Hospital Riverside-San Bernardino-Ontario, CA

Eisenhower Medical Center

Eisenhower Medical Center in Rancho Mirage, CA publishes cash prices for 239 common procedures listed here, from its own machine-readable price file updated Apr 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 214 of 231 procedures and above it for 17. By typical cash price it ranks #2 of 217 California hospitals and #1 of 25 hospitals in the Riverside, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

39000 Bob Hope Dr, Rancho Mirage, CA 92270 Collected Sep 29, 2026 Source price file (760) 340-3911

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 050573 · CMS hospital register NPI 1013981554

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 2 actions for a hospital named Eisenhower Medical Center in Rancho Mirage, CA:

Aug 4, 2025 Warning notice
Sep 24, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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 California	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Complete 3v Min	$55.40	$807.00	$36.06–$605.25	87% below	93%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Complete 3v Min	$55.40	$807.00	$36.06–$605.25	—	93%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Radex Ankle Complete Minimum 3 Views	$161.71	$248.78	$8.44–$199.02	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC US Abi Single Level Bilat	$84.70	$1,133.00	$74.73–$1,744.00	—	93%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC US Abi Single Level Bilat	$84.70	$1,133.00	$74.73–$1,744.00	—	93%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagus Single Contrast	$111.67	$886.00	$54.64–$850.38	82% below	87%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagus Single Contrast	$111.67	$886.00	$54.64–$850.38	—	87%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Whole Body	$254.52	$3,350.00	$202.29–$3,067.48	88% below	92%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Bone Whole Body	$254.52	$3,350.00	$202.29–$3,067.48	—	92%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral	$66.56	$1,514.00	$96.23–$1,377.47	88% below	96%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Real Time With Image Complete	$243.20	$374.16	$34.71–$299.33	—	35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral	$66.56	$1,514.00	$96.23–$1,377.47	—	96%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Limited	$55.40	$1,514.00	$78.46–$1,135.50	87% below	96%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US ED Breast Limited	$55.40	$1,514.00	$78.46–$6,471.00	87% below	96%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US ED Breast Limited	$55.40	$1,514.00	$78.46–$6,471.00	—	96%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Limited	$55.40	$1,514.00	$78.46–$1,135.50	—	96%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Real Time With Image Limited	$186.55	$287.00	$32.34–$229.60	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$222.11	$3,698.00	$291.89–$8,867.79	92% below	94%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$222.11	$3,698.00	$291.89–$8,867.79	—	94%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart W/Calcium Scoring	$55.40	$194.00	$81.33–$1,763.71	87% below	71%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart W/Calcium Scoring	$55.40	$194.00	$81.33–$1,763.71	—	71%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US Carotid Complete Bilateral	$151.91	$2,607.00	$224.68–$2,910.94	—	94%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US Carotid Complete Bilateral	$151.91	$2,607.00	$224.68–$2,910.94	—	94%
Chest X-ray, 2 views CPT 71046 HC Chest Xray 2 Views	$55.40	$1,007.00	$27.47–$755.25	87% below	94%
Chest X-ray, 2 views inpatient CPT 71046 HC Chest Xray 2 Views	$55.40	$1,007.00	$27.47–$755.25	—	94%
Chest X-ray, 2 views inpatient CPT 71046 Radiologic Exam Chest 2 Views	$65.65	$101.00	$21.08–$87.10	—	35%
Chest X-ray, single view CPT 71045 HC Chest Xray 1 View	$55.40	$960.00	$17.65–$720.00	85% below	94%
Chest X-ray, single view inpatient CPT 71045 HC Chest Xray 1 View	$55.40	$960.00	$17.65–$720.00	—	94%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete	$66.56	$2,260.00	$115.78–$1,695.00	92% below	97%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Complete	$66.56	$2,260.00	$115.78–$1,695.00	—	97%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Mass Measurement Density	$66.56	$758.00	$34.27–$657.82	87% below	91%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Mass Measurement Density	$66.56	$758.00	$34.27–$657.82	—	91%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Study 1/> Sites Axial Skel	$133.25	$205.00	$6.97–$180.68	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dual-Energy X-Ray Absorptiometry (DXA), Bone Density Study 1 or More Sites, Appendicular Skeleton (Peripheral).	$55.40	$236.00	$25.10–$459.20	80% below	77%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dual-Energy X-Ray Absorptiometry (DXA), Bone Density Study 1 or More Sites, Appendicular Skeleton (Peripheral).	$55.40	$236.00	$25.10–$459.20	—	77%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB Fetal/Maternal Eval Sgl/1st	$151.91	$1,257.00	$158.68–$2,653.85	83% below	88%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB Fetal/Maternal Eval Sgl/1st	$151.91	$1,257.00	$158.68–$2,653.85	—	88%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast	$297.70	$458.00	$38.90–$458.00	—	35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Bi Dx Mammo Including Cad	$59.90	$1,117.00	$121.01–$2,083.61	—	95%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Bi Dx Mammo Including Cad	$59.90	$1,117.00	$121.01–$2,083.61	—	95%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi	$243.10	$374.00	$43.86–$374.00	—	35%
Diagnostic mammogram, one breast CPT 77065 HC Uni Dx Mammo Including Cad	$46.71	$1,117.00	$94.37–$1,422.84	87% below	96%
Diagnostic mammogram, one breast inpatient CPT 77065 HC Uni Dx Mammo Including Cad	$46.71	$1,117.00	$94.37–$1,422.84	—	96%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US Arterial Lower Extremity Bilat	$151.91	$2,943.00	$138.95–$3,393.74	—	95%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC US Arterial Lower Extremity Bilat	$151.91	$2,943.00	$138.95–$3,393.74	—	95%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC US Venous Extremity Complete	$151.91	$2,846.00	$241.32–$2,776.98	87% below	95%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US Venous Extremity Complete	$151.91	$2,846.00	$241.32–$2,776.98	—	95%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo 2d W/M Mode Spect Color Flow	$347.88	$5,500.00	$239.76–$4,515.50	87% below	94%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo 2d W/M Mode Spect Color Flow	$347.88	$5,500.00	$239.76–$4,515.50	—	94%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary System Imaging	$254.52	$3,230.00	$291.01–$5,939.47	86% below	92%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Hepatobiliary System Imaging	$254.52	$3,230.00	$291.01–$5,939.47	—	92%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt&Resp Efft	$115.17	$349.00	$118.65–$2,415.29	85% below	67%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unattended	$137.47	$1,723.00	$118.65–$2,415.29	82% below	92%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unatt&Resp Efft	$115.17	$349.00	$118.65–$2,415.29	—	67%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unattended	$137.47	$1,723.00	$118.65–$2,415.29	—	92%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Nocturnal Polysom W/Cpap	$546.72	$6,012.00	$513.11–$12,061.58	85% below	91%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Nocturnal Polysom W/Cpap	$546.72	$6,012.00	$513.11–$12,061.58	—	91%
Knee X-ray, 3 views CPT 73562 HC Knee 3 Views	$55.40	$901.00	$33.54–$675.75	87% below	94%
Knee X-ray, 3 views inpatient CPT 73562 HC Knee 3 Views	$55.40	$901.00	$33.54–$675.75	—	94%
Knee X-ray, 3 views inpatient CPT 73562 Radiologic Examination Knee 3 Views	$163.05	$250.85	$12.73–$200.68	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ED Abdomen Limited	$66.56	$1,721.00	$87.13–$6,471.00	92% below	96%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited	$66.56	$1,721.00	$87.13–$1,290.75	92% below	96%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited	$66.56	$1,721.00	$87.13–$1,290.75	—	96%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ED Abdomen Limited	$66.56	$1,721.00	$87.13–$6,471.00	—	96%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Real Time W/Image Limited	$140.40	$216.00	$18.52–$216.00	—	35%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W/WO Contrast Bilat	$222.11	$3,321.00	$337.84–$5,603.47	—	93%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$187.85	$289.00	$108.86–$289.00	—	35%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast W/WO Contrast Bilat	$222.11	$3,321.00	$337.84–$5,603.47	—	93%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Spect Myocard Rest and Stress	$824.24	$5,220.00	$348.12–$5,743.37	80% below	84%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Spect Myocard Viabil Rst Redis	$824.24	$5,220.00	$348.12–$5,743.37	80% below	84%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Heart Muscle Image Spect-Mult	$824.24	$5,220.00	$348.12–$5,743.37	80% below	84%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Spect Myocard Rest and Stress	$824.24	$5,220.00	$348.12–$5,743.37	—	84%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Spect Myocard Viabil Rst Redis	$824.24	$5,220.00	$348.12–$5,743.37	—	84%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Heart Muscle Image Spect-Mult	$824.24	$5,220.00	$348.12–$5,743.37	—	84%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC CT Pet Prostate (Axumin) Skull Base to Thigh	$910.38	$3,424.00	$1,712.00–$26,733.31	87% below	73%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC CT Pet Prostate (Axumin) Skull Base to Thigh	$910.38	$3,424.00	$1,712.00–$26,733.31	—	73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US ED Pelvic Non-OB Limited	$66.56	$1,592.00	$60.49–$6,471.00	89% below	96%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvic Non-OB Limited	$66.56	$1,592.00	$60.49–$1,194.00	89% below	96%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvic Non-OB Limited	$66.56	$1,592.00	$60.49–$1,194.00	—	96%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US ED Pelvic Non-OB Limited	$66.56	$1,592.00	$60.49–$6,471.00	—	96%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$221.17	$340.26	$13.66–$340.26	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US ED Pelvic Nonobstetric Complete	$66.56	$2,000.00	$97.04–$6,471.00	93% below	97%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic Nonobstetric Complete	$66.56	$2,000.00	$97.04–$1,500.00	93% below	97%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US ED Pelvic Nonobstetric Complete	$66.56	$2,000.00	$97.04–$6,471.00	—	97%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvic Nonobstetric Complete	$66.56	$2,000.00	$97.04–$1,500.00	—	97%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US ED OB > 14 Weeks Single/1st Gest	$66.56	$1,667.00	$134.46–$6,471.00	93% below	96%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB > 14 Weeks Single/1st Gest	$66.56	$1,667.00	$134.46–$1,507.64	93% below	96%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US ED OB > 14 Weeks Single/1st Gest	$66.56	$1,667.00	$134.46–$6,471.00	—	96%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB > 14 Weeks Single/1st Gest	$66.56	$1,667.00	$134.46–$1,507.64	—	96%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US ED OB < 14 Weeks 1st Tri/Sgl/Gest	$66.56	$1,292.00	$78.42–$6,471.00	92% below	95%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 Weeks 1st Tri/Sgl/Gest	$66.56	$1,292.00	$78.42–$1,507.64	92% below	95%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14 Weeks 1st Tri/Sgl/Gest	$66.56	$1,292.00	$78.42–$1,507.64	—	95%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US ED OB < 14 Weeks 1st Tri/Sgl/Gest	$66.56	$1,292.00	$78.42–$6,471.00	—	95%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB Limited	$66.56	$642.00	$90.30–$1,025.78	89% below	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US ED OB Limited	$66.56	$642.00	$90.30–$6,471.00	89% below	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US ED OB Limited	$66.56	$642.00	$90.30–$6,471.00	—	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB Limited	$66.56	$642.00	$90.30–$1,025.78	—	90%
