Southcoast Hospitals Group - St. Luke's Hospital
Listed in its price file as “Southcoast Hospitals Group, Inc.”.
Southcoast Hospitals Group - St. Luke's Hospital in St. New Bedford, MA publishes cash prices for 392 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 Massachusetts median for 310 of 384 procedures and above it for 39. By typical cash price it ranks #9 of 35 Massachusetts hospitals and #5 of 11 hospitals in the Providence, RI area, cheapest first. Click a procedure to compare it with other hospitals nearby.
101 Page St. New Bedford MA 02740 Collected Sep 29, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/O & W/Contrast Material | $1,123.50 | $2,247.00 | $204.13–$1,709.97 | 38% below | 50% |
| Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views | $242.00 | $484.00 | $75.85–$411.86 | 35% below | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw | $71.00 | $142.00 | $30.36–$411.86 | 75% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invas Physiologic Std Extremity Art 1-2 Level | $500.00 | $1,000.00 | $135.58–$772.00 | 38% above | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan-Upper Extremity-W/O Contrast | $523.50 | $1,047.00 | $95.93–$796.77 | 50% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram | $535.50 | $1,071.00 | $75.85–$815.03 | at median | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging- Whole Body | $751.50 | $1,503.00 | $321.34–$1,143.78 | 43% below | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Real Time With Image Complete | $210.00 | $420.00 | $89.80–$411.86 | 50% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Uni Real Time With Image Limited | $192.50 | $385.00 | $71.24–$411.86 | 56% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Imges | $1,409.00 | $2,818.00 | $328.56–$2,144.50 | 39% below | 50% |
| CT angiography (CTA) of the head CPT 70496 CT Angiography Head W/Contrast/Noncontrast | $726.00 | $1,452.00 | $211.39–$1,104.97 | 58% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT Angiography Neck W/Contrast/Noncontrast | $631.50 | $1,263.00 | $211.39–$961.14 | 52% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography Chest W/Contrast/Noncontrast | $869.50 | $1,739.00 | $211.39–$1,323.38 | 45% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC PR CT Angio Hrt Cornry Art/Bypass Grfts Contrst 3d Post | $535.50 | $1,071.00 | $228.98–$891.89 | 28% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt Cornry Art/Bypass Grfts Contrst 3d Post | $586.00 | $1,172.00 | $228.98–$891.89 | 21% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC PR CT Heart W/O Contrast Quant Eval Coronary Calcium | $56.00 | $112.00 | $23.95–$587.00 | 72% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart W/O Contrast Quant Eval Coronary Calcium | $94.00 | $188.00 | $23.95–$587.00 | 53% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Scan-Abdoment and Pelvis-W/O Contrast | $747.00 | $1,494.00 | $142.38–$1,136.93 | 50% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Scan-Abdoment and Pelvis-W Contrast | $1,076.50 | $2,153.00 | $204.13–$1,638.43 | 56% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen & Pelvis W/O Contrst 1/> Body Re | $1,158.50 | $2,317.00 | $204.13–$1,763.24 | 56% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Scan of Abdomen Contrast | $865.50 | $1,731.00 | $194.55–$1,317.29 | 44% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Scan-Abdomen-W/O Contrast | $791.00 | $1,582.00 | $95.93–$1,203.90 | 18% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan-Maxillofacial Area-W/O Contrast | $655.00 | $1,310.00 | $95.93–$996.91 | 36% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan-Head/Brain-W/O Contrast Matl | $584.50 | $1,169.00 | $89.81–$889.61 | 44% below | 50% |
| CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast | $727.50 | $1,455.00 | $124.33–$1,107.26 | 40% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/O & W/Contrast Material | $882.00 | $1,764.00 | $153.75–$1,342.40 | 41% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan-Lumbar Spine-W/O Contrast | $376.00 | $752.00 | $95.93–$587.00 | 61% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan-Cervical Spine-W/O Contrast | $742.00 | $1,484.00 | $95.93–$1,129.32 | 46% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast | $852.00 | $1,704.00 | $195.33–$1,296.74 | 49% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial-Bilat | $500.00 | $1,000.00 | $199.04–$772.00 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HC Diagnostic Computed Tomography Thorax C-/C+ | $1,082.00 | $2,164.00 | $204.13–$1,646.80 | 42% below | 50% |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views | $126.50 | $253.00 | $54.09–$411.86 | 49% below | 50% |
| Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View | $117.00 | $234.00 | $50.03–$411.86 | 53% below | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle | $93.00 | $186.00 | $39.77–$411.86 | 67% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US-Retroperit- B-Scan/Real Time-Complete | $201.00 | $402.00 | $85.95–$411.86 | 68% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa-Bone Density- 1 + Site- Axial Skeleton | $314.00 | $628.00 | $126.27–$477.91 | 37% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa-Bone Density- 1 + Site- Appendiculr Skeltn | $62.50 | $125.00 | $26.73–$411.86 | 75% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US-Preg Uter-Fet & Mat-+ Detl Fet Exm | $396.00 | $792.00 | $169.33–$646.70 | 50% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC Diagnostic Computed Tomography Thorax W/O Cntrst | $758.00 | $1,516.00 | $95.93–$1,153.68 | 37% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Diagnostic Computed Tomography Thorax W/Contrast | $886.50 | $1,773.00 | $195.34–$1,349.25 | 43% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi | $254.50 | $509.00 | $90.59–$411.86 | — | 50% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni | $214.50 | $429.00 | $90.09–$411.86 | 46% below | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat | $500.00 | $1,000.00 | $199.04–$772.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous-Bilat | $413.50 | $827.00 | $176.81–$772.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Heart Xthoracic-Complete W Doppler W/O Contrast | $735.50 | $1,471.00 | $224.02–$1,251.85 | 58% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Heart Xthoracic-Complete W Doppler W/Contrast | $735.50 | $1,471.00 | $224.02–$1,251.85 | 58% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC PR Echo Heart Xthoracic-Complete W Doppler | $822.50 | $1,645.00 | $224.02–$1,251.85 | 53% below | 50% |
| Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw | $93.50 | $187.00 | $39.98–$411.86 | 65% below | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-Ray Elbow 3+ Vw | $70.50 | $141.00 | $30.15–$411.86 | 76% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan-Orbit/Sella/Post Fossa/Ear-W/O | $358.50 | $717.00 | $95.93–$587.00 | 63% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw | $137.50 | $275.00 | $58.80–$411.86 | 65% below | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Forearm 2 Vw | $123.00 | $246.00 | $52.59–$411.86 | 56% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder | $755.50 | $1,511.00 | $323.05–$1,149.87 | 42% below | 50% |
| Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw | $167.00 | $334.00 | $71.41–$411.86 | 40% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel | $127.50 | $255.00 | $54.52–$411.86 | 54% below | 50% |
| Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View | $126.50 | $253.00 | $54.09–$411.86 | 57% below | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View | $142.00 | $284.00 | $60.72–$411.86 | 63% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan-Lower Extremity-W/O Contrast | $528.50 | $1,057.00 | $95.93–$804.38 | 50% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US- Abdomen Limited | $186.50 | $373.00 | $79.75–$411.86 | 65% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US-Extremity-Nonvascular-Real-Time Image-Limited | $138.00 | $276.00 | $59.01–$411.86 | 59% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC Computed Tomography Thorax Lw Dose Lng Ca Scr C- | $377.50 | $755.00 | $95.93–$587.00 | 20% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib- 2vw | $108.50 | $217.00 | $46.39–$411.86 | 64% below | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angio- Head | $1,244.50 | $2,489.00 | $287.03–$1,894.13 | 31% below | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast With Contrast W/Cad Bilateral | $1,522.50 | $3,045.00 | $245.13–$2,757.86 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W/Out&With Contrast W/Cad Bilateral | $1,812.00 | $3,624.00 | $245.13–$2,757.86 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extrem Jt- W/O Contrast | $1,642.00 | $3,284.00 | $205.15–$2,499.12 | 11% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl | $1,691.50 | $3,383.00 | $398.60–$2,574.46 | 43% below | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MRI- Abdomen (MRI) | $1,287.00 | $2,574.00 | $237.13–$1,958.81 | 16% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast Material | $1,473.00 | $2,946.00 | $398.60–$2,241.91 | 47% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain | $1,141.50 | $2,283.00 | $188.66–$1,737.36 | 45% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material | $1,457.00 | $2,914.00 | $307.14–$2,217.55 | 52% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI- Lumbar Spine | $1,447.50 | $2,895.00 | $185.92–$2,203.10 | 20% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spinal Canal Lumbar W/O & W/Contr Matrl | $1,736.50 | $3,473.00 | $305.58–$2,642.95 | 37% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI- Dorsal Spine | $1,213.50 | $2,427.00 | $185.92–$1,846.95 | 34% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spinal Canal Cervical W/O & W/Contr Matrl | $1,705.50 | $3,411.00 | $307.53–$2,595.77 | 41% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI- Cerv Spine | $1,155.00 | $2,310.00 | $185.92–$1,757.91 | 37% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast Material | $1,503.00 | $3,006.00 | $398.60–$2,287.57 | 47% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI- Pelvis- W/O Contrast | $1,224.00 | $2,448.00 | $237.13–$1,862.93 | 32% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Any Jt Upper Extremity W/O Contrast Matrl | $1,659.50 | $3,319.00 | $204.76–$2,525.76 | 7% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views | $164.00 | $328.00 | $70.13–$411.86 | 64% below | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast | $809.00 | $1,618.00 | $194.55–$1,231.30 | 45% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan-Soft Tissue Neck-W/O Contrast | $377.50 | $755.00 | $95.93–$587.00 | 68% below | 50% |
| Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue | $126.50 | $253.00 | $54.09–$411.86 | 56% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Spect Multiple Studies | $2,462.50 | $4,925.00 | $411.86–$3,747.93 | 41% below | 50% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 HC Cptrized Oph Dx Img Pst Segment Uni/Bi Retina | $582.00 | $1,164.00 | $70.53–$1,035.96 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Imaging CT Attenuation Skull Base Mid-Thigh | $3,769.50 | $7,539.00 | $411.86–$5,737.18 | 32% below | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT Scan-Pelvis-W/O Contrast | $747.00 | $1,494.00 | $95.93–$1,136.93 | 29% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited | $181.00 | $362.00 | $77.40–$411.86 | 50% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo-Pelvic (Nonobstetric) | $197.00 | $394.00 | $84.24–$411.86 | 69% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US- OB >/= 14 Wks- Sngl Fetus | $230.00 | $460.00 | $98.35–$411.86 | 60% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US- OB < 14 Wks- Single Fetus | $158.00 | $316.00 | $67.56–$411.86 | 68% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US-Pregnant Uterus-Limited- 1/> Fetuses | $165.50 | $331.00 | $70.77–$411.86 | 59% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-Ray Ribs- Chest 3+ Vw | $264.00 | $528.00 | $75.85–$411.86 | 29% below | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $254.50 | $509.00 | $90.59–$411.86 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw | $76.00 | $152.00 | $32.50–$411.86 | 72% below | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw | $242.50 | $485.00 | $71.24–$411.86 | 34% below | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw | $192.00 | $384.00 | $75.85–$411.86 | 38% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg W/O Contrast | $974.50 | $1,949.00 | $224.02–$1,483.19 | 43% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg W/Contrast | $974.50 | $1,949.00 | $224.02–$1,483.19 | 43% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Fcn-W/Cine &/or Video | $477.00 | $954.00 | $128.66–$725.99 | 8% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-Ray Exam of Femur 2/> | $132.00 | $264.00 | $56.44–$411.86 | 51% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan-Thoracic Spine-W/O Contrast | $496.00 | $992.00 | $95.93–$754.91 | 60% below | 50% |
| Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) | $105.00 | $210.00 | $44.90–$411.86 | 61% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography-Transvaginal | $199.50 | $399.00 | $85.31–$411.86 | 61% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US-Pregnant Uterus-Transvaginal | $193.50 | $387.00 | $82.74–$411.86 | 67% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US- Abdom-B-Scan &/or Real Time-Complete | $251.50 | $503.00 | $107.54–$411.86 | 63% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC Echo-Scrotum & Contents | $249.50 | $499.00 | $106.69–$411.86 | 55% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US- Head/Neck Tissues-Real Time | $242.50 | $485.00 | $103.69–$411.86 | 49% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xray Upper GI Tract | $500.50 | $1,001.00 | $211.39–$761.76 | 19% below | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus | $97.00 | $194.00 | $41.48–$411.86 | 66% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous-Uni or Ltd | $500.00 | $1,000.00 | $126.27–$772.00 | 15% below | 50% |
| Wrist X-ray, 2 views CPT 73100 HC X-Ray Wrist 2 Vw | $104.00 | $208.00 | $44.47–$411.86 | 59% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Wrist 3+ Vw | $132.00 | $264.00 | $56.44–$411.86 | 55% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views | $121.50 | $243.00 | $51.95–$411.86 | 55% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View | $126.50 | $253.00 | $54.09–$411.86 | 55% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw | $74.50 | $149.00 | $31.86–$411.86 | 71% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) | $70.50 | $141.00 | $30.15–$411.86 | 75% below | 50% |
| X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw | $86.00 | $172.00 | $36.77–$411.86 | 66% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw | $90.00 | $180.00 | $38.48–$411.86 | 67% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Vw | $128.50 | $257.00 | $54.95–$411.86 | 54% below | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View | $116.50 | $233.00 | $49.82–$411.86 | 61% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw | $128.00 | $256.00 | $54.73–$411.86 | 65% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw | $176.50 | $353.00 | $75.47–$411.86 | 65% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw | $137.50 | $275.00 | $58.80–$411.86 | 60% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones | $174.50 | $349.00 | $71.24–$411.86 | 45% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views | $161.50 | $323.00 | $69.06–$411.86 | 47% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw | $156.50 | $313.00 | $66.92–$411.86 | 43% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw | $183.00 | $366.00 | $71.24–$411.86 | 38% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Assay of Acth | $204.00 | $408.00 | $38.62–$310.49 | 11% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) | $26.50 | $53.00 | $5.30–$40.33 | 37% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) | $28.50 | $57.00 | $5.18–$43.38 | 19% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $86.50 | $173.00 | $36.99–$140.27 | 53% below | 50% |
| Albumin blood test CPT 82040 HC Assay of Serum Albumin | $27.00 | $54.00 | $4.95–$41.09 | at median | 50% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone | $247.00 | $494.00 | $40.75–$375.93 | 55% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase | $24.50 | $49.00 | $5.18–$37.29 | 32% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Quant-Each | $29.00 | $58.00 | $5.22–$44.14 | 26% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein- Serum | $67.00 | $134.00 | $16.77–$101.97 | 17% below | 50% |
| Ammonia blood test CPT 82140 HC Assay of Ammonia | $59.50 | $119.00 | $14.57–$90.56 | 35% below | 50% |
| Amylase blood test CPT 82150 HC Assay of Amylase | $31.50 | $63.00 | $6.48–$47.94 | 30% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody | $46.00 | $92.00 | $12.95–$70.01 | 9% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies | $45.50 | $91.00 | $12.09–$69.25 | 9% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $119.00 | $238.00 | $35.73–$181.12 | 28% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Spec- Bacteria- Not Urine-Stool-Blood | $37.50 | $75.00 | $8.62–$57.08 | 6% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $92.50 | $185.00 | $8.46–$140.79 | 19% above | 50% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total | $21.00 | $42.00 | $5.02–$31.96 | 32% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path-Level IV | $112.00 | $224.00 | $47.89–$411.86 | 35% below | 50% |
| Blood culture for bacteria CPT 87040 HC Blood Culture for Bacteria | $50.50 | $101.00 | $10.32–$76.86 | 36% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood-Venipuncture | $15.00 | $30.00 | $2.32–$411.86 | at median | 50% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative-Blood Glucose | $16.50 | $33.00 | $3.93–$25.11 | 47% below | 50% |
| Blood lead test CPT 83655 HC Assay of Lead | $73.00 | $146.00 | $12.11–$111.11 | at median | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin- Qual | $31.50 | $63.00 | $7.52–$47.94 | 31% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing- Abo | $113.50 | $227.00 | $3.14–$214.29 | 42% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen- Quan | $17.50 | $35.00 | $3.95–$26.64 | 35% below | 50% |
