Hospital

UT Health East Texas Quitman Hospital

Listed in its price file as “Quitman Hospital, LLC”.

UT Health East Texas Quitman Hospital in Quitman, TX publishes cash prices for 334 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 327 of 331 procedures and above it for 4. By typical cash price it ranks #5 of 305 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

117 N. Winnsboro St., Quitman, TX 75783 Collected Sep 29, 2026 Source price file (903) 763-6300

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 451380 · CMS hospital register NPI 1477061885

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT scan of abdomen before and after contrast	$322.40	$3,224.00	$220.58–$2,160.08	89% below	90%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT scan of abdomen before and after contrast	$322.40	$3,224.00	$220.58–$2,160.08	—	90%
Abdominal X-ray, 2 views CPT 74019 HC Abdomen 2 Views	$34.66	$346.58	$43.67–$657.91	91% below	90%
Abdominal X-ray, 2 views inpatient CPT 74019 HC Abdomen 2 Views	$34.66	$346.58	$43.67–$657.91	—	90%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	89% below	90%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray of ankle, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Doppler Art 1-2 Level Bilat	$45.53	$455.33	$57.37–$743.00	—	90%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Doppler Art 1-2 Level Bilat	$45.53	$455.33	$57.37–$743.00	—	90%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm without contrast	$233.74	$2,337.40	$131.99–$1,566.06	87% below	90%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT scan of arm without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body	$225.68	$2,256.80	$284.36–$1,737.74	87% below	90%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nuclear medicine study of bone and/or joint whole body	$225.68	$2,256.80	$284.36–$1,737.74	—	90%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast	$362.70	$3,627.00	$457.00–$2,430.09	92% below	90%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast	$362.70	$3,627.00	$457.00–$2,430.09	—	90%
CT angiography (CTA) of the head CPT 70496 CT scan of blood vessels of head with contrast	$362.70	$3,627.00	$220.58–$1,088.10	87% below	90%
CT angiography (CTA) of the head inpatient CPT 70496 CT scan of blood vessels of head with contrast	$362.70	$3,627.00	$220.58–$1,088.10	—	90%
CT angiography (CTA) of the neck CPT 70498 CT scan of blood vessels of neck with contrast	$362.70	$3,627.00	$220.58–$1,088.10	87% below	90%
CT angiography (CTA) of the neck inpatient CPT 70498 CT scan of blood vessels of neck with contrast	$362.70	$3,627.00	$220.58–$1,088.10	—	90%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast	$362.70	$3,627.00	$220.58–$2,430.09	87% below	90%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT scan of blood vessels of chest with contrast	$362.70	$3,627.00	$220.58–$2,430.09	—	90%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast	$233.74	$2,337.40	$291.90–$1,130.24	93% below	90%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis without contrast	$233.74	$2,337.40	$291.90–$1,130.24	—	90%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast	$322.40	$3,224.00	$406.22–$2,160.08	92% below	90%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after contrast	$322.40	$3,224.00	$406.22–$2,160.08	—	90%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast	$274.04	$2,740.40	$220.58–$1,836.07	90% below	90%
CT scan of the abdomen with contrast inpatient CPT 74160 CT scan of abdomen with contrast	$274.04	$2,740.40	$220.58–$1,836.07	—	90%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast	$233.74	$2,337.40	$131.99–$1,566.06	89% below	90%
CT scan of the abdomen without contrast inpatient CPT 74150 CT scan of abdomen without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast	$233.74	$2,337.40	$131.99–$1,566.06	86% below	90%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast	$233.74	$2,337.40	$131.99–$1,566.06	88% below	90%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast	$274.04	$2,740.40	$220.58–$1,836.07	84% below	90%
CT scan of the head with contrast inpatient CPT 70460 CT scan head or brain with contrast	$274.04	$2,740.40	$220.58–$1,836.07	—	90%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast	$322.40	$3,224.00	$220.58–$2,160.08	86% below	90%
CT scan of the head without and with contrast inpatient CPT 70470 CT scan of head or brain before and after contrast	$322.40	$3,224.00	$220.58–$2,160.08	—	90%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast	$233.74	$2,337.40	$131.99–$701.22	89% below	90%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine without contrast	$233.74	$2,337.40	$131.99–$701.22	—	90%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast	$233.74	$2,337.40	$131.99–$701.22	89% below	90%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine without contrast	$233.74	$2,337.40	$131.99–$701.22	—	90%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$274.04	$2,740.40	$220.58–$1,836.07	88% below	90%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan of pelvis with contrast	$274.04	$2,740.40	$220.58–$1,836.07	—	90%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow	$145.08	$1,450.80	$182.80–$1,117.12	89% below	90%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of both sides of head and neck blood flow	$145.08	$1,450.80	$182.80–$1,117.12	—	90%
Chest CT scan without and with contrast CPT 71270 CT scan of chest before and after contrast	$322.40	$3,224.00	$220.58–$2,160.08	88% below	90%
Chest CT scan without and with contrast inpatient CPT 71270 CT scan of chest before and after contrast	$322.40	$3,224.00	$220.58–$2,160.08	—	90%
Chest X-ray, 2 views CPT 71046 HC Chest 2 Views	$34.66	$346.58	$14.70–$468.48	91% below	90%
Chest X-ray, 2 views inpatient CPT 71046 HC Chest 2 Views	$34.66	$346.58	$14.70–$468.48	—	90%
Chest X-ray, single view CPT 71045 HC Chest Single View	$31.43	$314.34	$8.02–$468.48	90% below	90%
Chest X-ray, single view inpatient CPT 71045 HC Chest Single View	$31.43	$314.34	$8.02–$468.48	—	90%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray of collar bone	$34.66	$346.58	$43.67–$468.48	90% below	90%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray of collar bone	$34.66	$346.58	$43.67–$468.48	—	90%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity	$102.04	$1,020.40	$128.57–$785.71	86% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Complete ultrasound scan behind abdominal cavity	$102.04	$1,020.40	$128.57–$785.71	—	90%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot	$30.55	$305.50	$38.49–$235.24	86% below	90%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot	$30.55	$305.50	$38.49–$235.24	—	90%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast	$233.74	$2,337.40	$131.99–$701.22	86% below	90%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan of chest without contrast	$233.74	$2,337.40	$131.99–$701.22	—	90%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast	$274.04	$2,740.40	$220.58–$1,836.07	87% below	90%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan of chest with contrast	$274.04	$2,740.40	$220.58–$1,836.07	—	90%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Arterial Low Extrem Complete Bilat	$137.99	$1,379.87	$173.86–$1,162.04	—	90%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Arterial Low Extrem Complete Bilat	$137.99	$1,379.87	$173.86–$1,162.04	—	90%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Venous Extremity Bilat	$151.85	$1,518.50	$191.33–$1,169.25	—	90%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Venous Extremity Bilat	$151.85	$1,518.50	$191.33–$1,169.25	—	90%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$446.20	$4,462.02	$250.69–$3,435.76	81% below	90%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$446.20	$4,462.02	$250.69–$3,435.76	—	90%
Elbow X-ray, 2 views CPT 73070 X-ray of elbow, 2 views	$34.66	$346.58	$43.67–$468.48	89% below	90%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray of elbow, 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray of elbow, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	89% below	90%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray of elbow, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity without contrast	$233.74	$2,337.40	$131.99–$1,566.06	86% below	90%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT scan of cranial cavity without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of face bones, minimum of 3 views	$40.30	$403.00	$50.78–$657.91	91% below	90%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray of face bones, minimum of 3 views	$40.30	$403.00	$50.78–$657.91	—	90%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray of forearm, 2 views	$34.66	$346.58	$43.67–$468.48	91% below	90%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray of forearm, 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Hand X-ray, 2 views CPT 73120 X-ray of hand, 2 views	$34.66	$346.58	$43.67–$657.91	89% below	90%
