Knox County Hospital District
Knox County Hospital District publishes cash prices for 321 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Click a procedure to compare it with other hospitals nearby.
Collected Sep 29, 2026 Source price file
The price file shows no self-pay discount
For 650 of the 650 prices listed here, the cash price in Knox County Hospital District's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen Wo/w Contrast | $1,662.00 | $1,662.00 | $897.00–$1,413.00 | — |
| Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2v Flat And Upright | $314.00 | $314.00 | $170.00–$267.00 | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle 3v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle 3v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Abi | $335.00 | $335.00 | $181.00–$285.00 | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Ext Wo Contrast | $1,005.00 | $1,005.00 | $543.00–$854.00 | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extremity Right W/o Contrast | $1,055.00 | $1,055.00 | $570.00–$897.00 | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extremity Left W/o Contrast | $1,055.00 | $1,055.00 | $570.00–$897.00 | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Complete Bilateral | $314.00 | $314.00 | $170.00–$267.00 | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Echo Breast Unilat Or Bilat | $314.00 | $314.00 | $170.00–$267.00 | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast, Unilateral | $314.00 | $314.00 | $170.00–$267.00 | — |
| CT angiography (CTA) of the head CPT 70496 Cta Head W Or Wo | $1,156.00 | $1,156.00 | $624.00–$983.00 | — |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck Carotids | $1,150.00 | $1,150.00 | $621.00–$978.00 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/ | $1,451.00 | $1,451.00 | $784.00–$1,233.00 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Wo Or W | $1,680.00 | $1,680.00 | $907.00–$1,428.00 | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen And Pelvis Without Contrast | $1,435.00 | $1,435.00 | $775.00–$1,220.00 | — |
| CT scan of abdomen and pelvis, no contrast dye one side CPT 74176 Ct Hip Right Without Contrast | $1,435.00 | $1,435.00 | $775.00–$1,220.00 | — |
| CT scan of abdomen and pelvis, no contrast dye one side CPT 74176 Ct Hip Left Without Contrast | $1,435.00 | $1,435.00 | $775.00–$1,220.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,545.00 | $1,545.00 | $834.00–$1,313.00 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen And Pelvis Wo/w Contrast | $2,189.00 | $2,189.00 | $1,182.00–$1,861.00 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye one side CPT 74178 Ct Hip Right Wo/w Contrast | $2,189.00 | $2,189.00 | $1,182.00–$1,861.00 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye one side CPT 74178 Ct Hip Left Wo/w Contrast | $2,189.00 | $2,189.00 | $1,182.00–$1,861.00 | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen With Oral And Iv Contrast | $1,029.00 | $1,029.00 | $556.00–$875.00 | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen With 3 Phase | $1,350.00 | $1,350.00 | $729.00–$1,148.00 | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Without Contrast | $958.00 | $958.00 | $517.00–$814.00 | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Without Contrast | $958.00 | $958.00 | $517.00–$814.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $891.00 | $891.00 | $481.00–$757.00 | — |
| CT scan of the head with contrast CPT 70460 Ct Head With Contrast | $1,004.00 | $1,004.00 | $542.00–$853.00 | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head Wo/w Contrast | $1,170.00 | $1,170.00 | $632.00–$995.00 | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine Without Contrast | $1,010.00 | $1,010.00 | $545.00–$859.00 | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C Spine Without Contrast | $958.00 | $958.00 | $517.00–$814.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $958.00 | $958.00 | $517.00–$814.00 | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Doppler Bilat | $735.00 | $735.00 | $397.00–$625.00 | — |
| Chest CT scan without and with contrast CPT 71270 Ct Chest Wo/w Contrast | $1,139.00 | $1,139.00 | $615.00–$968.00 | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest Oblique | $224.00 | $224.00 | $121.00–$190.00 | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest Apical Lordotic | $224.00 | $224.00 | $121.00–$190.00 | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest Pa And Lat | $224.00 | $224.00 | $121.00–$190.00 | — |
| Chest X-ray, single view CPT 71045 Xr Chest Decubitus View | $224.00 | $224.00 | $121.00–$190.00 | — |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $224.00 | $224.00 | $121.00–$190.00 | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr Clavicle 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr Clavicle 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $421.00 | $421.00 | $227.00–$358.00 | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dx Bone Density Hips Pelvis | $522.00 | $522.00 | $282.00–$444.00 | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dx Bone Density Radius Ulna | $696.00 | $696.00 | $376.00–$592.00 | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Without Contrast | $1,044.00 | $1,044.00 | $564.00–$887.00 | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $1,047.00 | $1,047.00 | $565.00–$890.00 | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Hi-res Chest W/o | $1,127.00 | $1,127.00 | $609.00–$958.00 | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest With Iv Contrast | $1,103.00 | $1,103.00 | $596.00–$938.00 | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Vs Us Lower Ext Arteries Bil With Abi's | $693.00 | $693.00 | $374.00–$589.00 | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Vs Us Lower Ext Arteries Bil | $693.00 | $693.00 | $374.00–$589.00 | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Extremity Vein Bilateral | $720.00 | $720.00 | $389.00–$612.00 | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Vs Venous Upper Extremity Bilateral | $754.00 | $754.00 | $407.00–$641.00 | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Vs Venous Lower Extremity Bilateral | $754.00 | $754.00 | $407.00–$641.00 | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Complete | $609.00 | $609.00 | $329.00–$518.00 | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Pediatric | $800.00 | $800.00 | $432.00–$680.00 | — |
| Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 3v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 3v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Iac W/o Contrast | $997.00 | $997.00 | $538.00–$847.00 | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit Wo/w Contrast | $997.00 | $997.00 | $538.00–$847.00 | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Xr Facial Bones Complete | $314.00 | $314.00 | $170.00–$267.00 | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Hand X-ray, 2 views CPT 73120 Xr Hand 1v Or 2v | $314.00 | $314.00 | $170.00–$267.00 | — |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2v Rt | $314.00 | $314.00 | $170.00–$267.00 | — |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2v Lt | $314.00 | $314.00 | $170.00–$267.00 | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr Calcanius 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr Calcanius 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3v Lt Ap Lat And Sunrise | $224.00 | $224.00 | $121.00–$190.00 | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extremity Without Contrast | $749.00 | $749.00 | $404.00–$637.00 | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extremity Right Without | $712.00 | $712.00 | $384.00–$605.00 | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extremity Left Without Contrast | $749.00 | $749.00 | $404.00–$637.00 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal Real Time W/image Limited | $129.00 | $129.00 | $70.00–$110.00 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal Limited | $399.00 | $399.00 | $215.00–$339.00 | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Extremity Non Vascular Limited | $314.00 | $314.00 | $170.00–$267.00 | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Low Dose Screening | $500.00 | $500.00 | $270.00–$425.00 | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tib/fib Rt 2 Views | $224.00 | $224.00 | $121.00–$190.00 | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tib/fib Lt 2views | $224.00 | $224.00 | $121.00–$190.00 | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head Without | $1,641.00 | $1,641.00 | $886.00–$1,395.