| C-peptide blood test CPT 84681 HC Assay of C-Peptide | $124.00 | $248.00 | $20.81–$188.73 | 6% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $27.50 | $55.00 | $5.18–$41.86 | 29% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Cytomed- Dna- Amp Probe | $86.50 | $173.00 | $27.42–$131.65 | 49% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay- Tumor Antigen- Ca 19-9 | $83.00 | $166.00 | $20.81–$126.33 | 10% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay- Tumor Antigen- Ca 125 | $92.00 | $184.00 | $20.81–$140.02 | 20% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Chg Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $81.00 | $162.00 | $34.64–$105.30 | 51% below | 50% |
| Calcium blood test, total CPT 82310 HC Assay of Calcium- Total | $26.50 | $53.00 | $5.16–$40.33 | 22% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen | $76.50 | $153.00 | $18.96–$116.43 | 19% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster | $53.00 | $106.00 | $12.88–$80.67 | 15% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach- Dna- Amp Probe | $96.00 | $192.00 | $27.42–$146.11 | 43% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $105.00 | $210.00 | $13.39–$159.81 | 3% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc | $50.00 | $100.00 | $7.77–$76.10 | 6% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc | $21.00 | $42.00 | $6.47–$31.96 | 51% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel-Comprehensive | $184.00 | $368.00 | $10.56–$280.05 | 80% above | 50% |
| Cortisol blood test, total CPT 82533 HC Total Cortisol | $39.50 | $79.00 | $16.30–$60.12 | 50% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) | $29.50 | $59.00 | $6.51–$44.90 | 31% below | 50% |
| Creatinine blood test CPT 82565 HC Assay of Creatinine | $24.50 | $49.00 | $5.12–$37.29 | 20% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody | $84.50 | $169.00 | $14.39–$128.61 | at median | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts-D-Dimer- Quant | $33.50 | $67.00 | $10.18–$50.99 | 43% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate | $119.50 | $239.00 | $22.23–$181.88 | at median | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr | $130.50 | $261.00 | $48.98–$185.23 | 21% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel | $43.50 | $87.00 | $7.01–$66.21 | 13% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Antibody-V Capsid | $51.00 | $102.00 | $15.03–$77.62 | 43% below | 50% |
| Estradiol blood test CPT 82670 HC Assay of Total Estradiol | $121.00 | $242.00 | $27.94–$184.16 | 31% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) | $121.00 | $242.00 | $18.58–$184.16 | at median | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal | $44.50 | $89.00 | $19.03–$67.73 | 65% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin | $55.00 | $110.00 | $13.63–$83.71 | 33% below | 50% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen- Activity | $39.00 | $78.00 | $8.94–$59.36 | 25% below | 50% |
| Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum | $60.00 | $120.00 | $14.70–$91.32 | 16% below | 50% |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) | $94.00 | $188.00 | $16.94–$143.07 | 8% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine | $36.00 | $72.00 | $9.02–$54.79 | 45% below | 50% |
| Free testosterone test CPT 84402 HC Assay of Testosterone | $149.50 | $299.00 | $25.47–$227.54 | 21% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt | $30.00 | $60.00 | $7.20–$45.66 | 39% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test | $20.00 | $40.00 | $4.75–$30.44 | 17% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) | $54.00 | $108.00 | $12.87–$82.19 | at median | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae- Dna- Amp Prob | $93.00 | $186.00 | $27.42–$141.55 | 45% below | 50% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori | $85.50 | $171.00 | $15.27–$130.13 | at median | 50% |
| H. pylori stool antigen test CPT 87338 HC Hpylori-Eia-Stool-Mult Step | $50.50 | $101.00 | $12.08–$76.86 | 51% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription | $312.50 | $625.00 | $59.14–$475.63 | 17% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Eia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $41.00 | $82.00 | $17.53–$62.40 | 63% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types | $137.50 | $275.00 | $27.26–$209.28 | at median | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test | $42.00 | $84.00 | $9.71–$63.92 | 18% below | 50% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin | $14.50 | $29.00 | $2.37–$22.07 | 12% below | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test- Total | $50.50 | $101.00 | $12.05–$76.86 | 35% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test | $49.50 | $99.00 | $10.74–$75.34 | 27% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag- Eia | $47.50 | $95.00 | $10.33–$72.30 | 49% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test | $50.50 | $101.00 | $12.24–$76.86 | 56% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription | $275.50 | $551.00 | $42.84–$419.31 | 39% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test- Type 1 | $50.50 | $101.00 | $13.19–$76.86 | 13% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test- Type 2 | $65.00 | $130.00 | $19.35–$98.93 | at median | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity | $30.00 | $60.00 | $12.83–$45.66 | 50% below | 50% |
| Homocysteine blood test CPT 83090 HC Assay of Homocystine | $54.50 | $109.00 | $17.75–$82.95 | 53% below | 50% |
