 | $102.86–$372.48 | 9% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 FK ZOSTER VACCINE (SHINGRIX)50MCG/0.5ML | $192.00 | $384.00 | $102.86–$372.48 | 9% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 UC TD(TENIVAC) INJ:0.5 | $25.50 | $51.00 | $20.50–$102.86 | 48% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 UC Td TETANUS/DIPTHER(TENIVAC)INJ 0.5ML | $48.75 | $97.50 | $24.26–$102.86 | at median | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 FF Td (TENIVAC)INJ: 0.5ML | $48.75 | $97.50 | $24.26–$102.86 | at median | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA/TETANUS(TENIVAC) INJ : 0.5ML | $49.38 | $98.75 | $24.26–$102.86 | 1% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH Td(TENIVAC/DECAVAC)INJ0.5ML | $60.63 | $121.25 | $24.26–$117.61 | 24% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTH/TET/A PERTUSSIS (ADACEL)INJ :0.5ML | $36.50 | $73.00 | $41.63–$102.86 | 29% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 LHI DIPT/TET/A PERTUS (ADACEL)INJ :0.5ML | $37.50 | $75.00 | $41.63–$102.86 | 27% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIP/PERTUS Tdap(ADACEL)INJ 0.5ML | $76.75 | $153.50 | $41.63–$148.90 | 49% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 UC TDAP (ADACEL) | $234.63 | $469.25 | $41.63–$455.17 | 357% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 FF TDAP (ADACEL) | $234.63 | $469.25 | $41.63–$455.17 | 357% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $6.25 | $12.50 | $7.50–$102.86 | 86% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TK FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MS FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FM FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FK FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE INJECTION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 UC FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMIN | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FF FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CP FLU VACCINE ADMINISTRATION | $12.50 | $25.00 | $10.00–$102.86 | 72% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FF HEP B VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMONIA VACCINE ADMIN | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMONIA VACCINE ADMIN | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEP B VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CP PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FK VFC VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FK PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FK HEP B VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FK VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FF VFC VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FF PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FF VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TK VFC VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TK PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TK HEP B VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TK VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MS VFC VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MS PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MS HEP B VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MS VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FM VFC VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FM PNEUMOCOCCAL VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FM HEP B VACCINE ADMINISTRATION | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FM VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 UC VACCINE ADMINISTRATION 1ST | $26.50 | $53.00 | $10.00–$102.86 | 41% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADMIN EA ADDTL | $9.38 | $18.75 | $10.00–$102.86 | 62% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 UC PNEUMOVAX VACCINE ADMIN | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FM VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FM VFC VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MS VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MS VFC VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TK VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 UC VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN >1 EA | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TK VFC VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FF VACCINE ADMINISTRATION EA ADD | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FF VFC VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FK VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN ADDTL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FK VFC VACCINE ADMINISTRATION EA ADDL | $23.88 | $47.75 | $10.00–$102.86 | 3% below | 50% |