Screening mammogram, both breasts both sides CPT 77067 HC Bi Screening Mammo Inclidng Cad	$49.43	$619.00	$99.86–$2,111.20	—	92%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Bi Screening Mammo Inclidng Cad	$49.43	$619.00	$99.86–$2,111.20	—	92%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Complete 2v Min	$55.40	$1,003.00	$37.09–$752.25	89% below	94%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Complete 2v Min	$55.40	$1,003.00	$37.09–$752.25	—	94%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Radex Shoulder Complete Minimum 2 Views	$163.03	$250.82	$21.83–$306.57	—	35%
Sleep study in a lab (polysomnography) CPT 95810 HC Nocturnal Polysomnogram	$546.72	$5,598.00	$499.27–$11,132.42	89% below	90%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Nocturnal Polysomnogram	$546.72	$5,598.00	$499.27–$11,132.42	—	90%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Function W/Cine	$111.67	$1,331.00	$74.46–$998.25	83% below	92%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallowing Function W/Cine	$111.67	$1,331.00	$74.46–$998.25	—	92%
Transvaginal pelvic ultrasound CPT 76830 HC US ED Transvaginal	$66.56	$1,529.00	$97.04–$6,471.00	91% below	96%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal	$66.56	$1,529.00	$97.04–$1,146.75	91% below	96%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US ED Transvaginal	$66.56	$1,529.00	$97.04–$6,471.00	—	96%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal	$66.56	$1,529.00	$97.04–$1,146.75	—	96%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB Transvaginal	$66.56	$1,056.00	$82.17–$1,077.99	90% below	94%
Transvaginal ultrasound during pregnancy CPT 76817 HC US ED OB Transvaginal	$66.56	$1,056.00	$82.17–$6,471.00	90% below	94%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB Transvaginal	$66.56	$1,056.00	$82.17–$1,077.99	—	94%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US ED OB Transvaginal	$66.56	$1,056.00	$82.17–$6,471.00	—	94%
Ultrasound of the scrotum and testicles CPT 76870 HC US Testicular	$66.56	$1,592.00	$85.75–$1,194.00	93% below	96%
Ultrasound of the scrotum and testicles CPT 76870 HC US ED Testicular	$66.56	$1,592.00	$85.75–$6,471.00	93% below	96%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Testicular	$66.56	$1,592.00	$85.75–$1,194.00	—	96%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US ED Testicular	$66.56	$1,592.00	$85.75–$6,471.00	—	96%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US ED Neck Soft Tissue/Thyroid/Parathyroid	$66.56	$1,381.00	$85.69–$6,471.00	92% below	95%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Neck Soft Tissue/Thyroid/Parathyroid	$66.56	$1,381.00	$85.69–$1,035.75	92% below	95%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US ED Neck Soft Tissue/Thyroid/Parathyroid	$66.56	$1,381.00	$85.69–$6,471.00	—	95%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Neck Soft Tissue/Thyroid/Parathyroid	$66.56	$1,381.00	$85.69–$1,035.75	—	95%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docm	$137.15	$211.00	$23.80–$211.00	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Ugi Tract Single Contrast	$111.67	$1,329.00	$146.35–$1,046.47	82% below	92%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Ugi Tract Single Contrast	$111.67	$1,329.00	$146.35–$1,046.47	—	92%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US Venous Extremity	$66.56	$2,166.00	$121.29–$2,002.40	92% below	97%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US ED Venous Extremity	$66.56	$2,166.00	$134.46–$6,471.00	92% below	97%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US ED Venous Extremity	$66.56	$2,166.00	$134.46–$6,471.00	—	97%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US Venous Extremity	$66.56	$2,166.00	$121.29–$2,002.40	—	97%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Complete 3v Min	$55.40	$917.00	$36.06–$687.75	87% below	94%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Complete 3v Min	$55.40	$917.00	$36.06–$687.75	—	94%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Hip 2-3 Views	$55.40	$1,024.00	$37.28–$768.00	87% below	95%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Hip 2-3 Views	$55.40	$1,024.00	$37.28–$768.00	—	95%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Radex Hip Unilateral With Pelvis 2-3 Views	$166.29	$255.83	$32.81–$204.66	—	35%
X-ray of the abdomen, 1 view CPT 74018 HC Abdomen Xray 1 View	$55.40	$587.00	$24.60–$440.25	82% below	91%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Abdomen Xray 1 View	$55.40	$587.00	$24.60–$440.25	—	91%
X-ray of the ankle, 2 views CPT 73600 HC Ankle 2 Views	$55.40	$557.00	$27.28–$417.75	82% below	90%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle 2 Views	$55.40	$557.00	$27.28–$417.75	—	90%
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger 2v Min	$55.40	$712.00	$22.36–$534.00	79% below	92%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger 2v Min	$55.40	$712.00	$22.36–$534.00	—	92%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Radex Fingr Minimum 2 Views	$158.45	$243.77	$27.53–$195.02	—	35%
X-ray of the foot, 2 views CPT 73620 HC Foot 2 Views	$55.40	$809.00	$24.82–$606.75	82% below	93%
X-ray of the foot, 2 views inpatient CPT 73620 HC Foot 2 Views	$55.40	$809.00	$24.82–$606.75	—	93%
X-ray of the foot, 2 views inpatient CPT 73620 Radiologic Examination Foot 2 Views	$113.75	$175.00	$20.60–$262.50	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot Complete 3v Min	$55.40	$906.00	$34.74–$679.50	87% below	94%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Foot Complete 3v Min	$55.40	$906.00	$34.74–$679.50	—	94%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Radex Foot Complete Minimum 3 Views	$161.02	$247.73	$8.08–$306.57	—	35%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Complete 3v Min	$55.40	$927.00	$36.06–$695.25	87% below	94%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Complete 3v Min	$55.40	$927.00	$36.06–$695.25	—	94%
X-ray of the hand, 3 or more views inpatient CPT 73130 Radex Hand Minimum 3 Views	$161.71	$248.78	$24.68–$306.57	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views	$55.40	$749.00	$27.28–$561.75	84% below	93%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee 1 or 2 Views	$55.40	$749.00	$27.28–$561.75	—	93%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Radiologic Examination Knee 1/2 Views	$161.06	$247.79	$25.49–$198.23	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbar 2 or 3 Views	$66.56	$948.00	$43.45–$711.00	87% below	93%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Spine Lumbar 2 or 3 Views	$66.56	$948.00	$43.45–$711.00	—	93%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Radex Spine Lumbosacral 2/3 Views	$174.85	$269.00	$26.71–$215.20	—	35%
X-ray of the lower back, 4 or more views CPT 72110 HC Spine Lumbar 4 Views Min	$66.56	$1,296.00	$62.90–$972.00	90% below	95%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Spine Lumbar 4 Views Min	$66.56	$1,296.00	$62.90–$972.00	—	95%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$200.44	$308.37	$37.30–$246.70	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Spine Thoracic 2 Views	$66.56	$829.00	$40.22–$621.75	86% below	92%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Spine Thoracic 2 Views	$66.56	$829.00	$40.22–$621.75	—	92%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Radex Spine Thoracic 2 Views	$194.53	$299.28	$24.99–$239.42	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones	$55.40	$956.00	$35.56–$4,308.00	88% below	94%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones	$55.40	$956.00	$35.56–$4,308.00	—	94%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2 or 3 Views	$55.40	$949.00	$37.27–$711.75	89% below	94%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Spine Cervical 2 or 3 Views	$55.40	$949.00	$37.27–$711.75	—	94%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Radex Spine Cervical 2 or 3 Views	$166.29	$255.83	$24.68–$204.66	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 Views	$66.56	$703.00	$31.01–$527.25	84% below	91%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis 1 or 2 Views	$66.56	$703.00	$31.01–$527.25	—	91%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum and Coccyx 2v Min	$55.40	$822.00	$35.89–$616.50	89% below	93%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum and Coccyx 2v Min	$55.40	$822.00	$35.89–$616.50	—	93%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Single Allergen Ige - $7.22	$2.38	$7.22	$3.61–$119.65	71% below	67%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Mouse Urine Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cashew O3	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Mold Panel 1	$2.58	$110.00	$5.22–$119.65	69% below	98%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cashew Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Johnson Grass Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Almond Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D. Farinae Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Fish, Salmon Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Bermuda Grass Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Fish, Tuna Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Wheat Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Perennial Rye Grass Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Walnut R3	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cat Dander Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Walnut R1	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cockroach Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Walnut Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Single Allergen Ige - $32.22	$2.58	$32.22	$5.22–$119.65	69% below	92%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Soybean Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Penicillium Chrysogenum Ige	$2.58	$43.00	$5.22–$119.65	69% below	94%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Shrimp Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cat D1	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut H9	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cladosporium Herbarum Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut H8	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut H6	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Aspergillus Fumigatus Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut H3	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cat D2	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut H2	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alternaria Alternata Ige	$2.58	$67.00	$5.22–$119.65	69% below	96%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut H1	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Single Allergen Ige - $7.94	$2.58	$7.94	$3.97–$119.65	69% below	