| Insulin blood test CPT 83525 HC Assay of Insulin-Total | $58.50 | $117.00 | $11.43–$89.04 | 2% below | 50% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron | $29.50 | $59.00 | $6.47–$44.90 | 6% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test | $37.50 | $75.00 | $8.74–$57.08 | at median | 50% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $41.00 | $82.00 | $8.68–$62.40 | 47% below | 50% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) | $82.50 | $165.00 | $18.52–$125.57 | 19% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid | $44.50 | $89.00 | $11.24–$67.73 | 37% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme | $28.50 | $57.00 | $6.04–$43.38 | 21% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase | $30.50 | $61.00 | $6.89–$46.42 | 29% below | 50% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $197.00 | $394.00 | $8.17–$299.83 | 106% above | 50% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody | $63.00 | $126.00 | $15.03–$95.89 | 29% below | 50% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium | $30.00 | $60.00 | $6.70–$45.66 | 21% below | 50% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola | $53.00 | $106.00 | $12.88–$80.67 | 32% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies-Screen | $30.50 | $61.00 | $5.18–$46.42 | 32% below | 50% |
| Mumps immunity blood test CPT 86735 HC Mumps | $52.50 | $105.00 | $13.05–$79.91 | 23% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen-Free | $96.00 | $192.00 | $18.39–$146.11 | 2% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen-Total | $58.50 | $117.00 | $18.39–$89.04 | 33% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopat-Cer/Vag-Thin Layer-Man Res-Inter | $96.50 | $193.00 | $26.61–$411.86 | 9% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath Cerv/Vag Thin Layer | $58.50 | $117.00 | $20.26–$411.86 | 36% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone | $163.50 | $327.00 | $41.28–$248.85 | 10% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial | $29.50 | $59.00 | $6.01–$44.90 | at median | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus | $21.00 | $42.00 | $4.74–$31.96 | 19% below | 50% |
| Potassium blood test CPT 84132 HC Assay of Serum Potassium | $19.50 | $39.00 | $4.76–$29.68 | 37% below | 50% |
| Progesterone blood test CPT 84144 HC Assay of Progesterone | $92.00 | $184.00 | $20.86–$140.02 | 33% below | 50% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin | $79.00 | $158.00 | $19.38–$120.24 | 16% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $18.00 | $36.00 | $4.14–$27.40 | 5% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs | $130.50 | $261.00 | $9.19–$185.23 | 166% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent-Immun-Dir Obs-Influenza | $26.50 | $53.00 | $11.33–$40.33 | 45% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic | $28.50 | $57.00 | $12.05–$43.38 | 56% below | 50% |
| Renin blood test CPT 84244 HC Assay of Renin | $136.00 | $272.00 | $21.99–$206.99 | 25% above | 50% |
| Rh blood typing CPT 86901 HC Blood Typing- Rh (D) | $46.00 | $92.00 | $3.14–$70.01 | 49% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor- Quant | $27.50 | $55.00 | $5.67–$41.86 | 6% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella | $56.00 | $112.00 | $14.39–$85.23 | 29% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate RBC Automated | $4.50 | $9.00 | $1.92–$8.42 | 66% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis-Volume- Count- Motility- Diff | $31.50 | $63.00 | $12.31–$47.94 | 55% below | 50% |
| Sodium blood test CPT 84295 HC Assay of Serum Sodium | $21.00 | $42.00 | $4.81–$31.96 | 24% below | 50% |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears | $34.50 | $69.00 | $8.90–$52.51 | 18% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult-by Peroxid-Feces-Single- Colorectal Screen | $15.00 | $30.00 | $3.43–$22.83 | 25% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood-Occult-Fecal Hgb-Feces-1-3 Simult | $35.00 | $70.00 | $14.97–$53.27 | 48% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum | $65.00 | $130.00 | $13.24–$98.93 | 6% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual | $24.50 | $49.00 | $4.27–$37.29 | at median | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test- Cell Mediated Antigen Response-Gamma Interfron | $207.50 | $415.00 | $61.98–$315.82 | at median | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone | $137.00 | $274.00 | $25.81–$208.51 | at median | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody | $81.00 | $162.00 | $14.55–$123.28 | 12% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone | $73.00 | $146.00 | $16.80–$111.11 | at median | 50% |
| Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige | $68.50 | $137.00 | $16.46–$104.26 | 24% below | 50% |
| Total cholesterol blood test CPT 82465 HC Assay- Bld/Serum Cholesterol | $16.50 | $33.00 | $4.35–$25.11 | 43% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine | $30.50 | $61.00 | $6.87–$46.42 | 8% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay- Tt-3 | $86.00 | $172.00 | $14.18–$130.89 | at median | 50% |
| Transferrin blood test CPT 84466 HC Assay of Transferrin | $30.00 | $60.00 | $12.76–$45.66 | 51% below | 50% |
| Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech | $86.00 | $172.00 | $27.42–$130.89 | 18% below | 50% |
| Triglycerides blood test CPT 84478 HC Assay of Triglycerides | $26.50 | $53.00 | $5.74–$40.33 | 5% below | 50% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin- Quant | $53.00 | $106.00 | $10.35–$80.67 | 26% below | 50% |
| Uric acid blood test CPT 84550 HC Assay of Uric Acid- Blood | $19.50 | $39.00 | $4.52–$29.68 | 35% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis- Auto- W/Scope | $34.00 | $68.00 | $3.17–$51.75 | at median | 50% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis- Nonauto- W/Scope | $5.50 | $11.00 | $2.35–$9.90 | 62% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis- Auto- W/O Scope | $17.50 | $35.00 | $2.25–$26.64 | 17% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope | $4.50 | $9.00 | $1.92–$7.97 | 80% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HC Urine Culture- Colony Count | $38.00 | $76.00 | $8.07–$57.84 | 3% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC Microalbumin- Quantitative | $26.50 | $53.00 | $5.69–$40.33 | 37% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test | $15.00 | $30.00 | $6.41–$22.83 | 46% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 | $59.50 | $119.00 | $15.08–$90.56 | 22% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D-Calcifediol W Fractions- if Performed | $148.50 | $297.00 | $29.60–$226.02 | at median | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay- Dihydroxyvitamin D W/Fractions- if Performed | $232.00 | $464.00 | $38.50–$353.10 | 29% above | 50% |