Hand X-ray, 2 views inpatient CPT 73120 X-ray of hand, 2 views	$34.66	$346.58	$43.67–$657.91	—	90%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray of heel, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	88% below	90%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray of heel, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	$828.37	$8,283.67	$401.94–$4,713.41	81% below	90%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	$828.37	$8,283.67	$401.94–$4,713.41	—	90%
Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views	$40.30	$403.00	$50.78–$468.48	90% below	90%
Knee X-ray, 3 views inpatient CPT 73562 X-ray of knee, 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray of knee, 4 or more views	$40.30	$403.00	$50.78–$657.91	91% below	90%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray of knee, 4 or more views	$40.30	$403.00	$50.78–$657.91	—	90%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC Lower Ext W/O Contrast	$233.74	$2,337.40	$131.99–$2,349.09	87% below	90%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC Lower Ext W/O Contrast	$233.74	$2,337.40	$131.99–$2,349.09	—	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen	$104.52	$1,045.20	$131.70–$804.80	83% below	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited ultrasound scan of abdomen	$104.52	$1,045.20	$131.70–$804.80	—	90%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	$41.08	$410.80	$51.76–$657.91	91% below	90%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	$41.08	$410.80	$51.76–$657.91	—	90%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening	$107.50	$1,075.00	$131.99–$720.25	55% below	90%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screening	$107.50	$1,075.00	$131.99–$720.25	—	90%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Tibia & Fibula 2 Views	$34.66	$346.58	$43.67–$468.48	90% below	90%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Tibia & Fibula 2 Views	$34.66	$346.58	$43.67–$468.48	—	90%
MR angiography (MRA) of the head without contrast CPT 70544 MRI scan of blood vessels of head without contrast	$370.76	$3,707.60	$291.90–$2,484.09	83% below	90%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI scan of blood vessels of head without contrast	$370.76	$3,707.60	$291.90–$2,484.09	—	90%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast	$370.76	$3,707.60	$291.90–$3,726.14	83% below	90%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI scan of leg joint without contrast	$370.76	$3,707.60	$291.90–$3,726.14	—	90%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	83% below	90%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI scan of leg joint before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	—	90%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast	$435.24	$4,352.40	$291.90–$1,305.72	80% below	90%
MRI of the abdomen without contrast inpatient CPT 74181 MRI scan of abdomen without contrast	$435.24	$4,352.40	$291.90–$1,305.72	—	90%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	83% below	90%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI scan of abdomen before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	—	90%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast	$370.76	$3,707.60	$291.90–$1,130.24	83% below	90%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI scan of brain without contrast	$370.76	$3,707.60	$291.90–$1,130.24	—	90%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	82% below	90%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI scan of brain before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	—	90%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast	$370.76	$3,707.60	$291.90–$2,484.09	84% below	90%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI scan of lower spinal canal without contrast	$370.76	$3,707.60	$291.90–$2,484.09	—	90%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	83% below	90%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI scan of lower spinal canal before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	—	90%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast	$370.76	$3,707.60	$291.90–$2,484.09	83% below	90%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI scan of middle spinal canal without contrast	$370.76	$3,707.60	$291.90–$2,484.09	—	90%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	83% below	90%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI scan of upper spinal canal before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	—	90%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast	$370.76	$3,707.60	$291.90–$2,484.09	84% below	90%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI scan of upper spinal canal without contrast	$370.76	$3,707.60	$291.90–$2,484.09	—	90%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	84% below	90%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI scan of pelvis before and after contrast	$548.08	$5,480.80	$460.54–$3,672.14	—	90%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast	$370.76	$3,707.60	$291.90–$2,484.09	85% below	90%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI scan of pelvis without contrast	$370.76	$3,707.60	$291.90–$2,484.09	—	90%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast	$370.76	$3,707.60	$291.90–$3,726.14	83% below	90%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI scan of arm joint without contrast	$370.76	$3,707.60	$291.90–$3,726.14	—	90%
Neck soft tissue CT scan with contrast CPT 70491 CT scan of soft tissue of neck with contrast	$274.04	$2,740.40	$220.58–$883.77	87% below	90%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT scan of soft tissue of neck with contrast	$274.04	$2,740.40	$220.58–$883.77	—	90%
Neck soft tissue CT scan without contrast CPT 70490 CT scan of soft tissue of neck without contrast	$233.74	$2,337.40	$131.99–$1,566.06	87% below	90%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT scan of soft tissue of neck without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
Neck soft tissue X-ray CPT 70360 X-ray of soft tissue of neck	$34.66	$346.58	$43.67–$468.48	86% below	90%
Neck soft tissue X-ray inpatient CPT 70360 X-ray of soft tissue of neck	$34.66	$346.58	$43.67–$468.48	—	90%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT	$514.23	$5,142.28	$647.93–$3,959.56	88% below	90%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT	$514.23	$5,142.28	$647.93–$3,959.56	—	90%
Pelvic CT scan without contrast CPT 72192 CT scan of pelvis without contrast	$233.74	$2,337.40	$131.99–$701.22	86% below	90%
Pelvic CT scan without contrast inpatient CPT 72192 CT scan of pelvis without contrast	$233.74	$2,337.40	$131.99–$701.22	—	90%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis	$64.48	$644.80	$81.24–$657.91	87% below	90%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited ultrasound scan of pelvis	$64.48	$644.80	$81.24–$657.91	—	90%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis	$104.13	$1,041.35	$131.21–$801.84	88% below	90%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Complete ultrasound scan of pelvis	$104.13	$1,041.35	$131.21–$801.84	—	90%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$104.30	$1,042.96	$131.41–$803.08	84% below	90%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$104.30	$1,042.96	$131.41–$803.08	—	90%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus	$85.44	$854.36	$107.65–$657.86	86% below	90%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus	$85.44	$854.36	$107.65–$657.86	—	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus	$62.22	$622.23	$78.40–$657.91	86% below	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited ultrasound of pregnant uterus	$62.22	$622.23	$78.40–$657.91	—	90%
