Kaweah Health Rehabilitation Hospital
Kaweah Health Rehabilitation Hospital in St. Visalia, CA publishes cash prices for 92 common procedures listed here, from its own machine-readable price file updated Jul 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 56 of 92 procedures and above it for 34. By typical cash price it ranks #45 of 217 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
840 S. Akers St. Visalia, CA 93277 Collected Sep 29, 2026 Source price file
The price file shows no self-pay discount
For 246 of the 246 prices listed here, the cash price in Kaweah Health Rehabilitation Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipunct, Routine* | $33.00 | $33.00 | $9.34–$33.00 | 64% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Venipunct, Routine* | $33.00 | $33.00 | $28.05–$29.70 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 Hcg Gonadotropin Qual | $150.00 | $150.00 | $7.52–$150.00 | 14% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 84703 Hcg Gonadotropin Qual | $150.00 | $150.00 | $127.50–$135.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 Occult Blood Feces Colorectal Screening | $13.00 | $13.00 | $4.38–$26.33 | 67% below | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 Occult Blood Feces Colorectal Screening | $13.00 | $13.00 | $11.05–$11.70 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis Dip Stick - Automated | $42.00 | $42.00 | $2.25–$42.00 | 25% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis Dip Stick - Automated | $42.00 | $42.00 | $35.70–$37.80 | — | — |
| Urine pregnancy test, read by color change CPT 81025 81025 Urine Pregnancy Test | $56.00 | $56.00 | $8.61–$56.00 | 36% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 Urine Pregnancy Test | $56.00 | $56.00 | $47.60–$50.40 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Cervical biopsy CPT 57500 57500 Biopsy Of Cervix | $147.00 | $147.00 | $35.00–$147.00 | 91% below | — |
| Cervical biopsy inpatient CPT 57500 57500 Biopsy Of Cervix | $147.00 | $147.00 | $124.95–$132.30 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Circumcis W/Regnl Blk | $185.00 | $185.00 | $35.00–$185.00 | 82% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 Circumcis W/Regnl Blk | $185.00 | $185.00 | $157.25–$166.50 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 54160 Circumcis Neo<=28 Day | $286.00 | $286.00 | $892.45–$1,115.56 | 30% below | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 Circumcis Neo<=28 Day | $286.00 | $286.00 | $243.10–$257.40 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage | $259.00 | $259.00 | $390.01–$487.51 | 73% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage | $259.00 | $259.00 | $220.15–$233.10 | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Dilation and Curettage, Nonobstetrical | $459.00 | $459.00 | $35.00–$459.00 | 89% below | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 Dilation and Curettage, Nonobstetrical | $459.00 | $459.00 | $390.15–$413.10 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destroy Benign/Premlg Lesion | $113.00 | $113.00 | $35.00–$113.00 | 65% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destroy Benign/Premlg Lesion | $113.00 | $113.00 | $96.05–$101.70 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rem Impacted Ear Wax Uni | $33.00 | $33.00 | $75.50–$94.38 | 81% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rem Impacted Ear Wax Uni | $33.00 | $33.00 | $28.05–$29.70 | — | — |
| Earwax removal with instruments, one ear CPT 69210 69210 Remove Impacted Ear Wax Using Instrumentation | $62.00 | $62.00 | $35.00–$62.00 | 65% below | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 Remove Impacted Ear Wax Using Instrumentation | $62.00 | $62.00 | $52.70–$55.80 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Biopsy Of Uterus Lining | $121.00 | $121.00 | $35.00–$121.00 | 78% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Biopsy Of Uterus Lining | $121.00 | $121.00 | $102.85–$108.90 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insert Iud W/ Device | $209.00 | $209.00 | $35.00–$209.00 | 64% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insert Iud W/ Device | $209.00 | $209.00 | $177.65–$188.10 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drainage Of Skin Abscess | $218.00 | $218.00 | $256.78–$320.97 | 53% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Drainage Of Skin Abscess | $218.00 | $218.00 | $185.30–$196.20 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inj Tendon Sheath/Ligament | $75.00 | $75.00 | $392.86–$491.08 | 89% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inj Tendon Sheath/Ligament | $75.00 | $75.00 | $63.75–$67.50 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Drain/Inject, Joint/Bursa | $88.00 | $88.00 | $35.00–$88.00 | 91% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Drain/Inject, Joint/Bursa | $88.00 | $88.00 | $74.80–$79.20 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device | $121.00 | $121.00 | $35.00–$121.00 | 57% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device | $121.00 | $121.00 | $102.85–$108.90 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Drain/Inject, Joint/Bursa | $72.00 | $72.00 | $35.00–$72.00 | 88% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Drain/Inject, Joint/Bursa | $72.00 | $72.00 | $61.20–$64.80 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Drain/Inject, Joint/Bursa | $70.00 | $70.00 | $392.86–$491.08 | 90% below | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Drain/Inject, Joint/Bursa | $70.00 | $70.00 | $59.50–$63.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Int Wnd Rep S/A/T 2.5< Pro | $305.00 | $305.00 | $35.00–$305.00 | 65% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Int Wnd Rep S/A/T 2.5< Pro | $305.00 | $305.00 | $259.25–$274.50 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Bn Les T/A/L 0.5 Pro | $173.00 | $173.00 | $35.00–$173.00 | 87% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Bn Les T/A/L 0.5 Pro | $173.00 | $173.00 | $147.05–$155.70 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Bl Face Marg 0.5 Pro | $221.00 | $221.00 | $35.00–$221.00 | 85% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Bl Face Marg 0.5 Pro | $221.00 | $221.00 | $187.85–$198.90 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 Removal Of Nail Plate | $106.00 | $106.00 | $256.78–$320.97 | 78% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Removal Of Nail Plate | $106.00 | $106.00 | $90.10–$95.40 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Inj Anes Grtr Occ Nrv | $100.00 | $100.00 | $392.86–$491.08 | 89% below | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Inj Anes Grtr Occ Nrv | $100.00 | $100.00 | $85.00–$90.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Removal Of Nail Bed | $205.00 | $205.00 | $35.00–$205.00 | 84% below | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Removal Of Nail Bed | $205.00 | $205.00 | $174.25–$184.50 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Fb Removal - Sub Sim Pro | $215.00 | $215.00 | $520.28–$650.35 | 78% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Fb Removal - Sub Sim Pro | $215.00 | $215.00 | $182.75–$193.50 | — | — |
| Short arm cast (elbow to hand) CPT 29075 29075 Application Of Forearm Cast | $127.00 | $127.00 | $35.00–$127.00 | 75% below | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 Application Of Forearm Cast | $127.00 | $127.00 | $107.95–$114.30 | — | — |
| Short arm splint (forearm and hand) CPT 29125 29125 App Short Arm Splint | $82.00 | $82.00 | $35.00–$82.00 | 80% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 App Short Arm Splint | $82.00 | $82.00 | $69.70–$73.80 | — | — |
| Short leg cast (below the knee) CPT 29405 29405 Apply Short Leg Cast | $118.00 | $118.00 | $35.00–$118.00 | 76% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 Apply Short Leg Cast | $118.00 | $118.00 | $100.30–$106.20 | — | — |
| Short leg splint (calf to foot) CPT 29515 29515 Application Lower Leg Splint | $100.00 | $100.00 | $60.00–$100.00 | 80% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 Application Lower Leg Splint | $100.00 | $100.00 | $85.00–$90.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration >2Cm | $85.00 | $85.00 | $35.00–$85.00 | 85% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Laceration >2Cm | $85.00 | $85.00 | $72.25–$76.50 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 11104 Skin Biopsy - Punch, Single Lesion | $91.00 | $91.00 | $35.00–$91.00 | 87% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Skin Biopsy - Punch, Single Lesion | $91.00 | $91.00 | $77.35–$81.90 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags | $158.00 | $158.00 | $35.00–$158.00 | 60% below | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Removal Of Skin Tags | $158.00 | $158.00 | $134.30–$142.20 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $111.00 | $111.00 | $256.78–$320.97 | 85% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $111.00 | $111.00 | $94.35–$99.90 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Repair Superficial Wound(S) | $105.00 | $105.00 | $256.78–$320.97 | 84% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Repair Superficial Wound(S) | $105.00 | $105.00 | $89.25–$94.50 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Skin Biopsy - Shave, Scoop, Sauce - Single | $74.00 | $74.00 | $35.00–$74.00 | 87% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 Skin Biopsy - Shave, Scoop, Sauce - Single | $74.00 | $74.00 | $62.90–$66.60 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inject Trigger Point, 1 Or 2 | $71.00 | $71.00 | $392.86–$491.08 | 89% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inject Trigger Point, 1 Or 2 | $71.00 | $71.00 | $60.35–$63.90 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 Removal of Sperm Duct(s) | $463.00 | $463.00 | $2,675.41–$3,344.26 | 82% below | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 Removal of Sperm Duct(s) | $463.00 | $463.00 | $393.55–$416.70 | — | — |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction Of Lesion - Cryo, 1-14 | $142.00 | $142.00 | $256.78–$320.97 | 60% below | — |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruction Of Lesion - Cryo, 1-14 | $142.00 | $142.00 | $120.70–$127.80 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin/Tissue | $119.00 | $119.00 | $35.00–$119.00 | 83% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride Skin/Tissue | $119.00 | $119.00 | $101.15–$107.10 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 12 Lead Ekg; Global Pro | $29.00 | $29.00 | $14.50–$145.23 | 68% below | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 12 Lead Ekg; Global Pro | $29.00 | $29.00 | $24.65–$26.10 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family Psychotherapy, With Patient, 50 Min | $208.00 | $208.00 | $104.00–$208.00 | 39% below | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 Family Psychotherapy, With Patient, 50 Min | $208.00 | $208.00 | $176.80–$187.20 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Family Psychotherapy W/O Patient, 50 Min | $199.00 | $199.00 | $99.50–$199.00 | 42% below | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 Family Psychotherapy W/O Patient, 50 Min | $199.00 | $199.00 | $169.15–$179.10 | — | — |
| Group psychotherapy session CPT 90853 90853 Group Psychotherapy | $49.00 | $49.00 | $130.02–$162.53 | 82% below | — |
| Group psychotherapy session inpatient CPT 90853 90853 Group Psychotherapy | $49.00 | $49.00 | $41.65–$44.10 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj, Sc/Im | $29.00 | $29.00 | $92.15–$115.19 | 84% below | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj, Sc/Im | $29.00 | $29.00 | $24.65–$26.10 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psych Diagnostic Evaluation | $289.00 | $289.00 | $227.17–$283.96 | 31% below | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 Psych Diagnostic Evaluation | $289.00 | $289.00 | $245.65–$260.10 | — | — |
| New patient office visit, about 30 minutes CPT 99203 99203 New E/M Level 3 | $357.00 | $357.00 | $35.00–$357.00 | 67% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 New E/M Level 3 | $357.00 | $357.00 | $303.45–$321.30 | — | — |
| New patient office visit, about 45 minutes CPT 99204 99204 New E/M Level 4 | $465.00 | $465.00 | $35.00–$465.00 | 89% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 New E/M Level 4 | $465.00 | $465.00 | $395.25–$418.50 | — | — |
| New patient office visit, about 60 minutes CPT 99205 99205 New E/M Level 5 | $586.00 | $586.00 | $35.00–$586.00 | 93% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 New E/M Level 5 | $586.00 | $586.00 | $498.10–$527.40 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 New E/M Level 2 | $274.00 | $274.00 | $35.00–$274.00 | 86% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 New E/M Level 2 | $274.00 | $274.00 | $232.90–$246.60 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 Manual Therapy 1 or More Regions, 15 Min | $57.00 | $57.00 | $29.06–$57.00 | 52% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 Manual Therapy 1 or More Regions, 15 Min | $57.00 | $57.00 | $48.45–$51.30 | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 Preventive Care