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,776.00 | $1,776.00 | $959.00–$1,510.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Any Joint W/wo Lt | $2,015.00 | $2,015.00 | $1,088.00–$1,713.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Any Joint W/wo Rt | $2,015.00 | $2,015.00 | $1,088.00–$1,713.00 | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $1,886.00 | $1,886.00 | $1,018.00–$1,603.00 | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/o And With Contrast | $2,272.00 | $2,272.00 | $1,227.00–$1,931.00 | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Without Contrast | $1,781.00 | $1,781.00 | $962.00–$1,514.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $2,176.00 | $2,176.00 | $1,175.00–$1,850.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $1,750.00 | $1,750.00 | $945.00–$1,488.00 | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri L-spine Wo/w Contrast | $2,358.00 | $2,358.00 | $1,273.00–$2,004.00 | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri T-spine Without Contrast | $1,817.00 | $1,817.00 | $981.00–$1,544.00 | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri C-spine Wo/w Contrast | $2,387.00 | $2,387.00 | $1,289.00–$2,029.00 | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C-spine Without Contrast | $1,795.00 | $1,795.00 | $969.00–$1,526.00 | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wo/w Contrast | $2,161.00 | $2,161.00 | $1,167.00–$1,837.00 | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Without Contrast | $1,997.00 | $1,997.00 | $1,078.00–$1,697.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Any Joint Wo Rt | $1,776.00 | $1,776.00 | $959.00–$1,510.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Any Joint Wo Lt | $1,776.00 | $1,776.00 | $959.00–$1,510.00 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Lower Ext Any Joint Without Rt | $1,776.00 | $1,776.00 | $959.00–$1,510.00 | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xr C Spine 4v | $314.00 | $314.00 | $170.00–$267.00 | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck W/ Contrast | $1,202.00 | $1,202.00 | $649.00–$1,022.00 | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck W/o | $958.00 | $958.00 | $517.00–$814.00 | — |
| Neck soft tissue X-ray CPT 70360 Xr Soft Tissue Neck 2v | $224.00 | $224.00 | $121.00–$190.00 | — |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis Without Contrast | $938.00 | $938.00 | $507.00–$797.00 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Echo Pelvic Fu Limited | $314.00 | $314.00 | $170.00–$267.00 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Bladder | $314.00 | $314.00 | $170.00–$267.00 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Complete | $424.00 | $424.00 | $229.00–$360.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $418.00 | $418.00 | $226.00–$355.00 | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnant Limited First Trimester | $314.00 | $314.00 | $170.00–$267.00 | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr Ribs Unilateral 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Xr Ribs Unilateral 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 4v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 4v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Xr Sinuses 3v | $235.00 | $235.00 | $127.00–$200.00 | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr Skull 3v | $314.00 | $314.00 | $170.00–$267.00 | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr Skull 1v Pa | $314.00 | $314.00 | $170.00–$267.00 | — |
| Skull X-ray, fewer than 4 views CPT 70250 Xr Skull 2v | $314.00 | $314.00 | $170.00–$267.00 | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct T Spine W/o Contrast | $913.00 | $913.00 | $493.00–$776.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toes 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toes 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 2nd Toe Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 2nd Toe Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 3rd Toe Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 3rd Toe Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 4th Toe Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 4th Toe Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 5th Toe Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe 5th Toe Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe Great Toe Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe Great Toe Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Knee 3v Rt Ap Lat And Sunrise | $224.00 | $224.00 | $121.00–$190.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $433.00 | $433.00 | $234.00–$368.00 | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Pregnant Transvaginal | $457.00 | $457.00 | $247.00–$388.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $483.00 | $483.00 | $261.00–$411.00 | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents | $399.00 | $399.00 | $215.00–$339.00 | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head/neck | $380.00 | $380.00 | $205.00–$323.00 | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Lower Leg W/doppler Unila | $512.00 | $512.00 | $276.00–$435.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Extremity Vein Unilateral Rt | $543.00 | $543.00 | $293.00–$462.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Extremity Vein Unilateral Lt | $543.00 | $543.00 | $293.00–$462.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Vs Venous Upper Extremity Unilat Lt | $570.00 | $570.00 | $308.00–$485.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Vs Venous Upper Extremity Unilat Rt | $570.00 | $570.00 | $308.00–$485.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Vs Venous Lower Extremity Unilat Rt | $570.00 | $570.00 | $308.00–$485.00 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Vs Venous Lower Extremity Unilat Lt | $570.00 | $570.00 | $308.00–$485.00 | — |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1v Kub | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Xr View/finger | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 3v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Thumb Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Thumb Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 5th Digit Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 5th Digit Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 4th Digit Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 4th Digit Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 3rd Digit Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 3rd Digit Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 3v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand 3v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand 3v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1v Or 2v Lt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1v Or 2v Rt | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L Spine Complete | $314.00 | $314.00 | $170.00–$267.00 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L Spine 2v Or 3v | $314.00 | $314.00 | $170.00–$267.