Throckmorton County Memorial Hospital
Throckmorton County Memorial Hospital in Throckmorton, TX publishes cash prices for 219 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 151 of 218 procedures and above it for 66. By typical cash price it ranks #62 of 296 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
802 N Minter Avenue, Throckmorton, TX 76483 Collected Sep 29, 2026 Source price file (940) 849-2151
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 451339 · CMS hospital register
The price file shows no self-pay discount
For 298 of the 298 prices listed here, the cash price in Throckmorton County Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Throckmorton County Memorial Hospital in Throckmorton, TX:
- Jun 6, 2023 Warning notice
- Sep 28, 2023 Corrective action plan requested
- Apr 2, 2024 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Ankle X-ray3 Views | $184.00 | $184.00 | $38.00–$180.00 | 44% below | — |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast | $525.00 | $525.00 | $42.00–$515.00 | 19% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct/angio Chest W/wo Contr | $1,310.00 | $1,310.00 | $38.00–$1,284.00 | 54% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen Pelvis W/o Contrast | $1,565.00 | $1,565.00 | $32.00–$1,534.00 | 53% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,882.00 | $1,882.00 | $32.00–$1,844.00 | 52% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct/abd And Pelvis W & Wo | $1,927.00 | $1,927.00 | $38.00–$1,888.00 | 54% below | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contras | $1,054.00 | $1,054.00 | $32.00–$1,033.00 | 50% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Facial Bones | $873.00 | $873.00 | $38.00–$856.00 | 49% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,226.00 | $1,226.00 | $32.00–$1,201.00 | 36% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/out | $935.00 | $935.00 | $32.00–$916.00 | 54% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine W/o | $1,199.00 | $1,199.00 | $32.00–$1,175.00 | 43% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,858.00 | $2,858.00 | $32.00–$2,801.00 | 30% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Duplex Imaging | $493.00 | $493.00 | $197.00–$483.00 | 64% below | — |
| Chest X-ray, 2 views CPT 71046 Chest 2 View/prof | $44.00 | $44.00 | $30.00–$43.00 | 89% below | — |
| Chest X-ray, 2 views CPT 71046 Chest 2 View | $180.00 | $180.00 | $38.00–$176.00 | 54% below | — |
| Chest X-ray, 2 views CPT 71046 Chest X-ray (2 Views) | $249.00 | $249.00 | $38.00–$244.00 | 37% below | — |
| Chest X-ray, single view CPT 71045 Chest 1 View | $156.00 | $156.00 | $38.00–$153.00 | 52% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $461.00 | $461.00 | $42.00–$452.00 | 38% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Pelvic Ob Anatomic | $1,048.00 | $1,048.00 | $42.00–$1,027.00 | 52% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contra | $1,000.00 | $1,000.00 | $32.00–$980.00 | 46% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/contrast | $1,563.00 | $1,563.00 | $32.00–$1,532.00 | 31% below | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Arterial Duplex Lower | $470.00 | $470.00 | $188.00–$461.00 | 74% below | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Duplex Extremities Bilateral | $510.00 | $510.00 | $204.00–$500.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram | $944.00 | $944.00 | $54.00–$925.00 | 60% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal Ltd | $310.00 | $310.00 | $42.00–$304.00 | 51% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Gallbladder Sono | $310.00 | $310.00 | $42.00–$304.00 | 51% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,409.00 | $1,409.00 | $32.00–$1,381.00 | 31% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Low Extr Of Any Join | $5,139.00 | $5,139.00 | $32.00–$5,036.00 | 82% above | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o | $3,580.00 | $3,580.00 | $32.00–$3,508.00 | 62% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/o & With | $4,988.00 | $4,988.00 | $32.00–$4,888.00 | 53% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Pro Fee | $896.00 | $896.00 | $188.00–$672.00 | 59% below | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o | $1,669.00 | $1,669.00 | $32.00–$1,636.00 | 24% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $2,632.00 | $2,632.00 | $32.00–$2,579.00 | 13% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $1,678.00 | $1,678.00 | $32.00–$1,644.00 | 27% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spin Can & Con Lumbar W | $5,204.00 | $5,204.00 | $32.00–$5,100.00 | 63% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/o Pro Fee | $873.00 | $873.00 | $183.00–$655.00 | 59% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine Without Contrast | $1,381.00 | $1,381.00 | $32.00–$1,353.00 | 36% below | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spinal Can & Con Ce | $5,301.00 | $5,301.00 | $32.00–$5,195.00 | 62% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine | $1,670.00 | $1,670.00 | $32.00–$1,637.00 | 28% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/o Or With | $4,445.00 | $4,445.00 | $32.00–$4,356.00 | 31% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o | $3,245.00 | $3,245.00 | $32.00–$3,180.00 | 32% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Up Extre Of Any Joint W/o Contrast | $907.00 | $907.00 | $32.00–$889.00 | 49% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder, Limited | $207.00 | $207.00 | $42.00–$203.00 | 58% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Non Ob | $333.00 | $333.00 | $42.00–$326.00 | 61% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $986.00 | $986.00 | $37.00–$966.00 | 51% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder (2) X-ray Right | $187.00 | $187.00 | $38.00–$183.00 | 39% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder (2) X-ray Left | $187.00 | $187.00 | $38.00–$183.00 | 39% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $873.00 | $873.00 | $42.00–$856.00 | 36% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Pelvic Ob Transvaginal | $690.00 | $690.00 | $42.00–$676.00 | 35% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $395.00 | $395.00 | $42.00–$387.00 | 54% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Scrotum | $942.00 | $942.00 | $42.00–$923.00 | 54% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Of Head And Neck | $293.00 | $293.00 | $42.00–$287.00 | 54% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Kub X-ray | $365.00 | $365.00 | $38.00–$358.00 | 50% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Venous Uni Upper/lower | $518.00 | $518.00 | $42.00–$508.00 | 36% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist X-ray Minimum 3 Views Left | $174.00 | $174.00 | $38.00–$171.00 | 44% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist X-ray Minimum 3 Views Right | $174.00 | $174.00 | $38.00–$171.00 | 44% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hip (2 View) Professio | $44.00 | $44.00 | $18.00–$47.00 | 89% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip X-ray 2 View Left | $249.00 | $249.00 | $38.00–$244.00 | 38% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip X-ray 2 View Right | $249.00 | $249.00 | $38.00–$244.00 | 38% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Abd (1 View) Professi | $40.00 | $40.00 | $16.00–$30.00 | 88% below | — |
| X-ray of the abdomen, 1 view CPT 74018 Abd (1) X-ray | $170.00 | $170.00 | $38.00–$167.00 | 50% below | — |
| X-ray of the ankle, 2 views CPT 73600 Ankle Xray2 Views | $390.00 | $390.00 | $38.00–$382.00 | 38% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger X-ray Right | $124.00 | $124.00 | $38.00–$122.00 | 49% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger X-ray Left | $124.00 | $124.00 | $38.00–$122.00 | 49% below | — |
| X-ray of the foot, 2 views CPT 73620 Foot (2 View) Professi | $101.00 | $101.00 | $28.00–$76.00 | 65% below | — |
| X-ray of the foot, 2 views CPT 73620 Radiological Examination, Foot; 2 Views | $227.00 | $227.00 | $38.00–$222.00 | 21% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Xray 2 View Left | $227.00 | $227.00 | $38.00–$222.00 | 21% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Xray 3 View Right | $227.00 | $227.00 | $38.00–$222.00 | 21% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Xray 3 View Left | $227.00 | $227.00 | $38.00–$222.00 | 21% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Xray 2 View Lt Right | $227.00 | $227.00 | $38.00–$222.00 | 21% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot X-ray Lt 3 Views | $164.00 | $164.00 | $38.00–$161.00 | 55% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot X-ray Rt 3 Views | $164.00 | $164.00 | $38.00–$161.00 | 55% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand X-ray 3 Views Left | $163.00 | $163.00 | $38.00–$160.00 | 49% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand X-ray 3 Views Right | $163.00 | $163.00 | $38.00–$160.00 | 49% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee X-ray Left | $168.00 | $168.00 | $38.00–$165.00 | 39% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee X-ray Right | $168.00 | $168.00 | $38.00–$165.00 | 39% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine (2) X-ray | $135.00 | $135.00 | $39.00–$101.00 | 71% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar (2) X-ray | $190.00 | $190.00 | $9.00–$186.00 | 59% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $259.00 | $259.00 | $38.00–$254.00 | 59% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic X-ray | $151.00 | $151.00 | $38.00–$148.00 | 63% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nose X-ray Minimum 3 View | $482.00 | $482.00 | $38.00–$472.00 | 65% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine Xray 2 Or 3 Views | $204.00 | $204.00 | $38.00–$200.00 | 45% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis Xray Pro/fee | $123.00 | $123.00 | $27.00–$92.00 | 67% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis X-ray | $165.00 | $165.00 | $38.00–$162.00 | 56% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum Coccyx (2) X-ra | $464.00 | $464.00 | $38.00–$455.00 | 41% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt/alt Ref | $30.00 | $30.00 | $12.00–$29.00 | 49% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt/alt | $52.00 | $52.00 | $21.00–$51.00 | 12% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot/ast | $51.00 | $51.00 | $21.00–$50.00 | 10% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Abc | $416.00 | $416.00 | $171.00–$408.00 | 7% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Region X Allergen | $101.00 | $101.00 | $42.00–$99.00 | 264% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp (Cyclic Citrulinat | $159.00 | $159.00 | $65.00–$156.00 | 175% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana | $65.00 | $65.00 | $27.00–$64.00 | 29% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Lactic Acid Ref | $93.00 | $93.00 | $38.00–$91.00 | 51% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro Bnp | $214.00 | $214.00 | $88.00–$210.00 | 13% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $110.00 | $110.00 | $45.00–$108.00 | 56% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologist | $94.00 | $94.00 | $35.00–$92.00 | 68% below | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $75.00 | $75.00 | $31.00–$74.00 | 69% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $12.00 | $12.00 | $5.00–$12.00 | 41% below | — |
| Blood lead test CPT 83655 Lead Blood Level | $78.00 | $78.00 | $32.00–$76.00 | 47% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Test | $55.00 | $55.00 | $23.00–$54.00 | 60% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $243.00 | $243.00 | $100.00–$238.00 | 175% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $40.00 | $40.00 | $16.00–$39.00 | 31% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19 9 | $229.00 | $229.00 | $94.00–$224.00 | 68% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Bence Jones Protein | $289.00 | $289.00 | $119.00–$283.00 | 112% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 | $268.00 | $268.00 | $110.00–$263.00 | 67% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 State Sars-cov-2 Infectious Agent Detect | $200.00 | $200.00 | $82.00–$196.00 | 124% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 Infectious Agent Detection | $200.00 | $200.00 | $82.00–$196.00 | 124% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $121.00 | $121.00 | $50.00–$119.00 | 40% below | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $70.00 | $70.00 | $29.00–$69.00 | 25% below | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $82.00 | $82.00 | $34.00–$80.00 | 16% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $155.00 | $155.00 | $64.00–$152.00 | 54% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 Antithrombin Iii Activity | $86.00 | $86.00 | $35.00–$84.00 | 51% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Quantitative | $86.00 | $86.00 | $35.00–$84.00 | 51% below | — |
| Estradiol blood test CPT 82670 Estradiol | $124.00 | $124.00 | $51.00–$122.00 | 15% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $82.00 | $82.00 | $34.00–$80.00 | 49% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin | $340.00 | $340.00 | $140.00–$333.00 | 59% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $103.00 | $103.00 | $42.00–$101.00 | at median | — |
| Folate (folic acid) blood test CPT 82746 Folic Acid | $97.00 | $97.00 | $40.00–$95.00 | 1% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $158.00 | $158.00 | $65.00–$155.00 | 8% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Ref | $33.00 | $33.00 | $14.00–$32.00 | 63% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $84.00 | $84.00 | $35.00–$82.00 | 7% below | — |
| Free testosterone test CPT 84402 Female/child Free Testosterone | $126.00 | $126.00 | $52.00–$123.00 | 14% above | — |