Rib X-ray, one side, 2 views CPT 71100 X-ray of ribs on side of body, 2 views	$34.66	$346.58	$43.67–$468.48	90% below	90%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray of ribs on side of body, 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray of ribs on side of body, minimum of 3 views	$40.30	$403.00	$50.78–$657.91	90% below	90%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray of ribs on side of body, minimum of 3 views	$40.30	$403.00	$50.78–$657.91	—	90%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	90% below	90%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray of shoulder, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	90% below	90%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray of paranasal sinus, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull, 1-3 views	$34.66	$346.58	$43.67–$657.91	90% below	90%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray of skull, 1-3 views	$34.66	$346.58	$43.67–$657.91	—	90%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older)	$764.53	$7,645.31	$384.49–$4,350.18	82% below	90%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study in sleep lab (6 years or older)	$764.53	$7,645.31	$384.49–$4,350.18	—	90%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound of heart with continuous electrocardiogram (ECG) during rest, exercise and/or drug induced stress with review and report	$446.20	$4,462.02	$276.69–$3,435.76	84% below	90%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound of heart with continuous electrocardiogram (ECG) during rest, exercise and/or drug induced stress with review and report	$446.20	$4,462.02	$276.69–$3,435.76	—	90%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function	$88.66	$886.60	$111.71–$1,069.63	85% below	90%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function	$88.66	$886.60	$111.71–$1,069.63	—	90%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of thigh bone, minimum 2 views	$34.66	$346.58	$43.67–$468.48	90% below	90%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray of thigh bone, minimum 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine without contrast	$233.74	$2,337.40	$131.99–$1,566.06	88% below	90%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT scan of middle spine without contrast	$233.74	$2,337.40	$131.99–$1,566.06	—	90%
Toe X-ray, 2 or more views CPT 73660 X-ray of toe, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	88% below	90%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray of toe, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$87.37	$873.70	$110.09–$672.75	86% below	90%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$87.37	$873.70	$110.09–$672.75	—	90%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus	$74.80	$747.97	$94.24–$657.91	85% below	90%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Vaginal ultrasound of pregnant uterus	$74.80	$747.97	$94.24–$657.91	—	90%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen	$122.67	$1,226.73	$131.99–$944.58	86% below	90%
Ultrasound of the abdomen, complete inpatient CPT 76700 Complete ultrasound scan of abdomen	$122.67	$1,226.73	$131.99–$944.58	—	90%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum	$94.46	$944.63	$119.02–$727.37	85% below	90%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound scan of scrotum	$94.46	$944.63	$119.02–$727.37	—	90%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue	$87.85	$878.54	$110.70–$676.48	86% below	90%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound scan of head and neck soft tissue	$87.85	$878.54	$110.70–$676.48	—	90%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray of upper arm, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	90% below	90%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray of upper arm, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Venous Extremity Unilat	$104.13	$1,041.35	$131.21–$1,202.76	87% below	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Venous Extremity Unilat	$104.13	$1,041.35	$131.21–$1,202.76	—	90%
Wrist X-ray, 2 views CPT 73100 X-ray of wrist, 2 views	$34.66	$346.58	$43.67–$468.48	89% below	90%
Wrist X-ray, 2 views inpatient CPT 73100 X-ray of wrist, 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	90% below	90%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray of wrist, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views	$34.66	$346.58	$43.67–$468.48	91% below	90%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip, 2-3 views	$34.66	$346.58	$43.67–$468.48	—	90%
X-ray of the abdomen, 1 view CPT 74018 HC Abdomen 1 View	$31.43	$314.34	$39.61–$468.48	91% below	90%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Abdomen 1 View	$31.43	$314.34	$39.61–$468.48	—	90%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views	$34.66	$346.58	$43.67–$468.48	88% below	90%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray of ankle, 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	87% below	90%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray of finger, minimum of 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views	$34.66	$346.58	$43.67–$468.48	90% below	90%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray of foot, 2 views	$34.66	$346.58	$43.67–$468.48	—	90%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	89% below	90%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray of foot, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	90% below	90%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray of hand, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views	$34.66	$346.58	$43.67–$468.48	88% below	90%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray of knee, 1-2 views	$34.66	$346.58	$43.67–$468.48	—	90%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views	$34.66	$346.58	$43.67–$657.91	93% below	90%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray of lower and sacral spine, 2-3 views	$34.66	$346.58	$43.67–$657.91	—	90%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views	$60.45	$604.50	$76.17–$657.91	90% below	90%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray of lower and sacral spine, minimum of 4 views	$60.45	$604.50	$76.17–$657.91	—	90%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views	$34.66	$346.58	$43.67–$657.91	91% below	90%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray of middle spine, 2 views	$34.66	$346.58	$43.67–$657.91	—	90%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	86% below	90%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray of nose bones, minimum of 3 views	$40.30	$403.00	$50.78–$468.48	—	90%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views	$34.66	$346.58	$43.67–$468.48	91% below	90%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of upper spine, 2-3 views	$34.66	$346.58	$43.67–$468.48	—	90%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views	$34.66	$346.58	$43.67–$657.91	91% below	90%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray of pelvis, 1-2 views	$34.66	$346.58	$43.67–$657.91	—	90%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views	$40.30	$403.00	$50.78–$468.48	88% below	90%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views	$40.30	$403.00	$50.78–$468.48	—	90%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level	$25.00	$250.00	$23.17–$230.95	89% below	90%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic hormone (ACTH) level	$25.00	$250.00	$23.17–$230.95	—	90%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level	$17.00	$170.00	$3.18–$130.90	71% below	90%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT), level	$17.00	$170.00	$3.18–$130.90	—	90%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level	$16.60	$166.00	$3.11–$127.82	71% below	90%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level	$16.60	$166.00	$3.11–$127.82	—	90%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$75.89	$758.93	$28.58–$584.38	80% below	90%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$75.89	$758.93	$28.58–$584.38	—	90%
Albumin blood test CPT 82040 Albumin (protein) level	$15.90	$159.00	$2.97–$122.43	57% below	90%
Albumin blood test inpatient CPT 82040 Albumin (protein) level	$15.90	$159.00	$2.97–$122.43	—	90%
Aldosterone blood test CPT 82088 Aldosterone hormone level	$112.10	$1,121.00	$24.45–$863.17	22% below	90%
Aldosterone blood test inpatient CPT 82088 Aldosterone hormone level	$112.10	$1,121.00	$24.45–$863.17	—	90%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level, alkaline	$16.62	$166.25	$3.11–$128.01	72% below	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (enzyme) level, alkaline	$16.62	$166.25	$3.11–$128.01	—	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each	$4.07	$40.67	$3.13–$31.32	85% below	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each	$4.07	$40.67	$3.13–$31.32	—	90%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum	$53.87	$538.75	$10.06–$414.84	56% below	90%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein (AFP) level, serum	$53.87	$538.75	$10.06–$414.84	—	90%
Ammonia blood test CPT 82140 Ammonia level	$46.82	$468.25	$8.74–$360.55	68% below	90%
Ammonia blood test inpatient CPT 82140 Ammonia level	$46.82	$468.25	$8.74–$360.55	—	90%
Amylase blood test CPT 82150 Amylase (enzyme) level	$20.80	$208.00	$3.89–$160.16	79% below	90%
Amylase blood test inpatient CPT 82150 Amylase (enzyme) level	$20.80	$208.00	$3.89–$160.16	—	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$42.92	$429.21	$7.77–$330.49	30% below	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$42.92	$429.21	$7.77–$330.49	—	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder	$33.94	$339.44	$7.25–$261.37	62% below	90%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder	$33.94	$339.44	$7.25–$261.37	—	90%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$109.90	$1,099.00	$23.56–$846.23	41% below	90%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$109.90	$1,099.00	$23.56–$846.23	—	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic	$35.94	$359.45	$5.17–$276.78	48% below	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic	$35.94	$359.45	$5.17–$276.78	—	90%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total)	$34.99	$349.88	$5.08–$269.41	85% below	90%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood test, basic group of blood chemicals (Calcium, total)	$34.99	$349.88	$5.08–$269.41	—	90%