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $314.00 | $314.00 | $170.00–$267.00 | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr T Spine 2v | $314.00 | $314.00 | $170.00–$267.00 | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3v | $224.00 | $224.00 | $121.00–$190.00 | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Cervical Spine 2 Or 3 V | $254.00 | $254.00 | $137.00–$216.00 | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C Spine 3v | $254.00 | $254.00 | $137.00–$216.00 | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C Spine 2v | $267.00 | $267.00 | $144.00–$227.00 | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 View | $314.00 | $314.00 | $170.00–$267.00 | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 2v Ap And Frog | $314.00 | $314.00 | $170.00–$267.00 | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Coccyx 2v | $224.00 | $224.00 | $121.00–$190.00 | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone | $120.00 | $120.00 | $65.00–$102.00 | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt/sgpt | $50.00 | $50.00 | $27.00–$43.00 | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt | $50.00 | $50.00 | $27.00–$43.00 | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast/sgot | $48.00 | $48.00 | $26.00–$41.00 | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast | $48.00 | $48.00 | $26.00–$41.00 | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Abc Profile <21y | $175.00 | $175.00 | $95.00–$149.00 | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute | $175.00 | $175.00 | $95.00–$149.00 | — |
| Albumin blood test CPT 82040 Albumin | $70.00 | $70.00 | $38.00–$60.00 | — |
| Aldosterone blood test CPT 82088 Aldosterone 24-hr Urine | $108.00 | $108.00 | $58.00–$92.00 | — |
| Aldosterone blood test CPT 82088 Aldosterone 24 Hr Ur | $200.00 | $200.00 | $108.00–$170.00 | — |
| Aldosterone blood test CPT 82088 Aldosterone | $210.00 | $210.00 | $113.00–$179.00 | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alp Isoenzymes Total | $33.00 | $33.00 | $18.00–$28.00 | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $50.00 | $50.00 | $27.00–$43.00 | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Pt Alk Phos | $53.00 | $53.00 | $29.00–$45.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 T008-ige Elm American | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Environment Each | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 E072-ige Mouse Urine | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 W009-ige Plantain English | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D001-ige D Pteronyssinus | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D002-ige D Farinae | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-ige Cat Dander | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 E005-ige Dog Dander | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G002-ige Bermuda Grass | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 G008-ige Bluegrass Kentucky | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 W001-ige Ragweed Short | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 M006-ige Alternaria Alternata | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 T007-ige Oak White | $25.00 | $25.00 | $14.00–$21.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F004-ige Wheat | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F008-ige Corn | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F010-ige Sesame Seed | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Food Each | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-ige Egg White | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F013-ige Peanut | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F014-ige Soybean | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-ige Milk | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F207-ige Clam | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F024-ige Shrimp | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-ige Walnut | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F003-ige Codfish | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 F338-ige Scallop | $50.00 | $50.00 | $27.00–$43.00 | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Latex Allergy (Latex Specific Ige) | $80.00 | $80.00 | $43.00–$68.00 | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein | $80.00 | $80.00 | $43.00–$68.00 | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 A-fetoprotein | $80.00 | $80.00 | $43.00–$68.00 | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Maternal Serum For Open Spina Bifida | $80.00 | $80.00 | $43.00–$68.00 | — |
| Ammonia blood test CPT 82140 Ammonia Plasma | $80.00 | $80.00 | $43.00–$68.00 | — |
| Amylase blood test CPT 82150 Amylase | $80.00 | $80.00 | $43.00–$68.00 | — |
| Amylase blood test CPT 82150 Amylase Urine | $80.00 | $80.00 | $43.00–$68.00 | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Ab Igg/m | $70.00 | $70.00 | $38.00–$60.00 | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodies Igg/iga | $70.00 | $70.00 | $38.00–$60.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-nuclear Ab(ana), Igg By Elisa | $105.00 | $105.00 | $57.00–$89.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct | $105.00 | $105.00 | $57.00–$89.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ifa | $105.00 | $105.00 | $57.00–$89.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Pt Ana Direct | $105.00 | $105.00 | $57.00–$89.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ..Zz Test Culture Urine | $105.00 | $105.00 | $57.00–$89.00 | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus Dx Profile Ana | $220.00 | $220.00 | $119.00–$187.00 | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp | $105.00 | $105.00 | $57.00–$89.00 | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp(brain Natiuretic P | $105.00 | $105.00 | $57.00–$89.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture | $90.00 | $90.00 | $49.00–$77.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture | $91.00 | $91.00 | $49.00–$77.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $91.00 | $91.00 | $49.00–$77.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Fluid Culture | $92.00 | $92.00 | $50.00–$78.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Routine | $92.00 | $92.00 | $50.00–$78.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Routine Culture | $92.00 | $92.00 | $50.00–$78.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture | $92.00 | $92.00 | $50.00–$78.00 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture | $92.00 | $92.00 | $50.00–$78.00 | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $150.00 | $150.00 | $81.00–$128.00 | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Indirect | $29.00 | $29.00 | $16.00–$25.00 | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $40.00 | $40.00 | $22.00–$34.00 | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $70.00 | $70.00 | $38.00–$60.00 | — |
| Blood culture for bacteria CPT 87040 Blood Culture 2nd Set | $70.00 | $70.00 | $38.00–$60.00 | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 .Venipuncture Covered | $10.00 | $10.00 | $5.00–$9.00 | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Natera Blood Draw | $10.00 | $10.00 | $5.00–$9.00 | — |
| Blood glucose (sugar) test CPT 82947 O'sullivan Glucose Test | $40.00 | $40.00 | $22.00–$34.00 | — |