| Free testosterone test CPT 84402 Testosterone Total | $126.00 | $126.00 | $52.00–$123.00 | 14% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $478.00 | $478.00 | $197.00–$468.00 | 7% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3hr | $119.00 | $119.00 | $49.00–$117.00 | 22% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2hr | $125.00 | $125.00 | $51.00–$123.00 | 18% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test | $200.00 | $200.00 | $82.00–$196.00 | 32% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrheaurine | $249.00 | $249.00 | $102.00–$244.00 | 76% above | — |
| H. pylori antibody blood test CPT 86677 H Pylor Abigm Onl | $111.00 | $111.00 | $46.00–$109.00 | 15% below | — |
| H. pylori stool antigen test CPT 87338 H Pylori Stool Ref | $50.00 | $50.00 | $21.00–$49.00 | 50% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quantitative R | $500.00 | $500.00 | $206.00–$490.00 | 55% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv | $191.00 | $191.00 | $79.00–$187.00 | 82% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $72.00 | $72.00 | $30.00–$71.00 | 22% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Titer | $173.00 | $173.00 | $71.00–$170.00 | 163% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Sorf Ag | $198.00 | $198.00 | $81.00–$194.00 | 148% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $221.00 | $221.00 | $91.00–$217.00 | 154% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus Rna Ultraquantitative | $499.00 | $499.00 | $205.00–$489.00 | 62% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 2 Igg Ref | $94.00 | $94.00 | $39.00–$92.00 | 19% above | — |
| Homocysteine blood test CPT 83090 Homocysteine | $224.00 | $224.00 | $92.00–$220.00 | 49% above | — |
| Insulin blood test CPT 83525 Insulin Level | $145.00 | $145.00 | $60.00–$142.00 | 70% above | — |
| Iron blood test (serum iron) CPT 83540 Iron | $62.00 | $62.00 | $26.00–$61.00 | 30% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Tibc | $70.00 | $70.00 | $29.00–$69.00 | 29% below | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $123.00 | $123.00 | $51.00–$121.00 | 31% below | — |
| LH (luteinizing hormone) test CPT 83002 Lh | $196.00 | $196.00 | $81.00–$192.00 | 30% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $61.00 | $61.00 | $25.00–$60.00 | 38% below | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $100.00 | $100.00 | $41.00–$98.00 | 61% below | — |
| Lyme disease antibody test CPT 86618 Lyme Dis Ab W/reflex | $113.00 | $113.00 | $47.00–$111.00 | 37% above | — |
| Magnesium blood test CPT 83735 Magnesium Level | $57.00 | $57.00 | $23.00–$56.00 | 15% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola (Measles) Antibod | $84.00 | $84.00 | $35.00–$82.00 | 124% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $127.00 | $127.00 | $52.00–$124.00 | 38% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth-intact | $190.00 | $190.00 | $78.00–$186.00 | 14% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $58.00 | $58.00 | $24.00–$57.00 | 7% above | — |
| Progesterone blood test CPT 84144 Progesterone | $190.00 | $190.00 | $78.00–$186.00 | 62% above | — |
| Prolactin blood test CPT 84146 Prolactin | $231.00 | $231.00 | $95.00–$226.00 | 95% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $57.00 | $57.00 | $23.00–$56.00 | 17% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Flu Swab | $86.00 | $86.00 | $35.00–$84.00 | 10% below | — |
| Rheumatoid factor (RF) test CPT 86431 Ra Latex | $68.00 | $68.00 | $28.00–$67.00 | 22% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody | $130.00 | $130.00 | $54.00–$127.00 | 167% above | — |
| Rubella antibody test (immunity check) CPT 86762 Quantiferon (Tb) Gold | $333.00 | $333.00 | $137.00–$326.00 | 584% above | — |
| Stool ova and parasites exam CPT 87177 Stool O&p/micro-con&is | $47.00 | $47.00 | $19.00–$46.00 | 49% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemoccult | $38.00 | $38.00 | $16.00–$37.00 | 1% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemoccult X 3 | $38.00 | $38.00 | $16.00–$37.00 | 1% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $40.00 | $40.00 | $16.00–$39.00 | 25% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Male Testosterone Total & | $154.00 | $154.00 | $63.00–$151.00 | 54% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Tpo Thyroid Peroxidase An | $168.00 | $168.00 | $69.00–$165.00 | 87% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $121.00 | $121.00 | $50.00–$119.00 | 3% below | — |
| Uric acid blood test CPT 84550 Uric Acid | $46.00 | $46.00 | $19.00–$45.00 | 50% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $47.00 | $47.00 | $19.00–$46.00 | 6% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $44.00 | $44.00 | $18.00–$43.00 | 23% above | — |
| Urine culture for bacteria, with colony count CPT 87086 ..Testing Only Urine Culture | $50.00 | $50.00 | $21.00–$49.00 | 65% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $60.00 | $60.00 | $25.00–$59.00 | 58% below | — |