Bilirubin blood test, total CPT 82247 Bilirubin level, total	$16.12	$161.25	$3.01–$124.16	76% below	90%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin level, total	$16.12	$161.25	$3.01–$124.16	—	90%
Blood culture for bacteria CPT 87040 Bacterial blood culture	$43.09	$430.95	$6.19–$331.83	82% below	90%
Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture	$43.09	$430.95	$6.19–$331.83	—	90%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample	$8.20	$82.00	$5.14–$54.94	59% below	90%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of blood sample	$8.20	$82.00	$5.14–$54.94	—	90%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level	$12.60	$126.00	$2.36–$97.02	72% below	90%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level	$12.60	$126.00	$2.36–$97.02	—	90%
Blood lead test CPT 83655 Lead level	$38.87	$388.75	$7.27–$299.34	27% below	90%
Blood lead test inpatient CPT 83655 Lead level	$38.87	$388.75	$7.27–$299.34	—	90%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis	$24.12	$241.25	$4.51–$185.76	82% below	90%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis	$24.12	$241.25	$4.51–$185.76	—	90%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$15.43	$154.35	$1.79–$652.00	83% below	90%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO)	$15.43	$154.35	$1.79–$652.00	—	90%
Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function, quantitative	$12.67	$126.75	$2.37–$97.60	78% below	90%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea nitrogen level to assess kidney function, quantitative	$12.67	$126.75	$2.37–$97.60	—	90%
C-peptide blood test CPT 84681 C-peptide (protein) level	$66.82	$668.25	$12.49–$514.55	18% below	90%
C-peptide blood test inpatient CPT 84681 C-peptide (protein) level	$66.82	$668.25	$12.49–$514.55	—	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$17.15	$171.53	$3.11–$132.08	71% below	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$17.15	$171.53	$3.11–$132.08	—	90%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique	$25.00	$250.00	$22.36–$222.87	86% below	90%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique	$25.00	$250.00	$22.36–$222.87	—	90%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen	$10.40	$104.00	$13.10–$306.83	88% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen	$10.40	$104.00	$13.10–$306.83	—	90%
Calcium blood test, total CPT 82310 Calcium level, total	$16.57	$165.75	$3.10–$127.63	74% below	90%
Calcium blood test, total inpatient CPT 82310 Calcium level, total	$16.57	$165.75	$3.10–$127.63	—	90%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level	$60.95	$609.50	$11.38–$469.32	62% below	90%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen (CEA) protein level	$60.95	$609.50	$11.38–$469.32	—	90%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$27.11	$271.09	$7.73–$208.74	57% below	90%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox)	$27.11	$271.09	$7.73–$208.74	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique	$129.25	$1,292.46	$21.05–$995.19	3% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique	$129.25	$1,292.46	$21.05–$995.19	—	90%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$40.00	$400.00	$8.03–$308.00	79% below	90%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$40.00	$400.00	$8.03–$308.00	—	90%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$25.04	$250.43	$4.66–$192.83	73% below	90%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$25.04	$250.43	$4.66–$192.83	—	90%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$17.65	$176.48	$3.88–$135.89	82% below	90%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	$17.65	$176.48	$3.88–$135.89	—	90%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$43.70	$437.03	$6.34–$336.51	85% below	90%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test, comprehensive group of blood chemicals	$43.70	$437.03	$6.34–$336.51	—	90%
Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement, total	$52.37	$523.75	$9.78–$403.29	43% below	90%
Cortisol blood test, total inpatient CPT 82533 Cortisol (hormone) measurement, total	$52.37	$523.75	$9.78–$403.29	—	90%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level, total	$20.92	$209.25	$3.91–$161.12	71% below	90%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level, total	$20.92	$209.25	$3.91–$161.12	—	90%
Creatinine blood test CPT 82565 Blood creatinine level	$16.45	$164.50	$3.07–$126.67	73% below	90%
Creatinine blood test inpatient CPT 82565 Blood creatinine level	$16.45	$164.50	$3.07–$126.67	—	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$47.72	$477.18	$8.63–$367.43	38% below	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV)	$47.72	$477.18	$8.63–$367.43	—	90%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative	$15.17	$151.66	$6.11–$116.78	91% below	90%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement, D-dimer; quantitative	$15.17	$151.66	$6.11–$116.78	—	90%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$60.60	$606.00	$13.34–$466.62	61% below	90%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$60.60	$606.00	$13.34–$466.62	—	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug, by chemistry analyzers	$36.90	$369.00	$37.28–$371.60	49% below	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug, by chemistry analyzers	$36.90	$369.00	$37.28–$371.60	—	90%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	$28.97	$289.74	$4.21–$223.10	85% below	90%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	$28.97	$289.74	$4.21–$223.10	—	90%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid	$60.10	$600.99	$10.88–$462.76	37% below	90%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid	$60.10	$600.99	$10.88–$462.76	—	90%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone)	$25.00	$250.00	$16.76–$192.50	83% below	90%
Estradiol blood test inpatient CPT 82670 Measurement of total estradiol (hormone)	$25.00	$250.00	$16.76–$192.50	—	90%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level	$59.70	$597.00	$11.15–$459.69	63% below	90%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level	$59.70	$597.00	$11.15–$459.69	—	90%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$43.75	$437.50	$8.18–$336.88	58% below	90%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$43.75	$437.50	$8.18–$336.88	—	90%
Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement	$27.35	$273.49	$5.83–$210.59	70% below	90%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (factor 1) activity measurement	$27.35	$273.49	$5.83–$210.59	—	90%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum	$47.22	$472.25	$8.82–$363.63	50% below	90%
Folate (folic acid) blood test inpatient CPT 82746 Folic acid level, serum	$47.22	$472.25	$8.82–$363.63	—	90%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free	$54.42	$544.25	$10.16–$419.07	61% below	90%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement, free	$54.42	$544.25	$10.16–$419.07	—	90%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free	$28.97	$289.75	$5.41–$223.11	67% below	90%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical), free	$28.97	$289.75	$5.41–$223.11	—	90%
Free testosterone test CPT 84402 Testosterone (hormone) level, free	$69.80	$698.00	$15.28–$537.46	37% below	90%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level, free	$69.80	$698.00	$15.28–$537.46	—	90%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level	$23.12	$231.25	$4.32–$178.06	64% below	90%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (liver enzyme) level	$23.12	$231.25	$4.32–$178.06	—	90%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens	$41.35	$413.50	$7.72–$318.40	73% below	90%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens	$41.35	$413.50	$7.72–$318.40	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique	$129.25	$1,292.46	$21.05–$995.19	9% below	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique	$129.25	$1,292.46	$21.05–$995.19	—	90%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)	$27.11	$271.09	$10.11–$181.63	79% below	90%
H. pylori antibody blood test inpatient CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)	$27.11	$271.09	$10.11–$181.63	—	90%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$50.96	$509.60	$8.63–$392.39	49% below	90%