| Blood glucose (sugar) test CPT 82947 Glucose2hr Pp | $40.00 | $40.00 | $22.00–$34.00 | — |
| Blood glucose (sugar) test CPT 82947 Glucose | $40.00 | $40.00 | $22.00–$34.00 | — |
| Blood lead test CPT 83655 Lead Blood | $40.00 | $40.00 | $22.00–$34.00 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qualitative | $33.00 | $33.00 | $18.00–$28.00 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum | $60.00 | $60.00 | $32.00–$51.00 | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo/rh | $150.00 | $150.00 | $81.00–$128.00 | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $289.00 | $289.00 | $156.00–$246.00 | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Abo Blood Type | $289.00 | $289.00 | $156.00–$246.00 | — |
| Blood urea nitrogen (BUN) test CPT 84520 Bunblood | $38.00 | $38.00 | $21.00–$32.00 | — |
| Blood urea nitrogen (BUN) test CPT 84520 Bun | $38.00 | $38.00 | $21.00–$32.00 | — |
| C-peptide blood test CPT 84681 C-peptide Serum | $100.00 | $100.00 | $54.00–$85.00 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $105.00 | $105.00 | $57.00–$89.00 | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $56.00 | $56.00 | $30.00–$48.00 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 Ab Profile | $150.00 | $150.00 | $81.00–$128.00 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars-cov-2 (Covid19) High Risk Rt-pcr | $150.00 | $150.00 | $81.00–$128.00 | — |
| Calcium blood test, total CPT 82310 Calcium | $100.00 | $100.00 | $54.00–$85.00 | — |
| Calcium blood test, total CPT 82310 24 Urinecalcium | $100.00 | $100.00 | $54.00–$85.00 | — |
| Calcium blood test, total CPT 82310 Calcium/creat Ratio Ur | $100.00 | $100.00 | $54.00–$85.00 | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea | $90.00 | $90.00 | $49.00–$77.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Igm | $35.00 | $35.00 | $19.00–$30.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab G/m | $35.00 | $35.00 | $19.00–$30.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Igg | $35.00 | $35.00 | $19.00–$30.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster Ab Igm | $63.00 | $63.00 | $34.00–$54.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varcella | $85.00 | $85.00 | $46.00–$72.00 | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ig | $100.00 | $100.00 | $54.00–$85.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis | $93.00 | $93.00 | $50.00–$79.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Dna Probe | $93.00 | $93.00 | $50.00–$79.00 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Probe | $95.00 | $95.00 | $51.00–$81.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $100.00 | $100.00 | $54.00–$85.00 | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $60.00 | $60.00 | $32.00–$51.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $60.00 | $60.00 | $32.00–$51.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $150.00 | $150.00 | $81.00–$128.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol Urinary Free 24hr | $80.00 | $80.00 | $43.00–$68.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol Urinary Free | $80.00 | $80.00 | $43.00–$68.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol Saliva | $88.00 | $88.00 | $48.00–$75.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol St | $110.00 | $110.00 | $59.00–$94.00 | — |
| Cortisol blood test, total CPT 82533 Cortisolpm | $130.00 | $130.00 | $70.00–$111.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol Level | $130.00 | $130.00 | $70.00–$111.00 | — |
| Cortisol blood test, total CPT 82533 Cortisol | $130.00 | $130.00 | $70.00–$111.00 | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $50.00 | $50.00 | $27.00–$43.00 | — |
| Creatinine blood test CPT 82565 Urine Creatinine | $36.00 | $36.00 | $19.00–$31.00 | — |
| Creatinine blood test CPT 82565 Creatinine | $45.00 | $45.00 | $24.00–$38.00 | — |
| Creatinine blood test CPT 82565 Creatinineblood | $50.00 | $50.00 | $27.00–$43.00 | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Cytomegalovirus Ab Igg | $52.00 | $52.00 | $28.00–$44.00 | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (Cmv) Ab Igg | $70.00 | $70.00 | $38.00–$60.00 | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (Cmv) Ab Igm | $70.00 | $70.00 | $38.00–$60.00 | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Quantitative | $90.00 | $90.00 | $49.00–$77.00 | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s | $221.00 | $221.00 | $119.00–$188.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 13 Panel Urine Drug Screen | $55.00 | $55.00 | $30.00–$47.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Any # Of Classes-ref Lab | $165.00 | $165.00 | $89.00–$140.00 | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzo Confirmation Wb | $276.00 | $276.00 | $149.00–$235.00 | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $100.00 | $100.00 | $54.00–$85.00 | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca Igm | $65.00 | $65.00 | $35.00–$55.00 | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca Igg | $65.00 | $65.00 | $35.00–$55.00 | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca/ea Ab, Igg | $90.00 | $90.00 | $49.00–$77.00 | — |
| Estradiol blood test CPT 82670 Estradiol | $150.00 | $150.00 | $81.00–$128.00 | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $85.00 | $85.00 | $46.00–$72.00 | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin | $80.00 | $80.00 | $43.00–$68.00 | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $100.00 | $100.00 | $54.00–$85.00 | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $69.00 | $69.00 | $37.00–$59.00 | — |
| Folate (folic acid) blood test CPT 82746 Folate | $140.00 | $140.00 | $76.00–$119.00 | — |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) | $140.00 | $140.00 | $76.00–$119.00 | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine Free | $100.00 | $100.00 | $54.00–$85.00 | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free (Direct) | $80.00 | $80.00 | $43.00–$68.00 | — |
| Free testosterone test CPT 84402 Free Testosterone (Direct) | $100.00 | $100.00 | $54.00–$85.00 | — |
| Free testosterone test CPT 84402 Testosterone Free | $100.00 | $100.00 | $54.00–$85.00 | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt | $128.00 | $128.00 | $69.00–$109.00 | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $892.00 | $892.00 | $482.00–$758.00 | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Ghp-mmp-do Not Use | $926.00 | $926.00 | $500.00–$787.00 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1 Hour Oral Glucose Tolerance Test | $40.00 | $40.00 | $22.00–$34.00 | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test | $85.00 | $85.00 | $46.00–$72.00 | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance First 3 Specimens | $85.00 | $85.00 | $46.00–$72.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc Probe | $93.00 | $93.00 | $50.00–$79.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae | $116.00 | $116.00 | $63.00–$99.00 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Dna Probe | $116.00 | $116.00 | $63.00–$99.00 | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylor Igg | $45.00 | $45.00 | $24.00–$38.00 | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Igm | $45.00 | $45.00 | $24.00–$38.00 | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Iga | $45.00 | $45.00 | $24.00–$38.00 | — |