| Urine pregnancy test, read by color change CPT 81025 Hcg Urine | $197.00 | $197.00 | $81.00–$193.00 | 129% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $110.00 | $110.00 | $45.00–$108.00 | 21% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D2 And D3 Ref | $25.00 | $25.00 | $10.00–$25.00 | 80% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Level Panel | $169.00 | $169.00 | $70.00–$166.00 | 37% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant Ref | $75.00 | $75.00 | $31.00–$74.00 | 32% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant | $291.00 | $291.00 | $120.00–$285.00 | 163% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext | $419.00 | $419.00 | $54.00–$411.00 | 71% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioviersion Electric Ext Pf | $450.00 | $450.00 | $93.00–$338.00 | 69% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radius/ul | $300.00 | $300.00 | $54.00–$312.00 | 41% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction 1st Lesion Actinic Keratoses | $189.00 | $189.00 | $59.00–$185.00 | 6% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni | $55.00 | $55.00 | $37.00–$54.00 | 56% below | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impacted Ear Wax Unilateral | $30.00 | $30.00 | $20.00–$54.00 | 76% below | — |
| Earwax removal with instruments, one ear CPT 69210 Removal Cerumen Ears W/ Instrument | $45.00 | $45.00 | $30.00–$54.00 | 72% below | — |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax Uni | $150.00 | $150.00 | $36.00–$147.00 | 8% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abscess Pf | $97.00 | $97.00 | $39.00–$97.00 | 79% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Inc/drainage Of Abscess | $175.00 | $175.00 | $54.00–$172.00 | 63% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abscess | $889.00 | $889.00 | $54.00–$871.00 | 90% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/ligament | $75.00 | $75.00 | $30.00–$74.00 | 83% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Ia Inj Knee Hip Shoulder | $150.00 | $150.00 | $54.00–$147.00 | 75% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro Aspir/inj;mj Jn | $623.00 | $623.00 | $54.00–$611.00 | 5% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Ia Inj Elbow Wrist An | $90.00 | $90.00 | $36.00–$88.00 | 85% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inject Joint/bursa | $75.00 | $75.00 | $30.00–$74.00 | 79% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Tr-ext B9+marg 0.5 Cm< | $80.00 | $80.00 | $32.00–$82.00 | 90% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc H-f-nk-sp Benign 2.1-3 | $150.00 | $150.00 | $60.00–$147.00 | 83% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Esc Face-mm B9+marg 0.5 Cm | $981.00 | $981.00 | $392.00–$961.00 | 13% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate Pf | $55.00 | $55.00 | $22.00–$48.00 | 82% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate | $175.00 | $175.00 | $54.00–$172.00 | 41% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal Toe Nail | $175.00 | $175.00 | $54.00–$172.00 | 41% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate | $333.00 | $333.00 | $54.00–$326.00 | 11% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $315.00 | $315.00 | $126.00–$309.00 | 40% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body | $1,077.00 | $1,077.00 | $54.00–$1,055.00 | 103% above | — |
| Short arm cast (elbow to hand) CPT 29075 Application Cast;elbow Pf | $45.00 | $45.00 | $18.00–$57.00 | 84% below | — |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast | $363.00 | $363.00 | $54.00–$356.00 | 32% above | — |
| Short arm cast (elbow to hand) CPT 29075 Cast Applicationsho | $363.00 | $363.00 | $245.00–$356.00 | 32% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Pf | $40.00 | $40.00 | $16.00–$40.00 | 85% below | — |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm | $440.00 | $440.00 | $53.00–$431.00 | 62% above | — |
| Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint | $440.00 | $440.00 | $53.00–$431.00 | 62% above | — |
| Short leg cast (below the knee) CPT 29405 Application Of Short L Pf | $45.00 | $45.00 | $18.00–$54.00 | 87% below | — |
| Short leg cast (below the knee) CPT 29405 Application Of Short L | $425.00 | $425.00 | $54.00–$417.00 | 26% above | — |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Sp Pf | $120.00 | $120.00 | $48.00–$90.00 | 56% below | — |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint | $375.00 | $375.00 | $54.00–$368.00 | 37% above | — |