| Zinc blood test CPT 84630 HC Assay of Zinc | $60.50 | $121.00 | $11.39–$92.08 | 19% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin- Quant | $60.50 | $121.00 | $15.05–$92.08 | 40% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $460.00 | $920.00 | $196.70–$1,790.00 | 14% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide | $2,357.50 | $4,715.00 | $411.86–$3,588.12 | at median | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Closed Rx Dist Fibula Fx | $169.00 | $338.00 | $72.26–$411.86 | 83% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Rx Metatarsal Fx | $296.00 | $592.00 | $126.57–$1,132.26 | 58% below | 50% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cath Place/Coron Angio- Img Super/Interp-W Left Heart Ventriculography | $5,326.00 | $10,652.00 | $411.86–$8,303.33 | 35% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External | $1,053.00 | $2,106.00 | $411.86–$2,408.00 | 17% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC PR Cardioversion Elective Arrhythmia External | $1,095.00 | $2,190.00 | $411.86–$2,408.00 | 14% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion- Elective;Extern | $1,095.00 | $2,190.00 | $411.86–$2,408.00 | 14% below | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein | $34,925.00 | $69,850.00 | $411.86–$53,155.85 | 23% below | 50% |
| Cervical biopsy CPT 57500 HC Biopsy Cervix- 1 or More- or Excision of Lesion | $911.00 | $1,822.00 | $389.54–$1,621.58 | 30% below | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circumcision Age >28 Days | $3,603.00 | $7,206.00 | $411.86–$5,483.77 | 20% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision-Clamp-Newborn | $1,803.00 | $3,606.00 | $411.86–$4,165.57 | 8% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Closed Rx Dist Rad/Ulna Fx | $296.00 | $592.00 | $126.57–$1,132.26 | 52% below | 50% |
| Coronary stent placement, one artery CPT 92928 HC Prq Trluml Coronary Stent W/Angio One Art/Brnch | $17,790.50 | $35,581.00 | $411.86–$27,077.14 | 6% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $1,040.50 | $2,081.00 | $411.86–$5,832.30 | 48% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Tympanostomy Local/Topical Anesthesia | $794.00 | $1,588.00 | $339.51–$1,790.00 | 44% below | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Using Irrigation/Lavage- Unilateral | $112.00 | $224.00 | $47.89–$1,790.00 | 46% below | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $112.00 | $224.00 | $47.89–$1,790.00 | 46% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $277.50 | $555.00 | $70.53–$1,790.00 | 2% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy of Uterus Lining | $296.00 | $592.00 | $126.57–$1,790.00 | 44% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx | $296.00 | $592.00 | $126.57–$1,790.00 | 44% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $1,024.50 | $2,049.00 | $411.86–$2,408.00 | 36% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint-Img Guide-Lumbar/Sac- 1st Level | $924.50 | $1,849.00 | $395.32–$2,408.00 | 63% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Inject Hysterosalpingogram | $994.00 | $1,988.00 | $234.52–$1,790.00 | 146% above | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Intrauterine Device Iud | $49.50 | $99.00 | $21.17–$1,790.00 | 92% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple | $839.00 | $1,678.00 | $235.94–$1,790.00 | 64% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath/Ligament | $449.50 | $899.00 | $192.21–$1,790.00 | 2% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection of Tendon Sheath | $749.00 | $1,498.00 | $192.21–$1,790.00 | 63% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain/Inject Large Joint/Bursa | $598.50 | $1,197.00 | $255.92–$1,790.00 | 2% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Drain/Inject Intermediate Joint/Bursa | $411.00 | $822.00 | $175.74–$1,790.00 | 24% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Drain/Inject Small Joint/Bursa | $390.00 | $780.00 | $166.76–$1,790.00 | 28% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layr Clos Wnd Trunk-Arm-Leg <2.5 Cm | $486.50 | $973.00 | $208.03–$1,790.00 | 38% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate S/a/T/E 2.5 Cm/< | $486.50 | $973.00 | $208.03–$1,790.00 | 38% below | 50% |
| Left heart catheterization, diagnostic CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $4,854.50 | $9,709.00 | $411.86–$8,303.33 | 45% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,024.00 | $2,048.00 | $411.86–$2,408.00 | 41% below | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $1,411.50 | $2,823.00 | $411.86–$2,408.00 | at median | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $924.50 | $1,849.00 | $395.32–$2,408.00 | 50% below | 50% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC Tx Missed Abortion First Trimester Surgical | $4,710.00 | $9,420.00 | $411.86–$8,383.80 | at median | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Skin Benig <0.5 Cm Trunk-Arm-Leg | $893.50 | $1,787.00 | $382.06–$1,590.43 | 4% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Skin Benig <0.5 Cm Face-Facial | $893.50 | $1,787.00 | $382.06–$1,590.43 | at median | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate | $235.00 | $470.00 | $100.49–$1,790.00 | 41% below | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck-Great Occiptl | $892.00 | $1,784.00 | $350.52–$1,790.00 | at median | 50% |