| H. pylori antibody blood test CPT 86677 H. Pylori Screen | $100.00 | $100.00 | $54.00–$85.00 | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Antigen (Stool) Rl | $46.00 | $46.00 | $25.00–$39.00 | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv1 Rna By Pcr Reflex | $1,500.00 | $1,500.00 | $810.00–$1,275.00 | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv1 And Hiv2 | $75.00 | $75.00 | $41.00–$64.00 | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv Ag/ab With Reflex | $75.00 | $75.00 | $41.00–$64.00 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ab/p24 Ag W/rflex | $100.00 | $100.00 | $54.00–$85.00 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $99.00 | $99.00 | $53.00–$84.00 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hbg-a1c | $99.00 | $99.00 | $53.00–$84.00 | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $26.00 | $26.00 | $14.00–$22.00 | — |
| Hemoglobin blood test CPT 85018 Hemoglobin (Fingerstick) | $26.00 | $26.00 | $14.00–$22.00 | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Total | $33.00 | $33.00 | $18.00–$28.00 | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total | $60.00 | $60.00 | $32.00–$51.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Qual. | $52.00 | $52.00 | $28.00–$44.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Pt Hep B Sur Antibody | $59.00 | $59.00 | $32.00–$50.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Qt | $102.00 | $102.00 | $55.00–$87.00 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Titer | $105.00 | $105.00 | $57.00–$89.00 | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Pt Hep B Sur Antigen | $60.00 | $60.00 | $32.00–$51.00 | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag Screen/ Rflx Conf | $74.00 | $74.00 | $40.00–$63.00 | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Pt Hep C Antibody | $83.00 | $83.00 | $45.00–$71.00 | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus (Hcv) Antibody | $100.00 | $100.00 | $54.00–$85.00 | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Diagnosis, Naa | $114.00 | $114.00 | $62.00–$97.00 | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv-rna By Pcr Quantit | $114.00 | $114.00 | $62.00–$97.00 | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hcv Rt-pcr Qnt (Non Graph) | $114.00 | $114.00 | $62.00–$97.00 | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein (High Sensitivity) | $160.00 | $160.00 | $86.00–$136.00 | — |
| Homocysteine blood test CPT 83090 Homocyst(e)ine | $100.00 | $100.00 | $54.00–$85.00 | — |
| Insulin blood test CPT 83525 Insulin | $100.00 | $100.00 | $54.00–$85.00 | — |
| Iron blood test (serum iron) CPT 83540 Iron Total | $60.00 | $60.00 | $32.00–$51.00 | — |
| Iron blood test (serum iron) CPT 83540 Iron Rl | $60.00 | $60.00 | $32.00–$51.00 | — |
| Iron blood test (serum iron) CPT 83540 Iron | $60.00 | $60.00 | $32.00–$51.00 | — |
| Iron-binding capacity (TIBC) test CPT 83550 Tibc | $89.00 | $89.00 | $48.00–$76.00 | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron/tibc | $89.00 | $89.00 | $48.00–$76.00 | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $124.00 | $124.00 | $67.00–$105.00 | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(lh) | $50.00 | $50.00 | $27.00–$43.00 | — |
| LH (luteinizing hormone) test CPT 83002 Lh (Gonadotropin) | $80.00 | $80.00 | $43.00–$68.00 | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate | $70.00 | $70.00 | $38.00–$60.00 | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh | $163.00 | $163.00 | $88.00–$139.00 | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $77.00 | $77.00 | $42.00–$65.00 | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $75.00 | $75.00 | $41.00–$64.00 | — |
| Lyme disease antibody test CPT 86618 Lyme Disease W/ Rfx | $70.00 | $70.00 | $38.00–$60.00 | — |
| Lyme disease antibody test CPT 86618 Borellia Bufgdorferi Lyme | $107.00 | $107.00 | $58.00–$91.00 | — |
| Magnesium blood test CPT 83735 Magnesium | $68.00 | $68.00 | $37.00–$58.00 | — |
| Magnesium blood test CPT 83735 Magnesium Urine 24hr | $68.00 | $68.00 | $37.00–$58.00 | — |
| Magnesium blood test CPT 83735 Magnesium, Rbc | $100.00 | $100.00 | $54.00–$85.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab Igg | $65.00 | $65.00 | $35.00–$55.00 | — |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody Igm | $270.00 | $270.00 | $146.00–$230.00 | — |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody Igg | $270.00 | $270.00 | $146.00–$230.00 | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab Igm | $300.00 | $300.00 | $162.00–$255.00 | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test, Qualatative, With Reflex | $37.00 | $37.00 | $20.00–$31.00 | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibodies | $37.00 | $37.00 | $20.00–$31.00 | — |
| Mumps immunity blood test CPT 86735 Mumps Abs Igg | $70.00 | $70.00 | $38.00–$60.00 | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $127.00 | $127.00 | $69.00–$108.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $100.00 | $100.00 | $54.00–$85.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $160.00 | $160.00 | $86.00–$136.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone | $110.00 | $110.00 | $59.00–$94.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact | $110.00 | $110.00 | $59.00–$94.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone (Pth) Intact | $110.00 | $110.00 | $59.00–$94.00 | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pt Parathyroid | $110.00 | $110.00 | $59.00–$94.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $74.00 | $74.00 | $40.00–$63.00 | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $40.00 | $40.00 | $22.00–$34.00 | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosporus 24hr Urine | $40.00 | $40.00 | $22.00–$34.00 | — |
| Potassium blood test CPT 84132 Potassiumblood | $40.00 | $40.00 | $22.00–$34.00 | — |
| Potassium blood test CPT 84132 Potassium | $40.00 | $40.00 | $22.00–$34.00 | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Maternit 21+ | $1,500.00 | $1,500.00 | $810.00–$1,275.00 | — |
| Progesterone blood test CPT 84144 Progesterone Serum | $120.00 | $120.00 | $65.00–$102.00 | — |
| Progesterone blood test CPT 84144 Progesterone | $120.00 | $120.00 | $65.00–$102.00 | — |
| Prolactin blood test CPT 84146 Prolactin | $100.00 | $100.00 | $54.00–$85.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $50.00 | $50.00 | $27.00–$43.00 | — |
| Rapid flu test (influenza antigen) CPT 87804 Flu Swab To Determine A Or B | $46.00 | $46.00 | $25.00–$39.00 | — |
| Rapid flu test (influenza antigen) CPT 87804 Kc Flu A & B | $70.00 | $70.00 | $38.00–$60.00 | — |
| Rapid flu test (influenza antigen) CPT 87804 Mc Flu A And B | $70.00 | $70.00 | $38.00–$60.00 | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Kcc Strep Test | $74.00 | $74.00 | $40.00–$63.00 | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Mc Strep Test | $74.00 | $74.00 | $40.00–$63.00 | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Group A | $77.00 | $77.00 | $42.00–$65.00 | — |
| Renin blood test CPT 84244 Renin Activity Plasma | $180.00 | $180.00 | $97.00–$153.00 | — |
| Rh blood typing CPT 86901 Rh | $89.00 | $89.00 | $48.00–$76.00 | — |
| Rheumatoid factor (RF) test CPT 86431 Pt Rheumatoid Factor Quan | $16.00 | $16.00 | $9.00–$14.00 | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor | $25.00 | $25.00 | $14.00–$21.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igg | $68.00 | $68.00 | $37.00–$58.00 | — |
| Rubella antibody test (immunity check) CPT 86762 Mmr | $70.00 | $70.00 | $38.00–$60.00 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate Erythrocyte: Non-aut | $90.00 | $90.00 | $49.00–$77.00 | — |
| Sodium blood test CPT 84295 Sodium | $46.00 | $46.00 | $25.00–$39.00 | — |