| Short leg splint (calf to foot) CPT 29515 Splint Applications | $499.00 | $499.00 | $54.00–$489.00 | 82% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Sutures 2.5cm-less Pf | $45.00 | $45.00 | $18.00–$43.00 | 88% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Prps/n/ax/gen/trnk 2.5< | $150.00 | $150.00 | $54.00–$147.00 | 59% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Sutures 2.5cm-less | $218.00 | $218.00 | $54.00–$214.00 | 41% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Single Skin Lesion | $180.00 | $180.00 | $72.00–$176.00 | 61% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Malignant Lesion 0.5 Cm< | $250.00 | $250.00 | $100.00–$245.00 | 79% below | — |
| Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal | $65.00 | $65.00 | $26.00–$64.00 | 80% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tab Diagnost | $1,023.00 | $1,023.00 | $54.00–$1,003.00 | 2% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sutures 2.6-7.5cm Pf | $55.00 | $55.00 | $22.00–$56.00 | 88% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr S/n/ax/gen/trnk 2.6-7 | $175.00 | $175.00 | $54.00–$172.00 | 62% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sutures 2.6-7.5cm | $200.00 | $200.00 | $54.00–$196.00 | 56% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Superficial Wound Pf | $45.00 | $45.00 | $18.00–$53.00 | 88% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Prp F/e/e/n/l/m/ 2.5 Cm< | $200.00 | $200.00 | $54.00–$196.00 | 49% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Sutures 2.5cm-less Fac | $527.00 | $527.00 | $54.00–$516.00 | 35% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les | $200.00 | $200.00 | $80.00–$196.00 | 44% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point 1 Or 2 Musc | $45.00 | $45.00 | $18.00–$44.00 | 92% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Tendon Origin/insertion | $85.00 | $85.00 | $34.00–$83.00 | 85% below | — |
| Wart removal, up to 14 warts CPT 17110 Destruction Seborrheic Keratosis | $179.00 | $179.00 | $72.00–$175.00 | 10% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm/ | $65.00 | $65.00 | $26.00–$64.00 | 94% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin 2-4 Hrs | $886.00 | $886.00 | $354.00–$868.00 | at median | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Service | $886.00 | $886.00 | $354.00–$868.00 | at median | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin >4 Hrs | $886.00 | $886.00 | $354.00–$868.00 | at median | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $886.00 | $886.00 | $354.00–$868.00 | at median | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatme | $121.00 | $121.00 | $54.00–$119.00 | 40% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Fac Critical Care, Eval &Mgmt First Hour | $1,299.00 | $1,299.00 | $54.00–$1,273.00 | 50% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $75.00 | $75.00 | $18.00–$74.00 | 47% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg | $174.00 | $174.00 | $70.00–$171.00 | 40% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room 1 Pf | $65.00 | $65.00 | $11.00–$49.00 | 75% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room 1 | $167.00 | $167.00 | $54.00–$164.00 | 36% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Ii Pf | $90.00 | $90.00 | $36.00–$68.00 | 81% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Ii | $247.00 | $247.00 | $54.00–$242.00 | 47% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Iii Pf | $125.00 | $125.00 | $50.00–$94.00 | 85% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Iii | $400.00 | $400.00 | $54.00–$392.00 | 51% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Iv | $643.00 | $643.00 | $54.00–$630.00 | 52% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room V Pf | $500.00 | $500.00 | $169.00–$375.00 | 76% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room V | $959.00 | $959.00 | $54.00–$940.00 | 54% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $381.00 | $381.00 | $152.00–$373.00 | 35% above | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $192.00 | $192.00 | $77.00–$188.00 | 9% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Monitor Global Up To 48 Hrs | $100.00 | $100.00 | $40.00–$98.00 | 86% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Initial Hour >31 Min | $286.00 | $286.00 | $193.00–$280.00 | 36% below | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion Therapy Initial Hour >15 Min | $384.00 | $384.00 | $259.00–$376.00 | 18% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag Inj Sq/im Each | $25.00 | $25.00 | $17.00–$54.00 | 84% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Or Subq Inject Admi | $98.00 | $98.00 | $54.00–$96.00 | 36% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Intramuscular Inj Anti | $98.00 | $98.00 | $54.00–$96.00 | 36% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Or Subq Injection A | $98.00 | $98.00 | $66.00–$96.00 | 36% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation | $138.00 | $138.00 | $54.00–$135.00 | 21% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuro Muscle Re-ed 15 Min | $157.00 | $157.00 | $54.00–$154.00 | 38% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $80.00 | $80.00 | $54.00–$78.00 | 62% below | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $135.00 | $135.00 | $54.00–$132.00 | 57% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Initial Office Visit Level 2 99202 | $80.00 | $80.00 | $44.00–$78.00 | 55% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min | $291.00 | $291.00 | $54.00–$285.00 | 20% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation High Complex 45 Min | $140.00 | $140.00 | $54.00–$137.00 | 54% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low Complexity 20 Min. | $75.00 | $75.00 | $51.00–$74.00 | 64% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate Complexity 30 Min | $120.00 | $120.00 | $54.00–$118.00 | 57% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 1/> Regions | $110.00 | $110.00 | $54.00–$108.00 | 2% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 1/> Region 15 Min | $154.00 | $154.00 | $54.00–$151.00 | 38% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $162.00 | $162.00 | $54.00–$159.00 | 37% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $190.00 | $190.00 | $54.00–$186.00 | 38% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Mcd Hs Existingage 18-39 | $172.00 | $172.00 | $54.00–$169.00 | 50% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Comp Preventive Medicine 40-64 | $168.00 | $168.00 | $54.00–$165.00 | 1% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Medicine Reeval And Mgmt >65 | $120.00 | $120.00 | $54.00–$118.00 | 30% below | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $80.00 | $80.00 | $32.00–$78.00 | 71% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Est 99215 | $175.00 | $175.00 | $54.00–$172.00 | 43% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Est 99213 | $90.00 | $90.00 | $44.00–$88.00 | 56% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 Est 99214 | $135.00 | $135.00 | $54.00–$132.00 | 39% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient Visit | $50.00 | $50.00 | $23.00–$54.00 | 70% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Est 99212 | $50.00 | $50.00 | $23.00–$54.00 | 70% below | — |
| Speech and language evaluation CPT 92523 Evaluation Of Speech Sound Production | $275.00 | $275.00 | $54.00–$270.00 | 35% below | — |
| Speech therapy session, individual CPT 92507 Speech/hearing Therapy Tx | $115.00 | $115.00 | $54.00–$113.00 | 47% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Thera Activities (Dynamic) Ea. 15 Min | $162.00 | $162.00 | $54.00–$159.00 | 41% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $93.00 | $93.00 | $37.00–$91.00 | 61% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine | $300.00 | $300.00 | $120.00–$294.00 | 39% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Cl-mmr Vaccine | $95.00 | $95.00 | $38.00–$93.00 | 62% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Cl-meningitis Vaccine | $325.00 | $325.00 | $130.00–$319.00 | 8% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Cl-pneumovax 23 Vacc | $245.00 | $245.00 | $98.00–$240.00 | 3% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Vaccine Over 7 Yrs Old | $40.00 | $40.00 | $16.00–$39.00 | 68% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Tdap 0.5ml Inj | $63.00 | $63.00 | $25.00–$62.00 | 61% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl-tetanus Adacel Tdap | $143.00 | $143.00 | $57.00–$140.00 | 12% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus Over 7 Yrs Old | $143.00 | $143.00 | $57.00–$140.00 | 12% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Colace (Docusate Sodium)100 Mg Cap | $6.00 | $6.00 | $4.00–$78.00 | 92% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Erinitial Immunization Admin | $80.00 | $80.00 | $10.00–$78.00 | 7% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Clinicinitial Immunization | $85.00 | $85.00 | $10.00–$83.00 | 14% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Ipinitial Immunization Admin | $114.00 | $114.00 | $10.00–$112.00 | 53% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Clinicimmunization Admin Each Add | $61.00 | $61.00 | $10.00–$60.00 | 14% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Ipimmunization Admin Additional | $80.00 | $80.00 | $10.00–$78.00 | 50% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Erimmunization Admin Each Add | $80.00 | $80.00 | $10.00–$78.00 | 50% above | — |