| Pacemaker implant (dual chamber) CPT 33208 HC Inser Hart Pacer Xvenous Atr/Ventr | $14,930.00 | $29,860.00 | $411.86–$22,723.46 | 5% below | 50% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $1,487.50 | $2,975.00 | $411.86–$3,372.00 | 16% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $1,045.50 | $2,091.00 | $411.86–$1,860.99 | 4% above | 50% |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate-Needle/Punch | $2,571.00 | $5,142.00 | $411.86–$3,913.06 | 12% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple | $902.00 | $1,804.00 | $290.54–$1,790.00 | 64% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Fragment Kidney Stone/ Eswl | $6,401.50 | $12,803.00 | $411.86–$9,743.08 | 15% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC Apply Forearm Cast | $487.50 | $975.00 | $208.46–$1,790.00 | 24% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow Finger Short Arm | $487.50 | $975.00 | $208.46–$1,790.00 | 24% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint Forearm-Hand Static | $193.00 | $386.00 | $82.53–$1,790.00 | 42% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint-Static | $322.00 | $644.00 | $82.53–$1,790.00 | 3% below | 50% |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $381.50 | $763.00 | $163.13–$1,790.00 | 39% below | 50% |
| Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast Below Knee-Toe | $381.50 | $763.00 | $163.13–$1,790.00 | 39% below | 50% |
| Short leg splint (calf to foot) CPT 29515 HC Apply Lower Leg Splint | $322.00 | $644.00 | $137.69–$1,790.00 | 7% below | 50% |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint Calf Foot | $322.00 | $644.00 | $137.69–$1,790.00 | 7% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm | $459.50 | $919.00 | $196.48–$1,790.00 | 1% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $747.00 | $1,494.00 | $266.55–$1,790.00 | 40% above | 50% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 | $215.50 | $431.00 | $92.15–$1,790.00 | 44% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags- Up to 15 | $215.50 | $431.00 | $92.15–$1,790.00 | 44% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR Spinal Puncture Lumbar Diagnostic | $500.00 | $1,000.00 | $213.80–$2,408.00 | 66% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture-Lumbar-Diagnostic | $833.00 | $1,666.00 | $213.80–$2,408.00 | 43% 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 HC Resup Npterf Wnd Body 2.6-7.5 Cm | $459.50 | $919.00 | $196.48–$1,790.00 | 4% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair F/E/E/N/L/M 2.5cm/< | $299.50 | $599.00 | $128.07–$1,790.00 | 66% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Resuperf Wnd Face <2.5 Cm | $299.50 | $599.00 | $128.07–$1,790.00 | 66% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion | $352.00 | $704.00 | $150.52–$1,790.00 | 19% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $1,488.50 | $2,977.00 | $411.86–$2,649.53 | 17% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point- 1 or 2 | $598.50 | $1,197.00 | $255.92–$1,790.00 | 14% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide | $1,786.00 | $3,572.00 | $411.86–$3,372.00 | 18% below | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Edg Insert Guide Wire Dilator Passage Esophagus | $1,162.00 | $2,324.00 | $411.86–$2,068.36 | 60% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $1,162.00 | $2,324.00 | $411.86–$2,068.36 | 36% below | 50% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC Vasectomy Uni/Bi Spx W/Postop Semen Exams | $3,831.50 | $7,663.00 | $411.86–$5,831.54 | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf- 1st Vein | $4,110.00 | $8,220.00 | $411.86–$7,425.21 | 21% below | 50% |
| Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14 | $338.00 | $676.00 | $144.53–$1,790.00 | 5% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement- Skin- Sub-Q Tissue-=<20 Sq Cm | $926.50 | $1,853.00 | $396.17–$1,790.00 | at median | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service | $840.00 | $1,680.00 | $179.00–$1,389.36 | 9% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Inhal Rx- Airway Obst/Dx Sputum Induct | $270.00 | $540.00 | $61.72–$411.86 | 6% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemother- IV Infusion- 1 Hr | $414.00 | $828.00 | $177.03–$630.11 | 53% below | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Hearing Test | $283.50 | $567.00 | $121.22–$431.49 | 14% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC PR Critical Care Ill/Injured Patient Init 30-74 Min | $1,723.50 | $3,447.00 | $317.99–$3,067.83 | 36% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care Ill/Injured Patient Init 30-74 Min | $1,723.50 | $3,447.00 | $317.99–$3,067.83 | 36% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg-W/Awake & Drowsy Record | $382.50 | $765.00 | $163.56–$582.17 | 56% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram- Tracing | $85.50 | $171.00 | $25.43–$411.86 | 53% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Visit May Not Req Phys/Qhp [99281] | $241.00 | $482.00 | $103.05–$428.98 | 42% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Visit Straightforward Mdm [99282] | $290.00 | $580.00 | $124.00–$516.20 | 47% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Visit Low Mdm [99283] | $454.00 | $908.00 | $194.13–$808.12 | 45% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Visit Moderate Mdm [99284] | $754.00 | $1,508.00 | $221.47–$1,342.12 | 41% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Visit High Mdm [99285] | $1,090.00 | $2,180.00 | $395.60–$1,940.20 | 35% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst-Tracing Only | $264.50 | $529.00 | $113.10–$517.68 | 71% below | 50% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $144.50 | $289.00 | $61.79–$411.86 | 4% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Inf- Hydration- 31 Min to 1 Hr | $182.00 | $364.00 | $77.82–$411.86 | 64% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Inf- Therapy - Init to 1 Hr (Spec Drug) | $228.50 | $457.00 | $97.71–$411.86 | 60% below | 50% |