H. pylori stool antigen test inpatient CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool	$50.96	$509.60	$8.63–$392.39	—	90%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification	$323.02	$3,230.24	$51.06–$2,487.28	at median	90%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification	$323.02	$3,230.24	$51.06–$2,487.28	—	90%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$45.45	$454.48	$8.23–$349.95	57% below	90%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$45.45	$454.48	$8.23–$349.95	—	90%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$9.49	$94.90	$11.96–$144.00	93% below	90%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	$9.49	$94.90	$11.96–$144.00	—	90%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types	$13.78	$137.80	$17.36–$209.84	81% below	90%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for human papillomavirus (hpv), high-risk types	$13.78	$137.80	$17.36–$209.84	—	90%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$31.17	$311.75	$5.83–$240.05	66% below	90%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$31.17	$311.75	$5.83–$240.05	—	90%
Hemoglobin blood test CPT 85018 Blood count, hemoglobin	$7.62	$76.21	$1.42–$58.68	84% below	90%
Hemoglobin blood test inpatient CPT 85018 Blood count, hemoglobin	$7.62	$76.21	$1.42–$58.68	—	90%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement	$35.59	$355.95	$6.44–$274.08	46% below	90%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement	$35.59	$355.95	$6.44–$274.08	—	90%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$43.13	$431.28	$6.20–$332.09	45% below	90%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen	$43.13	$431.28	$6.20–$332.09	—	90%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$47.30	$473.05	$8.56–$364.25	46% below	90%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$47.30	$473.05	$8.56–$364.25	—	90%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification	$118.49	$1,184.95	$25.70–$912.41	60% below	90%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification	$118.49	$1,184.95	$25.70–$912.41	—	90%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1	$43.69	$436.94	$7.91–$336.44	45% below	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis for antibody to Herpes simplex virus, type 1	$43.69	$436.94	$7.91–$336.44	—	90%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2	$64.15	$641.49	$11.61–$493.95	29% below	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis for antibody to Herpes simplex virus, type 2	$64.15	$641.49	$11.61–$493.95	—	90%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level	$54.17	$541.75	$10.75–$417.15	64% below	90%
Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level	$54.17	$541.75	$10.75–$417.15	—	90%
Insulin blood test CPT 83525 Insulin measurement, total	$36.72	$367.25	$6.86–$282.78	56% below	90%
Insulin blood test inpatient CPT 83525 Insulin measurement, total	$36.72	$367.25	$6.86–$282.78	—	90%
Iron blood test (serum iron) CPT 83540 Iron level	$20.80	$208.00	$3.88–$160.16	76% below	90%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$20.80	$208.00	$3.88–$160.16	—	90%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity	$28.10	$281.00	$5.24–$216.37	71% below	90%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding capacity	$28.10	$281.00	$5.24–$216.37	—	90%
Kidney function blood test panel CPT 80069 Kidney function blood test panel	$35.89	$358.88	$5.21–$276.34	80% below	90%
Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel	$35.89	$358.88	$5.21–$276.34	—	90%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$59.50	$595.00	$11.11–$458.15	61% below	90%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$59.50	$595.00	$11.11–$458.15	—	90%
Lactate (lactic acid) blood test CPT 83605 Lactic acid level	$34.30	$343.00	$6.94–$264.11	65% below	90%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid level	$34.30	$343.00	$6.94–$264.11	—	90%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level	$19.37	$193.75	$3.62–$149.19	59% below	90%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level	$19.37	$193.75	$3.62–$149.19	—	90%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level	$22.12	$221.25	$4.13–$170.36	77% below	90%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level	$22.12	$221.25	$4.13–$170.36	—	90%
Liver function blood test panel CPT 80076 Liver function blood test panel	$33.77	$337.66	$4.90–$260.00	84% below	90%
Liver function blood test panel inpatient CPT 80076 Liver function blood test panel	$33.77	$337.66	$4.90–$260.00	—	90%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$56.46	$564.62	$10.22–$434.76	32% below	90%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)	$56.46	$564.62	$10.22–$434.76	—	90%
Magnesium blood test CPT 83735 Magnesium level	$21.52	$215.25	$4.02–$165.74	57% below	90%
Magnesium blood test inpatient CPT 83735 Magnesium level	$21.52	$215.25	$4.02–$165.74	—	90%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus)	$42.69	$426.88	$7.73–$328.70	16% above	90%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus)	$42.69	$426.88	$7.73–$328.70	—	90%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$17.15	$171.53	$3.11–$132.08	80% below	90%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$17.15	$171.53	$3.11–$132.08	—	90%
Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus	$43.26	$432.56	$7.83–$333.07	30% below	90%
Mumps immunity blood test inpatient CPT 86735 Analysis for antibody to mumps virus	$43.26	$432.56	$7.83–$333.07	—	90%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free	$53.70	$537.00	$11.03–$413.49	52% below	90%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement, free	$53.70	$537.00	$11.03–$413.49	—	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total	$25.00	$250.00	$11.03–$192.50	72% below	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement, total	$25.00	$250.00	$11.03–$192.50	—	90%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$10.40	$104.00	$13.10–$159.13	86% below	90%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test, automated thin layer preparation; automated system and manual rescreening	$10.40	$104.00	$13.10–$159.13	—	90%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap test, manual screening	$7.93	$79.30	$9.99–$121.15	91% below	90%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap test, manual screening	$7.93	$79.30	$9.99–$121.15	—	90%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$25.00	$250.00	$24.77–$246.85	88% below	90%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$25.00	$250.00	$24.77–$246.85	—	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood	$19.33	$193.27	$3.61–$148.82	64% below	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test, plasma or whole blood	$19.33	$193.27	$3.61–$148.82	—	90%
Phosphorus (phosphate) blood test CPT 84100 Phosphate level	$15.25	$152.50	$2.84–$117.43	76% below	90%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate level	$15.25	$152.50	$2.84–$117.43	—	90%
Potassium blood test CPT 84132 Blood potassium level	$14.75	$147.50	$2.86–$113.58	77% below	90%
Potassium blood test inpatient CPT 84132 Blood potassium level	$14.75	$147.50	$2.86–$113.58	—	90%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level	$25.00	$250.00	$12.52–$192.50	78% below	90%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level	$25.00	$250.00	$12.52–$192.50	—	90%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level	$62.25	$622.50	$11.63–$479.33	46% below	90%
Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level	$62.25	$622.50	$11.63–$479.33	—	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$12.66	$126.59	$2.57–$97.47	73% below	90%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time	$12.66	$126.59	$2.57–$97.47	—	90%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus	$42.44	$424.45	$9.93–$326.83	55% below	90%
Rapid flu test (influenza antigen) inpatient CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus	$42.44	$424.45	$9.93–$326.83	—	90%
Renin blood test CPT 84244 Renin (kidney enzyme) level	$70.67	$706.75	$13.19–$544.20	31% below	90%
Renin blood test inpatient CPT 84244 Renin (kidney enzyme) level	$70.67	$706.75	$13.19–$544.20	—	90%
Rh blood typing CPT 86901 Blood typing for Rh (D) antigen	$15.43	$154.35	$1.79–$199.91	76% below	90%
Rh blood typing inpatient CPT 86901 Blood typing for Rh (D) antigen	$15.43	$154.35	$1.79–$199.91	—	90%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level	$76.55	$765.55	$3.40–$589.47	39% above	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level	$76.55	$765.55	$3.40–$589.47	—	90%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus)	$47.72	$477.18	$8.63–$367.43	2% below	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles virus)	$47.72	$477.18	$8.63–$367.43	—	90%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated	$8.70	$86.99	$1.62–$66.98	84% below	90%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated	$8.70	$86.99	$1.62–$66.98	—	90%
Sodium blood test CPT 84295 Blood sodium level	$15.45	$154.50	$2.89–$118.97	75% below	90%
Sodium blood test inpatient CPT 84295 Blood sodium level	$15.45	$154.50	$2.89–$118.97	—	90%
Stool ova and parasites exam CPT 87177 Smear for parasites	$36.53	$365.30	$5.34–$281.28	59% below	90%