New Pt. Age 18-39 | $378.00 | $378.00 | $35.00–$378.00 | 136% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 Preventive Care New Pt. Age 18-39 | $378.00 | $378.00 | $321.30–$340.20 | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventive Care New Pt. Age 40-64 | $408.00 | $408.00 | $35.00–$408.00 | 120% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 Preventive Care New Pt. Age 40-64 | $408.00 | $408.00 | $346.80–$367.20 | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 Preventive Care New Pt. Age 65 And Over | $451.00 | $451.00 | $35.00–$451.00 | 149% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387 Preventive Care New Pt. Age 65 And Over | $451.00 | $451.00 | $383.35–$405.90 | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Preventive Care Est Pt. Age 18-39 | $306.00 | $306.00 | $35.00–$306.00 | 97% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 Preventive Care Est Pt. Age 18-39 | $306.00 | $306.00 | $260.10–$275.40 | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Care Est Pt. Age 40-64 | $319.00 | $319.00 | $35.00–$319.00 | 103% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396 Preventive Care Est Pt. Age 40-64 | $319.00 | $319.00 | $271.15–$287.10 | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Care Est Pt. Age 65 And Over | $276.00 | $276.00 | $35.00–$276.00 | 73% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 Preventive Care Est Pt. Age 65 And Over | $276.00 | $276.00 | $234.60–$248.40 | — | — |
| Psychiatric evaluation with medical services CPT 90792 90792 Psych Diag Eval W/Med Srvcs | $331.00 | $331.00 | $35.00–$331.00 | at median | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 90792 Psych Diag Eval W/Med Srvcs | $331.00 | $331.00 | $281.35–$297.90 | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 96130 Psycological Test Eval 1st Hr | $214.00 | $214.00 | $276.35–$345.44 | 68% below | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 96130 Psycological Test Eval 1st Hr | $214.00 | $214.00 | $181.90–$192.60 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psychotherapy for Crisis, first 60 min | $264.00 | $264.00 | $132.00–$264.00 | 23% below | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 90839 Psychotherapy for Crisis, first 60 min | $264.00 | $264.00 | $224.40–$237.60 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 90832 Lcsw, Office 16-37 Minutes | $140.00 | $140.00 | $35.00–$140.00 | 56% below | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 Lcsw, Office 16-37 Minutes | $140.00 | $140.00 | $119.00–$126.00 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psytx Pt&/Family 38-52 Minutes | $184.00 | $184.00 | $35.00–$184.00 | 42% below | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 Psytx Pt&/Family 38-52 Minutes | $184.00 | $184.00 | $156.40–$165.60 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 90837 Lcsw Office 53 or More Minutes | $273.00 | $273.00 | $35.00–$273.00 | 26% below | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 Lcsw Office 53 or More Minutes | $273.00 | $273.00 | $232.05–$245.70 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking/Tobacco Cessation Counseling 3 to 10 Min | $36.00 | $36.00 | $18.00–$36.00 | 51% below | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 Smoking/Tobacco Cessation Counseling 3 to 10 Min | $36.00 | $36.00 | $30.60–$32.40 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Est E/M Level 5 | $586.00 | $586.00 | $35.00–$586.00 | 168% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 Est E/M Level 5 | $586.00 | $586.00 | $498.10–$527.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Z1036 10Th Antepartum | $212.00 | $212.00 | $35.00–$212.00 | 46% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Est E/M Level 3 | $357.00 | $357.00 | $35.00–$357.00 | 146% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Z1036 10Th Antepartum | $212.00 | $212.00 | $180.20–$190.80 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Est E/M Level 3 | $357.00 | $357.00 | $303.45–$321.30 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Z1032 Initial Ob Exam | $335.00 | $335.00 | $35.00–$335.00 | 79% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Est E/M Level 4 | $465.00 | $465.00 | $35.00–$465.00 | 148% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Z1032 Initial Ob Exam | $335.00 | $335.00 | $284.75–$301.50 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Est E/M