| Stool ova and parasites exam CPT 87177 Ova And Parasite Complete Exam | $90.00 | $90.00 | $49.00–$77.00 | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood | $36.00 | $36.00 | $19.00–$31.00 | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T. Pallidum Antibody | $50.00 | $50.00 | $27.00–$43.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Rflx Conf | $33.00 | $33.00 | $18.00–$28.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $44.00 | $44.00 | $24.00–$37.00 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl | $50.00 | $50.00 | $27.00–$43.00 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold Plus | $200.00 | $200.00 | $108.00–$170.00 | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone | $100.00 | $100.00 | $54.00–$85.00 | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $100.00 | $100.00 | $54.00–$85.00 | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Rl | $100.00 | $100.00 | $54.00–$85.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Micosomal Antibodies Thy | $52.00 | $52.00 | $28.00–$44.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Antibodies Quant | $75.00 | $75.00 | $41.00–$64.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (Tpo) Ab | $105.00 | $105.00 | $57.00–$89.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Micab | $110.00 | $110.00 | $59.00–$94.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Liver/kidney Ab | $200.00 | $200.00 | $108.00–$170.00 | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Myomarker 3 Plus | $4,700.00 | $4,700.00 | $2,538.00–$3,995.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $80.00 | $80.00 | $43.00–$68.00 | — |
| Total IgE blood test CPT 82785 Total Ige | $100.00 | $100.00 | $54.00–$85.00 | — |
| Total IgE blood test CPT 82785 Ig E (Immunogobulin E) | $100.00 | $100.00 | $54.00–$85.00 | — |
| Total IgE blood test CPT 82785 Allergen Panel | $672.00 | $672.00 | $363.00–$571.00 | — |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $40.00 | $40.00 | $22.00–$34.00 | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine Total | $65.00 | $65.00 | $35.00–$55.00 | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine | $145.00 | $145.00 | $78.00–$123.00 | — |
| Transferrin blood test CPT 84466 Transferrin Saturation | $100.00 | $100.00 | $54.00–$85.00 | — |
| Transferrin blood test CPT 84466 Transferrin | $100.00 | $100.00 | $54.00–$85.00 | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis | $93.00 | $93.00 | $50.00–$79.00 | — |
| Triglycerides blood test CPT 84478 Triglycerides | $58.00 | $58.00 | $31.00–$49.00 | — |
| Troponin test, quantitative CPT 84484 Troponin T Gen5 | $125.00 | $125.00 | $68.00–$106.00 | — |
| Troponin test, quantitative CPT 84484 Troponin | $125.00 | $125.00 | $68.00–$106.00 | — |
| Uric acid blood test CPT 84550 Uric Acid | $50.00 | $50.00 | $27.00–$43.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $42.00 | $42.00 | $23.00–$36.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $31.00 | $31.00 | $17.00–$26.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $10.00 | $10.00 | $5.00–$9.00 | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture & Sensitivity Urine | $70.00 | $70.00 | $38.00–$60.00 | — |
| Urine microalbumin (albumin) test CPT 82043 24 Hr Urine Microalbumin | $81.00 | $81.00 | $44.00–$69.00 | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine | $60.00 | $60.00 | $32.00–$51.00 | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $85.00 | $85.00 | $46.00–$72.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D2 | $110.00 | $110.00 | $59.00–$94.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-hydroxy D3 | $110.00 | $110.00 | $59.00–$94.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-hydroxy | $120.00 | $120.00 | $65.00–$102.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-hydroxy D2 | $120.00 | $120.00 | $65.00–$102.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamen D 25-hydroxy | $120.00 | $120.00 | $65.00–$102.00 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Fractionated | $120.00 | $120.00 | $65.00–$102.00 | — |
| Zinc blood test CPT 84630 Zinc Whole Blood | $69.00 | $69.00 | $37.00–$59.00 | — |
| Zinc blood test CPT 84630 Zinc Plasma Or Serum | $69.00 | $69.00 | $37.00–$59.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg (Tumor Marker) | $100.00 | $100.00 | $54.00–$85.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-hcg Quantitative | $100.00 | $100.00 | $54.00–$85.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg | $100.00 | $100.00 | $54.00–$85.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Level Quantitative | $100.00 | $100.00 | $54.00–$85.00 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Tumor Maker | $109.00 | $109.00 | $59.00–$93.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cl Tx Distal Fibula W/o | $214.00 | $214.00 | $116.00–$182.00 | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Tx Fibula(lat) W/o | $300.00 | $300.00 | $162.00–$283.00 | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Tx Metatarsal W/o | $425.00 | $425.00 | $230.00–$361.00 | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Drainage Of Finger Abscess; Complicated | $159.00 | $159.00 | $86.00–$135.00 | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External | $576.00 | $576.00 | $311.00–$490.00 | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery | $3,812.00 | $3,812.00 | $2,058.00–$3,240.00 | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cl Tx Rad-ulna Distal W/o | $225.00 | $225.00 | $122.00–$191.00 | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Pneumococcal 20 Val Conj Vacc Im(pcv20) | $680.00 | $680.00 | $367.00–$578.00 | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Irrigation 69209 | $111.00 | $111.00 | $60.00–$94.00 | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Cerumen W Irrigation (By Rn) | $111.00 | $111.00 | $60.00–$94.00 | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Cerumen Unilateral | $111.00 | $111.00 | $60.00–$94.00 | — |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen | $81.00 | $81.00 | $44.00–$69.00 | — |
| Earwax removal with instruments, one ear CPT 69210 Er- Ear Wash | $111.00 | $111.00 | $60.00–$94.00 | — |
| Earwax removal with instruments, one ear CPT 69210 Ear Irrigation | $111.00 | $111.00 | $60.00–$94.00 | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Exploration | $1,600.00 | $1,600.00 | $864.00–$1,360.00 | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Single/simple | $215.00 | $215.00 | $116.00–$183.00 | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision And Drainage, Abscess | $322.00 | $322.00 | $97.00–$274.00 | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Trigger Point Lig | $180.00 | $180.00 | $33.00–$153.00 | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inject Trigger Point | $550.00 | $550.00 | $297.00–$468.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inject Major Joint | $196.00 | $196.00 | $39.00–$167.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis I/d Maj | $207.00 | $207.00 | $112.00–$176.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj Major Joint-shoulder | $530.00 | $530.00 | $286.00–$451.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj Major Joint (Shoulder | $535.00 | $535.00 | $289.00–$455.00 | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspirate/injecte Maj Jt | $550.00 | $550.00 | $297.00–$468.00 | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inject Joint Interknee | $183.00 | $183.00 | $31.00–$156.00 | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj Joint Intermediate | $192.00 | $192.00 | $104.00–$163.00 | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspirate/injecte Int Jt | $550.00 | $550.00 | $297.00–$468.00 | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Inj Joint Small (Finge | $180.00 | $180.00 | $31.00–$153.00 | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Asp/inj Sm Joint | $550.00 | $550.00 | $297.00–$468.00 | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Int 2.5 | $650.00 | $650.00 | $351.00–$553.00 | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Wound Repair Intermediate | $650.00 | $650.00 | $351.00–$553.00 | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Benign Face = | $417.00 | $417.00 | $225.00–$354.00 | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate | $111.00 | $111.00 | $48.00–$94.00 | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Part/ | $360.00 | $360.00 | $194.00–$306.00 | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Nail Excision | $208.00 | $208.00 | $112.00–$177.00 | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Nail Bed Prt/comp | $353.00 | $353.00 | $191.00–$300.00 | — |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Fb Simple | $129.00 | $129.00 | $70.00–$110.00 | — |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Body Subcue Si | $157.00 | $157.00 | $85.00–$133.00 | — |