| IV push of a medicine, first drug CPT 96374 HC IV Push- Initial | $168.50 | $337.00 | $69.98–$411.86 | 54% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Therapeutic Prophylactic/Dx Injection Subq/Im | $88.00 | $176.00 | $16.16–$411.86 | 51% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation | $250.50 | $501.00 | $107.11–$411.86 | 17% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb | $380.00 | $760.00 | $105.83–$641.00 | 52% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC PR Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb | $395.50 | $791.00 | $105.83–$641.00 | 50% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromusc Reeducat-1+ Areas- Ea 15 Min | $63.00 | $126.00 | $26.94–$411.86 | 48% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC Office/Outpatient New Low Mdm 30-44 Minutes | $313.00 | $626.00 | $130.16–$517.70 | 38% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC Office/Outpatient New Moderate Mdm 45-59 Minutes | $458.00 | $916.00 | $184.73–$757.53 | 30% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC Office/Outpatient New High Mdm 60-74 Minutes | $615.50 | $1,231.00 | $146.61–$1,076.75 | 46% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office/Outpatient New Sf Mdm 15-29 Minutes | $200.50 | $401.00 | $85.23–$411.86 | 22% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Ther- 1st- Indiv- Ea 15 Min | $99.00 | $198.00 | $34.80–$411.86 | 1% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex | $136.50 | $273.00 | $58.37–$411.86 | 59% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex | $142.00 | $284.00 | $60.72–$411.86 | 61% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Lymphedema Eval High Complex | $142.00 | $284.00 | $60.72–$411.86 | 61% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex | $142.00 | $284.00 | $60.72–$411.86 | 59% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Lymphedema Eval Low Complex | $142.00 | $284.00 | $60.72–$411.86 | 59% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex | $142.00 | $284.00 | $60.72–$411.86 | 60% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Lymphedema Eval Mod Complex | $142.00 | $284.00 | $60.72–$411.86 | 60% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Ther Tech-1+Regions-Ea 15 Min | $76.50 | $153.00 | $30.27–$411.86 | 36% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises | $107.50 | $215.00 | $32.11–$411.86 | 4% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy W/Patient 45 Minutes | $250.50 | $501.00 | $107.11–$411.86 | at median | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy W/Patient 60 Minutes | $250.50 | $501.00 | $107.11–$411.86 | 15% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes | $117.00 | $234.00 | $35.37–$411.86 | 6% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office/Outpatient Established High Mdm 40-54 Min | $452.50 | $905.00 | $175.96–$748.44 | 51% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office/Outpatient Established Low Mdm 20-29 Min | $235.00 | $470.00 | $98.77–$411.86 | 22% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office/Outpatient Established Mod Mdm 30-39 Min | $255.00 | $510.00 | $109.04–$421.77 | 13% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR Office/Outpatient Established Sf Mdm 10-19 Min | $203.50 | $407.00 | $55.68–$411.86 | 36% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office/Outpatient Established Sf Mdm 10-19 Min | $215.50 | $431.00 | $55.68–$411.86 | 44% above | 50% |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Product Language Comprehension | $398.00 | $796.00 | $167.93–$605.76 | 32% below | 50% |
| Speech therapy session, individual CPT 92507 HC Speech/Hearing Therapy- Individual | $165.00 | $330.00 | $70.55–$411.86 | 45% below | 50% |
| Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test | $161.00 | $322.00 | $68.84–$411.86 | 60% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm | $302.00 | $604.00 | $129.14–$517.68 | 57% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeut Actvity Direct Pt Contact Each 15 Min | $63.00 | $126.00 | $26.94–$411.86 | 56% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy | $170.00 | $340.00 | $72.69–$411.86 | 40% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $117.36 | $234.71 | $0.50–$411.86 | 17% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY | $211.38 | $422.75 | $0.50–$411.86 | 12% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $386.91 | $773.81 | $0.50–$588.87 | at median | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP | $59.98 | $119.95 | $0.50–$411.86 | 7% below | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $205.57 | $411.14 | $0.50–$411.86 | at median | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $620.15 | $1,240.30 | $0.50–$943.87 | at median | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY | $173.80 | $347.60 | $0.50–$411.86 | 2% above | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY | $79.02 | $158.04 | $0.50–$411.86 | 4% above | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY | $280.71 | $561.42 | $0.50–$427.24 | 11% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $26.95 | $53.89 | $0.50–$411.86 | 6% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES- MUMPS & RUBELLA VAC IJ SOLR | $184.78 | $369.56 | $0.50–$411.86 | at median | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN | $336.24 | $672.48 | $0.50–$511.76 | 23% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $458.84 | $917.68 | $0.50–$698.35 | at median | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $495.09 | $990.17 | $0.50–$753.52 | 12% below | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP | $90.87 | $181.73 | $0.50–$411.86 | at median | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE WRAPPER | $899.33 | $1,798.65 | $91.69–$1,368.77 | at median | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $86.27 | $172.54 | $0.50–$411.86 | at median | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS IM SUSP WRAPPER | $100.46 | $200.92 | $0.50–$411.86 | 4% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin-1 Single/Comb Vac/Toxoid | $111.50 | $223.00 | $47.68–$411.86 | 2% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz-Admin-Each Addl | $40.00 | $80.00 | $17.10–$411.86 | 19% below | 50% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC Extraction Erupted Tooth/Exr | $1,807.00 | $3,614.00 | $411.86–$4,228.39 | at median | 50% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC Extraction Erupted Tooth/Exr | $1,807.00 | $3,614.00 | $411.86–$4,228.39 | at median | 50% |
Source file: https://www.southcoast.org/222592333_st-lukes-hospital_standardcharges/