Level 4 | $465.00 | $465.00 | $395.25–$418.50 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Z1038 Postpartum Visit | $161.00 | $161.00 | $35.00–$161.00 | 46% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Est E/M Level 2 | $274.00 | $274.00 | $35.00–$274.00 | 148% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Z1038 Postpartum Visit | $161.00 | $161.00 | $136.85–$144.90 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Est E/M Level 2 | $274.00 | $274.00 | $232.90–$246.60 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Office or Other OP Consult 30 Min | $197.00 | $197.00 | $35.00–$197.00 | 7% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 Office or Other OP Consult 30 Min | $197.00 | $197.00 | $167.45–$177.30 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office or Other OP Consult 40 Min | $302.00 | $302.00 | $35.00–$302.00 | 14% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 Office or Other OP Consult 40 Min | $302.00 | $302.00 | $256.70–$271.80 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 (COVID-19) (12 years of age and older) | $824.15 | $824.15 | $123.62–$824.15 | 254% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-CoV-2 (COVID-19) (12 years of age and older) | $824.15 | $824.15 | $320.59–$741.74 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 varicella virus vaccine 0.5 mL | $313.00 | $313.00 | $85.27–$313.00 | at median | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL | $313.20 | $313.20 | $85.27–$313.20 | at median | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 90716 varicella virus vaccine 0.5 mL | $313.00 | $313.00 | $121.76–$281.70 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL | $313.20 | $313.20 | $121.83–$281.88 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 influenza virus vaccine (6 months of age and older) PF Tri 45 mcg Inj 0.5 mL | $110.00 | $110.00 | $16.50–$110.00 | 180% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine (6 months of age and older | $110.15 | $110.15 | $16.52–$110.15 | 180% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 90656 influenza virus vaccine (6 months of age and older) PF Tri 45 mcg Inj 0.5 mL | $110.00 | $110.00 | $42.79–$99.00 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine (6 months of age and older | $110.15 | $110.15 | $42.85–$99.14 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomavirus vaccine 9-valent Inj 0.5 mL | $977.75 | $977.75 | $219.40–$977.75 | 104% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 human papillomavirus vaccine 9-valent Inj 0.5 mL | $978.00 | $978.00 | $219.40–$978.00 | 104% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomavirus vaccine 9-valent Inj 0.5 mL | $977.75 | $977.75 | $380.34–$879.98 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 90651 human papillomavirus vaccine 9-valent Inj 0.5 mL | $978.00 | $978.00 | $380.44–$880.20 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 90632 hepatitis A adult vacc (Havrix) 1,440 units/mL 1 mL | $351.00 | $351.00 | $77.75–$351.00 | 152% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vacc (Havrix) 1440 units/mL 1 mL | $351.40 | $351.40 | $77.75–$351.40 | 152% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 hepatitis A adult vacc (Havrix) 1,440 units/mL 1 mL | $351.00 | $351.00 | $136.54–$315.90 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vacc (Havrix) 1440 units/mL 1 mL | $351.40 | $351.40 | $136.69–$316.26 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B adult (Engerix) 20 mcg/mL | $273.60 | $273.60 | $41.04–$273.60 | 148% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 hepatitis B adult (Engerix) 20 mcg/mL | $274.00 | $274.00 | $41.10–$274.00 | 149% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B adult (Engerix) 20 mcg/mL | $273.60 | $273.60 | $106.43–$246.24 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 90746 hepatitis B adult (Engerix) 20 mcg/mL | $274.00 | $274.00 | $106.59–$246.60 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 influenza virus vaccine High Dose, inactivated | $319.00 | $319.00 | $36.40–$319.00 | 154% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 influenza virus vaccine High Dose (> 65 years) PF Tri 180 mcg Inj 0.5 mL | $441.00 | $441.00 | $36.40–$441.00 | 252% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine High Dose (> 65 years) PF | $441.10 | $441.10 | $36.40–$441.10 | 252% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 