68%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Peanut Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cottonwood Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Beta Lactalbumin	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cat D4	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alpha Lactalbumin	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Casein	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Single Allergen Ige - $39.95	$2.58	$39.95	$5.22–$119.65	69% below	94%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Cow's Milk Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Dog Dander Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Fish, Cod Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Ige 44.36	$2.58	$44.36	$5.22–$119.65	69% below	94%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Ovomucoid	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Single Allergen Ige - $14.95	$2.58	$14.95	$5.22–$119.65	69% below	83%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Ovalbumin	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Sesame Seed Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Egg White Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Total Ige	$2.58	$17.00	$5.22–$119.65	69% below	85%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Dog F1	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Mugwort Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Scallop Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Common Pigweed Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Russian Thistle Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Hazelnut A14	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Common Ragweed Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Dog F2	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Olive Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Hazelnut A9	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Hazelnut A8	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Acacia Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Dog F3	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Mountain Juniper Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Elm Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Dog F5	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Hazelnut A1	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D. Pteronyssinus Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Hazelnut Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Oak Ige	$2.58	$22.00	$5.22–$119.65	69% below	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Single Allergen Ige - $7.22	$2.38	$7.22	$3.61–$119.65	—	67%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Oak Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Mold Panel 1	$2.58	$110.00	$5.22–$119.65	—	98%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Single Allergen Ige - $32.22	$2.58	$32.22	$5.22–$119.65	—	92%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Single Allergen Ige - $7.94	$2.58	$7.94	$3.97–$119.65	—	68%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Single Allergen Ige - $14.95	$2.58	$14.95	$5.22–$119.65	—	83%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D. Pteronyssinus Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D. Farinae Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cat Dander Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cat D1	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cat D2	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cat D4	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Dog Dander Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Dog F1	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Dog F2	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Dog F3	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Dog F5	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Mouse Urine Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Johnson Grass Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Bermuda Grass Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Perennial Rye Grass Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cockroach Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Penicillium Chrysogenum Ige	$2.58	$43.00	$5.22–$119.65	—	94%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cladosporium Herbarum Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Aspergillus Fumigatus Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Alternaria Alternata Ige	$2.58	$67.00	$5.22–$119.65	—	96%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cottonwood Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Single Allergen Ige - $39.95	$2.58	$39.95	$5.22–$119.65	—	94%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Ige 44.36	$2.58	$44.36	$5.22–$119.65	—	94%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Sesame Seed Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Scallop Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Hazelnut A14	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Hazelnut A9	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Hazelnut A8	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Acacia Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Mountain Juniper Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Hazelnut A1	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Hazelnut Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cashew O3	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cashew Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Almond Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Fish, Salmon Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Fish, Tuna Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Wheat Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Walnut R3	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Walnut R1	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Walnut Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Soybean Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Shrimp Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut H9	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut H8	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut H6	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut H3	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut H2	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut H1	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Peanut Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Beta Lactalbumin	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Alpha Lactalbumin	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Casein	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Cow's Milk Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Fish, Cod Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ovomucoid	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Ovalbumin	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Egg White Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Mugwort Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Common Pigweed Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Russian Thistle Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Common Ragweed Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Olive Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Elm Ige	$2.58	$22.00	$5.22–$119.65	—	88%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Anti-Cyclic Citrullinated Peptide (CCP), Igg 86200	$6.41	$64.00	$7.10–$296.50	76% below	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Anti-Cyclic Citrullinated Peptide (CCP), Igg 86200	$6.41	$64.00	$7.10–$296.50	—	90%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Nt Probnp	$19.43	$98.15	$30.15–$777.38	91% below	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Bnp	$19.43	$211.00	$30.15–$777.38	91% below	91%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So Light Microscopy	$22.11	$67.00	$33.50–$985.35	83% below	67%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Cell Block Cytology	$33.18	$418.00	$57.39–$985.35	74% below	92%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So Lev IV Surg Path Gross & Mic Ucla	$33.18	$155.00	$57.39–$985.35	74% below	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Surg Path Gross and Micro	$33.18	$617.00	$57.39–$985.35	74% below	95%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So Light Microscopy	$22.11	$67.00	$33.50–$985.35	—	67%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So Lev IV Surg Path Gross & Mic Ucla	$33.18	$155.00	$57.39–$985.35	—	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Level IV Surg Path Gross and Micro	$33.18	$617.00	$57.39–$985.35	—	95%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Cell Block Cytology	$33.18	$418.00	$57.39–$985.35	—	92%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Surg Pathology Gross&Microscopic Exam	$104.65	$161.00	$31.08–$161.00	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Draw Fee Newborn Screenin	$2.64	$8.00	$3.30–$49.17	87% below	67%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Irb Df (Draw Fee)	$4.62	$48.00	$3.30–$49.17	77% below	90%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Singulex, Processing Fee	$4.62	$31.00	$3.30–$49.17	77% below	85%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Routine Venipuncture	$4.62	$38.00	$3.30–$49.17	77% below	88%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Umbilical Venipuncture	$4.62	$53.00	$3.30–$49.17	77% below	91%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Apifiny Processing Fee	$4.62	$17.00	$3.30–$49.17	77% below	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Nodify Draw Fee	$4.62	$35.00	$3.30–$49.17	77% below	87%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Research Draw Fee	$4.62	$53.00	$3.30–$49.17	77% below	91%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Draw Fee Newborn Screenin	$2.64	$8.00	$3.30–$49.17	—	67%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Apifiny Processing Fee	$4.62	$17.00	$3.30–$49.17	—	73%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Research Draw Fee	$4.62	$53.00	$3.30–$49.17	—	91%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Singulex, Processing Fee	$4.62	$31.00	$3.30–$49.17	—	85%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Nodify Draw Fee	$4.62	$35.00	$3.30–$49.17	—	87%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Irb Df (Draw Fee)	$4.62	$48.00	$3.30–$49.17	—	90%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Umbilical Venipuncture	$4.62	$53.00	$3.30–$49.17	—	91%
Blood lead test CPT 83655 HC 15110 - Heavy Metals Panel, Random Urine With Cadmium, 83655	$4.79	$14.51	$7.26–$277.15	60% below	67%
Blood lead test CPT 83655 HC Hmha - Hm Lead,Hair	$6.00	$232.63	$12.11–$277.15	50% below	97%
Blood lead test inpatient CPT 83655 HC 15110 - Heavy Metals Panel, Random Urine With Cadmium, 83655	$4.79	$14.51	$7.26–$277.15	—	67%