| Removal of a foreign object under the skin, simple CPT 10120 Removal F B Simple | $525.00 | $525.00 | $284.00–$446.00 | — |
| Short arm cast (elbow to hand) CPT 29075 Cast Short Arm | $500.00 | $500.00 | $270.00–$425.00 | — |
| Short arm splint (forearm and hand) CPT 29125 Splint Short Arm | $149.00 | $149.00 | $80.00–$127.00 | — |
| Short leg cast (below the knee) CPT 29405 Cast Of Short Leg Cast | $161.00 | $161.00 | $54.00–$137.00 | — |
| Short leg cast (below the knee) CPT 29405 Cast Short Leg Walking | $480.00 | $480.00 | $259.00–$408.00 | — |
| Short leg splint (calf to foot) CPT 29515 Splint Short Leg | $149.00 | $149.00 | $80.00–$127.00 | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Lac Repair(scalp)<2.5 | $207.00 | $207.00 | $43.00–$176.00 | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Wound Repair Simple 12001 | $219.00 | $219.00 | $118.00–$186.00 | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Lac Repair(scalp) <2.5 | $219.00 | $219.00 | $118.00–$186.00 | — |
| Skin biopsy, punch, one lesion CPT 11104 Biopsy W/punch Of The Skin | $220.00 | $220.00 | $119.00–$187.00 | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tab Lumbar | $1,250.00 | $1,250.00 | $675.00–$1,063.00 | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Lac Repair(scalp) 2.6-7.5 | $257.00 | $257.00 | $139.00–$218.00 | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Lac Repair(scalp) 2.6 | $260.00 | $260.00 | $56.00–$221.00 | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac Repair(face) <2.5 | $219.00 | $219.00 | $118.00–$186.00 | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $168.00 | $168.00 | $91.00–$143.00 | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point Musc | $180.00 | $180.00 | $97.00–$153.00 | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1-2 | $550.00 | $550.00 | $297.00–$468.00 | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Obstetric care, planned vaginal delivery (post delivery by cesarean section) | $3,595.00 | $3,595.00 | $1,941.00–$3,056.00 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery | $3,432.00 | $3,432.00 | $1,853.00–$2,917.00 | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Epid/dermis 2 | $168.00 | $168.00 | $54.00–$143.00 | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subcut Tissue First 20 Sq Cm | $168.00 | $168.00 | $91.00–$143.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Infuse 2 U Lrc | $850.00 | $850.00 | $459.00–$723.00 | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Bb Transfuse X 1 Unit | $850.00 | $850.00 | $459.00–$723.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Breathing Txhhn Tx | $184.00 | $184.00 | $99.00–$156.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment 2 | $184.00 | $184.00 | $99.00–$156.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Tx | $184.00 | $184.00 | $99.00–$156.00 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Breathing Treatment | $184.00 | $184.00 | $99.00–$156.00 | — |
| Chemotherapy IV infusion, first hour CPT 96413 Er Chemo Infus 1st Hour | $193.00 | $193.00 | $104.00–$164.00 | — |
| Chemotherapy IV infusion, first hour CPT 96413 Tr Chemo Infus 1st Hour | $350.00 | $350.00 | $189.00–$298.00 | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care First 30-74 Min | $704.00 | $704.00 | $196.00–$598.00 | — |
| Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care | $1,667.00 | $1,667.00 | $900.00–$1,417.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $185.00 | $185.00 | $100.00–$157.00 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg | $153.00 | $153.00 | $83.00–$130.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 | $85.00 | $85.00 | $11.00–$72.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Level 1 | $175.00 | $175.00 | $95.00–$149.00 | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er/telemetry Level 1 | $175.00 | $175.00 | $95.00–$149.00 | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 | $136.00 | $136.00 | $40.00–$116.00 | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er/telemetry Level 2 | $320.00 | $320.00 | $173.00–$272.00 | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Level 2 | $320.00 | $320.00 | $173.00–$272.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 | $213.00 | $213.00 | $68.00–$181.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er/telemetry Level 3 | $559.00 | $559.00 | $302.00–$475.00 | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Level 3 | $559.00 | $559.00 | $302.00–$475.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 | $333.00 | $333.00 | $116.00–$283.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er/telemetry Level 4 | $880.00 | $880.00 | $475.00–$748.00 | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Level 4 | $880.00 | $880.00 | $475.00–$748.00 | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 | $512.00 | $512.00 | $169.00–$435.00 | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Level 5 | $1,262.00 | $1,262.00 | $681.00–$1,073.00 | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er/telemetry Level 5 | $1,262.00 | $1,262.00 | $681.00–$1,073.00 | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cr Cardiac Stress Test | $564.00 | $564.00 | $305.00–$479.00 | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Ob Infus Therapy 1 Hour | $263.00 | $263.00 | $142.00–$224.00 | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion Therapy First | $264.00 | $264.00 | $32.00–$224.00 | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Er Infusion Therapy 1 Hr | $264.00 | $264.00 | $143.00–$224.00 | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Tr Infus Therapy 1 Hour | $277.00 | $277.00 | $150.00–$235.00 | — |
| IV infusion of a medicine, first hour CPT 96365 Drug Infusion 1hr | $193.00 | $193.00 | $104.00–$164.00 | — |
| IV infusion of a medicine, first hour CPT 96365 Tr Iv Infus Drug 1st Hr | $400.00 | $400.00 | $216.00–$340.00 | — |
| IV infusion of a medicine, first hour CPT 96365 Er Iv Drug Inital Hr | $425.00 | $425.00 | $230.00–$361.00 | — |
| IV infusion of a medicine, first hour CPT 96365 Ob Iv Drug Inital Hour | $425.00 | $425.00 | $230.00–$361.00 | — |
| IV push of a medicine, first drug CPT 96374 Iv Injection | $87.00 | $87.00 | $36.00–$74.00 | — |
| IV push of a medicine, first drug CPT 96374 Tx Rm Iv Injection | $209.00 | $209.00 | $113.00–$178.00 | — |
| IV push of a medicine, first drug CPT 96374 Er Injection Iv | $209.00 | $209.00 | $113.00–$178.00 | — |
| IV push of a medicine, first drug CPT 96374 Injection Administration Ivp | $209.00 | $209.00 | $113.00–$178.00 | — |