influenza virus vaccine High Dose, inactivated | $319.00 | $319.00 | $124.09–$287.10 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 influenza virus vaccine High Dose (> 65 years) PF Tri 180 mcg Inj 0.5 mL | $441.00 | $441.00 | $171.55–$396.90 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine High Dose (> 65 years) PF | $441.10 | $441.10 | $171.59–$396.99 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 m | $361.50 | $361.50 | $54.63–$361.50 | 165% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 mL | $362.00 | $362.00 | $54.63–$362.00 | 165% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 m | $361.50 | $361.50 | $140.62–$325.35 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 90707 measles/mumps/rubella virus vaccine (MMR II) 0.5 mL | $362.00 | $362.00 | $140.82–$325.80 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine ACYW (Menactra) | $629.50 | $629.50 | $100.19–$629.50 | 141% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 meningococcal conjugate vaccine ACYW (Menactra) | $630.00 | $630.00 | $100.19–$630.00 | 141% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW (Menveo | $684.00 | $684.00 | $100.19–$684.00 | 162% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 meningococcal conjugate vaccine group ACYW (menveo) IM Inj | $684.00 | $684.00 | $100.19–$684.00 | 162% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine group ACYW Inj (10 | $827.90 | $827.90 | $100.19–$827.90 | 217% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 meningococcal conjugate vaccine group ACYW Inj (10 years - 55 years) | $828.00 | $828.00 | $100.19–$828.00 | 217% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine ACYW (Menactra) | $629.50 | $629.50 | $244.88–$566.55 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 90734 meningococcal conjugate vaccine ACYW (Menactra) | $630.00 | $630.00 | $245.07–$567.00 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW (Menveo | $684.00 | $684.00 | $266.08–$615.60 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 90734 meningococcal conjugate vaccine group ACYW (menveo) IM Inj | $684.00 | $684.00 | $266.08–$615.60 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine group ACYW Inj (10 | $827.90 | $827.90 | $322.05–$745.11 | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 90734 meningococcal conjugate vaccine group ACYW Inj (10 years - 55 years) | $828.00 | $828.00 | $322.09–$745.20 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 90620 meningococcal B vacc recomb (Bexsero) IM 0.5 mL | $897.00 | $897.00 | $202.35–$897.00 | 179% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vacc recomb (Bexsero) IM 0.5 mL | $897.00 | $897.00 | $202.35–$897.00 | 179% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vacc recomb (Bexsero) IM 0.5 mL | $897.00 | $897.00 | $348.93–$807.30 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 90620 meningococcal B vacc recomb (Bexsero) IM 0.5 mL | $897.00 | $897.00 | $348.93–$807.30 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL | $1,432.00 | $1,432.00 | $214.80–$1,432.00 | 185% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL | $1,432.25 | $1,432.25 | $214.84–$1,432.25 | 185% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL (K | $1,505.80 | $1,505.80 | $225.87–$1,505.80 | 200% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL | $1,432.00 | $1,432.00 | $557.05–$1,288.80 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL | $1,432.25 | $1,432.25 | $557.15–$1,289.03 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5 mL (K | $1,505.80 | $1,505.80 | $585.76–$1,355.22 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL | $483.85 | $483.85 | $22.96–$483.85 | 199% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 pneumococcal 23-polyvalent vaccine 0.5 mL | $484.00 | $484.00 | $22.96–$484.00 | 199% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL | $483.85 | $483.85 | $188.22–$435.47 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 pneumococcal 23-polyvalent vaccine 0.5 mL | $484.00 | $484.00 | $188.28–$435.60 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 90380 nirsevimab (cvx 306) alip 50 mg/0.5 mL IM Inj | $2,168.00 | $2,168.00 | $843.35–$2,168.00 | 124% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab alip 50 mg/0.5 mL IM Inj | $2,168.10 | $2,168.10 | $843.39–$2,168.10 | 124% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 90380 