Stool ova and parasites exam inpatient CPT 87177 Smear for parasites	$36.53	$365.30	$5.34–$281.28	—	90%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors	$10.45	$104.50	$2.63–$80.47	73% below	90%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumors	$10.45	$104.50	$2.63–$80.47	—	90%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum	$28.99	$289.92	$7.94–$223.24	37% below	90%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody, Treponema pallidum	$28.99	$289.92	$7.94–$223.24	—	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test	$14.13	$141.35	$2.56–$108.84	73% below	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test	$14.13	$141.35	$2.56–$108.84	—	90%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon	$174.26	$1,742.61	$37.19–$1,341.81	15% below	90%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test, gamma interferon	$174.26	$1,742.61	$37.19–$1,341.81	—	90%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total	$25.00	$250.00	$15.49–$192.50	75% below	90%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level, total	$25.00	$250.00	$15.49–$192.50	—	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement	$48.23	$482.34	$8.73–$371.40	46% below	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement	$48.23	$482.34	$8.73–$371.40	—	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$53.97	$539.75	$10.08–$415.61	56% below	90%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$53.97	$539.75	$10.08–$415.61	—	90%
Total IgE blood test CPT 82785 IgE (immune system protein) level	$52.90	$529.00	$9.88–$407.33	40% below	90%
Total IgE blood test inpatient CPT 82785 IgE (immune system protein) level	$52.90	$529.00	$9.88–$407.33	—	90%
Total cholesterol blood test CPT 82465 Cholesterol level	$14.00	$140.00	$2.61–$93.80	79% below	90%
Total cholesterol blood test inpatient CPT 82465 Cholesterol level	$14.00	$140.00	$2.61–$93.80	—	90%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total	$22.07	$220.75	$4.12–$169.98	73% below	90%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (thyroid chemical), total	$22.07	$220.75	$4.12–$169.98	—	90%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement, total	$38.60	$386.00	$8.51–$297.22	69% below	90%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid hormone, T3 measurement, total	$38.60	$386.00	$8.51–$297.22	—	90%
Transferrin blood test CPT 84466 Transferrin (iron binding protein) level	$29.57	$295.75	$7.66–$227.73	75% below	90%
Transferrin blood test inpatient CPT 84466 Transferrin (iron binding protein) level	$29.57	$295.75	$7.66–$227.73	—	90%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique	$13.78	$137.80	$17.36–$209.84	84% below	90%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique	$13.78	$137.80	$17.36–$209.84	—	90%
Triglycerides blood test CPT 84478 Triglycerides level	$18.47	$184.75	$3.44–$142.26	79% below	90%
Triglycerides blood test inpatient CPT 84478 Triglycerides level	$18.47	$184.75	$3.44–$142.26	—	90%
Troponin test, quantitative CPT 84484 Troponin (protein) analysis, quantitative	$26.80	$268.00	$7.48–$206.36	80% below	90%
Troponin test, quantitative inpatient CPT 84484 Troponin (protein) analysis, quantitative	$26.80	$268.00	$7.48–$206.36	—	90%
Uric acid blood test CPT 84550 Uric acid level, blood	$14.50	$145.00	$2.71–$111.65	84% below	90%
Uric acid blood test inpatient CPT 84550 Uric acid level, blood	$14.50	$145.00	$2.71–$111.65	—	90%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated	$14.51	$145.08	$1.90–$111.71	87% below	90%
Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test with examination using microscope, automated	$14.51	$145.08	$1.90–$111.71	—	90%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test	$11.65	$116.47	$1.35–$89.68	77% below	90%
Urinalysis without microscope exam, automated inpatient CPT 81003 Automated urinalysis test	$11.65	$116.47	$1.35–$89.68	—	90%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test	$12.06	$120.58	$2.09–$92.85	66% below	90%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, manual test	$12.06	$120.58	$2.09–$92.85	—	90%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine	$33.73	$337.35	$4.84–$259.76	76% below	90%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine	$33.73	$337.35	$4.84–$259.76	—	90%
Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level	$17.87	$178.75	$3.47–$137.64	65% below	90%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine microalbumin (protein) level	$17.87	$178.75	$3.47–$137.64	—	90%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$29.79	$297.90	$5.17–$229.38	65% below	90%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$29.79	$297.90	$5.17–$229.38	—	90%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level	$48.42	$484.25	$9.05–$372.87	47% below	90%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (vitamin B-12) level	$48.42	$484.25	$9.05–$372.87	—	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$40.00	$400.00	$17.76–$308.00	68% below	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$40.00	$400.00	$17.76–$308.00	—	90%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 level	$25.00	$250.00	$23.10–$230.23	85% below	90%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxyvitamin D, 1, 25 level	$25.00	$250.00	$23.10–$230.23	—	90%
Zinc blood test CPT 84630 Zinc level	$36.57	$365.75	$6.83–$281.63	47% below	90%
Zinc blood test inpatient CPT 84630 Zinc level	$36.57	$365.75	$6.83–$281.63	—	90%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$28.05	$280.50	$9.03–$215.99	75% below	90%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$28.05	$280.50	$9.03–$215.99	—	90%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	$54.40	$544.00	$57.98–$551.00	90% below	90%
Botox injections for chronic migraine inpatient CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	$54.40	$544.00	$57.98–$551.00	—	90%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot	$41.40	$414.00	$52.16–$551.00	85% below	90%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed treatment of broken bone in forefoot or midfoot	$41.40	$414.00	$52.16–$551.00	—	90%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat	$140.58	$1,405.84	$177.14–$1,082.50	90% below	90%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat	$140.58	$1,405.84	$177.14–$1,082.50	—	90%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$285.03	$2,850.35	$359.14–$1,767.22	76% below	90%
Colonoscopy with polyp removal inpatient CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$285.03	$2,850.35	$359.14–$1,767.22	—	90%
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope	$285.03	$2,850.35	$359.14–$1,767.22	78% below	90%
Colonoscopy with tissue sample inpatient CPT 45380 Biopsy of large bowel using a flexible endoscope	$285.03	$2,850.35	$359.14–$1,767.22	—	90%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$285.03	$2,850.35	$328.50–$1,621.85	82% below	90%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$285.03	$2,850.35	$328.50–$1,621.85	—	90%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope	$125.10	$1,251.00	$157.63–$1,216.00	89% below	90%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Diagnostic exam of bladder and urethra using an endoscope	$125.10	$1,251.00	$157.63–$1,216.00	—	90%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing	$16.47	$164.72	$20.75–$551.00	86% below	90%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing	$16.47	$164.72	$20.75–$551.00	—	90%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax	$28.37	$283.75	$35.75–$551.00	82% below	90%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax	$28.37	$283.75	$35.75–$551.00	—	90%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance	$193.40	$1,934.00	$243.68–$1,216.00	87% below	90%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance	$193.40	$1,934.00	$243.68–$1,216.00	—	90%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 HC Bilat Inj Paravert Facet Lumb/Sacral Sngl Lvl	$255.70	$2,557.00	$322.18–$2,182.40	—	90%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	$255.70	$2,557.00	$322.18–$2,182.40	86% below	90%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 HC Bilat Inj Paravert Facet Lumb/Sacral Sngl Lvl	$255.70	$2,557.00	$322.18–$2,182.40	—	90%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	$255.70	$2,557.00	$322.18–$2,182.40	—	90%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$156.62	$1,566.18	$123.62–$1,216.00	83% below	90%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$156.62	$1,566.18	$123.62–$1,216.00	—	90%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding	$166.20	$1,662.00	$158.29–$1,216.00	81% below	90%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Removal of external hemorrhoids by rubber banding	$166.20	$1,662.00	$158.29–$1,216.00	—	90%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$64.75	$647.46	$64.12–$551.00	86% below	90%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess	$64.75	$647.46	$64.12–$551.00	—	90%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$77.67	$776.67	$22.08–$722.31	82% below	90%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament	$77.67	$776.67	$22.08–$722.31	—	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 HC Bilat Arthrocentesis Asp/Inj Major Joint W/O US	$81.47	$814.68	$26.38–$695.33	—	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Asp/Inj Major Joint W/O US	$81.47	$814.68	$26.38–$695.33	88% below	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 HC Bilat Arthrocentesis Asp/Inj Major Joint W/O US	$81.47	$814.68	$26.38–$695.33	—	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Asp/Inj Major Joint W/O US	$81.47	$814.68	$26.38–$695.33	—	90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Asp/Inj Interm Jnt W/O US	$53.41	$534.14	$22.08–$551.00	91% below	90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Asp/Inj Interm Jnt W/O US	$53.41	$534.14	$22.08–$551.00	—	90%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Asp/Inj Small Joint W/O US	$71.95	$719.46	$21.17–$614.06	84% below	90%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Asp/Inj Small Joint W/O US	$71.95	$719.46	$21.17–$614.06	—	90%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$63.00	$630.03	$79.38–$551.00	88% below	90%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	$63.00	$630.03	$79.38–$551.00	—	90%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Epidural Lumb/Caud W/Imaging	$193.40	$1,934.00	$243.68–$1,216.00	88% below	90%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Epidural Lumb/Caud W/Imaging	$193.40	$1,934.00	$243.68–$1,216.00	—	90%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal	$160.35	$1,603.52	$202.04–$1,216.00	87% below	90%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of substance into lower spine canal	$160.35	$1,603.52	$202.04–$1,216.00	—	90%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC Bilat Inj Anes/Steroid Trnsf Lumbr/Sac Sngl	$298.30	$2,983.00	$340.77–$2,545.99	—	90%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$281.38	$2,813.79	$340.77–$2,545.99	81% below	90%
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC Bilat Inj Anes/Steroid Trnsf Lumbr/Sac Sngl	$298.30	$2,983.00	$340.77–$2,545.99	—	90%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$281.38	$2,813.79	$340.77–$2,545.99	—	90%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail	$55.43	$554.28	$69.84–$551.00	82% below	90%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail	$55.43	$554.28	$69.84–$551.00	—	90%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve	$54.40	$544.00	$28.22–$551.00	87% below	90%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve	$54.40	$544.00	$28.22–$551.00	—	90%
Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging	$194.43	$1,944.35	$244.99–$1,586.00	88% below	90%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging	$194.43	$1,944.35	$244.99–$1,586.00	—	90%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$111.90	$1,119.00	$84.36–$636.71	79% below	90%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail	$111.90	$1,119.00	$84.36–$636.71	—	90%
Prostate biopsy CPT 55700 Biopsy of prostate gland	$371.00	$3,710.00	$467.46–$2,976.20	86% below	90%
Prostate biopsy inpatient CPT 55700 Biopsy of prostate gland	$371.00	$3,710.00	$467.46–$2,976.20	—	90%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$572.26	$5,722.60	$466.00–$5,322.02	80% below	90%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$572.26	$5,722.60	$466.00–$5,322.02	—	90%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$84.16	$841.64	$86.38–$551.00	84% below	90%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple	$84.16	$841.64	$86.38–$551.00	—	90%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colonoscopy Screen Not High Risk	$274.99	$2,749.93	$328.50–$1,704.96	65% below	90%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC Colonoscopy Screen Not High Risk	$274.99	$2,749.93	$328.50–$1,704.96	—	90%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colonoscopy Screening High Risk	$285.03	$2,850.35	$328.50–$1,767.22	72% below	90%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Colonoscopy Screening High Risk	$285.03	$2,850.35	$328.50–$1,767.22	—	90%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast	$71.75	$717.53	$45.13–$552.50	74% below	90%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of elbow to finger cast	$71.75	$717.53	$45.13–$552.50	—	90%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint	$34.33	$343.27	$43.25–$551.00	85% below	90%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint	$34.33	$343.27	$43.25–$551.00	—	90%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot	$35.05	$350.48	$34.33–$551.00	87% below	90%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot	$35.05	$350.48	$34.33–$551.00	—	90%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$44.07	$440.66	$55.52–$551.00	88% below	90%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less	$44.07	$440.66	$55.52–$551.00	—	90%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$176.60	$1,766.00	$75.05–$1,094.92	61% below	90%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$176.60	$1,766.00	$75.05–$1,094.92	—	90%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$94.08	$940.85	$118.55–$1,216.00	91% below	90%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test	$94.08	$940.85	$118.55–$1,216.00	—	90%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	$46.26	$462.60	$58.29–$714.00	90% below	90%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	$46.26	$462.60	$58.29–$714.00	—	90%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	$45.24	$452.38	$57.00–$714.00	88% below	90%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	$45.24	$452.38	$57.00–$714.00	—	90%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$59.70	$597.00	$64.23–$551.00	83% below	90%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion	$59.70	$597.00	$64.23–$551.00	—	90%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis W/ Imaging	$150.29	$1,502.92	$189.37–$1,216.00	89% below	90%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis W/ Imaging	$150.29	$1,502.92	$189.37–$1,216.00	—	90%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles	$65.59	$655.88	$23.26–$551.00	89% below	90%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles	$65.59	$655.88	$23.26–$551.00	—	90%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$299.90	$2,999.00	$377.87–$2,309.23	89% below	90%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth	$299.90	$2,999.00	$377.87–$2,309.23	—	90%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm	$611.26	$6,112.60	$564.97–$3,789.81	58% below	90%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm	$611.26	$6,112.60	$564.97–$3,789.81	—	90%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Biopsy Single/Multiple	$253.69	$2,536.95	$319.66–$1,586.00	83% below	90%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Biopsy Single/Multiple	$253.69	$2,536.95	$319.66–$1,586.00	—	90%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$279.10	$2,791.00	$334.95–$1,730.42	62% below	90%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$279.10	$2,791.00	$334.95–$1,730.42	—	90%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	$253.69	$2,536.95	$319.66–$2,616.43	78% below	90%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	$253.69	$2,536.95	$319.66–$2,616.43	—	90%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$253.69	$2,536.95	$319.66–$1,586.00	65% below	90%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$253.69	$2,536.95	$319.66–$1,586.00	—	90%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$253.69	$2,536.95	$319.66–$1,586.00	83% below	90%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$253.69	$2,536.95	$319.66–$1,586.00	—	90%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct	$371.00	$3,710.00	$467.46–$3,226.00	92% below	90%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct	$371.00	$3,710.00	$467.46–$3,226.00	—	90%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance	$629.50	$6,295.00	$714.00–$4,655.75	85% below	90%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance	$629.50	$6,295.00	$714.00–$4,655.75	—	90%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths	$59.40	$594.00	$74.84–$551.00	70% below	90%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction of skin growth, 1-14 growths	$59.40	$594.00	$74.84–$551.00	—	90%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less	$114.00	$1,140.00	$143.08–$706.80	89% below	90%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less	$114.00	$1,140.00	$143.08–$706.80	—	90%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products	$297.43	$2,974.31	$374.76–$2,290.22	66% below	90%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products	$297.43	$2,974.31	$374.76–$2,290.22	—	90%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production	