| IV push of a medicine, first drug CPT 96374 Ob Iv Inj | $209.00 | $209.00 | $113.00–$178.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Administer | $61.00 | $61.00 | $33.00–$52.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ob Thera Inj (Imsq) | $87.00 | $87.00 | $47.00–$74.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Administration Im/subq | $87.00 | $87.00 | $47.00–$74.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ob Im Antibiotic Inj | $87.00 | $87.00 | $47.00–$74.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tx Rm Inj Im & Sq (All) | $92.00 | $92.00 | $50.00–$78.00 | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Er Injection Im (All) | $100.00 | $100.00 | $54.00–$85.00 | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt-re-educate Of Movement | $53.00 | $53.00 | $29.00–$45.00 | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-education | $97.00 | $97.00 | $52.00–$82.00 | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Balance Training | $97.00 | $97.00 | $52.00–$82.00 | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $140.00 | $140.00 | $76.00–$119.00 | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $201.00 | $201.00 | $109.00–$171.00 | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $243.00 | $243.00 | $131.00–$207.00 | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Rhc Clinic Np Lvl 2 99202 | $91.00 | $91.00 | $49.00–$77.00 | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Evaluation High | $414.00 | $414.00 | $224.00–$352.00 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Evaluation Low | $200.00 | $200.00 | $108.00–$170.00 | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Evaluation Moderate | $250.00 | $250.00 | $135.00–$213.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Soft Tissue Mobilization | $97.00 | $97.00 | $52.00–$82.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy | $97.00 | $97.00 | $52.00–$82.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Traction | $97.00 | $97.00 | $52.00–$82.00 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Traction/man Therapy 15m | $97.00 | $97.00 | $52.00–$82.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $91.00 | $91.00 | $49.00–$77.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $105.00 | $105.00 | $57.00–$89.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $135.00 | $135.00 | $73.00–$115.00 | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Wellness Np 65over | $155.00 | $155.00 | $84.00–$132.00 | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Annual Well Est 18-39 Yr 99395 | $105.00 | $105.00 | $57.00–$89.00 | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Thsteps Est 18-20 Yr 99395 | $105.00 | $105.00 | $57.00–$89.00 | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Wellness Est 40-64 Yr 99396 | $128.00 | $128.00 | $69.00–$109.00 | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Wellness Est 65 Plus 99397 | $139.00 | $139.00 | $75.00–$118.00 | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Rhc Est Lvl 5 99215 | $188.00 | $188.00 | $102.00–$160.00 | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Rhc Est Lvl 3 99213 | $91.00 | $91.00 | $49.00–$77.00 | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Rhc Est Lvl 4 99214 | $140.00 | $140.00 | $76.00–$119.00 | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Rhc Est Lvl 2 99212 | $67.00 | $67.00 | $36.00–$57.00 | — |
| Speech and language evaluation CPT 92523 St Speech Comprehensive Evaluation 92523 | $306.00 | $306.00 | $165.00–$260.00 | — |
| Speech and language evaluation CPT 92523 St Eval Sound Product Comp 92523 | $306.00 | $306.00 | $165.00–$260.00 | — |
| Speech and language evaluation CPT 92523 Speech Therapy Evaluation | $306.00 | $306.00 | $165.00–$260.00 | — |
| Speech therapy session, individual CPT 92507 Speech Therapy Treatment | $154.00 | $154.00 | $83.00–$131.00 | — |
| Speech therapy session, individual CPT 92507 St Speech Language Therapy 92507 | $154.00 | $154.00 | $83.00–$131.00 | — |
| Spirometry before and after a bronchodilator CPT 94060 Pft Pre And Post Bronc | $350.00 | $350.00 | $189.00–$298.00 | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Prosthetic Training | $53.00 | $53.00 | $29.00–$45.00 | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities | $97.00 | $97.00 | $52.00–$82.00 | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $250.00 | $250.00 | $135.00–$213.00 | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vaccine Inactive (Iiv) Adjuvanted | $45.00 | $45.00 | $24.00–$38.00 | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vaccine(65&up Only)fluad Tiv 2025-26 | $98.00 | $98.00 | $53.00–$83.00 | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vaccine(65&up Only)fluad 2024-25 | $147.00 | $147.00 | $79.00–$125.00 | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap <7 Years | $49.00 | $49.00 | $26.00–$42.00 | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Solu-medrol Vial 1 Gram | $103.00 | $103.00 | $56.00–$88.00 | — |
| Hepatitis A vaccine, adult dose CPT 90632 Cl-hepatitis A Vaccine Vial 1440/ml | $68.00 | $68.00 | $37.00–$58.00 | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Cl-hepatitis A Vaccine Vial 1440/ml | $67.00 | $67.00 | $36.00–$57.00 | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Cl- M-m-r Ii Vaccine Sdv | $137.00 | $137.00 | $74.00–$116.00 | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Cl-m-m-r Ii Vaccine Sdv | $137.00 | $137.00 | $74.00–$116.00 | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Cl-meningoccal Vaccine 0.5 Ml Pfs | $231.00 | $231.00 | $125.00–$196.00 | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13 | $419.00 | $419.00 | $226.00–$356.00 | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Cl-pneumococcal 13 Vaccine 0.5 Ml Im | $680.00 | $680.00 | $367.00–$578.00 | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Cl-pneumococcal 23 Vial 0.5 Ml | $352.00 | $352.00 | $190.00–$299.00 | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipv-inactive Polio Vacc | $62.00 | $62.00 | $33.00–$53.00 | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl-adacel Vac 0.5 Ml( 7+yrs) | $160.00 | $160.00 | $86.00–$136.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Metformin Tab 500 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Furosemide Tab 20 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Fenofibrate Tab 145 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Famotidine Tab 20 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Docusate Sodium Cap 100 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Atenolol Tab 25 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Furosemide Tab 40 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administer Injection | $80.00 | $80.00 | $43.00–$68.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Vaccine | $80.00 | $80.00 | $43.00–$68.00 | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Injection | $80.00 | $80.00 | $43.00–$68.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Ciproflox Tab 500 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Sodium Chloride Tablet 1gm | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Trazodone Tab 150 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Senokot Tab 8.6 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Potassium Chloride Tab Er 20 Meq | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Diphenhydramine Cap 25 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Diltiazem Er Cap 120 Mg 24 Hour | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Benzonatate Cap 100 Mg | $10.00 | $10.00 | $5.00–$9.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Er Vac Ea Add'l | $80.00 | $80.00 | $43.00–$68.00 | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Add'l Vac | $87.00 | $87.00 | $47.00–$74.00 | — |