Blood lead test inpatient CPT 83655 HC Hmha - Hm Lead,Hair	$6.00	$232.63	$12.11–$277.15	—	97%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing,Abo	$58.08	$176.00	$3.33–$545.88	47% below	67%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing,Abo	$58.08	$176.00	$3.33–$545.88	—	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC 92525 - Afb Identification 2	$16.50	$50.00	$15.00–$169.09	82% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC 92524 - Afb Identification 1	$16.50	$50.00	$15.00–$169.09	82% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC 39448 - Sars-Cov-2 Rna Qualitative Naat	$22.77	$69.00	$20.70–$169.09	75% below	67%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Inf Ag Dna/Rna Sars-Cov-2/Covid-19 Amp Probe	$25.40	$85.00	$25.50–$169.09	72% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 by Pcr	$25.40	$407.00	$51.31–$334.15	72% below	94%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Routine Sars-Cov-2 by Pcr	$25.40	$407.00	$51.31–$334.15	72% below	94%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 (T2 Biosystem) 87635	$25.40	$189.00	$51.31–$169.09	72% below	87%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 by Pcr (Thermo Fisher) 87635	$25.40	$253.00	$51.31–$207.71	72% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC 39433 - Sars-Cov-2 Rna, Qualitative Real-Time Rt-Pcr	$25.40	$199.00	$49.75–$169.09	72% below	87%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC 92524 - Afb Identification 1	$16.50	$50.00	$15.00–$169.09	—	67%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC 92525 - Afb Identification 2	$16.50	$50.00	$15.00–$169.09	—	67%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC 39448 - Sars-Cov-2 Rna Qualitative Naat	$22.77	$69.00	$20.70–$169.09	—	67%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 (T2 Biosystem) 87635	$25.40	$189.00	$51.31–$169.09	—	87%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Routine Sars-Cov-2 by Pcr	$25.40	$407.00	$51.31–$334.15	—	94%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Covid-19 by Pcr (Thermo Fisher) 87635	$25.40	$253.00	$51.31–$207.71	—	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Inf Ag Dna/Rna Sars-Cov-2/Covid-19 Amp Probe	$25.40	$85.00	$25.50–$169.09	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 by Pcr	$25.40	$407.00	$51.31–$334.15	—	94%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC 39433 - Sars-Cov-2 Rna, Qualitative Real-Time Rt-Pcr	$25.40	$199.00	$49.75–$169.09	—	87%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 199354 - Pap (87491)	$14.85	$45.00	$22.50–$803.77	73% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Mctgc - C. Trach, Misc Amplified Rna	$16.44	$49.83	$24.92–$803.77	70% below	67%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Ctrachomatis, Amplified Dna Probe	$17.37	$159.00	$35.09–$803.77	68% below	89%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 199334 - Pap (87491)	$17.37	$75.00	$35.09–$803.77	68% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 199348 - Pap (87491)	$17.37	$75.00	$35.09–$803.77	68% below	77%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis (CT) Dna, Real Time Pcr	$17.37	$95.00	$35.09–$803.77	68% below	82%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Mctgc - C. Trach, Misc Amplified Rna	$16.44	$49.83	$24.92–$803.77	—	67%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dheas	$11.01	$75.00	$22.23–$509.24	89% below	85%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dheas	$11.01	$75.00	$22.23–$509.24	—	85%
Estradiol blood test CPT 82670 HC Estradiol	$13.83	$306.00	$27.94–$639.87	85% below	95%
Estradiol blood test inpatient CPT 82670 HC Estradiol	$13.83	$306.00	$27.94–$639.87	—	95%
Free testosterone test CPT 84402 HC Tgrp - Testosterone, Total & Free - Free, S	$10.38	$31.45	$15.73–$582.99	76% below	67%
Free testosterone test CPT 84402 HC Ttfb - Testosterone, T,Bio,Free,S - Free,S	$10.38	$31.45	$15.73–$582.99	76% below	67%
Free testosterone test inpatient CPT 84402 HC Tgrp - Testosterone, Total & Free - Free, S	$10.38	$31.45	$15.73–$582.99	—	67%
Free testosterone test inpatient CPT 84402 HC Ttfb - Testosterone, T,Bio,Free,S - Free,S	$10.38	$31.45	$15.73–$582.99	—	67%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$175.23	$531.00	$49.42–$820.76	37% below	67%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$175.23	$531.00	$49.42–$820.76	—	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gcrna - Neisseria Gonorrhoea, Misc, Naa	$14.30	$43.33	$21.67–$803.77	78% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Ctngg - Neissera Gonorrhoeae	$16.44	$49.83	$24.92–$803.77	75% below	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 199354 - Pap (87591)	$17.37	$110.00	$35.09–$803.77	74% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 199334 - Pap (87591)	$17.37	$145.00	$35.09–$803.77	74% below	88%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 199348 - Pap (87591)	$17.37	$75.00	$35.09–$803.77	74% below	77%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonorrhoeae (Gc) Dna, Real Time Pcr	$17.37	$175.00	$35.09–$803.77	74% below	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Ngonorroeae, Amplified Dna Probe	$17.37	$217.00	$35.09–$803.77	74% below	92%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Gcrna - Neisseria Gonorrhoea, Misc, Naa	$14.30	$43.33	$21.67–$803.77	—	67%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Ctngg - Neissera Gonorrhoeae	$16.44	$49.83	$24.92–$803.77	—	67%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hgi-Hiv 1 Reverse Transcription	$42.12	$159.00	$79.50–$1,948.61	62% below	74%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hgi-Hiv 1 Reverse Transcription	$42.12	$159.00	$79.50–$1,948.61	—	74%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hivco - Hiv 1/2 Ag & Screen (Hivco)	$9.81	$29.73	$14.87–$559.23	89% below	67%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1/2 Antigen & Antibody Screen	$11.92	$355.00	$20.26–$559.23	86% below	97%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 and Hiv-2 Antigens & Antibodies	$11.92	$132.00	$20.26–$559.23	86% below	91%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hivco - Hiv 1/2 Ag & Screen (Hivco)	$9.81	$29.73	$14.87–$559.23	—	67%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv 1/2 Antigen & Antibody Screen	$11.92	$355.00	$20.26–$559.23	—	97%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Orarisk Hpv	$17.37	$100.00	$31.19–$782.79	87% below	83%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC 199344 - Pap (87624)	$17.37	$145.00	$31.19–$782.79	87% below	88%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC 199334 - Pap (87624)	$17.37	$119.00	$31.19–$782.79	87% below	85%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC 199305 - Pap (87624)	$17.37	$146.00	$31.19–$782.79	87% below	88%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Orarisk Hpv	$17.37	$100.00	$31.19–$782.79	—	83%
Herpes blood test, HSV-1 antibody CPT 86695 HC 90849-2 - Hsv 1 Igm Titer	$6.53	$39.03	$13.19–$302.07	66% below	83%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC 90849-2 - Hsv 1 Igm Titer	$6.53	$39.03	$13.19–$302.07	—	83%
Herpes blood test, HSV-2 antibody CPT 86696 HC 17171 - Hsv-2 Igg Inhibition, Ia	$9.58	$150.00	$17.20–$443.35	60% below	94%
Herpes blood test, HSV-2 antibody CPT 86696 HC 90849-3 - Hsv 2 Igm Titer	$9.58	$39.03	$17.20–$443.35	60% below	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC 90849-3 - Hsv 2 Igm Titer	$9.58	$39.03	$17.20–$443.35	—	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC 17171 - Hsv-2 Igg Inhibition, Ia	$9.58	$150.00	$17.20–$443.35	—	94%
Measles (rubeola) antibody test CPT 86765 HC 34256 - Measles Antibody (Igm)	$6.38	$22.72	$11.36–$295.02	81% below	72%
Measles (rubeola) antibody test CPT 86765 HC Measles Igg, Immune Status	$6.38	$48.00	$12.88–$295.02	81% below	87%
Measles (rubeola) antibody test inpatient CPT 86765 HC 34256 - Measles Antibody (Igm)	$6.38	$22.72	$11.36–$295.02	—	72%
Measles (rubeola) antibody test inpatient CPT 86765 HC Measles Igg, Immune Status	$6.38	$48.00	$12.88–$295.02	—	87%
Obstetric blood test panel CPT 80055 HC Prenatal Profile	$23.67	$248.00	$47.81–$938.01	90% below	90%
Obstetric blood test panel inpatient CPT 80055 HC Prenatal Profile	$23.67	$248.00	$47.81–$938.01	—	90%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Free Psa	$9.10	$57.00	$18.02–$421.22	84% below	84%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Total Psa	$9.10	$31.00	$15.50–$421.22	85% below	71%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Diagnostic	$9.10	$73.00	$18.39–$421.22	85% below	88%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Screen	$9.56	$310.00	$19.31–$421.22	84% below	97%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Screen	$9.56	$310.00	$19.31–$421.22	—	97%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199344 - Pap (88175))	$13.11	$77.13	$23.50–$606.59	84% below	83%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199350 - Pap (88175)	$13.11	$66.53	$23.50–$606.59	84% below	80%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199300 - Pap (88175)	$13.11	$66.53	$23.50–$606.59	84% below	80%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199305 - Pap (88175)	$13.11	$77.12	$23.50–$606.59	84% below	83%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199348 - Pap (88175)	$13.11	$82.42	$23.50–$606.59	84% below	84%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199354 - Pap (88175)	$13.11	$80.66	$23.50–$606.59	84% below	84%
Pap test (liquid-based, automated screening with review) CPT 88175 HC 199334 - Pap (88175)	$13.11	$83.49	$23.50–$606.59	84% below	84%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pthi-Pth Intact	$20.43	$290.00	$41.28–$945.21	81% below	93%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pth Intact	$20.43	$85.00	$41.28–$945.21	81% below	76%
Parathyroid hormone (PTH) blood test CPT 83970 HC 16560 - Pth, Intact, Fine Needle Aspirate	$20.43	$100.00	$41.28–$945.21	81% below	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC 16560 - Pth, Intact, Fine Needle Aspirate	$20.43	$100.00	$41.28–$945.21	—	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Pthi-Pth Intact	$20.43	$290.00	$41.28–$945.21	—	93%
Progesterone blood test CPT 84144 HC Progesterone	$10.33	$96.00	$20.86–$477.77	88% below	89%
Rapid flu test (influenza antigen) CPT 87804 HC Influenza a&B,Direct Immunoassay	$8.19	$65.00	$8.85–$212.74	89% below	87%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Influenza a&B,Direct Immunoassay	$8.19	$65.00	$8.85–$212.74	—	87%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic	$8.18	$62.00	$9.79–$212.74	93% below	87%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic	$8.18	$62.00	$9.79–$212.74	—	87%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Ttfb - Testosterone, T,Bio,Free,S - Total Only	$10.52	$31.87	$15.94–$591.35	79% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Tgrp - Testosterone, Total & Free - Total Only	$10.52	$31.87	$15.94–$591.35	79% below	67%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone Total	$12.78	$140.00	$25.81–$591.35	74% below	91%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Ttfb - Testosterone, T,Bio,Free,S - Total Only	$10.52	$31.87	$15.94–$591.35	—	67%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Tgrp - Testosterone, Total & Free - Total Only	$10.52	$31.87	$15.94–$591.35	—	67%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroglobulin Autoantibodies	$7.20	$300.00	$14.55–$333.21	69% below	98%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 15038 - Liver Kidney Microsomal (Lkm-1) Antibody (Igg)	$7.20	$23.08	$11.54–$333.21	69% below	69%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Thyroglobulin Autoantibodies	$7.20	$300.00	$14.55–$333.21	—	98%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC 15038 - Liver Kidney Microsomal (Lkm-1) Antibody (Igg)	$7.20	$23.08	$11.54–$333.21	—	69%
Trichomonas test (NAAT) CPT 87661 HC 199348 - Pap (87661)	$17.37	$57.00	$28.50–$784.59	83% below	70%
Trichomonas test (NAAT) CPT 87661 HC 199334 - Pap (87661)	$17.37	$119.00	$30.54–$784.59	83% below	85%
Trichomonas test (NAAT) CPT 87661 HC 19550 - Sureswab(R), Trichomonas Vaginalis Rna, Qualitative Tma	$17.37	$70.07	$30.54–$784.59	83% below	75%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas (Tv) Dna, Real-Time Pcr	$17.37	$113.00	$30.54–$784.59	83% below	85%