nirsevimab (cvx 306) alip 50 mg/0.5 mL IM Inj | $2,168.00 | $2,168.00 | $843.35–$1,951.20 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab alip 50 mg/0.5 mL IM Inj | $2,168.10 | $2,168.10 | $843.39–$1,951.29 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV vaccine preF A-preF B recombinant 120 mcg IM I | $1,646.10 | $1,646.10 | $640.33–$1,646.10 | 433% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV vaccine preF A-preF B recombinant 120 mcg IM I | $1,646.10 | $1,646.10 | $640.33–$1,481.49 | — | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units | $1,826.35 | $1,826.35 | $331.98–$913.17 | 159% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units | $1,826.35 | $1,826.35 | $710.45–$1,643.71 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine inactivated adjuvanted Powder 0.5 m | $957.35 | $957.35 | $171.08–$957.35 | 341% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine inactivated adjuvanted Powder 0.5 m | $957.35 | $957.35 | $372.41–$861.62 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units-2 units/0.5 mL | $144.00 | $144.00 | $26.88–$144.00 | 76% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units- | $144.40 | $144.40 | $26.88–$144.40 | 77% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 5 units- | $178.70 | $178.70 | $26.88–$178.70 | 119% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 tetanus toxoid-diphtheria (Td) adult 5 units-2 units/0.5 mL | $179.00 | $179.00 | $26.88–$179.00 | 119% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 diphtheria/tetanus toxoids (DT) pediatric | $225.95 | $225.95 | $26.88–$225.95 | 177% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 diphtheria/tetanus toxoids (DT) pediatric | $226.00 | $226.00 | $26.88–$226.00 | 177% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units-2 units/0.5 mL | $144.00 | $144.00 | $56.02–$129.60 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 2 units- | $144.40 | $144.40 | $56.17–$129.96 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus toxoid-diphtheria (Td) adult/adol 5 units- | $178.70 | $178.70 | $69.51–$160.83 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 tetanus toxoid-diphtheria (Td) adult 5 units-2 units/0.5 mL | $179.00 | $179.00 | $69.63–$161.10 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 diphtheria/tetanus toxoids (DT) pediatric | $225.95 | $225.95 | $87.89–$203.35 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714 diphtheria/tetanus toxoids (DT) pediatric | $226.00 | $226.00 | $87.91–$203.40 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria - tetanus - pertussis (Boostrix Tdap) | $194.00 | $194.00 | $45.60–$194.00 | 67% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 diphtheria - tetanus - pertussis (Boostrix Tdap) | $194.00 | $194.00 | $45.60–$194.00 | 67% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphtheria - tetanus - pertussis (Adacel Tdap) | $559.20 | $559.20 | $45.60–$559.20 | 381% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria - tetanus - pertussis (Boostrix Tdap) | $194.00 | $194.00 | $75.47–$174.60 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 diphtheria - tetanus - pertussis (Boostrix Tdap) | $194.00 | $194.00 | $75.47–$174.60 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphtheria - tetanus - pertussis (Adacel Tdap) | $559.20 | $559.20 | $217.53–$503.28 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Pneumonia Vaccine | $43.00 | $43.00 | $92.15–$115.19 | 59% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Inj Adm-Vaccine/1St Med | $43.00 | $43.00 | $21.50–$43.00 | 59% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Hepatitis B Vaccine | $43.00 | $43.00 | $92.15–$115.19 | 59% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin | $43.00 | $43.00 | $21.50–$43.00 | 59% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Admin Hepatitis B Vaccine | $43.00 | $43.00 | $36.55–$38.70 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin | $43.00 | $43.00 | $36.55–$38.70 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Admin Pneumonia Vaccine | $43.00 | $43.00 | $36.55–$38.70 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Inj Adm-Vaccine/1St Med | $43.00 | $43.00 | $36.55–$38.70 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin Ea Add Vaccine | $30.00 | $30.00 | $15.00–$30.00 | 61% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin Ea Add Vaccine | $30.00 | $30.00 | $25.50–$27.00 | — | — |