$64.02	$640.25	$80.67–$967.63	69% below	90%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production	$64.02	$640.25	$80.67–$967.63	—	90%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less	$143.50	$1,435.00	$85.37–$3,338.00	73% below	90%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Administration of chemotherapy into vein, 1 hour or less	$143.50	$1,435.00	$85.37–$3,338.00	—	90%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes	$488.46	$4,884.62	$500.00–$6,120.00	81% below	90%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes	$488.46	$4,884.62	$500.00–$6,120.00	—	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing	$36.27	$362.70	$45.70–$289.35	87% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing	$36.27	$362.70	$45.70–$289.35	—	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional	$27.31	$273.08	$34.41–$607.00	90% below	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional	$27.31	$273.08	$34.41–$607.00	—	90%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making	$47.25	$472.55	$59.54–$673.07	90% below	90%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making	$47.25	$472.55	$59.54–$673.07	—	90%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making	$130.60	$1,306.05	$164.56–$1,174.77	84% below	90%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making	$130.60	$1,306.05	$164.56–$1,174.77	—	90%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making	$282.58	$2,825.81	$356.05–$1,893.29	78% below	90%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making	$282.58	$2,825.81	$356.05–$1,893.29	—	90%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making	$444.06	$4,440.56	$500.00–$6,120.00	78% below	90%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making	$444.06	$4,440.56	$500.00–$6,120.00	—	90%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG)	$231.28	$2,312.82	$291.42–$1,780.87	82% below	90%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG)	$231.28	$2,312.82	$291.42–$1,780.87	—	90%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes	$83.37	$833.71	$71.34–$641.96	81% below	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes	$83.37	$833.71	$71.34–$641.96	—	90%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	$77.38	$773.76	$97.49–$620.00	83% below	90%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	$77.38	$773.76	$97.49–$620.00	—	90%
IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein	$38.72	$387.25	$48.79–$620.00	83% below	90%
IV push of a medicine, first drug inpatient CPT 96374 Injection of drug or substance into vein	$38.72	$387.25	$48.79–$620.00	—	90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle	$40.86	$408.58	$50.18–$620.00	73% below	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle	$40.86	$408.58	$50.18–$620.00	—	90%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$13.66	$136.58	$17.21–$204.00	88% below	90%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$13.66	$136.58	$17.21–$204.00	—	90%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes	$10.18	$101.81	$12.83–$182.00	82% below	90%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure for nutrition management, each 15 minutes	$10.18	$101.81	$12.83–$182.00	—	90%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes	$38.25	$382.50	$48.20–$454.94	87% below	90%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy, typically 45 minutes	$38.25	$382.50	$48.20–$454.94	—	90%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes	$24.57	$245.70	$30.96–$454.94	88% below	90%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy, typically 20 minutes	$24.57	$245.70	$30.96–$454.94	—	90%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity	$31.32	$313.20	$39.46–$454.94	88% below	90%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity	$31.32	$313.20	$39.46–$454.94	—	90%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes	$10.15	$101.48	$9.58–$204.00	91% below	90%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy procedure using manual technique, each 15 minutes	$10.15	$101.48	$9.58–$204.00	—	90%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$13.66	$136.58	$17.21–$204.00	88% below	90%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$13.66	$136.58	$17.21–$204.00	—	90%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$5.90	$59.00	$7.43–$101.00	87% below	90%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$5.90	$59.00	$7.43–$101.00	—	90%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression	$45.72	$457.20	$57.61–$1,050.21	89% below	90%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression	$45.72	$457.20	$57.61–$1,050.21	—	90%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume	$38.43	$384.30	$48.42–$727.72	89% below	90%
Spirometry (breathing test) inpatient CPT 94010 Test to measure expiratory airflow and volume	$38.43	$384.30	$48.42–$727.72	—	90%
Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration	$72.99	$729.90	$87.34–$562.02	88% below	90%
Spirometry before and after a bronchodilator inpatient CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration	$72.99	$729.90	$87.34–$562.02	—	90%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities	$14.89	$148.95	$18.77–$214.19	87% below	90%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy procedure using functional activities	$14.89	$148.95	$18.77–$214.19	—	90%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem	$23.20	$232.00	$29.23–$573.50	90% below	90%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Drawing of blood for a medical problem	$23.20	$232.00	$29.23–$573.50	—	90%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$139.70	$1,396.97	$176.02–$698.49	72% below	90%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$139.70	$1,396.97	$176.02–$698.49	—	90%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$78.45	$784.46	$98.84–$392.23	68% below	90%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE	$78.45	$784.46	$98.84–$392.23	—	90%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$239.69	$2,396.89	$302.01–$1,605.92	66% below	90%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$239.69	$2,396.89	$302.01–$1,605.92	—	90%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$54.28	$542.76	$68.39–$271.38	70% below	90%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$54.28	$542.76	$68.39–$271.38	—	90%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$21.43	$214.31	$27.00–$107.16	77% below	90%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$21.43	$214.31	$27.00–$107.16	—	90%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$9.61	$96.09	$12.11–$64.38	80% below	90%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$9.61	$96.09	$12.11–$64.38	—	90%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$69.89	$698.91	$88.06–$349.46	72% below	90%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$69.89	$698.91	$88.06–$349.46	—	90%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCO C,Y,W-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION	$64.17	$641.67	$80.85–$642.25	82% below	90%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$128.45	$1,284.50	$80.85–$642.25	64% below	90%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$128.45	$1,284.50	$80.85–$642.25	64% below	90%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCO C,Y,W-135 VACC 1 OF 2(PF) 5 MCG X3/0.5 ML(FINAL) IM SOLUTION	$64.17	$641.67	$80.85–$642.25	—	90%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$128.45	$1,284.50	$80.85–$642.25	—	90%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION	$128.45	$1,284.50	$80.85–$642.25	—	90%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$34.35	$343.55	$43.29–$171.78	90% below	90%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$34.35	$343.55	$43.29–$171.78	—	90%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$74.45	$744.55	$93.81–$498.85	28% below	90%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$74.45	$744.55	$93.81–$498.85	—	90%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$32.42	$324.20	$31.33–$162.10	74% below	90%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$32.42	$324.20	$31.33–$162.10	—	90%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS,TETANUS VACCINE WRAP RECORD	$34.96	$349.61	$44.05–$174.81	77% below	90%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS,TETANUS VACCINE WRAP RECORD	$34.96	$349.61	$44.05–$174.81	—	90%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine	$40.67	$406.72	$50.18–$318.07	46% below	90%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine	$40.67	$406.72	$50.18–$318.07	—	90%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine	$8.20	$82.00	$10.33–$68.22	85% below	90%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine, each additional vaccine	$8.20	$82.00	$10.33–$68.22	—	90%

Source file: https://cdn.ardenthealthservices.com/price-transparency/82-3718196_UT-Health-Quitman-Hospital_standardcharges.csv