Trichomonas test (NAAT) inpatient CPT 87661 HC 19550 - Sureswab(R), Trichomonas Vaginalis Rna, Qualitative Tma	$17.37	$70.07	$30.54–$784.59	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25 Hydroxy	$14.65	$100.00	$29.01–$677.89	77% below	85%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast 1st Lesion Strt	$887.70	$2,690.00	$807.00–$10,280.00	80% below	67%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid	$286.65	$441.00	$80.38–$441.00	—	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast 1st Lesion Strt	$887.70	$2,690.00	$807.00–$10,280.00	—	67%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Fx Distal Fibular(Lateral Malleol	$157.04	$1,441.00	$317.26–$6,471.00	71% below	89%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Fx Distal Fibular(Lateral Malleol	$157.04	$1,441.00	$317.26–$6,471.00	—	89%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$655.20	$1,008.00	$154.83–$806.40	—	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Fx Metatarsal Closed W/O Man	$157.04	$1,033.00	$198.89–$6,471.00	71% below	85%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Fx Metatarsal Closed W/O Man	$157.04	$1,033.00	$198.89–$6,471.00	—	85%
Cardiac catheterization with coronary angiogram CPT 93458 HC Sel Cor W/Lhc W/WO Lvg	$2,063.99	$26,371.00	$950.01–$24,003.00	84% below	92%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC Sel Cor W/Lhc W/WO Lvg	$2,063.99	$26,371.00	$950.01–$24,003.00	—	92%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC External Cardioversion	$420.79	$5,435.00	$175.66–$25,694.00	78% below	92%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC External Cardioversion	$420.79	$5,435.00	$175.66–$25,694.00	—	92%
Carpal tunnel release, open surgery CPT 64721 HC Neuroplasty &/Transpos Median Nrv Carpal Tunne	$1,243.21	$10,435.00	$454.46–$13,242.00	66% below	88%
Carpal tunnel release, open surgery inpatient CPT 64721 HC Neuroplasty &/Transpos Median Nrv Carpal Tunne	$1,243.21	$10,435.00	$454.46–$13,242.00	—	88%
Catheter ablation for atrial fibrillation CPT 93656 HC Tx Atrial Fib Pulm Vein Isol	$13,851.75	$41,975.00	$880.47–$107,240.31	59% below	67%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Tx Atrial Fib Pulm Vein Isol	$13,851.75	$41,975.00	$880.47–$107,240.31	—	67%
Cervical biopsy CPT 57500 HC Biopsy Cervix, 1 or More, or Excision of Lesion	$310.86	$942.00	$58.15–$3,778.95	80% below	67%
Cervical biopsy inpatient CPT 57500 HC Biopsy Cervix, 1 or More, or Excision of Lesion	$310.86	$942.00	$58.15–$3,778.95	—	67%
Cesarean delivery, including prenatal and postpartum care CPT 59510 HC OB Routine Care, Csection, Postpartum	$1,236.67	$14,086.00	$447.00–$11,916.76	77% below	91%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC OB Routine Care, Csection, Postpartum	$1,236.67	$14,086.00	$447.00–$11,916.76	—	91%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Bloc	$1,330.85	$11,766.00	$2,688.58–$13,242.00	28% above	89%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Bloc	$1,330.85	$11,766.00	$2,688.58–$13,242.00	—	89%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Clsd Tx Distal Radial Fx W/O Man	$157.04	$1,154.00	$311.61–$6,471.00	73% below	86%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Clsd Tx Distal Radial Fx W/O Man	$157.04	$1,154.00	$311.61–$6,471.00	—	86%
Colonoscopy with endoscopic ultrasound CPT 45391 HC Colonoscopy W/Endoscope US	$761.84	$3,732.00	$1,119.60–$10,280.00	67% below	80%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colonoscopy W/Endoscope US	$761.84	$3,732.00	$1,119.60–$10,280.00	—	80%
Colonoscopy with polyp removal CPT 45385 HC Colonoscopy Lesion Remov Snr	$761.84	$3,632.00	$574.08–$10,280.00	67% below	79%
Colonoscopy with polyp removal inpatient CPT 45385 HC Colonoscopy Lesion Remov Snr	$761.84	$3,632.00	$574.08–$10,280.00	—	79%
Colonoscopy with tissue sample CPT 45380 HC Colonos W/Biopsy Sngl/Mult	$761.84	$3,332.00	$473.68–$10,280.00	63% below	77%
Colonoscopy with tissue sample inpatient CPT 45380 HC Colonos W/Biopsy Sngl/Mult	$761.84	$3,332.00	$473.68–$10,280.00	—	77%
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Diagnostic	$592.06	$3,282.00	$423.48–$10,280.00	72% below	82%
Colonoscopy, diagnostic inpatient CPT 45378 HC Colonoscopy Diagnostic	$592.06	$3,282.00	$423.48–$10,280.00	—	82%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposc,Cervix W/Adj Vag,W/Bx & Curreta	$151.35	$458.63	$123.56–$1,250.27	84% below	67%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Colposc,Cervix W/Adj Vag,W/Bx & Curreta	$151.35	$458.63	$123.56–$1,250.27	—	67%
Coronary stent placement, one artery CPT 92928 HC Prq Card Stent W/Angio 1 Vsl	$7,349.64	$22,467.00	$483.05–$47,364.34	51% below	67%
Coronary stent placement, one artery inpatient CPT 92928 HC Prq Card Stent W/Angio 1 Vsl	$7,349.64	$22,467.00	$483.05–$47,364.34	—	67%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruction First Lesion	$97.02	$294.00	$99.86–$823.18	70% below	67%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruction First Lesion	$97.02	$294.00	$99.86–$823.18	—	67%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Ear Wax Uni	$37.56	$269.00	$14.55–$6,471.00	79% below	86%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Remove Impacted Ear Wax Uni	$37.56	$269.00	$14.55–$6,471.00	—	86%
Earwax removal with instruments, one ear CPT 69210 HC Remov Impacted Cerumen	$37.56	$470.00	$43.79–$397.62	79% below	92%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Remov Impacted Cerumen	$37.56	$470.00	$43.79–$397.62	—	92%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Inj Diag Therapeutic W/Guidance	$449.40	$1,997.00	$599.10–$7,387.00	77% below	77%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Inj Diag Therapeutic W/Guidance	$449.40	$1,997.00	$599.10–$7,387.00	—	77%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Facet Jt Inj Sngl Lev Lumbar/Sac	$563.10	$2,098.00	$629.40–$7,387.00	73% below	73%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Facet Jt Inj Sngl Lev Lumbar/Sac	$563.10	$2,098.00	$629.40–$7,387.00	—	73%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flexible Diagnos	$592.06	$3,512.00	$78.50–$7,387.00	63% below	83%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Sigmoidoscopy Flexible Diagnos	$592.06	$3,512.00	$78.50–$7,387.00	—	83%
Hammertoe correction surgery CPT 28285 HC Correction Hammertoe	$2,083.13	$8,870.00	$290.51–$13,424.60	47% below	77%
Hammertoe correction surgery inpatient CPT 28285 HC Correction Hammertoe	$2,083.13	$8,870.00	$290.51–$13,424.60	—	77%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy by Ligation	$592.06	$2,625.00	$110.55–$7,387.00	68% below	77%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Hemorrhoidectomy by Ligation	$592.06	$2,625.00	$110.55–$7,387.00	—	77%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Contrst Hysterosalping	$390.06	$1,182.00	$266.01–$7,387.00	39% below	67%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Intro Contrst Hysterosalping	$390.06	$1,182.00	$266.01–$7,387.00	—	67%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy,W/Endo Bx	$1,252.35	$3,795.00	$184.00–$13,281.52	82% below	67%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy,W/Endo Bx	$1,252.35	$3,795.00	$184.00–$13,281.52	—	67%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Absc Simp or Sgle	$127.73	$1,137.00	$76.77–$6,471.00	73% below	89%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Single	$127.73	$607.00	$60.88–$823.18	73% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single	$127.73	$1,137.00	$60.88–$7,387.00	73% below	89%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single	$127.73	$1,137.00	$60.88–$7,387.00	—	89%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Absc Simp or Sgle	$127.73	$1,137.00	$76.77–$6,471.00	—	89%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Abscess Single	$127.73	$607.00	$60.88–$823.18	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj Tendon Sheath/Ligament	$195.42	$911.00	$65.68–$7,387.00	70% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj Tendon Sheath/Ligament	$195.42	$911.00	$65.68–$7,387.00	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthro/Asp/Inj, Major Jt/Bursa	$195.42	$1,460.00	$82.84–$6,471.00	79% below	87%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocent-Asp-Inj Maj Jt	$195.42	$1,404.00	$65.68–$7,387.00	79% below	86%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis/Aspir Major Joint	$195.42	$1,460.00	$65.68–$7,387.00	79% below	87%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthro/Asp/Inj, Major Jt/Bursa	$195.42	$1,460.00	$82.84–$6,471.00	—	87%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis/Aspir Major Joint	$195.42	$1,460.00	$65.68–$7,387.00	—	87%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocent-Asp-Inj Maj Jt	$195.42	$1,404.00	$65.68–$7,387.00	—	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Aspirate/Inject Intermed Jnt	$195.42	$1,348.00	$54.46–$1,259.38	68% below	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthro/Asp/Inj,Intermed Jt/Bursa	$195.42	$1,404.00	$68.69–$6,471.00	68% below	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocent-Asp-Inj Int Joint	$195.42	$1,404.00	$54.46–$7,387.00	68% below	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthro/Asp/Inj,Intermed Jt/Bursa	$195.42	$1,404.00	$68.69–$6,471.00	—	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Aspirate/Inject Intermed Jnt	$195.42	$1,348.00	$54.46–$1,259.38	—	86%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocent-Asp-Inj Int Joint	$195.42	$1,404.00	$54.46–$7,387.00	—	86%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Drain/Inject, Joint/Bursa Smll Jt	$195.42	$1,292.00	$46.46–$7,387.00	73% below	85%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Drain/Inject, Joint/Bursa Smll Jt	$195.42	$1,292.00	$46.46–$7,387.00	—	85%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC Lap,Esophagogast Fundoplasty	$4,945.71	$14,987.00	$1,149.23–$43,612.86	57% below	67%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HC Lap,Esophagogast Fundoplasty	$4,945.71	$14,987.00	$1,149.23–$43,612.86	—	67%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Laser Surgery Yag	$350.16	$1,162.00	$267.01–$10,280.00	86% below	70%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Laser Surgery Yag	$350.16	$1,162.00	$267.01–$10,280.00	—	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lac Intermediate to 2.5 Cm	$258.81	$1,768.00	$152.88–$6,471.00	70% below	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Lac Intermediate to 2.5 Cm	$258.81	$1,768.00	$152.88–$6,471.00	—	85%
Left heart catheterization, diagnostic one side CPT 93452 HC Left Heart Cath	$2,063.99	$18,035.00	$762.86–$24,003.00	79% below	89%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Left Heart Cath	$2,063.99	$18,035.00	$762.86–$24,003.00	—	89%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Interlaminar Lmbr/Sac W/Img	$449.40	$2,004.00	$601.20–$7,387.00	80% below	78%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Interlaminar Lmbr/Sac W/Img	$449.40	$2,004.00	$601.20–$7,387.00	—	78%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Interlaminar Lmbr/Sac	$563.10	$2,004.00	$601.20–$7,387.00	67% below	72%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Interlaminar Lmbr/Sac	$563.10	$2,004.00	$601.20–$7,387.00	—	72%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Transforminal Epidural Lumbar	$563.10	$2,362.00	$205.61–$7,387.00	71% below	76%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Transforminal Epidural Lumbar	$563.10	$2,362.00	$205.61–$7,387.00	—	76%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$2,678.65	$4,121.00	$20.55–$3,453.19	—	35%
Lumpectomy (partial mastectomy) CPT 19301 HC Mastectomy Partial	$2,492.77	$11,632.00	$3,489.60–$27,243.76	63% below	79%
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC Mastectomy Partial	$2,492.77	$11,632.00	$3,489.60–$27,243.76	—	79%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$334.29	$1,013.00	$184.00–$3,032.32	80% below	67%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$334.29	$1,013.00	$184.00–$3,032.32	—	67%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Skin Benig <.5cm Trunk, Arm Leg	$450.83	$6,673.00	$83.31–$7,387.00	66% below	93%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Skin Benig <.5cm Trunk, Arm Leg	$450.83	$6,673.00	$83.31–$7,387.00	—	93%
Nail removal (partial or complete), one nail CPT 11730 HC Avuls Nail Plate, Simp, Sgl	$127.73	$562.00	$57.92–$6,471.00	74% below	77%
Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate	$127.73	$502.00	$45.93–$823.18	74% below	75%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal of Nail Plate	$127.73	$502.00	$45.93–$823.18	—	75%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avuls Nail Plate, Simp, Sgl	$127.73	$562.00	$57.92–$6,471.00	—	77%
Occipital nerve block (injection for headaches) CPT 64405 HC Inj Anesthetic Greater Occip Nerve	$195.42	$1,824.00	$90.25–$1,543.10	78% below	89%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Anesthetic Greater Occip Nerve	$195.42	$1,824.00	$90.25–$1,543.10	—	89%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$362.70	$558.00	$26.34–$669.60	—	35%
Pacemaker implant (dual chamber) CPT 33208 HC Insrt Heart Pm Atrial & Vent	$6,654.29	$24,200.00	$1,068.05–$80,336.00	60% below	73%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insrt Heart Pm Atrial & Vent	$6,654.29	$24,200.00	$1,068.05–$80,336.00	—	73%
Paracentesis with imaging guidance CPT 49083 HC Irl Paracentesis W/Imaging Guide	$577.43	$3,076.00	$922.80–$10,280.00	69% below	81%
Paracentesis with imaging guidance CPT 49083 HC US ED Paracentesis W/Imaging Guide	$577.43	$3,076.00	$113.15–$6,471.00	69% below	81%
Paracentesis with imaging guidance CPT 49083 HC Paracentesis W/Imaging Guide	$577.43	$3,076.00	$922.80–$10,280.00	69% below	81%
Paracentesis with imaging guidance inpatient CPT 49083 HC Paracentesis W/Imaging Guide	$577.43	$3,076.00	$922.80–$10,280.00	—	81%
Paracentesis with imaging guidance inpatient CPT 49083 HC Irl Paracentesis W/Imaging Guide	$577.43	$3,076.00	$922.80–$10,280.00	—	81%
Paracentesis with imaging guidance inpatient CPT 49083 HC US ED Paracentesis W/Imaging Guide	$577.43	$3,076.00	$113.15–$6,471.00	—	81%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed	$258.81	$1,669.00	$121.22–$1,667.88	80% below	84%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excis Nail & Matrix, Perm Rem	$258.81	$1,669.00	$152.88–$6,471.00	80% below	84%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excis Nail & Matrix, Perm Rem	$258.81	$1,669.00	$152.88–$6,471.00	—	84%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed	$258.81	$1,669.00	$121.22–$1,667.88	—	84%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Destroy Lumb/Sac Facet Jnt	$1,243.21	$4,536.00	$1,360.80–$13,242.00	64% below	73%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Destroy Lumb/Sac Facet Jnt	$1,243.21	$4,536.00	$1,360.80–$13,242.00	—	73%
Removal of a breast lump, open surgery CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,492.77	$13,726.00	$302.26–$16,064.53	41% below	82%
Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$2,492.77	$13,726.00	$302.26–$16,064.53	—	82%
Removal of a foreign object under the skin, simple CPT 10120 HC I+D FB,Subq,Simp	$258.81	$995.00	$93.61–$6,471.00	74% below	74%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC I+D FB,Subq,Simp	$258.81	$995.00	$93.61–$6,471.00	—	74%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colon Ca Scrn Not Hi Rsk Ind	$592.06	$3,534.00	$954.42–$10,280.00	65% below	83%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC Colon Ca Scrn Not Hi Rsk Ind	$592.06	$3,534.00	$954.42–$10,280.00	—	83%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind	$592.06	$3,493.00	$954.42–$10,280.00	68% below	83%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind	$592.06	$3,493.00	$954.42–$10,280.00	—	83%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Lithotripsy Xtrcorp Shock Wave	$2,244.19	$20,180.00	$961.25–$28,973.00	66% below	89%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC Lithotripsy Xtrcorp Shock Wave	$2,244.19	$20,180.00	$961.25–$28,973.00	—	89%
Short arm cast (elbow to hand) CPT 29075 HC Application Cast Elbow Finger Short Arm	$178.07	$809.00	$149.51–$6,471.00	64% below	78%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Cast Elbow Finger Short Arm	$178.07	$809.00	$149.51–$6,471.00	—	78%
Short arm cast (elbow to hand) inpatient CPT 29075 Application Cast Elbow to Finger Short Arm	$565.88	$870.59	$27.48–$696.47	—	35%
Short arm splint (forearm and hand) CPT 29125 HC Application of Short Arm Splint	$84.70	$580.00	$95.63–$6,471.00	79% below	85%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Application of Short Arm Splint	$84.70	$580.00	$95.63–$6,471.00	—	85%
Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast(B-Knee-Toes)	$178.07	$615.00	$154.23–$6,471.00	64% below	71%
Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast(B-Knee-Toes)	$178.07	$615.00	$154.23–$6,471.00	—	71%
Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Below Knee-Toe	$556.47	$856.10	$30.21–$684.88	—	35%
Short leg splint (calf to foot) CPT 29515 HC Application of Short Leg Splint	$103.46	$596.00	$102.36–$6,471.00	79% below	83%
Short leg splint (calf to foot) inpatient CPT 29515 HC Application of Short Leg Splint	$103.46	$596.00	$102.36–$6,471.00	—	83%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Lac Simp to 2.5 Cm	$127.73	$751.00	$126.61–$6,471.00	77% below	83%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair 2.5 or Less	$127.73	$713.00	$100.39–$823.18	77% below	82%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Lac Simp to 2.5 Cm	$127.73	$751.00	$126.61–$6,471.00	—	83%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Simple Repair 2.5 or Less	$127.73	$713.00	$100.39–$823.18	—	82%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$227.37	$689.00	$206.70–$7,387.00	69% below	67%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$227.37	$689.00	$206.70–$7,387.00	—	67%
Skin tag removal, up to 15 tags CPT 11200 HC Removal Skin Tags Up to 15	$127.73	$544.00	$57.25–$6,471.00	68% below	77%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal Skin Tags Up to 15	$127.73	$544.00	$57.25–$6,471.00	—	77%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture	$449.40	$2,491.00	$117.49–$7,387.00	66% below	82%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Lumbar Puncture	$449.40	$2,491.00	$117.49–$7,387.00	—	82%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Lac Simp 2.6-7.5 Cm	$127.73	$807.00	$134.69–$6,471.00	83% below	84%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Lac Simp 2.6-7.5cm	$127.73	$722.00	$106.81–$5,169.00	83% below	82%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Lac Simp 2.6-7.5 Cm	$127.73	$807.00	$134.69–$6,471.00	—	84%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Lac Simp 2.6-7.5cm	$127.73	$722.00	$106.81–$5,169.00	—	82%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Lac Simp to 2.5 Cm/1	$127.73	$922.00	$131.99–$6,471.00	81% below	86%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Lac Simp to 2.5cm	$127.73	$667.00	$104.67–$823.18	81% below	81%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Lac Simp to 2.5 Cm/1	$127.73	$922.00	$131.99–$6,471.00	—	86%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Lac Simp to 2.5cm	$127.73	$667.00	$104.67–$823.18	—	81%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$227.37	$689.00	$206.70–$7,387.00	59% below	67%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion	$227.37	$689.00	$206.70–$7,387.00	—	67%
Thoracentesis with imaging guidance CPT 32555 HC CT Thoracentesis W/ Imaging Guide	$399.37	$2,406.00	$92.33–$2,573.74	80% below	83%
Thoracentesis with imaging guidance CPT 32555 HC US Thoracentesis W/ Imaging Guide	$399.37	$2,406.00	$92.33–$2,573.74	80% below	83%
Thoracentesis with imaging guidance CPT 32555 HC Thora Needle/Cath Asp W/Img	$399.37	$2,406.00	$721.80–$7,387.00	80% below	83%
Thoracentesis with imaging guidance CPT 32555 HC US ED Thoracentesis Ndle or Cath Asp	$399.37	$2,406.00	$116.44–$6,471.00	80% below	83%
Thoracentesis with imaging guidance inpatient CPT 32555 HC CT Thoracentesis W/ Imaging Guide	$399.37	$2,406.00	$92.33–$2,573.74	—	83%
Thoracentesis with imaging guidance inpatient CPT 32555 HC US ED Thoracentesis Ndle or Cath Asp	$399.37	$2,406.00	$116.44–$6,471.00	—	83%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thora Needle/Cath Asp W/Img	$399.37	$2,406.00	$721.80–$7,387.00	—	83%
Thoracentesis with imaging guidance inpatient CPT 32555 HC US Thoracentesis W/ Imaging Guide	$399.37	$2,406.00	$92.33–$2,573.74	—	83%
Trigger finger release surgery CPT 26055 HC Incise Finger Tendon Sheath	$1,023.73	$6,222.00	$302.26–$10,280.00	67% below	84%
Trigger finger release surgery inpatient CPT 26055 HC Incise Finger Tendon Sheath	$1,023.73	$6,222.00	$302.26–$10,280.00	—	84%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Point, 1/2 Muscl	$195.42	$899.00	$269.70–$7,387.00	69% below	78%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trigger Point, 1/2 Muscl	$195.42	$899.00	$269.70–$7,387.00	—	78%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US	$887.70	$2,690.00	$807.00–$10,280.00	72% below	67%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid	$373.75	$575.00	$75.97–$862.50	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast 1st Lesion US	$887.70	$2,690.00	$807.00–$10,280.00	—	67%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd W/Dilation Esophag <30mm	$1,219.02	$3,694.00	$319.89–$10,280.00	47% below	67%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd W/Dilation Esophag <30mm	$1,219.02	$3,694.00	$319.89–$10,280.00	—	67%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd W/Biopsy Sngl or Multiple	$577.43	$4,644.00	$335.91–$10,280.00	67% below	88%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd W/Biopsy Sngl or Multiple	$577.43	$4,644.00	$335.91–$10,280.00	—	88%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Egd W/Inj Submucoasl	$577.43	$3,994.00	$1,166.53–$10,280.00	69% below	86%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC Egd W/Inj Submucoasl	$577.43	$3,994.00	$1,166.53–$10,280.00	—	86%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd W/Remov Tumor/Polys Snare	$1,221.68	$4,244.00	$1,273.20–$10,280.00	63% below	71%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd W/Remov Tumor/Polys Snare	$1,221.68	$4,244.00	$1,273.20–$10,280.00	—	71%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd W/Insert Guidewire	$577.43	$3,844.00	$212.00–$10,280.00	65% below	85%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC Egd W/Insert Guidewire	$577.43	$3,844.00	$212.00–$10,280.00	—	85%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic	$577.43	$3,644.00	$321.48–$7,387.00	69% below	84%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Diagnostic	$577.43	$3,644.00	$321.48–$7,387.00	—	84%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC Egd W/Transmural Drain Cyst	$3,744.18	$11,346.00	$3,403.80–$24,908.12	36% below	67%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC Egd W/Transmural Drain Cyst	$3,744.18	$11,346.00	$3,403.80–$24,908.12	—	67%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC Cystouretero W/Lithotripsy and Indwell Stent	$3,413.60	$13,314.00	$3,994.20–$24,003.00	72% below	74%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC Cystouretero W/Lithotripsy and Indwell Stent	$3,413.60	$13,314.00	$3,994.20–$24,003.00	—	74%
Vein ablation, radiofrequency, first vein CPT 36475 HC Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$2,010.22	$10,816.00	$3,244.80–$18,930.00	72% below	81%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$2,010.22	$10,816.00	$3,244.80–$18,930.00	—	81%
Wart removal, up to 14 warts CPT 17110 HC Destruct Benign Lesion, 1-14	$127.73	$607.00	$143.12–$823.18	64% below	79%
Wart removal, up to 14 warts inpatient CPT 17110 HC Destruct Benign Lesion, 1-14	$127.73	$607.00	$143.12–$823.18	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debrid Skin and Subq Tissue	$258.81	$1,247.00	$187.89–$6,471.00	62% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq 1st 20 Sq Cm /<	$258.81	$1,012.00	$148.99–$1,667.88	62% below	74%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debrid Skin and Subq Tissue	$258.81	$1,247.00	$187.89–$6,471.00	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Subq 1st 20 Sq Cm /<	$258.81	$1,012.00	$148.99–$1,667.88	—	74%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service	$280.88	$2,098.00	$567.42–$1,810.08	68% below	87%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood or Blood Product	$280.88	$2,098.00	$567.42–$1,810.08	68% below	87%
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion	$280.88	$1,873.00	$184.00–$1,810.08	68% below	85%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood or Blood Product	$280.88	$2,098.00	$567.42–$1,810.08	—	87%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion Service	$280.88	$2,098.00	$567.42–$1,810.08	—	87%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion	$280.88	$1,873.00	$184.00–$1,810.08	—	85%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Upa Treatment	$133.32	$404.00	$16.78–$1,829.00	59% below	67%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Upa Treatment	$133.32	$404.00	$16.78–$1,829.00	—	67%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusio	$210.29	$1,538.00	$28.59–$4,994.00	76% below	86%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Infusio	$210.29	$1,538.00	$28.59–$4,994.00	—	86%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 1st 30-74 Min	$525.89	$5,937.00	$49.60–$11,912.68	89% below	91%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 1st 30-74 Min	$525.89	$5,937.00	$49.60–$11,912.68	—	91%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake.	$137.47	$1,425.00	$108.41–$1,897.80	87% below	90%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake.	$137.47	$1,425.00	$108.41–$1,897.80	—	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg Standard	$37.56	$620.00	$11.03–$830.00	89% below	94%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg Standard	$37.56	$620.00	$11.03–$830.00	—	94%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Visit Level 1	$53.68	$779.00	$30.48–$6,471.00	87% below	93%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC OB ED 1	$53.68	$779.00	$30.06–$6,471.00	87% below	93%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Visit Level 1	$53.68	$779.00	$30.48–$6,471.00	—	93%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC OB ED 1	$53.68	$779.00	$30.06–$6,471.00	—	93%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Visit Level 2	$97.76	$1,155.00	$48.96–$6,471.00	89% below	92%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC OB ED 2	$97.76	$1,155.00	$48.27–$6,471.00	89% below	92%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Visit Level 2	$97.76	$1,155.00	$48.96–$6,471.00	—	92%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC OB ED 2	$97.76	$1,155.00	$48.27–$6,471.00	—	92%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC OB ED 3	$173.79	$2,069.00	$49.60–$6,471.00	89% below	92%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Visit Level 3	$173.79	$2,069.00	$49.60–$6,471.00	89% below	92%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC OB ED 3	$173.79	$2,069.00	$49.60–$6,471.00	—	92%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Visit Level 3	$173.79	$2,069.00	$49.60–$6,471.00	—	92%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC OB ED 4	$265.65	$3,788.00	$49.60–$7,415.20	90% below	93%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Visit Level 4	$265.65	$3,788.00	$49.60–$7,415.20	90% below	93%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC OB ED 4	$265.65	$3,788.00	$49.60–$7,415.20	—	93%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Visit Level 4	$265.65	$3,788.00	$49.60–$7,415.20	—	93%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Visit Level 5	$379.15	$5,346.00	$49.60–$7,415.20	89% below	93%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC OB ED 5	$379.15	$5,346.00	$49.60–$7,415.20	89% below	93%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC OB ED 5	$379.15	$5,346.00	$49.60–$7,415.20	—	93%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Visit Level 5	$379.15	$5,346.00	$49.60–$7,415.20	—	93%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test-Tracing Only	$137.47	$1,917.00	$75.31–$25,694.00	90% below	93%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test	$137.47	$1,917.00	$75.31–$2,329.00	90% below	93%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Stress Test	$137.47	$1,917.00	$75.31–$2,329.00	—	93%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Stress Test-Tracing Only	$137.47	$1,917.00	$75.31–$25,694.00	—	93%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydrat Init Svc 31 Min/1 Hr	$135.42	$709.00	$51.30–$917.00	73% below	81%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration Init	$135.42	$709.00	$51.30–$917.00	73% below	81%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Hydrat Init Svc 31 Min/1 Hr	$135.42	$709.00	$51.30–$917.00	—	81%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydration Init	$135.42	$709.00	$51.30–$917.00	—	81%
IV infusion of a medicine, first hour CPT 96365 HC IV Inf Init Svc 1st Hr Non Chem	$135.42	$820.00	$62.60–$917.00	77% below	83%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion In	$135.42	$743.00	$62.60–$917.00	77% below	82%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion In	$135.42	$743.00	$62.60–$917.00	—	82%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Inf Init Svc 1st Hr Non Chem	$135.42	$820.00	$62.60–$917.00	—	83%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Ther/Proph/Diag Inj Sc/Im	$45.84	$380.00	$18.75–$917.00	74% below	88%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IV Injection Sq	$45.84	$399.00	$18.75–$917.00	74% below	89%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Ther/Proph/Diag Inj Sc/Im	$45.84	$380.00	$18.75–$917.00	—	88%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IV Injection Sq	$45.84	$399.00	$18.75–$917.00	—	89%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies, 7-8	$237.57	$746.00	$160.95–$1,798.78	74% below	68%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies, 7-8	$237.57	$746.00	$160.95–$1,798.78	—	68%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Reeducation 15	$16.66	$210.00	$17.53–$534.00	87% below	92%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Rehab 15min	$16.66	$210.00	$17.53–$534.00	87% below	92%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Rehab 15min	$16.66	$210.00	$17.53–$534.00	—	92%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Reeducation 15	$16.66	$210.00	$17.53–$534.00	—	92%
New patient office visit, about 30 minutes CPT 99203 HC Np Off Visit L3	$36.07	$158.00	$39.50–$240.14	83% below	77%
New patient office visit, about 30 minutes CPT 99203 HC New Level 3	$36.07	$158.00	$39.50–$240.14	83% below	77%
New patient office visit, about 30 minutes CPT 99203 HC Clinic Level 3 New to Emc	$66.33	$201.00	$34.10–$441.79	69% below	67%
New patient office visit, about 30 minutes inpatient CPT 99203 HC New Level 3	$36.07	$158.00	$39.50–$240.14	—	77%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Np Off Visit L3	$36.07	$158.00	$39.50–$240.14	—	77%
New patient office visit, about 30 minutes inpatient CPT 99203 HC Clinic Level 3 New to Emc	$66.33	$201.00	$34.10–$441.79	—	67%
New patient office visit, about 45 minutes CPT 99204 HC New Level	$59.10	$268.00	$67.00–$393.48	76% below	78%
New patient office visit, about 45 minutes CPT 99204 HC Np Off Visit L	$59.10	$268.00	$67.00–$393.48	76% below	78%
New patient office visit, about 45 minutes CPT 99204 HC Clinic Level 4 New to Em	$66.33	$201.00	$34.10–$441.79	73% below	67%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Np Off Visit L	$59.10	$268.00	$67.00–$393.48	—	78%
New patient office visit, about 45 minutes inpatient CPT 99204 HC New Level	$59.10	$268.00	$67.00–$393.48	—	78%
New patient office visit, about 45 minutes inpatient CPT 99204 HC Clinic Level 4 New to Em	$66.33	$201.00	$34.10–$441.79	—	67%
New patient office visit, about 60 minutes CPT 99205 HC Clinic Level 5 New to Emc	$66.33	$201.00	$60.30–$441.79	78% below	67%
New patient office visit, about 60 minutes CPT 99205 HC Np Off Visit L5	$81.02	$348.00	$87.00–$539.41	73% below	77%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Clinic Level 5 New to Emc	$66.33	$201.00	$60.30–$441.79	—	67%
New patient office visit, about 60 minutes inpatient CPT 99205 HC Np Off Visit L5	$81.02	$348.00	$87.00–$539.41	—	77%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Np Off Visit L2	$20.81	$103.00	$25.75–$138.54	86% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Clinic Level 2 New to Emc	$66.33	$201.00	$34.10–$441.79	55% below	67%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Np Off Visit L2	$20.81	$103.00	$25.75–$138.54	—	80%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Clinic Level 2 New to Emc	$66.33	$201.00	$34.10–$441.79	—	67%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutrition Ther-Individual 15 Min	$13.59	$187.00	$27.46–$917.00	86% below	93%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Med Nutrition Ther-Individual 15 Min	$13.59	$187.00	$27.46–$917.00	—	93%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity	$52.35	$437.00	$105.76–$538.48	80% below	88%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complexity	$52.35	$437.00	$105.76–$538.48	—	88%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity	$50.95	$633.00	$102.93–$534.00	88% below	92%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complexity	$50.95	$633.00	$102.93–$534.00	—	92%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity	$50.95	$633.00	$102.93–$534.00	79% below	92%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complexity	$50.95	$633.00	$102.93–$534.00	—	92%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity	$50.95	$633.00	$102.93–$534.00	86% below	92%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Moderate Complexity	$50.95	$633.00	$102.93–$534.00	—	92%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Ea 15 Min	$14.12	$200.00	$28.53–$534.00	88% below	93%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Joint/Soft Tissue Mobilization	$14.12	$200.00	$28.53–$534.00	88% below	93%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Joint/Soft Tissue Mobilization	$14.12	$200.00	$28.53–$534.00	—	93%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy Ea 15 Min	$14.12	$200.00	$28.53–$534.00	—	93%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises Ea 15 Min	$14.98	$209.00	$9.84–$534.00	88% below	93%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Kinetic Activity 15	$14.98	$209.00	$15.72–$534.00	88% below	93%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Kinetic Activity 15	$14.98	$209.00	$15.72–$534.00	—	93%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercises Ea 15 Min	$14.98	$209.00	$9.84–$534.00	—	93%
Preventive checkup, new patient aged 18–39 CPT 99385 HC Prev Visit New Age 18-39	$58.41	$177.00	$35.06–$225.92	64% below	67%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Prev Visit New Age 18-39	$58.41	$177.00	$35.06–$225.92	—	67%
Preventive checkup, new patient aged 65 or older CPT 99387 HC Init Pm E/M New Pat 65+ Yrs	$75.90	$230.00	$45.56–$283.14	58% below	67%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Init Pm E/M New Pat 65+ Yrs	$75.90	$230.00	$45.56–$283.14	—	67%
Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy W/Patient 45 Minutes	$76.89	$233.00	$67.16–$197.12	76% below	67%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psychotherapy W/Patient 45 Minutes	$76.89	$233.00	$67.16–$197.12	—	67%
Psychotherapy session, 60 minutes CPT 90837 HC Psytx Pt &/Family 60 Minutes	$85.80	$260.00	$98.02–$219.96	77% below	67%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psytx Pt &/Family 60 Minutes	$85.80	$260.00	$98.02–$219.96	—	67%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Behav Chng Smoking 3-10min	$23.86	$95.00	$10.41–$1,160.00	67% below	75%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Behav Chng Smoking 3-10min	$23.86	$95.00	$10.41–$1,160.00	—	75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Established Level 5	$63.68	$230.00	$57.50–$423.93	71% below	72%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Ep Off Visit L5	$63.68	$230.00	$57.50–$423.93	71% below	72%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Ep Office Visit L5	$66.33	$201.00	$34.10–$441.79	70% below	67%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Ep Off Visit L5	$63.68	$230.00	$57.50–$423.93	—	72%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Established Level 5	$63.68	$230.00	$57.50–$423.93	—	72%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Ep Office Visit L5	$66.33	$201.00	$34.10–$441.79	—	67%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Established Level 3	$29.13	$105.00	$26.25–$193.94	80% below	72%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Ep Off Visit L3	$66.33	$201.00	$34.10–$441.79	54% below	67%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Established Level 3	$29.13	$105.00	$26.25–$193.94	—	72%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Ep Off Visit L3	$66.33	$201.00	$34.10–$441.79	—	67%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Established Level	$42.81	$162.00	$40.50–$284.99	77% below	74%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Ep Off Visit L	$66.33	$201.00	$34.10–$441.79	65% below	67%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Established Level	$42.81	$162.00	$40.50–$284.99	—	74%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Ep Off Visit L	$66.33	$201.00	$34.10–$441.79	—	67%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Established Level	$15.71	$53.00	$13.25–$104.57	86% below	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Ep Off Visit L	$66.33	$201.00	$34.10–$441.79	40% below	67%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Established Level	$15.71	$53.00	$13.25–$104.57	—	70%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Ep Off Visit L	$66.33	$201.00	$34.10–$441.79	—	67%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Consult Level 3	$66.33	$201.00	$39.82–$187.00	64% below	67%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consult Level 3	$105.27	$319.00	$63.19–$269.87	43% below	67%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Consult Level 3	$66.33	$201.00	$39.82–$187.00	—	67%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC Office Consult Level 3	$105.27	$319.00	$63.19–$269.87	—	67%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Consult Level 4	$66.33	$201.00	$39.82–$187.00	75% below	67%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consult Level 4	$141.24	$428.00	$84.79–$362.09	47% below	67%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC Consult Level 4	$66.33	$201.00	$39.82–$187.00	—	67%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC Office Consult Level 4	$141.24	$428.00	$84.79–$362.09	—	67%
Speech and language evaluation CPT 92523 HC Speech Eval Sound Prod W/Compre	$115.75	$481.00	$130.58–$770.62	75% below	76%
Speech and language evaluation inpatient CPT 92523 HC Speech Eval Sound Prod W/Compre	$115.75	$481.00	$130.58–$770.62	—	76%
Speech therapy session, individual CPT 92507 HC St Treatment	$38.86	$428.00	$42.63–$561.09	86% below	91%
Speech therapy session, individual inpatient CPT 92507 HC St Treatment	$38.86	$428.00	$42.63–$561.09	—	91%
Spirometry (breathing test) CPT 94010 HC Spirometry Pulm Lab	$137.47	$787.00	$35.29–$1,664.00	62% below	83%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry Pulm Lab	$137.47	$787.00	$35.29–$1,664.00	—	83%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Pre and Post Pulm	$237.57	$1,764.00	$64.59–$1,798.78	70% below	87%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Pre and Post Pulm	$237.57	$1,764.00	$64.59–$1,798.78	—	87%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Functional Activity 15	$18.14	$210.00	$15.98–$534.00	87% below	91%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Functional Activities 15	$18.14	$210.00	$15.98–$534.00	87% below	91%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Functional Activity 15	$18.14	$210.00	$15.98–$534.00	—	91%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Functional Activities 15	$18.14	$210.00	$15.98–$534.00	—	91%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phlebotomy	$84.70	$944.00	$23.52–$25,694.00	74% below	91%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phlebotomy	$84.70	$944.00	$23.52–$25,694.00	—	91%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$117.48	$356.00	$53.27–$267.00	17% below	67%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$301.62	$914.00	$53.27–$685.50	113% above	67%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$117.48	$356.00	$53.27–$267.00	—	67%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$301.62	$914.00	$53.27–$685.50	—	67%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$693.66	$2,102.00	$177.68–$1,576.50	122% above	67%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$693.66	$2,102.00	$177.68–$1,576.50	—	67%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$80.27	$243.25	$17.69–$182.44	104% above	67%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$80.27	$243.25	$17.69–$182.44	—	67%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$1,140.56	$3,456.25	$293.16–$2,592.19	138% above	67%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$1,140.56	$3,456.25	$293.16–$2,592.19	—	67%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$528.41	$1,601.25	$123.57–$1,200.94	146% above	67%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$528.41	$1,601.25	$123.57–$1,200.94	—	67%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$340.89	$1,033.00	$76.62–$774.75	145% above	67%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$340.89	$1,033.00	$76.62–$774.75	—	67%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$286.28	$867.50	$67.95–$650.63	160% above	67%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$286.28	$867.50	$67.95–$650.63	—	67%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im	$120.78	$366.00	$65.67–$274.50	4% below	67%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im	$120.78	$366.00	$65.67–$274.50	—	67%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE (PF) SUBQ INJ (WRAPPED)	$371.75	$1,126.50	$91.28–$844.88	172% above	67%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE (PF) SUBQ INJ (WRAPPED)	$371.75	$1,126.50	$91.28–$844.88	—	67%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$643.34	$1,949.50	$151.33–$1,462.13	146% above	67%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$643.34	$1,949.50	$151.33–$1,462.13	—	67%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$886.79	$2,687.25	$215.42–$2,015.44	176% above	67%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$886.79	$2,687.25	$215.42–$2,015.44	—	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,073.82	$3,254.00	$258.92–$2,440.50	114% above	67%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,073.82	$3,254.00	$258.92–$2,440.50	—	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$445.17	$1,349.00	$119.43–$1,011.75	175% above	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$589.75	$1,787.12	$119.43–$1,340.34	265% above	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$445.17	$1,349.00	$119.43–$1,011.75	—	67%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$589.75	$1,787.12	$119.43–$1,340.34	—	67%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,645.05	$4,985.00	$1,465.59–$4,217.31	70% above	67%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,645.05	$4,985.00	$1,465.59–$4,217.31	—	67%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT	$1,066.81	$3,232.75	$285.60–$2,424.56	183% above	67%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT	$1,066.81	$3,232.75	$285.60–$2,424.56	—	67%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$158.27	$4,518.50	$319.75–$3,388.88	78% below	96%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$158.27	$4,390.00	$319.75–$3,292.50	78% below	96%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$158.27	$4,390.00	$319.75–$3,292.50	—	96%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$158.27	$4,518.50	$319.75–$3,388.88	—	96%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$627.00	$1,900.00	$187.08–$1,425.00	189% above	67%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE	$858.99	$2,603.00	$187.08–$1,952.25	295% above	67%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$627.00	$1,900.00	$187.08–$1,425.00	—	67%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE	$858.99	$2,603.00	$187.08–$1,952.25	—	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$175.73	$532.50	$28.55–$399.38	115% above	67%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$175.73	$532.50	$28.55–$399.38	—	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, I	$41.91	$127.00	$37.34–$162.07	64% below	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$191.24	$579.50	$43.53–$434.63	64% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM WRAPPER	$191.24	$579.50	$43.53–$434.63	64% above	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Yo, I	$41.91	$127.00	$37.34–$162.07	—	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM WRAPPER	$191.24	$579.50	$43.53–$434.63	—	67%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$191.24	$579.50	$43.53–$434.63	—	67%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$420.67	$1,274.75	$103.08–$956.06	141% above	67%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$594.50	$1,801.50	$103.08–$1,351.13	241% above	67%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$420.67	$1,274.75	$103.08–$956.06	—	67%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$594.50	$1,801.50	$103.08–$1,351.13	—	67%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Administration	$26.40	$80.00	$4.46–$295.41	75% below	67%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Administration	$26.40	$80.00	$4.46–$295.41	—	67%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Ea Addl Vaccin	$26.40	$80.00	$13.00–$67.68	66% below	67%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Admin Ea Addl Vaccin	$26.40	$80.00	$13.00–$67.68	—	67%

Source file: https://eisenhowerhealth.org/sites/emcorg/assets/downloads/956130458_eisenhower-medical-center_standardcharges.csv